Q. What should I do to reduce my weight gained due to genetic hypothyroidism?

Q. I have started to get lots of acne on my face, particularly on my forehead. Please help me.

Q. Why do I have uncomfortable feeling between the middle of my spine and left shoulder blade?

Q. My symptoms after intercourse threatns me even after having negative HIV result. Kindly help.

Q. I had a surgery which ended up with some failures. What can I do to fix it?

Q. Kindly suggest a homeopathic medicine to stop hairfall and promote hair growth.

Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?

Q. I have stomach pain and bloating after taking Augmentin 625. Why?

Q. Why is there a continuous rise in temperature despite taking antibiotics?

Q. I have bulging eye problem for a year even after some treatment. Why?

Q. Suffering from subclinical hyperthyroidism with anxiety and palpitations.

Q. I have frequent urination and minimal calcification. Does it mean prostate cancer?

Q. Please enlighten me on non-invasive procedures to detect prostate cancer.

Q. What is the reason for continuous eye allergy and irritation?

Q. When should I stop Clexane and Ecosprin should before delivery?

Q. Are my symptoms due to HIV infection? I had a high-risk exposure 15 months ago.

Q. My husband is over-possessive and controlling. Please help me.

Q. As I am having a history of miscarriages, will taking hCG injections help me to continue pregnancy?

Q. Is it safe to take Clenbuterol being overweight and asthmatic?

Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?

Q. What are the causes of brown discoloration of the skin around the fingertips?

Q. My gums behind the last tooth is swollen and painful. Is it due to food impaction?

Q. Is talking to myself in front of the mirror a symptom of schizophrenia?

Q. Is it likely for HIV symptoms to show up after 5 to 6 weeks of possible exposure?

Q. My period has been late by 13 days. What could be the reason?

Q. Can I get pregnant with fingering after he touched his penis?

Q. Is it normal to have cobblestone appearance at the back of throat after tonsillectomy?

Q. Despite negative pregnancy test, I did not get my periods. What to do?

Q. After oil massage, my lower back is full of acne. Any suggestions?

Q. A 10-year-old girl obsess spanking frequently. Is this due to Asperger's syndrome?

Q. We are trying to get pregnant but we lack high libido. Please help.

Q. How to diagnose celiac disease from deamidated gliadin IgG level?

Q. I had unprotected sex during my infertile days. Can I be pregnant?

Q. I am bleeding with clots after using MTP kit. Is this normal?

Q. I am 13 weeks pregnant. Kindly explain about subseptate uterus.

Q. During orthodontic treatment, when will they remove the blue fillings?

Q. Current dose of Synthyroid is 150 mg. What is the recommended dose to get normal thyroid level?

Q. Is it too risky for me to marry someone with sickle cell trait if I have beta thalassemia trait?

Q. I have burning irritation in the middle portion of the penis after masturbation. Please help.

Q. What is the life expectancy of a sickle cell disease patient?

Q. What causes pain during dehydration in a sickle cell anemia patient?

Q. Is there any risk in giving DTwP booster dose to a baby diagnosed with seizure?

Q. I am trying to conceive for the past one year with autoimmune hypothyroidism. Please help.

Q. What is the reason for on and off toe swelling in a diabetic?

Q. I am suffering from chest pain and I heard a sloshing in my chest. Why?

Q. I am diagnosed with migraine. Kindly provide me second opinion.

Q. I am 33 weeks pregnant and suffering from dental abscess. Kindly help.

Q. When should I dispose the gauze after a tooth have been pulled?

Q. I consume marijuana and I am 22 weeks preganent. How long will it stay in my system?

Q. I am trying for conceive but I have adenomyosis and ovaries endometrioma. Please advice.

Q. I had spotting on the next day of my unprotected sex. Is this a sign of pregnancy?

Q. 3-year-old son has diarrhea for a week. Is this something serious?

Q. Is it possible to have infertility due to low progesterone levels?

Q. My intraocular pressure is getting high in the last six years. Why?

Q. What can be done for swollen gums where wisdom tooth is erupting?

Q. Which one should I opt for a vision problem, a laser treatment or specs?

Q. What are the tests I have to undergo after having unprotected oral sex?

Q. Other than Sutent, which medicine can I opt for papillary renal cell carcinoma?

Q. How to hide the gap that will occur due to the wearing of braces?

Q. What is the treatment for a 11-year-old patient with combined type 1 and 2 diabetes?

Q. Is it safe to get a filling fixed while running a low-grade fever from a UTI?

Q. What should be done when a 5-year-old has a fever of 102° with TLC 16700?

Q. How to find out if my son is suffering from any communication problem?

Q. I have a strong history of cancer. Should I concern about the sore in my leg?

Q. Kindly suggest diet for my 18 months old son with beta thalassemia intermedia.

Q. My problem of bad breath persists even after teeth cleaning. What to do?

Q. Is it possible to get extreme nausea, acid reflux, fatigue, and weight loss due to gallstone?

Q. I have gas formation, constipation and gallstone. What can be done?

Q. Is it possible for PCOS patient with regular periods to conceive?

Q. I have PCOS because of which I am facing difficulty in reducing weight. Please suggest.

Q. What can I do to straighten my curved lumbar spine and un-cant hips?

Q. I have underdeveloped jaw bones, scoliosis, and swollen face. Please help.

Q. There is white fungal ring infection on forehead. Kindly suggest the ointment.

Q. Will a 2 year old baby with Duchenne Muscular Dystrophy walk?

Q. There is a reddish-sticky part on my foreskin even after having medications. Why?

Q. Is it advisable to use Neomycin during first month of pregnancy?

Q. My Hb is 8 to 9 with normal MCV and spleen enlargement. Please advice.

Q. I am having PCOS, and trying to conceive for eight months. What is the treatment?

Q. Are tonsil stones, sore throat, and swollen gums symptoms of oral or throat cancer?

Q. What are the chances of developing a heart attack in a GAD patient?

Q. How to get rid of the rashes which exist even after medications?

Q. Will sharing water bottle cause transmission of genital herpes?

Q. I had LASIK done. My vision is all right, but I feel burning sensation in my eyes.

Q. Please help with my issues of numbness and vitamin deficiency.

Q. What is the harm of stopping Veltam plus in a person with BPH?

Q. I feel as if the skin over my belly button is firm. Is it hernia?

Q. I have a pulsating feeling on the left side of my stomach. Will this go away by itself?

Q. Why do I feel swollen feet and numbness when they are not so?

Q. Though the cholesterol is normal, is it necessary to take Ecosprin AV?

Q. If my periods are delayed due to pregnancy, can Medroxyprogesterone cause abortion?

Q. Why am I having itching and burning sensation in eyes while using contact lenses?

Q. I have pain and clicking sound in knee. What does my MRI show?

Q. Why am I having thick white and greenish vaginal discharge with itching?

Q. Can falling from a moving escalator cause inner ear disorder?

Q. Why am I having a yellow thick foul smelling vaginal discharge?

Q. One liter water bottle has fallen on my 5. 5 months old baby. What should I do?

Q. I am having some signs on my hand particularly in summer. Why?

Q. A white patch has been formed at the tip of the penis associated with skin tightness. Why?

Q. Please advice whether I can continue my same dosage of thyroid tablets after the variation of TSH levels.

Q. Is the sharp pain that I experienced on my left armpit, a sign of heart attack?

Q. What is the reason for period like cramps 12 days before period?

Q. I am getting pain in penis and tingling sensation in testicles. Please help.

Q. Which ayurvedic medicine can give a long time relief from asthma?

Q. I have pink rash on the side of my nose that gets worsened in sunlight. What could it be?

Q. Having melasma on face. Can Kojivit Gel be used and how to use it?

Q. What treatment will help for discolored skin and red circles in inner thigh?

Q. There is a thin black line on my finger nail. Is it skin cancer or melanoma?

Q. I am having mild umbilical hernia after C-section. Is it curable in Ayurveda?

Q. Increased intraocular pressure in both the eyes. Should I go for Laser Peripheral Iridotomy surgery(LPI)?

Q. I am getting recurrent left eye pain with worsening eyesight. What is the problem?

Q. What is the reason for decrease in the visual field even after having medicines for glaucoma?

Q. My child got hurt while playing. Can we use T-Bact or Neosporin ointment?

Q. My father has been detected with glaucoma. Do we need to take urgent action?

Q. Can minimally invasive glaucoma surgery be done in sensitive eyes with glaucoma?

Q. Kindly mention about the foods to be avoided in an asthma patient.

Q. Can pain and popping sound during jaw movements indicate osteoarthritis?

Q. Suffering from osteopenia and osteoarthritis. Taking AcuCal and FreeFlex. Is it safe to take SAM(S Adenosyl Methionine) to enhance mobility?

Q. Why do we have pain after deep tissue massage to tight calf muscle?

Q. I am getting scared for everything after my delivery. Kindly advice.

Q. I took Diflucan to treat urinary candidiasis. When will I get cured completely?

Q. I have chest and arm pain with fever and vomiting. What should I do?

Q. I stopped taking Adderall for some days and it is not effective now. Why?

Q. I have pain in right side of the stomach whenever I move or take deep breathe. Please help.

Q. I am under treatment for diarrhea for past 10 months. Can I include curd and lassi in my food?

Q. How can I overcome the loneliness when my partner ignores me?

Q. Can you suggest physiotherapy treatment for plantar fasciitis and knee pain?

Q. My brain tests came normal. Do I still need treatment for epilepsy?

Q. I get abdomen pain while walking and standing for a long time. Please help.

Q. How to differentiate between ulcerative colitis and Crohn's disease?

Q. I am a crohn's disease patient. Can I take ayurvedic medicines?

Q. I need a second opinion regarding my daughter's fever treatment. Please guide me.

Q. I lost my hearing capacity due to meningitis. Should I consult a rheumatologist?

Q. My brother is in coma with fungal meningitis. Will he recover?

Q. My mother had TB meningitis and is now suspected to have tubercular spine. Help.

Q. What causes nausea and vomiting without any underlying condition?

Q. My T3 and T4 values are normal, but my TSH values is high. Why?

Q. I have irritation of foreskin and whitish discharge. Please advise.

Q. How can a person with PTSD, depression and anxiety be treated?

Q. What will be the prognosis of nerve regeneration after a surgery in a 10-year-old?

Q. Can depression cause crying without reason, feeling useless and demotivated?

Q. Why has my 5-year-old been having eczema since she was 3 months old?

Q. Could you give your opinion about my eczema on the fingertips?

Q. Does burning sensation in the scrotum after having oral sex indicate HIV?

Q. My penis size is smaller than normal, will it be a problem during sex?

Q. My blood group is positive and my fiance's is negative. What problem do we need to face?

Q. I had my right ovary and tube removed due to a 4. 5 cm dermoid cyst. Was it the right call?

Q. I have bad faeces smell coming from my nose when I breathe. What could be the possible causes?

Q. I have a burning sensation on the tip of my penis when I pee. Is it due to an infection?

Q. If I stop taking Keppra suddenly, will it cause withdrawal seizure?

Q. I had two menstrual cycles in one month. Is it something serious?

Q. I have a BB sized lump where my preauricular node is. What are the possibilities?

Q. I am a 25 year old male. My body looks feminine. Please help.

Q. Does ill fitting dentures lead to peeling of skin inside the mouth?

Q. Kindly see my results and advice whether I can father a child?

Q. What type of cap should I opt for RC treated tooth, single or joined?

Q. Why could be the reason for breathing difficulty in breathing after mitral valve replacement?

Q. I have bipolar 2 and panic disorder. Is it normal for me to think that I have psychosis?

Q. I get throbbing headache in the morning after long working hours and late night sleep. Please help.

Q. Can LSD, DMT, and Ecstasy trigger the borderline personality in seperation anxiety disorder?

Q. Will IgG antibodies take care of the secondary infection in a HSV 1 postive patient?

Q. I have allergy and sinusitis so I cannot eat or drink cold items. Please help.

Q. My genital redness exists still after medication. Please help.

Q. My sister has pain in the legs from thigh to knee. Please help.

Q. Why does bruise reappears after stopping the vitamin supplements?

Q. Will emergency contraceptive pills work when taken during withdrawal bleeding?

Q. My tongue is bleeding while brushing and having white sopts in the uvula. Kindly explain.

Q. What should I need to do to get rid of my skin infection on my arm?

Q. My child developed phobia for terrorist. How to eliminate this?

Q. How can I divert my mind when I become sad due to the rude behavior of my loved one?

Q. I need some medications to relax as I am nervous most of the time. Please help.

Q. I am suffering from burning sensation and inflammation in anus after intercourse. Will this be HPV?

Q. 18 weeks pregnant woman used spray pesticide. Is it harmful for the baby?

Q. My girlfriend takes Microgynon for PMS. Is it normal for her to experinece spotting?

Q. I am scared to sleep whenever I hear about some accident. Why?

Q. I am getting some rashes after taking Aripiprazole. Should I worry about this?

Q. What has to be done for accidental swallowing of tooth crown?

Q. I am having small black spots on my toenail. Does it indicate melanoma?

Q. Is it safe to use Montair LC kid in a 4-year-old for reactive airway disease?

Q. I have something like genital warts. Please confirm if it is the same.

Q. My baby has constipation and gas problems due to Dexolac. Should I change the formula milk?

Q. I always feel like third person is ordering me. Kindly advise.

Q. What are the ways to manage the withdrawal symptoms of Benzodiazepine and Alprazolam?

Q. I hit my forehead against a wall and got a scar. Can I treat that scar?

Q. Is it advisable to get operated for gallbladder stone during pregnancy?

Q. I am suffering from burning sensation on the feet for three days. Kindly advice.

Q. My father has inhomogeneous opacity in the lung. How to treat him?

Q. Is bronchoscopy and tube necessary in a pneumonia patient with COPD?

Q. Please explain the test results of diabetic and renal tubular acidosis patient.

Q. What is the treatment for fatty liver when my cholesterol and thyroid levels are high?

Q. I am underweight and my BMI is 16. 5. How to improve my weight?

Q. My aunt doubts that all the girls are trying to come closer with her husband. Kindly advice.

Q. I am suffering from muscle twitching and discomfort even after medications. Please advice.

Q. Can witnessing a life-threatening trauma in young age cause changes in behavior?

Q. My husband gets frequent sharp cramps in right lower abdomen lasting for a minute. What could this be?

Q. Why do I have bad breath after taking the fever medications. Suggest me a cure.

Q. Should I seek medical help for the side effects of probiotics?

Q. I heard one of the reasons for psoriasis is lack of Vitamin D. Is it true?

Q. There is a large area of redness in my buttocks,is it psoriasis?

Q. Why are SGOT, SGPT, and cholesterol levels high in a diabetic?

Q. Sore throat did not go away with several antibiotics. How can I get well again?

Q. I get bloody semen with clots and pain in my right testicle. What is my problem?

Q. What can be the reason for raised liver enzymes during fever?

Q. What is the degree of burns in a baby injured by boiling water?

Q. I feel stress even for small things which urges me to pass stool frequently. Why?

Q. I have constant twitches in my upper arm. Could it be an early sign of ALS?

Q. I have enlarged bumps on the back of my tongue. Is that due to fungal infection?

Q. When exactly does the pregnancy symptoms arise after unprotected sex?

Q. Me and my wife are trying to have intercourse but unable to. Any advice?

Q. My right eye is red and puffy after wearing contact lenses under light. Why?

Q. What can cause itchy scalp and tiny white balls all over the head?

Q. Is it compulsory that the foreskin has to retract during sex?

Q. I have blisters on my penis after masturbating without a lubricant. What is the treatment?

Q. I have severe stomach and back pain at the same time. Can you Suggest any quick remedy?

Q. Due to excessive masturbation, my penis is shrunk. What to do?

Q. My testicles start hurting after erection without orgasm. Why?

Q. Kindly suggest the alternative medicine for the hormone blocking injections in the treatment of breast cancer?

Q. Kindly help me to clarify that my period is normal or is it due to the side effect of I-pill.

Q. What are the ways to close the gap between teeth after removing the bottom milk teeth?

Q. I feel that there is water in my ear after cold exposure. Please help.

Q. Does sharp pain in lower left abdomen in pregnant woman mean labor?

Q. I had spica cast. When can I start driving or riding a motorcycle?

Q. What can I do for weakness of the legs and numbness of the toes?

Q. I have pain,extreme fatigue,unsteadiness and muscle twitching. I do not know if all these symptoms are related to one issue or more.

Q. Stress causes stiffness in my neck and back. What can be done about it?

Q. I am currently having obsessive thoughts and find it hard to control them. Please help.

Q. I vomited two combined pills after 12 and 14 hours respectively. Am I still protected?

Q. Is it mandatory to remove the premolars for my orthodontic treatment?

Q. Can I take Damia drops for premature ejaculation and erectile dysfunction?

Q. I had vibration in my chest associated with shoulder pain. What does it indicate?

Q. What can be done for bloating in a patient with acidity, GERD and IBS?

Q. A vein is blocked in heart and there is chest pain while walking far. What has to be done?

Q. Please suggest a medicine to lower my husband's blood sugar level.

Q. What can be done for severe headache that starts during late morning?

Q. The nevus on my lacrimal caruncle shows some difference. Is it melanoma?

Q. Should I continue the Olanzapine as I had a blackout episode when I was drunken?

Q. My blood and urine pregnancy test are positive, but there is no visible sac in the scan. Is this ectopic?

Q. I am a diabetic patient and I suffer from ED and depression. Kindly advice.

Q. I have occasional fever with acid feel in chest and stomach pain. What could this be?

Q. What would be the reason for development of large number of moles?

Q. I have red, itchy and scaly spots on my arm. Are these signs of skin cancer?

Q. Why does urine appear dark brown inspite of having Fluconazole?

Q. After using larger size silicone ring to loose the foreskin, I experience pain. Why?

Q. I feel my teeth are slanting at the end of ortho treatment. What shall I do?

Q. I get sudden shaky abdominal pain with dizziness. Could this be a shock?

Q. What could be the white lines near the teeth on the lower lip?

Q. Why am I having painful wound with itching in penis after sex?

Q. My mother's fasting sugar is higher than the post prandial sugar. Why is this happening?

Q. While extraction, I was told that my tooth was attached to bone. Is it common?

Q. Need second opinion on Celexa and Buspar for severe anxiety/panic attacks

Q. I do not feel any sensation in my penis at the time of sex. Does masturbation cause this numbness?

Q. Why is my fasting blood sugar level higher than postprandial?

Q. I have tiny hard black spot on penis with no harm and it does not go away. What could it be?

Q. I am expecting first child and pregnant of around 6 weeks. Noticed some bleeding while urinating

Q. Delayed periods even after taking Gestin. What is the reason?

Q. I have a painless, small, white dot on my gums. What could it be?

Q. What are the chances of me to get pregnant after taking i-pill?

Q. What is the chance of spread of hepatitis B through food contaminated with blood?

Q. Is it possible to get nerve related problems due to high lipids and blood glucose levels?

Q. What could be the cause for the burning sensation on my waist?

Q. I am a diabetic with swollen and discolored foot. Why does it happen?

Q. Prepuce is not getting retracted during erection. What can I do for it?

Q. I am 18 years old and my gums have receded because of improper brushing. Kindly help.

Q. I have some weird taste of the water as if my mouth is salty associated with excessive thirst. Kindly help.

Q. I have a male pattern hair loss. Please suggest if Finasteride can help in hair sustenance.

Q. What is the treatment for numb and painful hands and fingers?

Q. Why does weight loss occur in a patient with TB and pneumonia after an extensive phase?

Q. How can chronic body pain associated with movement be tested?

Q. What causes inflammation of urinary tract after protected sex?

Q. I used water bottle of a person who was diagnosed with Mono. Am I at risk?

Q. I am seven weeks pregnant. Can I take both Susten and Duphaston?

Q. I have burning feet, warm palms and slightly warm penis after treating STD. What can I do?

Q. Why is there a dull aching pain above the back of my knee and buttock?

Q. Is it normal to have high platelet count in a high blood pressure patient?

Q. Why is there pain in opposite tooth after root canal treatment?

Q. Is surgery the only option for nontuberculous mycobacteria infection?

Q. I am suffering with sudden bouts of loose motion. Please help.

Q. I used hydrogen peroxide for my clogged ears and now it is stuck. Please advise.

Q. Had ECG for palpitations. Please have a look and assess further steps.

Q. I am having the symptoms of frequent urination, dizziness, and white thin cervical mucus. Will I be pregnant?

Q. My facial hair is less. Can I take DHEA supplements for beard growth?

Q. Why does the pulse rate fall in a 4-year-old after administration of Epinephrine?

Q. Please have a look over MRI and suggest that the fibrotic is still visible on the MRI.

Q. Why do I get wrinkles on the glans penis after using Lobate cream for pimples?

Q. I am unable to focus and something is running in my mind. Please help.

Q. I am a PCOS patient and my prolactin level is 42. Kindly explain.

Q. What should I do to treat the constipation in a 8 months old baby?

Q. What causes strain in groin and pain in testicles during exercise?

Q. What can be done for sharp pain in tailbone area while sitting or standing up?

Q. Is it normal to have bulging veins in arms and legs with pain?

Q. Will penis extender cause shortening of size instead of enlarging?

Q. I am anxious because I failed in my exams and scared to inform parents. Please help.

Q. What could be the reason for persistent cough and the feeling of having something in the throat?

Q. I feel like something is stuck in my throat associated with acidity. Kindly advice.

Q. What does it indicate when my T3 and T4 are normal but my TSH is 8. 5?

Q. I am suffering from nausea, headache, and chest pain after having cold foods. Why?

Q. How to differentiate symptoms of testicular cancer from varicocele?

Q. My partner came all over me on top of my vagina without protection. What are the chances of conceiving?

Q. Chemotherapy sessions for breast cancer has been increased to 12. Why?

Q. I have a bump on my jaws and my teeth seem to be shifting. Do I require a surgery?

Q. Ramipril is causing dry cough and my doctor replaced it with Amlovas. Is it safe drug?

Q. Velocity E is 84. 2 cm/s, and the MVA max velocity is 133. 5 cm/s. What does it indicate?

Q. I am suffering from pain in lower abdomen, penis and testicles. Kindly advice.

Q. Kindly suggest the management of acne breakouts on my cheeks, neck and ear.

Q. My urine and blood tests are negative after taking Nucynta. Why?

Q. After lying on stomach for 20 minutes, I get most intense headache. Is this brain aneurysm?

Q. Why is there a discomfort in my gums where the wisdom tooth is piercing them?

Q. I am unable to cure my migraine. Please help with the treatment.

Q. My penis is paining on retraction with some red dots on the tip. What to do?

Q. I have pimples on my penis for the past several years with no pain. Please help.

Q. I have itching and a pimple-like stuff that is bleeding a little in my scrotum. What could it be?

Q. I am having pain after inguinal hernia and hydocele operation. Please help.

Q. My anal yeast infection disappears away with cream but comes back when I run out. Kindly advice.

Q. Kindly suggest medications for massive stress and pain in the neck and shoulder area.

Q. I have dark spots on my cheeks close to eyes on both sides. What could it be?

Q. I am obese and my period flow is not proper. How to reduce my weight?

Q. Are hand trembling, chest pain,choking feeling and light-headedness symptoms of panic attack?

Q. A 5-year-old child has stomach ache around the navel area from time to time?

Q. I am suffering from severe stomach pain after having medications for headache. Kindly advice.

Q. My sciatica is heavy after a minor herniated disc L4 or L5. Why?

Q. Which fruits are safe to have to protect self from Nipah virus?

Q. How to know whether I am going to ovulate in this cycle or not?

Q. Is it fine to take Coenzyme Q10 and Ashwagandha on the same day?

Q. I can see white substance globbed together on my stools after having greasy foods. Please advice.

Q. Painful boil occurred at the site of pilonidal surgery. Is this recurrence of the same?

Q. What can be done for dryness, redness and red lines in both eyes?

Q. I get white discharge in both nipples with small blisters and they are sore to touch?

Q. I have a painless pimple like swelling above penis area. Why?

Q. Is it necessary to reschedule colonoscopy after taking Ayurvedic medicines?

Q. Does Seroquel extend the time of my derealization last longer?

Q. I have irregular periods and waiting for pap smear. Should I worry about uterine or cervical cancer?

Q. My 1-year-old kid has -3. 5 and -2. 5 refractive error. Do he needs glasses?

Q. I have body pain and not interested in any work after having Uvox CR. Why?

Q. I become nervous and faint when I try to masturbate. Why does this happens?

Q. I have a harsh pain in the left side of lower abdomen. What is the cause?

Q. Why do I have a decreased libido, improper erection, and ejaculation?

Q. I am feeling muscle and joint pain after playing rugby. Is this normal?

Q. My wife is 50 years old and is it safe for her to take OCP to prevent pregnacy?

Q. I am a nursing mother and my nipples are cracked. Please advice.

Q. I have erectile dysfunction inspite of having L-Arginine. Kindly advice.

Q. Why is blood pressure normal in the morning but increases at night?

Q. Why does my brain become hot while studying even if I take proper rest?

Q. My swelling that has occurred after tooth removal has not subsided. Is it due to dry socket?

Q. My eye swelling has not reduced even after using eye drops. Why is it so?

Q. Why do I have pain in the center part of the stomach below the kidney?

Q. Please explain the time taken by a fertilized egg to implant.

Q. I can see a tar kind of thing when I cough in the morning. Why?

Q. Is it advisable to undergo super Lasik surgery in a 37-year-old person?

Q. Pregnancy kit shows positive result but ultrasound shows no pregnancy. Please help.

Q. I take Olanzapine. Why am I having headache, cramps, nausea, and bad morning sickness?

Q. Why am I having extreme bloating, abdominal pain, and fatigue with scaly marks?

Q. Does the CBC report of elevated WBC and platelets mean leukemia?

Q. I experience on and off acid reflux as well as mild dysphagia. Does it indicate esophageal cancer?

Q. I have a short penis and nightfall problem too. Is it normal?

Q. What is the treatment when TSH is normal but T3 and T4 level are high?

Q. I have a 4th nerve palsy issue and it scares me. Please help.

Q. What should I do to treat the constipation in a 2 year old child?

Q. I had frenuloplasty a few days back and my erections are painful. When will it be rectified?

Q. I am suffering from stomach cramps and diarrhea. What should I do?

Q. Can I have Estrogen tablets for not being lustful and not getting lubricated easily?

Q. I think the CT abdomen shows some liver problem. Kindly suggest solution.

Q. What is the treatment for dandruff, and hairfall associated with tiny itchy balls on my scalp?

Q. What can I do when my penis discharge some fluid when my partner touch or hug me?

Q. I have itchy rashes at the bottom of the ears with negative HIV tests. Do I need another HIV test?

Q. Why do I feel weak with low BP and inability to stand properly?

Q. Sometimes, I get palpitations, low BP and low sugar blackouts. Please advise.

Q. Can long term usage of Ismo trigger low blood pressure and vertigo?

Q. What causes palpitations and episodes of passing out for a few years?

Q. Why am I having small red bumps on both sides of the bottom corners of my mouth?

Q. Followed by PMS, my period lasted for only two days. Is it worrisome?

Q. Does the CBC test results of 2 years and 6 months old indicate something serious?

Q. I have diabetes with vertigo, RBBB, and constipation. Please help.

Q. What causes upper stomach pain, nausea, loose stools, fatigue, and gas with vomiting?

Q. My lax les is 38 cm with inflamed gastric folds and severe antral gastritis. What does it indicate?

Q. I am suffering from mood swings. Kindly advice is this due to bipolar disorder.

Q. I am having swollen lymph node in my neck. Will it be painful after adjusting my neck?

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 doctor, I am a 22-year-old female who was diagnosed with hypothyroidism (genetic) when I was 12. Over the past five years, I have become around 50 pounds overweight and all of my attempts to lose have seemed to fail so I have given up, but my weight has stayed the same. There is so much information put there about losing weight with hypothyroidism but it all seems to conflict. I am so unsure as to what type of exercise and diet I should follow as a result but I still would like to lose weight, but most importantly have my body feel better. What can I do? I am currently on Levothyroxine, Buspar, and Benedryl.

Hi doctor! I used to have clear skin but since I moved to a new place, I started to have lots of acne on my face particularly on my forehead. I thought it would disappear once I went back home, but it only got worse. I did some research and assumed that it was caused by drinking too much cow's milk, but it has been since since I stopped and they would still not go away. I also noticed that I get deep acne whenever I'm nearing my period, along with the usual small red bumps. I bought an acne soap and have been using it for a month now but I'm not sure if it works. I hope you can help me because it has been affecting my mental state lately :((((

Hello doctor,I am having an uncomfortable feeling in between the middle of my spine and left shoulder blade. It seems to get stiff, and my bones pop a lot around there, and it is very uncomfortable to sit in specific ways feels like my bones shift, well the other night it seemed as if my shoulder would pop out of place causing more stiffness after a while of dealing with it. I ended up feeling a popping sensation, where the stiffness was an instant relief. It was so shocking it put my anxiety through the roof. I thought I was going to die because my whole body was shaking and tingling. What am I dealing with? Right now I have no pain or tender near that area still relief but curious on what happened and why I got this shock and that popping feeling so loud it scared me half to death.

Hello doctor,Before two years had sex with a call girl in a dark location for about 10 to15 min. I did not eject, and I am sure that she did not eject as well (not 100 % sure). Do not know if the condom broke (as it was dark) but had some liquid on my penis (maybe fluid in condom, not sure) After few days from then I had cold followed by itchy skin. I took medicine from the doctor and got it resolved.After a few weeks from then, I had fever 100 F, mild night sweats, mild sore throat, slight weight loss (around four to five kg). Also I feel tired most of times. After 50 days, I got an HIV blood test, which came out negative. Do not know the name of the test, they took blood from my fingertip, tested it using some chemical for 40 minutes, and gave a report. Doctor suggested me get the same test after three months. Now I took medicines for flu symptoms which are giving me relief. But, very worried about the situation. Will medicine I used for cold and itchy skin have impact on HIV. Was the test enough for diagnosis as I do not know the name like fourth-generation etc. Also I washed my penis after 20 minutes with water thoroughly. Please help.

Hello doctor,I had an emergency surgery six months ago punched through a window right arm cut both arteries cut radial nerve with ulnar damage and cut bicep tendon nerves back now almost full thumbs up the only issue is bicep. My question is there something I can do to fix it like lengthening surgery, or am I stuck? I am a boxer supposed to go Olympics this year. My surgeon focused on the nerve and did not care help. PS pronator is still little and has not fully recovered.

Hello doctor, My culture from my gynecologist came back, showing that I have a yeast infection as well as Beta Strep. I was hoping for more information on Beta Strep. I have never heard of it, and there is a lot of information when I searched that is making me confused a little. I am not experiencing any symptoms, either. I feel perfectly fine.

Hello doctor,I am 24 years old, and for the past nine years, I am facing hair fall problem nowadays my 60 % of hair is falling on my top and front of my head. I checked my thyroid and hemoglobin many times, but their reports are good. I use many home remedies and hair oils, but when I stop using it again, it starts falling. The allopathic doctor says use Minoxidil 5 %, Finasteride, and hair serum. But Finasteride has many side effects. Can you please tell me is any medicine available in homeopathy which stops hair fall and promotes hair growth if yes can you please tell me the name.

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 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 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.

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.

Age - 33 years Height - 164 cms Weight - 67 Kg I am suffering from sore throat so I took Augmentin 625 before 12-13 days back but found no improvement but I started suffering from Stomach pain and excessive gases. Now I am taking below medicines as per prescribed by ENT specialist that are 1.Allegra M tablet 2.Rinifol capsule 3.Esoz D 40 capsule 4.Acinil O surup for ten days.Two days remaning to finish course. Stomach pain and blown stomach due to gas is still there.

Hello doctor,Can I pull out hard teeth out no pain because I got a hole in my teeth? Whenever I use to eat something, it got stuck in it and caused severe pain. Kindly give me some advice about pulling it out without any pain.

Hello doctor, My reverse elbow armpits have developed a darker (my skin color is fair) pigmentation. This pigmentation has also affected the whole of my groin area. Some dots of such pigmentation have also come up under my extreme armpits. What should I do now? What is this condition? Can you diagnose the state conclusively?

Hello doctor, During rainy and winter season get frequent fevers. Most of the times I get it diagnosed, and every time doctors tell it is only viral fever. Fevers generally come twice a month. I take Paracetamol and Cefixime usually (on the advice of doctors). Generally, the illnesses go in 10 days. This has been happening from the last three years. Can you suggest any cure for it? I am a small time businessman, and this is affecting my financials. Regarding my medical history, I am a premature baby of seven months. As told by my mom and relatives, I remained alive on medicines with great difficulty. And also from childhood, I used to get skin diseases frequently, and for that, I think I was regularly administered antibiotics.

Hi doctor, I am a 40 year old female. I got cottonmouth bite on the back of the left and right ankle. Three people saw and confirmed that as cottonmouth. I do not believe much venom was released. It happened under shallow water. I got immediate pain as if repeatedly the ankle and feet got hit with a bat and a burning swelling began quickly. I went to the ER. They monitored my blood for two hours and decided no antivenom. I was not given either a tetanus shot or any antibiotics. From the laboratory work, they said everything looks good, but I could not stand or walk. They sent me home with Ultram and Ibuprofen 800 mg. After two days, the swelling slightly increased instead of going down. My fiance took me to different hospitals. The swelling and the fang marks were evident. Again, the laboratory work came back as normal. I was still in pain and swollen ankles. They gave steroid IM injection and Prednisone pack and suggested antihistamine. It has been six days. Still, I cannot stand, walk or care for myself in any way. The swelling has not got down. I have kept it elevated and put some cool fabric packs on swollen areas. It seems to help with burning sensation. I have been drinking Echinacea tea, water and taking all medicines prescribed such as Ultram, Benadryl, Prednisone and Ibuprofen 800 mg. Back of my legs up to the thigh is swollen, entire legs hurt and tender to even minimal touch. Bruising has darkened and the swelling has not gone down. There are no red lines and no skin rotting. What shall I do now? I want the swelling to get relieved. I am scared. How to reduce the swelling? Please tell me what I need to do just to be able to stand briefly. The pain has subsided from 10 to 5, but if I try to stand by just keeping the foot down towards the floor, then the pain is excruciating. Please help.

Hi doctor, My father is 71 years old. He had a fever for a week, and the temperature raised up to 104 during the night along with frequent urination. Two days ago, the fever came down to 98.4 for five hours but again increased to 102.3 despite taking the same antibiotics. He is taking tablet Gudcef-CV 200 for five days and injection Monocef, twice a day for four days. His TLC was 18,000 last week. Please give your opinion.

Hi doctor, My 3 year old son was diagnosed with sepsis with SIRS, three days back. But, now his WBC and C-reactive protein are within limits. Will he have sepsis again? He frequently gets wheezing and allergic cough. He is currently taking Amclav.

Hello doctor, What is the main reason for sepsis to occur in a newborn? Will parents be the reason?

Hello doctor, I am facing bulging eye problem for a year. I am not able to sleep at night due to watery eyes. I went to the doctor, and he did an MRI and found that my eye muscles have enlarged. He gave the treatment for three months, but there was no benefit. He gave me Solu Medrol 500 mg then 250 mg injections for two months and some vitamin tablets. It is a severe problem. Please help me.

Hello doctor, I am a 30 year old male, who weighs 200 lbs and 6 feet tall. I have been looking for my symptoms after watching a TV show. I know some things are not right with me, and I have been curious to find the cause. It could be one or more problems. Here is what is going on. I have cold hand and feet, sweaty hands and feet, many bumps in the arms, mainly right arm, sand paper hair since a young age, and my feet get numb and eventually very painful when walking. I have severe vitamin D deficiency, and my eyelids are always half closed. I have low metabolism, and I experience a lot of teeth problems. I might have osteoporosis. What is causing all this? Is it tumors or parasites or a neurological problem?

Hi doctor, I have thyroid issues for the past three years. I got this when I was pregnant. I am taking Thyronorm 75 mcg tablet for the last three months. Recently, I have done the thyroid test and my T3 and T4 are normal and TSH is very low. It shows less than 0.01. What does it indicate? First, I was on 50 mcg and before three months I started 75 mcg as the TSH was approximately 6 at that time. Please explain.

Hi doctor, I am a 35 year old woman. My height is 5'3" and weight is 147lbs. I do not have a child yet, but will be trying to conceive soon. I am a vegan and eat healthy. I workout five days a week and sometimes will go for a 5 km runs around two to three times a week as well. I went off my birth control pill about three months ago and have not had a period since. I was diagnosed with PCOS when I was 15, but after going vegan two years ago, doctor said it definitely helped with symptoms. I have been eating right and working out for the last three months, and my weight has not budged. In fact, it seems I have gained numbers on the scale. Three months ago, I was 139 lbs. Is there anything in my report that could be the reason for not being able to lose weight or abdominal fat? Is there anything in the infertility test portion that could indicate the issues in trying to conceive? I would like to get a professional advice on my blood work results. I am mainly looking to find out if anything on here can indicate infertility or difficulty in losing weight. Please help.

Dear Doctor, I am trying to figure out what is wrong with my 15 year old daughter. Her symptoms have developed most significantly over the past few months, and include depression, weakness, constant light-headedness, shortness of breath (even when sitting still), difficulty taking a deep breath (causes pain), episodes where breathing becomes especially difficult, a complete lack of energy, continual exhaustion, continual muscle soreness (especially in the calves), cold hands and feet (to the point of turning blue), intolerance to cold and heat especially, episodes of a racing heartbeat, and episodes of anxiety and disorientation. At first our focus was on her was depression but now our focus is shifting toward her problems with physical activity and breathing, especially as she has now come to the point where she can no longer participate in any sports. We have seen a psychiatrist for her depression who discovered the MTHFR Mutation, which has since been addressed with a megadose of methyl folate. After three weeks on the medication there has been no improvement. Her paediatrician tested her for asthma and the results were negative. We have put her on various vitamin B supplements and have made sure she is getting proper nutrition and rest. Again, nothing has helped. Other labwork, as well as some of her symptoms, has made us consider her thyroid. The thyroid results are as follows:  TSH: 0.059 ulU/ml. AntioTPO-Ab: 84.9 IU/mL. Anti-Thyroglobulin: 134 IU/mL. Total T3: 130 ng/dL. T4: 10.5 ug/dL. Other labs that were out of the normal range are as follows:  - Ferritin: 31 ng/mL (her other iron results were normal). - Differential (Audo Diff) Neutrophils: 66%. In spite of a low TSH we have been told that as long as the T4 level is within normal range there is no need for attention with the thyroid. Yet, I canno help but keep coming back to the thyroid and wonder if this is not where we should focus our efforts. Any thoughts please?

Hi doctor, I asked my doctor to do PSA test. The PSA came back normal at 1.0 ng/mL. However, he also did prostatic acid phosphatase test which was high at 4.5 ng/mL. My question is whether prostatic acid phosphatase test is valid for screening or not? Should I need to do these tests again? I had prostatitis symptoms in the past. Now, it seems to be fine.

Hello doctor, 50 years old, 5.8 inches, 260 lbs. On blood pressure pills. My doctor is out of town for a few weeks. I reviewed PSA test results and apparently I have one abnormal reading out of three. PSA total 0.5, PSA free 0.1, PSA % free 20. The PSA % free 20 is in red indicating abnormal. What does this mean? What causes it to be abnormal?

Hi doctor, I am 27 years old. I am worried about my prostate as my grandfather had prostate cancer and my father had an enlargement but was already cured. I had an ultrasound last year due to frequent urinating and result showed minimal calcification a year back. The Radiologist told me that the calcification has nothing to worry as it was not that serious and my doctor (internal medicine) also did not care about it. But I am still worried as what I have read is that even at a young age you can have prostate cancer. Though I am still experiencing frequent urination (I am now drinking a lot of water 2 to 3 liters a day) now, my creatinine is in normal level and KUB is all normal.

Hello doctor, I am a 79 year old male. Excellent health, take no medications with the exception of an occasional Viagra. In a recent DRE, my urologist discovered two small nodules on my prostate. A PSA at the time was 6.3. Over the years, I have ranged in 2's and 3's. He suggested a biopsy of the prostate. I have read many negative things about this process. I have also read about nonevasive procedures to detect for cancer.

Hi doctor, I have eye allergy for the past 1.7 years. I have consulted many doctors. I am using steroid eye drops too, but my eye allergy is still present. My eye irritates when it contact with blowing air, perfumes, air conditioner, strong odors, when I get cold and sometimes suddenly without any exposure. Occasionally, it causes pain in the eyes and head. I do not know what caused this. What is the permanent solution for this? Is there any other alternate remedy for this? When I take Cetirizine my irritation subsides in 30 minutes. Please help.

Hello doctor, Presently I am on my 34 th weeks of pregnancy. LMP was before eight months. I had an IUD of more than 37 weeks before two years. Present medications are Clexane 20, and Ecosprin 75 daily. As per my doctor's planning, I should go for C-section between 36 to 37 weeks. Now when I should stop my Claxene and Ecospirin? This medication is given by my gynecologist after analyzing my boh panel report which states lupus anticoagulant by DRVTT is 45.50. No lupus-like anticoagulant present, APTT is 31.30 and PTT-LA is 98.80. Kindly advice.

Hi doctor, After 15 months of unprotected sex, I went for HIV test called Comb AIDS test but, the result came back negative for both HIV-1 and 2. Again after three months, I redid the test, but even this time, the result was negative. I was not satisfied, so I went for ELISA test, and again the results came back negative. I consulted two general physicians, who told me that I do not have HIV. But, I am still worried because of the symptoms that I have. I am a male, who weighs 62 kg, and I am 6 feet tall. The symptoms i'm having are:  severe weakness, ulcers in mouth and tongue, fatigue, pain in legs while sleeping, itching in the private part, occasional sore throat, occasional itching and pain in ears, and black spots on my back.  I remember having loose motions after a week of unprotected sex. At that time, the doctor told me that I have food poisoning, and I was alright after taking medicines. Are these HIV tests done by me reliable? Was the loose motion caused due to HIV? Is it possible that my immune system was so weak to detect antibodies during my HIV test? Should I go for another test such as PCR RNA test? Please help me, I am worried. Your kind response will be appreciated. Thank you.

Hello doctor, I am a 22 year old male. I have problem of tight penis skin. Whenever I pull my penis skin back during erection it will be very hard to do. Then, my penis skin gets stuck behind the penis forehead and it is very painful to retract back. I generally use oil for this problem. Please suggest me what to do.

Hello doctor, I am newly married. My husband is 26 years old and I am six months younger to him. My family members say that my husband is over-possessive and controlling. How can I know if my husband is over-possessive and controlling?

Hello doctor, I have pimples near my penis. I do not understand what problem I have. I am worried about that. Please explain my problem.

Hi doctor, I am 18 weeks 2 days pregnant. My friend told me that I am supposed to add two weeks to those 18 weeks while counting. Is that true? Can I get pregnant if I had sex during period? My period was on the 28th and I had sex on the 5th. That time, my period was on, but not heavy. Could I have gotten pregnant that time? How long do sperm stay in the body? Please explain.

Hello doctor, My lmp was on five months ago. I was spotting for three days during my lmp and got a positive strip test after seven days. My beta hCG level on the day of a positive result was 126, and after two days, it was 125. I am being told that I will get periods in two weeks but told to continue folic acid and multivitamin and come for ultrasound in three weeks if no periods come. I have a history of miscarriages, and I am 35 years old. Can hCG injections help me or should I consult another doctor? Have I miscarried or there are still chances?

Hi doctor, I am 33 years old. My height is 176 cm and I weigh 77 kg. I started hitting gym a month back. I am into 1 hour daily workout, which include both aerobic and anaerobic exercises.  As per the BMI report, I was informed to keep my weight under 67-72 kg. Recently my gym trainer informed me about the pill Clenbuterol and it is safe to go for it. I went through a few websites and came to know it is more effective in burning fat, muscle build up and also used for treating asthma patients. My medical background is, I am an asthma patient. My recent medical checkup indicated that I have BP which is marginally little higher than regular and doctors indicated that it is not that much to be concerned about. I came to know, Clenbuterol is a steroid which has lots of other side effects like muscle cramp, dizziness, hand shaking, heart problems and effect on aorta. It has short and long-term effects too. It is completely banned in few countries and not available through prescription as well. Can you please inform me whether I have to go for it? Also, I want to reduce my weight without any side effects. As I am working as a software engineer, there might be a possibility that I will be traveling across countries and need to go for blood and urine tests for visa approval. I would like to know whether it will cause any problem in these cases as it is an illegal drug. Please let me know if any further details required from my side. Thank you in advance.

Hello doctor, I am a 25 year old female. I am wondering whether Raw Bovine Ovary pills are safe to take. I am looking to gain weight in my thighs and breast. My thighs and boobs are skinny. Kindly explain.

Hi doctor, I have been riding my bike a lot more recently and now I noticed that I am having numbness within the perineal region including scrotum and penile area. I have stopped riding since the onset of symptoms and it has been over a week now. Should these symptoms resolve with time if I quit riding? Please suggest.

Hello doctor, I am 23 years old. I am obese and have a family history of cardiac arrest. My father got cardiac arrest at the age of 53. I have consulted the local cardiologist and gone through ECG, echo, TMT, lipid, hs-CRP and other blood tests. All the tests were normal except heart rate, which was 110 and also high BP. I am taking Rosufit 10, Nebistar 5 and Cilaheart 10. Currently, I am feeling warm in the left side of my chest for a short span of time. Sometimes, I have slight pain in my left hand and feels like a pinch type of pain in the center of the chest when I inhale and exhale. Is it normal?

Hi doctor, I just received my routine blood work for my cholesterol count and noticed that my absolute monocytes are low, 163. Other than this, all other blood results are within normal range. My total WBC is 5.1 and monocytes 3.2%. It there a reason to be concerned? I am currently healing from a terrible fall on my deck stairs, which resulted in a massive hematoma on my buttock. Would this have anything to do with the low absolute monocyte reading? I am currently on Lotrel and Lovastatin.

Hi doctor, I am a 22 years old male. I feel sexually attracted to my own mother. I had some mild feelings since childhood, but it became strong since teenage. I started feeling to be loved by mom as her son and sexually too. I sometimes feel guilty about it. But, I could not control myself. I saw my mother naked sometimes and this fed my lust towards her even more. I am getting dirty thoughts about her when I think about having love with her. I also watch porn especially incest. I want to express my love to her sexually. Please provide some way to overcome this. I am not under any medication. I am just trying to control myself mentally.

Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?

Hello doctor, I have a brown discoloration of the skin around my fingertips. What is the reason?

Hi doctor, When I had my third ultrasound, I was 24 weeks pregnant and it appeared like two faces in the ultrasound. I keep asking my obstetrician regarding my weight gain. I am gaining so much weight when I barely eat and my stomach so huge. I found that at 14 weeks on my first ultrasound I was having a boy and that was pretty early for me to find out a gender. I eat like two meals at once a day. I am now 34 weeks and 5 days pregnant. My obstetrician does not check my pelvis and not advised for another ultrasound. Can I send a picture of my third ultrasound to get a second opinion whether I am having twins?

Hello doctor, I am an 18 year old, who dislikes visiting the dentist. Therefore, you can imagine my hygiene is very good. I had a brief period of gingivitis as a result of using braces for three years. Having removed my braces over a year ago, and lucky for me, I do not have wisdom teeth, the end of my dental pain seemed over. However, about five days ago all of a sudden, I woke up and the very back of my mouth around the last left molar is swollen. It is sore and irritable. I kept brushing and using salt water. There is no bleeding or pus, but it started to feel more irritable and tender as if it was an infection. It has not gotten worse in swelling or pain, but it has not gotten better either. My mother predicts a piece of food of some sort got wedged in the gum line, near my tongue. We have tried using Orajel to numb it enough so I could use floss or a toothpick to work around the gum, but it still is very painful to touch and it is very hard to reach that area. Sadly for me, I am starting my Invisalign treatment and I am going to get the impressions tomorrow. And I also have an appointment for a regular cleaning. I am petrified. Do you think a piece of food is the problem? Is there something I can do to remove the food before my appointment tomorrow? What will the dentist do tomorrow when I ask him to address the situation? What are the chances this is a bigger infection and is not food related, what will the dentist do then? Will I have to have surgery or procedure done or antibiotics will help?

Hi doctor, I am a 24 year old female. I am a healthy and happy person. I eat well and exercise well. I have a lot of friends, cool hobbies, etc. But, I have a weird habit. Whenever I am alone I talk to myself standing in front of the mirror. I imagine a lot. I think so many things like I am in an interview and I try to venture out the best answers and framing smart answers. When I am practicing on my guitar, I imagine lots of people are watching me and appreciating me for playing so well. I imagine futuristic conversations with people where I ask a question and answer them. When I am alone, I keep imagining some stuff. Also, I pick up some topic and start talking to myself in front of the mirror. I personally feel this habit has improved my communication skills, confidence and vocabulary. I am not shy and I do not have stage fear. When I meet my friends or when I am giving presentations at college, I am the one who used to stay very confident. However, some days back, when I was talking to myself in front of the mirror, my mom questioned me. Until now I did not pay much attention to what I was doing. But, ever since my mom saw me doing that I have become conscious. I have stopped talking to myself for two to three days. But, I do not feel like I have been missing out on anything. I am still friendly and confident. But, I am just wondering if I have crossed the line of sanity. I searched about this on the internet and came across something called as schizophrenia. Is this disorder setting with my habit? Do I have schizophrenia or any other disorder? To be honest, after reading about this schizophrenia I am very scared. It sounds like a very serious disorder to me. Please help.

Hello doctor, I have a wet feeling inside the anus for the past one year. I did a colonoscopy and sigmoidoscopy, and the doctor said that everything is fine. They said probably the wet feeling is due to sweat. Swab culture and sensitivity report showed up Klebsiella pneumoniae. I took Augmentin 625 and applied ointments. But I feel it is some liquid discharge from the anus skin. Can you suggest some medication?

Hi doctor, My sister is having some neurological problem. She is normal, but at times she feel uneasy and head spinning. We have consulted with a doctor since one year and a few days back for the same issue her doctor prescribed Metmax injection to be taken one per day for the next five days. But, after taking one injection, she is feeling very drowsy and not able to remember things and forgetting the past. I request you to kindly let me know the details of Metmax injection. Is it the right treatment?

Hello doctor, I am a 31 year old male, and my query is regarding possible HIV exposure. Four months back, I had a sexual encounter with two female partners. I had insertive vaginal sex and received oral sex. Intercourse had lasted for about five minutes twice with each partner. Condoms were used throughout and were changed for every partner. I do not recall any of the condoms breaking or slipping off completely. About a week or so after the encounter, I experienced some health-related concerns, one after another.I got an eye stye, inside of the eyelid, which was little painful and irritating. It went away in a week. I got a boil, nearly an inch in diameter, in the lower abdomen, which subsided in a week. I also got a white area behind the wisdom tooth. This area was painful during the initial 3 to 4 days, then the pain subsided, and the white area started growing bigger. OPG and clinical examination suggested impacted wisdom tooth and trauma caused by friction of upper and lower wisdom teeth. So, I got both the wisdom teeth extracted. Now, it is normal.I also had a skin tag in the underarm area, which turned painful, hard, and dark purplish. One or two light reddish spots in the adjoining area. They resolved in 7 to 8 days. I have high blood pressure and triglycerides. My triglycerides were 292, which dropped to 195 after 10 days without medication. I got a severe headache one night, which went away next morning. I feel light-headed while walking, staring at the computer, etc., but not when lying down for 5 to 6 days. This happened concurrently with the diagnosis of high triglycerides and BP. I also have diarrhea type condition, that is, I have bowel movements thrice a day, which lasted for 9 to 10 days. My gastroenterologist remarked ‘no abnormalities detected.’ I took antibiotics and other medicines for the dental problem few days before this.I do not have a fever or any unusual skin rash. I do not have unusual body ache or weight loss or loss of appetite. I also do not have any apparent swollen glands. My creatinine and TSH test reports are normal. My LDL is normal, and HDL is little lower than normal. Assuming either of my partners was HIV positive, what is the chance of me contracting his? Does any of the above health concerns related to HIV? Does HIV symptoms, if any, appear together or can appear one after another? What is the most likely period after exposure when symptoms appear, if at all? In other words, is it likely for HIV symptoms to show after 5 to 6 weeks? I realize HIV infection can be confirmed only by a test. However, I sincerely request a prompt and clear response to the above queries, which will help me cut down the fear. Thank you.

Hello doctor, I am a 24 year old female. My period has been late by 13 days. I am sexually active. I took a home pregnancy test but that was negative. My period has been fairly regular in the past with them happening 4 days prior or after my date. I have taken emergency morning after pill in the past (thrice in the last 4 months). What could be the reason? Is there a possibility that I could still be pregnant after a negative test, though I have not had any other symptoms of pregnancy nor am I having any sought of discomfort?

Hi doctor, Yesterday night I did some rough masturbation. As a result two blisters appeared today at my penis. I have attached the picture. There is no itching and everything is normal except these blisters. How would they heal? Do I have to apply anything on them? Kindly guide.

Hi doctor, I had oral sex, and my partner ejaculated his sperms inside my mouth, and I sipped the sperm that came out. After that he touched his penis, then he grabbed my pants near my vagina twice. After that, he used the same fingers inside my vagina. It was my first time with the oral sex and fingering. I do not know that there were sperms in his hand. We did not have sex. But, can I get pregnant in this situation? I missed my periods this month. What is the cause?

Hi doctor, I am a 55 year old male. I am suffering from inguinal lymphadenopathy. 2 years ago I have this on right side and now on left side. There is a square shallow knot present on the right side now. I have stiffness and rigidity especially in the left arm and occasional limited movements. Also I have discomfort in my legs and inguinal region. On ultrasound it was observed lipomatosis of inguinal lymphs. I have painful point in inguinal region, only if I press. I have noticeable weakness, but no weight loss. Occasionally I feel very low energy and could not maintain erection. I feel numbness in the shoulder or finger when wake from sleep. I have low sedimentation rate. There is no abnormal blood and urine finding. I had blood test and it is negative for all infectious diseases such as Lyme, cat scratch, AIDS, etc. Please help with some suggestion. Thank you.

Hello doctor, I had tonsillectomy about a month ago. I had been healing but I am concerned about my healing process. My uvula has gotten smaller and has strange color plus I see cobblestone at the back of throat and blue or dark red color surrounding soft palate. And there are visible blue or red blood vessels everywhere around the palate and arch.

Hi doctor, I had unprotected sex with my husband after five days of my last periods and took an i-pill immediately. I did not get my periods yet and my two home pregnancy tests were negative. My periods are always regular prior to this. I am under regular medication of Eltroxin 100 mcg. Please help me.

Hello doctor, So I never had acne on the back, maybe one or two single, but after visiting this massage center, which I know was a big mistake, my lower back is full of acne. I tried a couple of ointments, did not work. Cortisone helped a little, but not really. I think I need oral back up, any suggestions?

Hello doctor, I am afraid that my 10-year-old daughter might have Asperger's syndrome. She obsesses over spankings all day long. She watches videos of spankings all day long also, and she fantasizes of getting hit. She even spanks her brothers and sisters. I can tell it gives her some pleasure. She has no friends, and she wants to sit fantasizing about it if she does not have an iPad to look it up. She also obsesses a specific type of people. Does she have Asperger's? Is this a symptom of it or something?

Hello doctor, Trying to get pregnant from last one year. All the tests for both of us are fine. The only problem is we are not very high on libido.

Hi doctor, My friend had his deamidated gliadin IgG antibody test done recently. The test result is 152. Does it mean that the person is having celiac disease?

Hi doctor, I went to a chant few days back. There the loudspeaker was very loud. The very next day I noticed that there is ringing in my left ear. Now, it has been four days, but it has not gone. Can you help me? I am very scared. Has it caused any effect on my eardrum? Please see to it. Thank you.

Hi doctor, I am 32 years old female. I had unprotected intercourse 14 days back with no ejaculation from his end. I took an I-pill the next day at 8 PM for precaution. Those were my infertile days as my last period occurred 36 days ago. It has been more than a month; still I have not got my periods. Could you suggest some ways to get back my periods? Thank you.

Hello doctor, I am 25 years old and had a pregnancy for five weeks. Four months back, I had used MTP kit. The problem is, even now I am having bleeding. Is this normal? How to sort this problem if it is not normal? Looking forward for your valuable feedback. Thank you.

Hello doctor, I have used Benzoyl peroxide gel for my acne and it has almost cleared. But, the acne left some red marks and blemishes on my cheek. I wanted to fade that redness on my skin. In the past, I used Epiduo gel. Please suggest me a product and guide me to remove that redness without laser treatment. Thank you.

Hello doctor, I am 13 weeks pregnant. I have been diagnosed with subseptate uterus with the live fetus in the left horn. Baby is good, with heartbeat and growth. My doctor has advised me proper rest and some medicines. I want to know in detail about this subseptate uterus.

Hello doctor, My mother is 36 years old, and she is suffering from the respiratory problem from last two days, her hemoglobin count is 9.6, can you please tell what causes this problem?

Hello doctor, Today is my fourth day of braces, so I was just wondering when my blue fillings will be removed. The blue fillings purpose is to prevent me from biting down on the braces, but when will they get removed? Also, when will I feel comfortable biting down on my fillings, since my teeth are sore and it hurts, or when will I get actually to chew since I can only swallow?

Hello doctor,My 24 years old daughter born without a thyroid and treated with Synthroid since birth has a TSH level of 23.980 uIU/mL and T4 Free of 1.57 mg/dl on the current dose of Synthroid 150 mcg. Her weight is 150 lbs and height 5' 4". Her endocrinologist increased her dose to 300 mcg, thinking her dose had been 250 mcg (incorrect). What is the correct dose to return to normal thyroid levels for this condition at her age and weight?

Hi doctor, I have beta thalassemia plus trait (AT+) and want to marry a man with sickle trait (AS). Please see the attached file of my beta thalassemia DNA genetics. Please give me the possibilities of our baby. I know there is a 25 % chance that the baby might have sickle beta plus thalassemia (ST+). But, will the symptoms be severe or mild or that of a carrier with very slight symptoms, that he/she will not need blood transfusions at all. What is your recommendation doctor? We love each other and want to be sure about our baby in the future. I am looking forward to your reply

Hi doctor, I am an 18-year-old male. For the past four years, I have burning irritation in the middle portion of my penis after masturbation. The irritation gets relieved to some extent after I urinate. Please help me.

Hello doctor, My fiance got sickle cell SD. He is 27 and does not suffer from anything else. He takes medication and changes blood every 4 to 6 months. My question is does it affect his life expectancy?

Hello doctor, Sickle cell anemia is my problem. My age is 30 years, while dehydration time, I am getting pain. Is this issue dangerous?

Hello doctor,I am suddenly feeling faint, weak, shaking, confused, and as if moving in slow motion. It has been going on for nearly 24 hours. Is this low blood sugar or stroke?

Hello doctor, My dad is suffering from JE and both his thalamus are infected. Now, he is in coma. What is the prognosis of his condition?

Hello doctor, At birth, my son was diagnosed with a seizure. Now he is 18 months old. I am fearing about DTwP booster dose side effect. Earlier three doses had reaction of muscle stiffness and fever.

Hello doctor, I am not able to conceive after trying for almost one year. I was diagnosed with pituitary microadenoma and I am on medication. My prolactin levels have now reached normal levels after two months taking medication. I suffer from hypothyroidism and on medication. I have had this for five years now and it is well within the limits as per my endocrinologist now. This is due to an autoimmune disease where my TPO (thyroid peroxidase) antibodies were high during the diagnosis five years ago. My husband and I would like to know how should we best prepare for pregnancy and what to look out for. We would have preferred to visit the clinic. Unfortunately, I am not in a position to visit the doctor due to travel restrictions. It would be great to get in touch with a specialist. I am currently on Euthrox 100 mcg, Cabergoline 0.25 mg once a week, and Folic acid 450 mg daily.

Hi doctor,My son is very aggressive, sensitive, short temper, get panic, hyper and angry quickly. He could not listen to any good suggestions or guidance. He does not have a mental resistance. However, he is very sincere about his studies. He has got 83% marks in his studies. Now, he is preparing for the board exam. He tries a lot to study but gets pressure. He was suffered from brain fever at the age of 2.5 years. I have tried to give him ayurveda brain tonics like Shankhapushpi, anjeer, etc. But after taking those, he became more violent. There is no problem about sleeping. He plays cricket very well. He has good knowledge about computer, mobile, etc. How to reduce anger and increase the mind resistance of my son? I request you to guide me properly and suggest any medicine to solve his problem. Thank you.

Hello doctor, I have been getting a swollen eye once a week, usually in the mornings. I feel a slight irritation beforehand, itchiness. Then my eyelid swells to the size of a golfball. The eye is not red, I can see perfectly, there is no sign of cuts or scrapes. No discharge, maybe a little dryness beforehand. Please help.

Hello doctor,My mother-in-law 72 years old. She gets swelling in her toe on and off for the past year. Recently there was pus inside, and she is having pain. After soaking the toe in hot water and betadine, discharge came out, but it is relapsing again. She had antibiotic too. She has diabetes but under control with medication.

Hello doctor, I am an 18-year-old female, taking no medications, and I am 5'3" in height and 180 lbs weight. Since last night, I am having severe chest pains. I cannot sleep, and when I try to eat, my chest hurts more. It hurts all the time, but the severity comes and goes in spurts. I am not sure if this has anything to do with the chest pain, but just today, I was lying on my right side and moved to my left side, and I heard and felt a sloshing in my chest or upper abdomen area. What could it be?

Hello doctor,I am a 15-year-old male with a height of 148 cm and weight 44 kg. I am diagnosed with migraine, and I want a second opinion.

Hello doctor,I have a dental abscess, and I am 33 weeks pregnant. It is so painful that I cannot eat, sleep, drink, or do anything. My dentist cannot do anything about it until next month. I was wondering if the emergency room can do something about it.

Hello doctor, I am suffering from sour burps and motions. Kindly help.

Hello doctor, How long should I keep gauze in after a tooth is pulled?

Hello doctor,I got my braces a year ago, and before that, I did not have any problem in my jaw articulation. Since my orthodontist gave me elastics to put I have TMJ disorder, my left articulation crack every time I open my mouth or eat or speak (I have decided not to put the elastics so that it does not get worse) and I am a bit worried. What causes this? Can this be fixed?

Hello doctor,I am 22 weeks pregnant. Due date is after three months. I smoked marijuana for the first few months to help with severe morning sickness. I stopped smoking probably last month. I went to a gynecologist this month, and they took a urine sample in which they tested for drugs and marijuana was the only one I tested positive for.After two weeks of my appointment, I smoked once to help with a bout of morning sickness and have not since then. And I have planned not to do ever again during my pregnancy. My next appointment is after one week. Will I be threatened with CPS because of my positive urine from last time? And will they test my urine at my next visit? I am only 18, and I am very nervous. I am concerned because before I got pregnant, I smoked marijuana every day since I was 15. How long will it stay in my system? How can I safely detox it from my body?

Hi doctor, I am a 21 year old female. I was bulimic for about a year. It happens once or twice a week. I never noticed any permanent changes in my eyes throughout my episodes. However, the last time I ever binged and purged three months ago, I vomited violently. A few weeks after this, I noticed that the vessels in my sclera are indefinitely more prominent than before. Did this happen because of the continuous pressure subjected to my eyes with vomiting? Or could it just be due to many hours of reading and laptop use? I have seen an ophthalmologist and he said that there is nothing wrong with my eyes and suspect a very mild case of blepharitis or bilateral dry eyes. I am using Optive comfort solution. I would like to know if my bulimic phase could have caused the prominent vessels in my eyes, as this has not been mentioned anywhere else online.

Hello doctor, I am a 38-year-old female. Trying for conception since eight years of marriage. Before three months I have been diagnosed with adenomyosis and both ovaries endometrioma I did laparoscopy and hysteroscopy for the same in the month of may and after that they put me on conjugated estrogen tablets and Decca peptide injection after 20 days of the operation but after a month of the operation during my periods I had severe pain and PMS. I had my BP raised severe palpitations along with severe bleeding and have painful periods like before operation I am concerned after operation why there are so many such problems. I asked my gynecologist about this, but he said show to your physician I went to my family physician he started bp medicines. He said it is a temporary increased. But I am concerned about my health now and wants to get rid of all this problem. My gynecologist said conception is the only remedy to solve adenomyosis and endometriosis. I want to have a normal life because I am on bed rest for three months. Please help.

Hello doctor, I had unprotected sex on my infertile day, but I was quite scared, so I took post-pill a week later I had another unprotected sex this time in my fertile days but did not receive the post-pill immediately next day I saw a slight spotting which prompted me into taking the emergency pill. Now a week later, I have been bleeding for two days. I hope this is not a sign of pregnancy. Please help me understand it better.

Hello doctor, My 3-year-old son had diarrhea for a week. He has thrown up a couple of times throughout the week as well. He was eating and drinking normally and has appetite. There does not seem to be any blood in the stool. And his belly ache goes away after each diarrhea episode which he has many each day. He is usually drinking as well. His doctors seem to believe that it is a viral infection and will go away in time. We just started a bland diet for him. Should I be overly worried? He is active and wants to eat and drink. So is this something more serious than we think or am I too worried?

Hello doctor, Looking for an opinion on tuberculosis skin test. Please answer if you have experience with PPD skin tests. I am 34 years old, former cigarette smoker. My friend got diagnosed with tuberculosis due to strong arthritis medications, and I have had some contact with him. I have attached images of my skin test below.

Hello doctor, I am 18 years old, boy and I have a very tight foreskin and I have not even pulled it back. I tried to do it once using oil but it was of no use.

Hi doctor, I have experienced a problem in erection since last three months. I am a smoker. The testosterone level in my last routine medical checkup was 134. Please help.

Hello doctor, I am having sugar addiction. I always eat candy non-stop and chips and soda, but I am so addicted that I failed the 30-day sugar free challenge in the first three hours itself. I need help, how can I stop this addiction if all my ways are failing everytime I keep trying.

Hello doctor, My daughter has a soft spot in the middle of her forehead for the past nine months but can only be noticed when she raises her eyebrows or if the lighting is right. When sliding a finger over it you cannot feel anything, the forehead feels normal even when she has her eyebrows raised. It looks like a soft slightly raised lump when you can notice it. I have taken her to the doctors but they could not see anything. I had to show them photos as sometimes it really stands out, other times you cannot see it. What should I do?

Hello doctor, I recently took a women's health test to test my hormones. I just got my results back and my Progesterone level is extremely low where as my Estradiol level is in the normal range. I have dealt with many irregular periods since I was young and have not been able to conceive a child with my husband and now I think I know why. I was wondering if my results can be looked at by a doctor to give me anymore information on what is going on with my test results. I am only 25.

Hello doctor,Over the past six years or so, my intraocular pressure (both eyes) has risen to 16, to 19, and now to 21. Will it continue to increase still? Kindly help.

Hello doctor, I think my right side bottom wisdom tooth is coming as there is a ball on the back side of my gum that is really swollen. It almost feels like a pimple and the area around it has white lines on the inner cheek wall. What should I do?

Hi doctor,My wife is 42 years old. She is feeling pain in the right wrist while moving the palm laterally outward. The movement gets somewhat obstructed slightly and it is not smooth. This has been started after an occasion when she tried to pull or carry one heavy bag a week ago. X-ray has been done on her right wrist which is enclosed herewith. Please comment on the severity of the wound and its medication. Thank you.

Hello doctor, I had severe cough and mucus formation which was in yellow. The doctor had prescribed antibiotics, Salbutamol tablet and allergy tablets. Now that cough has reduced but I feel some heaviness at the back right hand side and when waking up in the morning. While I had visited the doctor they had adviced me to take an X-ray. Later they said there is slight pneumonia and to continue antibiotics (Azithromycin) for five days. Also, I have completed my antibiotics dose for four days, still left with one more day. Cough is not there currently and better. I am attaching X-ray that was taken for your advice. Would like to have a second opinion on the X-ray report.

Hello doctor, I would like to know to weather the laser treatment is better than continuing specs for vision. What would be the drawbacks of laser treatment, is it very complicated?

Hello doctor,I had an oral sex with a girl without protection, and I licked her vagina too, later I came to know she has PSV which she had undergone treatment and she was cured, I came to know risks of the STD's via oral sex and I was suggested to have test after four weeks, but they did not tell what test I have to go through in detail. My query is, what is the list of a test I have to go through? Please give me the names of the test in detail, so that I can approach a lab for testing.

Hello doctor, My mother, is 76 years old, currently suffering from low, blurry vision (both near sight and far sight). Her BP, sugar, and thyroid are normal. A year before, she was critically suffered from urosepsis with AKI, DM II, pleural effusion, etc. but recovered. Though she has the first stage of renal failure and ventricular ectopic in ECG now. Recently she visited an eye hospital where she was told that her eye problem is mainly due to gradual damage of optical nerve, which is irreversible and the doctor cannot do much. In this respect, she was tested with digital fundus photography and OCT (Retina -Tessellated fundus in the right eye, FR dull in left eye). As per doctor's mention, I come to know that she has some cataract in the right eye (nuclear sclerosis grade II diagnosed in both eye) which need to operate soon for better vision, but I am not sure about it as it is not written in prescription as a diagnosis. She is advised to take a drop of Bimatoprost 0.01 % in both eyes every day to control optical damage. Now, I like to know is this medicine helpful if she complains with optical nerve damage without glaucoma or cataract. Is there any other solution to save her vision or further damage at least.

Hello doctor,My father is recently diagnosed with papillary renal cell carcinoma type 1, and he has no BP or sugar. However, he had undergone bypass surgery ten years ago. Our doctor has suggested targeted therapy is better for him as there is another mass found in the lungs too. Our doctor has prescribed Sutent 37.5 mg, to begin with, and slowly increase it to 50 mg.However, due to our financial conditions, we cannot afford Sutent as it is pretty expensive for us. As we do not have any insurance. Is this the only drug available for this type of cancer, or do we have any other affordable and similar drugs with minimal side effects? We want to get your suggestion on this. Kindly help.

Hello doctor,I am going to get braces soon, and I am going to have a large gap, is there anything a dentist could make to hide my gap?

Hello doctor, The patient is 11 years old, and right from birth, he is suffering from type 1 and 2 diabetics. Initially, he was on injection and now on tablets every day. As per the doctor, his pancreas is not working from his birth. Can you please let me know if there is any treatment available for this? Also, can the bone marrow blood infusion technique help in treating this issue permanently?

Hello doctor, Can I get a filling fixed while running a low-grade fever from a UTI?

Hello doctor,My son is having a fever of 102°. He is 5 years and 4 months old. Since last two days, his temperature is not reducing. We have given Ibuprofen plus paracetamol syrup. Tablet Zedocef (100) DT 1 tablet twice a daily for five days after food. Syprup Ondem 5 ml thrice daily 1/2 hour before food, syrup Ibuprofen, paracetamol 7.5 ml 6 hours once after food. We tested his blood, but there was no malaria or typhoid. But his TLC is 16700. He is not taking any food, but sometimes he drinks ORS. So suggest us what to do?

Hello doctor, I have twins, a boy and a girl aged 2 years. I noticed that the girl advanced in skills than the boy. In the first few months of life, my son was faster than his sister in the growth and everything. And then, it was reversed. I am a graduate of psychology. I have a brother suffering from autism and frankly, I have a fear of this disease. I do not care and I do not want to surrender to delusions. But, mom and dad insist on reminding me of everything you see them that my son is also the possibility of getting hurt. I started since 10 months; I am watching my son very much. I blame him if he did not implement what I am asking. He says dad and mom. He loves to play, laugh and shake hands if I asked him to do so. He looks into my eyes when I talk, but I do not feel that he understands what I am saying to him always. For example, if I asked him to bring me cheesed off the table, he does not focus with me and ignore me. On the other hand, if he feels he is thirsty, then he will come to me and say a bottle of water. I know this is probably because the rate of a normal IQ and concentration varies from one to another child. I want a word from the doctor that makes me serenely scream in the face of all of the notes that my son is not normal and I tell them that my son safe and sound. The question is how completely I know that my son is not suffering from any problems in communicating diseases or behavior?

Hello doctor,I took antibiotics about a month ago, and ever since the fourth day of antibiotic treatment, I have been suffering from diarrhea or loose stools. On the fourth day, I had bad cramps and loose stools that lasted from the fourth day to the seventh day. This then returned afterward with even worse pains, but this time, I had yellow stool followed by diarrhea. Ever since I have been having loose stools on and off that is foul smelling and mushy. Is this because of the antibiotics, or is it an infection?

Hello doctor, I have sore on my leg for a long time. More than a year, I did shave part of my leg at one point. It became like a sore, but I have a strong history of cancer.

Hello doctor,My son is 1 and a half years old. A few months ago we came to know that his Hb is 4.3 and Hb F is 92 percent and that he has beta thalassemia intermedia. He was immediately transfused once. Now he is taking vitamin C, and Hydroxy and Folic acid and his Hb are 10.2. Please suggest some diet for him to maintain his health.

Hello doctor,I tried teeth cleaning, I avoided non-veg foods and beverage drinks, which produce gas, and I am eating a balanced diet. My bad breath problem is since for the past five years till now, so in this period I realize that I have a white layer on my tongue and when I smell my tongue then I feel very bad breath. Also, I have a hole on my throat back of the tongue, and something comes through that way like thick water and when I smell it so bad.Another is when I eat something, then that smell lasts for a long time. What to do? I have been spent more money to avoid bad breath, so give me a suggestion to get rid of it. Bad breath is the main reason for my unsuccessfulness. Sometimes thinking about this problem, I become depreciate. I needed your help.

Hi doctor, I have a 7 mm gallstone as seen in my ultrasound. They gave me Ranitidine, and I tried apple cider vinegar with fresh apples. Do I need surgery?

Hi doctor, My friend has been having left shoulder pain for months. For the last three weeks, he is also having the hoarseness in his voice (can barely speak) and little energy. He is eating well, but not gaining weight. He has no other symptoms. He is a carpenter and 50 years old. He smokes cigarettes, weed and crack cocaine. I think he has been doing this for 30 years. Today, his blood test and blood pressure are fine. His chest x-ray came back with a large mass on his left lung, it looked large to me. He was given a TB shot other than that they suggested a specialist. It was an ER visit so they did not say much other than it could be a cancer. What does this sound like to you? I deeply appreciate any of your help. Thanking you in advance.

Hello doctor, I am 41 years old, male. I have symptoms of extreme nausea, acid reflux, fatigue, and weight loss. Ultrasound shows gallstone. I have enclosed the report. The doctor wants to do a HIDA scan and remove the gallbladder. Are my symptoms due to gallstone? Is there a substitute test for a HIDA scan? Should I go for surgery? Please advise diagnosis and treatment.

Hello doctor,I am 27 years old, height is 65 inches. Weight 56 kg now. Three months ago weight was 57.5. kg. Sleep 6 to 7 hours. About two years ago, weight was 58.5 kg. Blood pressure usually normal but sometimes low. I have a gas formation problem for about four years. Maximum time no pain but gas and heavy feeling in the abdomen. 11 months ago I did ultrasonography and got that gallbladder stones (3 to 4 stones larger size 0.6 cm). I am taking homeo medicine. Gallstone and constipation. Truly say in a month 12 days I feel good and 18 days I got gas problem but within last seven months sometimes I feel weak (tiredness). Within the last five months, my weight is not increasing and my hands are getting thin. Sometimes, I need to take Ranitidine tablet when much gas. I had a rheumatic fever at age 8 and took allopathic treatment till 20 years of age. Oracink tablet. Please, suggest me. Do I need to do any blood test? I will do an ultrasound after two months. I am taking Iron Vitamin capsule Zilvit according to the suggestion of relative. About four months ago I took Zilvit for 20 days and feel good. Homeo doctor said that he should not give other medicine for weakness.About 2 to 3 years ago I took Mazpro, Omeprazole tablet sometimes but most of the times it took time to remove the gas problem. Now I am taking homeo medicine for gallstones (eight months running) and took homeo medicine for constipation for four months from the same doctor. The allopathic doctor who did ultrasound suggests that there is no need to hurry to surgery and can wait for about one year.

Hello doctor, I was diagnosed with PCOS at 16, but have had successful pregnancies (other things I had zero breast change and less than once a day of milk production). We have never used any form of birth control yet our youngest is now almost 5. We have been actively trying for almost two years now. My periods during the last six months have been on time and consistent. I am 31. Why are we not able to get pregnant after two babies?

Hi doctor, I am 20 years old. I am a college student. Few weeks back, I was told that I have PCOS because of which I am facing difficulty in reducing weight. My weight is 65 kg and I am 5'4" height. It would be really helpful if you could suggest me a diet plan.

Hello doctor,I am a 19-year-old male. Around two months back, I had a hiccup when dead-lifting and my lower back or lumbar spine area had a sharp pain. At the time, I did not think much of it and since then discontinued dead-lifts. Over time, I have developed some sciatica in my left hamstring area. I visited a chiropractor about two weeks ago and he took X-rays of my spine, revealing that my lumbar spine is curved to the right, canting my hips and therefore putting pressure on my sciatic nerve. I went in for three adjustments with him, over a one and half week span. I no longer have access to my chiropractor, being that I am overseas. My question is what can I do by myself in order to straighten out my lumbar spine and un-cant my hips so that my sciatic nerve can get some relief? Am I going to have to find another chiropractor and get more adjustments while I am over here? Note that the discomfort of sciatica only happens with a straight left leg when bending at the waist.

Hi doctor, I feel cramped, itching and lower abdomen pain during urination. I had intercourse with my partner last month and since then I have faced this problem. I went to meet a gynecologist and she prescribed some medicine and felt fine for 10 days. Then, again I am facing the same problem. Also, I have PCOD. Please help me.

Hi doctor, I am 20 years old. I have one kid and I am seven months pregnant. Since I started puberty, I got a lot of health problems. The left side of my underjaw is not fully grown. It feels like pieces are missing. You can also see the big difference between the left side of my chin and the right side. My cheekbones are also not fully grown. I have poor blood circulation and my face gets very very swollen. Mostly in the morning, my face looks quite normal and my skin color as well. Later, in the day, my face gets swollen and big and also when I eat and when I eat a lot and unhealthy it gets more swollen. When I lay down the swelling lessens. I also have mental stress and an anxiety and I have a scoliosis. I get tired quickly and my skin is very dry. I have dark or purple undereyes and dark patches on my ankles, knees, etc.

Hello doctor,I have mild scoliosis convex to the left and was wondering if a left knee arthroscopy can be the cause of my posture and/or pain issues. For example, sitting, standing. Also, having scoliosis, would that cause a blood clot (pulmonary embolism) after this surgery? With being a severe asthmatic.

Hello doctor, There is white fungal ring infection on forehead of my daughter. Can you please suggest some oitnment?

Hello doctor, I have been suffering with obsessive compulsive disorder- OCD, fear of germs, ordering things, obsessive thoughts. I also have anxiety while driving car at higher speeds. I have been diagnosed with Fibromyalgia which is lined to general stress, anxiety levels, which causes the muscles to be held tight. I have been able to accomplish most of the daily tasks and be successful in life. However, the anxiety while driving is troubling me. I need to reduce anxiety while driving, while also maintaining focus. Also, the general level of anxiety or stress is causing other physical ailments. Due to muscles being in constant state of tension. Currently, I do not take any medication. Only supplements 5-HTP (Seratonin) and one sleep aid (Melatonin).

Hello doctor,My youngest son is 2 and a half years old. Currently, he is crawling, and he is a delay in walking. I bought him for the child development clinic at the hospital. They have sent his blood sample to another country, and the result says that he has Duchenne Muscular Dystrophy. Kindly advise what should I do. My son can stand at the sofa, but he refrains from standing at the floor. He can lift his body. Is he able to walk?

Hello doctor,People called me stupid and annoying it is not that I do not understand. It is that I cannot focus, I have a tough time focusing, and I would not deny I am annoying. I never sit still I am wandering around the house all the time I told my dad I would not sit still even if I was glued to the sit and he said I believe that. People complain about the fact I talk a lot, and I talk fast. I climbed a broken fence I love climbing fences when I was 12 I let my friend push me across the road in a shopping cart, and I let my friend push me around in a shopping cart on a bumpy ground I do not think before I act. I get very mad when people talk badly about me I get easily frustrated I get crazy if I cannot find something or if mess up on something I will pretty much get mad over anything I have a low tolerance when it comes to anger. ADHD runs in my family.

Hello doctor, I am 39 years old. Since more than a month I had a blister on my foreskin, and I noticed a reddish-sticky part in my foreskin. I saw this after sex because it was painful (but it was not hard sex at all). The blister went away, but the reddish-sticky part stayed. I had also burning and heat in the skin of my testicles. I went to the doctor, and he found an infection. I had antibiotics pills and fungal cream. After a week, everything was improved, but the reddish-sticky part was still there, but the doctor said everything was fine. But it is not. I went to another two doctors (a urologist and a dermatologist), and they said everything is fine. The dermatologist prescription was Vaseline, that was two weeks ago, and this stays. I am worrying about cancer, and I asked them a biopsy, but they refused. Since before five months I also had a red rash in the gland coming and going, but for more than a month, it has not happened again.

Hello doctor, My wife is currently on her sixth month of pregnancy. I am pretty much concerned about using Neomycin 0.5 % and Clobetasol 0.05 % ointment during the first month of our pregnancy. We had itching and burning sensation. We used approximately 4 g of ointment in total. She applied some ointment over her inguinal area and me over head of penis and we also had intercourse after that. This happened two times. Would this have caused vaginal absorption of Neomycin and damaged the fetus? Or as it was the month of conception would it have damaged the sperms, egg or the fertilized egg? I read some articles where topical Neomycin has caused ototoxicity, nephrotoxicity and reduced spermatogenesis in males. Should I have terminated the pregnancy earlier? Should I monitor the baby after birth for these toxicities? We did three scans so far dating scan, NT scan and anomaly scan which are normal.

Hello doctor, My Hb is 8 to 9 always, and MCV is on the normal range, on CBC. I have enlarged spleen (moderate to severe) since childhood and chronic since then. I have a history of blood transfusions but had transfused only 6 to 7 times. My brother has the same problem with the same symptoms also. He is 31, and I am 34 years old. My mother is anemic with Hb 7.5 to 9.0 always, with normal MCV on CBC. She is 51 years old. Father has normal HB 14 always.

Hello doctor,I had sex with a prostitute last week. I used a condom, but I played her vagina with my hand. I came back home that night and had sex with my wife again. I also played her vagina with my hand. Next day, she had her periods and felt itchy at her vagina (I think genital herpes). So she scratched her vagina, and it became a damaged spot under the vagina. But it is better now and is about to heal. Is this STD or not?

Hi doctor, I am having an abscess on my balls. It is reddish and painful, but not much. I have jock itch right now. I saw terrific images on the internet, but it is not like that. Please help.

Hello doctor, I am 33 years old. I have been trying to conceive for eight months from now. I have monthly periods and positive OPKs and BBT shifts, but periods are also very light, basically spotting. I had an Ultrasound which showed a few cysts, had mildly elevated testosterone, normal LH and FSH, normal estrogen, low progesterone. My PCP is not convinced. I have PCOS but I am wondering if that is still a possibility and what I should anticipate for treatment in the future (clomid vs. progesterone therapy, etc.)?

Hello doctor, I have tonsil stones, sore throat, swollen gums, and dry cough. Is this the symptoms of oral or throat cancer?

Hello,I am a 28-year-old female. I always worried about her heart. I have GAD specifically focus on health anxiety and often experience heart attack symptoms so much so that I have gone to my doctor and the ER many times (always to be cleared). I continue to worry whenever the symptoms come back. I have been cleared so many times, but still, fear that something could go wrong or something might have been missed. Is there a chance that I could develop a risk of a heart attack without making any major changes?

Hello doctor,I have these rashes appearing in my inner thigh and body, and they started small and now has spread across 60 % of my body. I went to my local general physician and was given antibiotics, but that did not help. I was also given Dermol 500 lotion, Betnovate RD cream and Lyclear dermal cream to no avail. It is probably more comfortable if I send you the picture as it is very annoying. It is not painful, but it is spreading to my buttocks, inner thighs near my penis, both arms and body rib. What could it be?

Hello doctor, My cousin was diagnosed with genital herpes a few days back. She also has a sore throat currently that the doctor thought was strep throat but the strep test was negative. I shared a water bottle with her recently. Could I have contracted herpes from sharing the water bottle?

Hello doctor, I do not want to be sound like I am panicking, but I really do feel quite uneasy. Since I woke up I feel dizzy. My head is rolling and when I close my eyes, I feel like the world is rolling around in a full speed. It never happened with me any time before. I just had my lunch now, but I do not feel to eat any due to the same. Please advise what should I do? Thank you.

Hi doctor, I take on a daily basic- 100 mg Ixel, 60 mg Paxet, 0.5 mg Clonazapem. My psychiatrist told me to take 5 mg of Zyprexa in cases of SOS. I do not have any psychotic symptoms. He told me it was meant to knock me down, so I could have relief from stress and I could sleep. I took this pill (first time ever) and I slept for 20 hours (I was awake for one hour in between). Then I was awake for three hours feeling really bad, dizzy, spaced out, tired. Then I slept for another nine hours. I still felt bad and restless for a day, but slowly I got less tired and more alert. I guess it is not normal. It was even quite scary. In the meanwhile, should I avoid this pill or maybe reduce it?

Hi doctor, I had LASIK done for my eyes two months back. My vision is all right but, I feel a burning sensation at the corners of the eyes (corners from where tear comes). After 20 days of LASIK, (back then) whenever I put any eye drops my eyes started burning. Due to the burning sensation, my eyes started watering. I had consulted many doctors, and they prescribed eye drops like Systane Ultra, L-Pred, and Eubri. But no eye drops help me. I do not know what to do. Sometimes I also get redness in the eyes. Is it dryness or something else?

Hi doctor, I am a 33 year old male. I am from prickling, numbness, warm sensation in my feet and hands and tingling in my lips and mouth for the past two years. I had a severe cough for around two years and recently, it got resolved. My issue, initially started with prickling and burning sensations in feet and after that both palms. Now, it has increased above knee. I visited a neurologist, but the problem was not solved. Presently, I am suffering from numbness and tingling in the mouth on lip area, prickling, burning sensations and numbness in feet, legs and palms, getting tired after moving through staircase, feeling some discomfort in chest area like heaviness for some time, gas problem and recurrent mouth ulcer. My sugar test, BP, NCV, ANA profile, TMT and ECG are normal. ACE 69, HSV1 positive, vitamin D 17 deficient and uric acid 8.2. I am completely blank now; I am not getting any hope of good treatment for my problem. I had unprotected sex 9 years ago. My CMIA test and rapid HIV test came back negative that time. I had medicine for herpes simplex for a month, vitamin D3 60K once in a week for four weeks and then once a month for six months. But, my problem remains the same. I will be highly obliged to you. I am struggling because of my present health condition. Kindly advise the treatment.

Hello doctor,My heart is normal, but I have ventricular ectopic beats. Could these cause cardiac arrest and kill me at the age of 23? I worry about it every day. Kindly advice.

Hello doctor, Why does my throat hurt after smoking cigarettes for the first time?

Hi doctor, I am 21 years old. My weight is 48 kg. I am 3 months 2 weeks pregnant. Now, I got chickenpox. I am very anxious about the adverse affect for my baby. I have visited a gynecologist and she suggested me to get abortion. Please clarify me the right step.

Hello doctor,My father, 74 years of age, has BPH. He had UTI four years ago and was diagnosed with BPH. PSA was 60 and last three years was on Urimax and past few months on Veltamplus. His PSA is 0.9 prostate size 45 cc and PVR is 70 ml. His symptoms have been the urinary frequency of every two hours all these four years. One doctor has asked to continue the medication. On a recent visit to the second doctor, the new doctor asked to stop the medication. So, I wanted a third opinion. What is the harm if we stop? What is the benefit of continuing it? The medication lowers blood pressure. So, it is down from the 70s to 50s.

Hello doctor, The top of my belly button, that is, the skin of my belly button is hard and firm, and the rest of my belly button is not. I feel as if there is something under the surface. I changed my diet, so I lost some weight. I was 168 lbs, and now I am 135 lbs. If I place two fingers over my belly button and do wide circles, I feel like there is something hard underneath. Is this a hernia or where my umbilical cord was? I do not have pain or symptoms, but I just feel it firm and hard. What is this?

Hi doctor, I am a 34 year old female who is generally in good health. Yesterday, I went to dinner, ate a lot, felt very full after and felt I had strong gas. But, I was not in pain, just felt very full. What freaked me out was this pulsating feeling on the left side of my stomach above my belly button. It continued throughout the day on and off. I woke up with a feeling of no appetite. I was bloated and burping a lot but not nauseous and there was no diarrhea. I have been on Avaine birth control for about a year now and have never missed a pill, but am concerned I could be pregnant as the burping was an earlier sign when I was. Other than the burping, I do not feel any pregnancy symptoms. Is this something that will just pass or should I be concerned?

Hi doctor, I am having issues with my feet. I feel that they are swollen and numb, but they are not swollen and also there is no discoloration. I do not have any chest pain, lightheadedness, dizziness, shortness of breath or any unusual pain and ache anywhere else. This usually happens while sitting down or lying down on the couch. It goes away when I stretch my toes out or walk. I play basketball twice a week. I am taking vitamins B12, C, E, potassium, garlic and fish oil on a daily basis. I have looked these symptoms up, but nothing matches completely with what is on the internet. I also have noticed a hard lump or knot in the middle or bottom towards my toes, where the numbness and swollen feeling starts. I think this might be something else. Please help.

Hi doctor, Sometimes, my father used to get chest pain. Angiography showed that he has a LAD bridging and vessels are normal and clear. His echo is normal. His BP, blood sugar and cholesterol are normal. After the chest pain, he was given the following medicines for one year. They are Stator, Ismo, Clopidogrel, Aspirin, Cardace and Metoprolol. Now, after 1 year, his cardiologist has prescribed Ecosprin AV 150/20 (Aspirin and Atorvastatin) for lifelong. But, he does not have any pain now. So, is it necessary to take this tablet? Also, his cholesterol level is normal and he is not even having any blood clot as well. I read on the internet and beta blockers are given for LAD bridging, but this doctor have not given it now. He just gave Metoprolol and stopped. Please clear my doubts.

Hello doctor, I have PCOS, and I missed my last two periods. Can I take Meprate or Deviry? In case I am pregnant, I want to keep the baby. Will these medicines cause abortion?

Hello doctor,I am suffering from a heavy snoring issue. With this issue, I am not able to enjoy with my friends when going on trips and even when someone visits our apartment. Is there a solution? My snoring is very severe.

Hello doctor, I have contacts on and they bother me so much. If I take them out I want to scratch so bad, my eye burns and itches.

Hello doctor, I would like to get help reading knee MRI. Based on physical examination: Acute medial meniscus tear. Pain, clicking sound and cannot do activities.

Hello doctor, I am having wisdom tooth pain and I am currently traveling. Can you please suggest some good pain relief medicine and once I am back home, I shall get it treated. Please find the attached X-ray.

Hi doctor, I have a sore in the mouth. I have attached the photos. Please help.

Hello doctor, I think I might have an yeast infection, I have thick white discharge, itching, and today the discharge is a little greenish. What should I do?

Hello doctor, Three weeks ago while descending on a moving escalator I fell down but I was holding the bannister and it only caused me to sit on the steps from where I got up and walked away upon reaching down. Next day, while sitting on a high chair with a very small base and seat, I slipped off but managed not to fall by holding on to a nearby support. For the previous three years, I have preferred to hold on to the railing while climbing or going down a flight of stairs. I consulted a neurologist who suggested an inner ear disorder and seeing an ENT speciialist. She told me to perform a brain MRI and consider a nerve conduction study. Can you shortlist the possible inner ear disorders? Then, please tell me the tests in sequence which I should do to identify the specific inner ear disorder.

Hello doctor, I have a problem in my eyes. My right eye is dry and left is normal. I use Systane Ultra eye drop from the last one year and Omega 3 capsule from last three months. No result was found. No improvement was found. Please suggest me how I can get relief in my right eye? I want to overcome dryness in my eyes.

Hi doctor, I have a yellow thick foul smelling discharge. It has been a while but it seems to be a problem. My partner also mentioned that I have extra smell compared to his previous partners. Why is this?

Hello doctor,I have recurring BV and I do not know why. I have stopped taking baths, I do not douche, I never use any scented products. I am in a monogamous relationship. I just realized that my fiance washes his penis with shampoo, and we have unprotected sex. Could this be why I cannot seem to get rid of it?

Hello doctor,Is there any way that I can treat BV while being 34 weeks pregnant? I had Metronidazole gel and suppositories and they did not work. The smell is pretty uncomfortable plus I have HPV. So, I do not know if that is associated with the smell too. BTW is BV contagious?

Hello doctor,My daughter has just started kindergarten three weeks ago and came home today with a rash all over her arms, hands, and feet and one by her lip. She feels fine otherwise but they itch sometimes. Our 7-year-old neighbor just got over strep and impetigo and I am wondering if this could be that. It seems to look similar to the hand, foot, and mouth. She has already missed three days of school for a cold but I do not want to send her if she is contagious.

Hello doctor,Is hydrosalpinx treatable by natural methods? If possible, what should I do?

Hi doctor, I am having a slightly upset stomach with bloating for the past four months. I thought I had a bug. Two weeks later, it seemed much better. However, my bowel movements did not return to normal. I had mostly constipation for about a month (even though my stomach did not feel as upset anymore). Then after that month, things flipped and now for the last four weeks at least, I have had movements that are almost diarrhea (very soft, formed only slightly). Colour does not seem abnormal and there is not a bad smell and I do not see oil drops in the toilet bowl. Every morning I have this. I also am having increasing stomach reactions. Every time I put food into my mouth, the gurgling starts. I am not feeling this is a food intolerance as it happens instantly no matter what I eat. I also get a lot of bloating due to the gas. I will, of course, be following up with my doctor, but wanted to ask here. I have a history of breast cancer, so I easily get concerned about cancers (I realize that breast cancer does not often spread to the bowels, but I am still worried about another cancer). I am not a person with a strong history of gastrointestinal upset. I did go through about 7 to 8 weeks of something about seven years ago and never really had a true explanation. Those symptoms accompanied many other symptoms such as nerve pain, twitching, cramping. I felt as though I was having an autoimmune type reaction and am now wondering if it was tied to hormonal changes as my periods changed at the very same time as I had those symptoms (perimenopause). I am currently on Letrozole for hormone positive breast cancer targeted therapy. I had my ovaries out two years ago. So my body is definitely experiencing a massive drop in estrogen over the past two years. I am wondering if you have any thoughts on what this could be? No blood in the stool.

Hello doctor, I have acne for around five years. Now I am using Cutein tablets. I suddenly got a burning sensation in my stomach. So, now I am using Pantoprazole tablets along with Cutein. Is that effective or injurious?

Hello doctor,I am a 24-year-old female. I was engaged in some foreplay with someone last weekend. And they fingered me hard. Last night, I noticed a tiny bump on the inside of my vagina. It is a pea-sized right against the wall. It is completely painless, and I would not have even noticed it was there had I not put one of my fingers inside myself.Is it possible that this is just a cyst from the rough foreplay? It feels a bit smaller than it did last night, but I cannot tell. It almost feels like a pimple, But it is on the inside of my vagina, and I can only feel it by pressing my finger against it. What could this be?

Hello doctor,My baby was 5.5 months old. One liter water bottle fallen in my baby's head, and that place became reddish. Already she was suffering from fever too. Kindly help.

Hello doctor,I have some signs on my hand on the summer period. No doctor gives me any idea what it is or what causes it? Or how to fix it? Kindly help.

Hello doctor, I used to masturbate regularly, and I do not care much for hygiene (I wore the same used underwears, cleaned my penis once in a while, etc.). Now from the last two months, I am unable to retract. The foreskin seems to have become tight and not allowing me to even pull it back a little. There is a kind of white patch formed at the tip of my penis as well. That is concerning. Could you please let me know what might be the issue?

Hello doctor, I am under medication for thyroid from past one year. Initially, TSH was 15.5, and I was using 50 mcg later TSH came to 13 so increased dosage to 75 mcg. After which my TSH came to 8.8, and now with same 75 mcg TSH got risen to 11.11. Please advise do I need to continue with the same dosage or increase the dosage.

Hello doctor,I have a lump under my skin on my arm, and it is slight my raised. It is not painful, and it is 5 mm in diameter. It has got a dark center that looks like a bruise. It has not grown in size either. What could it be?

Hello doctor,I have chronic gastritis. I want to do snehapana at home with pure cow ghee. Can you please guide me?

Hello doctor, I am 29 years old male, with height 5' 10" and weight 75 kgCurrently, I am on 1. Clonazepam 2 mg one tablet during the night. 2. Trazine-S half tablet during night. I have been suffering from a borderline personality disorder (BPD) along with symptoms of anxiety, panic disorder, extreme irritability, anger, and so on. So for that, I have been prescribed with the above medicines for the past seven months. Came to know that Benzodiazepines like Clonazepam should not be consumed for more than a month, but in my case, I have been drinking it for more than seven months. The doctor is not tapering off the dosage either. So is it safe to continue? What shall I do? Kindly help.

Hello doctor, My husband has been having head heaviness for a month now and I do not know what is causing this. He has had a cervical scan done and other tests were done and he was told there is nothing wrong. It been two months now since this started and is a sudden onset. Prior to this, he used to work out a lot at the gym but not now as he is having numbness and tingling sensation radiation from the lower back down his right leg with severe pains in the morning. There is a moderate pain with movement. He is currently having back pain issues before this head heaviness started. He has had a CT scan done and the report is as follows:  L1-L2 normal findings.   L2-L3 disc bulge with thecal indentation and irrelevant effect.   L3-L4 disc protrusion with caudal migration causing moderate canal stenosis and compression of the L4 nerve root at the lateral recess. Calcification of the disc noted posteriorly.   L4-L5 disc bulge with thecal indentation and contact to the L5 nerve roots at the lateral recess.  Impression: Essentially L3-L4 disc protrusion migration causing moderate canal stenosis and compression of the L4 nerve root at the lateral recess. I want to know what is actually happening. Some advice and recommendation and treatment options available in this situation.  Also, how can we treat the heaviness in the head as is causing difficulty in sleeping?   Are there any medications?   Also, does the head heaviness got anything to do with this situation?

Hi doctor, I would like to get a summary of abortion options for someone 6 weeks pregnant. Please explain the risk statistics as in what percentage the patient have risks and what type of patients they typically are. The woman in question is an otherwise healthy 21 year old.

Hello doctor, I am a 27 year old female. My weight is 195 lbs and height is 5'8". I have hypothyroidism and I am on Synthroid. I am taking Amoxicillin for a lingering cold. Yesterday, I experienced a sharp pain on my left side, under my armpit, equal with my left breast. I had this episode of pain twice yesterday. On both the occasions, the pain lasted for about 5 to 10 minutes. When I put my hand on the area it felt as though something was passing through my ribs and once it passed the pain subsided and I was fine. There was a bit of tenderness in the region of pain. I am wondering whether this is due to gas from all the holiday food and carbonated drinks. Or is this something serious that I should get looked at? I wanted to wait and see if it happened again, but was looking for a second opinion on that. Both my grandparents passed away because of heart attack and so, I am worried. I am a mother of two kids and do not want there to be an issue.

Hello doctor, I am a 19 year old female with no past medical history. I experienced constipation for some days, and I saw blood in my stools. I found this small fleshy growth on the anus, which hurts after passing motion. The pain ceases after a few hours. This fleshy growth retracts inside when I contract the surrounding muscles, but it comes out when I relax. It does not cause any pain during other times. I am attaching a picture of this fleshy growth. Please help.

Hi doctor, Yesterday I used earphones which fit directly into ears for a very long-time. Today I am having extreme unbearable pain in back of head and ears. I have stopped using earphones now. Is there a fast fix for this unbearable back head pain? Can I take Disprin (I never take painkillers)? I use earphones on a daily basis under the prescribed volume limits. Though I have little pain sometime but not to this extent. Please suggest any medication.

Hi doctor, I am 28 years old. Eight months ago, I got married. Now, I am trying to conceive. I am getting period like cramps 12 days before period, mainly on the right side of the lower abdomen. Pain ranges from mild to severe. My hormones are normal, but AMH is 7.01 ng/mL. My TVS before and after periods is normal. Please suggest what to do.

Hello doctor, I am 56 years old. I have a feeling of trembling at heart since a month. Sometimes, I feel this trembling even while sleeping and hence, the sleep gets disturbed. During daytime, I also get uneasiness and shivering for hours after an episode of heart trembling. My BP after this feeling was a little bit high at 180/85 mmHg and then it came down to 135/85 mmHg. I went to a neurologist and took CT scan and Doppler of the neck to find for any blocks. Both the scans were normal. The doctor prescribed Rancil, a beta blocker 50 mg, Aspirin, sleeping pill 0.25 mg and Vertin. I hear some sounds in ears. I also had ear pain and giddiness due to ear fluid. The doctor told that such trembling feeling may be due to ear fluid imbalance or may be due to little blocks in blood vessels, which may not be seen in the CT scan. After I took the medicine for six to seven days, there was no such feeling. For the last three days, I stopped medicine, which was prescribed for 15 days. Yesterday night, I felt the same trembling at heart and the sleep was disturbed. Then, I took only beta blocker 25 mg (half of the original prescription), Aspirin and sleep pill and I had a good sleep. I am not a diabetic and have no BP so far. The BP in the last three to four days was normal at 125/80 mmHg even though I did not take the medicines. I walk for one hour on a daily basis regularly. I am also experiencing fainting like feeling, lack of concentration, losing of a sharp and normal vision sometimes. It takes about two to three hours to recover from these symptoms. When I take a beta blocker, Aspirin and sleep pills I find myself feeling better, but the BP gets lowered to about 95/60 mmHg. For the last two decades, I had vertigo. I used to get it once in every 12 to 15 months and I had got used to it. It normally go away in 15 to 20 days. But this time, in the last one month I doubt this is vertigo though I hear some ear sounds and have a little pain in the ears. Though I drive car and two-wheeler slowly, the feeling and unsteadiness makes me very uneasy. During night, sometimes I suddenly wake up after some vibration from the stomach and the chest portion and hence, sleep will be disturbed. I experienced trembling, three times in one month during daytime and felt uneasy in the hands and legs for five hours after that. In the morning, unsteadiness starts to occur and it has happened five times in one month. I am not able to concentrate and there is a fearful sensation in the body. This problem needs to be treated. I doubt whether taking Metoprolol and Rancil will lower the blood pressure. For the past 10 days, I am taking Metoprolol 50 mg, Rancil 20 mg at night, Aspirin at night, Vertin at night, sleep pill 0.25 mg at night and Pan 40 in the morning. Earlier, I was taking Vertin. Please help me.

Hi doctor, I am a 27 year old sexually active male. I have been with the same girl for the past 10 years and we are loyal in the relationship. I am having a ton of issues and pain in my lower region. The symptoms are lower back pain, pain in my pubic region, pain and tingling in my testicles, burning with and without urination and pain within the penis. I have been to three different walk-in clinics and had three different antibiotics, including Levaquin, Bactrim and Cipro. I went to a urologist and was told to have pelvic pain syndrome. I have had similar issues in the past. I dealt with a prostate infection a few years ago and that was treated with antibiotics. But, this time nothing is working. Most urine cultures show no bacteria. My thoughts are possibly pudendal neuralgia or interstitial cystitis, as my mom has IC. Do you advise sonogram or endoscopy or medications?

Hi doctor, What are some of the home remedies for burning sensation of the Anus? What is the reason for this burning sensation? It happens whenever I eat outside food. Though I did not eat more spicy food, why it is happening.

Hi doctor, I am a 33 year old female who has had meningomyelocele (spina bifida) since birth. I suffer from scoliosis of the spine, paralysis of the lower limbs and valgus of the feet. My bladder and bowel control had always been exceptionally good in spite of my condition. Before 12 days, I had sexual intercourse for the first time. Since that day, I have noticed that I urinate with extreme frequency for every 30 minutes. The urge to go is also very strong and holding it for more than 5 minutes has become impossible. I even wake up in the night to visit the bathroom. 12 days have passed and the symptoms have not abated yet. Is this a common symptom? Is it related to meningomyelocele? What is the solution? Please help.

Hello doctor, I am a 26 year old male. My height is 190 cm and weight is 85 kg. I do exercise with weights regularly. I have noticed that I have reduced feeling in the skin on my shaft. I cannot feel normal touch, but I can feel the pain if I pinch it with my nails. To best describe it; it feels like my penis is not there when the head was covered by foreskin. I just noticed it two weeks ago. Is this due to nerve impingement? I do not have any back pain or radiating pain down the legs. There is no trouble or pain with defecation or urinating. There is no tingling or pins and needles on the shaft. Rarely, I feel some burning or numbness feeling. I do not notice any discoloration or anatomical abnormalities. Is this a sign of diabetes? But, there are no symptoms such as polydipsia, polyuria, etc. I do not remember any trauma to the penis. I do not ride bicycles at all. I have been to a urologist and done an ultrasound of the penis and testicles along with a Doppler. But, there is no finding to be worried.My libido is very low. I get erections during the night or if I really concentrate on erotic thoughts. I have not tested testosterone levels, but I suspect them to be normal. I do not really mind the reduced feeling in the shaft. But, it would be nice to get it back. I am worried by thinking that it may spread or this is a start of a more serious disease. What is your opinion? Thanks in advance.

Hello doctor, I am a 19 year old male. My right eye is smaller than my left eye. For this cause I am not able to see clearly with my right eye. Please help.

Hello doctor, I got my penis injured while having sex with my girlfriend. Now, I have what seems to be an inflamed rib or ridges on only one side of my penis. It hurts all day while walking or lifting too. I have a hard flaccid penis since this has happened. I have been taking anti-inflammatory drugs and icing it, but cannot get them to go away. Everything aggravates around night-time erections and all erections are painful on that side. I drive all day and just by pressing the brake, it hurts the whole day. I do not have peyronie's or a curved erection. Going to a urologist just blows me off. Has anyone ever heard of this situation? Is there any anti-inflammatory injection or drug that will make me not get erections until it heal? I never had these before the injury. I am attaching the picture. Please help.

Hi doctor, I am a married guy of 32 years old. For the past two to three years, I am facing problem to get proper erection. I have already consulted a doctor and he asked me to get some tests done such as cholesterol, sugar and BP. We found that the triglyceride value is more than 350 mg/dL. He advised me to take tablet Lipicard 160 and Nano-Leo total sachet twice a day in milk for a week. He also advised me to do regular exercise and decrease the fatty or oily food. After a week, I found some difference in erection. It was better than before, but still I am not getting a triggering effect like I was having in my younger age. I had Sildenafil citrate in the past. Currently, I am taking Duralast 30 mg. In my teenage, erection used to happen even by thought. But, now I am getting it after struggling on bed. With my partner too the duration is very short. Please help.

Hello doctor, Thank you for giving us the first query free. I am 26 years old male suffering from asthma for the past 14 to 15 years. So, I feel shame for myself when I use an inhaler. I am not able to go on tour especially in winter because I do not want to share my worst condition in front of my known people. I do not need any sympathy faces. Sometimes, I do not feel shortness of breath but wheezing irritates me, and I am unable to focus on work. When people leave me alone, then I take inhaler. When I take a bath in winter, I feel shortness of breath. Right now I am taking Bresol (Himalaya tablet) two times a day for past two months with lukewarm water. This winter I am drinking lukewarm water every time. But the problem is still there. When I go to sleep, I feel wheezing and the same when I wake up. A pharmacist said to use Septilin (syrup) with Bresol and take Bresol thrice a day and Septilin twice, and nobody told me how long I have to take this. I know asthma is not curable. Please give me some good advice and names of medicines (ayurvedic) for long time relief. And also advise regarding Bresol and Septilin (especially how long I have to take this).

Hello doctor, I have had a red/pink rash on the side of my nose for about a year and a half now. It is on the bridge of my nose. It gets better at times, but most of the time it is prominent. It also usually gets better when I am in a cool environment and worse when I am in a hot climate or in sunlight. I used to take allergy pills every day for about two years and then I noticed the rash, so I stopped pretty much completely for about a month. It seemed to get worse and again I started taking them for another 3 months probably. It had no effect on the rash and I stopped completely and I have not taken a pill for almost three months. Does this sound like a reaction to the pill or is it something else? The rash also burns and so I know when it flares up. The rest of my face seems to have gotten a little more inflamed but it might be my imagination. I am a 22 year old male. My height is 5'11" and I weigh 160 lbs. I have tried everything to get rid of it. Please help.

Hi doctor, I have a yeast infection in my penis for the last two years. I have tried all natural medicines like coconut oil, yogurt, etc. Also, if apply Panderm plus or FourDerm or Candid cream daily, then I feel normal. Otherwise, I am getting inflammation and swelling of the penis. Kindly suggest a good medicine for permanent cure. Thank you.

Hello doctor, My mother is having melasma on face. Can she use Kojivit gel? If yes, please suggest whether it can be used at night time or otherwise?

Hello doctor, I am a 49 year old fairly healthy male. My height is 6 feet and weight is 260. I am overweight and also have low testosterone. I have had a noticeable shrinkage in my testicles in recent years. I have embarrassing erectile issues, including premature ejaculation and often I am unable to maintain an erection. I am not on any regular medication. I do not drink alcohol or smoke. I have attached my photos for your reference. My skin is discolored with red circles on my inner side of the legs up to each side of the scrotum. It frequently itches especially after much walking. The red circles are also present just above my penis, but are obscured by my pubic hair. I am also concerned about a patch of darker skin on my scrotum. There is also a pimple or a tag of skin on my inner right leg; two smaller ones on the inner left leg and one at the top of my right leg where my pubic hair stops. They all sometimes hurt, especially when my innerwear rub against them. I have had these for years. I was in the hope that they would go away on their own, but now I have noticed a few small ones begins to develop in the same area. There is also a mole or pimple like growth between the base of my scrotum and anus. This hurts or itches when I sit or walk too long. I have not sought treatment to care of these issues before because of embarrassment. What treatment or medication might help? What do you suggest?

Hi doctor, Around three months back, I started to hear a strange noise at night. We live in a village. Apart from the odd barking dog and passing car, it is silent, especially at night. However, I started to hear what sounded like a distant engine, but it never got any closer. It is almost like a droning sound, not a hum as such as seemed to almost vibrating through me. It did not particularly stop me sleeping, but was annoying. It was there for a couple of nights and I would go outside and could not hear it. I could hear it in other rooms of the house, although maybe not as loud as the bedroom. I could find no real explanation for it. Electric cables are going to the house but have been the same for years, and nothing has changed. Then a couple of weeks later, the noise was back and was really loud when I went to bed. I fell asleep but woke in the middle of the night, and it kept me awake. The next day I could still hear it everywhere in the house, also in the next door house, but not so much outside. It is like a constant distant aircraft noise or car engine that goes in and out, louder, quieter, louder, quieter and at times I almost feel it than hear it. It left me tired with a slight headache, and it was just pulsating through my body all the time. That was the worst day. Since then we moved to another house in an entirely different area, although still a quiet village location. There is a very little passing traffic as we are at the end of a lane. At first the noise seemed to have gone; however, I have begun to notice it again. I can hear it all the time, but in the day there are other noises and distractions. It is at night when it is very quiet I can hear a constant drone. It now seems mainly in my left ear, or I can hear it especially in that ear. If I put my finger in that ear, it stops. Also if I hold my nose and blow and keep the pressure up the noise cannot be heard. If I put my finger in my right ear, I can still hear it, although maybe not as loudly. For example, it was very distant this morning. If I put my left ear on the pillow and lie on my side, I can hear it just the same. It does not keep me awake and or cause me any real problems. I am just getting concerned it could be due to something nasty, like a brain tumour or something. I went to the pharmacist and got some cleaning spray. I have also had a consultation with an ENT specialist. I did not explain to him about the droning sound as it is difficult in another language, but he gave me a checkup and did not find anything out of the ordinary by looking in my ears, nose, throat, etc. I have recently been diagnosed with hypothyroidism although I can get no connection. If it is tinnitus, then I can live with it quickly enough at the moment. But, I am concerned that it could be the symptom of any serious underlying problem. I have had recent blood tests done, and they were all fine apart from my TSH levels for hypothyroidism, and my blood pressure is fine.

Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance.

Hello doctor, I am a 25 year old female. Two years back I had noticed a very thin black straight line on my nail in the right hand finger. This line is growing along as my nail grows. Though the line was thin initially, now it has increased in its width and thickness. When I searched in the net about the straight black line on my right hand forefinger, it is showing up as something related to skin cancer or melanoma. I am worried. Should I be concerned about this? I am not very dark, nor very fair. I have wheatish skin. Please advice me. I am attaching a snap of my finger with dark line for your reference. Also, I used to have three moles on my left hand which had been there since my childhood, but to my surprise two years back they went off easily. I got another very small new mole at a different place on the same hand and that too went away when I scratched it off. Is this something normal?

Hi doctor, Please find my blood investigation report attached and provide me the required steps to take further. Thank you.

Hi doctor, After sex, my girlfriend's face, chest and legs burn and itch. What is the cause? And what can we do for it?

Hello doctor, I had C-section three years ago. My stomach started bulging, so I visited a doctor and had sonography. So came to know that I have mild umbilical hernia 0.7. If I do proper exercise and follow ayurvedic medicine suggested by you, then is this mild hernia curable? Please help me with this. Also, can I climb stairs in mild hernia?

Dear Doctor, I have abnormal pressure in my eyes. I believe it was 24 in one and 23 in the other. My doctor told me that he would not dilate my eyes because it would be dangerous and asked me to find someone to do Laser Peripheral Iridotomy surgery(LPI). I am 23 years old with no medical conditions. Need a second opinion.

Hi doctor, I am 19 years old. I have pain in the corner of my left eye for the past one year. I went to the doctor, and he gave me Sterdex. I used it and felt better. My pain went away. After a few months, I started to have pain, but it was not so severe as the first time. I wear glasses and lenses, and I am treating my eye allergy with Chibro Cadron 5 ml, and for dry eyes, I use Fluidabak after taking the lens. Whenever I do my yearly eye checkup, my eyesight gets worse because of the pain in the corner, and I am scared about my sight. I do not know whether I use an appropriate medicine to my eye. Whenever I consult the doctor, he gives me the same medication. Please help me.

Hello doctor, I am a 60-year-old female, who weighs 198 lb and 5.7 height. I was diagnosed with metastatic breast cancer 20 years ago. I am suffering from chemical depression due to chemotherapy, and so, I am on antidepressants for 20 years and on Celexa for the past three years with good results. Before five years, I was diagnosed with 90 % optic nerve damage in the right eye and 75 % damage in the left eye due to open-angle glaucoma. I am under Brimonidine Tartrate and Dorzolamide twice daily and Latanoprost once daily for the past five years with good control of glaucoma and proper visual fields. The recent visual field test showed a decrease in the visual field. Laser treatment was done again for open-angle glaucoma before a week.

Hi doctor, My child, who is 2 years old, fell off while playing. She got hurt above the left eye with mild scar. Please suggest some medication. Thank you.

Hello doctor, My father has been detected with glaucoma. The problem started about two months back. There is some irritation in eyes and vision is hampered in one eye. I wanted to get an opinion on how serious. What should be done? Do we need to take urgent action? Can we cure it completely?

Hello doctor, My mom is a glaucoma patient for the last 10 years. She has been on medications like eye drops including Azopt, Ganfort, Alphagan, Vigamox, and prior to them Cosopt (which did not suit her). She has gone through retina eye laser and also has been injected in both her eyes almost 22 times for retinal leakage as well, has also gone through cataract eye surgery 16 years ago. At the moment her eye pressure remains between 21 to 24. The doctor says implants are necessary as she can see very less now. Given her eye condition is sensitive, a doctor has suggested that it is best to operate her with Ahmed valve implant, however, it has its own risks. I wanted to know if it is better to try the latest option, called MIGS (minimally invasive glaucoma surgery) like Xen Gel Stent and InnFocus Microshunt as it has near to no complications. I want to get an opinion about this before thinking about Ahmed valve.

Hello doctor, I am suffering from asthma since last three years. I am using Formonide 200 two puffs two times daily. I am also suffering from GERD for the past seven years. Now I only take Pantacid 40 as and when required. It is my question. Is it a perfect prescription for me?

Hi doctor, I am 21 years old now. I am suffering from asthma for more than 17 years. It was horrible until my 15 years of age. It was pretty bad. But the severity has reduced now. It usually occurs at night time. Sometimes it happens in the daytime too. Wheezing is present, and there is chest tightness. I am taking Foracort 400 Rotacap during breathlessness. I am taking the tablet for the past four to five years.

Hello doctor, What are the foods items that should be not given to the asthma patient?

Hi doctor, I am 20 years old. My hair is getting thin. As my father is bald,  I fear that I will also get bald. Also, I want to improve my skin texture. Please help.

Hello doctor,I am 29 years old now. I have allergic asthma for last 6 to 7 years but in very mild form (mild suffocation and coughing for 2 to 3 days, once in three months). It used to get triggered by an old house (old book or newspaper dust) or distemper and paints or orange flavored drinks. But since last one month, frequency and magnitude both have increased. Yesterday, for no possible reason known to me, it got triggered. My query is can such allergic asthma turn into permanent asthma? I want to avoid any long-term course until extremely important. What is my option to tackle or control and reduce above symptoms, with mostly home remedies, diet control exercise and minimum synthetic medicines? Nose bleeding in childhood, frequent nasal blockage till the age of 21.

Hello doctor, I am 35 years old, 5 feet 11 inches tall and weight 79 kg. Vegetarian diet. Before two years, due to stomach disturbance and pain and some popup and cracker sound occurred in my knee joints. I visited the doctor and he suggested me for a laboratory test of liver function test and all reports were in normal range except sugar which was 138 at that time and gave me some medicines and referred to orthopedic for joint pain. I have visited an orthopedic specialist. He took an X-ray of both leg, knee, and told that it is an early stage of osteoarthritis of the knee and he suggested for MRI and I got my MRI done. In the MRI report, it is mentioned that left knee has been affected with osteoarthritis. After that, he gave some medicine for 10 days and referred to a physiotherapist for exercise and weight loss. I have visited as he told and now I have reduced my weight and now there is very little pain remaining in my left knee but now my other joints like the left hand thumb, finger, and both hand and knee have popup sound during movement. Kindly diagnose my problem and suggest the treatment for the same.

Hello doctor, I have pain in my left leg which moves around. First in my knee, then in the lower leg, upper leg, etc. I previously had pain in my left arm. An urgent care doctor told me it was osteoarthritis. An X-ray of my knee was done. I was prescribed an anti-inflammation medication.

Dear Doctor, My mother is 66 years old. She is having Trigeminal Neuralgia and for which she is taking Lyrica 75mg, Tegritol CR 400 and Symbal 30. And other medication details as below: For Cholesetrol -> Storfib -10mg. For BP -> seloken xl 100mg and amlodac 5mg. For Urinary Incontinence -> tropan 5mg and cranpac. Her bone mineral density revealed to scores of Osteopenia, and also Osteoarthritis. She is taking AcuCal calcium tablet and FreeFlex Forte. But her mobility is still very much restricted. So I want to know whether she can take SAM (S Adenosyl Methionine), and is it safe? Also If she can take SAM, what will be the dosage and duration. I am asking whether she can take this as a supportive to enhance her mobility. She is a pure vegetarian and on fat free diet. Her weight is 70kg, height is 5.1 feet. Please give your suggestion.

Hi doctor, I am a 24 year old female. My BMI is normal. I am fairly active on my feet all day because of work and I used to walk instead of transport. I was a lot more active when I was younger. I used to dance for roughly 20 hours a week and swim five hours a week. Since I have got older and due to injury, I dance for 2 hours a week and swim when I get a chance. I was diagnosed with Osgood-Schlatters in both knees when I was 16 and had physio for a year. They used to swell drastically and I still have prominent bony lumps just below both the kneecaps. The only thing that really seemed to help is drastically cutting down exercise as they would become so painful that I could barely walk. The pain comes and goes after an active day at work such as cycling, swimming, driving a long distance or sitting for a long period of time as I am 5'10", it is regular. I have also noticed recently that I have been getting neck and lower back pain as well as regularly feeling like I have strained my right shoulder. I have tried to pass it off as just pain, but it is becoming too often to be a coincidence and cannot help thinking it is linked. I have looked online and read a bit about osteoarthritis and this seems to fit what I have been finding. But, I do not want to jump into conclusion. Do you have any idea what this could be and whether it is linked? Is there anything that I can do prevent it other than cold compression? Thanks in advance.

Hello doctor,I am 34 years male. I have skin tags in underarms and neck. I have a skin tag in the shaft of the penis for the past four months. I consulted a doctor here in my town, and they said it is a skin tag. I want to re confirm it again. Please help.

Hello doctor,I was suffering from minor Achilles tendinopathy and visited a physiotherapist today to get it checked. During the session, he performed some deep tissue massage on the calf (which was very tight) to relax it, which was very painful. After the massage, I experienced sharp pains while walking (which was not there beforehand), and when I brought this up with the physio, he said it was normal because it was the first time I had gotten deep tissue massage on that area.I have been icing the calf and resting, and while it has gotten a little better, it still hurts to walk. I have my exams tomorrow which I have to get to and other events on the weekend where I have to be (and will involve walking). I am worried about how I can see as I cannot walk at all. Is it normal to experience such pain after deep tissue massage to tight calf muscles, or did I sustain some injury (say a muscle strain or something similar) and need to get it checked out?

Hello doctor, I am 27 years old, and I have 1.6 months old baby. After my delivery, I am getting scared for everything. If something bad had happened to anyone, I am scared to talk with that people am thinking that it will happen to me also. If I love to buy any product while taking am thinking that if I take some bad will happen to me like that I am thinking.

Hello doctor, I had intercourse yesterday. In the beginning, the condom was not there, can say for one to two minutes for three to four penetration. After that condom was there and semen came after masturbating for 10 minutes. Can I get pregnant with precum?

Hi doctor, This is really nerve racking but I noticed these growth on my shaft (fold area) that are very small and round. They tend to itch quite often especially when touched. I can attach an picture.

Hi doctor, What health implications have been observed with a unilateral paralysis of the diaphragm? I have had a plication performed, but it failed and is back to the original issue. Currently, I am suffering from shortness of breath, chest pain with dizzy spells and increased heart rate. I am on Propranolol for the heart rate issue. Please help.

Hello doctor, My doctor prescribed Diflucan (14 days / 200 mg) to treat urinary candidiasis. I just took day 6 of Diflucan. I am feeling a little better but still have achiness in pelvic area, bladder. My question is how much longer until I get full relief? Is this normal?

Hello doctor,I have non-alcoholic fatty liver grade 2, bilirubin 1.7, and creatinine is 1.2. How to reduce cholesterol and bring back to normal liver function?

Hello doctor, I am suffering from right side chest pain and right arm and also have fever and vomiting. What should I do? Is it symptoms of something big?

Hello doctor, I have recently been diagnosed with adult ADD. My psychiatrist prescribed 20 mg Adderall every morning. I took it for a few days (it worked) and then took a break of two days as I found I was not able to sleep on it. I thought I would get a good night sleep and then resume the meds to see if they were active. After the break, I have been taking them consistently every day and find they do not have any effect on me anymore. My psychiatrist now prescribed 75 mg of Wellbutrin. I also told him that I was having crashes in the evenings when I was taking Adderall. Why would the Adderall stop working so soon? What effect will the Wellbutrin have?

Hello doctor,I am a 19-year-old female with 170 Ibs, currently on 30 mg of Cymbalta. I have been diagnosed with major depressive disorder, generalized anxiety disorder, and insomnia. I have had three major depressive episodes in the past two years, and I feel like I am on the verge of another one. I had an appendectomy eight days ago and was prescribed Hydrocodone to manage the pain. I am still taking all of my regular medications, but I stopped the Hydrocodone four days ago. I feel hollow, incredibly sad, and very lonely (even though I am not alone). I am also having disturbing and very vivid dreams, which only increase the feelings of isolation and sadness. I eat healthily, exercise lightly, and manage my stress well. What can I do to fight off this impending depressive episode?

Hello doctor, I am a 34-year-old male. I am experiencing pain in my right side of the stomach, about 7 inches right of my navel (in line with my navel). When I sit or lay down I do not feel pain as long as I do not move. I feel pain whenever I take deep breathe, cough, and move my torso. My stool and urine look normal and I do not have difficulty in passing stool and urine. I started feeling this pain for the past four days. I just noticed that my right stomach looks bigger than my left. It seems that it is inflamed. Please help.

Hi doctor,I have some white spot on my tongue. I researched on the internet and it looks like white oral cancer lesion. Any of your thoughts will be appreciable. I have attached the pictures for your reference. Please help.

Hello doctor,I am suffering from diarrhea for the past 10 months and having treatment at the hospital. I want to know about the diets I should have. The doctor says no for milk, but fine to have curd or lassi. I want to confirm if I can have curd and lassi?

Hi doctor, I am having trouble in my relationship, my partner has not been contacting me for the past one month and it is affecting me a lot. I am talking to myself considering that I am talking to him, I am making up stories of why he is doing this, sometimes the story is against him and somtimes it is supporting him. I am scared of waking up in the morning thinking that I have to now go throught one more day suffoctaing and crying for the same reason. I am even scared to lock my doors because I feel totally all alone like if there is noone for me, even though I stay with my parents and dog. Please help me to get out of this situation. I seriously need your help.

Hi doctor, I am a 67 year old male. I am overweight, mildly diabetic and have high BP. I have pain on backside of my left heel. It increases in the evening. I think I have Achilles tendinitis. Please help.

Hello doctor, I am a 40 year old man. I have a foot pain which was diagnosed a few years ago as plantar fasciitis. I use shoes with special support, insoles, and cushion on the socks. I also have a pain in my right knee, especially on the inner side. I want to know if there are any exercises or stretches I can do to improve the condition. Also, can you suggest any other home treatment options for the knee and the feet? I am giving you some more details about the presenting complaint. Regarding the foot pain, I feel it early in the morning after walking or after sitting for a long period of time. And the knee pain is usually while walking. However, the condition gets worse if I walk after sitting for long periods of time as well. I have been going to the Chiropractor for a few months. The knee pain has gotten better. They have recommended hamstring stretches, quadriceps stretches, wall stretches for the calf, foot stretches and bridge exercises. For the knee pain, they have diagnosed sore muscles in the inner thigh, right above the knee and it is responding well to such treatment. Also, based on the tests they suggest my gluteal muscles are not activating fully due to prolonged sitting.

Hello, I am 60 years old. I have plantar fasciitis from one year and two months. It is getting better, but I wanted a second opinion on my MRI done two months ago. Also, since the past two weeks, I have hip pain from the groin to the outer part of the hip in a semi-circle. It is painful to get in and out of a car or climb stairs. I have been doing Cross-fit gym for the past three years.

Hi doctor, My uric acid in blood shoots up to 7.9. I do not have the problem or gout or kidney stones. How to reduce it? I have already started to drink lemon water the whole day. I have attached the photographs. I have only knee pain, which is at the backside of the knee while climbing up and down stairs for the last two years. Also, my left leg thigh muscle has localized numbness for the past five years. Numbness did not hurt, but bothers sometime. Numbness is not heavy if i use nail on it or scratch on it, I sense it well. How to cure this numbness? Is this serious?

Hi doctor, Is it normal to be treated for epilepsy without an epilepsy diagnosis and all brain tests came back clear? I had three generalised seizures, each of which lasted around a minute in the beginning of this year and none since. CT, MRI and EEG all came back clear. I have recently been diagnosed as B12 deficient and read that this can cause seizures and believe this may have been what caused mine. My aunt also had seizures all in the same day 20 years ago, all tests came back clear. They said it must have been viral. She refused to take medication when leaving hospital as they had told her it was viral, and never had a seizure since. She was then also diagnosed as B12 deficient. My neurologist still expects me to take epilepsy tablets. I am told that epilepsy is the working diagnosis. I never had any health problems in my life until I had these seizures. I took myself off the medication over two months ago due to side effects including that they were making me forgetful, not just forgetting to do something but my mind would be totally blank which really freaked me out as it is not like me at all. My memory is always 100 %. Since coming off them I feel so much better, and my only symptoms at the minute are from B12 deficiency and I am being treated for that with injections. I am 38 years old and female.

Hello doctor, I am 31 years old 5ft 11" in height and weight 24 stone. I have been getting lower right side abdomen pain for the past few months, and it usually starts after walking or standing for a long time. Today the pain has got worse, and I also have lower back pain. I suffered from Crohn's disease and had a bowel resection seven years ago, but currently, I remission and my Crohn's consultant does not think this problem is related. I also have a problem with passing urine, as it takes me ages to go and have to strain or sometimes rock and also will sometimes stop mid flow and have to strain to continue. I am worried as the pain become worse this evening.

Hello doctor, My 6 year old daughter was born with tyrosinemia type 1. She had diarrhea and bloody stools for 10 days, a month back. She was tested for many things, and everything came back normal, except her calprotectin level was 1250 while she had loose and bloody stools. She was admitted and had a cleanse and got an endoscopy done, and it showed lots of inflammation. She was put on a high dosage of steroids and Sulfasalazine for five weeks. The bleeding has stopped, and we weaned off the steroids. The biopsy results said it was IBD. Two weeks ago, she had her calprotectin level checked again, and it was in the 200. This week, we checked it again, and it was 39. I will include pictures of the biopsy results and pictures of the endoscopy. Her doctor said that the reports are not 100 % fine, and it is either UC or Crohn's. The doctor said that further down the line, we would be able to know which one she has. I would love to get a second opinion on what it could be.

Hi doctor, I had severe abdominal pain with diarrhea a month back. The next day pain subsided, but slight discomfort was there for two weeks. Then, I went to see the doctor who prescribed Flagyl and Rifamixin. The lower abdominal discomfort did not disappear and the stool has not formed yet. Then recently, last week I had more investigations and as per investigations, the doctor says that I have Crohn's disease. Is it really Crohn's or could be something else?

Hi, I am a crohn's disease patient and now my ESR level is 70 and CRP positive. I am taking pentasa 1g twice (morning and evening) and also 150mg of azoran (immunity suppressant tablet) in the morning alone. Today I visited an ayurvedic doctor to start ayurvedic treatment and he gave me medicine indukantham kashayam and septilin and both seems to boost the immunity of the body. I want to know is it good to have both medicines like pentasa/azoran with ayurvedic medicines as mentioned above.My ayurvedic doctor has said that I can continue both for some time and then review after a week and check if ESR levels have fallen. Please advise.

Hello doctor, My one year old daughter had a fever for four days, with one episode of seizure on the fourth day which lasted less than a minute. There was no post ictal confusion or drowsiness. At first, the doctors started with Ceftriaxone and Amikacin for four days, then a lumbar puncture was done showing leucocytes. The report said 135 with 80 % lymphocytes and 20 % monocytes. The day before lumbar puncture, she was started on Vancomycin. The blood culture done before starting Ceftriaxone showed Staphylococcus growth with 50 thousand colonies. They said it may be contaminated. Urine culture showed enterococcus faecium, but repeat test came negative. All subsequent tests came negative. Now the child is doing well, without fever for four days. They stopped both Vancomycin and Amikacin and told to continue Ceftriaxone for two weeks. I am awaiting the CSF culture reports. My concern is whether it is alright not to give Vancomycin.

Hi doctor, What could be causing the extreme pains in my lymph nodes under my neck and tingling the in head? Should I see a doctor in person? I had a sinus infection a month ago when the neck pains suddenly appeared. I was given antibiotics. It got rid of my other sinus symptoms, but not the lymph node pain. Recently, I was found to have an abscessed wisdom tooth and an abscessed crowned tooth. I had both pulled and was given Clindamycin for 10 days. Still, I have neck pains.I have been on a ton of antibiotics so not sure if bacteria are even responsive anymore. Should I be concerned about meningitis or that the infection has spread to lymph nodes? It has been about a month or two that neck pain has continued. Would blood work or an ultrasound be a better way to see what is going on? Is there anything I can do to treat this at home?

Hello doctor, I had meningitis fever when I was 7 years old because of which my hearing capacity was lost. I use hearing aids and I can hear from hearing aid, but it is hard to listen. One of the doctors said that I have bones issues, and I need to consult with a rheumatologist. But it is hard for me to understand.

Hi doctor, My brother has fungal meningitis and is in a coma. Initially, he responded to the commands, but after him having a tracheostomy and a feeding tube put in him; he is not responding to our words. What do you think? Is there a possibility of recovery? Will he wake up?

Respected doctor, My 63 year old mother was diagnosed with tuberculosis meningitis (TBM) 10 months ago when she complained of a severe headache. She has undergone CSF study and the report of the study is attached. She has been taking ATT medicines since then. The list of all the medicines she is taking is also attached. The medicines had come down to only one tablet (R-Cinex) in the last 10 months. But, now for the last two months, she started having back pain in the spine area and is now suspected to have a TB infection in the spine. She has a history of L3-L4 collapse four years ago, but that was due to osteoporosis. Her BMD score was -3.2. The spine has been severely infected from L1 to L5.  The MRI revealed an abscess with a pus collection in it (report attached). The doctor says it could be Pott's spine and may be because of a drug resistance (MDR), and they wanted to perform a USG aspiration for Xpert plus SRL, culture and sensitivity of pus. But, the test did not happen because the location of the pus was very deep in the muscle and could not be extracted. So, they extracted some tissues near by the infection area and sent for a small biopsy. The report of the histopathology (small biopsy) is also attached. It says mild nonspecific chronic inflammation. Since no strong evidence of drug resistance could be found in the small biopsy, the doctor has restarted the medicine of AKT-4 plus STM 0.75, and they want to see whether this reduces the problem or not. They said we cannot start DR/MDR treatment without any strong evidence of drug resistance. The current OPD card is also attached in which the medicine has been restarted. Now please guide us about what should be the treatment plan of the disease based on the information submitted. Can anything can be done to get a strong evidence of drug resistance since the ATT medicine is very heavy and the doctor has restarted this medicine only on the basis of his opinion? How can we assess the recovery from the disease apart from relying only on the reduction of pain? Does she require any further MRI or any test after some time?

Hi doctor, My 3 year old daughter has had three nosebleeds in about 3 hours. During the nosebleeds, she said her cheek bone area close to her nose hurts. What to do?

Hello doctor, My wife has nausea, vomting episodes that are not related to conditions, for example she can eat and feel nauseated or vomit after an hour or two or not feel anything. Then a few days later it can happen again. It comes and goes and is not stable, or triggered by certain conditions. It is totally random mostly. She gave birth to twins with a CS and was on Prontogest supplement for 7.5 months.

Hello doctor, I cannot grow beards on my cheeks but moustache and beard near chin grow properly, what can be done to grow full beard? Please help.

Hello doctor, How accurate are skin prick tests for predicting positive reactions? My family is interested in a pet and I have had negative skin prick and blood work tests for dander. Before we bring a pet in and before my kids become bonded, is it reasonable to assume negative tests will translate in no reactions. Occasionally, when I interact with animals, I have a reaction but it is difficult to determine whether it is actually the pollen which I am highly allergic to.

Hi doctor, I am an 18-year-old girl. It had been quite noticeable for some time that I have had excessive hair loss, especially in my hairline. I am a ballet dancer and have been putting my hair in buns ever since I was little. Two years ago, I started training a full time course which meant I needed to put my hair in a bun every day with hairspray, and a lot of times I got home too late to wash it out. Now I am taking more caution but I have lost a lot of hair and my hairline has receded a lot. Is there anything I can do to reverse or help it?

Hello doctor,I am a 44-year-old male with 5ft 4" in height and 69 kgs weight. My TSH (9.83) value is high, but T3 total (104.6) and T4 total (8.5) are normal. No medications are other than Uprise-D3 60 K capsule, which I take weekly. I have no particular symptoms but no weight loss in spite of very active sports and workouts daily and cholesterol borderline high in spite of a very balanced low-fat diet. My report says, Cholesterol 201, LDL Cholesterol 135, HDL Cholesterol 42, Non-HDL Cholesterol 159.00, and Triglycerides 118.

Hi doctor, I had a tooth extraction and a temporary bridge on my back upper teeth. The temporary bridge broke and I got another one. After this, I started to have some soreness in my left cheek and left side of my tongue. My cheek feels swollen and sore. I noticed two white bumps on the inner side of my cheek today. Is this from the dental work or something else?

Hello doctor, I was diagnosed with candidal balanitis and wanted a second opinion. I have itchy red and pink rash. No open sores or lesions. I had this a month ago and after Diflucan for 14 days it went away but came back this weekend.

Hello doctor, I was diagnosed with balanitis about three weeks ago. I got antibiotics and was told by the doctor to keep the area clean and apply an anti-fungal cream. At first, it was super itchy and could not use anything tight. Right now I do not feel it but I can see as you see in the pictures, it is healing. It was my fault to get this so bad because at the beginning it was just red and I thought it was a simple rash because of my sensitive skin but then the rash was so bad that was burning my penis. I just want this to be over, right now. I want to be back to normal but is healing so slow that I am getting desperate. I am using Menaderm Clio, Emuaidmax, Gelmicin, and Cortisone. Not sure if this sensitive area is normal to heal slowly or maybe I am using the wrong medication. They already tested for any infection. Usually, I am very sensitive and I think because I did not pay attention to the initial redness and kept doing a lot of things without taking care developed the severe rash.

Hi doctor, I am a 40 year male. Since last one month, I have been suffering from irritation of foreskin. The skin has become tight and cannot be pulled back. There has been a whitish discharge from the penis and constant irritation. I have tried using Candid B cream but there has been no improvement. There has been a little pain around the penis head. I am not a diabetic and there are no other ailments. I have a problem of high BP and have been prescribed Eritel 40 mg. Please advise.

Hello doctor,What is your recommendation for someone with PTSD, depression, and anxiety?

Hello doctor, I am looking forward to have advice about the outcome or prognosis of nerve regeneration and repair for my son. Before 13 days, my 10 years old son fell with a bottle in his right-hand palm and had his palm triangle open. As we were in another place, the local surgeon cleaned the injury, and I took him to another place where he undertook a surgery before 10 days of nerve repair of the proper ulnar digital nerve of the median nerve. I do not know if it is the exact term, but the nerve cut was the one at the root of the index, and that goes on the inner side (facing the 3rd). Would you please advice me about the outcome of this surgery? Is this nerve responsible for some functional disabilities of the Index? Is it only sensitive? Can he flex his index and use it usually afterward? No other tissues were cut, like tendon.

Hi doctor, When I look towards my left, I can use either left eye or right eye. I am unable to focus both the eyes on a single point. Also, When I move my eyes towards left, my left eyeball goes little upward than the right. Please help.

Hello doctor, I am taking Welbutrin for the first time and I have questions about the physical and mental side effects. Also, I have depression coupled with suicide and self-harming thoughts. In the past, I have been on Lexapro. I want to inquire if I am improperly diagnosed?

Hello doctor, I have depression, feeling of failure in life, no more attraction to live life. Sad, anxious, or empty mood. Loss of interest or pleasure in activities. Thoughts of death or suicide, including suicide attempts.

Hi doctor, I am 79 years old. I have depression for over ten years. I usually take 10 ml alcohol every evening. I had been taking Prozac 20 mg for many years. I suffer from insomnia. I am taking Mirtazapine 15 mg, Valium 5 mg, and Phenergan 25 mg. These give me sleep for 12 hours. Before three days, I increased the dosage of Prozac to 30 mg as I was more depressed and extremely fatigued for many months. After taking it, it worsened my insomnia. I had no improvement in fatigue. A few months back, I took Mirtazapine 30 mg. It also worsened my insomnia. Then I reverted to 15 mg. Please help me.

Hello doctor, Do I have depression? I need to know because I think it will be a whole lot easier if I know and admit it myself. Last night I was crying without reason, it has been like this for five years now. I can go on not going out of my room for a week without eating and every time I worry too much, I cannot concentrate. I want to be good at studying but there are days when it is too much and I cannot seem to focus. One day I feel fine and positive and really motivated but then after a few hours I hit that feeling of uselessness again and I cannot do anything.

Hello doctor,My 5 years old girl has been having eczema since she was 3 months old. She was scratchy all the time (at least every 3 to 4 hours). Even though we have applied moisturizers such as Aveeno, it was not helping her. When doctors prescribed topical steroids, we used it and she felt better. But as soon we stopped steroids she got the eczema back. As the doctors told we believed that as age progress eczema will subside. But she has even now and in fact it is little worse than before. We stopped steroids about six months back and trying to manage without it. One thing we noticed recently is that when we did not apply any oil or moisturizer (coconut oil or moisturizer never really helped) she did not scratch in the day time. But in the night between 12 AM and 2 AM she has been scratching all the time without sleep and sleep again. We are really worried if she will carry this lifelong and we are stressed. Also, we do not want to use steroid and would like your opinion on that if there is any complication if we avoid steroid completely and just leave her in this routine in the hope of getting better (we do not want her body to get used to steroid).After reading the above points please advise on how we should handle her without much medicine, if possible?Should we avoid moisturizer and oil as she is not scratching in daytime (rough patches still exist though)?When will she get better or at least have less and manageable eczema? Will it be at least at her teenage?

Hi doctor, I am a 23 year old female who has developed dry fingertips. The skin flakes off to leave smooth raw skin that has pins and needles when touched. It started with the index finger of my left hand. I asked a pharmacist for an opinion, and he thought it was nerve damage and recommended steroid cream. Over the last six months, it has spread to fingers of both hands. During this period, I also developed an itchy rash on the inside of my elbows. When I went to the doctor, she said it as eczema and prescribed me Dermol, Doublebase cream, and steroid cream. My fingers have not improved over the past month, but my arms have. Could you please give me your opinion on the supposed eczema on my fingertips? I am not convinced on what it is. Thank you.

Hello doctor, Eczema or fungus on right thumb and index, it looks like it is expanding and it leaves apparently dead skin behind which peels off. I have pictures for a better understanding. It itches none to moderately, it hurts slightly when applied pressure on. I am a driver.

Hello doctor, Small skin warts are spreading on my face and neck drastically. Can you please suggest the cure for this kind of a virus infection? It started one and a half months back. But, I only recently realized that it is multiplying.

Hello doctor,I had receptive oral sex (received fellation) with an escort girl three weeks ago. Since then, I have got urethritis three days after. I have been treated with Levofloxacin for 10 days. The urethritis got cured, but I kept getting some strange burning sensations in my scrotum and the top of my buttock, but no lesions or bumps were visible. Only redness.The symptoms then disappeared then for four days, I got ticklings on my back, arms, chests, but again nothing visible on my skin. Since two days I have got paresthesia on my left foot, left arm and left hand that does not seems to stop (sometimes I feel it more or less) and sometimes some cramps in my leg or arm. I got a 4th generation HIV test at three weeks, which was negative. Do you think I have a chance to have HIV? Do I need to retest at four weeks or six weeks? If you do not think I have a chance of getting HIV, what options should I look for?

Hi doctor, I am 25 years old and my penis size is 2.2 inch in flaccid state and 5 inch in erect state. I would like to know that, is it a good size because I have read somewhere that 6 inch is normal size. My penis size is smaller than the standard size. What to do now? Do girls think about penis size? I also have a small testicle and read that a small testicle cannot produce enough sperm, is it right? I am noticing one thing in the morning. When I get up, my penis is in erect state. Is there any problem about that? Please give me some advice because I am planning for marriage soon. Kindly clear my doubts. Thank you.

Hi doctor, My son is 2.6 years old. His weight is 12 kg. He is a healthy and active child. But, he is getting coughs and cold at least once in a month for the past three months. Currently, he has a fever for the past two days (101 degree) and cold from today morning. I am giving him Cetirizine and Ambroxol for cough and cold, Meftal for high fever of above 102 degree Fahrenheit and Crocin for normal fever. Other than these, I am giving him Zincovit. I guess that the cold, which he has gotten subsided once he take antibiotic and cough syrup. Whenever he coughs too much, he will then vomit the phlegm out. Other than this, the phlegm is not coming out either in the nose or through the stools. Please get me some solution to make the cold come out. Thank you.

Hello doctor, I am 26 years old and my weight is 70 Kg. I got married 6 months back and I am having PCOD. I had sinusitis few years back and I got treated for the same. For about a year, I have been facing frequent cold issues and sneezing issues. Every day I sneeze at least 10 to 15 times. I have done a few tests showing less vitamin D and serum iron and also with absolute eosinophilia. I am facing heavy hair loss and my TSH is normal. Please advice.

Hi doctor, I am 17 years old and getting white hairs. They are white near the scalp and black in the tip. What to do?

Hi doctor, Whenever I eat spicy food, I feel some kind of irritation, burning sensation and pain in my gums. I do not have any cavity in my teeth. I got scaling done 2 years back. Once I stop eating spicy food, the pain fades away in few minutes. I would like to know the reason behind it. Please advice me the preventive measures as well.

Hi doctor,My blood group is B positive. I am going to marry a person with B negative blood group. Is there any problem?

Hi doctor, I am a 34 year old female, and I had my right ovary and tube removed during C-section, due to a 4.5 cm dermoid cyst. The cyst was found during an ultrasound scan, five years back. The surgeon said a cystectomy was no possible because the cyst had completely replaced the ovary. Could you please confirm if the attached histopathology report says anything about the ovarian tissue? I had no symptoms, no pain, no torsion, and the right ovary was functioning in spite of the cyst. I became pregnant twice due to ovulation from the right ovary. What is the medical condition due to which the entire ovary is replaced by a dermoid cyst? Thank you.

Hello doctor, I have bad faeces smell coming from my nose when I breathe. What could be all possible causes? Nobody around me feels that smell and that is how I got to know that it is from my nose itself. Please advice.

Hello doctor, Recently I have been experiencing a slight burning sensation on the tip of my penis. When I pee, it stings a bit. The stinging sensation is subtle, but there is always a slight urge to pee. It feels like something is streaming down, but I can only feel it when it reaches close to the head of my penis. I am uncircumcised and I notice a white substance that seems to be, what I feel is, dripping down. I have not had sex in a while and if I did, it was always protected. I thought it might be due to lack of hydration. So, I have started to drink more water. I was told that cranberry juice works, which I started drinking today. My pee stream is slightly weaker, but the color is normal. Any advice? I thought it might be an infection but I do not want to jump to conclusions yet.

Hello doctor, How many times can I masturbate a day? I am a 14 year old boy going through puberty and hence such doubts.

Hello doctor, I had a seizure for the first time in my life when I was about 19 years old. The emergency room physician did not do any tests before he put me on Keppra. After I had been put on Keppra, I went to a neurologist who did an MRI and a sleep study. Nothing showed up on either test, but he wants to keep me on the medication. The issue that I have is I think the medication is causing more problems than helping. Why would he keep me on the medication when I was not diagnosed with anything? But I was told that even if I do not need the medication and I still stopped it cold turkey, it could cause seizures. Is it true?

Hello doctor, I have enlarged circumvallate papillae from the last 45 days. How do I get rid of it? What medicines are suggested?

Hello doctor,Why do I have this bad smell coming from my nose? It is embarrassing. People around me smell it all the time. I do not have my mouth open and people smell it soon as I walk in the room. What is it?

Hello doctor, I had two menstrual cycles in one month, two weeks apart. I have not had an intercourse for two months. Should I be concerned?

Hello doctor, I have a BB sized lump where my preauricular lymph node is, right outside my right ear. My dermatologist, who is treating me for melanoma in situ, is sending me to an ENT this week to check it out, but said melanoma in situ cannot spread. I have no other symptoms. It is not tender and he described it as rubbery and movable. I discovered it a few weeks ago incidentally because my jaw hurt a little one day, so who knows how long it has been there. It has not changed in the two to three weeks I have known about it. What are the possible things it could be (your differential)? Should I have it biopsied, and does it sound like cancer?

Hi doctor, I got married before seven years and living happily with my wife. A week ago, I had a very enthusiastic sex session in the shower. During which I slipped out and missed going back in and had a substantial impact. At that time I believe I had a frenulum tear and the skin was split. After initial redness and swelling, now it has a small scab. How long will it take to heal? And is going to a doctor worth my time?

Hello doctor, Just as of today my nipples have got swollen and my boobs are tender to touch. It started less than an hour ago. I had headache all day. As far as I am aware, I am not sure what is going on? I never had this issue before. Please help.

Hi doctor, My sister is 20 years old. She does not feel bladder emptying and she was diagnosed to have a weak bladder. She has frequent urination problem and undergoing allopathy treatment for the past one year. Still, there is no significant improvement. Is there any treatment for frequent urination in ayurveda?

Hi doctor, I am a 21 year old virgin. My foreskin is tight which has not gone down. I had sexual intercourse with my girlfriend yesterday, were my foreskin came far down the penis head that was really paining and hurting me. Now, my foreskin is still back and not going up. My exposed penis is very much sensitive, like even my pants touch them also it is very much incredible for me to bear. The foreskin which has come beyond the penis head is not going back and I do have some scar wounds reddish on my foreskin. The other problem is, if I get erection it is paining for me, I do not really feel comfortable like before. I am also getting some smell around my penis, can it be smegma? What should I do? Is this a serious issue? Why is my foreskin not getting above my penis head and covering my penis like before? Is this normal? Should I go consult a doctor? I am so much confused. Please help.

Hello doctor, I am a 25 year old male. I am 181 cm tall and I weigh 70 kg. All the members in my family are tall, but I am not that big when compared to my father and brother. I am mentally depressed since my childhood. It is all about my body. I was a female looking boy with very soft body, less energy and not interested in sports. Since that time my arms and legs are very long. But arms are very lean as girls. My puberty was too late at around 18 years of age. But after puberty, I have hair on face, but till now it is not much as my brother had in that age. Facial hair is also thin and not uniform everywhere. I feel my bones are like females and not very strong, arms and fingers are not as big as males. My muscles are less too. I went for gym and built up a little muscle, but forearm and fingers are still feminine. I feel my waist is a little wide. Did I have any genetic problem or hormonal imbalance at puberty stage? I am totally exhausted. I am always worried about that. Please help me.

Hi doctor, I am a 33 year old male. My height is 5'10" and I weigh 81 kg. I am suffering from anxiety and somatization (as described by my medical report) more than a year. I was under allopathy medical treatment without any remarkable benefit with many doctors as general physician and cardiologist. I was also suffering from some side effects of these medicines. One day suddenly I came to know about the Arjunarishta, then I left all allopathy medicines and started this ayurveda medicine and felt relax within a week. I have been taking Arjunarishta since two months approximately but I still have some problems on and off as 1-3 times in a day. They are congestive pain in chest and neck, irregular heartbeat, hard and pounding heartbeat, pain in left arm, pain in jaw, hot and cold flashes, rarely feeling suffocation or dizziness or vertigo (not together) for 2-5 seconds, feeling relax at morning or when I sleep if feeling any problem. I am feeling one or two symptoms together; I have many normal ECG and blood test when I was under allopathy medical treatment. Am I suffering these current problems because of Arjunarishta? Even I do not want to leave Arjunarishta. Even my parents have also started Arjunarishta. My mother who is 55 years has left anterior fascicular block as in ECG. Is it fine to continue Arjunarishta for whole life?

Hello doctor, I am an 18 year old female. For the past two years, I have had this waxy buildup only on the roots of my hair. It feels sticky, oily and stiff. None of the shampoo I have tried has fixed it. The problem goes away a couple of days after I dye my roots. I am wondering if there may be a problem with my scalp. Please help.

Hi doctor, I am 44 years old. For the past one year, I have noticed dark spots on the fingers and near knuckles on the left hand. They do not hurt, but look like a burn. I also noticed numbness in the tip of my left middle finger. I have allergies, asthma and sleep apnea. I am also suffering from herpes 1 and 2. My current medications are Adipex, Zyrtec, Oxybutynin multivitamin, Valtrex (only when I have a flare-up) and Ventolin inhaler. Please suggest some advice.

Hello doctor,One week ago and five days, I hit a school clock off the wall and on the left side of my nose. I went to the E.R., and they said it was not broken, and it was only swollen and bruised. The swelling went down, but it is still hurting, and it has been stuff since then. I used a flashlight to look into my nose, and in the left nostril, I saw to things like deep into that was red and kind of swollen, and when I looked into the right nostril, I saw the same thing, but they were pink and not swollen. But when I breathe in hard, my left nostril makes a weird nose like a motor that was not before the injury. Please help.

Hello doctor, The last week two weeks I have been getting peeling in my mouth like on my cheeks. And I wanted to know if that is from loose fitting dentures or if I have not been cleaning them properly.

Hello doctor, Please, can you help me to analyze this result. I need a specialist who can help me to investigate this result and can a person with such a result father a child? If no, what is the remedy or treatment for it?

Hello doctor, I went for five root canals on front teeth. Which type of caps are advisable single or joined?

Hello doctor,My mother is 59 years old and had undergone mitral valve replacement operation 15 days back. Now she is having breathing difficulty sometimes. SpO2 after exertion is 87 to 89 (without 02), the respiratory rate is around 28 to 30. I have attached the CT contrast thorax. There is no fever and wheezing. The echo shows only mild MR, and TR. No pulmonary hypertension and pleural effusion. She cannot take Duolin nebulization because she is a patient of atrial fibrillation, it increases her heart rate. But atrial fibrillation is under control by medicine. Please suggest the treatment.

Hello doctor,I was diagnosed with bipolar 2 and panic disorder. I currently take Zoloft and Klonopin. My psychologist believes I am functioning normally, but sometimes I worry that I may be in psychosis, or displaying symptoms. My only concern is that recently, I have been having paranoid thoughts. Nothing extremely delusional, but sometimes I feel like my parents think I am crazy or that they are lying to me. I also had a paranoid thought that my boyfriend was lying to me. The thoughts do not happen very often, but is this normal for bipolar type 2?

Hello doctor,I did the blood test a few days ago, and the reports state that,1) Monocytes 0.19.2) Red cell distribution width 46.7.3) Platelet distribution width 21.4) Mean platelet volume 13.4.5) Platelet to large cell ratio 50.5.Kindly advice.

Hello doctor, I am a 25-year-old male. I am suffering from urticaria for a long time. I did not remember exactly how long but it has been approximately four months since I am suffering from this issue. My father and brother also had suffered from this, but only once or twice, but for me, this is a normal thing. My skin has become so much sensitive that even soft rubbing can cause redness, itching, and swelling. I had not taken any treatment yet because I was told that this would be cured automatically within a short span of time. But in my case, it is getting worse day by day.

Hello doctor, I woke up with a throbbing headache. Previously I was alright before going to sleep which was around 2 AM. Lately, I have been sleeping very late due to working at home for long hours. Please help.

Hello doctor, I am 23 years old. I have been diagnosed in the past with (SAD) separation anxiety disorder, autism spectrum as well as ADHD. Lately, I have been harming myself and having trouble controlling my emotions. I sometimes feel as if the whole world hates my guts. Then I feel good again a little while later, sometimes soon, sometimes not even until the next day. As well as some delusions towards those closest to me. Now that I have told you a little about my self. The question is, can separation anxiety develop into borderline personality? Can the fact that I have smoked weed almost daily for the past two to three years and occasionally from age 16 cause borderline. Or can substances like LSD, dmt, and ecstasy trigger the borderline as well? I am having a hard time believing how extreme my emotions are. Kindly advice.

Hello doctor, I recently have had tests done after I was with someone that I do not trust after the fact. The only thing I have come up positive for is the common HSV 1. I remember having one outbreak when I was young and no outbreaks after. I have IgG antibodies present in my blood. I fear that the person I was with carried HSV 1 and reinfected me. I hope that my antibodies reacted and destroyed the second infection. I had a blister present on my skin after being with this friend. But it healed up immediately, more than a regular blister. Is there a chance that my IgG antibodies took care of the second infection? I told this person that I had perfect sexual health, and it was essential to me and the love of my life, which I am hoping to find. So it has hurt me at a phenomenal rate. I think of it daily. I need to know if I had IgG antibodies built up before reinfection, can it destroy the reinfection if symptoms are present? My symptom was present one day before it started healing. On the upside, a doctor that looked at it said it was nothing. Other doctors said it was probably nothing. It has cost thousands of dollars to find an answer. I am looking for a true love to live life out with and this is very important to me. Please let me know if IgG antibodies could kill reinfection if a symptom were only present for a day. It has been about nine months, and I have not had any symptoms. If you can help me, it would mean the universe to me.

Hello doctor, I am suffering from sinusitis and dust allergy. I cannot eat or drink cold items.

Hello doctor, I am 25 years old male. My problem is redness of the genitals. It has been two months now. It first started from my penis head with four or five red bumps like spots. Then I consulted a dermatologist. He gave me Candid-B cream to apply and some anti-fungal tablets. But I mistakenly use liquid Dettol in water to wash my penis, and it spread badly to my scrotum area. Whole red no itching and no pain just a little red nerves beneath. I have used creams like Onabet, Dermiford k5 prescribed by doctors. And have done 25 days course of Itraconazole 200 mg two times per day. And that with Onabet cream and glycerin lotion. The last cream I used was Betnovate gm, which damaged my penis and gave me a burning sensation on scrotum and foreskin. Now I am applying no cream, only keeping ice pack, and I consulted another doctor. He said after seeing pictures that there is no fungus just irritant contact dermatitis. Please help.

Hello doctor, The problem is with my second elder sister who is unmarried and aged 62 years. She was a school teacher and has retired from service. She is 160 cms in height and weighs 60 kg. She falls under the category lean to good health except for a bulging tummy. Main problems are, 1. Pain in both the legs with more pain in the right leg from thigh to the knee. 2. Sometimes a feeling of being pushed from behind when standing. a. Apart from these, she is also suffering from, When lying down to sleep or sitting for some time, 1. Feeling as if the veins inside the legs are getting loose with pricking pain on both feet. 2. Biting pain on both feet even when one foot is pressed with another foot 3. Sometimes a feeling of scratching with a sharp instrument. 4. Pain in toes and nails. 5. Pain in the bottom of the feet 6. Burning sensation in feet, especially when the saree edge touches the feet. 7. Feeling of standing on a carpet while standing on the ground without slippers. 8. Tips of the toes are getting rough even though creams are applied. 9. The sudden jerk of hand enough to break sleep. 10. Pain in the legs are spreading from the feet upwards towards the knee. b. While standing 1. Need for placing hands on nearby objects like a wall, chair, table to get better support. 2. Pain just on the right side of the right knee (the place where the knees fold) and a feeling as if the bone will break c. When walking 1. A feeling of getting pushed from the back 2. Unable to walk at a stretch for even half a kilometer 3. The feeling of forceful dragging of legs 4. Feeling of breathlessness d. Hands are unable to work with both sides together (e.g., holding utensils with both hands for placing them on a gas oven, holding the utensil with one hand while stirring the contents with the other) even though there is no problem when working with one hand alone. She has some relief when washing legs with cold water I am attaching herewith copies of all the doctor's prescriptions, the test reports including latest scan and MRI report of the spine, the medicines she has taken for your kind perusal, please. Please go through the details and kindly advise us what to do and what medications to take to make the pain bearable, if not eradicate the same.

Hello doctor,I get bruising easily. My blood reports are fine, and the bruise gets clear with vitamin C and K tablets but occurs again when I stop the medicine. Why?

Hello doctor,I have some health issues that I would like to address. I have depression, fatigue, low energy, tiredness, and red eyes when I wake up, and I feel exhausted after masturbation. I have a history of masturbating for eight to nine years since I was 12 years old. The first few years, I was continually masturbating with lots of pornography. I am now masturbating one to two times a week yet still feel exhausted and fatigued daily and even watch porn one to two times a week. I have trouble with morning wood maybe once a week. What can Homeopathy offer me to heal from masturbation and get back to being healthy?

Hello doctor, 1. I took ECP during withdrawal bleeding (as I stopped contraceptives). Will it work? 2. Will this affect my menstrual cycle as I have not got my periods in my due date. I am freaking out. 3. When should I go for pregnancy test to clear my doubt?

Hello doctor,The stomach blossoms without food, even in the morning. It is felt more in the upper part of the stomach.

Hello doctor,My tongue hurts and bleeds when brushed. White spot on uvula area and white and small red dots on the roof of my mouth. Also, a yellowish color is seen on the roof of my mouth.

Hi doctor, A person used Abilify and drank alcohol heavily on Abilify. Then switched medications and quit drinking for years. Can that person go back to Abilify again? Will it work? Or does drinking alcohol make the medication never work again? Please explain.

Hello doctor,I finally withdrew from the drug called Seroquel. But now my penis has no sensation at all. I have much more arousal meaning my sex drive is back. But it is as though 90 % of the sensation is gone. While on Seroquel, I had more, but I stopped the medicine due to many bad side effects. It has been two weeks since my last dose.

Hello doctor, I have a skin infection on my right arm and would like to know what I need to get better.

Hello doctor,I am gurgling when breathing in and out, especially when laying down. In the beginning, I had a fever with strong cough and wheezing sound when breathing in and out, after a few days, I am back to normal, but this wheezing turned into gurgle till now.

Hello doctor, I am a 33-year-old male, and my height is 5 ft and 8 inches. I am currently on medication of Soltus 75 mg, which was earlier Soltus 100 mg. I am on medication for one year and a half. I was having delusions. I want to know till how long do I need to continue this medication as I am gaining wait and my mental alertness has also reduced. What could it be?

Hi doctor, I am aware that I have eczema. But, everything I try does not work. I have been having severe eczema since I was 8. I am about to be 19 now. I have tried using unscented lotions, dermatology approved lotions, organic oils and even all of the ointments doctors prescribe me with. The only thing that the lotions and ointments do is calm the irritation. Over the years, I have learnt to resist the urge to scratch unless it becomes unbearable. But, I always find myself sleep scratching. Yeah, I said it sleep scratching. I wake up with tingling legs and can see how hard I have scratched in the middle of the night. I moisturize all the time. Yet nothing works. I am getting to the point where it is starting to interfere with my life. I am young. I want to wear shorts and sundresses whenever I want. But I cannot because of the ugly scarring I have on my legs. I forgot to mention that my eczema is only active on my legs. Occasionally it occurs in my hands and rarely on my arms. Sometimes I even get it on my face. I have tried keeping my nails short so I do not have gross scratch scars but it does not work. I get my nails done because it does not leave scratch scars but it leaves bruises. And do not get me wrong the ointment is the best thing that works but I do not want to have to be wearing that ointment as a lotion. I have to leave to the ladies room about every hour so I can moisturize my legs to prevent the itching from happening but honestly who wants to live a life like that? It has begun to affect my life emotionally and I do not know how much more I can take of it.

Hello doctor, I am 18 (unmarried) and I have missed my periods on first two days and I suppose I might be pregnant (unplanned) as I am not having any symptoms of my monthly periods. Me and my fiance had a pullout in 6-10 seconds after he inserted the penis in vagina but there was just a pre-cum which he had already wipped away and there was no ejaculation taken place (sure). Is it a sign of pregnancy? Can I consult a Gynecologist alone without parents or guardian? Can I terminate the pregnancy by medication as it has been only 6 days? What should I expect? Please help, I am stressed.

Hi doctor, I have two small white spots on the lower portion of my front tooth. Can it be removed by microabrasion? Is the procedure worth? Please guide.

Hello doctor, I recently got married and I knew my partner for long before marriage. My query is I am finding it hard to have intercourse. I am very active while doing foreplay, but when I am about to insert somehow I end up ejaculating outside. We as a couple are planning for pregnancy at the earliest. Please guide us. Thank you.

Hi doctor, I do not used to sleep a lot from early age. Daily to the maximum I will sleep for 6-7 hours. Now, these days I find scary researches about how sleep deprivation can damage brain permanently. I want to know whether my condition too is also related to sleep deprivation. Will it cause any permanent subtle changes to my brain? Please help me.

Hi doctor, Recently my child seems to have developed phobia for terrorist. She is just 4 years old. I did not know how really she even came to know about the word terrorist. Now, she remains afraid for most of the day and night. She thinks that they are going to come to her. She does not like to go outside the flat and visit public area. I think it may be that one of the movies seen recently has left a deep impact on her. We tried our level best to convince her that movies show false things, but somehow the word terrorist has got deep inside her. She keeps talking about them throughout the day. We do not really know how to get this out of her. These things have started very recently and becoming more intense. Kindly help.

Hello doctor,I am a 32-year-old woman. The one with whom I am in love sometimes behave rudely to me. He remains silent whenever he dislikes anything that I say. I am a bit outspoken, and I am unable to control this. His silence kills me. I find it difficult to do routine work. I feel so sad and shattered. He will not answer my messages and will not pick up my call even if I had called 50 times a day. I feel like hurting myself. I suffer from depression since childhood, and I am taking Amitriptyline since the last 13-14 years. How can I divert my mind and focus on my work during those times? It happens almost twice a month. We are together for five years now.

Hi doctor, I am blessed with a baby boy (3 months 10 days). I am sharing with you his vaccination card. All vaccines are almost due because of the Corona Pandemic. Most of the clinics are almost closed. Will you please suggest, whether these vaccines can be delayed a bit till the suspension of lockdown, or do I need to arrange it ASAP. Really tensed about this unexpected and unfortunate situation.

Hello doctor, I am a 26-year-old female. I am nervous most of the time and cry a lot because my dad passed away a month ago. I feel like there is no reason for life now, have no goals and moments without happiness. I thought about suicide several times, so I need some pills to relax me during the day time without sleeping effect. What should I do? I will never see my father again, which drives me crazy.

Hello doctor, I am a 24-year-old bisexual male. 10 months ago a friend stroked his penis between my thighs, and suddenly his penis slipped and entered my anus for merely an inches, and he pulled out then we stopped performing it. And after four months I got constipation and hard stools, and then day by day I started to feel inflammation and burning sensation throughout my anus sometimes this burning pain moves to my perianal area and maybe in the rectum. As I read about the HPV infection, I got very scared, and I am in a deep depression. I do not know what this HPV or piles are? Kindly tell me what to do as I am in deep agony, pain, and depression. Please help.

Hello doctor, My wife is around 18 weeks pregnant and, she started to spray pesticides inside our home. I am concerned that this might harm our developing baby. Please advise.

Hello doctor, I am a 42-year-old male. When I was 15 years old, I started to suffer from depression and had to undergo psychiatric treatment. I was prescribed Trazonil for a sleep disorder and Flunil for depression and anxiety. I was under this medication for nearly seven years. In the meanwhile, I got hooked to alcohol and smoking before 20 years. I took an overdose and consumed almost 90 tablets of Trazonil in an attempt to end my life. However I survived, but I have felt that it really damaged my brain especially my memory and till today I remember most of the things which took place prior to this incident as well as things I learned, but in my daily life after that I became very forgetful and had trouble remembering things, events or new things which I try to learn. So my question is that is there any way which I can reverse this ill effect or lessen to a high degree so that I can remember things better or have a better memory. I have been drinking for the past 20 years, and since last three years after moving to another place my frequency and dosage of alcohol has increased, and I know it also plays a significant role in diminishing memory. I quit taking medicines almost 14 years back.

Hello doctor, My girlfriend has been taking Microgynon 30 for two months, with two packages back to back. She took Microgynon for suppressing severe PMS. The medicine successfully suppressed the PMS, but there seem to be some side effects. She experienced some spotting for a week, and the other doctor told me that it is normal for a microgynon-taker. Her actual period started the very next day after stoppage of spotting (which is late for two weeks), and it has been lasting for 18 days. In the beginning, the volume is lower than average, but red blood is visible. In recent days, the volume keeps increasing, and it gets me worried about whether some issues are occurring. Should I take her to a gynecologist for a check-up or it is entirely reasonable for a microgynon-taker? We did not have any sexual intercourse before and in the case for an extremely rare accident, she took a pregnancy test, the result was negative. Therefore, pregnancy could be eliminated. She finished her second package of Microgynon around 6/4, and the next day, the blood volume started to increase. One more question, she has a third package of Microgynon and the gynecologist we saw said that she should begin the third package when the second period stops. Is this correct?

Hello doctor,My husband is mostly sad and depressed. He cannot listen a word against him or his family(mom, dad & sister). He gets mad and behaves very rudely with everyone if they do not agree to what he says. He fought with his boss in his company for silly reasons. He abuses me emotionally and mentally. He hides from colleagues and friends about his marital status, to some he says he is not married and to some, he says he is married, and his wife stays with his family and works in a bank (but I live with him and work in MNC). He always uses to tell a lie to me in small things also, he is never ready to accept his fault. Even if it is evident that it is his fault, he will never agree. He was flirting with some girl and went to meet her, and I got to know this when I checked his phone when I confronted him, he got mad at me. He is not ready to accept that he is at fault. He never answers my questions, always diverts the discussion. He does not have any plan. He hates my family for no reason and always say abusive things against them. He says he loves me but never let me live happily. In short, he is still right. Is he mentally ill?

Hello doctor, It has been around four years that I am always scared to sleep. It usually happens if there is an accident I am scared that it will happen to me too, and I would not sleep for about a week. I am so scared of earthquakes, and many nights, I will not sleep thinking that our building will fall. If there is any news like killing people, I will lock all the doors and windows thinking that I will be killed too. And another thing is supposed I eat at 1 pm for the next two hours I will be full and suddenly I feel so hungry, and in a minute I started feeling so weak and start to shiver. This happens whenever I am feeling hungry.

Hello doctor,I had a seven-day monitor, and I have attached my reports. Nothing has been added about whether I need medication, etc. This sounds dangerous. should I be worried?

Hello doctor,I am an 18-year-old male, and for over two years, I have been dealing with a lot of chest acne. I have been told it is folliculitis. I have gone to three different derms who have just prescribed me Benzoyl peroxide washes, sodium washes, Doxycycline, and a bunch of different creams but nothing helped.It has impacted the quality of my life, and I am not sure what else to do anymore. I have been doing a lot of research on fungal acne, and I feel like this is the problem I have. Even though I mentioned this to my dermatologist, she said she thinks it is more bacterial and said to see if it would improve by prescribing me new creams, and that I would maybe have a culture test done later on to see if it is fungal acne. Do you have any tips or recommendations on what I can do to solve my problem? Or does this look like fungal acne?

Hello doctor,I have started taking Aripiprazole 5 mg tablets, after which I started getting spontaneous rashes. My question is, is this effect worrisome (should I go to urgent care)?

Hello doctor, My friend had accidentally swallowed tooth crown an hour ago, she is not facing any problem till now, what should she do, kindly advise.

Hello doctor,I am 21 years old. Today I noticed a small black spot on my toenail, I did a little research and found out that it might be a melanoma cancer, but also it could be a fungus infection. After a bit more research, I noticed that an unusual cystic pimple between my chest that I have had for two months now might also sign of melanoma. I spend little to no time in the sun. Do I have melanoma? The black spot on my toenail might be because of the tight shoes I have been wearing lately, my toe also hurts a little bit from those shoes. The red pimple between my chest appeared five to six month ago, then disappeared and reappeared multiple times, I squeezed it, and blood and fluid came out of it.

Hello doctor,My son is four and a half years old, and he is suffering from reactive airway disease (enclosing the reports and prescription). Kindly suggest based on the above medication that till how long we can safely go ahead with Montair LC Kid. Is there any upper limit of giving this. I am very skeptical about continuing it in the long run. He is completely fine with this medicine, but if I skip a single dose, he starts coughing just anyways and ends up vomiting everything he had. So I keep on giving him a daily dose of MLC kid. Also, he is a bit aggressive and impatient. I do not know whether these are the emotional changes associated with this medicine. Please tell me that is he losing his natural immunity due to this.

Hello doctor, I am concerned about my friends medical diagnosis about paranoid schizophrenia is fabricated by him and resulting in unnecessary medication. Kindly advice.

Hello doctor, Since I was around 8 years old, I have experienced mood fluctuations but not in the normal bipolar way (which I am being tested for). I do not feel like my mood sways between depression and mania. It is always some level of mania but without depression. I also experience tactile hallucinations such as something grabbing my leg, ants or bugs crawling up my legs as well as something breathing on and grabbing my arm. Tension headaches are also common, and intrusive thoughts pretty much ruin my life. Another common occurrence is I notice I have trouble talking, not in a word salad kind of way, but a slurred sometimes mumbled speech. My Psychiatrist says it is likely bipolar, but I do not think that that is the only possible diagnosis. To me, it seems more closely related to schizophrenia or schizoaffective disorder. All I want to know is that is there a possibility that I am correct? Could it be a schizophrenic related disorder? In the past, they gave me Citalopram for anxiety.

Hello doctor, My son aged 32 years is suffering from schizophrenia for the last six months and not accepting any treatment and since the last 10 days his symptoms got worsened and became violent and today he tried to get injured and he is suspicious on everybody thinking everyone is talking about him and plotting to harm him and asking us to kill him by giving poison and today he became very violent and after consulting a psychiatrist doctor today we gave him Risdone liquid 2 ml by mixing with fruit juice. Now he is sleeping calmly tonight. Please help us for further treatment.

Hi doctor, I have had a bad cold sore 8 weeks ago on my top lip and a bit of the skin above it. I used Zovirax externally 2 weeks course and Acyclovir 2 weeks course to treat it. The actual sore improved, the blister stopped weeping, the scab formed and flaked off within 3 weeks but the redness is still lingering. I rung the doctors that put me through a pharmacist who told me to use Hydrocortisone 1 % cream. I used it for a week as he recommended but it still did not go away. That was two weeks ago. I also had a new flare up three days ago. Also on the top of my lip symmetrical on both sides. It looks different to a cold sore in that it was some redness and skin flaking. Home remedies I have tried so far: Aloe vera (not much help), Tea tree oil (irritated it), Manuka oil (helps healing where the sore is but seem to irritate the new flare up), Coconut oil (irritated it), Almond oil (seems to soothening it at the moment). I am worried if this is still unresolved herpes/cold sore and can be transmitted to my partner who does not have herpes. Is it contagious and am I able to kiss my partner?

Hello doctor, I am looking for an appointment with you firstly for reassurance I suppose and then CBT rather than waiting for the NHS. I have had OCD since I was a teen (intrusive thoughts and having to touch wood, say prayers, etc.). This seemed to subside until I had my daughter but then flared up again after and I was misdiagnosed with postnatal and placed on Citalopram. After a couple of years, I came off the tablets and was extremely stressed. Then suffered what I now see as an OCD relapse. I was petrified. I was losing my mind. Researched schizophrenia and almost gave myself all symptoms, suffered depersonalization on the commute home from work and spiraled into an anxious mess. I took myself to a doctor and was adamant I was psychotic. I was screened and told that I had bad anxiety and OCD. From here, I was put on Fluoxetine and things got a lot better. Five years later, I am going through a lot of stress and I stupidly did not take the tablets every day for a period of time. I am now again riddled with OCD thoughts and feelings around schizophrenia. I am my own worst enemy as I know if I had schizophrenia I would not query it. I would believe irrational things. So in turn, my OCD tried to confuse me and I do believe the thoughts. I do not want to carry on like this please help. I am a working mother.

Hello doctor, I have a few and little genital warts in my vagina. I can send you a picture if you want, I am very worried that it could be VPH. Please help me.

Hello doctor, My daughter is a premature baby. Her birth weight was 1.7, and now she is 2 months old and weights 3.1. Our doctor suggested dexolac special care. She is suffering from constipation, and gas problem after having it. The doctor suggested medicines, but there were no changes. One to two days she was fine, and the next day the same problem started again. She is mostly crying at night and not sleeping. Can I change formula powder? What powder is the best for my baby? Please advice.

Hello doctor, I am suffering from depression. It has been four years. I am always demotivated. I was average student but then I became a failure. I cannot concentrate on studies. I feel like god is talking to me and orders me certain things which I must do. I always feel like third person is ordering me and I get tired answering them. I feel like I have become a small child of second grade.

Hello doctor, I recently got married but when I started having sex with my wife, I started noticing that my penis is not becoming hard enough to have sexual intercourse. Also, sexual arousal is also not happening. I believe I am suffering from erectile dysfunction. Kindly advice what I should do.

Hi doctor, I took Benzodiazepine Alprazolam for insomnia for 2 months for a total dose of 30 mg, while stupidly attending college parties and binge drinking once a week during the period (I have never taken the pill on the day I was drinking). I did not take the drug every day and after roughly two months I quit the drug altogether, the withdrawal, that I did not recognize at the time, kicked in (Extreme tinnitus, sweating, heart racing, heightened anxiety). I went to ENT doctor and she gave me two Dexamethasone injections in 3 days (I think 8 mg). I developed during these 3 days a major loss of short term and then long term memory, trouble finding words, trouble learning in general. The physical symptoms of the steroids and benzo withdrawal went away in 2 weeks. It has now been a month since I feel physically fine, but the cognitive issues persist and they do not get better at all. I have been to a psychiatrist because I felt overwhelmed that Iam not going to be able to finish school in such a state and she gave me Escitalopram thinking it could be psychological, but there is no improvement in cognition after a months use. Does that combination have that drastic side-effects and could it caused a chemical or structural problem in brain? What can I do to return somewhere close to my old self? I am 24 years old.

Hello doctor, I hit my forehead against a wall and had a small cut on my forehead and now it has healed and it looks like a scar. Will I have a permanent scar?

Hello doctor, I am six weeks pregnant and there is a stone of 3 to 4 mm in gallbladder. Can I get operated for the same?

Hello doctor, I have lump at the base of chin in the middle, where it meets the curve of neck. The size is a little smaller than a dime. Only you can feel that but not see. I was having discomfort for a month on the left side like I have to move my neck but has stopped now. Then noticed the round lump about four days ago. It does not hurt.

Hello doctor,As of now, I experience abdominal pain with cramps in the lower right of my abdomen. What could be the problem?

Hello doctor,I have a burning sensation on the feet for three days. I am currently under Clonazepam.

Hi doctor, My father has a round inhomogeneous opacity in the right middle of the lung. He is taking Ceftum 600. How to treat him?

Hello doctor, How can I improve my immunity for pneumonia since I already had it five times? Once when I was a kid, thrice in high school and currently at college. Please help.

Hello doctor,My father is in the hospital fighting pneumonia and has COPD. His latest X-ray has shown some improvement. The X-ray shows he has an extensive airspace and interstitial opacities in the left lung and patchy opacity in the right lower lung. The plan is to do a bronchoscopy and use a tube to assist in getting him oxygen.

Hi doctor, I am having fever for about a month now. So, I have done a master health checkup and the report shows raised PLBS 184, SGPT 121, LDL 112 and fatty liver. My chest x-ray PA view shows right lower zone soft tissue opacity. Because of the soft tissue opacity fever pack, thyroid profile, blood culture and sensitivity, sputum AFB, sputum culture and sensitivity and sputum gram stain tests were done. The results were normal except the gram stain test results. The gram stain sputum culture conventional showed pus cells and epithelial cells occasionally, bacteria - gram positive cocci, gram negative rods. Sputum culture and sensitivity showed pus cell - occasional, epithelial cells - occasional, bacteria - gram positive cocci and gram negative rods and growth observed - normal flora. So, kindly explain the above results and advise me. My past medical history includes fistula-in-ano, hypertension and vitamin D deficiency. Currently, I am taking Telma 40 mg and Lumia 60k.

Hi doctor, I went to the emergency room with fast heartbeats. The doctor did an EKG and chest x-ray, and he said I had pneumonia. But, my QT was slightly prolonged. He repeated the EKG after a week later and said it was fine. Should I be concerned about the prolonged QT? Can pneumonia have caused it?

Hi doctor, My father was previosuly diagnosed with renal tubular acidosis and diabetes mellitus, was maintained on Potassium citrate and Gliclazide OD. Currently he had an infected insect bite on the left anterior lateral aspect of the leg. He was started on CO-Amoxiclav BID. Currently on its 4th day, I had his labs taken which revealed HbA1c: 8.5, FBS: 7.57, Crea: 2.79 mg/dl, BUN: 3.67 mg/dl, Hgb:195, Hct: .58 wbc:13.2, plt: 157 with normal lipid profile and uric acid. Should I start CKD medicines already? Should I step up with the DM medicines? Thank you.

Hi doctor, I am 40 years old male. I am suffering from fatty liver. I have high cholesterol, and thyroid level is also high. I am not taking any medication.

Hello doctor, All my reports are normal except one. They told me that I have a grade-1 fatty liver. What does this mean?

Hi doctor, I have a fatty liver for a year. I gained a lot of weight. After regular exercises, walking, and maintaining my diet, I am unable to lose weight. Can I take Lycopodium along with Calcera carbonica? And I also have a lot of dandruff problems. I am taking Himalaya liv 52 ds.

Hi doctor, I had diarrhea for about 20 days. After I got recovered, my doctor advised me to do an MRI of the abdomen. These were the results shown. There was a mild signal drop noted in the liver on the T2 fat sequence suggesting a fatty infiltration. My pancreatic head and uncinate appeared normal. Distal body and tail showed a fatty replacement. Kindly advise.

Hello doctor, Hemoglobin: 14.3, platelets: 174000, SGOT: 38.9, SGPT: 65.0 and vitamin D: 23.6. All other reports are normal.

Hello doctor, I am addicted to codeine for the past 4 years. After my marriage, my wife had conceived but that time we did not want it. So, we aborted and it has been 2 years. Now we are trying to conceive but it is not happening.

Hello doctor, I am underweight and my BMI is 16.5. Kindly help me to put on weight.

Hello doctor,I want to share my aunt case and seek advice regarding this case. My aunt is about 54 years old, and her husband is around 63 years old.After the death of my aunt's father, a behavioral change occurred in my aunt. She started to blame her husband and try to make her husband stay away from all young girls.She got extra possessive about her husband. She blamed three to four girls and stopped them to come close to her husband even she blamed her daughter in law to stay away from her husband. We do not know why she is doing this? She always thinks that all girls and aunties trying to get interact and come close to her husband. Please advice.

Hello doctor, I would like to ask about my symptoms. It started with aweful headache for two days. The following week had pain in muscles and bones. Then that went followed by extreme anxiety attacks, burning on neck, tingling in head and face. I was in and out of hospital for three days. Started on Lexapro and Rivotril. Three weeks after having the medicines had muscle pain and twitchingsome muscle weekness. It is been five weeks now, and the anxiety is better but still have muscle twitching and some muscle discomfort.

Hello doctor, I just want to know what kind of mental illness my fiance has. When she was 11, her mom's fiance shot her in front of my fiance and when he turned the shot gun on himself he told her to look. I just want to know if that could be a reason for why she acts a little weird and off sometimes. She talked about her mother a lot too. She misses her.

Hello doctor, I am a 41-year-old male with 5'11" height and weight 214 pounds. Multiple sclerosis and bipolar disorder are co-morbid conditions. I was recently admitted for a heart catheterization to check for any potential blockage after an abnormal ECG, chest and chin pain, months of breathlessness, and a very strong family history of cardiovascular disease. Fortunately, no blockages were found. However, my cardiologist informed me that I had diastolic heart failure. To be clear, he did not say diastolic dysfunction, and he said heart failure. My high blood pressure has always been controlled. My reports say,  1. Moderate tortuosity of epicardial vessels consistent with hypertension. 2. Hyperdynamic left ventricular ejection fraction of 75 to 80 %. 3. Moderate to severely elevated left ventricle end-diastolic pressure 24 mm Hg. My cardiologist never gave me a prognosis. He told me to eat a low sodium diet and to get checked for sleep apnea (which I will do), but he never gave me a prognosis. I have dealt with health problems for a very long time. It is essential for me to know what a diastolic heart failure diagnosis means for my lifespan. I am married and have five children, and it would be nice to know what I am looking at. Kindly advice.

Hi doctor, My husband gets sharp cramping in the lower right side of the abdomen over a period of two months. It happens once or twice a week and lasts for a minute. We checked for appendicitis and kidney stones and all the reports are negative. We did a CT scan of the abdomen and it came normal but with a finding of stage 1 fatty liver. Can you please help me understand what is his issue?

Hello doctor, I have started to notice something about my eating habits. I noticed that I have gained a lot of weight this year. And I have even been eating food that I do not like. I get hungry so many times during the day, even though I already ate. Last year, I would not say I was on a diet. But, I hardly ate much. I was wondering if that is the reason why I am gaining this new eating habit. If you starve yourself for a long period of time, will it trigger you to want to eat more? This is a serious concern of mine, because I have never been such a big eater.

Hi doctor, I realize I have IBS symptoms and they seem to be related to SIBO. I need your advice on how to treat it effectively. Here are some symptoms and test results. Leaky gut or intestinal permeability with multiple food intolerances. Seems to have hydrogen sulfide based SIBO, severe farting with a foul smell of eating foods like cabbage, broccoli, cauliflower, high protein foods. I may have an overgrowth of sulfate-reducing bacteria. Rifaximin seems to help with SIBO but it is temporary. I have to eat rice as I cannot eat gluten or wheat. Some experts on SIBO say that MMC or vagal nerve dysfunction is the root cause of SIBO. I have heard a lot of patients get better when they increase gut motility. So I wanted to ask if taking prokinetic or cholinergic support will help SIBO from reccuring.

Hello doctor, I have severe bad breath problem after taking fever medications for a week. Does it come from my stomach? Please help me, as I am embarrassed.

Hi doctor, I had probiotics for two days as I was having issues with constipation and it helped me. Later, I got side effects of nausea, headache, cold and hot sweats, sleepiness, loss of appetite and going to the bathroom more often for the past three days. I discontinued probiotics. Should I seek medical help?

Hello doctor, I would like to know a few details of the tablets which I have been taking for my scalp psoriasis. Winolap 5mg once in a while when itching is too high (without doctor's prescription). Isotretinoin drugs/other drugs (with doctor's prescription). I have been taking these medicines on a regular basis and were very effective. But only till I take them. If I stop the medication, I have to visit my doctor again and start medications again to get some relief from itching in scalp. I want to know if these medicines will cause harm/side-effects in future? Can these be taken continuously?

Hi doctor, I am suffering from psoriasis for the past 24 years. I have tried a lot of ointments already. I heard one of the reasons is lack of vitamin D. Is it true? I am 54 years old now.

Hello doctor, For a couple of months, I have had a red area between my butt cheeks (not anus, further up where butt cheeks meet). This developed on the right side as a large area of redness which now feels scaly and a bit raised. At times it may feel moist, watery, not quite bleedy though. I tried an athlete's foot antifungal spray which I think helps a little bit, but it comes back again. Is it psoriasis or fungal infection or just irritation? I am a runner and sweat a lot due to heavy exercising every day. I took a picture, and I have attached it. Please advise.

Hi doctor, I have been suffering from psoriasis in my palm. When I was 12 years old, I had this disease for the first time. After taking some medicines it disappeared. But, it used to come on and off. In the past one year, I have faced this problem quite often. In between, I had homeopathy. As it cannot be cured, I shifted to allopathy again. A local doctor prescribed me some medicines for psoriasis and I want a second opinion about the prescription.

Hello doctor, My SGPT and SGOT are increased. Diabetes is also not under control. Cholesterol levels have also increased.

Hello doctor, I am a 27 year old lady. I started having a sore throat two months back. I just thought it was a flu coming. But then, when I noticed that it had been on for two weeks, I decided to take Amoxicillin. I took it but did not finish the course on the last day. I had traveled and forgotten them at home. The sore throat went away but came back a few days later. I took another full course of Amoxicillin and during the course, the sore throat went away. I finished the full course but a few days later, the sore throat came back again. I went to the clinic and the nurse noticed that my throat was inflamed and prescribed Erythromycin. I took it but the sore throat kept on coming back. The nurse then prescribed Ciprofloxacin. I took the full course but still the sore throat did not go away. When I went back to the clinic, the nurse said it was no longer inflamed but I could feel it, but only that the discomfort seemed to be going deep down the throat. It is like each day I can feel it is moving down. It is not a very painful sore throat. I do not take any painkillers. My body temperature and blood pressure are normal and have been normal throughout the period. Right now, I can feel discomfort in my upper part of the chest. Another thing is that the first episode of sore throat occured after I visited my sister who from time to time gets swollen glands (below the ear). What could it be and how can I get well again?

Hello doctor, I am a 33-year-old male. I have not had any previous health problems, non-smoker, and non-drinker. Generally, I am feeling fine. For the past six months, I have produced bloody semen with blood clots and producing more recently. I have also recently started feeling mild pain behind my right testicle. Occasionally, my left testicles seem to change in size slightly and seem to almost disappear and the right testicle becomes quite tender and firm. I had an ultrasound scan about six years ago and there was found some cyst but little concern. About a week ago, I sensed a small lump rising above my right testicle to my lower abdomen, it was uncomfortable but I slept and the discomfort eventually went away. I see little blood-colored spots appearing on my arms and torso perhaps resembling perhaps petechiae and have an area of this rash on my torso that I am not sure may be related to my concern? I have been taking Azithromycin since yesterday incase it may be a virus or something bacterial but it does not seem to be helping the problem. I had a blood test in January 2020, but have not been able to make a follow-up blood test yet. Not sure why it might be necessary. What does the problem sound like to you?

Hi doctor, I am having skin problems for the two months where pimples are like faint and after it disappears that spot becomes black. Please help.

Hi doctor, My 15 year old daughter always gets sick. When I take her to the doctor, every time he used to say it as viral infection. This is the fifth time in a year she has been sick with the same symptoms. Her symptoms are cough, low fever, sore throat and yellowish white colored mucus covering her tonsils and back of throat. Are these the signs of tonsil infection? Should her tonsils get removed?

Hi doctor, I am 24 years old. I have had a sore throat every day for almost a month. I had antibiotics already, but it did not work. What could be wrong with me? It is chronic and I have been more tired with this. Sometimes, I am getting a fever and belly pain. My laboratory test showed strep test positive. What to do now? Please help.

Hi doctor, The issue is from 39 years ago. When I was 13 years old, I was considered for the possibility of poisoning. I was admitted to hospital for 8 days and the diagnoses were cervical adenitis and viral syndrome. I had a fever of 103 degrees for several days before going to hospital. My throat culture grew Strep. On admission to hospital, CBC showed WBC 12,900 (normal range), Hb 13.2, Hct 38.7, 36 lymphocytes, 9 monocytes, 7 eosinophils and the platelets were adequate. The almond size lymph node on the left cervical chain and the right side lymph was golf ball size. The neck was supple, no rigidity and some restriction of movement. There is no mass or thyroid palpable. The rest of the physical examination is within normal limits. Total bilirubin 0.4, ALT or SGPT was 714 initially and on discharge it was 215. SGOT or AST was 426 initially and 202 on discharge. LDH was 297 and then 217 on the day of discharge and albumin 3.8.  I am trying to figure out why my liver enzymes were so high initially and 8 days later they came down. I was treated with Keflex IV antibiotic, which cured the infection. Mono spot was negative. Urine and blood cultures are negative. From what I read, the liver cause could be toxic. But, at the of 13, I neither drink, nor had hepatitis.

Hello doctor, 1 year and 10 months old boy got injured by boiling water, the doctor pricked some of the blisters. The hospital could not say which degree of burn it is, so we are concerned and want to get a second opinion since he is crying a lot and is in pain, the doctor did not advise anything further. He is around 10 kg. The genital parts also have some blisters. Picture has been attached. The white area on the picture is Flammazine cream that the doctor prescribed. Should we find another hospital, is it serious?

Hello doctor,I am 61 years old. I have some weird swelling on my left ankle, and I took photos of it to send to my son. He is worried it is related to a Renflexis infusion I had last week. I have had RA since I was 39.

Hello doctor,I feel stress, tension, and anxiety for even little things. Due to tension, I have the urge to pass stool frequently. My digestive system has been distributed. Some times I ​suffer from constipation, and loose motion, but mostly from loose motion. Gas also forms in the stomach. I always feel less stamina, loss of strength, weakness, fatigue, tiredness, with low immunity​ associated with tightness, aches, and pain in both hands and legs. Kindly advice.

Hi doctor, I am a 38 year old male, and I have been feeling twitches in my arm. I started feeling this constant twitch about six weeks ago. I did not experience any weakness in that arm or anywhere else in the body. The twitches lasted for about a week and then went away. The twitches have now appeared four weeks later in the same area (upper arm). Again, there is no apparent weakness, which I have tested by lifting weights at the gym and both my upper and lower body strength seems to be fine. What is worrying me to death is, could these twitches be an early sign of ALS? Is it possible that weakness will follow even though I do not have it now? Do ALS twitches go away for four weeks at a time and reappear? If I started to experience constant twitches six weeks ago, if this was ALS should not I have experienced some weakness by now? Is the fact that the twitches are localized to the same place a bad thing?

Hello doctor, I am a female, and I have an issue with my upper teeth. I lost the right canine tooth when I was young, which made my upper front teeth to move to the side. And my front two teeth are a little big. I consulted a local dentist, who said the solution is to take out one normal tooth, that is, the tooth after my left canine. Then he will put braces to align the other teeth, and he said he will bring my teeth back in the center. I just want to know if there are any other options to correct my teeth. I do not want to loose a good tooth. Can you help me?

Hi doctor, I am a 29 year old male. I have some enlarged bumps and white lesion on the back of my tongue. I thought that I had a gum problem because my saliva was often brownish and I had a funny taste in my mouth. Now, I believe that I have some fungus infection. It looks exactly like on the picture I have attached, but only in the back of my tongue. What kind of treatment should I need?

Hi doctor, I had unprotected intercourse with my fiance during the first week of last month. Same week, within few days she complained about vomiting sensation but had no vomiting. Immediately the next day she had a little discharge from vagina and a little menstrual cramp. Her last menstrual period was in the last week, two months back. The local gynecologist told it is because of gas and gave an antibiotic tablet, multivitamin syrup and gas related tablet. The following day, early morning she felt headache and a body ache. Is it something to be worried about? Is she pregnant? When do the earliest symptoms of pregnancy come up?

Hi doctor, I have been getting pubic hair with a white coating under the testicle area. It almost looks like the hair is coated with white conditioner. I have also noticed that the area seems to be sticky when I sweat. I shave the pubic hair off, but it comes right back. I have been checked for STDs and I have none. Is this from my partner since it keeps coming back? Or is that it is deeper than shaving the hair off? Is there any creams I can use?

Hi doctor, In my kidney ultrasound, my left kidney shows mild dilatation of calyces with dilated extrarenal pelvis of approximately 39 mm. What does it mean?

Hello doctor,  I am a 29 year old male. My height is 5'9" and I weigh 95 kg.   I got married in January 2014. My wife is 2 years younger than me. She comes from a very simple family and she has had no relationship before marriage.   I am the first guy in her life. She is also the first woman in my life and both of us have never had physical relationship ever before.   Now since January 2014, we are trying to have intercourse but unable to.   We are wanting to have a baby now, but are really worried with the situation. My wife is very shy and does not know much about sex.   I masturbate every day in the morning before bath on my bed with the stomach position.   I have never masturbated with tool in hand position and I have even tried but I am not able to. I cannot ejaculate in that manner.   The moment I lay down on stomach, I ejaculate in less than 20 seconds. I am very worried.   My masturbation has become even more regular since I am unable to have sex with my wife.   Also my wife is very sensitive when I touch her vagina.   Recently she has started enjoying fingering but she resists a lot if I do it with two fingers.   I wonder how I will ever penetrate her with such small space.   Also we tried penetration a lot of times but the moment I come close to her I lose erection.   We are very frustrated and are dying to have a baby.   I am very uncomfortable with my foreskin rolled down.   I know for penetration the head of the penis needs to be inserted but the head is very very sensitive and that is why I prefer masturbating in laying on stomach position.  Please help us. We want to have a baby now and before that we want to be sexually happy.

Hello doctor,I am 36 years old. I have genetic hair loss, is there something I can do to grow more hair? I use Minoxidil, but it is not working.

Hello doctor,I had a strange ECG from my watch. No one else looks like mine, and my primary doctor said that it is anxiety.

Hello doctor,My right eye is red and puffy. It hurts when I blink by the top of my iris. It also tears up a lot when it hurts, and when under the light. I use contact lenses that I can use for a week straight, and it started on day three. When it started, it only hurt when I blinked, and the eye would tear up a bit, the next day it was red, puffy and it reacted to light. I immediately removed the contact lenses. What is wrong with my right eye?

Hello doctor, My daughter has started to stammer. What should I do?

Hi doctor, I am a 28 year old male. I have itchy scalp and hair fall with tiny white ball all over the head and also in shoulder. The balls are attached to the skin and coming out in nails with pressure. I have attached the photos along with this query. I am using anti-dandruff shampoo, which cures the itch for one or two days. But, the white balls are still coming out. I am facing this problem over a year. Now, my hair fall has seriously increased. I have oily skin. Advice me some medicine which is easily available and some technique to care my hair.

Hello doctor, I got married three months back. And since then, I am not able to have sex with my wife. I am not able to retract my foreskin when erect, and the head of the penis is not visible. I can only retract it less than 1 cm. The foreskin on the penis is very soft, and I cannot roll it back. When I try to penetrate, it pains and my erection is not very strong to penetrate. I tried taking tablets for improving my erection, but it has not helped. My erection is better now, but I am not able to penetrate. Please help me. Is it compulsory that the foreskin has to retract during sex? Please help me as soon as possible

Hello doctor,I have blisters on the head of my penis due to masturbation without proper lubricant. I thought that it would heal by itself in a few days but now the blister popped and the skin is very tender and hurts to the touch. Also, another blister of sort, developed on the tip. It cannot be an STI because I have not had sex for several months now. How should I go about with the treatment?

Hello doctor, I have severe stomach and back pain at the same time. Suggest some quick remedy.

Hi doctor, I had a very bad habit of excessive masturbation. I started it when I was 14 and now I am 27. I masturbate around two to three times per day. I was not aware of the side effects of the masturbation. Now, my penis is totally shrunk. It is looking wired. I visited a doctor. He gave Nano Leo capsules. It has been three weeks and I am not finding any change at all. Is there any hope for me? Will it cure my side effects? Please help me. I had the habit of smoking and drinking habit as well. Now, I stopped everything before three weeks. Can I get my normal old life?

Hello doctor, I am 17 years old and mostly healthy. I had an EEG and an MRI several months back; both came back fine. I suffer from OCD related tension headaches. On the 15th, I was in my father's office looking for something. It was too dark and so I decided to turn on my dad's lamp. It is an archaic thing, built in the 1930's by my grandfather's sister and it is mostly copper. I grasped for the light switch, instead I accidentally touched the copper beam of the lamp. The moment I touched it my hand gripped it. Around four to five seconds passed till I realized that my hand was shaking and got an electric shock. I quickly pulled away. Then, I felt sick, extremely anxious and in a daze. The next morning, I woke up extremely anxious and a tad bit confused. I felt as if I was confused. My parents brushed it off as anxiety and stress. Later that day, I had what seemed to be an allergic reaction to my lunch. I had red blotches all over my chest and neck. My face felt hot. Then, I received a 50 mg Benadryl shot. Almost instantly I felt as if the space around me shifted. I felt taller soon after I got tired, confused and disorientated. By the time I got into the car, I fell asleep, although I was not really asleep. I felt like I was slipping in and out of consciousness the entire way home. It was as if half of my brain had shut off. My muscles were limp and I was thinking strange things as if my mind was thinking by itself and I had no control on it. I then managed to walk into my room without falling and sleep. It was a dreamless sleep. When I woke up, I was irritated. Every voice in the house made me angry and I ended up cursing my brother and mom. I engaged in short nonsense conversations on and off. I would talk about something that did not make any sense and then I forget and ask what I was talking about. My head and neck vibrated. My muscles were weak and my body felt jittery. I wanted to sleep, but I could not. The space around me was fluctuating. Then, I had a large panic attack that lasted till 12 AM and I woke up the next morning around 10 AM with severe confusion and deorientation. I was thinking nonsense and could not construct a sentence. My muscles were weak again and I could not focus on reality and my head was vibrating. Fear sets in again. I do not cry even when terrible things happen as I usually cope, but I could not control my mind and cried a lot. We called the doctor who gave the injection. He told me that I was having some kind of allergic reaction and that I should take Zantac to help the Benadryl move through my system. Later in the day, it seemed to dissipate slightly. But, now (7 PM) it is back and almost as bad as it was this morning. I took another Zantac, but it has not done anything yet. I feel the vibrations most in my teeth and nose. Also, I have a rapid heartbeat. Is this being caused by the electric shock? And if so, will it go away over time? Am I in long term issue? Or is this caused by the Benadryl? It has been over 30 hours and I believe it is only since I was injected. Did this trigger long-term side effects? Do stress headaches have anything with this? Or is this caused by a combination of all three things? I just need help. Please I need to know what is going on. I really do not want to live with this. I am having a very hard time writing this. Thank you so much for your time. Also, my dad got shocked three times by that lamp.

Hi doctor, I got my arm trapped between a metal pole and an electrically controlled door. The blood flow was cut off for around 30 seconds to a minute. My arm is quite painful and swollen. It has some blood spots and my wrist hurts when I bend my hand and fingers. Do I need to see a doctor? Is it sprained? What should I do?

Hello doctor,I have ankylosing spondylitis (HLA B27 positive) for the past 12 years and with pulmonary tuberculosis the very next year. And took medicine for nine months, and now I am daily taking Saaz, and I am going to plan for Biologics. The doctor suggested Etanercept 50 mg, but I am afraid of side effects as I was already affected by TB before 11 years. Shall I go for biologic Etanercept 50 mg, and what precautions I have to take during biologics? (I have enclosed the report)

Hello doctor, After every erection without orgasm, my testicles start hurting along with abdominal pain. Kindly advice.

Hello doctor,My mother was diagnosed with breast cancer early this year. She underwent MRM surgery and now undergoing chemotherapy. Her age is 57, and the doctor advised for eight cycles of chemotherapy. Now she completed five cycles, and now the doctor had advised 17 more injections for hormone blocking. We find 17 more injections are too much and will be highly stressful for my mother. Could you please suggest an alternative treatment.I have attached a few essential reports for your reference. Please let me know if you need any more details.

Hello doctor, Last month I had I-pill (within 48hours of intercourse) after 18 days of onset of my periods. I did not have any side effects like withdrawal bleeding, nausea, etc., after taking the I-pill. I got my periods on the 1st of this month. I am unsure if this is my normal period or bleeding due to the side effect of I-pill? Please help me to clarify this. If it is my regular periods, then there is no delay in it (a week before or week after than expected date). Is it normal? Is there a need to take a test or any chances of pregnancy? If yes, when to take the test?

Hi doctor, I have a milk tooth in the bottom row middle, which is moving and needs to be removed. And I got irregular teeth in the top and bottom which needs correction. Is it possible to close the gap after removing the bottom milk teeth, the gap would be about the width of a 5 rupee coin.

Hi doctor, A month ago I was at an outside chlorinated hot springs but it was really cold and windy. I remember saying my ear is so cold like freezing so we went inside. Ever since that day it feels like water is in my ear. Sometimes worse than ever. Then I got a head cold and both my ears felt clogged. But the ear that got super cold still feels like water is in it even after the cold has mostly cleared up. I went to my family doctor and they said it was red in my ear canal but they do not see an infection or water in it. What do you think? If for some reason it is compacted, could that be seen?

Hello doctor, Since four years I am taking Sizodon LS medicine from a trusted doctor. Nowadays I feel sufficient response. But after consulting my same doctor, he is avoiding to stop that medicine. As per his opinion, if I stop this tablet, again I will face problem after a month. Now, I request you, is it true or false?

Hello doctor, I am 37 weeks pregnant. I have sharp pain in lower left side that is coming every couple minutes but does not last long. Is this the start of labor? I am also possibly leaking amniotic fluid but I am not entirely sure since there is not a lot.

Hello doctor, For the past two months, I have been experiencing a minor rash on the crown of my penis. I have have been using antibacterial cream since then but it does not seem to recover. The rash occurred a month after I had an unprotected sex. No itch, no discharge, no pain while urinating or anything just a few rashes that do not seem to go away. Could this be a sign of STDs? No other symptoms are present. I also had an HIV test a month after I had sex and it was non-reactive but I have a very high cholesterol level. Could you please tell me what is going on? I use Brulidine cream (antiseptic and antibacterial cream).

Hello doctor,I had a road accident and fractured my right thumb. It happened three weeks back and was administered a spica cast the next day of injury. After an X-ray, the doctor suggested that the cast can be removed in a few days. I want to understand, how long before I can resume my normal activities like driving or riding a motorcycle, etc. Also, I was strength training regularly before the accident, when is it advisable to lift heavy weights again?

Hello doctor,My recent CBC showed 1+ anisocytosis and 1+ anisocytosis. My hemoglobin is 12.9. The lowest hemoglobin I ever had was I believe post my C-section. I do take multivitamin/ or prenatal almost on daily basis even now. I am concerned with these results: I know in previous blood test it showed some anisocytosis but not +1. My physician did not say anything about this. I found out because I read my tests. I am going back to see him and question these results. Any suggestions?

Hi doctor, I am a 41-year-old male. My blood and urine tests are normal. I am experiencing tender muscles all over the body. I have pain in legs and arms, and I have tried various treatments to treat them. I have done physical therapy, chiropractic, and massage. I am concerned that it can be an overall systemic issue. I am having this problem for about ten years. I have sensitive spots all over the arms and legs. More recently, I had joint pain. I have moderate anxiety (OCD) and mild sadness or depression. I also have dust allergies. Please help me.

Hello doctor, My right leg is weak and toes also numb. Last year I had the same problem in my left leg. I can no longer control and use my left hand. I had same problem with my right hand before two years. I am very concerned because I can feel my left leg getting weaker and numb and my right hand is going numb again. Kindly advice.

Hello doctor, I have had this problem for 8 years with no proper solutions. Please help. Strange sensations, tiredness, feeling of heaviness in the arms and legs. Hands and feet become warm. I have an electrical shock like feeling in face. I have extreme fatigue, unsteadiness and muscle twitching in the arms and legs and my eye often twitches. Now my feet and hands itch like crazy. Feet are worse than the hands. I take Cymbalta, Lyrica and Levothyroxin. I have had MRIs of the spine and brain, nerve conductivity test, and many blood tests including heavy metals, HIV, syphilis, drug test, vitamin levels test, Lyme disease test, ANA and so many others. The doctors are not able to figure out what is wrong. I had about 25 hours of sleep only this whole week, because I have so much pain. When I do sleep I thrash all over the bed. Going this long without getting much sleep is not normal for me. I usually do get more sleep than this. When all this first started I got very sick, lost weight (about 40 lbs in two months) and laid on the couch for a year missing out on life because I was too exhausted and sick. I do not know if all these symptoms are related to one issue or more. The doctors thought I had MS, but no lesions. Please help me. Thank you!

Hello doctor, I have a stiffness of neck and pain which continues to the back further. This often happens when a stressful situation arises, which also raises my BP. Worries related to health and other life concerns keep bothering me. Please suggest.

Hi doctor, For several years my father is suffering from stomach pain. His problem includes blood in stool and pain in left side abdomen area. He has taken ayurveda, homeopathy as well as allopathy medicines, but nothing has benefitted. We did test like endoscopy, but some doctors said it is due to piles. But, no medicine was effective till date. Kindly guide us.

Hi. I am 20 years old, and a student. I am currently having obsessive thoughts and I find it hard to control the thoughts. I have fears and getting anxious that something might happen to me yet, I am trying to convince myself to not to. But then again, i've been seeking for help from psychiatrists that offer free consultations because, as I said I am just a student wanting to know more about my condition. I hope someone could help me. I have ear problems and mitral valve prolapse. I for now, have medical prescriptions for mitral valve prolapse and haven't checked up for this ear problems of mine. I am currently taking Propanolol.

Hello doctor,I started the combined pill 12 days ago. I vomited on the 6th day after 14 hours of taking medicine. I also vomited on the 9th day after 12 hours of taking the pill. Am I still protected?

Hello doctor,I am having cough and chest congestion for the last three days. Also getting a mild fever again and again. I also have a chest X-ray done today only. Please suggest is it pneumonia and if yes how severe is it?

Hello doctor, I am a 20-year-old female. I got used to masturbating to porn for seven years now, and I never had an orgasm by myself only, maybe twice my whole life before my relationship. And now I am in a lesbian relationship, and we are living together. The whole six months, I have never had an orgasm with her except when we masturbate together. I have started to worry, sometimes I almost reach but never totally reached, and sometimes I return without an orgasm. Is it because of my porn history? I do not know where the problem is?

Hello doctor, There is abdomen pain since three days. Pain is not continous but really painful. Little loose motion, light headache when gets out of bed, little fever on day 1 and 2.

Hello doctor,Yesterday I consulted an orthodontist, and I was told, that to keep the changes that braces will acquire, they will have to pull out four of my healthy teeth, without including the wisdom teeth. Those are going to be four premorals, two on the upper jaw, and two on the bottom jaw. I heard that it is the only way because of my severe jaw defect. I was wondering if it can be true because nobody wants to get rid of healthy teeth.

Hello ! Can you please review my blood test? My concern are low level of ferritin, high level of B12 and Urine WBC is very high.

Hello doctor,My age is 28, and I think I am suffering from sexual weakness like premature ejaculation and erectile dysfunction. I want my young days back. I think it is just sexual weakness. Can I take Damia drops? What is the dosage and till when I have to take for six months or a year?

Hello doctor,I am 27 years old, weighing 57.1 kg and about 1.45 in length. I was busy cleaning this morning when my heartbeat felt very strange. Like it was vibrating inside my chest, it lasted for about 30 seconds and stopped. After that, I feel very tired, a little out of breath, and a heavy weight on my shoulders. Should I be concerned?

Hello doctor, Do Zoloft cause muscle pain and cramps or tingling?

Hi doctor, I am suffering from acidity, GERD, IBS from the last five years. I am just taking Pantop DSR or Rabekind DSR from the last three years but no result. I have high BP, stage 1 BP varies from 140 to 150 and 90 to 110. I feel bloated mostly. Sometimes breathlessness, pressure in eyes and head. I have fat in my stomach around 2 to 3 inches. I have visited many gastroenterologist but no result.

Hello doctor, A vein is blocked near the heart. The doctor told that he checked up today and there is a pain in the chest when he walks far. He is 45 years old, what should be done?

I am looking for my husband doxtor becuase he is a diabetic, asking for you what is the better medicine to lower his blood sugar at the same same time he has UTI .

Hello doctor, I have had a crippling headache for two days now and nothing seems to help. It starts late morning and gets worse throughout the day. I just want to know what I should do. I am 21, 5'8", female, around 160 pounds.

Hello doctor, I have a nevus on my lacrimal caruncle which has been there for almost 10 years. Recently I have noticed a slight change in it. Could it be melanoma?

Hello doctor, My 16 years old son had a routine CBC performed as part of his physical for summer camp. His white blood count came back low 3.4 thousand/uL (reference 4.5 to 13.0), absolute neutrophils 1445 cells/uL (reference 1800 to 8000), neutrophils 42.5 %. He has always been very healthy and has not had any recent illnesses or infections. The other numbers were within normal range. The doctor wants to retest the blood in three months. Why wait so long? Knowing that some of the causes of a low white count are serious makes me want to retest sooner. What do you advise?

Hello doctor, Almost two years back, I was diagnosed with psychosis. I improved in two months after taking treatment. I took medicine (Olanzapine) for nearly 9 to 10 months then I stopped taking the medication as I recovered from it completely. I did not consult doctors. Still, my condition is good, and I face no such psychological problems. But I had a blackout episode lately when I was heavily drunk. Should I start taking the same medicine Olanzapine? As I do not want to go to for check-up any more.

Hello doctor, I suspect I may have tapeworms. How can I be sure and what can I do to get rid of them?

Hello doctor,I did a lot of tests to see if I am bipolar because I have a lot of similar symptoms. They all had the same answer that there is a high possibility that you are bipolar, go to a specialist. I already have a psychiatrist, but I do not know how to talk about it. Could you help me because I am desperate?

Hello doctor, My last period was before a month, and it has been nine days I missed my period. I got positive in my blood and urine test. My beta hCG on last month was 675, and yesterday it was 3300. I almost completed 10 days after the missed period. Yesterday I went for scan my doctor told no sac is visible. I have some breast pain heavily and feel like period pain but no other symptoms. My TSH value is 2.9, and my doctor suspected may be ectopic. I do not have any pain or bleeding so far, but it is only like period pain. Please help.

Hello doctor,I am a 48-year-old male with 5”8 height and 250 lbs in weight. No health problems. Blood pressure is 118/70. Total cholesterol is 165, LDL is 99, Hdl is 46 and Triglycerides 101. Had sonography of heart and said I had a mild LA dilation of 4.8 cm. Please help.

Hello doctor,I am diabetic suffering from ED and depression. Please advice.

Hello doctor, I am 35-years-old. My cholesterol level is 222, triglycerides 87, HDL (cholesterol) 60, LDL (cholesterol) 156 and non-HDL (cholesterol) 162. Kindly advice.

Hello doctor, I have on and off fever since last Friday and been having chest and stomach pain since yesterday (pain somewhere in between the chest and the stomach). I have a loss of appetite and can feel acid coming out of my chest a few times. I also feel like I always need to poop but nothing is coming out when I try to. I already took Biogesic for my fever but did not took any medicine for the chest and stomach pain. Can you please advise me on what medicines to take and food to take or avoid?

Hello doctor, My wife is 25 years old. She has been developing lot of moles on her body especially on hands and face. Initially they are very light almost like a small brown spot, but gradually they are becoming darker. They are incrementing periodically. What would be the reason for it? Is there any medication for it to stop and eradicate the issue? Thank you.

Hello doctor, I am a 19-year-old female. I woke up this morning with two medium sized red, itchy and scaly spots on my upper arms, I searched, and it seemed to me that this resembles an early stage of skin cancer (squamous cell carcinoma). What should I do?

Hello doctor, I was initially diagnosed with a urinary tract infection by the presence of white blood cells in my urine. I had symptoms of a typical UTI. I was given a five days course of antibiotics, but the symptoms did not go away, followed by 2*5 days more courses of antibiotics. A urine culture was done after three types of antibiotics failure. A urine culture was conducted, and it was found that I had candida albican (yeast), and I was put on an oral antifungal medication called Fluconazole, but my urine is still dark brown with white substances in it, and I still feel itching after urination. I drink a lot of water, and I am HIV negative, I tested negative for prostate cancer, and I am 27 years old. Please help. I also experience a lot of nausea and heart racing when exposed to cold areas.

Hello doctor,I have been using Minoxidil for about a year now and continue to shed. I now have balding patches where it was not an issue before. Ironically the thinning I had started using it for filled in. Wondering if I need to stop the use or if it is normal to experience shedding still? I use it consistently twice a day.

Hi doctor, I am a 30-year-old male. I am currently using phimocure silicone rings to loosen up my foreskin. Yesterday afternoon I accidentally used a large ring 26 mm by wearing it for 1 hour 30 minutes. After taking off the ring, I have this persistent pain like burning and pressure on the tip of the foreskin (majority on the left side). I still have this pain and wanted to know if it will go away by itself? I am also using Betamethasone cream.

Hello doctor, Why do our ears feel full or clogged when we are in a closed room? Are these because of air pressure and ambient noise?

Hello doctor, I had a UTI two years ago that went untreated which resulted in the problem. I now have a permanent red dot on the head of my penis. No pain, bump or itching has ever come from the said dot. It has not increased in size in over a year. I have been using Kermatazole on the penis head for over a year now when the redness gets brighter. I take comprehensive STD tests every four months. The readings are always the same and the results negative. Now, I am worried that I have tested as an early case of herpes II simplex (genital herpes). I have performed two HSV2 IGG quant tests this year. Four months ago, I tested with a reading of 0.076. This month, I tested with a reading of 0.232. I had several different sexual partners during this period with unprotected contact, but no unprotected penetration, including two days before the most recent test. Should I be worried I contracted genital herpes?

Hello doctor, I would like to know the diagnosis of this MRI result. Multiplanar and multisequential MRI of the brain without intravenous contrast administration was taken. Single voxel MR spectroscopy through the basal ganglia was also performed. The brain parenchyma demonstrates interval development of diffuse cerebral volume loss, most prominently involving the cortex, with a widening of the sulci and ex-vacuo dilatation of the ventricular system. There is a faint T2-FLAIR hyperintense signal of the bilateral hemispheric white matter. There is sparing of the cerebellum and only mild interval thinning of the corpus callosum. Interval development of a subdural collection along the left cerebral convexity, most prominent at the left frontal convexity causing a mild mass effect on the left frontal parenchyma. It shows mildly increased FLAIR signal, likely related to proteinaceous content. The intraorbital optic nerves have decreased volume, compatible with optic atrophy. There are punctate foci of susceptibility artifact in the right parietal and right occipital region, likely related to minimal hemosiderin staining. No mass lesion or midline shift. There is no acute intracranial hemorrhage or acute territorial infarction. No hydrocephalus. No cerebellar tonsillar herniation. Preserved flow voids of the major intracranial vessels. There are bilateral mastoid and middle ear effusions and mucosal disease of the bilateral paranasal sinuses. Single voxel MRI spectroscopy at the basal ganglia demonstrates increased choline and mildly decreased NAA, nonspecific markers of parenchymal injury. Impression:  Interval development of severe supratentorial brain volume loss with thinning of the intraorbital optic nerves. Interval development of a subdural collection along the left cerebral convexity with mild mass effect on the left frontal lobe.

Hi doctor, I am a 23 year old male. Currently, I am taking 225 mg Veniz XR for depression. I am taking it for the past 6 years. My problem is ED. For the past one year, I am suffering from erectile dysfunction. Please suggest me some medicine. I am unmarried. Can I use Sildenafil for one night stand? I also have one side affect from Veniz XR. I get excess sweating after sleep at day time. Is this due to medication? How can I overcome this problem? Also please suggest me how to wean off Veniz XR safely without withdrawal symptoms.

Hello doctor, I am nearly two years into my orthodontic treatment to correct overcrowding and midline correction. Although I am really concerned as my face seems to look really asymmetrical and my teeth are slanting, I feel really self-conscious about it. I feel it is something my orthodontist not correcting. Please advise what I should do and give me your expert opinion.

Hello doctor, I experienced a sudden and severe pain in my stomach (lower part) and anus, which caused me to shake, become dizzy, and really pale, and I have difficulty breathing. I did not faint, but if I were standing up then, I probably would have. It happened to me once before and I was on my period then. I had consulted a doctor then as well and was told that perhaps my body was just shocked because I had skipped a few months of my period. I am also diagnosed with iron-deficiency anemia, but I am currently not taking my iron tablets. This time around, however, I had my period last month and was not on my period at all. I am not sure what it is but wanted to let you know should you have come across a similar situation with one of your patients. Please reply.

Hello doctor,I have white lines near the teeth on the lower lip which appears and goes by their own. But sometimes it hurts.

Hi doctor, I am 36 years old, male. I am traveling and had sex two weeks ago without condom. After two days, I felt itching and pain while peeing. Now, two weeks later, I have white painful wound on my penis. I visited a doctor yesterday and received an injection and two pills antibiotics. He said gonorreah. I am scared that he could be wrong. Please help me.

Hi doctor, I found a red dry skin on my scrotum today. What is is? Is it dangerous? How can I treat it? I am still a virgin. I have attached the pictures of the dry skin.

Hello doctor, My mother's fasting sugar is higher than the post prandial sugar (130 and 115 respectively). She had normal diet only. And also, 2 hours after taking 75 grams of glucose, without any work, the sugar level is 260. Why is this happening?

Hi doctor, During a recent extraction of 9 teeth, the dentist said that my right upper back molar had attached itself to the bone. When he tried to extract it a piece of my jaw bone cracked off, pierced the sinus cavity and punctured an artery. Blood spurted everywhere and they frantically applied pressure and packing until it stopped. They sutured it and sent me home with Penicillin. The dentist acted very casual like it happens all the time. I cannot find anything about this subject on the internet. It has been eight days and I have been weak and experiencing constant cold sweats. I do not have fever. I am still spitting out fresh clots of blood three or four times a day. They are not very large, but they are definitely fresh. Is this something that happens frequently with lasting and future effects? What is your opinion of these events?

Dear Doctor, I am a 24 year old female, was prescribed with Celexa 20mg  once daily and Buspar 5mg twice daily for severe anxiety/panic attacks. Both of these medicines are SSRIs though, and I read about it online that everyone/every source says never to take them at the same time due to risk of serotonin syndrome. Today, after taking the Buspar, I felt cold and shivered constantly. I could not get warm and I was very sleepy. Now I am scared to take the night time dose of Buspar and Celexa. I would like to have a second opinion on the safety of taking these medications together. If it is not safe, can I take only one instead? Which one would you recommend, the Buspar or the Celexa? Thank you in advance.

Hello Doctor I am a 30 year old male, married for 2 years. I do not smoke or drink. There is no medical history. My penis is circumcised from childhood. The problem which I am facing is that I do not feel any sensation in my penis glans at the time of sex or while masturbating.In normal state, my penis is dry. I use lubricants while having sex. But still the penis remains numb. Only a few seconds before ejaculation I feel the sensation in my penis. I started masturbating 10 years back. Is this a reason for this numbness? I do not have any erectile dysfunction. But still I am not able to enjoy sex due to this problem. Is there any medication to enhance sensation? Please help me overcome this problem.

Hi doctor, My fasting blood sugar is 130 to 135 over last four years. My postprandial sugar is between 90 to 110. Yes, my postprandial is less than my fasting sugar level. Usually, the reading will be taken after 1 hour 45 minutes or 2 hours after eating breakfast. I am unable to bring down the fasting sugar level. My HbA1c reading is 6. I am taking Glycomet 500 mg before dinner daily. Can you tell me why my fasting is higher than my postprandial?

Hi doctor, I have a painless peanut size bump near the outer side of my anus. I have attached snaps for your reference. It has been there since last 10 years. But, for the past one year I feel it is growing. Sometimes, it bleeds, but no pain at all. It is just like an extended mass and it feels very uncomfortable. I consulted a local doctor. He found a fissure inside the anus and suggested surgery. But, I never felt any pain or bleeding from inside till date. I used to have a hot water seat daily since last few months as per his advice. Do you suggest any medication to restore or reduce the bump? I tried a few antibiotics, but they did not work.

Hello doctor, I have stretch marks on my inner thighs and buttocks area. When I sit for about 30 minutes, the stretch marks hurt (in the scale of 1-10, the pain is around 8). So, I have to stand up once in a while. More and more stretch marks appear when they hurt and they hurt too. It is very uncomfortable, and it already affects my work (programmer) where I have to sit all the time. I have visited 4 dermatologists already, and one of them even said that stretch marks are not painful, maybe it is varicose veins. I already tried laser, derma roller, pain reliever, retin A, collagen cream and cocoa butter (but they did not work) as per doctors advise. This all started when I started gaining weight/muscle a few years ago. I already stopped going to the gym and all my supplements about a month ago, but the pain is still there.

Hello doctor, I have a tiny hard spot on the head of my penis. It does not bother me unless I mess with it. It has been there for many many years, but just recently I have noticed a bit of pain when I am just sitting around. It is probably the size of a pinhead and it is dark in color. I have not had a sexual partner in a very long time (years). It does not seem like a boil or a pimple. The very top of the spot is black. Please suggest.

Hi doctor, I am pregnant of around 6 weeks now. This is my first pregnancy. I have noticed a few drops of bleeding while urinating twice in a week. I have consulted a doctor and she suggested to do transvaginal ultrasound and got the following report. Uterus is bulky in size. Regular well defined gestational sac is seen. Single fetal node is seen. CRL - 0.64 cm. GA - 6 weeks 3 days. Fetal cardiac activities are normally visualized. Decidual reaction is good. Peridecidual color flow is normal. No peridecidual clot or hemorrhage is seen. Yolk sac is seen. Ovaries - normal in size and echotexture. Impression - single live fetus of 6 weeks + maturity. Now I am in need of a second opinion. Is there anything serious in my case? Can I continue my normal work? Can I take Duphaston 10 mg for next 8 weeks as directed my doctor? What kind of precaution do I need to take?

Hi doctor, I am an 18 year old female, and I masturbate very often. I just rub my vagina, but I do not finger myself. I get really tempted to finger it. Whenever I try to do so, I get nervous and just finish it off by rubbing my vagina. Is it safe to finger my vagina? If yes, how do I do it? What are the safest ways to do it and how often should I do it? Is my hymen going to break if I do so? Will I lose my virginity? Also, is it weird that my vagina becomes wet when I am aroused?

Hi doctor, I am suffering with delayed periods. Consulted a gynecologist and started Gestin since 1 week. But still have not got my periods. Home pregnancy tests done and turned out to be negative thrice. Please help.

Hi doctor,I have a small white dot on my gums. It looks like a whitehead. I noticed it a couple of days ago. It is painless. It is just above my left canine. I do not know what it is. It is towards the top of the gum. I have attached the photo. Can you suggest what it could be? I am scared of the dentist, so any option avoiding that would be nice.

Hello, I had sex and took i-pill. My periods started around 12 days later and lasted for 4 days. I got my periods next month around the same date, which lasted for just one day. So, I took a urine pregnancy test, which was negative. I got my regular periods on the third month as well and it lasted for 3 days. My next periods lasted for just 2 days. I have read on the internet sources that many women get periods during their pregnancy. What are the chances of me being pregnant? I am doubtful because I always used to have regular periods which last for 5 days.

Hello doctor, Is there any chance of hepatitis B spread through eating food contaminated with infected blood?

Hi doctor,I have a line across my nose going horizontally. This is because I used to push my nose up always. Can u suggest some natural remedy to get rid of it?

Hello doctor, I consulted two doctors regarding a lump that I could feel above my left collarbone, whenever I strain or turn my neck. Both the doctors said that it was just a prominent tendon, but gave me an ultrasound to ease my mind. The ultrasound said 'there is a 6 by 4 mm hypoechoic nodule in my left supra clavicular area, presumably representing a small lymph node. If clinically indicated, an MRI or a CT can be done for further evaluation. On seeing the reports, one of the doctors said that I need a biopsy right away. The other doctor referred me to an ENT. I followed up with the ENT, but he was not able to feel the lymph node and said that the lump is just a prominent muscle and nothing to worry about. The ENT also said that the ultrasound was normal and that a 6 by 4 mm node is normal and nothing to worry about. I have been reading online, and it is mentioned everywhere that a hypoechoic nodule is cancerous, especially in the left collar bone area. What does a hypoechoic nodule mean? Does this mean it is a small cancerous lymph node? What does it mean by 'if clinically indicated, a CT or MRI can be done for further evaluation.'? I also had a CBC done, and that was normal. I had a neck CT done six months ago for a pulled muscle, and that was normal as well. If it did not detect this small nodule six months back, can it have grown in just six months? Is hypoechoic bad? Why did the ultrasound say presumably a lymph node? I am so worried now. Do I need a biopsy or is there nothing to worry about?

Hi doctor, I have developed symptoms of nerve dysfunction (burning, tingling, etc.) but all the nerve related tests were normal. Over the past 9 to 12 months, my diet was poor, I am about 70 pounds overweight, age 40, and have high LDL. My blood glucose last year was 86, then it went up to 97 by the fall, and then up to 106 this year. I went on a diet and lost 20 lbs so far, but the test this week was at 101 after a 12-hour fast. My question is this: Can a blood glucose around 100 to 105 and high lipids for numerous months cause any nerve related symptoms?

Hello doctor,I have a burning sensation on my waist. Please tell me what could be the cause?

Hello doctor, I am a 31-year-old. I have AVN stage 3 in right hip and stage 2 in the left hip. This is due to the use of steroids. I have done this MRI before two months. Many doctors told me to go for total hip replacement. Today I had an X-ray, and the doctor told me no collapse is done yet and suggest me to go for core decompression and Osteofos 70 mg daily. 1. I want to know, is it possible to treat it without hip replacement? 2. Will core decompression help in my case? 3. Is Pamidronate injection helpful in my case? 4. Any medicine which can stop or delay the progression?

Hello doctor, My left foot is swollen with purple color and pain. I am currently on Diamicron 60 mg and Xelevia 100 mg.

Hello doctor,I am a medical student, and I came across phimosis. My prepuce can be retracted easily and normally but when I get erect it does not retracts on own and even if I do it forcibly it gets stuck around corona which is painful. Is this a problem? If yes can I do something on my own and if I need a radical therapy, should I wait till my marriage?

Hello doctor,I am 18 years old, and I am worried because I feel that my gums have receded. It is because of my improper brushing routine, they are yellow, not wobbly, and gums are becoming a darker version of red, gums have receded from the front teeth.

Hello doctor,Since yesterday, I had excessive thirst. I am drinking a lot of water and still feel it. The same happened today, I drank over 500 ml and again feel thirsty. When I drink, I think some weird taste of the water as if my mouth is salty. I have anxiety (panic disorder), so this made me slightly worried about what could have happened to me. Can you help?

Hello doctor,The patient is 65 years old. Doctors have concluded liver fibrosis stage 2. In fibro scan, the lymphocytes are 95 %, amylase is 20 U/L, monocytes and macrophages is 5 %. The fluid is hazy in appearance. Can liver fibrosis be reversed?

Hello doctor, I am suffering from male pattern hair loss for a long time. I had tried saw palmetto for a short duration and got a decent result (as suggested by a trichologist) but did not continue due to lack of information on long term effects. Please suggest if Finasteride can help in hair sustenance?

Hi doctor, I am 58 years old and currently working in a meat shop, working always in frozen foods. My problem now is about my hands (fingers). It is numb and painful. I always feel this everyday and wake up with numb and pain. Any medicine or vitamins aside from Vitamin B1, B6, B12?

Hello doctor, A TB and pneumonia patient for the last two months passed the extensive phase and gained two kg. But recently she lost two kg weight, and she feels ill and weak every afternoon. She takes her medication regularly and on time. Why does this occur?

Hello doctor, I am a 44-year-old man with undiagnosed chronic body pain associated with movement. Sed rate and CRP in normal range, uric acid level tested after a bout of kidney stones last year, but that was also in normal range. Is there any tests you could suggest to my attending? Please advise.

Hello doctor, I have protected sex with stranger and after that I get inflammation in urinary tract. Should I get worried about it?

Hello doctor,I would like to know your opinion of my complete blood count. I have attached my reports with this which shows absolute lymphocytosis and macrocytic anemia from two years.

Hello doctor, My upper stomach area is pulsing suddenly from yesterday after eating. What does that mean?

Hello doctor,I have PBC stage 4, Gave, COPD, Hashimoto's, etc. I have been around someone who was just diagnosed with mono. I have used her water bottle. Should I be worried and, if so, what symptom could I develop? Do I have to stay away from this person now? I am currently under Urso 300 mg six per day.

Hello doctor,I am a 24.5 years old female. I am seven weeks pregnant and have a history of ectopic pregnancy and two miscarriages. My doctor has prescribed Folic acid, Duxil, Susten 200 mg, Duphaston, and Ecosprin. All tablets once a day. Should I take both Susten and Duphaston or just Susten is enough? Also till what time am I supposed to have these?

Hello doctor,I am 29 years old, and I have burning sensation underneath my feet since last year, after treating an STD. It was occurring mostly at nights, but these days it appears to be there from morning till night. Then I had a series of a sore throat last year, for which I was treated with antibiotics. Some months ago, I started having this pain in my left chest, which sometimes crosses over to the center. The pain has subsided, but I still feel slight pain just after and below my left chest and an occasional sharp one on my right breast. Underneath my feet is still burning, my palm feels warm, and my penis has this slight warm sensation. Are they all connected? What can I do?

Hello doctor, I have had a dull aching pain just above the back of my left knee (near the hamstring) and in my left buttock on occasions for about five weeks now. I am normally fine sitting but hurts when standing still or walking. Could it be a hamstring strain or sciatica?

Hello doctor, I went to a massage parlor and got a handjob. I was told by my doctor that STDs are not transmitted this way. Is this true?

Hello doctor, I am suffering from insomnia from the past three weeks. Please help.

Hi doctor, I am 26 years old, female. I have high blood pressure problem from the last one month (silent BP) and my kidneys are damaging beacuse of this and my platelet count is 12 lakhs. These are continuously increasing from the last eight months, that is 6 lakhs, 8 lakhs, 11 lakhs and now 12 lakhs. My legs and foot pain are increasing day by day. Please reply as soon as possible.

Hello doctor, I am currently on 37.5 mg of Effexor and 7.5 of Mirtazapine. I started Effexor about 10 days ago, my anxiety has increased since starting, and I am taking Klonopin to help with that. Is increased anxiety a normal side effect when starting Effexor? I am also having nausea, dry mouth, and grinding my teeth at night. I do not want to switch to another medication if this is something that could subside in time. Please help.

Hi doctor, I did a root canal before a couple of days. But I have pain in the exact upper tooth of the root canaled tooth. I have attached the X-ray after the first sitting of the root canal. Please suggest.

Hello doctor, I have had swollen lymph nodes for over 1.5 years. I have gone through scans and viruses blood test, which resulted negative (attachment removed to protect patient identity). I have them everywhere I can feel. Neck, groin, armpits, chest and even on my face. What are the chances it is cancer?

Hello doctor, I am 30 years old and married for the last 3.5 years. One and a half years back, I had a surgery to remove ovarian cyst and fibroid tumor from uterus by laparoscopy. But, somehow one incision area got infected and I was under antibiotic for almost 5 months. Meantime, I relocated and the infection become worse for which I had to undergo another surgery to remove the abdominal abscess. In a couple of months, I become quite well but one sudden day pus came out from the same area along with pain. My surgeon said it was fine as the pus was there during the healing period. But this gets worsen and the area again needs to be cleaned out through a minor surgery. I still have that area swollen with pain on the left abdomen and hence recently went through another CT scan and it seems that I am suspected of having nontuberculous mycobacterium infection on my abdomen wall. My doctor wanted another round of surgery to clean up the wound followed by prolonged antibiotic. Could you please guide me by letting me know if surgery is the only option or there are other ways that I can leverage and get cured? I do not want another surgery and looking for alternative but effective solutions. Please let me know if you require additional information.

Hi doctor, I am a 62 year old male. I am suffering from multiple neurofibroma of spinal cord and acoustic neurofibroma. I had bypass surgery four years ago and since then I am under medication, which is given below. My present problem is related to stomach. Since the operation, I started having sudden bouts of loose motion. Earlier, the interval between the bouts was about 15 to 20 days which gradually reduced now to about three days. I have consulted numerous doctors including gastro specialist. Sonography reveals all organs to be normal except grade one fatty liver. No blood, pus cells in stool. My hemoglobin is 16.1. I have undergone deworming course by taking Rcifax 400 bd for five days, Noworm 400 and Nortryptomer od for three days, but there has been no effect. The consulted doctors have different opinions, some say that it is due to neurofibroma and some say it is due to reaction of medicines which I am taking. But no remedy has been suggested yet. If the loose motions become uncontrolled, I am forced to take Norflox TZ, which gives temporary relief. These loose motions are sudden, often soil clothes and have imprisoned me in the house. My current medication includes Nikoran 5 bd, Cardivas 3.125 bd, Cardace 2.5 od, Flavedon MR od, Lasix 40 half tablet od, Becosule od, Clopivas 150 od and Rosuvas 10 od. Please help me.

Hi doctor, I took my mother to a dentist. She hit the tooth hard with a hammer and chisel to remove the second molar of upper jaw. She has experience as a dentist for 30 years; still she does not wear gloves. I am wondering, is this practice safe? My mother cried during the procedure, but the dentist told it will not pain. My mother cried because of fear. I am looking forward to hear from you. Thank you.

Hi doctor, I am not sexually active. But my fiance did foreplay and ejaculated on my hand. I washed my hand with soap after that. I do not remember the semen going near my vagina. I am still virgin and he did not penetrate me. However, the next day I got worried and took an emergency pill. I still have not got my period and it has been a week. I also have PCOD. Have I missed my period because of PCOD? Or could I be pregnant? Please let me know.

Hi doctor, Recently, I had an operation in left external auditory canal under general anesthesia. I am having doubt that some GPRS tracking system has been inserted during operation. Is it possible to insert GPRS or something like that inside ear? Please help me.

Hello doctor, I woke up five days ago with clogging in my ears. Stupidly, I went with one of the first solutions I found online and poured hydrogen peroxide in my ear. It is now stuck in my ear canal and I cannot get it out. I have tried Swim-ear drops, ear candle, wax removal kit and shaking my head violently. It is so annoying. I do not want to get an infection, that could lead to hearing loss in my left ear. I have no insurance and I am a young guy struggling to make it. I am in need of some advise. Please help me.

Hello doctor, My urine is foamy. I am confused whether everyone will get bubble and foamy urine while urinating. Please explain me.

Hi doctor, I am 18 years old and I have started to struggle with palpitations. When I was around 12 I started having high blood pressure and since then it has not stopped. I have gotten many tests done for my heart and all have turned out normal, but I am still concerned. I do have a poor diet and I am not very active. Could this be causing my heart problem or could it be something more worse?

Hello doctor, I am diagnosed with polycythemia (JAK 2 negative). I need more knowledge, my BM and JAK 2 studies are within normal limit.

Hello doctor,I have a patient who is an athlete, has a history of panic attacks. Yesterday, he had palpitations, and some tingling was then sent for an ECG. The findings are sinus rhythm, marked right axis deviation, and ECG without any abnormalities. Would you be able to see it and assess what further steps I need to take?

Hello doctor,I am 32 years and trying to conceive since last six months. My last period was a month before, and intercourse was 10 days after that for four days. I have been facing the following symptoms like frequent urination, dizziness, etc. However, there was clear milky white thin cervical mucus until this month.However, it was less or hardly visible in quantity. I am not sure if it was too slippery for me to have noticed as well. But I did not get thick cervical mucus. And today morning I got traces or a very minute or small thick cervical mucus and negligible in quantity. I am waiting for a missed period, which is due next week. I am anxious because of the absence of cervical mucus. Am I pregnant? Please help.

Hello doctor,I am a 28-year-old man with very less facial hair. Recent blood check-up shows that my DHEAS value is 195.9. Insulin check-up indicates that there is a high chance of becoming a diabetic patient. My doctor suggested me Ashwagandha, and I have been taking it for a month (two capsules per day). Not much gain. So, I would like to take DHEA supplements for beard growth, is it fine?

Hello doctor, I am reviewing the patient care of a 4-year-old child diagnosed with the flu. He was having trouble breathing, so we called an ambulance. I was very apprehensive about him receiving any drugs from a doctor. His pulse was 149, 161, and 150. The medic then said his pulse was falling, which I did not see. He then requested an order to give Epinephrine, which does not make sense to me. His pulse rate then fell quickly. What is your opinion?

Hello doctor, Pain after idiopathic orbital inflammation before 11 years. I have undergone biopt two times due to inflammation with fibrosis and sclerosis. Now the doctors say the disease is gone. But I am still in pain and again using 15 mg Prednisone a day. They told me I have neuropathic pain, and this is more often in other patients with pseudotumor orbitae. My question is, can fibrotic tissue that is still visible on the MRI, cause the pain? Is there inflammation seen on the MRI? Or abnormalities or myositis?

Hello doctor, I got a little tiny pimple on my penis glans it vanishes when I use on ointment Lobate GM, and my glan skin seems to get a wrinkle, and it is not smooth anymore. I do not know what to do? Please help.

Hello doctor, I am taking Sibelium 10 mg from last some weeks for my migraine and last month I missed my periods. Kindly clarify the reson. Is it delaying due to this medicine?

Hello doctor,I am a lazy one, and all the time's something is running in my mind. I am not accurately able to focus on my studies, and I am getting afraid and tensed by every little issue. So kindly help me.

Hello doctor,I have 100/60 blood pressure, and I feel less active. My TSH level is 0.022, and I am feeling alone and depressed, but I am getting sleep. Please help.

Hello doctor,I have PCOS, and my recent report says that prolactin level is 42, what does it mean? Otherwise, my period is normal.

Hello doctor,My baby boy is 8 months old and has trouble in passing stools. With Laxatives, doctor prescribed he is passing hard stools once in four to five days, and he is crying while passing stools. What can I do to improve his constipation? And what diet changes do I need to make? Currently, I am giving him oatmeal pear puree, pear puree, apple puree, and chikoo puree.

Hello doctor,I am 24 years old and having extreme hair fall. My center of the scalp has already started showing up. Please help.

Hi doctor, I am suffering from chronic dry cough originating primarily in bronchial area. I feel fatigue, vertigo, lack of appetite and periodic nausea. Please help.

Hi doctor, My four year old son, weighing 16 kg is taking medicine for benign childhood epilepsy. Medicines he is taking are namely Topamac 100 mg a day in two divided doses and Lobazam 15 mg a day (5-0-10).  His MRI for epilepsy protocol is normal without abnormalities. I would like to know whether he is taking overdosed medication. Does anti-epileptic drug cause lot of side effect? Doctor suggested PET scan. Is PET scan required for epilepsy diagnosis? Please suggest.

Hi doctor, I am a 36 year old male. For mild chest pain, I have got my chest x-ray PA view done as suggested by my rheumatologist. My doctor said that x-ray report shows changes of chronic bronchitis in both lungs more in lower zones and old fibrotic scarring is seen in left apex. I am suffering from arthritis for which I am on medication. I have glaucoma. My medication at present for arthritis is Cobix 200 twice daily, HCQS 200 once daily, Pan D before breakfast, Rosuvas once at night, Tryptomer 10 in night, Espidase DP, Folvite 5 mg and Imutrex 15 mg once in a week. Kindly suggest me medication according to the reports attached. Please do not suggest me any other doctor or any hospital as I want to get treated through your medication.

Hello doctor, My friend has white tongue since 20 days, used probiotics from 10 days but problem did not solve. But no sore throat and no discomfort while eating anything. He feels lymph nodes near right side of neck, back side of ear and near arm ankle from last one week. Got some pimples on his face and one or two on chest and stomach. Fourth generation HIV duo tests (p24 and antibody) done on 6th, 20th and 35th day and came as non-reactive. He is in a little worry as symptoms are still there (white tongue and nodes). A kid kissed on his blood wetty pimple of him, did that kid get infected? It was done 24 hours back. Is it good to go for PeP? Please suggest.

Hello doctor,I am 28 years old. I had my blood test done last month. HBV was negative. When tested again 53 days later, it came out to be positive. Do I have acute or chronic? Are all HBV acute for the first six months? What are the chances that I will completely get rid of it within six months?

Hello doctor, I am 21 years old, male. I was doing excercise with suppoter. Then I suddenly felt strain in my groin and pain in my left testicles. After two days I went to doctor. He physical examined my testicles and wrote two tests CBC and urine. In CBC, eosinophils was 6. He said it is because of filaria infection, then I got fileria antigen test (ICT) done and test shows not detected. What is it ?

Hello doctor, I have had a sharp pain in my tailbone area when I am sitting or standing up. This has been going on for several months and has not improved. I recently saw a doctor. He diagnosed it as a curve in my lumbar and suggested I see a chiropractor here. Is there anything else I could do to fix this problem?

Hello doctor, I have had pain in my right wrist for a week now. But these past three days, my fingers and hand have been numb and it is getting worse and worse. Please help.

Hi doctor, I am 19 years old and I am currently experiencing an issue with the veins in my arms and legs, primarily on the left side of my body. It started about a month ago when I noticed a vein on the top of my left foot that started bulging up out of nowhere. It was concerning but not painful until a few days later, it gave me extreme shooting, throbbing pain. This lasted for a about a week then started to fade to what it is today, a numb pain that gets sharp if I support my weight too much on that foot. This has limited my movement quite a bit, which makes it hard to complete my daily tasks, and I cannot wear closed toe shoes anymore without pain. The problem got even more concerning when other veins in my body started to bulge ang give pain, first in my legs, and now in my hands and arms. My left hand is my primary one and now I cannot lift things or write or hold it downwards without having a pain in my arm, where a big vein pops up just below the wrist. This has all happened in the course of a month. Does this condition sound familiar and if so, what should I do to get treatment for it?

Hi doctor, I have been using high quality, highly rated penis extender for two days for 8 hours a day and no for the past three weeks now. Do these things really work? Is it possible to experience penis shortening instead of enlarging? A month ago, I was 7” but now I am almost at 7”.

Hello doctor,I am a PCOS patient. I have regular periods, but heavy bleeding, overweight, high sugar levels, and the egg size is 15 with using the medicine. But I could not conceive, and extreme hair thinning and hair fall. I am on metformin twice a day from last week. I want you to suggest any supplement for my hair loss. I am very upset. Kindly help.

Hello doctor, I think I am going through anxiety because I failed in my exams and I am scared to tell parents. I do not know what to do. It is mentally exhausting. Please help.

Hello doctor, I had a cough for six months, and now I have the feeling of something in my throat. I had a sinus X-ray, lungs checked, checked for asthma, swallow test done, and thyroids checked (I have a tiny nodule, in which the doctor said that would not make me cough). Do you have any suggestions on what it could be? I am very tired of coughing.

Hello doctor, I feel like something is stuck in my throat from two months, and I also have the problem of food coming in the mouth sometimes, and acidity. When I went to the doctor, he recommended Pantoprazole after which I had little relief, but not so much. Please prescribe me something better.

Hello doctor,I am a 19-years-old. Recently I checked my thyroid, and the report states that T3 and T4 are normal, but TSH is 8.5. What does that mean? I am skinny and 55 kgs weight. I do not have any past health issues. Please explain this.

Hello doctor, I am a 26-year-old male. My height is 5'9" and weight is 54 kg. I do not look healthy. I take a regular diet and meals thrice a day. I do not have any health problems like cough, fever, and pain. Actually, I want to put on my weight and develop my muscles because I look very thin. Could you suggest me any medicines or supplements for my better body growth?

Hello doctor, I am 28 years old. My weight is 55 kg. Whenever I am taking cold foods, I am suffering from nausea, headache, and chest pain. Kindly advice.

Hello doctor, What are the difference in symptoms in testicular cancer and a varicocele?

Hello doctor,My baby is 3 months old. Last night my husband and I did not have intercourse, but he came all over me on top of my vagina without any protection. Any chances that it will make me pregnant? I am very scared. Please advice.

Hello doctor,My mother is suffering from breast cancer, and her treatment is going on. We have already done four chemotherapy with a gap of 21 days, but now instead the surgery doctor advised us to take 12 chemotherapy weekly. Please let me know the treatment that is going on is right or wrong?

Hello doctor,Back of my jaw has a bump, and my teeth seem to be shifting. Do I need jaw surgery to fix my open bite? Kindly advice.

Hello doctor, I am a 54-year-old hypertension patient and in control with medicines Ramipril 10 mg, Natrilix 2.5 suspense release and Rosuvastatin 10 mg. Ramipril was causing dry cough and was nanaging until recently. But now cough becomes very sensitive due to current COVID 19 situation and so visited another clinic for an opinion and the doctor changed to Concor 5mg and Amaasc 5 mg at least for three months until the current situation improves as constant cough due to Ramipril concerns me and others as well.

Hello doctor, I was diagnosed with diastolic dysfunction. The report says velocity E is 84.2 cm/s, and the MVA max velocity is 133.5 cm/s. What does this mean?

Hello doctor,My daughter is 17 years old, and she is on Xarelto for four months. Her liver enzymes have gone up. Although it is normal but has increased from the level before drug. Her AST is 43, and the range is up to 31. She is on bcp and has factor V Leiden. This is why her doctor put her on Xarelto.

Hello doctor, I have pain in lower abdomen, penis, and testicles. Please advice.

Hi doctor, I am a 26 year old female. I have had a kidney stone in my right kidney for around eight months and now it is relatively large 22 mm. I have attached my report for your reference. I am suffering from recurrent kidney infections in the past couple years and had a stone in my left kidney when I was 15. I have attached my latest blood, urine and CT reports. I am concerned that I have CKD stage 1 from the GFR I calculated using the parameters in these reports. Could you please advise me on this? In general, does GFR improve after a stone is removed through lithotripsy or PCNL? I am scheduled for a lithotripsy in a week. Any information regarding if you think I have CKD and what prognosis will be very helpful?

Hello doctor, I think I was bitten by a bat, so I wanted to know how to know that if I was really bitten by a bat. I did not felt anything at that time but some itching after that. I am not sure that I was bitten by a bat, so I wanted to know how do we feel when bitten by a bat. Also I saw that the thing which landed on my neck was small but had small wings that looked like a bat. I was asking ways to distinguish that I was bitten by a bat or not.

Hi doctor,I had one sexual incidence. After 175 and 180 days, I got tested with CMIA technique. Please check my reports and suggest whether these are conclusively negative. How accurate is CMIA test?

Hello doctor, I am a 30 year old female. I have history of PCOS and hypothyroid from last year. I also have a history of swollen pituitary gland, but it is normal now. I am only taking a 100 mcg pill for thyroid. My problem is that whenever I indulge in sex with my boyfriend, we are able to have intercourse very rarely as I am unable to produce sufficient lubrication in my vagina for intercourse. I get excited when we spend a lot of time on foreplay and I am not scared of intercourse. I actually love to have intercourse with him, but mostly I do not feel myself sufficiently wet to have intercourse and feel pain while having intercourse. What should I do?

Hello doctor,I am 40 years old. I have major adult acne breakouts mainly on my cheeks, neck, and under my ear. I am dark complexioned, so when it does clear, it leaves scarring and dark spots. The last dermatologist I consulted suggested birth control. Could please give some suggestions?

Hello doctor, My 2.5 years old daughter had a fall around 6 to 7 months back and one of her front teeth was chipped. At that time, it looked fine and till now, she had no pain or any sensitivity issues in eating. But off late, the color of the chipped tooth has turned green. We consulted two dentists, first one was a specialist in child dentistry and recommended an RCT treatment wherein a chemical will be placed to cure the infection. He said that the discoloration will increase with time and this baby tooth might fall off much earlier (in 4 to 5 years) than the expected time (6 to 8 years). The other dentist recommended to observe for six months and see if any rash or boil is developed above the gums and any kind of pain is experienced. He also said that such a tooth might fall off before time. We are confused as to what we should do? If RCT is the way out then we would prefer to get it done before she starts with her formal schooling at 3. But we are mainly concerned if she could endure such a treatment as she is very small. Please provide suggestion. I have attached a photo of the X-ray.

Hello doctor, I am a 28-year-old female. I have been on Nucynta for over a year. I take Nucynta ER 50 mg BID and Nucynta IR 50 mg once a day. For the last two months, my urine tests (immunoassay and lab testing) have come back negative. Two weeks ago a blood test was done and it was also negative. I religiously take these medicines as prescribed by my pain management doctor. Due to these negatives he is now refusing to prescribe any oral medications (including my Flexeril, Gabapentin, and oral Ketamine). I understand his need to be able to prove to Nucynta in my system but he is also refusing to try anything else. I am a walking genetic defect. I also have known pharmacogenetic and pharmacokinetic issues. I also have EDS, CRPS, POTS, MCAS, gastroparesis (severe enough that EGD showed food in my stomach 18 hours after last eating), endometriosis. Could any of this be causing the problem? Could any of the medicines I take be causing the problem? My medicines are Lopressor, Trazadone, Fetzima, Zyrtec, Ketamine, Magnesium Citrate pills, Melatonin, Gabapentin, Flexeril, Nucynta, Junel Fe. What suggestions do you have? Is there any research to help me?

Hi doctor, I was lying on my stomach for about 20 minutes. When I moved to a seated position, I get the most intense painful headache of my life. It was in both my temples and lasted about a minute. Should I worry it is a brain aneurysm?

Hi doctor, My wisdom tooth is coming in. I have discomfort in my gums where the tooth is piercing them. I am having pain when I open my jaw and swallow. My throat is a bit red. I have swollen glands under my neck on the side where the tooth is coming in. Do I need medical attention?

Hello doctor, I am a 20-year-old female. My height is 163 cm and weight 63 kg. I have a migraine, and I have consulted many doctors, but I am unable to cure it. Please help.

Hello doctor, Can I take tablet Decdan and Practin for weight gain?

Hello doctor,I was scratched by a nail of the dog a week back. Do I need to do anything for that? The dog died today, probably due to some other reason, and the dog was not vaccinated.

Hello doctor, I had been suffering from this problem from last one week, as I retract my penis outer wall, it is paining and slightly swollen, also the tip of the penis has red small colour dots on it and it is scratchy and painful. So please recommend for necessary action.

Hi doctor, I have pimples on my penis, I do not feel any pain when I touch. I just want them to dissappear. I am having this for the past many months, I was feeling shame to consult, but now I do not want to take risk. Please help.

Hello doctor,I am a 29-year-old male. I recently realized that my scrotum is itching and there is pimple-like stuff that is bleeding a little. There are reddish black spots on my scrotum, but it is not the area that bleeds. The area that bleeds looks like a ring-cut.

Hi doctor, After suffering with groin pain, I had a double operation 12 weeks ago. During the operation, I had a repair of left side inguinal hernia and right hand hydrocele. I am now in more pain than I was before the operation. My testicle thorns with pain constantly and I have stabbing pain on hernia side. It feels like someone is sticking a bottle in me. I am struggling to walk very far, climb stairs and drive. I am unable to have a sex life. Is it normal to do both operations at the same time? Can you explain any possible cause for pain?

Hi doctor, I have lost my prescription for Lipitor and have been taking it for four days. I will get it tomorrow. I am on 10 mg a day. I am worried, will my cholesterol go up in that time since I am not taking it?

Hello doctor,I am looking to get a prescription for Clotrimazole-Betamethasone. I currently have one, but I am almost out. I have been dealing with anal yeast for around 10 years. Now it goes away with the cream but comes back when I run out. I do not wish to see any more doctors.

Hello doctor,I have been suffering from massive stress for the past 34 months. I have severe pain in neck and shoulder area. My head is tight, and stress levels fluctuate, racing my thoughts and giving me sleepless nights. Please suggest me medication that will help me flush all my stress and pain. I was earlier diagnosed with a generalized anxiety disorder.

Hello doctor, I am a 59-year-old male. I have dark spots on my cheeks close to eyes on both sides identical. I would like to have medical advice on this problem which I am having for more than three years. I am currently taking Obimet SR 500, Glimisave M1, Pivasta 2 mg, Pinom 40 mg, and Clopilet 75 mg.

Hello doctor, I am a 16-year-old male. I am concerned about my mental health. I have symptoms of ADHD like fidgeting, restlessness, being very talkative, losing focus or attention, but I am very extroverted, and my academic ratings are good. Does someone get ADHD in their teenage years? And am I one of those people?

Hello doctor,I am 17 years old, and my weight is 98 kg. I am obese, and I need to lose weight. I feel lazy, sluggish, and sleepy all the time. I am on the second day of my period, and the flow is not proper. Kindly advice.

Hello doctor,I think I have a panic attack or panic disorder because I experience hand trembling, chest pain, feeling choking, light-headed, difficult to breathe, numbness, nausea, a sudden fear of death, sometimes fainted, and tightness in my throat but my parents do not believe me. I am sick, and they do not want to bring me to the psychiatrist because they do not believe me.

Hello doctor, My 5 year old daughter has stomach aches around the navel area that happens from time to time. It lasts a few minutes each time and goes away. Abdominal X-ray and ultrasound were done and has not found any abnormalities or umbilical hernia. Stomach pain starts while eating or drinking and also at random times. Other symptoms including the passing of stools about four to five times a day, including while having a meal. A most recent development within the last week has had several accidents and says she did not feel it coming. This is not normal for her. No other emotional distress could be a reason.

Hello doctor, I had a constant headache for two days then I visited a close-by pharmacy and I was asked to treat malaria. I was given Metherine Forte tablets (Artemether 80 mg and Lumefantrine 480 mg tablets) and two cards of Paucofenacmol Caplets. Two days after taking the drugs as prescribed by the pharmacist, I started having some stomach bites, serious ones which tended to go down after I eat. It made me eat often. I went back to the pharmacy and was given worm drugs Tindex 500 (Tinidazole Tablets 500 mg) and Wormplan (Albendazole tablets 400 mg). I took those worm drugs in the morning today, yet my stomach pains are still severe.

Hello, I had a minor herniated disc L4 or L5 last year. (MRI confirmed nerve pinch, but no broken disc or liquid leaks) With heavy pain, I was hospitalized, but recovered within two weeks. With Ibuprofen and muscle relaxants, I was able to walk and function pretty normally. Sciatica (leg nerve pain) came and go during the time now and when I was in the hospital last year. Right now, I am experiencing almost no back pain, but the sciatica is heavy. Mostly on the back of my left upper leg, down till the end of the knee. I am doing stretching exercises, belly position, upper body up, or on the back, leg stretches towards the torso, plank training, etc. But I still have to sit a lot due to my job. I tried a standing desk, which resulted in feet pain and also more sciatia. Though I am sitting straight, the fascinating thing is that heat and cold are influencing sciatica. As long as I apply heat to the leg (not the lower back), the pain disappears instantly to an almost level of no pain. A bit of cold and the pain becomes very heavy immediately as well. Can there be an underlining other issue causing it?

Hello doctor, Just for precaution which fruits are safe to have to protect self from Nipah virus? Coconut water and citrus limetta, are safe to take? What to eat to detect Nipah virus? I heard there is a homeopathy medicine already invented to combat that virus? Is that true? Gelsemium 200 is the name? I have no symptoms and fit and fine. Just asking for precaution

Hello doctor, I am 28 years old. I had my last period before two weeks. I have PCOS, and the doctor asked me to take Letrozole (3 to 7) 2.5 mg, Clomid (5 to 9) 50 mg, Estradiol 6mg per day (8 to 12) and Metformin 1000 mg daily. I got a positive ovulation test on the 14th day of my cycle, and I went for an ultrasound, and my doctor said I am not ovulating now, so I wanted to know if I am going to ovulate in this cycle or not.

Hello doctor, Can I take Coenzyme Q10 and Ashwagandha on the same day?

Hello doctor,After eating greasy food, the following day, I pass stool and floating on the top is a transparent white substance globbed together, my stool is not formed usually and is mostly short segments. I often go about four to five times a day, and sometimes less. I am not on any medication.

Hello doctor, I have pilonidal sinus. I had two surgeries one with the endoscopic method and the second one six months before by incision and drainage method. After recovering from this, I had a small pimple on the wound. Doctor said it is normal and it is because of surgery. But now I am having redness around that. I am using alcohol swap to clean the opening areas of pilonidal sinus and they are closed. Kindly tell me is this recurrence of pilonidal sinus or boil or what it is? It is causing pain while sitting as well.

Hello doctor,I got a ball hitted on my eye so my eye got swelling, redness and pain and also my vision is lightly blur. So kindly tell what I should do?

Hello doctor, I have dryness, redness and red lines in both eyes. No liquid discharge. Right eye hurts sometime. I have 5 to 6 hours work on laptops.

Hello doctor, I have been told that I have a kapha vata imbalance and I have taken vasthi (Panchakarma) procedure. But I still have white coating on tongue and my digestion is weak and. And if I do not eat, I feel weak and nervous. If I eat, I get indigestion. Will Agathiyar Kuzhambu help me?

Hello doctor, I have 3.5 months old baby. I do not have sufficient breastmilk, hence, was giving fomula milk. Baby was not satisfied with the taste of formula milk and was never having it properly, so one day my mother added sugar to formula milk and since that day my baby is having formula milk as per his requirement. Now, if we do not put sugar to formula milk, he will not have it. I am giving him Abbott semilac iq+ stage 1. Please let me know what can I do.

Hello doctor, I started Trintellix yesterday for panic, anxiety attacks and today I felt like a lump in my throat, almost like someone is choking me. I am not sure if this is due to the drug and if this is something to worry about? Should I take my next dose today?

Hello doctor, I am 17 years old. and have a littl bit of white nipple disharge in both breasts but one has it a little worse and the skin on my nipple appears to be white and has little blisters on it. It does not really itch or anything but it is sore to the touch.

Hello doctor, My husband is 44 years old and taking no medication but only anti-fungal cream. He has a lot of itching and his foreskin does not go back without pain. Please help.

Hello doctor, Yesterday onwards I could see one small swelling, seems to be a pimple like one appearing above my penis area. Could you please explain this? I do not have any pain but feeling afraid.

Hello doctor, I have been taking Ashwagandha, Turmeric, Amal powder and Brahma supplements. I am scheduled for a colonoscopy in three days. It is a preventive screen. I last took them a few days back. Should I reschedule my colonoscopy?

Hello doctor,I have been using an antidepressant for the last two to three years. About two months ago, I received very exciting news that I had been waiting for a long time. After a short while, I had panic attacks one after another. I asked a doctor and learned that the things I was experiencing were depersonalization and derealization.For the past two months, I have been, living in fear and anxiety, hoping it passes, but nothing significant has happened. Now the doctor prescribed me 25 mg of Seroquel an antipsychotic drug. My antidepressant prescribed has also doubled in amount. I have read that Seroquel can have negative consequences when taken unnecessarily, or it can lead to schizophrenia.I am moving abroad within the next three months, and need to have healed by then. Do you think that there will be adverse effects of Seroquel on me, such as worsening my situation, intensifying the feelings of fear or making the time of my derealization last longer? What should I do?

Hello doctor,I am 24 years old. For the past two years, I have been having an irregular period cycle. My doctor recently suggested me to get my exam Pap smear. I have gained 60 pounds in the last three years. When I was younger, I had the HPV shots. I am nervous about the pap smear and having an irregular period cycle. Should I be worried about uterine cervical cancer? I have not lost weight. I do not have pain. I recently had a yeast infection, and I am still healing from that.So when I had intercourse last time I felt a little discomfort in a certain position. I started spoofing today, and I am having normal PMS symptoms sensitive boobs, and I do not bleed in between things. I read that cervical cancer takes 15 years to be invasive, and I am scared.

Hello doctor, My child is one year old. On routine examination his eye has a power of minus 3.5 and minus 2.5 refractive error. What is the normal refractive error at this age as refraction continues to change? Doctor said to follow up after six months as glasses may be needed if power increases. Please help.

Hello doctor, I am a 44-year-old female. My height is 161 cm and weight 87 kg. Clarify one doubt about an antidepressant. My new psychiatrist started Uvox CR 10 days back. I was on Stalopam for three to four years before that. For the past some days, I am feeling body pains and disinterested to do any work at all. But I somehow manage to complete the work also but with a lot of effort. Will the medicine take time to set? Why do I have these symptoms?

Hello doctor, When I try to masturbate or when I am thinking of it, I became very nervous, and a little fainted. I do not know why.

Hello doctor, Part of my foot has been numb for several days but I feel fine. No pain or anything. Is this any reason for concern?

Hello doctor, I am a female aged 50. I have awful pain in the lower abdomen for four days. I have a pain in the right arm and the left side of lower abdomen. My abdomen is bloated and sore. My bowels are moving. I gave up Seroquel a few weeks ago. I have IBS and diverticulitis.

Hello doctor, I am 50 years old. I have decreased libido, lack of proper erection, and early ejaculation. Please advice.

Hello doctor, There is a pain on the left side of stomach and lower back and the skin feels sore. There is also burping a lot these days now. Please help.

Hi doctor, I am a 28 year old female. Before 10 months, I got left side abdominal pain with mild fever. I went to the ER. After blood tests and CT scan, they said it as diverticulitis. After using antibiotics, it got cleared. Every couple of months I feel pain when I press my abdomen but no fever. When I take liquid diet for two days, the pain will go away. Even though my bowel movements are regular, sometimes the stool is hard and I can see blood. I am drinking lots of water at least 2 liters a day and stopped junk food. But, still I am suffering with pain. Sometimes, I feel a sharp pain inside the rectum. Recently, I went for an annual checkup. After checking the reports, my GP said that it may or may not be diverticulitis. He said it might be colitis and nothing to worry. My last blood in stool was two months ago. Sometimes, my stool is mushy and fluffy. I am very much worried about this. Please help me out.

Hi doctor, I am a 22 year old female. I was playing touch rugby two days ago. It just so happens, and I have not exercised in a while now. I am having severe lower back pain, muscular and  joint pains around my thighs. Today is the second day, and I am still feeling the pain. Is this normal? Do I need to seek medical attention?

Hello doctor, I have a constant fever from the last week, and severe body pains as well. I have undergone some tests for the same.

Hello doctor, My wife is 50 years and I am 54 years old. Last night we had sex with a condom, but I have doubt it may be unsafe. Her period occurs once in one and a half months. Other than this she does not have any gynecological problem. Can she take any contraceptive pill like Unwanted 72?

Hi doctor, I am a 65 year old female, and I fell 10 days back and broke one or two ribs. The only thing that brings any relief is Ibuprofen 800 mg. I need to know how often and for how long can I take Ibuprofen? I tried Oxycodone 10 mg, but it does not work that well. Thank you.

Hello doctor, I have cracked nipples that have failed to heal for the past five weeks. I am a nursing mother, and I am not able to feed.

Hello doctor, For the last seven years, I have been having about one to three nocturnal seizures (tonic-clonic) a year. There was one year in the previous seven years, where I did not have any nocturnal seizures, but I had two to three a year for the last couple of years. I am not on medication, and I have tried to improve my sleeping habits. What do you recommend?

Hello doctor, I am suffering from erectile dysfunction. Early morning sex power is also very low. There is a quick immature erection. The genital part does not stand properly. Right now, I am taking 1000 mg L-Arginine once daily. Can you please solve my problem?

Hello doctor, I am suffering from nightfall for past three months. Please give solution to stop nightfall.

Hello doctor, My mother's blood pressure is 130/80 in the morning, but by 10 pm before she eats her medicine in the night, her bp becomes 160/80. She is taking calcium channel blockers, which cause swelling in her legs resulting in difficulty in walking. She is currently under,  Moxilong 0.3 mg tablet twice. Tazloc 40 twice. Ecosprin AV 75 in the night. Minipress XL 5 mg twice Prolomet XL 50 twice. Dytor 5 and Benidipine 8.

Hello doctor,My height is 165 cm, and my body weight is 79 kg. I want to start doing exercise, and I want to become healthy. I want to know about what diet I must follow to improve my health. How many proteins, carbohydrates, vitamins, minerals, fats do I need to consume daily, and what diet I must take?

Hello doctor, I feel that my brain becomes hot while studying. I studied the whole day and slept for two hours continuously for three days after that my left eye started paining, and my brain also started getting hot severely. Still, now it is continuing even if I take proper rest during exam time when I study less also.

Hello doctor, My mother has been diagnosed with 8.5 uric acid and recently underwent a hysterectomy. Which medicine should she take for uric acid?

Hello doctor,I had my wisdom teeth removed before four days. Even after two days, my swelling has not gone down. I also have mild to moderate pain coming from the site of extraction, that also seems to affect my jaw. My jaw is stiff, and it hurts when I talk too much or move (look down, left, and right). I seem to have bad breath coming from my mouth, but I use salt water rinse every two hours which helps a little, but that odor is still there and seems to be stronger at night when I sleep. Have I formed a dry socket or an infection of some sort? If it helps, I also suffer from a preexisting condition regarding bleeding gums.

Hello doctor,Before three days, I had a feeling in my eye that there was something in it, probably my eyelash. I tried to get it out with water, but the sensation did not go. After two days, I met a pharmacist who prescribed me an anti-allergy eye drop (containing Antazoline). I have been using it every three hours. However, the first time I used it, and then I woke up with a swollen red eye. Today is the sixth day of use, the redness has reduced, but the swelling is still there. The vision in the affected eye is now blurry along the side with a burning sensation on exposure to sunlight.

Hello doctor,I have regular pain in the upper center part of the stomach just below the kidney. Please tell me the reason and medicine. Pain arises, especially in the early morning.

Hello doctor,I was recently diagnosed with polycythemia due to increased red cell count of 5.28x10^12/L, HCT 0.466, and hemoglobin of 161 g/l. I stopped smoking two weeks ago. Six months ago, when I started to smoke, I smoke only four cigarettes per day. Would the high red cell count be a case of secondary polycythemia, or would it be due to smoking? If so, would my red cell count decrease after a month after I have smoked? Also, in this situation, would I need to take a low dose aspirin before a long haul flight (12 hours)?

Hello doctor, I need a second opinion on getting a surgery done for breast cancer after chemotherapy.

Hello doctor, I have a few questions regarding ectopic pregnancy. 1) How long does a fertilized egg stuck and implant itself in a tube? 2) I ovulated on day 15 and felt a sharp pain in the right side (for a moment) on day 24 (8 days post ovulation), is it an ectopic symptom?

Hello doctor,I am a smoker for the past 10 years. Now reduced from last two to three months. During morning cough I can see tar kind of things after brushing. Why is it so?

Hello doctor, I am waiting to be booked for what my doctor calls a core-biopsy and it is taking too long. As I wait I would like to research and gain more information. I would like an interpretation of this report please. These are the results of a fine needle aspiration on left breast: The smears are highly cellular. Cohesive branching monolayers of mildly pleomorphic ductal epithelial cells are present in a background containing frequent bare bipolar nuclei, occasional macrophages and some myxoid stroma. Within the epithelial cell aggregates, nuclear streaming and an admixed myoepithelial cell population is revealed. No dissociated malignant cell population or true papillary epithelial cell aggregates with fibrovascular cores are identified.

Hello doctor, I am planning to undergo vision correction surgery. I am 37 years old, female, single. My ophthalmologist informed me that I have astigmatism. I am short sighted. My doctor suggested of a super Lasik surgery. Can you please advise if I should go ahead with this surgery? Secondly, what would be the side effects? And the recovering period. The doctor did mention I have a thick cornea and I will recover the same day. But I am not very confident and require your second opinion.

Hello doctor, My period got delayed by 10 days and after checking with a pregnancy kit, I found out that I am pregnant. But, when underwent sonography, there was no pregnancy. I have not got my periods yet and have vomiting and giddiness. Please help.

Hello doctor, I have headache, cramps, nausea, bad morning sickness, back pain, hunger, feel light headed. I am taking Olanzapine and Zyprexa.

Hello doctor, I have been having increased issues with extreme bloating, abdominal pain, fatigue, vomiting a lot of the time, excessive diarrhea, weird tiny patches of scaly marks on my shins, arms, and face. I literally dread eating anything. I am not starving by any means, I have more than enough meat on my bones but eating is worse than feeling pains of hunger. This has been increasing year by year and has been present for about five years now. My PCP is related to stress but I know there is something much more dire going on. I recently did an at home test for food sensitivities and I had reactions to 93 out of 96 foods tested. Does not seem quite right to me and I understand that IgG does not test for allergies. I am highly reactive to citrus as well as baker's yeast. Previously I thought I was having an allergy to the protein found in wheat and I went on and off of a gluten-free diet. I have gone so far as acupuncture to assist with proper digestion because I frequently find myself vomiting up undigested foods at least 7 to 9 hours after consuming them. I am 35 years old, a mother of five and a business owner of three. I do not consume sweets only because I have never taken a liking to them, I do not drink sodas, teas nor do I consume coffee. I also do not consume red meats and I am not a huge fan of vegetables. I have recently regurgitated a pile of blood and every time I eat anything, I am extremely bloated almost immediately. I am getting worried. Please suggest underlying potential issues that I should have tested with my local GP and specialists.

Hello doctor, About a month ago, I did a CBC for a regular check up. It came back as elevated WBC and platelets. It was 16.3. Neutrophils absolute 11.8, lymph’s absolute 3.5, platelets 402. Everything else was in normal range. I have had it done twice and it stayed about the same. I recently did an abdominal CT scan and it was normal. My doctor is going to do another CBC and if it is still elevated, she is going to send me to a specialist. I am extremely upset and worried. I have no symptoms. Does this mean I more than likely to have leukemia? I am a single mother and I am terrified. Could I please get a response?

Hello doctor,I am a 26-year-old male. I have been experiencing on and off acid reflux for a few weeks as well as mild dysphagia (strangely only at breakfast). I am afraid of esophageal cancer. I do not smoke and drink. I exercise regularly, and I am not overweight. I have no family history of any cancer. I do suffer from anxiety issues, though, and I have pollen allergies.

Hello, I am a 25 year old person. I have a short penis. It is only 2-2.5 inches long in flaccid state, but the length and diameter is 4 inches in erect state. I want to increase the size of my penis. Apart from this, I also have nightfall problem which lasts for less than 2 minutes. It will occur 4 to 5 times in a month. I had masturbated a lot during my early ages. I am an unmarried person, going to get married soon. So, will the penis size affect my marriage life? If so, I need a permanent solution for this. Kindly suggest me medications with no side effects to solve this problem.

Hello doctor, I have a premature ejaculation problem. When I am doing foreplay with my girlfriend, it automatically gets ejaculated after four to five minutes. Is it due to my masturbation habit?

Hi doctor, My writing skill is very strong but verbally I cannot protest at all against difficult people. My verbal communication skill is proper and organized if and only if I am focused and conscious at that moment. Otherwise, I tend to be unprofessional and non-intelligent in speaking. Even when a friend illogically shouts over me, I cry over phone and still keep talking in gentle manner. My logic remains in my mind, but I just cannot speak out, which in turn disturbs me later. Sometimes, I get angry by thinking I could not stand verbally for myself at the right time. In the past I was taking Trinicalm plus. What is the problem? I have a feeling that either I am too gentle, less courageous, lack confidence or definitely soft natured and lack mental strength. Please help me.

Hi doctor, I am a 23 year old female. Few weeks earlier, I had tooth pain after eating. Yesterday, I had acute pain in the tooth. I have attached the OPG scan for your reference. I would like to know, from the OPG, what is your opinion about the extent of decay? And also I would like to know about the possible diagnosis. Thank you.

Hi doctor, I have severe ankylosing spondylitis since 19 years. I am a 28 year old male, married and would like to have a baby now. I am taking Indomethacin 75 mg and Omeprazole twice a day. My left hip is completely fused, but I have no pain. There is pain in right hip and lower back. Please let me know, can I have a healthy baby. What should we do to get healthy, fit and fine baby? I do not want baby to be defective. Kindly give me suggestions to improve my health. My wife is completely fine and healthy. I have attached my Hb, CRP and ESR reports. Please guide me.

Hi doctor, I am a 27 year old man and a student of ecological solution. I do a little bit of sport. I eat a balanced diet. I have fatigue and headache when I do anaerobic exercise, and when I read a book. According to my doctor, my average blood pressure is 12.8 or 12.7. All my family members are in good health. My mother's sister has osteoporosis. Reading a book or something else gives me headache and fatigue, so I need to rest after reading something. When I need to read something I must drink a lot of water to be less tired, because if I do not drink a lot of water before reading I need to rest five times more than the usual. Because of this reason, I have stopped my schooling. I got my standard blood test, TSH and lipid test done, I used to do running of one hour by weekend. I want to do home body building like push-up, but I cannot do it like I used to do before. I do not know why my anaerobic capacity has decreased a lot in the last three years. When I do some push-ups or another anaerobic exercise like 100 m speed running, I have really bad results; I take too much time to do this kind of exercise. I am abnormally getting breathless and my heart beats fast. I was not like that before six years, but my physical appearance has not changed. I must drink 1 liter of water 35 minutes before running, if I do not then I cannot even stand for ten minutes. If I drink a lot of water like 1 liter, 40 minutes before, I can do 70 push-ups at the first series, but If I drink only one or two glasses of water 10 minutes before, I cannot do 45 push-ups and my heart begin to beat hard and I am completely breathless and tired. After a running session of 40 minutes to one hour, immediately when I begin to do my legs muscles stretching even if I am completely relaxed and feel good, without any breathlessness also. When I do my stretching my heart begins to beat very fast and hard and I begin to be breathless. Then I must wait and drink water and do my stretching very slowly. I have never felt this before, and I used to work at school with pleasure, read some books and do sport more easily. My wear has a strange smell after sport. It smells something like a rotten wood plank. It is a smooth bad odor not too much aggressive but really unusual. The few doctors I have seen do not know what the source of the problem is, but we found that I do not have a good thermoregulation because I am cold and need a lot of clothes. It seems like I feel better when I am in vasodilation period like under the sun or in a hot place. So, I tried a supplement called Citrulline six months ago, to have more arginine in the body to have a better vasodilation. Indeed, I feel really less tired since I take the Citrulline. I feel like my muscle cells and other tissue are more supplied in something that I need in these cells. Citrulline helped a bit, but it did not resolve the problem. Hope you could help me. Thank you.

Hello doctor, I frequently get bleeding from the nose, but it does not create pain. But some times it flows from my nose automatically. What could it be?

Hello doctor, I am constantly worrying about little things and I am emotional most of the time. I feel tired all day. Please advice.

Hello doctor, According to the lab report which was taken a week before TSH level is normal but T3 and T4 level is mildly increased. Please suggest will I be cured with medicine or without medicine. Currently, I am under medication for a chocolate cyst (Dienogest 2 mg).

Hello doctor, I am 27 weeks pregnant and have had Braxton Hicks steady for two days with my back cramping and pressure in my bum and vagina. Could I be in preterm?

Hi doctor, I am an 18 year old female. I have noticed that my vaginal opening feels lumpy and possibly a bit swollen, and I am panicking. It does not hurt, and it is not raw or itchy either. Please help me put my mind at ease.

Hello doctor, I am a 58-year-old cyclist. I recently started having a strange problem with my vision that started almost a month ago. It was also around the same time I was getting new glasses, but my optometrist said that he does not think the two are related. He referred me to see a neuro-ophthalmologist, and it looks like I have a 4th nerve palsy issue. After reading about it, it is familiar to my recent experiences. No accidents, history of diabetes or other issues. It seems to be my right eye. Looking straight, left and up is fine. The problem comes when looking down (bifocals) or looking right. I also read that blood flow could be an issue. I have been using my inversion table lately more often. I do feel obvious pressure in my eyes using this. Is that an issue? It scares me now, so I put it in the garage. I read this can be idiopathic and can even go away in a few months. Is it true?

Hello doctor, My baby is 2 years old. For the past four months, she gets constipated. She has to move her bowels daily because if she does not have it more than 24 hours, she will get constipated. We tried changing her milk, but it only made her stools harder. She is currently on similac go and grow. We add water on her milk because she hates drinking water and she is a very picky eater. I use pedia lax to help move her bowels. What should I do?

Hello doctor,I am 28 years and 6'1" tall with weight 85 kg. I had frenuloplasty a few days back and feeling normal about it. Sometimes I get erections, and it hurts a lot as the stitches may be the reason. I want to admit that I had a premature ejaculation issue as well before the surgery. Was it because of this short frenulum, and will it be better now? Also, I was unable to penetrate the vagina easily. Will it be rectified? If no what else should I do?Please suggest.

Hello doctor, I am having bad stomach cramps that I can feel through my throat and diarrhea for the past one week. Kindly advice.

Hello doctor,I am 26 years old. I am not being lustful lately and not getting lubricated easily. So I want to ask that is it fine to have Estrogen tablets. Are there any adverse side effects of it?

Hello doctor, I may have a liver problem and would like to get advice. I had done some medical tests recently and the liver turned out to be a bit problematic for me. Hence, thought of consulting a specialist. I am currently blood pressure, blood thinner, cholesterol-reducing drugs, and medicine for thyroid.

Hello doctor,I have dandruff, hair fall, and lately, I saw tiny white balls on my scalp after which my scalp became very itchy. Please tell me how to treat this condition.

Hello doctor,In the left side of my face right in front of the ear and around the lower back of my ear is swollen. I had a sore throat a few days before, and I have been coughing hard with lots of mucus. I had also swollen a teary, red, and slightly painful left eye, which started, a week before. What is this? Shall I go to the ER or doctor for my swollen face? I already consulted a doctor two days before the swelling and under antibiotics.

Hi doctor, I am getting facial warts again and again at the same place. I go for swimming every day. Is it because of that? I have undergone laser treatment twice and it went away with it. Now, again I have the same problem. What should I do? Is there anything that I can apply as I do not want to get laser treatment again and again? I have enclosed my picture. Please help me.

Hello doctor,I am 21 years old with weight 58 kg, and height 5'7". My penis size is 6 cm in normal, in erect it is 12 cm. Is this normal? What are the normal sex and ejaculation time? I feel very uncomfortable when I meet my girlfriend or talk with her in the phone about some hot topic because my penis becomes erect when she touch or hug me, and there is a seminal fluid is a discharge. What can I do for these problems?

Hi doctor, I have low blood pressure and am suffering with low pain in the heart for the past two days.

Hello doctor, I had protected sex with a woman. After a few days, I had an itch at the bottom of one of my ears. After 12 days, I done an HIV RNA PCR test and it was negative. After a few days, I had a wart-like bump in the shaft of my penis and body itching. Then after 60 days, I have done HIV duo combo test and it was negative. In these days, I had intense itching with rash similiar at the bottom of both of my ears. After 90 days, I have done the ELISA test, test for hepatitis A and B, herpes, syphilis, chlamydia, and they were negatives. After a few days, I had small itchy red bumps in the body. After 225 days, I done HIV tridot test and it was negative. But the itching in the body with bumps continues. Now I am 314th day after sex. What should I do? Should I go for another HIV test or other STD tests?

Hello doctor, I am a 27-year-old man. Sometimes, I feel very weak. My BP goes down and I am unable to stand properly. Also, there is a pain in my foot. Please tell me the treatment to cover this type of problem.

Dear doctor, Sometimes I get low BP, low sugar blackouts and palpitations. Please advise.

Hello doctor, I am a 75-year-old male. I had IHD 40 years back. 23 years back, my doctor asked me to add Ismo 10 mg twice a day. Since then, I am taking it twice a day uninterruptedly. Then I was 54 years old. My BP has always been normal in all these years. Maybe 150/80 or 140/90 till a few years back. Now it is in normal level say 120/80, 120/73, 115/70, etc. Since a year, I am experiencing low blood pressure at times, giving me vertigo-like dizziness for 1 hour or 2 only in the early mornings and when I take Vertin, it subsides after 1 or 2 hours. Recently, I went to a well-known cardiologist in my area. He checked me and said that I have systemic hypertension and I need not take Ismo any longer as I do not need it. The BP at that time was 130/70. Before my going to the above cardiologist also I have experienced these levels like 120/70, 110/69, 125/75 likewise. He further said after stoppage of Ismo, the BP levels come to normal levels and I will not experience dizziness anymore. But, I am afraid of stopping the Ismo abruptly for fear of getting an anginal attack, which I have never experienced. I am afraid whether to ask my doctor about this. So, I have stopped taking one dose of Ismo 10 mg during the night. Slowly I shall stop the other doses also in due course. Kindly give me your valuable advice about Ismo, about stopping Ismo and dizziness. Is there any harm if I stop one dose? Does long usage of Ismo trigger low blood pressure and vertigo? Please enlighten me on this subject.

Hello doctor, Is low blood pressure of 102/72 anything to worry about?

Hello doctor, My mother found a lump in her breast, which is movable and mildly painful. Then she was suggested for a mammogram, and it resulted as a mass lesion with an irregular margin of 8*10 cm birads v category. We are waiting for the biopsy result. She does not have any symptoms other than a lump, and she is very worried about the issue. Please help.

Hello doctor, My eye has become red and is watering, I think a foreign object has entered but I am not able to find it. What should I do? It happened yesterday and icing did not help. Currently, I am under medication for high blood pressure.

Hello doctor, I have red spots on my hands that started about 10 days ago. I also have a couple of spots on my foot. They are mildly tender and itchy. They have gotten worse but not more that 8 to 10. I have no medical history and do not take any medications daily. I had a cut on my finger from opening a metal box a few days before onset.

Hello doctor, My son is 5 years old and has developed rashes on face and few on his hands. He has no fever and is fresh playing around. He went out to farm with family and zoo last week, and since yesterday he started developing few rashes. He was having very low fever a couple days back but recovered without medication. My concern is these rashes could be due to any viral or the possibility of allergy? Please suggest any test or treatment.

Hello doctor, I had palpitations and episodes of passing out on and off for a few years. I had blood, ultrasound, and ECG (electrocardiogram) tests done, and so far, I have no answers as what is causing it. Is there anything they can do to help the symptoms at this point or do I have to put up with it and hope they find a cause and treat.

Hello doctor, I have small red bumps on both sides of the bottom corners of my mouth. They look like small pimples, but they are not very bumpy. It seems like it is more just redness in little pimple areas rather than actual bumps like pimples would be. I was given Metronidazole and I used it twice a day for 30 days and it seemed to get a little better at the start, but the problem still persists. I have had this problem for six months and I have scheduled a visit with a dermatologist, but it will not be for a few months. I am not sure if this is relevant, but I work with pig guts, so, maybe I got something from them, but I am not sure since I have been working for almost five months before I got these symptoms. One thing I have noticed is that in the morning it looks like it has improved, but then by the end of the day it looks like it is back to normal. I am not sure what the problem is and am not sure if it can be treated without a prescription, but I am willing to try various things.

Hi doctor, I am sexually active. But always use protection and double check after to see if the condom broke or not in case we need to take a pill. My period is fairly regular and lasts for 7 days. This time I did experience mild PMS symptoms and stomach cramps prior to onset. My period was five days earlier. And this time, period lasted for only two days but the flow was proper as always. Is there something I need to worry about?

Hi doctor, I noticed that for the past three months, I have had vaginal infection. But, all the tests were negative including vaginal swab and urine, which was done last month. I would like to know whether the vagina closes due to psychological reason. For example, when one do not want to have sex with someone. Please explain.

Hi doctor, I have lower back pain and right buttock pain. I have consulted a doctor for this, but I am not satisfied with the explanations. I have undergone MRI as per advice and here is the result. Posterior disc bulge with annular tear, moderate to severe stenosis of both neural foramina and mild stenosis of both lateral recesses at L3-L4. Disc desiccation and posterior disc bulge with moderate to severe stenosis of both neural foramina at L4-L5. Posterior disc bulge with mild to moderate stenosis of the left neural foramen, moderate stenosis of the right neural foramen and mild stenosis of the right lateral recess at L5-S1. Straightening of the lumbar lordosis most likely due to muscle spasm. Apparent posterior convexities are noted at C3-C4, C4-C5, C5-C6 and C6-C7. Disc desiccation is seen at C4-C5, C5-C6, and C6-C7. Please guide.

Hi doctor, I have been in menopause for 6 years now. Over three months I have been having bouts of weakness in shoulders, arms and sides of stomach. I feel very weak and strange. I do not feel dizzy. Sometimes it starts with a hot flash. Or else I will stay awake with this terrible feeling and will have hot flash at the end of it. I had CBC. As my symptoms become worse I went to an urgent care and the doctor took 6 vials of blood. He checked many things including EKG, which is normal. My fasting finger prick was 74 and HbA1c 5.6. I have attached the rest of the blood reports.

Hello doctor, 2 years and 6 months old with abnormal CBC test results (two tests seven weeks apart). First tested because of enlarged lymph node (only one side) in neck. Node has reduced in size to what appears normal. Low MCHC (just barely outside range of 32.0 to 36.0) 31.3. Low NE % of 26.1 Auto diff with range 43.0 to 65.0, high LY % 62.7 with range 20.5 to 45.5, high EO % 3.9 with range .9 to 2.9. Highly # 6.2 with range of 1.0 to 5.5. What does this indicate? I have read all the horrible possibilities. Is it possible these are indicative of something not serious?

Hello doctor, My bicep muscle has been twitching and my leg and arms muscles twitch occasionally. I am super anxious about ALS. I am 36 and postpartum six weeks but I cannot stop obsessing about ALS. Please help.

Hello doctor, Taking CTD-L 6.25/25 for hypertension and Amaryl MV-1 for diabetes for more than five years. My fasting sugar level is always above 200 on average. Besides this, I have vertigo syndrome, RBBB, severe constipation, and for the last three years itching in lower legs (right leg in winter and left leg in summer). Most of the time I am sitting for my job. My height is 181 cm and weight 110 kg (no change for the last five years).

Hello doctor, I am having upper stomach pain, nausea, loose stools, fatigue, gas. I had one episode of vomiting (regurgitation) about five days ago, and the symptoms all went downhill from there. I am taking Aspirin, Zoloft, Prednisolone, Cellcept, Hydroxychloroquine, Amlodipine and Clonidine. I have lupus (SLE), anxiety, and GERD. I am also 18 years old and 200+ lbs.

Hello doctor, My lax les is 38 cm with inflamed gastric folds and severe antral gastritis. Presence of diverticulum and ulcer near the pyloric ring. I have constant nausea, bloating, and throat tightness.

Hello doctor,I want to get some information regarding bipolar disorder because I think I have it. I had horrible mood swings, one moment I am overly happy, and the next moment I feel depressed. My sleeping schedule is also different than usual.

Hello doctor, I went to the chiropractor and got my neck adjusted. I had sore on my neck more in the back left corner then the pain passed down to my left arm. After checking, they said it was a flare-up and to ice it. The next day I had it adjusted again, and he pointed out that I had a swollen lymph node on the left side. I still had sore in the same spot and was worried about my artery and my lymph node. Could my lymph node be painful because they adjusted my neck or because my muscle was sore and irritated?

Hello doctor,I am concerned about a possible raccoon roundworm exposure. I have read that I can take a prophylactic 10-day course of Albenza to keep any eggs from entering my CNS. I might have type 2 diabetes for a while and have put off bloodwork to find out. I am a glaucoma suspect based on the last eye exam. How hard is Albenza on the body? Is it generally well tolerated for many days? Do immediate side effects get better after a few days?

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 -->

Hi. You have really done well with the hypothyroidism problem. Your levels are normal with less medications which are very good. As it is genetically induced, it is very difficult to lose weight. My advice to you is, you should focus on maintaining normal levels of TSH (thyroid-stimulating hormone) and try to remain active, having a positive outlook in life. Or else, it will become very difficult to balance your life with the symptoms of hypothyroidism. Even though your weight has not reduced, be very careful in not putting on weight here afterward. Everyday brisk walking for 1 hour. If you have body pain, alternate with exercises and walking. Avoid all kinds of junk foods, processed, bakery products, rich sweets, fatty foods, sodas, alcohol, and smoking. Avoid partying and binge eating. Follow the food timings properly. Have small frequent meals. In between snacks should be strictly fruits or any kind of low-calorie foods. Have unsalted nuts around five daily. It can give a glow to your dry skin. Everyday water intake should be around 1.5-2 liters. You can use flax seeds. Powder it and mix it in your food. It is a fiber which will give you fullness. Use turmeric, fenugreek seeds, or powder every day. It is a good antioxidant and fenugreek helps in reducing cholesterol levels. Include low-fat milk, curd every day. Egg white, lean chicken, or fish can be taken daily in moderation (anyone). Organ meats need to be avoided. Is your menstrual cycle normal? Please get back if you have any other complaints. Follow up after 15 days.

Hi there Acne has multifactorial etiology. Only acne soap does not improve if ypu have grade 2 or more grade acne. You need to have oral and topical medications. This before writing medicines i need to confirm your grade of acne. For mild grade topical clindamycin or retenoic acud derivative would suffice whereas for higher grade acne you need oral medicines aluke doxycycline azithromycin or isotretinoin. Acne vulgaris Cleansing face with antiacne face wash

Hello. The popping and discomfort what you felt is either because of improper scapulothoracic mobility or may be due to facet joint irritation in the neck with intervertebral hypermobility. Which could have caused due to stiffness in the chest muscles, shoulder stiffness, etc.  I would recommend you to do a lot of icing in the chest and back muscles. Maintain your neck and upper back posture by doing some back retraction work. Gently stretch your neck and chest. Gently massage your chest and shoulders to relieve tension in the muscles. I hope this is helpful for now. Kindly revert in case you need any help in this regard.

Hello. The HIV test uses a finger prick blood sample, with results given within 20 minutes, and is 99 % accurate at detecting any HIV exposure that may have occurred more than 12 weeks ago. However, it can potentially pick up HIV infection from as little as four weeks ago. There is nothing to worry nothing will happen, and please repeat your test after 12 weeks. If you want accurate results to get, it has done RNA PCR which will give actual results within 10days. Antigen detection like P24 gives best results with in two to four weeks. Probably your suffering from a simple viral upper respiratory infection. After 12 weeks, please consult your doctor he will examine and treat you accordingly.

Hello. If you are saying it is already six months since the surgery and if you are doing regular physiotherapy, still has not gained much of the actions, then it is not worth waiting anymore. There are many muscle transfer surgeries which can give you the desired movements and help you in day today activities. But you have to remember that post such operations you will require time to train the brain and get the full use of such movements. That will take time. Do not want to demotivate you, but tremendous training and hard work might be required to reach the pre trauma stage of your boxing.

Hello. There are lots of bacteria and other organisms that colonize healthy skin. Yeast a fungus also is a commensal in our body. Just the presence of these organisms is of no significance. The colony count is needed, which is high, will need a course of antibiotics, which can be decided by culture and sensitivity. But after a surgery like what you had, or any significant stress or use of lots of antibiotics (as would have happened after surgery) or use of steroids or diabetes, all infections show an altered balance between good and bad bacteria. You do not need any treatment for this. Just wait for your body to develop those good bacteria, and gradually, all tests will come negative. If you have any symptoms, treat as per need. Avoid unnecessary antibiotics use. They will further delay the recovery. I hope I have clarified your query, do write back if any more questions.

Hello. I checked the attached photo (attachment removed to protect patient identity) and read your description. It seems you have been suffering from hair loss problem for a longtime. Do you eat healthy food like vegetables and fruits every day? Sometimes lack of nutrition is also the reason for hair loss. Do you know if your father also differed from hair loss issue at this young age? Did you suffer from severe health issues or chronic illnesses? If you do not think above mentioned is the cause for your hair fall, then the only reason I can think is that you have been going through severe stress which has taken a toll on your health. Homeopathy would be a good option in this case as it will cure our problem from the root cause, and there will be no side effects. So to prescribe you a correct homeopathic remedy I need to understand your mental, emotional, and physical state. He ce I need detail case history which can be done either through face to face consultation or online consultation. I would advise you to visit a good homeopath for consultation. For the time being, you can apply arnica hair oil twice a week on your hair. Just mix one spoon of Arnica oil with five spoons of coconut oil and apply all over your scalp. You can gently massage your ear with this mixture. Try this for 15 days and then let me know how you feel. I hope you start feeling better. Let me know if you have any questions.

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 -->

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.

Hello. I welcome you to icliniq. Well it is not uncommon to have Gastric upsets after a course of antibiotic. And antibiotic like augmentin are notorious to cause this. This occur secondary to effect of augmentin on decreasing the amount of lactobacillus microorganism which are normally present in the human gut and help digest the food. You should take yougurt, Kefir (fermented yougurt), Kefir. and there are certain diets with probiotic activity you can start taking it. Plus take Tab Ecotec twice daily for 4 weeks, and Tab Levosulpiride 75 mg once daily half hour before meals.for 2 weeks. You can continue with acinil O syp. while rest of your current medication can be stopped. I hope this will correct your microbiota and will bring the same healthiness as before. good day Antibiotic induced dysbiosis Small intestinal bacterial overgrowth Antibiotic induced dysbiosis Let me know in one week time how you respond to above regimen, if persistent of symptoms I would consider testing and giving some safe antibiotic therapy for 2 weeks.

Hello. I had gone through your question, and I can understand your concern. If the pain occurs only when you eat food and it gets stuck into it, it is reversible pulpitis. For that, you do not need to get it extracted. You need to get it filled, and it will cost you less than that of pulling (extraction). Second, you will save your tooth too. My suggestion is to get dental filling done as soon as possible. If you want to get it removed, you need to visit a doctor (dentist), and there will be no pain because during extraction local anesthesia is given.

Hello. I understand your concern. The pictures are a bit hazy. But from the given images, it looks like a fungal infection by the name of pityriasis versicolor. I would also need to see your chest, upper back, and shoulders to be sure. Kindly send clear photos of the same to make a conclusive diagnosis. Meanwhile, you can start using the following medicines. 1. Tab Fluconazole 400 mg start and repeat once after a week. 2. 2 % Ketoconazole lotion apply for 5-7 mins and wash off once a day.

Hello. I need to know a few things, 1. Do you feel feverish, or does the thermometer record a temperature? 2. What other symptoms do you get? Runny or blocked nose, sore throat, throat pain with swallowing, headaches, body pains, etc. 3. Does anyone else around you (family members, co-workers, etc.) develop similar symptoms before or after you do? 4. Do you get any tests done like blood tests or X-rays during those episodes? From your description, it appears that you are getting frequent viral upper respiratory tract infections. These are acquired from other patients through the air (coughing, sneezing, etc.). They are usually short-lived and last no more than five to seven days. Since more than 300 different viruses can cause similar symptoms, you can get infected multiple times each time with a different virus. The same virus cannot affect you again. Unfortunately, antibiotics do not work against viruses. They are meant for bacterial infections only. However, doctors continue to prescribe antibiotics unnecessarily, and this has led to the emergence of widespread bacterial resistance.  Other than symptomatic treatment, no medicine can cure or prevent these infections. They are self-limited, and you will get better even if you do not take any medication. The older you get, the less frequently you will get these infections as your body will be building up defenses with every disease. No household tips or vitamin supplements have been proven to work. Premature birth can lead to increased frequency of infections, but unless the infections are bacterial, not much can be done about them. Please get back to me with answers to the above questions and also attach any test reports you may have.

Hi. I could understand your crisis. For further information consult a toxicologist online -->

Hi. I went through your post and investigation (attachment removed to protect patient identity). Regards. For further queries consult an internal medicine physician online -->

Hello. Regards. For more information consult a paediatrician online -->

Hello. The condition you have described is called proptosis. The most common cause of proptosis is thyroid abnormality (hyperthyroidism) and called thyroid eye disease (TED). In this condition, eye muscle gets enlarged due to GAG (glycosaminoglycans) material deposition. This condition usually resolves after active and quiet phase that takes up to five to seven years. During this time the actual cause is treated (hyperthyroidism) and for proptosis steroids may be given (that you have already taken). Enlarged muscles can compress the optic nerve and can cause permanent vision loss. So you need to consult an endocrinologist for the treatment of thyroid abnormality. Quit smoking (if you are a smoker) and keep follow your eye doctor to avoid complication that can cause permanent vision loss. You are welcome for any queries.

Hello. Cold and sweaty hands and feet can happen in heart failure, anxiety, hyperthyroidism and shock. Numb feet, which are painful while walking can be due to neuropathy, nerve root compression at lumbosacral spine, or arterial occlusion in legs. The half closed eyelids can be ptosis, or something else. I suggest you get the following tests done: Since when you are having these problems? Do you have any impending doom, palpitation, breathlessness? I suggest you meet a neurologist in-person for proper clinical examination and better judgment. Revert with more information to a neurologist online -->

Hi. For further doubts consult an obstetrician and gynaecologist online -->

Hello. I have gone through the reports (attachment removed to protect patient identity). For further information consult an obstetrician and gynaecologist online -->

Hi, It is really sad to know about your daughter. 1. As a matter of fact your daughter seems to have acute thyroiditis. Though the thyroid profile has not shown full blown thyrotoxic state, she has subclinical hyperthyroidism with TSH being suppressed. Since how long has she been like this? Thyroiditis might take 8-12 weeks to settle. How old are the reports? Thyroiditis might leave the patient hypothyroid. 2. Secondly she is 15, puberty is another phase of major hormonal and emotional change over. How are her periods? Has she put on weight? or lost some? You have supplemented with multivitamins, please see if B12 upto 1500 mcg is being given and Vitamin D 1000 IU daily or 60,000 IU once a week is going. Also supplement her with calcium and magnesium and check these levels as well. Treat her with Propranolol 10mg twice a day to beat the anxiety and palpitations. Get back to an endocrinologist online -->

Hi. I have gone through your query. Prostatic acid phosphatase (PAP) has been replaced by PSA (prostate-specific antigen test). It is better in the detection of prostate cancer compared to PAP. The elevation of PAP levels alone is not a cause for concern. I hope your treating doctor has done a rectal exam to find out any prostate nodules. If it is normal, then it is not necessary to repeat the tests. Hope this helps you. Feel free to revert back with any questions. For more information consult an urologist online -->

Hi. Free PSA should be more than 15 % to rule out prostate cancer. Free PSA is an additional tool used when PSA is above 2.5 and we want to check whether high PSA is due to benign prostate growth or due to prostate cancer. Some laboratories use 25 % cutoff, but most have 15 % cutoff value. Since your total PSA is quite low and free PSA is above 15 %, you should not worry. If in doubt, repeat after a few months.

Hi. I have gone through your query. It is extremely unlikely for you to develop prostate cancer at your age. Even in families with hereditary prostate cancer, the usual age people develop cancer is above 40 years of age at the lowest, though it is usually between 50 to 60 years. That said, in your case, it is too early to jump to conclusions of having prostate cancer in your family. The most likely explanation for your symptoms could be a mild urinary tract infection or even your increased fluid intake. Prostatic calcification is commonly seen and does not imply anything significant to worry now. If you are concerned, you can do a PSA (prostate-specific antigen) test and a prostate exam at 40 years. If normal, then you can repeat it after three years interval. For more information consult an urologist online -->

Hi. I have gone through your query. I concur with your urologist in the need for a biopsy. Any PSA (prostate-specific antigen) more than 4 or abnormal findings on DRE (digital rectal examination) needs evaluation to rule out prostate cancer. None of the non-invasive techniques are sufficiently accurate as a biopsy at present. The closest is an MRI which, if positive, needs to be confirmed by a biopsy, and if negative does not exactly rule out a malignancy, you will need a biopsy nevertheless. Many blood tests are available but those are only if the DRE is normal and will not be applicable in your situation. Hope this was helpful, feel free to revert back with any other questions. For more information consult a urologist online -->

Hi. For further information consult an eye care ophthalmologist online -->

Hello.  I feel that it would be the best if you do not stop these medicines without the advice of your doctor who recommended these and made a plan for your pregnancy because self-treatment strategy will lead to no benefits. And both of these drugs are safe to use, so you do not have to worry. Furthermore, for your knowledge, aspirin is usually stopped at 35 to 36 weeks of pregnancy, and Clexane (Enoxaparin sodium) is being continued until delivery, and even after that. So I would again say that please take advice from your particular doctor before stopping any of these medications as your pregnancy is very precious. I hope it has helped you. If you require any further queries, please do not hesitate to contact me.

Hi. The test kits used to diagnose HIV are highly sensitive and specific and gives accurate results. The majority of the people who are infected with HIV (human immunodeficiency virus) develop antibodies by three months, and even in the rare instances of late seroconversions, they develop HIV antibodies by six months. You can rely on your HIV screening test results. If there had been no other exposure other than that, you do not require any further test. The symptoms which you mentioned could be due to various reasons and cannot be attributed to HIV. In fact, there are no specific symptoms or signs which can lead to the diagnosis of HIV. As per the above information, you are HIV negative. Just relax. Hope your query is answered, but if you have any other query, please do not hesitate to ask or call anytime. Best wishes. For more information consult an HIV AIDS specialist online -->

Hi. Most of the persons who are over-possessive of their partner show certain kinds of behavior that is uncommon in the general population. They feel less secure and this sense of insecurity is the driving force for the over-possessive nature. Someone who is insecure may doubt their partner's dedication and may, therefore, try to control them. In short, they feel vulnerable and will do anything to make sure they are not hurt. The sense of insecurity can stem from a number of situations including parents leaving a child, a past romantic partner who was unfaithful and many more. To control the possessiveness: Consult a psychiatrist online in case of further assistance in overcoming this situation -->

Hi. It is very difficult to say what disease you have, because pimple does not come over penile area. It could be molluscum which looks like a pimple. If you can send me the photos, then I can definitely diagnose it. Explain the lesion properly like itching, pain, duration, pus filled, etc? Are you sexually active? Revert back with the photos to a dermatologist online -->

Hi. For further information consult an obstetrician and gynaecologist online -->

Hello. Unfortunately what your doctor has said is right. Spotting in early pregnancy is normal. But a fall or no rise beta HCG is a poor sign. Beta hCG is a hormone produced from fetal tissue. At a level of 25 mIU/mL urine test is positive it doubles in 48 hours. So if the result of 7th is 125, then on 9th it should have been around 250 or more. Only healthy fetal tissue can produce an adequate amount of this hormone, so indirectly we get to know the health of the embryo even without seeing it. So it just means the fetal tissue is not growing. There can be lab errors, so to be on a safer side doctor has asked you to come for scan, to confirm.  If you are worried about the repeated miscarriages, have yourself and your partner checked for any problem. Causes like blood sugar levels, thyroid hormone problems, or prolactin hormone abnormalities, any structural problems in the uterus or any problem in semen. Do not lose hope, if you are getting pregnant without much help, no matter what the outcome is, then you will surely have babies. I hope I have clarified your query, do write back if any more questions.

Hello. For further information consult an internal medicine physician online -->

Hi. For further information consult an internal medicine physician online -->

Hello. This kind of chest pain occurs during stress and anxiety only. We label them nonspecific cardiac chest pain. But, we should always keep in consideration cardiac chest pain and acid reflux. It is important to differentiate between the all. However, the cardiac chest pain is severe and crushing in nature. It increases on activity like walking and exercising. It also gets radiated to left arm. Since your ECG and other cardiac workup are normal, the pain is not due to cardiac issues. For acid reflux, I would advise you to take a combination of Pantoprazole and Domperidone once a day. Your increase in heart rate might be possibly because of anxiety only. For anxiety, try to do meditation and if no relief, you would be treated with anti-anxiety drugs like Etizolam. For further clarifications consult a cardiologist online -->

Hi. Based on your query, my opinion is as follows (attachment removed to protect patient identity): For further information consult a hematologist online -->

Hello. I can understand your problem. Sexual feelings in an adult towards a female are considered as normal and acceptable. But, such feelings towards any female with blood relationship are not acceptable in any society and this result in significant blow to reputation and respect. The feelings you have described towards your own mother are wrong and should be controlled. In future this might result in relationship problem in your case especially towards your wife. This might result in difficulty in maintaining relationship with any other female. To overcome the problem you have to work hard. One thing is that stop watching porn completely. If that is not possible at this moment then watch videos only and avoid going to forums or reading stories of incest online. Such things increase the perversions. Avoid watching any material that relates to incest. I am not saying that you should stop masturbating but stop thinking about incest. You are having guilty after incest ideas, so most likely these are intrusive ideas and should be treated also. If possible visit a psychiatrist for help. Medicines like Paroxetine or Fluoxetine can help to control your intrusive ideas and you will feel better. These are safe medicines. Spend your time in outdoor activities. Gym and sports will help to vent out your energy and you will feel better. Avoid spending more time on computer and if your work permits then stop using computer or internet for some days. This will help you to overcome the addiction. Psychological conflicts. For further information consult a psychiatrist online.--->

Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->

Hi. I read your query with keen interest and understand your concerns. From the available description, I do not think you have crossed the limit of sanity or you developed schizophrenia. Schizophrenia is altogether very different disorder where people have abnormal perceptions such as hearing voices when no one is present and seeing objects when nothing is there. I do not see any of them with you. In my view, you need to put your worries at rest and do what your mind and heart considers right. It may be abnormal for your mother, but there is no pathology with this. If you feel more assistance is required or my answer to your query is far from setting down the worries, then it is better to see a psychiatrist in person. For further information consult a psychiatrist online -->

Hello. An anal leak is mostly due to underlying reasons, which need to be thoroughly investigated. Although we can together try reaching out on differential diagnosis. Regards. Revert with more information to a cosmetologist online -->

Hi. Revert back with the answers to the above questions to a neurologist online -->

Hi. The answers to your queries are as follows: Hope your queries are answered, but please do not hesitate to ask or call anytime for any further query. Best wishes.

Hello. The striking point in your history is that you have taken morning after pill thrice in the last 4 months. It has to be understood that the most common side effect of an emergency contraceptive pill is delaying the next 2-3 menstrual cycles.  As your pregnancy test is negative even after 13 days post period, it clearly indicates that you are not pregnant . Hence, the delay in periods is likely to be due to ipill side effect. Or another possible reason for the delay could be stress induced hormonal imbalance during this menstrual cycle. Stress including emotional, psychological, physical or social disturbances, all have a bearing on the reproductive hormones and can easily delay your menses, once pregnancy is ruled out.  It is suggested that you can wait for another week to allow your menses to resume naturally , if not then you may opt for a withdrawal bleed with progesterone pills to resume your menses.  As pregnancy test is negative, you can rest assured and wait for another week safely. For further queries, consult an obstetrician and gynaecologist online -->

Hi. In your case, there is a chance that semen might have entered into the vagina. As you have not done any sexual intercourse, there is less chance of getting pregnant. You have to rule out pregnancy by urine hCG (human chorionic gonadotropin) test. You can do this test at home. If pregnancy is not present, then thyroid problem and diabetes should be ruled out. Excess stress, obesity, prolonged fasting can also lead to a delayed period. You can consult a gynecologist for examination if needed. For more information consult a family physician online -->

Hi. I assure you not to worry as all things may get settled with proper care and follow-up. 1. Inguinal lymph nodes usually get prominent due to some infection (that you say have been ruled out) or some primary pathology of the nodes themselves.  2. The knots you are talking about also warrants to rule out if that is a vein pathology or lymph nodes can be benign or cancerous changes. Biopsy of the nodes is mandatory especially when there we see changes on ultrasound.  3. Weakness can be due to hemoglobin or red blood cell deficiency. Other causes of weakness may be hypothyroidism or fluid and electrolyte imbalances.  4. Your low sedimentation rate may be due to red blood cell, white blood cell changes and protein abnormality. Sickle cell disease also may cause it. But clinical correlation is the key and for that your physician needs to go for physical examination and if suspicion arises, he may refer you to hematologist.  5. Pain in the lymphatic region can be due to lymph nodes being pressed on or it is possibly from lipomatous changes.  6. I also prefer you to get a detailed heart evaluation from cardiologist as weakness, shoulder and arm issues warrant that too. This kind of symptoms also needs screening for hypertension and diabetes mellitus. Your physician can help you for that too.  7. If you have got tested the above in past 8 weeks, you may upload the reports here for my review and diagnosis. If more than 8 weeks old, please go for repeat fresh tests. Biopsy and histopathology of the lymph nodes. Can be decided on investigations and diagnosis. Revert back with the investigation reports to an internal medicine physician online.--->

Hi. All these are normal after tonsillectomy surgery. I will suggest some steps to relieve some of the symptoms you are facing. Gargles with Benzydamine mouth wash diluted in water few times daily will help soothe the area and relieve pain. You may also take Tylenol for a few days for the pain relief. To relieve inflammation (the engorged blood vessels and cobblestone formation) you can take a combination of Trypsin Chymotrypsin Bromelain Rutopside. This medicine will relieve inflammatory cells and products from the area. Cobblestone formation is normal after the surgery. Regarding the reduced length of the uvula and the scarring on the palate, I would say, they are due to bad surgical technique. We carefully dissect the tonsil out of the pillars so that there is nil scarring of pillars and change to the uvula. We use a coblator for the purpose that minimizes bleeding and postoperative pain.

Hi. Revert back after a week to an obstetrician and gynaecologist online -->

Hello. Apply Adapalene and Benzoyl peroxide 2.5 % combination gel at bedtime over the back. Do not apply Cortisone cream (steroid). It can lead to worsening of the condition. Clinical photographs would have helped. For more information consult a dermatologist online -->

Hello. Your daughter is into the screen most of the time, and hence, it will be her primary advisor. She is just modeling what she sees and is quite common at this age. Try to minimize her interaction with the screen. She requires more human interaction. Put her in extracurricular activities to the maximum. Spend time with the child talking to her, and she will like it. Do not punish her, as it will have a negative impact, and the behavior can increase because of scolding. She will slowly get out of it. You can review with me for further follow-up.

Hello. By saying that all tests were normal, I hope you mean 1. Blood sugars, thyroid profile, and prolactin hormone levels. 2. Husband's semen analysis. 3. Wife's scan of uterus and ovaries. 4. Fallopian tube patency tested with HSG (hysterosalpingography) or laparoscopy. Now for loss of libido, the following reasons are to be addressed. 1. Above mentioned blood tests. 2. Kindly seriously think of shedding few kgs. Your expected body weight is 52 to 57 kgs. 3. Try to reduce any physical or mental stress. Diabetes has to be ruled out with HbA1c. If all these are normal, there is no reason for you to worry, and you will surely get pregnant. I hope I have clarified your query, do write back if any more questions.

Hi. Deamidated gliadin IgG antibody level of more than 30 is diagnostic of celiac disease. Since the number mentioned by you is 152, it indicates that the person is having celiac disease.

Hello. From your history of noise exposure and symptoms, it is suggestive of acoustic trauma. It occurs after a single exposure to very intense sound which cause damage to the organ of corti or damage the hair cells. Symptoms include ringing sensation in ear known as tinnitus and hearing loss. Treatment depends on severity of symptoms. If only tinnitus is present, protect the ear from further damage and also take some neuroprotective drugs. But, first you need to do a pure tone audiometry (PTA) to assess the severity. 1. PTA. 2. Tympanometry. Acoustic trauma. 1. Capsule Zincosule-4G (Multivitamin) once daily. 2. Tablet Defcort (Deflazacort) 12 mg once daily for seven days. Avoid loud sounds.

Hi. Please wait for a week for your period to start. If it does not start by then, you will have to do urine pregnancy test to rule out pregnancy. Period could have been delayed due to stress. Another rare possibility is that of pregnancy. Though you mentioned the days you had sex as your infertile days, sometimes occasionally ovulation could be delayed making the days fertile. Still you had taken emergency pill (though it is highly effective in preventing pregnancy, protection offered is not absolute). So, there can be little chance of pregnancy which you need to rule out first. If you want to rule out pregnancy earlier, you can do blood beta-hCG test, negative result of which will rule out pregnancy. Other option as I told is to wait for a week. If pregnancy test comes negative and still period does not start, you can induce period by taking tablet Medroxyprogesterone acetate 10 mg twice daily for five days. Period generally starts within a week of last dose of tablet. It will not induce period if you are pregnant.

Hi. I understand your situation. This much of bleeding is considered unusual. Either the process of abortion has been incomplete, because of which the uterus is still trying to expel out the products of conception. Or you have some blood problem. Are you still passing clots? Or is it plain blood that is coming? Also, if you could tell me exactly how you proceeded to take the medicine it would give an idea of the cause of bleeding. For the time being, take tablet Tranexamic acid 500 mg, thrice a day. This will stop the bleeding, but not cure the problem. So, till the time we know exactly what is wrong, you can take this tablet. Incomplete abortion. Ultrasound pelvis for retained products of conception (RPOC) and CBC (complete blood count).

Hi. There is redness and some pus filled acne too (attachment removed to protect patient identity).

Hello. Let me start with a few basic facts and further clinical correlates and effects. Every lady has two uterine tubes, which fuse at birth, and over time, the wall between the two tubes disappear. Now the uterus is converted into a single cavity uterus. The upper ends of tubes remain separate as two fallopian tubes. Sometimes the fusion is complete, but the partition does not disappear. If the tubes do not touch others or do not fuse at all, then you get bicornuate uterus. But if only the wall is partially removed, it forms subseptate uterus. If the wall does not disappear at all, then the septate uterus is formed. Now in both the last two conditions, the main problem is that the space inside the uterus is compromised. The best option was to have a hysteroscopic resection of septa then get pregnant. Having rest makes no difference. At 14 to 16 the week, she can undergo an elective cervical cerclage. Due to septa, uterus loses its polarity, and she is prone to cervical insufficiency. As space inside the uterus is compromised, she can have preterm pains, preterm labor. Due to septate, the baby presentation may not be head down. I hope I have clarified your query, do write back if any more questions.

Hello. I have read through your question and would like to tell you that respiratory problems can be due to allergic or due to infection. Her Haemoglobin could be due to dietary deficiency. Give her iron-rich diet like dates, banana, and green leafy vegetables. If the respiratory problem is due to infection, then she may need an antibiotic course. For now, steam inhalation will help to relieve her. Steam inhalation with menthol twice daily. If her condition does not improve in two days, get her checked by a physician. If her Hemoglobin does not improve in one month, get a complete blood profile done to know the cause of anemia. I hope that answers your question. If you have any further questions, please feel free to write.

Hello. Blue fillings or bites are removed when your teeth are better aligned, and deep bite (if present) is improved or corrected enough to prevent interference of upper teeth to lower braces. It takes a while to get used to the blue bites, usually 7 to 14 days. However, chewing continues to be less effective for longer. It is advisable to eat soft foods and supplement with nutritious juices and smoothies.

Hello. It is better to increase the dose by 25 mcg, i.e. 175 mcg if she was using 150 mcg till date escalating the dose or thyroid medication will be like 25 to 50 mcg at a time. Not double the dose causes severe sickness. As you mentioned, she was Synthroid (Levothyroxine). It is better to continue the medication to maintain a normal thyroid level for a long time. After using this medication 175 mcg, it is better to repeat the thyroid profile after six weeks to check for that thyroid level.

Hello. I have seen the reports (attachment removed to protect patient identity). Take care. Hope this will help you. For more information consult a hematologist online -->

Hi. Penile pain occurs due to infections or inflammation of the bladder or prostate. Trauma, persistent erection (priapism), cancers, and Peyronie's disease (the development of scar tissue within the penis) are the other causes. Sickle cell anemia may cause priapism due to blockage of small blood vessels in the penis. I suggest you consult a doctor for a physical investigation.

Hello. Usually, in sickle cell anemia, blood transfusion is not needed. The prognosis depends on the severity of sickle cell. Dehydration, infection is a usual precipitant for sickle cell anemia. So it is better to avoid them and whenever having such incident, consult a doctor immediately. Sickle cell anemia patient's median age can be considered between 50 to 60 years but still, the exact specific prognosis cannot be predicted.

Hello. Yes, sickle cell anemia is a disease where RBC shape changes while dehydration and oxygen level goes down in body. Usually red blood cell will be round and plate shape. During dehydration and less oxygen time the shape of the red blood cell becomes sickle shape. Now RBC will stick together and block the blood vessels and produce ischemia. So to reduce the obstruction, you need fluids more. If obstruction is in lung, spleen, kidney or any organ, it is dangerous and severe painful. So avoid dehydration conditions, do not do severe exercise, avoid going to hill stations where oxygen is less. Drink adequate water.

Hello. For more information consult an internal medicine physician online -->

Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further doubts consult a neurologist online -->

Hi. I have read your question in detail and I know that you are very concerned about your child but do not worry. Muscle stiffness and fever can occur after a DPT vaccination and is not a contraindication for vaccination. Contraindication for DPT vaccination are seizures, inconsolable crying, and central nervous system infection or encephalitis after giving DPT vaccination. If you want to be on safer side then go for acellular vaccine instead of whole cell vaccine. You should give DTaP vaccine instead of DwPT vaccine. Take care.

Hello. I have gone through all your reports (attachment removed to protect patient identity) and your prolactin and thyroid levels are well in control. What is missing in the follicular monitoring profile of the dummy cycle and also your husband's semen analysis test? You have been following the correct protocol using LH kits for ovulation and post LH surge if a natural trial or timed intercourse did not work then husband's semen analysis becomes mandatory. Then when both male and female infertility causes are ruled out then comes mechanical causes where positions and version of uterus need to be considered and measures implemented. Anyways please send these two remaining reports before we can proceed further.

Hi. For further information consult a psychologist counsellor online -->

Hello. You are describing an allergic reaction of the eye to some factor. If you are not also suffering from sneezing and dry cough at night then you can use antihistamine eye drops such as Pataday once daily or Patanol or Zyrtec twice daily for a period of 10 days. If you have started using any kind of new cream or make up around the eyes, change it into something hypoallergenic. Best of luck.

Hello. She has an infection in the nail bed space. Need to focus on three things. 1. Her diabetics need better control. Better diet modification with medicines. HBA1c is too high. 2. The nail needs to be trimmed well regularly, and the area needs to be cared well daily. She may not have a proper sensation at the region due to diabetes. So regular inspection and care is mandatory. She should not walk barefoot, and slippers need to be correctly selected. 3. She needs control of infection. Visit a nearby surgeon (preferably podiatric) for the drainage of pus if present. Take an X-ray to rule out bone involvement and also need to check the blood supply to the region. I hope your queries have been cleared. Please review if any further questions.

Hello. Thanks for providing clear and consistent history about your current medical condition. I can reflect on what you mentioned that it is related to Excedrin as it can cause gastric upset by increasing the secretion of HCl (hydrochloric acid) in the stomach. I suggest that you stop taking Excedrin for the coming period (at least a month), take some dietary precautions including avoiding caffeine, spicy food, dark chocolate, mint, fizzy drinks mainly cola containing ones, deeply fired, chili and spicy food. Avoid NSAIDs (non-steroidal anti-inflammatory drugs) like Voltaren tablets and even injection and aspirin as well. Take the medication mentioned in the treatment part. In case, the condition continues, you need to visit your doctor (general physician or GIT specialist) for further evaluation. Gastritis, Peptic ulcer, and GERD(gastroesophageal reflux disease). Zantac (Ranitidine) 150 mg tablet one tablet two times a day for seven to ten days.

Hello. Migraine is a diagnosis based on symptoms given by the patients. The symptoms are a severe headache, dizziness, vomiting some patients also get migraine by a loud sound, acidity, and excessive heat or cold. If you are having other symptoms like pain in the neck or back or shoulder, excessive acidity or deteriorating eyesight, then maybe the diagnosis of migraine can be challenged. If not Fepanil (Paracetamol) is good medicine, use it as advised by your doctor. If you have any other questions, please feel free to ask.

Hello. You could ask your dentist or go to the emergency room to prescribe Antibiotics like Augmentin 625 mg thrice a day for five days along with Tylenol (paracetamol). This will help in pain relief and then go to the dentist to get the tooth extracted. Do not delay, as the pain and infection will affect your baby's growth as you would be avoiding normal diet and infection would not allow nutrition to pass onto your baby. It is okay to take during pregnancy if so much infection and pain are there.

Hello, Welcome to the icliniq.com. Kindly answer the following questions to guide you further. 1. Do you have a fever, abdominal pain, nausea complaint? 2. What is the frequency of your motion? 3. Is there any blood in stool? 4. What is the duration of your symptoms? 5. Have you taken any treatment so far? You can revert with answers. Meanwhile, you can be prescribed antacid like Pantoprazole and Dimethicone (Polydimethylsiloxane) containing acid MPS syrup. I hope this will help you.

Hello. After a tooth is extracted, it is advisable to keep the gauze in the site for 30 minutes, in the same position. After 30 minutes, do not spit, take the gauze through your hand and discard. This is to arrest bleeding and help in clot formation by pressure method, and spitting will lead to dislodgement of the clot. So, be careful with splitting (do not do it forcefully) for at least one day. I hope you have got the other instructions from your dentist.

Hello. Based on the given history, it can be due to the extra force you gave to open the mouth while on elastics. Based on your age, it can be due to an impacted wisdom tooth. Sometimes, this can be due to any muscle problem too (myofascial pain dysfunction syndrome), mostly due to physical stress in that area or emotional or mental stress. As for now, do not open your mouth very wide, like during yawning, etc. This is curable. Do not worry much. Do you have pain along with the click? I would suggest you talk to your orthodontist or general dentist or oral and maxillofacial surgeon to get a final diagnosis after a clinical examination done by them. If possible, send me your OPG (orthopantomogram) and lateral TMJ (open and closed mouth) X-rays to guide you further.

Hello. My advice to you that please stop taking marijuana, if you love your baby, then please stop it right now, because it affects your baby growth. And why you want your baby to suffer because of you, so please stop it and the other thing there is no safe antidote of marijuana. So better is to stop it, and yes, marijuana remains in your body system for up to three weeks. Please take medicine regularly and do USG (ultrasound) regularly and please for your child please stop to take marijuana.

Hello. I can understand your concern regarding your complaints. Revert back with the answers to the above questions to an eye care ophthalmologist online -->

Hello. Let me start by saying that, as your doctor said, pregnancy is the best solution for all these problems. I do not see any need for bed rest. If BP reading is regular, try to reduce and gradually stop the medicine. Reports of infertility workup are missingHave your periods day three or fourth FSH (follicle stimulating hormone) and AMH (antimullerian hormone), to find what is your ovarian reserve. I hope your husband's semen report is normal. If everything is fine, please go ahead with ovulation induction with hormone IUI (intrauterine device). This would increase pregnancy chance by four times, thereby resolving other complaints. Do not waste time on other treatments. Try to get pregnant before you lose the benefits of surgery. I cannot comment on pain, as details of findings before surgery and surgical procedure is missing. I hope I have clarified your query, do write back if any more questions and for your feedback.

Hello. Ideally, the emergency contraceptive pill is to be taken within 72 hours of last intercourse to be effective 99 %. It is of no importance if taken after a week. Nevertheless, the bleeding which you got mid cycle before you took the pill was likely to be an ovulation bleed as you had sex in your safe period, then you took the high dose progesterone emergency pill, which initiated a progesterone withdrawal after two days in the form of bleeding as expected. This rules out pregnancy as you had a withdrawal bleed, but it is always best in such cases to get a serum beta hCG test done to be conclusively sure.

Hello. If there is no blood in stools, it is mostly viral. It usually gets settle in five days. Important here is maintaining hydration. Make sure you give him plenty of fluid, ORS (oral rehydration solution). If he is vomiting, you can ask your doctor to prescribe Ondansetron. Give him probiotics and keep a watch on urine output. If he is passing adequate urine, then there is no point of worry.

Hi. Montoux test, PPD test is a very non-specific test and does not give you any confirmation for tuberculosis. It is used as an adjuvant test for diagnosis and never as sole test. It is read after 48 hours of injection. You have not mentioned the duration. You have to measure its diameter. It should be less then 10 x 10 mm. I cannot measure it online but apparently it is negative for tuberculosis (attachment removed to protect patient identity).

Hello. The mentioned history is suggestive of phimosis in which foreskin cannot be retracted back over glans. Topical steroid cream can be beneficial in mild case. But, in severe case like in your case, if foreskin cannot be retracted, then circumcision like day care minor surgery can be done. So, I suggest you consult Urologist for your examination and operation.

Hello. Revert back with the answers to the above questions to a sexologist online -->

Hello. Sugar is not an illicit drug, but the brain acts in a similar manner to other substance abuse and addictions. Another reason you could be craving sugar regularly is due to how it makes you feel after consuming it. Generally, a sugary treat causes a rush of both glucose and endorphins in your blood. One of the best things you can do to fight your sugar addiction is to start by swapping sweet foods for healthy alternatives like vegetables. Yes, vegetables can be sweet, but the natural sugars you find in carrots, beets, sweet potatoes, and peas are so much lower than what you will find in treats such as gummies, cookies, or donuts. At the same time, they’ will satisfy your craving for sweetness and you can train yourself to eat these healthier choices over-addictive sugary desserts.  The last small tip for fighting your sugar addiction is to generate a plan for how you will eat. You can write this plan out, post it somewhere, or simply keep a mental note of it, but a plan can help you to succeed in various situations. For example, keep carrot sticks cut up in your fridge so that after work, you can plan to snack on those instead of cookies. Or if you are going out to brunch, decide that your plan is to order an omelet with vegetables so that pancakes (basically, a maple syrup delivery device) is not an option. The idea here is to have a plan for how you will succeed in various scenarios that typically create problems for you.

Hello. Small spot in center of forehead is seen in some pictures (attachment removed to protect patient identity). As you know skull is made up of 16 small bones, these bones are attached with cartilages and get ossified with times. Due to some gaping, this swelling is seen. Give your kid Calcirol sachet once a week for five weeks, dissolve in two spoon water. Syrup Ostebon (Calcium) one teaspoon full twice a day. Feris drops 1 ml once a day. Zincovit drops one ml once a day. Vitanova drops 0.5 ml once a day. All the above for six months.

Hello. The reports are fairly normal including the hormonal profile but the progesterone levels (attachment removed to protect patient identity). If these levels are from the proliferative phase then they can be considered normal, however, if from the luteal phase, then they are definitely low. Considering that LH was 11, this test may have been done around day 10 to 14 of your cycle, was it? In cases of progesterone deficiency, one tends to get anovulatory cycles and also shortened cycles with mid cycle bleeds and irregular shedding with often passage of clots, so if not so and if you are experiencing delayed irregular cycles then cause is likely PCOS and not progesterone per se. Also, important in any fertility evaluation is the the male fertility factor. It is important to learn if the semen analysis report of your partner is normal or not, whether the quality and quantity of his sperms are good or not, so please share his semen analysis report as well for review.

Hello. As you might have been informed, increased eye pressure is mainly associated with the disease called glaucoma. This chronic symptomless disease is very drastic to the optic nerve and might lead to irreversible damage, and in the end, cause blindness. However, this eye disease is never diagnosed or established based on eye pressure measurements and requires a detailed and comprehensive examination including many diagnostic tests like, visual fields, gonioscopy, OCT (optical coherence tomography), multiple measurements of eye pressure during at least three consecutive days and these tests might be repeated twice and even thrice in the first year and then every six months if the only suspicion remains. If you have not undergone these tests, please do, and if you require a second opinion, please upload the results of all these tests and I will gladly provide you with my opinion.

Hello. If there is not much pain, it is better to let it grow fully. It may take a month or two to fully come out. If it does not, and the area gets painful then better to get an X-ray done for its exact position. Use warm salt water gargle twice a day for a week or two. Use a chewing gum on that side, it helps in faster growth of the tooth into occlusion.

Hello. Revert back with the photos to an orthopaedician and traumatologist online -->

Hello. In attached X-ray report (attachment removed to protect patient identity), there is presence of slight consolidation in right side. So, it is suggestive of pneumonia like infection. For that, you need to complete antibiotic course. If clinically improved well, then no need for further work up.

Hello. This is quite a common question youngsters ask. The best answer to this is it depends on you and your daily activities, profession, and lifestyle, etc. For example, if you want to take up professional sports, modeling, enjoy adventure sports, few jobs in the armed forces, getting a surgery done would be quite necessary.  On the other hand, if you want to pursue higher studies and professions where you work a lot with computers and work on fine parts like watchmaking, then surgery would put you at a slight disadvantage as it slightly reduces image quality and increases chances of getting dry eye diseases. Some surgeons also prefer wearing glasses as it protects against infection and blood spurts during operations.  With the latest equipment and techniques, laser refractive surgery is quite safe, and outcomes are good. The risk involved is very less. Although a power of - 5.0 is on the higher side, we can still expect good results given that your corneas are suitable for the surgery.  The main thing to consider is of course long term outcomes are, 1. As a woman, your power will naturally change during pregnancy and lactation, and this happens to all women. Some have more, others less. This is unpredictable. 2. Surgery only corrects you for distance vision. Another natural change in eyes is presbyopia. Here you need to wear reading glasses. So even if you were to get surgery now, you would only remain glasses free for up to around 40 years of age after which you need reading glasses. I hope this answers your doubts. In case you have any further questions please let me know.

Hello. There are many tests, but the below mentioned are usually done to rule out the infection. These are a screening test.  1. Test for HIV. Tridot test. 2.Test for gonorrhea (urine or oral swab) and chlamydia. 3. Test for Hepatitis B (HBsAg) and C virus. 4. Test for syphilis such as VDRL (venereal disease research laboratory test) and if required RPR (rapid plasma reagin) test. 5. Test for HPV (human papilloma virus). Herpes virus test is usually not required if no symptoms are present or there is no outbreak of it. I hope this clarifies your concern. Ask again if anything unanswered,

Hello. I understand your concerns, and I am very sorry to hear about your mother's eye changes. I am afraid that the changes in the optic nerve are indeed irreversible and according to the reports is near total. This is known by the part of the reports that say CDR 0.9 in both eyes. To explain it in a very simple manner, the eye is like a camera, both have lenses, and just like the camera has a film, the eye has the retina. If there is a problem in both the lens and the film, simply changing the lens would not improve the quality of the picture as the film (retina) is also compromised. But in few cases may improve to a limited, yet unknown extent. The problem also gets compounded with her poor general condition with heart problems along with the recent sepsis. So operating on her cataract is quite risky. Regarding the eye drops, Brimonidine eye drops have been known to help in neuroprotection and may help in the preservation of whatever optic nerve function is left, theoretically. So this would be the thought process behind this plan of management given to the overall condition. As far as the next step in managing, it depends on the daily activities of your mother and if at all she feels her current vision is not enough for her to carry out the daily routine activities. In case you need more information, please let me know.

Hello. As per history given above. Your father as metastatic renal cell carcinoma. I would have liked to have few additional markers like his general condition, report of CBC (complete blood count) and LFT (liver function test), RFT (renal function test) to look at his risk score. In metastatic RCC, in first-line settings we have three TKI (Tyrosine kinase inhibitor) that are approved and commonly used. Namely, Sunitinib, Pazopanib, and Cabozantinib. Sunitinib and pazopanib have almost the same progression-free and survival benefit. Cabozantinib has benefit in progression, but final overall survival was the same as sunitinib. Toxicities are bit different for Pazopanib with more chances of hepatitis, weight loss, and diarrhea. If you are not affording for Sunitinib, then I would say Pazopanib would be better as it is cheaper with similar benefits and slightly different toxicities. Cabozantinib is costlier and not yet available. I hope it helps. I would be happy to help you further if you have any more queries or questions regarding toxicities of these drugs. TKI.

Hello. Braces are placed to align your teeth more esthetically and camouflage the malpositioned teeth. From your question what I have understood is either you have a large gap already, and for that, you do not have to worry, braces will close it, or you are saying that during treatment you are going to have a gap because of the teeth removal. In that case, I want you to know that a few teeth are removed during orthodontic braces treatment to get space for the rest of the teeth to move and align themselves, and ultimately the gap will be closed. So, in both cases, the gap will be minimized or closed. You do not have to worry. Maintain proper oral hygiene, be careful with the brackets, do not break them, follow the advice of the orthodontist and do not miss any follow-ups as these minor steps will help the treatment to finish on time or maybe a little earlier too. Now, if you can elaborate on your question, I can answer more precisely. A picture of the gap will be helpful also.

Hello. Yes, there is a procedure called pancreatic transplant. It must be taking place in your place as well. You can click on the individual hospital website and check if they have a pancreatic transplant facility, but it could be very expensive. But let me tell you one thing that even after any transplant, the patient has to take immunosuppressive medications all his life and compared to that the diabetes pills are still a better option.

Hello. Theoretically, yes. But, practically I would not suggest you get it done as you will not be comfortable (mainly because of the water spray from the handpiece or drilling machine) and that will make it difficult for the dentist too. If it is an emergency or you do not have accompanying stuffed nose or difficulty in breathing through the nose, then you can go for filling. Depends on your comfort level and severity of your condition. I hope this has helped.

Hello. You are already giving multiple antibiotics and antipyretics. The TLC (total leucocyte count) count in the report is on the higher side, which suggests some bacterial infection. Continue with the advised treatment. Some times fever may take three to four days to respond. Continue to give Ibugesic plus for each episode of fever for now. Cold sponging also helps to bring down the temperature. Get a repeat CBC (complete blood count) and Urine microscopy done. If fever is persisting and not responding to oral medication. The child may require admission for starting IV antibiotics. A complete clinical examination by the pediatrician to find out foci of infection is recommended.

Hello. Yes, these are cherry angioma. What do you want to know specifically about these? These are harmless and will require electrocautery if you want them to get removed. No creams or oral medications are effective.

Hi. I have gone through the query with keen interest and understand your concerns. Before making any opinions I need to inform you that take the things in objective manner and not on emotions I understand there is history of autism in the family and it does not mean your child suffers with autism. In a normal growing child there are many ups and downs and not responding on some occasions is not indicative of serious pathology like autism. We need to take notice that a child plays well with another child, responds to language on most occasions, cheerful, not having any abnormal repetitive stereotyped movements and communicates with the mother. Having said this I feel it will be appropriate to fill a simple questionnaire called Autism Spectrum Screening Questionnaire (ASSQ). This is a screening instrument for autism and you will know probably with sure that whether there is problem or not. If you still feel there is something abnormal, then you may contact the specialist doctor nearby for a physical evaluation. For further information consult a psychologist counsellor online -->

Hello. Your diarrhea could be a direct side effect of the antibiotic, in which case, it should resolve after stopping the antibiotic. It could also be due to a condition called Clostridium difficile infection (C. diff for short). C. diff is a bacterium typically found in the intestines of most people. But under certain circumstances (frequent exposure to antibiotics), a couple of strains of this bacteria can multiply and produce toxins (called C diff toxin A and B). This can provide diarrhea-sometimes bloody, with crampy abdominal pain. I suggest getting tested for C diff. You need to submit a stool sample for C diff toxin. If it is positive, there are treatments for it includes oral Vancomycin, Fidaxomicin, or Metronidazole. I hope this helps.

Hello. I have gone through your case. In my opinion, your lesion should be biopsied as early as possible as you have a long-standing history of cutaneous cancer, and I fear it could be slow-growing skin cancer. I have two to three differential diagnosis. 1. Nodular squamous cell carcinoma. 2. Nodular non melanocytic melanoma. 3. Basal cell carcinoma. 4. Keratoacanthoma. 1.Sun-exposed area. 2.White race and, 3 Past history of cancer Biopsy. Need excision as early as possible.

Hello. As your child is suffering from thalassemia intermedia, you should avoid giving iron rich food and food that leads to an increase in iron absorption.The foods which decrease its absorption are, (i) cereals and (ii) dairy products. The foods which increase the absorption are, (i) fruit and vegetables rich in vitamin C, (ii) meat, fish, shellfish and poultry and (iii) pickles, sauerkraut, soy sauce, vinegar, and alcohol. You can also supplement the child with folic acid 1 mg a day. Give nutritious diet and vegetarian protein sources, avoid meat and liver. Have a regular follow-up with your pediatrician for Hb level and iron overload.

Hello. The white coating on your tongue is mostly due to bacteria and debris. And, it seems that you might have a dry mouth. All this must be causing bad breath. Clean or scrape your tongue regularly, maintain proper oral hygiene, drink a lot of water and even empty stomach will cause bad breath, so have food regularly on time. Do mouth rinse with lukewarm water and salt or lukewarm water and a bit of mouthwash diluted in the water. But, better to avoid continuous use of mouthwash as this itself can cause dry mouth sometimes, and discoloration of teeth. Get a consultation from a dentist regarding dry mouth, to rule it out. If you have dry mouth, a Sialogogue (to increase salivary flow) will be prescribed by the dentist. Do not worry. You will be fine. If possible, send me a picture of your tongue and teeth.

Hi. Thanks for sharing your concern. Obesity. Cholelithiasis. Gallbladder surgery. For further information consult a general practitioner online.--->

Hi. We are here to help you. I am really sorry to hear about his state. For further information consult an internal medicine physician online -->

Hello. First, gallstones in itself require treatment. The only treatment for 10 mm size stone is surgery. Medication will not reduce it. Untreated gallstone at your age may lead to complications. Your second query regarding whether symptoms of acid reflux are associated with gallstones are not. That is difficult to answer. There is an association of the two but difficult to directly link causation of acid reflux to gallstones. Hence, your symptoms may or may not rebate after surgery. Some patients although do show symptom relief. You should also undergo an upper GI endoscopy if your symptoms are persistent after discussion with a gastroenterologist.

Hello. Your three main concern is the weakness, gallstone, and gas problem. For weakness following workup can be done: Investigate with above investigations as you have a weakness for many days. If still no cause for weakness found than EMG (electromyography) done. For gallstone, if no symptoms mean no abdominal pain present than surgery not needed. Ursodeoxycholic acid tablet 300 mg OD (once daily) can be prescribed for that. Avoid high fatty foods and reduce weight. For gas problem following measures can be taken: Take care. For more information consult an ayurveda specialist online -->

Hello. As I have learned that your last pregnancy was five years back and that your menses have been regular since last six months and you have been trying for last two years without any use of contraceptive practices to conceive. This qualifies for secondary infertility treatment. Now the first thing which needs to be checked is to get your partner's semen analysis done to check for quantity and quality of sperms as of now. There are chances that the count may have gone down or the quality may have depreciated which can be treated accordingly. In middle age men, such male infertility is common and needs to be addressed first before a lady is subjected to tests and examinations for evaluation of secondary infertility. Hence, it is requested that you may please get his semen analysis and culture test done first and review with reports. In the meantime, you may send across any ultrasound pelvis reports or hormonal profile tests (from the last six months) that you may have undertaken for review (if the element of PCOS still persists or not). Semen analysis and culture for the male partner. Male infertility. Secondary infertility. As per reports (awaited).

Hi. I can give you some guidance which might help you reduce weight with PCOS (polycystic ovaries). For further information consult a dietician online -->

Hi. Based on what you wrote, it sounds as though you may have scoliosis, a wedged vertebrae in the lumbar spine, a disc issue, or even lower cross syndrome. If there is any way to attach images of the X-rays, that would be ideal (though I know the current situation is not ideal). Assuming it is indeed a scoliosis curvature, I can tell you that you will not be able to straighten your spine (anatomically speaking). If it is a lower cross syndrome, your best bet while you are overseas is to work on core stabilization exercises. Bridge exercises, planks, and clams may all be beneficial to the lumbopelvic-hip-complex. All of these exercises can be found online, but essentially we want to strengthen the weak muscles and relax the overactive muscle. Please get the help of internet resources to have a knowledge of lower cross syndrome to get an idea of what muscles may be overactive and underactive. Without examining you myself, or seeing X-rays, this is about all of the information I can provide. When you return to your place, I would recommend continuing treatment with your chiropractor. For more information consult a chiropractor online.-->

Hello. Urine for routine and microscopic examination as well as culture sensitivity. Revert back with the test reports to an obstetrician and gynaecologist online.--->

Hello. I just read your query. See the issues like scoliosis, underjaw shape, and underdeveloped cheekbones are anatomical issues which are related to the natural structure of your body. They can not be corrected with the help of medication. You may take help from artificial modern techniques, which you can learn from a nearby physician. The poor blood circulation, swelling on face, stress and anxiety, tiredness can all be related to pregnancy. I advise you not to take any random treatment or any supplement without consulting your gynecologist. This is the crucial time of your pregnancy. So visit a nearby gynecologist and ask for the help for all the issues you are having.

Hello. Scoliosis is a structural problem and knee pain will not cause this. Arthroscopy can rarely lead to a clot formation but is not necessarily a known risk factor for DVT (deep vein thrombosis) as you are likely to mobilize very quickly and the procedure is usually short. Scoliosis does not add to the risks either. For more information consult an orthopaedician and traumatologist online -->

Hi. I have gone through your case. In my opinion, I have two diagnosis of your daighter's lesion. It could be fungus or eczema patch. For this, please mix Hydrocortisone and Clotrimazole creams in equal amount and apply two times a day for 14 days. Also apply any baby lotion at night. Within 14 days, it should heal. If in case, it does not heal, then please see your local dermatologist to evaluate her for other conditions. My second diagnosis is leprosy. Please consult your local dermatologist if the lesion does not heal.

Hi. I understand you experience OCD symptoms, general anxiety symptoms and specific driving anxiety and some anxiety related physical problems. What is your current profession? Your job timings? Family members? For how many years you are having 0CD symptoms? GAD symptoms? Stress? Why? Exercise? Relaxation? Any therapy? Family support? Any other anxiety triggering factors than driving? Sleep? Physical intimacy? Please reply. Take care.

Hello. It is a genetic disorder. I am sorry to say this, as this disease has a poor prognosis. You need to visit a medical genetic specialist. Physical therapy, braces, etc. are common management. Along with that if you want to go for alternative treatment, then try Ayurvedic panchkarma therapy where Ayurvedic massage can be given to your son. It had good results in muscular dystrophy disorders. You need to visit a nearby Ayurveda physician or a panchkarma center. It can help you up to some extent. I hope you understand my point. For more queries, you can consult me.

Hello. You are reporting symptoms which are suggestive of ADHD (attention-deficit hyperactive disorder). How are you managing at school? Further assessment, including developmental history from parents, corroborative information from school will help to clarify the severity of your symptoms and also to rule out other conditions mimicking ADHD. Effective management of the underlying condition will help you to function better. I will advise discussing with your parents and consult your doctor locally who can refer you for further specialist assessment as needed. Depending on the evaluation, medication or behavioral support may be recommended.Meanwhile, you can try some strategies to improve your functioning. Exercise regularly, make a reminder list for essential weekly activities to avoid missing deadlines, minimize distractions by avoiding TV, mobile during your work hours, etc. I hope this helps.

Hello. I understand that you are concerned, but I can assure you that in the photographs there is no feature suggestive of any cancer. I understand that you had a blister after intercourse, that might be friction blister as other cause of blister in genitals include herpes, but that present as multiple tiny blisters. Recurrent glans rash can be candida, but right now, I cannot see any changes. It might feel sticky and thin after healing of a blister for some time, but there is nothing to worry. And certainly, there are no features of cancer. Just use some good moisturizer or use the following. 1. Cetaphil moisturizing cream.

Hello. There are possibilities of absorption per vaginally and I agree there are reports of ototoxicity and nephrotoxicity but as she is six months pregnant now and all scans are normal so there are no morphological anomalies in the child but as far as ear hearing abnormalities are concerned, that cannot be detected by scans. Also, as on date after 20 weeks of gestation, pregnancy cannot be terminated by law unless gross abnormalities are evident in the foetus and permission would have to be sought by high court only.

Hello, Welcome to the icliniq.com. You have to rule out iron deficiency anemia and hemolytic anemia in your case. You need to investigate further as follow. You can revert with reports once done.If you have hemolytic anemia than hemoglobin level usually remains in the borderline range.If your above reports suggest towards iron deficiency anemia than iron tablet will recover your anemia completely. So revert with reports once done. Meanwhile, you can be prescribed ferrous ascorbate tablet for your anemia.I hope I have answered your question. Let me know if I can assist you further.

Hello. It may be normal, but I cannot deny from STD (sexually transmitted disease), and it may be herpes and vaginitis too. 1. Apply Betnovate-N locally up to deep in the vagina, after proper wash two times a day till required. 2. Ciplox TZ (Ciprofloxacin, Tinidazole) two times a day after food for three days. 3. Candid veginal tablet at night for six nights.It will be fine. And it means you believe in polygamy, which is one day become dangerous. Be loyal, and you can use her ten times a day. So she will remain healthy so as you. If she has vaginitis, you also can get the infection.

Hi. Please put up two to three clear photos of the affected area for proper evaluation and guidance. Revert back with the photos to a dermatologist online -->

Hello. The fact that you are getting positive OPKs each cycle indicates that you have an anovulatory cycle or in simple terms that you are ovulating regularly. PCOD (polycystic ovarian syndrome) cannot be diagnosed alone with just small cysts in ovaries, rather one should have around 10 to 12 multiple small subcenterimetric follicles lining the periphery of the ovary during midcycle scan, one should have featyres of clinical hyperandrogenism like acne, hirsutism (excessive facial and body hair), acanthosis and most importantly oligomenorrhoea or irregular menses. Testosterone alone does not justify the diagnosis. However, if o e needs to be sure, then AMH (ante Mullerian hormone) test can be done, which is more than four indicates PCOD. As mentioned that you are on thyroid medications, I believe your TSH levels are less than five. Please share your ultrasound and hormonal profile reports for review. Now, it would also be essential to check for your partner's semen analysis for quality and quantity of sperms. I am not sure if you have any kids before or not as you have not mentioned, but if you do not yet, then semen analysis of your partner would be mandatory, as your reports are relatively normal. Progesterone deficiency can be treated, and even Clomid can be contemplated only of the male infertility factor has been ruled out first.

Hello. A recurrent sore throat can occur in a number of pathologies. Most often it is as a result of some local pathology like Rhinosinusitis, nasopharyngitis, tonsillitis, GERD (gastroesophageal reflux disease), LPR (laryngopharyngeal reflux). Rather than relapsing and recurring course malignancies tend to have a progressive course. Further age is a crucial factor. Younger people usually do not have malignancies. Your doctor must have checked your throat, and he would for sure have picked something if there was any such thing. GERD and LPR are mainly known to cause recurrent sore throat. Malignancy is the last thing one would suspect at your age.

Hello. A heart attack usually occurs in those with risk factors for ischemic heart disease such as high BP, high sugar, high cholesterol, family history of a heart attack in young age, etc. Your tests are normal thats good. To estimate the lifetime risk of development of atherosclerotic diseases such as stroke and heart attack, have a fasting lipid profile done and send to me.

Hello. I understand your concern. I would have appreciated a bit clearer pictures with good light (attachment removed to protect patient identity). The distribution and morphology point towards a superficial fungal infection, which has been modified by topical steroids use? Has it been itchy at any point, any redness? Kindly consult your doctor to discuss the suggestion and take the treatment with consent. 1. Capsule Itraconazole 100 mg twice a day. 2. Tablet Levocetirizine 5 mg once at night. 3. Terbinafine cream apply twice a day. Do this for a week.

Hello. The sharing of water bottle is not known to spread herpes. Genital herpes spread through sexual route. The viral infection also can cause sore throat like influenza infection. It will give streptococcus negative test.

Hello. I can understand your problem. You are on high dose of Paroxetine and are also taking Milnacipran, Clonazepam and if even with these medicines the symptoms are persisting, then there is no harm in adding a low dose antipsychotic drug like Olanzapine. Olanzapine in low dose has great efficacy in depressive symptoms, anxiety disorders and in resistant depression symptoms. The drug is associated with excessive sedation and this is the reason you slept for very long duration after taking this drug. In that case one option is to reduce the dose of the drug to 2.5 mg and give this a try. This should help you without causing unnecessary sedation. But, I am not sure if the drug will help much in anxiety if used in SOS basis. The drug should be used regularly after dinner and Clonazepam dose can be skipped which can be kept for use on SOS basis. You can have a talk with your psychiatrist for this.

Hi. LASIK when it is done, corneal nerves will be cut. These corneal nerves take several months to regenerate. This can lead to continuous dryness and irritation in the eyes. Eyes also become hypersensitive. Systane ultra is artificial tear eye drops which is a substitute given for this dryness. But, the burning sensation in the corners can be due to an allergic reaction.  L-Pred may help that. Please avoid rubbing your eyes in case of irritation, as it may take a long time for healing the corneal flap; they create in LASIK. Sometimes, eye drops may themselves can cause an allergic reaction to your eye and can cause irritation. You can use different company drops of same content medicine to avoid this problem. Try Levocetirizine tablets. You can a send a picture of your eyes for a detailed evaluation.

Hi. Your problem still could be due to a nerve problem, even though your NCV test is normal (nerve conduction velocity). Also, you might be having calcium deficiency, which is very common associated with vitamin D deficiency. I suggest you calcium supplements like tablet Shelcal HD daily once for three months. Apart from vitamin D and herpes medication, have you taken any medicines for your problem? Kindly let me know that. If not done, then kindly get serum vitamin B12 levels tested and revert back with the report. Revert back with the reports to an internal medicine physician online -->

Hello. It is unusual for ventricular ectopics alone to cause cardiac arrest. Still, it depends on various factors like cause of ectopics, the morphology of ectopics, frequency of ectopics LV function on Echo. What symptoms do you have? Please provide your ECG and Echocardiography report. You have uploaded your photo as an attachment (attachment removed to protect patient identity).

Hello, Welcome to iclinic.com. For further queries consult an ENT otolaryngologist online -->

Hi. Really this is a confusing state, but this does not mean you have to abort the fetus right now. When mother get infected with chickenpox, fetus carries a risk. But the risk is only 2% and in those cases the fetus might develop rarely some form of abnormality. Thus, straightaway recommendation of termination is not always a choice. Definitely there is no direct answer and it is upto you what to do. If you want to have the risk of 2%, which is very minimal and often equal to an incidence of congenital anomalies in low risk pregnancy, definitely you can continue it. In that case, just go for an anomaly scan from a very good center at the 18th to 19th week to confirm about the integrity of the fetus. For further information consult an obstetrician and gynaecologist online -->

Hello. I would suggest you continue medicines as at present his flow (which is good) and postvoid (which is less, it should be less only) are because of medicines. I think if he stops the medicines then his urinary symptoms may get worse or postvoid may also increase. There is no harm in taking medicines. Veltam plus (Tamsulosin and Dutasteride) may cause postural hypotension. If he is suffering from severe postural hypotension then he can stop Veltam plus.  So harms of stopping are: His urinary symptoms may worsen. His postvoid may increase. He may develop UTI (urinary tract infection). Regarding frequency which is every two hours, I think at 74 years it is fine. Just continue as it is. Because apart from prostate there are many age-related changes in the bladder which cause these symptoms and which are inevitable and irreversible. Until and unless very bad frequency like every half an hour then only intervene. Make some lifestyle changes like drink less water at night before bed. Avoid or reduce drinks which cause diuresis like coffee and tea. For more information consult a urologist online -->

Hello. For further queries consult a family physician online -->

Hello. Regards. For more information consult an internal medicine physician online -->

Hi. Revert back after a month to an orthopaedician and traumatologist online -->

Hi. I have noted all details of your father. Revert back with the reports to a cardiologist online -->

Hi. How are you doing? You can definitely take either of the medicines, they both are the same. They are both Medroxyprogesterone acetate, and it is the same hormone which is released from your ovaries in the second half of periods after ovulation. In PCOD (polycystic ovary disease), as you are not ovulating, this hormone will be deficient. So, taking the pill meprate will cause bleeding, only if you are not pregnant. If there is pregnancy, this same progesterone hormone is produced by the ovary to support the fetus. So, these medicines will not cause abortion, but it will support it further. These medicines are very safe whether you are pregnant or not. It can never cause abortion. Hope I have clarified your doubt, do write back. All the best. For more information consult an obstetrician and gynaecologist online -->

Hi. Sure, there is a solution but firstly you have to detect the cause with the help of investigations and tests. You have to be examined by an otorhinolaryngologist to detect the nature of the soft palate, uvula, nasal septum, nasal turbinates, tongue base and to exclude any nasal polyps. The second step is CT scan for your nose and sinuses. The final step is the airway examination during sleep in a sleep laboratory. For more information consult an ENT otolaryngologist online -->

Hi. If you are having trouble with your contacts, you should discontinue wearing contacts and consult an ophthalmologist for an eye exam. Discomfort with contacts may be due to allergy to contacts or lens solution or it may be due to dry eyes (due to contacts) and in such cases contacts can make abrasions, ulcer on your cornea that would need a treatment. So, get your eyes evaluated from an eye specialist to diagnose the exact cause and get it treated appropriately. You are welcome for any queries.

Hi. Please note the images are sub-optimal for giving a professional report as we need to see the images in detail at the workstation computer (attachment removed to protect patient identity). However, my observations after viewing the images sent by you are the following: Your MRI knee is showing a mild knee joint effusion and is the likely cause of your pain an discomfort. The medial meniscus shows a suspicious area of signal abnormality in in the anterior horn root area and is not a serious concern. The rest of the meniscus is looking normal. The anterior cruciate ligament is intact, however there can changes from a mild strain of the ligament.

Hi. Do not worry. I checked your attachment (attachment removed to protect patient identity). Pain is due to impacted wisdom tooth which has also damaged adjacent tooth leading to caries. You may require disimpaction and restoration of adjacent tooth by root canal. Right now you take the following medicines: Ofloxacin 200 mg with Ornidazole 500 mg BD for five days. Tablet Acelofenac 100 mg with Paracetamol 325 mg, Serratidopeptidase 15 mg BD for five days after taking food. Tablet Pantoprazole 40 mg OD for five days. Mouthwash Hexidine three times daily for 30 seconds by rinsing oral cavity. You are also advised to maintain good oral hygiene.

Hi. Revert back with the answers to the above questions to a dentist online -->

Hi, Welcome to iclinq.com.  If its appearance is like curd, then probably it is yeast and you can take a single dose of tablet Canestein 150 mg to treat it.

Hi. I understand your concern, you are probably suffering from imbalance. It is a type of vertigo. Such problems arises when vestibule of inner ear is not working properly. Balancing of moving body is managed by vestibule of inner ear. Sometimes inner ear gets diseased by viral infection, bacterial infection, metabolic dysfunction like hydrops. Diagnostic tools are good clinical examination by ENT doctor. Investigations like electronystagmography (ENG). My suggestion is to please consult your ENT doctor, certainly he or she will do same as above I said and will reach to correct diagnosis to manage your problem.

Hello. Unfortunately, dry eye is a chronic condition and does not go away. First of all, you should use the eye drop in both eyes and not only on the one you feel the dryness in, second of all, the minimal quantity of drops that might help you during the day is four times but there are no limits, you can even use it every hour. The other option is to have punctum plugs inserted and that might reduce the quantity of drops you have to use or to use the only available medication for this condition which is called Restasis. For a more detailed advice please provide me with more information such as schirmer test results atleast.

Hello. You are suffering from bacterial vaginosis which is a bacterial infection. This can be confirmed with a high vaginal swab culture and shall require a course of antibiotics for a week with avoidance of intercourse during treatment. Try using alkaline vaginal washes to clean yourself and avoid chemical soaps. Meet your gynecologist for a local examination and prescription.

Hi. BV (bacterial vaginosis) is not a sexually transmitted disease. It is just an abnormal change in your normal bacterial flora. I would recommend using tablet Metronidazole 2000 mg once or you can use Clindamycin 5 % vaginal creams once for five days. That is available over the counter. Also, avoid using unnecessary antibiotics. Get your diabetes checked if you are gaining weight. Sometimes, use of probiotics is also helpful in some people. For more information consult an internal medicine physician online -->

Hi. BV (bacterial vaginosis) is not a sexually transmitted infection. You must be having associated fungal infections causing itching. Take tablet Metronidazole 400 mg three times daily for one week. Take capsule Clotrimazole vaginal pessary at bedtime for a week. Drink plenty of water.Keep your perineal area dry. For more information consult an obstetrician and gynaecologist online -->

Hi. I have seen your query and examined your given pictures (attachment removed to protect patient identity). It seems your son has a hand, foot, and mouth disease, and does not look like impetigo. HFMD (hand, foot, and mouth disease) is a viral infection caused by the coxsackie virus. It is a self-limiting disease and takes around 5 to 7 days to subside. Symptomatic treatment can be taken like topical Lactocalamine lotion local application twice daily and Orasep (Chlorhexidine gluconate) mouth gel local application twice for five days after consulting your gp or near by dermatologist,

Hello. I think you are talking about hydrosalpinx. It is a temporary or permanent blockage of single or both fallopian tube. It is one of the major cause of infertility. It can be managed naturally through ayurvedic medicines and some specific Panchakarma procedure, Uttar Basti of medicated oil like Yavakshara oil. It helps to resolve blockage and open the fallopian tube. There are several causes to such conditions. Some of them are pelvic inflammatory disease, gonorrhoeal infection, etc. Ultrasonography, and hysterosalpingogram. PCOD (polycystic ovary disease), and hypothyroidism. Uttar basti with medicated oil like Yavakshara oil is the safe and successful treatment of hydrosalpinx. Avoid spicy and fried junk foods. Avoid cold drinks soft drinks ice-cream etc. Do regular kapalbhati Mandukasana and Ardha matsyendrasana as well as pranayana like anuloma viloma nadi shodhan and bhramari.

Hi. Your history fits into the acid peptic disease. I do not find any sign of cancer over here (attachment removed to protect patient identity). I would recommend you the following. A combination of Pantoprazole and Domperidone once daily for a few days. A good probiotic, to take a soft and bland diet, to walk after all meals. I would also recommend you to get your thyroid profile checked.

Hi. Cutein tablet contains Iron as one of the ingredients, along with some other vitamins. The iron tablets can give increased acid in the stomach and indigestion. But, if you take both Cutein and Pantoprazole tablets together, the iron will not get absorbed. Therefore, first take Cutein tablet on empty stomach in the morning, and then 30 minutes later take Pantoprazole.

Hello.  Yes, probably it is due to injury caused by fingering. And if it is not painful and not causing any discomfort, then you only have to wait until it resolves spontaneously. And the other option is that after a few days say three to four days you can get yourself examined by your local doctor to make sure that there is nothing more than that and this swelling has been resolved entirely. I hope it has helped you should you require any further queries. Please do not hesitate to contact me.

Hello. Please apply cold water bag to the reddish area. Also, you will need to start the child on drops crocin based on the current weight of the child (is it 2.72 kg? 2.72 kg is too less for a 5.5 months old child). Dose for 2.72 kg is 0.3 ml of drops crocin (100 mg/ml). Also please document the fever with a thermometer. If it is above 100 degrees Fahrenheit, it is advisable to get the child evaluated physically by a pediatrician. Also, if you feel the child is lethargic, has a convulsion or his refusal to feed, it is best to go to the nearest hospital.

Hello. Let me tell you one thing, you need not worry about your condition, as it is widespread to have phimosis, which is the case with you. The foreskin is tight in your case, and hence, retraction is painful. The white patch you are referring to is nothing but color due to fibrosis. This has nothing to do with masturbation. You can undergo a simple procedure called circumcision, which will get rid of the foreskin and your problem with it, once for all. It is a minor procedure. Please address the issue of hygiene better. Though there will not be any serious health issues with cleanliness, absence of hygiene can result in fungal infection, which can be avoided by addressing the hygiene properly. Let me reassure you again, and you need not worry much, go for circumcision.

Hello.  The goal of treatment in hypothyroidism is to normalize TSH (thyroid stimulating hormone) levels. The dose of thyroxine needs to be adjusted until this happens. The dose is weight related to some extent. The approximate dose of thyroid hormone is equal to weight in kg x 1.6. But ultimately, it is the TSH that guides the dosage. Here is what you need to do, 1. Increase the dose of Thyroxine to 100 mcg once a day. 2. Take the tablet on an empty stomach. Do not consume anything except water for one hour after taking Thyroxine. (No tea, coffee, milk, iron or calcium tablets, etc.). 3. Whenever the dose of Thyroxine is adjusted, recheck TSH after six to eight weeks. 4. No diet restrictions for hypothyroidism. Contrary to popular belief, it is fine to eat cabbage, cauliflower, broccoli, soybeans, etc. I hope this helps.

Hello. I understand your concern, but there are no attached photographs in your message. Kindly send a picture of the affected area to help you better. I need to see the affected area to assess the condition and to suggest the appropriate diagnosis and treatment. Please send the picture of the affected area.

Hello. Ideally, you should have done it under the supervision of a nearby Ayurveda physician. Because this procedure also requires a close watch and some dietary restriction. Even if you are taking some medicine without guidance, it is not advisable to do it on your own. It can also cause some issues like nausea, vomiting, etc. in some cases, and it might be hard for you to manage it at home. The amount of ghee should be taken on various factors, and it requires a complete history and clinical examination. Also, the amount of ghee needs to be increased day by day for some days. After intake of ghee symptoms need to be watched for proper digestion. If the physician does not find appropriate digestive symptoms, then he can manage accordingly. After proper digestion of ghee, a particular dietary regimen and lifestyle have to be managed. So you should do it under supervision. I hope you understand my point that rather than doing it at home, it is better to do under the supervision of a nearby Ayurveda physician.

Hello. If it is the requirement of Benzodiazepines than you need to take for long periods. There is nothing wrong to take medication for a long time if you are stable on it. Theoretically and ideally, Benzodiazepine should be tapered off within four weeks, but in clinical practice, we have to give it for an extended period, depending upon the patient diseases. If you have no anxiety or sleep disturbance, then you can taper off your way. You can make it half of your tablet for two weeks then take half tablet alternate day for two weeks and then you can stop it.

Hello. Your husband's lumbar spine CT (computed tomography)scan is indicative of a disk herniation, which is responsible for the pain in lower back and tingling sensations radiating in the right leg. It is not related to headaches. Considering these CT findings, I would recommend having some rest, avoiding prolonged standing up or sitting position and weightlifting. Physiotherapy and painkillers (Acetaminophen and Ibuprofen) coupled with a muscle relaxant like Flexeril. If the pain persists consulting with a spine surgeon. Regarding headaches, I would like to review his cervical spine CT scan report. It could be related to a wrong posture or a tension-type headache ( related to psychological or physical stress). For more information consult a neurologist online -->

Hello. For someone who is 6 weeks or 42 days pregnant as per the ultrasound and the pregnancy has been localized intrauterine, there are actually two options: In medical abortion the patient is given a set of medicines namely Mifepristone and Misoprostol in a set protocol. The aim is to disallow further growth of pregnancy by stopping the cytotrophoblastic invasion into the endometrium (through Mifepristone) and then initiating uterine contractions and placental separation (through Misoprostol). The procedure for drug protocol lasts till max 2000 mcg of Misoprostol has been given in a set protocol till the pregnancy has been aborted. The success rates are 93%-96%, but the disadvantage is that it may lead to prolong bleeding for up to two weeks before all the products of conception can be actually aborted. Sometimes, the bleeding just continues for long and one may have to resort to surgical curettage to remove the remaining decidua in utero. Surgical evacuation is a day care procedure where a suction canal is introduced inside the uterus through the cervix, with patient under anesthesia or a paracervical block and the products of conception are suctioned out completely. If the procedure is ultrasound guided, then the success rates are 100 percent and major advantage is, one can leave for work after 6 hours (till the anesthesia effect passes of if general anesthesia or after 2 hours in case of post paracervical block). The remote chances of Asherman syndrome or intrauterine adhesions have been documented in 1% of women who underwent surgical evacuation where adhesions were formed inside the uterus leading to secondary infertility. But, a controlled, ultrasound guided dilation and curettage under an experienced hand is safe. I would suggest her to opt for medical abortion if the pregnancy is unplanned or accidental as this would be a natural way of aborting and moreover pregnancy being less than 7 weeks, can be easily aborted. A repeat ultrasound pelvis to check for completion of abortion shall be necessary after the procedure is undertaken. The mild bleeding and discharge may or may not continue for long, it depends from woman to woman. If this fails, then of course you have a surgical option to look at. Pregnancy should be completely avoided for the next four months of post procedure as that is the time required by uterus and pelvic organs to return back to their pre-pregnant state.

Hi. I understand your concern as your grandparents passed of a heart attack, the fear you have is genuine. But, just pain in your chest is not an indication of a heart attack. Since you gave a history of carbonated food and tablet Amoxicillin along with thyroid medication, these both can cause an acid reflux and that can cause heartburn and lead to such non-specific pain. However, if the pain was associated with sweating and stabbing character or constricting type with radiation to the left arm, then it is always better to get an ECG done to see if it is related to your heart. Heartburn. ECG. For further information consult an internal medicine physician online.--->

Hi. I have seen your attached picture (attachment removed to protect patient identity). It shows old hemorrhoids called as skin tags. This picture, along with the pain that you are describing is suggestive of anal fissure. This is a tear in the wall of the anus, at the base of these skin tags. Here is what you need to do: To heal the fissure, do sitz bath. Take lukewarm water in a medium sized tub, put two teaspoons of ordinary salt per liter of water. Total 10 g salt per liter of water. Now sit in this water and try to push out on the anus. Try to make the water clean and sooth your anal region. Sit for around 15 minutes, 3 to 4 times every day for a month or so. Try to do this at least twice per day if you are working professional. It will decrease pain, itching, and help to heal the fissure. Do these for around 6 to 8 weeks. For pain relief during passing stools as well as healing of the fissure, I suggest the following or equivalent generic combinations for at least three weeks, after that only sitz bath should be enough: For constipation, I suggest you try the following: Curing constipation treats these and also prevents these from troubling again. Some people need surgical treatment for bleeding hemorrhoids, but only if dietary measures are not effective in controlling the problem. I hope that helps. Kindly leave feedback. Follow-up if you need any more information. For more information consult a surgical gastroenterologist online -->

Hi. My understanding and inference is that the pain is not related to the earphones or sound level. This is because of loud noise which usually produces classical symptoms like giddiness, ringing sound in ear, hearing loss, intolerance to loud sounds and some pain in ear. Your symptoms are not very classical to diagnose. Please answer below questions for clear diagnosis. With the details available as of now, I infer that the pain is muscular most probably. For the same, I suggest you the following measures. To understand any occurrence of sound trauma to your ears we must do a pure tone audiometry. This is the definitive investigation to understand any damage to inner ear due to sound. I feel a strong pain killer like Aspirin is not required for these complaints. However, there is no reason to worry as of now. Muscle ache. Bad posture. Rigorous exercise. Pure tone audiometry (this investigation is usually present in speech centers and otolaryngology clinics). For further information consult an ENT otolaryngologist online.--->

Hi. I do understand your concern and due respect for that. For further information consult an obstetrician and gynaecologist online -->

Hi. I read your query and understand your concerns. For further information consult your neurologist online -->

Hi. Your symptoms do point towards chronic prostatitis. With negative culture and positive pus cells, it is likely that you are suffering from CPPS IIIA, which is non-bacterial inflammatory chronic prostatitis. Now, this is a difficult condition to manage and requires long-term therapy. I would suggest that you follow up with a urologist on a long term basis. Therapy takes some time and different medications work for different patients. IC (interstitial cystitis- painful bladder) is also a possible condition, but CPPS is more common in males than IC. You do not meet all criteria for IC as per the classic definitions. So, I would keep CPPS as the first differential. I am mentioning some tests that you may want to get done to clarify the situation in a better way. Recurrent infections. Urine anti-proliferative factor, EPS Culture (expressed prostatic secretions) after prostatic massage, uroflowmetry with post-void residual urine assessment and cystoscopy. 1. CPPS IIIA. 2. BPS (bladder pain syndrome) / IC. I suggest combination of Amitriptyline, alpha blockers, NSAIDS (nonsteroidal anti-inflammatory drugs) and Gabapentin. Dietary modifications will be necessary. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Stay away from spices, coffee and anything that you feel trigger the symptoms or aggravate them. Revert back with the reports to a urologist online.--->

Hi. The following are the causes for burning sensation in the anus. Here are some home remedies for curing the burning sensation of the anus.

Hello. Please relax and do not worry. I will explain you everything in detail. 1. Urine routine. 2. Urine culture and sensitivity. 3. Ultrasound of abdomen and pelvis with post-void residual urine. 4. Hemogram. 5. Serum creatinine. Consult your specialist doctor, discuss with him or her and take the treatment below. 1. Tablet Norfloxacin 400 mg in the morning and evening for five days to be started after giving a urine sample for culture. 2. Tablet Pan 40 (Pantoprazole) in the morning for five days. 3. Syrup Cital 10 mL (Disodium hydrogen citrate) in glass of water in the morning and evening for seven days. Drink at least 2 liters of water daily. Revert back with the reports to a urologist online.--->

Hi. This is a localized numbness that we are bothered with. Disease starting from this region without any other associated symptoms is quite rare and without them we may not think of a systemic pathology right away. Have you tried nerve tonics? I suggest back strengthening exercises and Pregabalin 75 mg once a day for two weeks. Vitamin B12 levels and HbA1c should be helpful. Consult a specialist doctor, discuss with him or her and take the medicine with consent. Lack of erections may suggest a more systemic disease, but we need to have more a detailed talk before we can attribute symptoms. For further information consult a urologist online -->

Hi. I understand your concerns. The treatment options for you include: Consult an eye care ophthalmologist online for further follow up -->

Hello. I had a look at the photo (attachment removed to protect patient identity). For further information consult a urologist online -->

Hi. 1. Hyperlipidemia. 2. Dapoxetine. Erectile dysfunction. Exercise and dietary changes. For further information consult a sexologist online.--->

Hello. Regarding the continuation of medicines, you may have to use the multivitamin tablet, Septilin (Tinospora) and Bresol (Turmeric, Vasaka, and Vaividang) for a long time till your allergic condition persists. These medicines are for helping your body develop good immunity against the respiratory problems. These medicines act slightly different than inhalers. Although, I would like to tell you that inhalers are scientific. Ayurvedic medicines may not help to get respite from an acute problem. Asthma is a manifestation of hypersensitivity. It is wise to find the cause of the hypersensitivity. We call the same allergy. Rhinitis asthma is different manifestations of allergy. Allergy is present in the genes, and we may not be able to cure allergy entirely. Allergen avoidance forms the mainstay of the treatment and management of allergy. You should be carefully noting down which areas and circumstances lead to the symptoms in you. Like going to gardens, smoking, pollution, dust, particular smells and fragrances, fumes, effluents, climate, etc. You should also note when the symptoms are more and when they are less. Whether there are any seasonal or diurnal variations. Once you have a detailed diary regarding this, you will be able to make some reasonable conclusions regarding when you have to be careful. Next method of finding out the allergen is allergy testing. The two methods available are skin prick testing and blood immunoCAP method. Both methods are easy and fast, but skin prick testing is more accurate. Once we find out the allergens causing the problem for you, we can give you specific advice on how to avoid these allergens and stay safe. The treatment of Septilin and Bresol that you are taking are to help your body stay healthy, improve immunity, provide all nutrients and micronutrient for the body to deal with offending agents. But these are not the definitive cure for the problem. Hence, it is not possible to say clearly till what time you will have to take the medicines. Additionally, if you get an asthma attack during the course of these medicines, you may still need inhalers or nebulization or medicines on an SOS basis. Do share with us your prescriptions and investigations reports so that we can help you better. Hope to see you healthy soon. For more information consult an allergy specialist online -->

Hi. After carefully reading your history I came to a conclusion that there are two possibilities of your rash. Drug reaction: Photoallergic dermatitis: I would advise you take Prednisolone 40 mg in tapering doses and sunscreen with at least 50 spf, thrice daily at 8 AM,11 AM AND 2 PM, with 2.5 finger tip unit (one finger tip unit is the amount of ointment expelled from a tube with a nozzle of 5 mm diameter, from the skin crease that is closest to the end of the finger, to the tip of the index finger) for at least face. Consult a dermatologist online for further follow up -->

Hi. Always evaluate the cause of recurrent yeast infection. It can be any of the following reasons. Maintain good genital hygiene. Daily wash the genital area with soap and water and keep it dry. If you are uncircumcised, then clean under the foreskin. If it recurs after stopping the treatment, then continue the treatment once in a week regimen after consulting your dermatologist. If none of these works, then go for circumcision. For further information consult an internal medicine physician online -->

Hi. I have few questions for you to suggest the most appropriate treatment. Also, please get her hormonal tests done to ensure that it is not hormonal (FSH and LH). And please do follow the below suggestions: Avoid sun exposure - Use a sunscreen (UVA and B) minimum 30 SPF. (Neutrogena is good but you may use any as per your skin or requirement. Even shalaks pharmaceutical has a good sun cream- UV AVO) If she has to go out or even indoors, she must clean her face and then apply sunscreen.

Hello. At the onset I would like to tell you that though I understand your concern and situation, but there is nothing to be ashamed or apprehensive of yourself. It is a medical problem and can only be tackled by proper medical treatment and advice, and not by hiding your problem from doctors. It is great that you do not smoke as it may increase your problem. According to your weight and height your BMI is 35, which falls in borderline to moderately to severely obese. I advise you to visit or ask an endocrinologist regarding the shrinking of the testicles and erectile issues as these may be related to hormonal balance or even obesity. Red circles on the inner thighs (attachment removed to protect patient identity) are indicative of fungal infection known as tinea cruris. For this, a course of antifungals is advised. I would suggest the following treatment. Consult your specialist doctor, discuss with him or her and take the medicine with consent. The outgrowths of skin are skin tags and they are usually related to hyperlipidemia. They are not harmful and only have cosmetic concerns. They are best dealt with by simple office based surgery with cautery machine requiring only local anesthesia, which is a 5 minute superficial procedure. But, they will not go on their own. You may get your fasting serum lipid profile done, which will measure the levels of cholesterol, LDL (low-density lipoprotein), VLDL (very low density lipoprotein) and HDL (high-density lipoprotein). If any of these are abnormal suitable, then medicine can be started. Medicine is important as abnormal lipid profile increases one's risk of cardiac events in the future. One important thing on which I cannot emphasize enough would be decreasing your weight. If you can gradually decrease your weight even by a few pounds, you would see a lot of these medical problems would get better by themselves. You may follow up after two to three weeks. Revert back after three weeks to a dermatologist online -->

Hi. Revert with the reports to an ENT otolaryngologist online -->

Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online -->

Hi. I can understand your concern. I have gone through the attached picture (attachment removed to protect patient identity). Presence of linear pigmented lines on the nails can be due to multiple causes. In white people they are considered abnormal and require thorough assessment including biopsy. In dark skinned people it is a common variant. The most common cause of these lines is racial factors. Others being drugs, trauma, lichen planus, subungual nevi and malignant melanoma. You do not have to worry too much, but do keep a watch on the pigmentation. If you notice any variation within the pigmented line or pigmentation on the adjacent nail fold or finger pulp, then consult a dermatologist in person and get yourself evaluated. Regarding moles at other sites, it is sometimes possible that they can disappear. So you do not have to worry about that. For further queries, consult a dermatologist online -->

Hi. For further information consult a criticalcare physician online -->

Hello. Kindly revert back with the details to a dermatologist online -->

Hello. I understand your concern. Since you had C-section, you are likely to develop incisional hernia which is a common issue faced post C-sections if proper care is not taken during wound healing. It is not curable with only medicines but it can be preventable from reaching further stages. If you find and center close by which practices post partum care in Ayurveda then get the following done. Apply Dhanvantara taila followed by veshta bandhana (abdominal binder). Avoid lifting weights and too much physical exertion.

Hello, Thanks for posting your query at icliniq.com. Hence I advise you to consult an eyecare ophthalmologist online for treatment accordingly -->

Hi. Minimize the use of steroids as much as possible to avoid side effects such as an increase in eye pressure leading to glaucoma. Both Sterdex (Dexamethasone) and Chibro are steroids. They may relieve your symptoms in the short run but may harm your eyes if used for long term. Pain in the corner should not affect your eyesight. Just use appropriate glasses. For lubricant, you can start with Carboxymethylcellulose containing drops, and it can be changed later if more lubrication is needed. For allergies, Olopatadine containing drops can be used. Keep in touch with your doctor.

Hello. I am sorry to hear about what you are going through and wish all the health in the world. Fortunately, Celexa (Citalopram) is not significantly correlated with glaucoma as a side effect, and I doubt that the progression of your disease is related to your intake of the antidepressant. Glaucoma is a chronic disease that tends to progress regardless of all actions taken by the ophthalmologist slowly. Our main approach towards glaucoma is to keep it under control because we are not able to treat it and based on your history of ophthalmic care you seem to be in good hands, but you should be very punctual on your follow-up and doctor's recommendations. You can also add artificial tears four times daily at least to that list of eye drops that you are using. Dry eye is inevitable with all the medications that you are using.

Hello. Revert back with the answers to the above questions to a paediatrician online -->

Hi. The thing with glaucoma is that it is a progressive condition and we can arrest its progress to a level that it does not cause further damage. The vision loss that has already been done by the disease is not reversible. Our goal here is to lower the pressure to such a level so that it does not cause further damage. The severity of damage is assessed: For the photographs, you have sent: For more information consult an eye care ophthalmologist online -->

Hello. I am very sorry to hear about your mother's eyes. I suspect that she must have undergone the retina laser and the injections for a condition called as diabetic retinopathy. I feel that most likely it is a complication of diabetic retinopathy that might have caused a high pressure in her eyes. Xen gel stent is currently FDA approved for refractory glaucoma not caused by diabetic neovascularization and Inn focus micro shunt is currently being tested for long term side effects and usefulness in such situations. I must be clear in letting you know that neovascular glaucoma is a very adamant disease to treat and the treatment may not be straightforward and may require multiple procedures and reviews with the treating doctor, yet the most often agreed upon surgery, across most hospitals in the world is currently Ahmed glaucoma valve, along with of course the laser and injections. In case you need further clarification or if your mother is not a diabetic, please send a scanned copy of all her doctors records and prescriptions. I will do my best in helping you understand the situation.

Hello. A Formamide inhaler is a good medicine for asthma. Is that dose right for you or not depends on your level of asthma control? If it is well controlled, it can be continued. However, if over the last three months of your symptoms were well controlled may be able to attend come down with the inhaler dose. I would suggest you be in touch with your pulmonologist for this. If your GERD (gastroesophageal reflux disease) symptoms are only occasional taking Pantacid as and when needed shall suffice.

Hi. Having night symptoms mean that your asthma is not well controlled and upgrading the treatment is required. Foracort Inhaler 400 mg is a right combination that is used daily. I recommend you take Singulair 4 mg tablet (Montelukast) once daily in the evening. Use blue inhaler during the time of exacerbation every five minutes till 20 minutes. If there is no improvement, you should visit the nearest ER (emergency). Also, let me know if you have a PEFR (peak expiratory flow rate) chart.

Hello. As you said correctly that asthma patients should always take care of their diets as some food ingredients may cause a severe asthma attack. Grossly we cannot avoid all food types because there is person to person variability to the food allergy. So you should strictly avoid food that is causing some difficulty in breathing or attack. To find out exactly we can do skin prick allergy test or blood allergy test so that you definitely know what food you are allergic to. After that, you must avoid those food items. Processed foods, some bakery items containing eggs, chilled drinks, food colorants, should be strictly avoided. Always check ready-made foods or processed foods for ingredients. Sometimes butter, cheese, yogurt, and milk also needs to be avoided in some cases of diagnosed allergy. Otherwise, you can enjoy fresh fruits and vegetables in your diet.

Hi. For further information consult an ayurveda specialist online -->

Hi. As per your symptoms, you are suffering from bronchial asthma with allergic rhinitis, but you need to confirm this by doing a spirometry with reversibility test. Asthma is a disease related to hypersensitivity of our respiratory system to some allergens which cause triggering, inflammation in the respiratory mucosa. Undoubtedly you need to take medications else symptoms will get worse as your age advances. So visit a chest physician. I am a practicing chest specialist so I know the pros and cons of the disease. See this asthma is a genetic disease acquired during childhood, and any genetic disease means in genes and currently we in our medical field we are under research for a permanent cure like answers in this genetic diseases field, so my opinion would be visiting a pulmonologist or a chest physician for proper work up and guidance. Chest physician can do a spirometry and total serum IgE levels and as per your need will prescribe you some inhaled medications like long-acting beta 2 agonists and inhaled corticosteroids and maybe some oral steroids as per need which can help you with minimum side effects. Maybe you will need those medications for some duration like three months a year at maybe long or on changing seasons. For more information consult a pulmonologist online -->

Hi. I went through all the history details and reports. It shows mild osteoarthritis which is not reversible. But if you maintain your weight and exercise, it will halt. Please do quadriceps exercise for knees and for shoulder, bench press. Take a lot of fruits and vegetables. The cracking noise is normal and you need not worry. I hope I have answered your questions. Please feel free to ask me if there is any doubt in this regard.

Hello. Osteoarthritis is a possibility. However, it is associated with pain and swelling of the knee joint and pain is predominantly while walking, especially going upstairs. NSAIDs (nonsteroidal anti-inflammatory drugs) may help. However, physiotherapy and weight reduction are important. It would have been better if you had uploaded a snapshot of the X-ray. For more information consult a rheumatologist online -->

Hi, Welcome to icliniq and thanks for the query. She can take SAM or MSM (Any one of them). SAM is a safe medication. It is a cartilage protective drug and will help her improve some of the pain in osteoarthritis. For osteoarthritis: you have to remember that these medications like free flex, collagen peptides, SAM and MSM are like to help to nourish cartilage and provide some relief. They do not actually replenish the cartilage. I normally advise to take these cartilage supplements for a period of 3 months and gap of 6 months and again restart them. Just check the medication freeflex might contain MSM. Regarding osteopenia, I advise her to continue calcium and consult local orthopaedic surgeon if he can help her with some medications that can build up calcium. If her mobility is restricted, then better to get an x-ray and check the current stage of osteoarthritis and depending on it, we can suggest further treatment. Consult an orthopaedician online -->

Hello. 1. Osteoarthritis. 2. Overuse injury. 3. Rheumatological diseases (less likely). 1. Complete blood count (CBC). 2. Antinuclear antibody (ANA). 3. X-ray of the shoulder with Y-view and x-ray of the cervical and lumbar region. 1. Most likely degenerative joint disease (DJD). 2. Osteoarthritis of cervical and lumbar vertebrae and shoulder joint. 3. Less likely rotator cuff injury for shoulder and nerve impingement of the lumbar (lower back) area. 1. Ibuprofen 400-600 mg every 8 hours as needed for pain. Should take the tablet with food and do not take it empty stomach. 2. Muscle relaxant like Cyclobenzaprine 10 mg every 12 hours on as needed basis. You should not drive while taking it. 3. Physiotherapy would be very helpful. 1. Minimize your exercise to three times a week and strengthening exercise encouraged. 2. Use braces (knee brace and back support). Revert back with the reports to an orthopaedician and traumatologist online.--->

Hello. Please send a clear picture of the affected lesions for better evaluation and guidance.

Hello. I read your concern. Sometimes, usually, they try to break the trigger points, and it would have caused discomfort. The technique itself is pro-inflammatory techniques and will induce some more inflammation so that healing happens.  So do not worry. Now, I request you to ice your calf frequently like once in two hours for 15 minutes as of now and stretch it properly things should settle down fast. Tomorrow morning you might feel a lot of stiffness in the calf, do not worry as you have to stretch your calf gently and roll your calf over a foam roller or if have somebody ask them to massage it for few seconds. Things will be fine. You can walk without pain. I hope this is helpful to you. Kindly revert in case you need any further information in this regard.

Hello. Please do not worry. After delivery, for any woman, it is common to have a hormonal imbalance which could cause anxiety and depression symptoms. More over, the trauma associated with the childbirth also could trigger anxiety and depression. But both of the anxiety and depression conditions are normal and they are for a short time. Your symptoms should clear within three months.

Hello. The chances of getting pregnant with precum are very low. It also depends on the time of your cycles. If you are not in the middle of your cycles say day 13, 14 or 15 of the monthly periods, it should be a safe time.

Hi. I see that the growth over the shaft of your penis has been disconcerting to you. It has a scabies look, which is caused by a small mite. For confirming the diagnosis, I need to know how long are you having this? Do you have itching over any other area in your body? Do any other people in your home have any recent itchy lesions over their body? Are you sexually active, and if so, does your partner have any genital lesions like white discharge, etc.? Please get back with the details, so that I can zero in on a diagnosis and prescribe the appropriate medicine for you.

Hi. Traumatic or some cancer causing nerve compression. MRI Scan and spirometry. Unilateral diaphragmatic paralysis. For further information consult a pulmonologist online.--->

Hi. I suppose you have urine culture proven urinary candida infection for which this tablet Diflucan was started. Usually for urinary tract infection, it is given for 1 to 2 weeks depending on patient symptoms. You can continue till two weeks till sypmtoms subside and then repeat the urine culture test for documentation of complete resolution. You should also check for your blood sugar as these infections are common in diabetic person and high sugar can lead to recurring infection. Burning sensation in urine or achiness as you described is most probably due to infection. A sonography of abdomen and pelvis is advised to rule out other causes such as stone disease as cause of infection.

Hello. Your fasting glucose is high so that you might also have diabetes. Should treat it adequately, apart from diet and lifestyle changes. Cholesterol is fine, and if you follow the changes in diet and lifestyle regimen, cholesterol will get normalized too. Excessive sleeping and always feeling tired is due to alcoholic fatty liver damages. Should stop drinking alcohol and increase water intake. Stinging nettle supplement will help detox your liver. Keep following up with gastroenterologist regularly.

Hello. You have mentioned that you have diabetes. Patients with diabetes need not always be present with typical chest pain in case of any sudden cardiac event; symptoms like right sided pain, and persistent vomiting should not be taken lightly. And also you did not mention about history of any 1) cough, 2) abdominal pain, and 3) burning urination In addition to a coronary cardiac event, your symptoms also suggest the possibility of any lung infection as it can lead to fever chest pain and even vomitings sometimes.And as people with diabetes have a predisposition to infections, patients with fever and vomitings should be evaluated for urinary infection also if other symptoms are present. You need to get 1) ECG. 2) Chest X-ray. 3) Complete blood picture. 4) Complete urine examination is done. Without any delay and also chest and abdomen needs to be examined for any infection. You can contact me any further queries.

Hello. It usually takes a few attempts to optimize your ADHD (attention-deficit hyperactivity disorder) medication regimen. It can be somewhat frustrating, but your experience is not uncommon. Your doctor will titrate the dose of Adderall (Dextroamphetamine, Amphetamine) according to your clinical response and tolerability. There is some evidence to show that Wellbutrin (Bupropion) is helpful in adult ADHD, especially if you also have any low mood and anxiety symptoms. So continue having regular reviews with your doctor who will monitor your response. Follow proper sleep hygiene measures and try to exercise regularly. It will have a beneficial effect.

Hello. You have undergone appendectomy recently, and it is normal to develop mood disturbance after any surgery. You are already on the major depressive disorder, and this is the reason you are feeling bad, isolated, sad, and lonely. Wait for few more days and see if spontaneous improvement occurs. If the mood gets worsened, then the dose of Cymbalta can be increased. For sleep, any good Benzodiazepine can be taken, which will help in calming you.

Hello. Are you diabetic? Do you feel any pain after food intake? I have seen the images that you attached with your query (attachment removed to protect patient identity). Possible causes are: 1. This is the area for gallbladder possibility of cholecystitis. 2. Right ureteric stone may present pain in this right para umbilical/ right hypochondrium area. 3. Fatty liver. 4. Colon infection (ascending colon). 5. Gall stones may also present like pain in this region. So use the tablet Cyclopam (Dicyclomine and Paracetamol) twice a day for five days, Ofloxacin and Ornidazole twice a day for five days after food, tablet Pantoprazole before breakfast for one week. Drink plenty of liquids. Avoid fatty foods. If symptoms not improved please get it done ultrasound abdomen and post me.

Hello. Probably your diarrhea comes when consuming milk containing food, which means your intestines are intolerant to lactose, which is the sugar that is present in milk. We call such situation as lactose intolerant enteritis. Curd and lassi you can take because their lactose content has been degraded by fermentation and so you can have both.

Hello. This will last for some more weeks and you will then get adjusted to new change in your life. If he is not contacting you and is totally ignoring you then in that case there is no benefit in thinking about him. If he is so stubborn that he has no contact with you for the last one month then he should get the reply in the method he deserves. You should focus on yourself, whenever you have thoughts about him you should call your friends or your family members. Try to distract your mind. You can go for shopping to distract yourself. One month has passed already so I think you have developed good strength. Try to consolidate your strength. This is the age at which you should focus on your studies and career. He should be ignored totally. If you will ignore him, you will get more strength.

Hello. 1. Recent blood tests like CBC (complete blood count), ESR (erythrocyte sedimentation rate), CRP (C-reactive protein) and serum uric acid. 2. X-ray ankle - lateral view. 3. A clinical picture showing exact site of pain and inflammation, so that the pathology can be estimated. 1. Achilles tendonitis (Achilles tendinitis). 2. Plantar Fasciitis. 3. Bony spurs. Follow up with investigations to an orthopaedician and traumatologist online.--->

Hello. The protocol followed by you is good. You should follow that regularly for the next one month. For the plantar fasciitis, I suggest the following: For the knee pain, I suggest the following: This will help ease your pain. Happy recovery. For more information consult a physiotherapist online -->

Hello. I have gone through your reports (attachment removed to protect patient identity). Revert with reports to a fitness expert online -->

Hello. Revert back with more clinical details to an orthopaedician and traumatologist online -->

Hello. I read carefully your question and would explain that a normal EEG does not exclude seizures. Anyways, there are many other causes that may trigger seizures even in healthy persons like insomnia, alcohol or drugs, thyroid gland dysfunction, electrolytes imbalances, anemia, head trauma, etc. Epilepsy is a disease which leads to repeated seizures in the absence of the above triggering factors or other medical disorders. Coming to this point, as you have stopped medication and you are feeling great, I would recommend just wait and see if you will have any seizures while free of AED. If this happens, I would recommend starting another AED like Levetiracetam in low dose. In the meantime, I would recommend following a regular sleep hygiene, eating a balanced diet, avoiding caffeine, alcohol or smoking. I would also recommend avoiding driving in the next months as we can not predict if seizures will reoccur or not.

Hello. Your history suggests the relationship between Crohn's disease and lower right abdominal pain. Gut resection causes this kind of symptom as the overall function is compromised. A post-surgical follow-up visit to the surgeon would be helpful to see whether urinary bladder or ureters were involved. I will suggest you make a post-surgical follow-up with the surgeon and a gastroenterologist for Crohn's disease follow-up. Consult with an orthopedic doctor for osteoarthritis and calcium, and vitamin D supplements. Bone pains in osteoarthritis occur due to condition itself and also due to calcium and vitamin D insufficiency.If any X-ray of abdomen and neck you have, please send me.

Hi. I have seen all the attached reports (attachment removed to protect patient identity). Have a nice day. Revert with more information to paediatrician online -->

Hello. I went through your report (attachment removed to protect patient identity) and post, the thing which is favoring Crohn's disease is normal biopsy colonoscopy. You need to do ASCA (anti-saccharomyces cerevisiae antibodies) and a CT enterography. Your CRP (C-reactive protein) and calciprotein are high. So, Crohn's is a strong possibility which will be confirmed by CT enterography and antibody test. For more information consult an internal medicine physician online -->

Hi. Crohn's disease is an autoimmune disease, in which our own immune system tries to act against our body tissues. With this concept, allopathy physicians give drugs to suppress immunity, thus no action against our body tissue. This is the way of allopathy treatment. These immunosuppresants have their own side effects over a long period of time.  Revert back to an ayurveda specialist online after two weeks for further follow up -->

Hello. I can understand your concerns. I hope this helps. Take care. For more information consult a child health specialist online -->

Hello. The main problem with meningitis is that it is an infection which causes irreversible damage. As far as knowledge goes, there are not many cases who benefitted with the hearing. The cochlea is the hearing organ of the human body. It has three partitions filled with fluid. When hearing loss is caused by meningitis, the cochlea begins to ossify (the canals in cochlea start turning into bone). Thus the sound vibrations are not able to reach the auditory nerve. Usually, the loss is permanent. If you already wear hearing aids and now having a problem with understanding the speech, you need to see an audiologist and recheck your hearing as it might have progressed. If the loss has increased, please reprogram your hearing aids. If it has not changed, then you need to practice communication perception techniques. A speech therapist can help you with the techniques to improve communication. There are few techniques for better communication, but as you have not mentioned, I am not familiar with what method you use. I feel you should have discussed the problem in detail so that I could have helped you more with techniques. Do not hesitate to contact me.

Hello. I went through your post which has nicely described the events. Also, I reviewed her reports (attachment removed to protect patient identity).  For more information consult an internal medicine physician online -->

Hello. For further information consult a child health specialist online -->

Hi.  She may have repeated biliary colics or recurrent attacks of gastritis or may have urinary tract infections. So, she needs urine routine test, liver function test for further comments.

Hello,  Welcome to icliniq.com. This is very common not to have full grown beard. As you have mentioned you have hair on chin and moustache but not on cheeks, you can consider meeting an endocrinologist and get your hormones laboratory test done. This is just to ensure that you do not have any hormonal issues. If everything is normal, you can consider beared transplant surgery. It is safe and permanent solution to your problem.

Hi. Skin prick allergy testing is one of the most accurate ways of diagnosing the allergen, one is sensitive to. It is definitely more accurate than blood immunoCAP testing (blood allergy testing). Skin prick testing checks your sensitivity to the protein in question. Even if sensitive, it need not mean you are allergic. Whereby, a positive result need not always mean you will get allergy with the protein. It means that your immune system is sensitised to that allergen and that an allergy can occur in subsequent exposures to the allergen. A negative in skin prick testing will mean that you are not sensitive to that protein and that you will not end with an allergy upon its exposure. This is true. But it is specific for the particular type of allergen. What all animal danders were included in your profile and what was the response to each? Is there a photograph or record of the wheal or flare that developed after each prick? Was the test read by a clinical allergist or immunologist and were you provided a report as to that you are not allergic to any animal dander? Were you diagnosed with pollen allergy or sensitivity? Have you observed any symptoms of allergy while in gardens or bushy areas? Or in any particular season? Does any one else in your family have allergies?

Hello. From your description, it seems like it is traction alopecia that occurs due to excessive pressure on hair roots due to hair bun, etc. First thing is to make sure to relieve pressure from your hair roots. Use Minoxidil spray BD over the frontal area. Take biotin supplements BD for atleast three months. Follow up at one month.

Hello. I can understand your concern. I have gone through the reports you have attached. In my opinion, you should get done repeat test after a month.No need to start thyroid medicines. Do regular aerobic exercise like running, cycling, swimming, or walking. I hope I have solved your query. I will be happy to help you further.

Hello.  I understand your concern.  1. It certainly looks like candidal balanoposthitis (attachment removed to protect patient identity), though I would appreciate a photo without flash to see the lesional morphology better. 2. Besides the fact that it can spread via sexual contact and one is advised to get their partner also treated, other precipitating factors like blood sugar should be ruled out. Treatment remains the same as you are already taking it. Get other relevant investigations done to rule out any associated STDs. Take care.

Hi. Looking at the picture, features are consistent with candidal balanoposthitis. It is quite severe. Please stop using Menaderm, Cortisone, both are steroid cream, that makes the infection grow rather healing it. Gelmicin has steroid along with anti-fungal medicine. Any history of unprotected sexual intercourse before this rash appeared? Clean the area with lukewarm water, use a mild soap. Apply Clotrimazole 1 % gel or cream twice a day for 3 to 4 weeks. Avoid sexual contact till it heals. You need oral antifungal capsule. Do you know if you have any allergy to any medication? You need Itraconazole 200 mg, one pill twice a day for just one day. It is a single day treatment. Buy two capsules of Itraconazole 200, take one pill in the morning after breakfast and one pill at night after dinner. Please do not take Itraconazole if you are allergic to it. Since it is severe, you may need to repeat the Itraconazole capsules after one month.

Hello. You might be suffering from candidal balanoposthitis. Please send good quality photographs of the lesion taken in a natural light for confirmation of diagnosis and treatment. Regards. For more information consult a dermatologist online -->

Hello. If a person is suffering from PTSD (posttraumatic stress disorder), depression and anxiety, they will probably need a combination of medication and psychological therapy to manage their condition. Lexapro (Escitalopram) is a good antidepressant that can be helpful in this situation. Based on more clinical information and formulation, psychological therapy can be considered. CBT (cognitive behavioral therapy) will be helpful in addressing depression and anxiety. If PTSD is the predominant primary condition, trauma-focused CBT or EMDR can be considered. Kindly discuss with your doctor locally. Also ensure, you follow the necessary self-help measures like healthy eating, adequate sleep, regular exercise, avoiding alcohol, etc. You can contact again if any further advice is needed.

Hello. I have read your concern. Can you give me more of the details of the surgery if you can still remember? How was it repaired as what you have told by your doctor? How is the finger at this moment (can he flex? can he feel anything at the tip of the finger?) I am hoping for your reply.

Hi. Revert back with the answer to the above question to an eye care ophthalmologist online -->

Hello. You are suffering from depressive features and hence the low self-esteem and self-harming thoughts. I suggest you take Zosert (Sertraline) 50 mg twice daily along with tablet Lonazep (Clonazepam) 0.5 mg at night for a period of two weeks. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. You need to focus on a new hobby. Give time for physical fitness.You can review with me for further followup. For more information consult a psychiatrist online -->

Hello. I understand what you must be feeling right now. Depression is a serious but treatment illness. I can see you have thoughts of suicide and suicide attempts are also there which indicates that your depression worsened now. But do not worry, there are various treatment options available, with which your condition can be improved. Depression is a biological illness just like diabetes. It is neither your fault nor your wish to be in the pain that you are in right now and you cannot overcome these feelings and thoughts. Every disease needs appropriate treatment. I would advise you to consult a psychiatrist online or offline as soon as possible. Remember help is there please avail it. I would require more details about your problem. Thyroid function test, serum B12. May require inpatient care, medicines, therapy.

Hi. Please use Prozac in the morning as it can worsen sleep when used at night. You can take Prozac 40 mg. Do not increase the dose of Mirtazapine as higher doses of Mirtazapine cause insomnia whereas low dose help in sleep. Mirtazapine 15 mg is sufficient. Do not take Phenergan and Valium at the same time. Please continue to choose only one drug, and the dose is adequate. I would also advise you get an MRI brain (magnetic resonance imaging) done. Along with the medicines, engage yourself in social activities and do exercise frequently. You can consider starting therapy for depression and alcohol dependence.

Hi. Depression can be normal and can be a disease. Depression is diagnosed when a person has low or depressed mood for most of the day every day at least two weeks, lack of interest and pleasure in daily activities, other symptoms are sleep disturbances, appetite changes, poor concentration, pessimistic thoughts, feeling guilty, hopelessness, thoughts of ending life. It is multifactorial. Your history is suggestive of depression as you have mentioned that these symptoms were in the past also, try to find out what is causing your depression. Any current issues or any past life event? Tablet Escitalopram 10 mg at night, tablet Alprazolam 0.5 mg at night if sleep issues, lifestyle modification (go for walk daily, meet with your friends, share your problem with whom you trust), psychotherapy sessions.

Hello. You have put your query with nice description but I think you have uploaded wrong images. So, if possible share correct images. From your description, it seems atopic eczema. It is endogenous eczema which may have several aggravating factors. Predisposition may come from the hereditary mechanism. Other first or second degree relatives may have features of some kind of allergy or atopy. Seasonal changes may also affect disease course. Some food like groundnut, cow milk, an egg may cause the problem. It starts with dry skin. Then some tiny lesions, sometimes oozing, scaling, crusting. They may coalesce to form large plaques. So we have to put first check on dry skin by use of plenty of moisturizers. It is best to use just after taking bath, tap the water with towel softly then apply moisturizer within 3 to 5 minutes of the bath. And have to apply 3 to 4 times a day as per requirement of skin to combat dryness. The dry or cracked skin may produce stinging sensation: burning sensation initially but it will go on its own. Or you can try a different moisturizer, even a good vaseline or coconut is also perfect. Topical steroids are useful during exacerbation of disease. It comes in different potency, and I hope your doctor had prescribed low-mid potency one. Like Hydrocortisone, Desonide, Flucinolone or Fluticasone. Among these, Desonide is best according to efficacy and safety. There is nothing like being habitual. You can stop anytime. But try to stop in tapering way like initially daily, then alternate day then weekends then stop. Your baby is 5 years old so you have one more option to replace steroids. Topical Tacrolimus 0.03 % ointment. Once lesions are clear by use of steroid then you can shift to Tacrolimus. Or on the face, it is alone sufficient. No need to use steroids on the face. How to manage with minimum medicine: Can moisturiser be avoided? No. Apply with a soft hand, do not massage vigorously. When will she get better? Usually, 80 % child become better by age of 12 to 13 years. But it depends on several factors like family history, exposure to aggravating factors, management of exacerbations. You have to pamper skin of your baby, care during cleaning, tapping, applying moisturizer all needed. There are several another way to treat exacerbation so you should not be worried. For more information consult a dermatologist online -->

Hi. Continue the same treatment. 1. Avoid excessive wet work and direct contact wit soaps and detergents. 2. Avoid direct hair dye application. 3. Reduce gardening activities if any. For further information consult a dermatologist online.--->

Hi. From your pictures (attachment removed to protect patient identity), it is more in favor of eczema but infected one. Do you use gloves while holding steering? It is not a fungal infection clinically. You have to apply combination ointment containing Betamethasone and Neomycin. The most important thing for eczema is to maintain moisture and hydration of the skin. For that you have to use Vaseline (petroleum jelly) 4 to 5 times a day. Take non-sedating antihistamine. You will get better. Eczema. Apply a combination of Betamethasone plus Neomycin ointment, Vaseline 4 to 5 times a day, take non-sedating antihistamine tablet. Maintain hygiene of area, wash with soap and water, avoid using Dettol and other irritants, use cotton gloves.

Hello. Oral sex is least related to HIV. Symptoms are very bizarre and mostly by oral sex HSV, and STI is common. The tickling sensation is different as such, may be seen in vitamin B 12 deficiency, and anxiety. Symptoms come but goes in a particular time. You can still go for the HSV test. And STD panel test. No signs you had related to both. Till then you can take, Tablet Mecobalamin (Methylcobalamin) 1500 mg one at night for one month. If you feel better, you can continue for another a month if at all required. Tablet Escitalopram 10 mg (esitelop10) one at night for ten to fifteen days if at all needed. It is not at all HIV. I hope you have understood.

Hello. Thanks for choosing this platform. 2 to 5 inch of the penis size is normal. The average size of penis is 3-5 inch while erect and 1-3 inch while flaccid. Having said this I like to inform you that penis size does not make things different during sex as only one third of the female vagina is sensitive. So, even 3 inch of penis in erect state provides equal pleasure to both partners. In regard to penis size your fear of small penis is baseless and you can get this idea out of your mind now. Girl may or may not think about the size as it is their domain, but as I said it dose not matter on bed. What you read in pornographic magazines is distorted presentation and does not hold any truth. I do not understand what do you mean by small testicle and low sperm count. It is the number of seminiferous tubules in the testis that matters. Other than that if you are having doubt you can get report of semen analysis which will reveal true sperm count in your semen. Having morning time erection is completely normal and there is nothing to worry about that. If you do not get morning erection that may be a sign of problem. For further information consult a sexologist online -->

Hello. Viral fever. Complete blood count, CRP (C-reactive protein), parasite F and V test, CUE (complete urine examination) and chest x-ray. Viral pyrexia. I suggest the following medicines. Consult your specialist doctor, discuss with him or her and take the medicine with consent. 1. Syrup Cetirizine 5 mL, once daily at night. 2. Continue Crocin (Acetaminophen) and Meftal (Mefenamic acid). 3. Nebulization with 3% Nacl (Sodium chloride), twice daily for three days. 4. Syrup Ascoril LS (combination of Ambroxol and Salbutamol) 4 mL, three times a day for three days. Revert back after three days to a paediatrician online.--->

Hi. I reviewed your reports (attachment removed to protect patient identity). I advise you following: Revert back after 2 weeks to a general medicine physician online -->

Hello. As you are only 17 years old, the primary cause behind it might be genetic as your parents or grand parents may have white hairs at an early stage. The other possible causes might include poor nutrition, improper lifestyle, stress, etc. White hairs mean lack of melanin, the coloring pigment in hairs. Once the hair that grows white, there are fewer chances to revert them back to normal black color. But, you can stop further graying of hairs. First of all add foods like figs, curry leaves, raisins, fresh fruits, and vegetables in your diet. Avoid excessive caffeinated drinks, spicy and junk food. Quit smoking and drinking if you do. Sleep adequately at least for 6 to 8 hours a day. Try to go to bed before midnight. Avoid taking too much stress. As far as medicine is concerned, I suggest tablet Asthiposhak two tablets twice a day with water for six weeks. Apply Bhringraj oil on your hairs two to three times a week one night before washing hairs. Wash your hairs with a mild herbal shampoo. Have one glass of lukewarm milk and add a pinch of black pepper and turmeric in it and take it before sleeping. Try all these things, and you will soon feel positive results. 1. Genetics. 2. Poor nutrition. 3. Stress. Revert after a month to an ayurveda specialist online.--->

Hi. Hurting of gums while taking spicy food might be due to the following causes: 1. Gingivitis (swelling and inflammation of the gums) - Swollen gums may be painful and may cause burning sensation and pain while taking hot and spicy food. Gingivitis occurs due to either plaque or other debris accumulating around the teeth and gums. Also hormonal changes occurring during menstrual cycle can cause swollen and painful gums. Any medicines taken for medical issues like hypertension, epilepsy, etc., also cause gum changes and swelling. 2. Any ulcers in the mouth will get hurt while taking hot and spicy food. Ulcers might occur due to faulty tooth brushing techniques, usage of toothbrushes with hard bristles, stress, sharp tooth hurting the tissues, any dental appliances or ill-fitting dentures. 3. Any abscess related to infected tooth might also hurt while taking spicy food. But, you have mentioned that you do not have any cavities or teeth issues. Have you been examined by a dentist regarding this? 4. Any impacted tooth (teeth that remain unerupted due to inadequate space inside the mouth or remain inside the bone itself) may develop swelling of gums around it. When the opposing teeth impinges on this swollen tissue while taking spicy food it gets hurt. 5. Hypersensitivity reactions may occur to certain foods. This might cause swelling, reddening and burning sensation of the mouth. This may occur due to some food additives. 6. Habits like smoking and usage of tobacco products may also cause burning sensation while consuming spicy and hot food. 7. Dental procedures like scaling (cleaning of teeth) might cause minor tissue injuries. These hurt and cause burning sensation while taking hot and spicy food. But, this heals in 4-5 days after cleaning. In your case, this might not be the reason, as you have undergone scaling before 2-3 years. 1. Get dental scaling done, if you have any plaque or calculus deposits causing swollen gums. 2. Get your oral cavity examined by your dentist, for any ulcers, abscesses, infected teeth and impacted teeth. 3. Also get checked for any sharp teeth and any dental appliances or ill-fitting dentures. If found, sharp teeth have to be trimmed and reduced, and ill-fitting dentures and dental appliances have to be corrected immediately. 1. Kindly make a note if you develop any gum swelling, redness or bleeding gums during your periods. 2. Use toothbrushes with soft bristles for brushing your teeth. Also follow the proper brushing technique for brushing your teeth. 3. Make a note whenever your gum hurts and what foods hurt your gums. Check if any food causes the same issue repeatedly. In case, if that food contains some additive that causes hypersensitive reaction, then you may have to avoid that particular food in future. 4.Quit habits like smoking or usage of other tobacco products (in case you do). For further information consult a dentist online.--->

Hi. I can understand your concern. From history, I hope you are telling that you (male) is B positive and your fiance (female) is B negative. It will not cause a problem in first pregnancy but in second pregnancy severe hemolytic disease of the newborn can occur. So, we have to prevent this sensitization when she will be pregnant. So, just keep this in mind and in first pregnancy of your wife (she is having a negative group as per history), she should be given Rh(D) immunoglobulin injections in the antenatal period at 28 week of gestation. In addition, before marriage, you both should be investigated for thalassemia minor status. For further information consult a hematologist online -->

Hi. I have gone through your attached reports (attachment removed to protect patient identity). Take care. Hope your concern is solved. For more information consult a pathologist online -->

Hi. I am afraid the answer is not so simple. However you can avoid sex in the unsafe period. The unsafe period is the period roughly between 10th to 20th day in a woman having a 30 days menstrual cycle. This period roughly corresponds to the most fertile period in a woman's menstrual cycle. You can also try the withdrawal method where you need to withdraw just before ejaculation, but it needs lots of mental strength on your part. Your partner can also use certain female condom or spermicides also. Use emergency contraceptive methods to prevent pregnancy after having an unprotected sex. But please keep in mind that, all these are never 100% to prevent a pregnancy. Revert back to an obstetrician and gynaecologist online -->

Hello. Bad smell during breathing could be due to various reasons. Let us see those one by one. Malignancy: an intranasal (inside the nose) or intraoral (inside the mouth) malignancy can produce foul smell, that can be perceived as faeces smell by the nose. Malignancy can be painless and without any symptoms. Malignancies of paranasal air sinuses also produce foul odor. Dental infection: a tooth decay can produce bad smell. Dental infection usually produces significant pain. Food particles get collected inside the decayed tooth and hence cause the bad smell. Sinusitis: Chronic sinusitis can cause constant post nasal drip and purulent discharge (pus discharge). This results in foul odor. Maxillary sinusitis commonly produces foul odor. Sinusitis will have other symptoms like headache, facial pain, nasal blockage, post nasal drip, etc. Foreign body inside nose: A foreign body which has got stuck inside nose without being removed for many days will produce purulent discharge and smell. The discharge will be from one side of the nose. It is common among kids. Foreign body produces nasal block. Atrophic rhinitis: It is a disease where the normal space inside the nose gets increased due to destruction of the anatomy. Also the condition causes merciless anosmia (loss of sensation of smell). The sufferer cannot perceive any smell but the people around him can get the extreme foul odor emanating from the patients nose. Atrophic rhinitis also presents with crusting inside nose and nose block. Maggots in nose: Maggots are larval stage of fly (chrysomia). Maggots usually occur in association with atrophic rhinitis. Fly lays its eggs inside nose leading to maggots inside nose. They are attracted to the foul odor and they themselves aggravate the odor. Tonsillitis: Pus accumulated over the tonsil can cause bad smell. Tonsillar enlargement with infection and consequent foul breath is common in many children. Other symptoms of tonsillitis include fever, throat pain, enlarged lymph nodes of neck, difficulty and pain while swallowing. Nasal diphtheria can produce foul odor. Diphtheria produces a membrane over the affected mucosa. Rhinitis caseosa: it is a destructive disease producing foul odor. It was thought to be a fungal disease, exact etiology is still not clear. Tuberculosis: TB of nasal mucosa produces granulomatous inflammation and caseating necrosis, consequent death of tissues and foul smell. Hope I have cleared your query. Further evaluation and clinical examination is required. For further follow up, consult an ENT otolaryngologist online.--->

Hello. It is one of its kind and the most interesting question that I have come across. It is good to see that how an adolescent can be so inquisitive about his sexual development. For any other sexual health related queries, feel free to consult a sexologist online -->

Hi. I read your query and understand your concern. I hope this answers you. If you have more questions feel free to write back to me. For more information consult a neurologist online -->

Hello. Normally, circumvallate papillae are enlarged structures at the base of the tongue. So it is normal to have enlarged papillae and it does not need any treatment especially if you do not have any symptoms like pain, swallowing difficulty, etc. Also, there is unlikely to be any abnormalities in them as it is unchanged since last 45 days. You upload the picture of those papillae so that I can confirm. However, with a sore throat, it may appear bulky and slightly enlarged but it settles down after it is treated, and you already took Amoxicillin for that. Hope this helps you and get back if you have any doubts. For more information consult an internal medicine physician online -->

Hi. The first thing that comes to my mind is a disease called atrophic rhinitis. Here, the mucous membrane and structures inside the nose shrink and the nasal cavity is filled with crusts, which get infected and smell. In this condition, the patient has decreased sense of smell, but others can feel bad smell coming out from the patient's nose. A diagnostic nasal endoscopy is sufficient to diagnose the condition. It can specify whether it is atrophic rhinitis or something else. If it is at all atrophic rhinitis, the treatment is frequent saline nasal washes and mechanical removal of the crusts by an ENT specialist. Rarely surgery is needed. For more information consult an ENT otolaryngologist online -->

Hello. For more information consult an obstetrician and gynaecologist online -->

Hello. For swelling in the pre-auricular area, my differentials are: Since it is rubbery and movable, I feel it is more like a node only. Nevertheless, we need to investigate it. A fine needle aspiration cytological (FNAC) study will be required, but since the area is close to the branching of the facial nerve, we need to very careful with this investigation. An ultrasonogram of the swelling will be very useful for this. It demonstrates the likely contents of the swelling and indicates a diagnosis.The likelihood of cancer is there but not more than other possible differentials. Parotid tumors can occur in young individuals like you. They are not uncommon. Please revert back with details and we shall help you. Revert with more information to an ENT otolaryngologist online -->

Hi. It is quite common to get a frenulum tear while having coitus. It will heal within four to five days and pain will subside in a day or two. However, if you still continue to have pain, you can seek an opinion. Avoid coitus for few days for a quick recovery. For further information consult a sexologist online -->

Hello. A swollen nipple as well as tender breasts can occur if you are just before your cycle. If so, it is quite normal. It is due to the temporary hormonal fluctuation inside you. Otherwise, taking hormonal contraceptive pills could be a reason. Hard sex with rough handling of your breasts is another issue. Just apply some hot compress over your breasts and put them in tight undergarments all the time. If the pain is more, you can avail Paracetamol 500 mg tablets as and when necessary basis. For further doubts consult an obstetrician and gynaecologist online -->

Hello. Urodynamics if needed. Revert back after a month to an ayurveda specialist online.--->

Hi. I totally understand your anxiety. Based on the description which you have given, there could be a possibility of Klinefelter syndrome. This condition can be seen in about one in 600 boys. A normal male will have a chromosomal pattern of XY. However, in case of Klinefelter syndrome, there would be an extra X chromosome which would have happened randomly during the formation of the egg or sperm, or after the baby boy had conceived.  The extra chromosome is not inherited. So, this condition does not run in families. The adult male body may not be able to produce enough testosterone, the hormone responsible for the development of male characteristics. There may be low energy and sex drive, lack of muscle and too much body fat around the waist. Most men with this condition lead normal lives and also have normal relationships. A few boys with condition may feel shy and may have low levels of self confidence. They may grow quickly than usual and may become taller than other family members. The testicles may be smaller than normal and may not produce enough of the sex hormone testosterone. This may lead to features such as: This condition can be diagnosed by: It is advisable to get treat early in order to avoid further fertility issues. Treatment options available are: A definitive diagnosis can be made only after a complete physical examination and after performing laboratory tests. Visiting an endocrinologist at the earliest would be advisable. Consult an endocrinologist online for further follow up -->

Hi. Arjuna tree bark has many benefits in the cardiac patients. I suggest you to continue arjuna bark medicines. In your case, the Arjunarishta contains minimal alcohol. So, continuous consumption may cause some gastritis. If the symptoms appear within 2 hours of the consumption of Arjunarishta, then it might be due to the medicine. If the symptoms appear after 3 hours of consumption of Arjunarishta, then it means; it is due the disease itself. Only first 3 hours, the Arjunarishta will control the disease. So, you can consume the arjuna tree bark in different method, such as tablets or powder. This will avoid the bad effect of alcohol in Arjunarishta. For further information consult an ayurveda specialist online -->

Hi. I have seen your query and concern. Oily skin and excess sebum secretion. 1. Seborrheic capitis. 2. Tinea capitis. Seborrheic capitis. I would suggest you Sebowash (Fluocinolone) shampoo twice weekly. It has to be applied on scalp and left for 15 minutes before you wash. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You should not apply hair oil. You can use conditioner and shampooing regularly rest of the day. Revert back after a month to a dermatologist online.--->

Hello. I have read your query in detail and viewed the attached pictures (attachment removed to protect patient identity) and do understand your concern. You are most probably suffering from hand eczema or lichen simplex. Numbness in your finger does not seem to be related to this, however, it may be seen in case of certain orthopedic such as nerve compression or medical conditions like diabetes. For the dark patches, I suggest steroid ointment containing Clobetasol twice a day for two weeks. Consult your doctor, discuss with him or her and take the medicine with consent. 1. Avoid excessive use of soap. 2. I suggest apply an emollient or a moisturizing cream to your hand frequently during the daytime. Revert back after two weeks to a dermatologist online.--->

Hello. Nasal trauma and consequent inflammation can cause symptoms like you are complaining. Epistaxis and stuffiness can be present. Since you have been examined at ER and they did not find any signs of fracture, there is nothing much to worry. The swelling you saw deep into your nose is turbinate, and they need not be necessarily identical on two sides. Since there was trauma, it is likely to be congested. There is no reason to be worried too much. Use decongestant drops for a while, and it will be fine.

Hello. Usually, vitamin B complex deficiency causes such peeling of the oral mucosa. If you are using dentures for a long time, then it may be the reason for this.Take a multivitamin once a day and eat a good healthy wholesome diet.

Hello. The two semen analyses reports show entirely different semen characteristics (attachment removed to protect patient identity). The first report is entirely normal, and the person can father a child as long as his female partner is normal. The second report shows no sperms, hence the person cannot father a child. But there are few clarifications needed, 1. Whether both reports are from one person only? 2. What were the collection methods? 3. What was the time gap between two reports if both are from one person? 4. What is the fructose value in the second report? 5. What is the serum FSH (follicle stimulating hormone) value in person with the second report? 6 . what does transrectal and scrotal ultrasound show in both? If you can clarify these points, I shall be able to give still a detailed answer.

Hello. Yes, caps are advisable but single is best. Joined or bridge has a drawback. If any side of the joined cap is loose or any damage comes, then the whole bridge is removed. In single if one particular tooth or cap has any problem or any damage, then the single cap will be repaired and removed.

Hello. I have gone through all the history you provided here. Your mother is currently suffering from two different problems. Mitral valve replacement followed by mild MR and TR as well as atrial fibrillation, are distinct cardiac problems. And according to you, she is taking prescribed medicines regularly.After going through the CT scans images (attachment removed to protect patient identity), it looks like she is suffering from some infective lesions in the lungs, most probably pulmonary tuberculosis (PTB). She is having breathing difficulty with low oxygen saturation, probably due to underlying lung infection. To confirm the diagnosis, further sputum tests are advised for sputum AFB (acid-fast bacilli) and culture tests. If no sputum sample is available, then induce sputum by nebulization with saline solution or perform a bronchoscopy. You are advised to consult pulmonologist doctor who will evaluate history and will advise recommended tests and medicines if required. Currently, symptomatic management includes oxygen supplementation with a high protein diet. Continue all cardiac medicines as advised. Depending upon the sputum AFB report, further treatment can be planned. I hope I have cleared all your doubts. In case you have any questions please do not hesitate to contact me again. Infection with PTB. Sputum AFB and Bactec AFB Culture. Depending upon sputum AFB report may require antitubercular treatment. Strictly use a mask while coughing and talking.

Hello. It is common to have some paranoid thoughts, especially when you are feeling stressed, anxious, and feeling low in confidence. From the way you have described your symptoms, psychosis appears very unlikely. You can recognize the paranoid nature of your thinking, and your thoughts do not seem to have delusional thinking. Your report says that you are functioning normally and so I think your psychologist is right. Continue with your psychological therapy to manage your mood and anxiety symptoms and challenge your distorted thinking pattern. I will recommend having regular follow-up with your prescribing doctor to monitor your mental state and seek review if you experience any new symptoms.

Hello. The test is not specific. You need to specify why it was done and what your symptoms are. The test indicates macrocytosis larger platelet than usual, red cell distribution width is higher than normal (11.5 to 14.5). This indicates that your bone marrow which produces all the blood cells such as red blood cells, platelets and granulocyte white blood cells (neutrophils, eosinophils, basophils) and monocyte is not getting enough vitamin B 12 (cyanocobalamin) and folic acid. I do not know are you anemic since there is no indication of red blood cell count there. The cause can be from not getting enough folic acid and vitamin B 12 in your diet, or your intestine does not absorb enough B 12 vitamin, a condition called pernicious anemia from lack of intrinsic factor needed for their absorption. You may be a vegetarian because if you eat enough meat, you would not be having folate and B 12 deficiency.You may have vitamin B12 and folic acid tablets.

Hello. You have new-onset urticaria. Since it has gone on for longer than six weeks, it is now considered chronic urticaria. It is a common condition. Most people will experience at least one episode of urticaria during their lifetimes. There are many causes of urticaria such as 1. Infections-viruses, bacteria, and parasites 2. Drug allergies. 3. Food allergies. 4. Insect bites or stings. 5. Physical causes like exposure to cold. The exact cause cannot be identified in about 50 % of the cases. Please try to see if you have changed any cosmetics (hair dye, creams, powders, soaps, shampoos, deodorants, etc.). Have you started any new medicine or supplements (including herbal, over-the-counter, etc.)? Any recent change in your occupation, use of latex, etc. Any urine infection-burning urine etc. Any use of food colors?If no answer can be obtained, I suggest checking a complete urine examination. Also, I would try a course of de-worming treatment. Albendazole chewable tablets (brand name Zentel) 400 mg. Take it in two doses. The first and second dose should be separated by a week. Take after food, only two doses are required. For symptom relief, try antihistamines. I suggest a non-sedating anti-histamine taken once a day in the morning.If this alone helps, fine, if not, take a different antihistamine at night. Take them daily for a few weeks and then start cutting back slowly and observe. If your itching and urticaria do not respond to anti-histamines, you may need to take corticosteroids.

Hello. I can understand your concern. According to your statement, you have been suffering from throbbing headaches during waking up. Headache which is throbbing in nature may result from the dilation of blood vessels from increased blood flow. Headache is very common in everyone life. Strenuous work, stressful life, dehydration, anxieties, tension, common cold, allergies, low glucose sugar level, etc., can cause headaches. Throbbing headaches may result from some health conditions such as migraines. Throbbing headache occurs at the top of head, Cluster headache occurs as throbbing headache behind the eyes, Occipital neuralgia presents as throbbing headache at the back of headache, Temporal arteritis occurs as throbbing headache in temples, Hemicrania continua occurs as throbbing headache on one side. Treatment depends on the causes. You should undergo some investigations like CBC (complete blood count), x-ray PNS (paranasal sinus) can detect the cause which is responsible for your sufferings and then treat them accordingly. You can take for your headache as follows. Tablet Inderal (Propronolol) (40mg) 0+0+1 for 15 days, Naprosyn (Naproxen) (500 mg) 1+0+1 for 10 days, Prevacid (Lansoprazole) (30 mg) 1+0+0 for 15 days. In case of allergy or cold take tablet Allegra (Fexofenadine) (120 mg) 0+0+1 for 10 days. In case of any other query knock me.

Hello. Yes, separation anxiety disorder might develop in borderline personality disorder (BPD). But based upon the information you provided I am not sure if you have SAD. Smoking weed might increase anxiety, which could worsen the symptoms in BPD. Smoking weed can lead to precipitation of acute psychosis, which can prove dangerous. LSD (lysergic acid diethylamide) or any hallucinogen can increase psychotic symptoms.

Hello. I understand your concern. Please follow the following facts.  1. Once you get infected with HSV-1 (herpes simplex virus), as you had been in childhood, IgG antibodies remain there in the blood indefinitely or life long. 2. They help in containing further episodes, so subsequent episodes of herpes are always less in severity than the primary one. 3. Usually, herpes secondary episodes last for a few days, can heal in a couple of days also if it is minimal. 4. You are getting worried too much, and please relax, it has been nine months, there is no need to panic now. 5. You did not mention the site of blisters or any photographs you have taken, and it might not even be herpes. 6. There is no sign of HSV IgG in blood, and it just indicates you had an infection anywhere in the past.

Hello. Have you done the X-ray of the sinusitis? Sinusitis is inflammation of the paranasal sinuses which are like air pockets found within the cheeks, frontal part of the skull and inside the anterior skull bases. Obstruction to the draining channels of those sinuses lead to blockage and accumulation of secretions which becomes infected and the problem begins. Or there can also be a congenital deficiency in the ciliary cells that beats to drain the secretions into the meatus. You will have to use antibiotics such as Augmentin, use Actifed tablet one tds. Also, you can use nasal drop to help open the ostium so that the mucus clogging it can go out. There is also a surgical procedure, e.g., antrostomy to drain out the maxillary antrum sinuses.

Hello. According to the history given by you, it could be irritant contact dermatitis followed by application of dettol. Since you have used most of the creams and few of it containing steroids, your skin has got thinned, and that is why you could see red colored vessels. It is advisable that you should not apply any cream which contains steroids it could worsen your lesions. Apply coconut oil before taking a bath, no soap on the affected area during bath. Please share pictures of it so that we could start with the treatment. You might need to take oral steroids to improve your condition, but no topical cream. You can take tablet Levocetirizine 5 mg at night time for five days. This is to reduce the itching or burning part but not going to cure it. It is advisable to consult a dermatologist.

Hello. Went through your queries and the files attached (attachment removed to protect patient identity). This clinical scenario is possible in two cases. 1) Compression of the spinal cord at the cervical level or lumbar level or both. 2) Peripheral neuropathy is affecting all four limbs. She has been extensively investigated. Treatment for peripheral neuropathy has been tried in the form of pregabalin, gabapentin, nor tryptiline, etc. which do not seem to have afforded any improvement to her. So I suggest we may try a course of the following medications for a week. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. 1) Tablet Medrol 4 mg 1-0-1 after food (Methylprednisolone). 2) Tablet Pan 40 1-0-1 before food (Pantoprazole). 3). Tablet Phlogam 1-1-1 before food (Trypsin, Bromelain, Rutoside). 4). Tablet Nurokind LC 1-0-1 after food (Vitamin B12, Levocarnitine). 5). Tablet Nervijen-NP 1-0-1 after food (Nortryptiline, Pregabalin). 6). Tablet Alsody 1-0-1 after food (Alpha lipoic acid, Superoxide dismutase). Cervical stenosis, lumbar stenosis or peripheral neuropathy.

Hello. Kindly mention since how long you have such problem? And mention the duration of the treatment. In such easy bruising case, the causes like liver disease, low platelet count, and coagulation abnormality have to be ruled out. You have investigated for that, and all the parameters are within the range. So if your problem is since a few days, then you can continue oral vitamin C that is Limcee and topical vitamin K. If the problem continues, then consult nearby hematologist for detailed evaluation. Hematologist might evaluate further in the form of fibrinogen estimation and full coagulation profile testing. I hope I have answered your question. Let me know if I can assist you further.

Hello. I understand that you are concerned about various health issues, and it seems most of the symptoms are related to over masturbation. Masturbation at the teenage is prevalent. Homeopathy has a vast number of remedies to heal this issue. However remember that masturbation was is not bad, but overuse is something that causes health issues, twice or thrice a week is not bad.Homeopathic remedies will help you to deal with this habit, and you would be able to concentrate more on other things in life like a career or job, etc. Homeopathic remedies are prescribed after taking your mental, emotional and physical health in to the consideration. Based on the little information you provided here you can start Lycopodium 30c four pills once a day for five days. Then begin with Kali Phos 6x two tablets twice a day for 15 days.These pills and tablets usually dissolve as soon as you keep them over the tongue. Hence there is no need to swallow these with water or anything liquid. Kindly report back on15 days. I hope you start feeling better. Let me know if you have any questions. I would be happy to answer.

Hello. 1. Usually the possibility of ovulation is less during withdrawal bleeding, so the need for emergency contraception is less. But as you took the pill already, if at all there is any possibility of pregnancy, it can help. 2. Because of high dose of hormone in it, it can affect your periods. Sometimes after taking emergency contraceptive pill, you may see withdrawal bleeding after 7 to 10 days. 3. For accurate result better to test three weeks after having unprotected intercourse.

Hello, Welcome to the icliniq.com. You can have a gas problem due to functional indigestion. I suggest you take gelusil MPS like syrup before bedtime for one week. It is advisable to take Rabeprazole like antacid for the week also. If there is no improvement than USG abdomen scan should be done for further workup, meanwhile avoid gas forming foods like cabbage, cauliflower, etc. Carbonated drinks should be restricted. I hope I have answered your question. Let me know if I can assist you further.

Hello. The condition is called aphthous stomatitis. It usually follows a brief period of stress to be emotional or physical, as a febrile sickness. You need to take a short course of antibiotics, topical analgesics, anesthetics. Multivitamin supplements and antacids can be taken. It is usually self-limiting, and the treatment is aimed at symptom relief.

Hello. Seroquel is Quetiapine, and the drug is an antipsychotic and mood stabilizer drug. In high doses in some individuals the drug is known to result in side effects like reduced libido, sometimes delayed ejaculation, difficulty in orgasm, etc. But Quetiapine is one of the safer antipsychotics if we compare this drug with other antipsychotic drugs.  The possible explanation of reduced sensation on the penis could be mild withdrawal, which might result in numbness like symptoms, and this may present with symptoms like reduced sensation around the penis. But the dose you were taking that is 50 mg is not a very high dose. Stopping this would not result in much withdrawal except mild insomnia. If we link this with sexual side effects of Quetiapine or Seroquel, then this will reverse by own in coming days. In most cases, sexual side effects go by own in less than four weeks of stopping the offending drug. You were not on a very high dose so that the recovery would be earlier. Prolactin levels increase seen with antipsychotic use (in high doses for a long duration, but some individuals even in low dosage). The standards will normalize in some days, and this will result in an improvement of sensation on the penis. No need to worry, and at this point nothing should be done because your erection is relatively better now, this means libido is improving.

Hello. How long has it been there? What are the symptoms in it? And any other family member affected?

Hello. Take syrup Bromhexine two tablespoon thrice daily for a week. It will produce a cough. Please excrete it out. Also, do steam inhalation thrice a day for a week.

Hello. Soltus (Amisulpride) is an antipsychotic medication given to manage symptoms like delusions, hallucinations, thought disturbances, etc. These symptoms can occur in different situations like extreme stress, psychosis, etc. Discuss with your prescribing psychiatrist regarding the diagnosis as he will have a complete history. This medication needs to be continued for at least a year, possibly longer depending on the nature of your symptoms, previous history, etc. So again, kindly discuss with your prescribing doctor. If you are stable, your doctor may consider decreasing the dose to soltus 50 mg daily. But any dose reduction needs to be done under medical supervision. Weight gain can be an issue with this medication. It can be managed by eating healthily (avoid fast foods, high-calorie snacks, etc.) and having regular exercise.

Hi. I can understand your concern. Being a dermatologist observes in day-to-day activity few diseases have bad impact on lifestyle, out of which eczema is one of them. But, with your descriptions it seems to be atopic dermatitis, which becomes better as age progress. In adults, it involves the flexural surface eventually localizing to the front of elbows and behind the knees. You need not have to worry that much. Besides medicine, you should do some yoga exercises, which will help you much. Few general measures you have to follow are: In case of oozing, avoid ointment or cream, corticosteroids in lotion form may be used. When there is no oozing or in dry eczemas, corticosteroid cream is to be applied locally twice a day. Local antibiotic cream with or without corticosteroid is helpful where bacterial infection is present. Skin biopsy needs to be done to confirm the diagnosis. Atopic dermatitis. Revert back for regular follow up to a dermatologist online.--->

Hello. Please do not get worried or panicked. Get a beta hCG test done. It is a blood test to confirm pregnancy. A value less than 5 means you are not pregnant. Even if it is positive, you do not need to worry. You can get it terminated by medicines (You will need to get an USG done first). You can visit a gynecologist without parents and your privacy will be respected. Please make sure you visit a qualified gynecologist and do not visit quack out of social fear. Gynecologists are professional and will not meddle in your private life and will help you get rid of pregnancy without risk to your life.

Hi. There are several reasons for the white spots on your teeth. Usually, white spots appear when the mineral content in the outer part of the teeth (enamel) is less. White spots could also occur due to high fluoride level in the drinking water or nutritional deficiency during teeth development and infections to name a few. Are the white spots only on the front teeth? Or do you have them on other teeth as well? Microabrasion certainly does not help whatever the cause of the white spots may be. It just makes the surface of the teeth rough and gives rise to other problems. You could consult your dentist and ask whether bleaching can be done. There are other options like placing a veneer on the surface of the teeth. However, a small part of the tooth surface needs to be abraded to place the veneer.

Hello. As per your history, you seem to be suffering from erectile dysfunction (difficulty in sustaining erection) after marriage. The commonest cause of erectile dysfunction after marriage is performance anxiety. If you are worried about erection and your performance during sexual intercourse, it could cause problems with erection. To overcome this, you can try the following techniques. You can take these tablets on alternate days if needed as the effect of these medicines will last for 2 days. If you are taking any other medicine for blood pressure or cardiac condition, ask your doctor if it is fine to take these medicines along with the other medicines. You will not need these medicines for more than 15 to 20 days because you will develop confidence when you have sex successfully for a few times. As you are recently married, do not worry about pregnancy so soon. You will have plenty of time and opportunity for planning a baby. This added pressure of getting pregnant could also adversely affect your erection. Performance anxiety. Erectile dysfunction. 1. Relaxation techniques. 2. Tablet Forzest and Rivotril.

Hi. Yes, the research has gained a lot of attention and we do consider the facts. But, what has been done cannot be reversed. However, if we go with clinical experience, usually people who modify back there lifestyle do not get any ill effects in life. In fact, I would advice in such case that you should stop thinking that what is reversible and what is not. Start living your life normally and take help with a psychiatrist if there is great difficulty in sleeping. One can be treated easily with hypnotic drugs which help in controlling these issues.

Hello. Child's mind is very delicate and easily moldable. Subtle things can cause drastic and unexpected effect on them, which we cannot even predict at times. In your case, it is quite easily observable to you. It is good that you could recognize this change in her behavior so early and decided to take an opinion for the same without wasting further time. Violence and rage have very severe effect on a child's mind. This is what happened with your daughter. The violence depicted in the movie and the reactions caused by that violence in the movie characters have made a deep impact on her mind. The fear caused by that violence had got imprinted on her mind. This can be the beginning of development of an underlying anxiety illness in her. So, it is very important for you as a parent to help her overcome this. You have to gradually make her aware that though the terrorist are the ones who spread violence and chaos, but on the other hand there are good people also who stop them. To begin with storytelling is a good way to inculcate things. Then play therapy can help. You can get her into play activities where you can strengthen her faith that there is no need to be afraid of bad guys and there are always good guys to help with. Gradually start taking her out and expose her to the people in neighborhood. Tell her about different kind of people living nearby. Familiarize her with the surroundings. Besides this, you should avoid watching content depicting violence and rage in front of your daughter. Child's age is a tender part of their life, they learn very quickly. So, use this as a therapy to manage her fear.

Hello. It looks like you and your partner have different personality styles and deal with conflicts differently. For example, if you are an extrovert, you would like to talk your way through issues. But if your partner is an introvert, he may have an aversion to conflict and arguments and may withdraw during stressful periods. This is a natural way of responding to some people and not to be taken personally.  If your partner is otherwise fine and treats you well, it may be helpful to have an open and honest discussion with him when both of you are calm. Write down your thoughts if direct talking can be difficult and ask your partner to reply. Both of you have to respect each other and learn to form your ways of dealing with conflict as a couple. It is natural for all couples to have disagreements, try not to overthink in such situations. Try relaxation techniques and carry on with your usual routines. If needed, you can try counseling or couples therapy. Also, look after your emotional health. Consult your doctor to review your mental health and the need for continuing anti-depressants. I hope this helps.

Hello.  I understand your concern for your child. I would say you can wait for some more time till the end of this month as probably after this month lockdown restrictions will be over. I believe you should go according to your pediatrician as he would understand the situation best at your place. Till then, best hygiene measures should be taken for your child. Use hand rub or wash hands properly before touching your child. Avoid giving bottle feeds. If you maintain this, there should be no problem. All vaccines can be given at a later date.

Hello. It is always painful to lose a loved one. Your symptoms are suggestive of an acute grief reaction to the loss of your dad. Grief causes significant emotional distress for some weeks, but usually, you will heal gradually with support from family and friends. To clarify, did you experience any emotional problems or mental health issues before your dad passed away? In that case, the grief can be more intense, prolonged, and you may need professional support like bereavement counseling.  Usually, pills are not recommended for normal grief. But if you have any other underlying emotional problems, kindly consult your doctor who can assess and prescribe according to the need. I will advise not to isolate yourself during this period. Try to go out regularly even if you do not feel like it. Open up and talk to trusted family and friends, tell them how you feel. Try to eat daily and sleep well. Go for short walks and try to do your regular activities.

Hello. HPV (Human papillomavirus), usually HPV infection does not cause any noticeable symptoms or health problems. Some time produce genital warts.For your complaints, constipation and burning sensation may be due to piles or anal fissure. So better go for the rectal exam and proctoscopy examination to rule it out. For piles and fissure try these medicines. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. 1. Tablet Pilex 1 t.i.d (three times a day) for 20 days. 2. Tablet Dulcolax (Bisacodyl) one or two for constipation. 3. Proctosedyl ointment use, as per instructions are given in box for 20 days.

Hello. I understand your concern. Definitely pesticides of any category are harmful. If it can damage the pests, then that will be harmful to the baby. But we humans are bigger in size and damage is not significant, unless sprayed daily for many days, for a long time and directly onto the face. By 18 weeks, the baby is fully formed, so there cannot be any significant damage or long term effects on the baby. To be on a safer side better to avoid your exposure to pesticides. Do not worry, and your baby will be ok now. I hope I have clarified your query, do write back if any more questions and for your feedback.

Hello. It is good to know that you are insightful about the problems caused by excessive alcohol intake. Have you contemplated cutting down on alcohol? Alcohol may be playing a significant part affecting your memory and also have a negative impact on your emotional health. Your memory difficulties may be more related to a history of depression and concurrent alcohol abuse. It is less likely to be a long term effect of Trazonil (Trazodone) overdose. You may know that alcohol has a depressant effect on the brain (despite the initial euphoric effect). With your history of depression, it is essential and can be tackled at the earliest. You appear to have experienced significant depression, including a risky overdose. You seem to be resilient in your way but are you still depressed? Are you using alcohol as a coping mechanism to manage everyday stressors? I will recommend consulting a doctor to review your mental state and proceed accordingly. You can consider counseling or talking therapy to address issues related to excessive alcohol use. Try reading books. Also make sure you take care of the basics like eat healthily, sleep enough, and exercise regularly. Try yoga or meditation if available locally.

Hello. Your doctor is right in saying that this is normal with the medicine you are taking. Microgynon is progesterone. It is a hormone which builds up and helps in the growth of the inner layer or lining of the uterus called endometrium. Due to overgrowth sometimes the endometrium sheds off and appears as vaginal bleeding or periods. The drug is otherwise safe just that continuous bleeding is a nuisance and may lead to anemia. She must take some iron supplements and wear a panty liner. For PMS (premenstrual syndrome), she can try a few things after the course of medicine is finished. She must stop taking tea and coffee. Minimize her salt intake and less water for a week before her expected periods. Also, PMS is a broad term, and treatment depends on what symptoms bother her more.

Hello. I can understand your concern. Considering the history of the symptoms you have mentioned, there are few possibilities. One is some underlying mood disturbance which could part of bipolar disorder. This should be appropriately evaluated to make a diagnosis. Repetitive mood swings, keeping grudges, anger outbursts, repetitive lying, etc., are seen commonly.  Such symptoms can occur as part of some personality disturbance. Anger, irritation, etc., could be related to personality issues. Please talk to him and if possible, consult a psychiatrist. Mood stabilizers can be used to control his anger and mood swings.

Hello. Your symptoms are suggestive of an anxiety disorder, which is making you excessively worried about things happening around you. It can be tiring and emotionally exhausting to experience high levels of anxiety all the time. Try relaxation exercises to help manage stress and related anxiety levels. Deep breathing techniques and progressive muscle relaxation exercises will be beneficial. If possible, try yoga as well, and counseling or talking therapy will be helpful. If symptoms are severe and persistent, you will benefit by consulting a psychiatrist for a full assessment and consider medication options as well.

Hello. Can you upload the report again? I did not get the part narrow complex 5 qrs hr etc. Do you have any chest pain or discomfort heaviness on exertion, or shortness on exertion? These are ectopics or extra beats. These are usually benign and not life-threatening. These are frequently associated with MVP (mitral valve prolapse), caffeine, alcohol, thyroid problems may aggravate these. But, considering your age, we should rule out ischemia in you. You should also get a thyroid test done. So should get a stress test like stress thallium or TMT (treadmill test) done. You will need beta blockers like Metoprolol to keep these under control. If there is any evidence of ischemia, then you can opt for antiplatelets and Statin. I hope this helps you and get back if you have any questions.

Hello. I understand your concern. It looks to me like Pityrosporum folliculitis. Some people call that fungal acne too. Does it itch? Please take the following medications for three weeks. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. 1. Capsule Itraconazole 100 mg after dinner once a day. 2. Ketoconazole, 2 % Cream, apply twice a day. 1. Capsule Itraconazole 100 mg once a day after dinner 2. Ketoconazole 2% Cream apply twice a day  For 3 weeks

Hello. Aripiprazole can induce skin rashes though it is not commonly reported. It will be safer to get yourself checked to rule out any systemic involvement, especially if you have any fever, pain, signs of the exfoliating rash. Are you on any other medication that can increase the chances of drug-induced rashes? Most rashes are simple and transient, but a few rashes need more urgent attention. So you need to be examined. Depending on the nature and severity of the rashes, you will be advised either to stop or discontinue Aripiprazole. So consult your primary doctor at the earliest.

Hello. I understand your concern but I think as so much time has already passed and by God's grace everything is fine then I think it has not gone into the airway, problem erupts only when it gets stuck in the airway, it might have gone down through the digestive tract and shall pass out normally through faeces. The biggest question is whether it went inside along with breath or food? That will surely subside the confusion and the one who swallowed most probably can feel this. I would surely want to know which number tooth it belonged to in order to know whether it was bigger or smaller in size. Anyway, an X-ray is always advisable for safety if your area is now open for the same. Be careful and look for the engulfed crown in your passed out fecal matter that will also relax you if you find it sooner. It mostly passes out in 24-48 hours. You can have banana so as to help it pass digestive tract smoothly.

Hello. I understand your concern. The thing on the chest looks more of a sebaceous cyst, (attachment removed to protect patient identity) which comes and goes even if you pop out the contents as it needs to be excised completely to prevent the recurrence. For the toenail spot, I am not sure that it is melanoma, it can be other things like a subungual traumatic hematoma, or pseudomonas nail infection. Nonetheless, you need to keep observing it for any color or size changes. The two conditions you mentioned do not seem to be related, though. Use the following medication for two weeks, and if it is because of infection it will improve 1. Tablet Ciprofloxacin 500 mg twice a day for two weeks. And avoid tight footwear.

Hello. Please note that the medications prescribed are to the best of my knowledge. Montelukast has been prescribed for patients for prolonged periods extending up to even two years without any problems. It uses has shown reduced requirements of admission and improving the quality of life in patients suffering from hyperreactive airway disease. However, it would be good if we can omit the LC (Levocetirizine) content by just giving Montelukast alone in the form of tablet Montair 4 mg daily at 8 pm instead of Montair LC syrup (Levocetirizine, Montelukast). The Levocetirizine component may cause dry mouth, sleepiness consequent irritable behavior in very few children if given for prolonged periods. The tablet (Montair) can be crushed in a small cup of water, and the child can consume the paste or solution. Most of such cases usually get alright as age advances with complete remission by the age of six to eight years. Very rarely this may persist till 10 years. If it continues until the age of 10 to 12 years, it may progress into asthma in adulthood.

Hello. The diagnosis of paranoid schizophrenia is not easy. Proper evaluation by a psychiatrist is needed to make the final diagnosis. The individuals with schizophrenia show symptoms like hearing voices talking or voices are giving commentary, suspiciousness against anyone or even family members, ideas of prosecution, ideas of reference, etc. These should be present persistently, and in usual cases, there is no insight about the symptoms. It is the family and friends who take the patient for evaluation and not the patient he or herself visits the doctor for a diagnosis. Yes, depression or anxiety can be the possibilities, but these too should be evaluated. Symptoms of depression like low mood, anhedonia, reduced energy, fatigue, negative thoughts, bad thoughts, lack of surety about future, feelings of helplessness, worthlessness or hopelessness, etc. are seen.If he has doubts about his symptoms, he should be evaluated by a psychiatrist.

Hello. Yes, your psychiatrist is correct. Bipolar is a more likely diagnosis. Bipolar disorder need not be present with depression and mania both. Recurrent mania also comes under the category of bipolar disorder. In mania, our sensitivity to stimulation increases like colors appear more bright, music appears more appealing and smoothing, also hallucinations are common in mania too. Schizophrenia and schizoaffective disorder diagnosis are made only when there are criterias of disease which get full filled. You can refer ICD 10 bluebook for detailed criteria. To me also, the diagnosis of schizoaffective disorder and schizophrenia is less likely.

Hello. I can understand your concern. A lot of patients of schizophrenia or other psychotic disorder refuse to take medicines and this becomes difficult in treatment. Risperidone liquid is tasteless and odorless and can be given without knowledge to the patient. But keep one thing in mind that he should not become suspicious that he is being given medicine by mixing with food. Most of the patients come to know about this. You will have to remain alert for this. This should be followed strictly. In coming days he will become ready to take medicines by own. Till then you can give him Risperidone liquid. He is on 2 mg per day and if needed, the dose can be increased to 3 mg per day. The second option in his case if he refuses to take even food or juices from you is long-acting injectables. Long-acting injections of Haloperidol or Fluphenazine or Risperidone or Paliperidone are available. These have actions for around 15 days and can be given to him if he refuses to take medicines. This can make treatment easy for him. You can discuss with his doctor for this treatment option.

Hello. As per the current picture sent by you, it does not look like a cold sore as of now (attachment removed to protect patient identity). Also, I would advise to stop all ongoing treatment (including the Hydrocortisone) and just leave it alone for a week. Apply Dologel only. It contains Cholinesalicylate along with certain other ingredients that help to heal. No application of any lipstick or any other ointments or creams to the region. I would not advise kissing for 2 more weeks atleast till things resolve to prevent spread. Also, limit alcohol intake if you are currently consuming alcohol. Avoid spicy foods too to promote healing.

Hi. I understand you must be going through a tough time. First of all, please do not stress yourself so much with whether it is OCD or schizophrenia or what not. You are much more than a diagnosis. It is important you are at peace and have some relief from the distress. Coming to your symptoms, you have said you have intrusive thoughts but what kind of intrusive thoughts do you have? And apart from saying prayers and touching wood is there anything else that you do? From your history, it does seem that you are having severe OCD which is causing a lot of anxiety. If Prozac has helped you in the past, you can reconsider the same medication but you will have to take it for longer duration like two years or more and at a higher dose like 60 mg. Consider tablet Clomipramine 20 mg along with Prozac for an augmentation effect. For acute anxiety, you can consider tablet Etizolam on SOS basis. As for psychotherapy, rather than CBT, exposure and response prevention seems to be a more helpful option for you but we can explore more on that only when we know the exact nature of your intrusive thoughts. Please look up progressive muscle relaxation techniques. These will help you gain some control over your anxiety symptoms.

Hello. It seems to be HPV (human papilloma virus) warts only. But need to be confirmed. Are you sexually active? If yes then does your partner also has similar lesions?

Hello. Please note that children below the age of 6 months pass stools either once in two to three days or 10 to 15 times per day. It is normal, and it is not labeled as loose motions or constipation. If you are labeling it as constipation because of hard pellet like stools, then I would advise you to increase the water content of the top feeds and see. As far as the gas problem is concerned, it is also normal. Nothing is to be done. Almost all babies have gas just like a normal adult. There is no medicine for the same because it is normal. You can calm down a crying baby by either singing (light tones), suckling (allowing baby to suckle), swaddling (wrapping the baby in cloth), swinging (putting the baby in a small too and fro motion). You can also tap slowly on the stomach to reduce discomfort as and when required.

Hi. The symptoms like someone is talking to you, talking to God or hearing voices which others cannot hear could be occurring due to some psychotic issue. Such kind of symptoms are not generally seen in depression. Since such symptoms have resulted in loss of performance in studies, poor concentration in studies, so please visit a psychiatrist for help and evaluation. Drugs like Amisulpride, Olanzapine, Quetiapine, etc., can help you in coming out of depression and psychosis.

Hi. Erectile dysfunction can occur because of many factors like diabetes, hypertension, thyroid disorder and also due to stress and psychological problems. So, visit a nearby psychiatrist to find the exact cause and then act accordingly. If there is no physical or medical condition then, Sildenafil or Tadalafil will help in erection and these drugs can only be used after discussing with your doctor. Meanwhile, spend enough time on foreplay. You can take few days for only foreplay and proceed to sexual intercourse only when you feel that you are fully erect. Avoid any substance abuse like alcohol or tobacco. Take adequate sleep. Do regular exercise like morning walk for 45 minutes daily. Do exercises of pelvic muscle like kegels exercises.

Hi. People taking Alprazolam should not combine it with alcohol and avoid combining it with other medications, such as narcotic pain relievers, that cause drowsiness. Doing so can cause additive drowsiness and reduced breathing as well as other side effects, which can be dangerous and possibly fatal. Alprazolam may be habit-forming when taken for long periods of time. If you have been taking this medication regularly for a long period of time (more than one month), do not stop taking the medication without speaking with your doctor. A gradual reduction in dose is recommended when stopping this medication to avoid withdrawal symptoms.  Escitalopram works by blocking the reuptake of serotonin so that there is an increased level in the brain. Serotonin is an important neurotransmitter responsible for mood and well being. It is usually taken once daily and may take a few weeks to months reach maximum therapeutic potential. So continue taking Escitalopram until you see significant improvements in your memory.

Hi. First, you need to understand that scar treatment depends on its depth and lenght. Whether your scar is permanent or not, it is very important to evaluate it. Mostly scar lightens and becomes equal to the surrounding skin with passage of time. However, scars which are deep becomes permanent. Such scar will not go away with any creams or gels. Best treatment for permanent scar is reversal by plastic surgery or it could recover to some extent with C02 laser.

Hello. I understand that you are worried about gallstones and it can be stressful whilst undergoing pregnancy. However, let me assure you that most gallstones do not cause any symptoms. Seeing as they are small in size, they can be easily left alone until after the mother has delivered the baby. The risk of miscarriage is always present whenever a pregnant women undergoes any procedure. Are there any symptoms that are bothering the mother? Like jaundice, uncontrollable pain, etc.? I would also request you to share the investigation reports as it will help us make a better decision. LFT, Ultrasonography Pain medication - Tablet Paracetamol 500mg SOS if having pain Avoid spicy and oily food

Hi. I need to examine either this is lipoma or enlarged lymph nodes. If possible, send images.

Hello. This could be as simple as digestive problems with gaseous distention. It requires medications for indigestion or gaseous distention like Charcoal tablets, passing by symptoms of gastroenteritis. If diarrhea and vomiting develop, food poisoning is one of the reasons as well. Also, it can be a kidney or ureter problem (stone or salts). This site can suggest acute appendicitis as well, which should be dealt with as an emergency. In all circumstances, I recommend a visit to your general physician or internal medicine specialist for further history taking, clinical examination, and evaluation. Visit your doctor for further evaluation.

Hello. Causes of burning feet include peripheral neuropathy and plantar fasciitis. I suggest you use footwear even at home and take over-the-counter pain medications to alleviate pain. You may also use Diclofenac gel for local application. If the symptoms do not subside over one month, please get electroneuromyography of the lower limbs to look for nerve involvement.

Hello. I have gone through the history of your father's illness you have provided (attachment removed to protect patient identity). The X-ray reports are suggestive of pneumonia. At this stage, on initial antibiotics and supportive treatment, if he has not improved, bronchoscopy may be essential to isolate the organism that has caused pneumonia. This will help to guide antibiotic therapy. By tube to assist oxygen, they are possibly implying putting him on a ventilator? That may be necessary if he is not able to breathe on his own adequately to maintain oxygen in his body. For more information consult a pulmonologist online -->

Hi. Revert back with the investigation reports to a pulmonologist online -->

Hello. Hope this helps you and get back if you have any doubts. For further queries consult a cardiologist online -->

Hi. High creatinine suggests a CKD picture for a long term diabetes particularly uncontrolled DM. Your fathers HbA1c is high which shows his diabetic status is not under control. High potassium levels is one of the complications of CKD, in this picture taking Potassium citrate is not advisable as it may increase its levels. And diabetic drugs also need to be modified when a person lands up in CKD, most oral medicines cannot be given. It is safe to shift the treatment with Insulin. You need to visit a Nephrologist for alterations in your medications and appropriate advice for CKD. serum potassium, sodium, phosphorus urine routine USG abdomen DM, CKD

Hi. I have gone through the attachment (attachment removed to protect patient identity). You have a high cholesterol level which is the cause of the fatty liver rather than weight. A lipid-lowering medication is required. Regarding your thyroid, the hormone levels are within normal. There is no need to worry about them, unless if you have significant symptoms. I suggest a medication take Atorvastatin 10 mg tablet once daily before dinner and repeat the lipid profile after six weeks. Liver enzymes should be done after one month as a precaution. For more information consult a family physician online -->

Hello. For further queries consult a medical gastroenterologist online -->

Hello. The fatty liver is due to obesity. You have to check your blood pressure and sugar levels as well. Check serum cholesterol, serum triglyceride. Regular active one hour exercise is needed for you and a strict diet restriction has to be followed. Fatty foods should be taken less. Fruits to be taken more. The Ursodeoxycholic acid tablet can be used for fatty liver. Dieting is needed along with exercise to reduce weight. Check hypothyroidism by serum TSH (thyroid-stimulating hormone) estimation. For more information consult a family physician online -->

Hi. You have a fatty liver on MRI (magnetic resonance imaging). It is very common. Please say about the habits you have. Please mention your medical history. Please tell about your BMI (body mass index). Fatty liver can lead to liver damage and cirrhosis after a long period. I advise you check your liver function tests, sugar, and lipid profile. Follow a regular exercise and diet. Try to lose your weight. Have healthy food. Revert me with the blood reports. There is no need to take medicines for fatty liver. They will disappear after a lifestyle modification.

Hello. You seem to be suffering from non-alcoholic fatty liver disease (NAFLD). This does not require any special treatment. I suggest you avoid painkillers, alcohol, and reduce weight if you are obese. I would also recommend you testing for hepatitis B and C. I hope it helps you. For more information consult a medical gastroenterologist online -->

Hi, Welcome to icliiq.com.  I read your query and understand your concerns. First of all I would like to inform you that Codeine can be stopped in gradual manner. Scientifically speaking you can go for 10% reduction of original dose every week leading to complete abstinence at the end of 2-3 months. In case this is not possible or you are not able to tolerate the lower dose of Codeine you can get yourself treated form local psychiatrist. We often recommend Clonidine for this purpose which helps in the withdrawal symptoms of Codeine. The medication dose is decided depending on the dose of Codeine, age of the patient, duration of abuse and blood pressure. I mean to say that this is high time to say "NO TP ADDICTION" and take this opportunity to come out of this addiction without delay. I understand that your concern is not addiction but inability of your wife to get pregnant despite repeated efforts. But we need to understand that addiction and infertility are related to some extent and removal of one risk factor might pave for fathering a child. In addition it is also important to get semen analysis done for yourself and follicular study for your wife to rule out other causes.

Hello. First, you explain about your daily routine, and like and dislike foods.

Hello. She should consult a psychiatrist. The symptoms like possessiveness, ideas, or even delusional beliefs about the fidelity of husband, blaming husband, etc. cannot be ignored. She might be suffering from some mood disorder most likely depression with psychotic symptoms. This could be some psychosis too. Individuals with psychosis show paranoid delusions, delusional beliefs, and become suspicious. Considering her age and late onset, the chances of depression with psychosis are more. She might refuse to visit a psychiatrist and will try to evade the visit. Drugs like Olanzapine or Quetiapine can be used to reduce her psychotic symptoms, and she will come out of depression.

Hello. I will be happy to help you out here, and I need a little more history.  1. Do you have any flu-like symptoms? 2. Any nausea, vomiting, or diarrhea? 3. Have you been taking any over-the-counter supplements?

Hello. Yes, if she has witnessed such life threatening trauma in her young age, she might act weird sometimes. But that does not mean that she has any psychiatric illness. You should focus on your relationship with her and give her proper time and she will come out of her psychological trauma. But symptoms like hearing things which others cannot hear, or talking to her mom, fear, etc., should be evaluated by a psychiatrist. This could be due to excessive stress or some psychotic issue. This should be ruled out.

Hello. I am sorry to hear that you did not receive any detailed explanation of your condition. Diastolic dysfunction is the inability of the heart to relax, which can be diagnosed with echocardiogram or with evidence of high pressures inside your heart chambers, as evidenced by the increase LVEDP (Left ventricular end-diastolic pressure) in your cardiac cath (it was 24 mmHg, and normal is considered less than 15 or 18 mmHg). The term diastolic heart failure is used when we have evidence of diastolic dysfunction as above in addition to symptoms of heart failure (the shortness of breath you described). There is some belief that diastolic heart failure is more benign than systolic heart failure, but in reality, that is not the case. They have similar prognosis when compared in general. However, patients with advanced systolic heart failure have a worse prognosis than those with diastolic heart failure. The complicating aspect is that there are no many proven therapies that work for diastolic heart failure, other than low sodium diet, diuretics, exercise, proper eating, and lifestyle modification. To provide a more precise diagnosis, it would be essential to understand how is your exercise tolerance, however that can be challenging with your multiple sclerosis. I hope this information helps. I do not want you to feel discouraged but instead focus on lifestyle modification. Eating well, stress reduction (mindfulness or mediation can help) and practice physical activity. Hypertension, and obesity. Possibly an exercise stress test to objectively assess your exercise capacity, sleep study, and probably a Holter or event monitor (to assess for arrhythmias or atrial fibrillation).

Hello. I will definitely help you. Right lower abdomen pain has many reasons including appendicitis and kidney stones. There are some other reasons like indigestion of food, infection of the small intestine, or worm infestation. This may be functional also in which no cause is identified. The main reasons are indigestion and irritable bowel syndrome in which all investigation were normal. So if a CT scan is normal and there are no other complaints like vomiting, bloody stool, urinary complaint, constipation then it must be functional due to indigestion. Avoid fatty and spicy food and lots of water have to be taken Give two-hour gap between dinner and going to bed. Please get back to me if any of the above symptoms are there and attach an investigation report also for better help.

Hello. If you starve for a long time, your body demands for more carbohydrates to complete its metabolism. If the starvation continues for a long time, the body starts accumulating energy for the period of starvation, hence you feel to eat more. The best way is to provide lots of fluids and fibres so that you feel full and avoid carbohydrates and junk. Decide your meals to 5 to 6 meal pattern, increase protein fibre, you will maintain weight. If gained, start with exercises for good result.

Hi. The best is to avoid eating foods that cause trouble. Secondly, for SIBO (small intestinal bacterial overgrowth), it is better to use a combination of Tetracyclines plus Metronidazole for two weeks. Effective probiotic will also help. Take the following medications: 1. Tablet Tetracycline 500 mg thrice a day two weeks. 2. Tablet Metronidazole 400 mg thrice a day for two weeks. 3. Take a good probiotic for two weeks at the end of the previous two drugs. 4. Take fresh homemade yogurt twice daily in a small bowel.

Hi. Bad breath is due to the destruction of good bacteria in the intestine by antibiotics. I suggest you try probiotics, such as Lactobacilli, thrice daily for two weeks. You will feel better.

Hello. Thank you for providing a precise history. Revert back with the answers to the above questions to an internal medicine physician online -->

Hello. Isotretinoin is a potentially dangerous drug and in many countries there are very strict guidelines over its use. It basically contains retinoids which in simple language is a derivative of vitamin A. It is primarily used to treat severe cystic acne and I fail to understand why your doctor has prescribed it to you for psoriasis. Its side effects include: Well, I need some more information: 1) For how long have you been suffering from scalp psoriasis? 2) Exact name and exact dose of the medicines which you are taking? 3) For how long have you been taking each medicine (in detail)? 4) Any medicine which you had taken in the past but not taking now? 5) Do you feel any side effects which I have mentioned above? 6) How much relief have you got in your scalp psoriasis from these medicines or no effect at all yet? 7) Do you have psoriatic lesions anywhere else on the body or just on scalp? Kindly provide these information, so that we can evaluate your case in detail and prescribe you with the best possible treatment. Revert back to a dermatologist online for further follow up -->

Hi. Psoriasis is a T-cell mediated autoimmune disorder. What you have heard about lack of Vitamin D as its cause is a myth among patients because nowadays there is a new class of topical drugs available which are analogues of Vitamin D. These reduce the excessive cell proliferation and differentiation seen in the skin cells of a psoriasis patient. A few of these drugs are Calcipotriol, Calcitriol, and Tacalcitol. Their pros are that they do not cause skin atrophy, but they are useful only for stable and moderate psoriasis. To help you better, I need photographs plus a detailed history with a previous medication you had taken.

Hi. After carefully reading your complaints and looking at your photographs, there seem to be three possibilities (attachment removed to protect patient identity). For making a clear cut diagnosis, I need the answers for a few questions: Looking forward to your response in order to help you.

Hi. Yes, your treatment is right. But, do not take Folitrax for long duration (Methotrexate) as it can adversely affect your liver and immunity. For further information consult a dermatologist online -->

Hi. Regarding your SGOT and SGPT, it is elevated because of liver tissue strain due to diabetes and hyperlipidemia. But other liver enzymes are under control. Avoid spicy and fatty food and if you are alcoholic or smoker, stop. Regarding diabetes, you are on right medications but HbA1C is 7.1. ABG is 157, care for diet and mild exercise, we can bring it down. Renal uric acid and urea and creatine are not increased, so renal condition is fine. Continue the treatment, diet and exercise. Monitor BP. Do ECG, US abdomen and review. Diabetes and lipoma. BP, ECG, echo, ultrasound abdomen. Cirrhosis of liver. Liver disease, DM, hyperlipidema. He can continue the same treatment with diet and exercise. 1. Roseday A75, once, 2. Istamet 50/1000 twice, 3. Glimepride 2 twice 4. Febutrix40once and, 5. Remylin D once. Liv 52 two tablets twice daily. Avoid fatty and spicy food, no alcohol and smoking.

Hello. I have gone through your complaints. Repeated attacks of a low-grade sore throat suggest that it could be chronic pharyngitis. The other common causes of chronic sore throat are due to acidity and gastroesophageal reflux. That means stomach acids pop into esophagus silently and burn the throat in the nights. You should undergo upper GI esophagoscopy and a throat swab to rule out infection. Try taking antacids for a week. Do not take antibiotics. I think this would suffice. For more information consult an ENT otolaryngologist online -->

Hello. Hematospermia (blood in semen), is fairly common. Generally it is not considered as a sinister sign. There are whole list of possibilities for this theoretically, but once we ensure it is not due to sinister cause and rule out treatable causes say like infections we do not beyond that as it will not affect the management. Sinister causes mainly prostate and testicular cancers. At your age prostate cancer is extremely unlikely but need to ensure no testicular problem. With your symptoms with testes, you need another scan to be on safe side as the scope for examination to be conclusive. I suspect you have epidydimal cysts which are very common and can cause pain, etc. So if the scan does not show anything other than this, I would not worry about it at all. I think the rash is completely unrelated to this or any of your urological problems. Nor the rash or hematospermia is related to old history of chlamydia. Since you have not had any other urinary symptom, I would not worry much about other tests related to urinary tract. However, I would also recommend sending semen for culture to see any infection in it. Lastly about prostate cancer virtually unheard in your age. Finger examination of prostate, PSA blood test and MRI scans of prostate are the screening tests in general. But not something I would recommend if testes scan comes back normal and if you are still worried an MRI then will be helpful as last resort. Idiopathic. Testicular pathology. Ultrasound scan of testes. Ideally an examination of genitals including prostate by a clinician. Semen culture. Idiopathic. Hematospermia. With reports.

Hello. I will help you with your problem. You are having acne vulgaris which is the most common skin condition of your age. Generally, the eruptions on healing leave a mild dark spot. If the eruptions are manipulated by picking them or squeezing them, they leave darker spots on healing. In your case, if you are having oily skin, you should use Ahaglow S facewash four to five times a day. This will prevent oily skin which is one of the main causes of the acne. For the treatment of the eruptions, you should use Deriva CMS gel on the eruptions at night daily. Also take tablet Azithromycin 500 mg three days a week for 1 month (3 days daily dose, then 4 days gap, then repeat). The dark spots, if persist after the course of treatment, can be treated by other creams then. Acne vulgaris. As mentioned above.

Hi. Let me first enlighten you about tonsils. 1. Eating more chocolates or ice creams. 2. Dental and oral hygiene. Throat swab and culture or RADT (rapid antigen detecting test). URTI (upper respiratory tract infection). If culture is positive then I suggest Tablet Amoxicillin 625 mg twice daily or tablet Amoxicillin 500 mg thrice daily for 10 days. Consult your specialist doctor, discuss with him or her and take the medicine with consent. 1. Repeated salt water gargling. 2. Maintain oral hygiene. 3. No high carb diets like ice creams and chocolates. For further information consult an internal medicine physician online.--->

Hello. I understand that you have done strep test, which is a rapid test to find out whether the pharyngitis has bacterial origin. The strep test is positive and this means most probably the Streptococcus pyogenes detected in your throat is the causative organism for the pharyngitis. The strep throat infection has to be treated with appropriate antibiotics. I suggest you take a course of Amoxicillin and Clavulanic acid (625 mg) twice daily after food. Take supportive treatment in the form of salt water gargling of the throat, anti-inflammatory and pain killer tablets. Also avoid spicy, oily and masala-rich foods, which aggravate the throat irritation. As a painkiller, I suggest tablet Paracetamol 650 mg twice a day. Anti-inflammatory tablets are combinations of trypsin-chymotrypsin enzymes. If you do not get relieved with this antibiotic, then I suggest you go ahead with a throat swab culture and sensitivity. That will tell us about the details of the antibiotics to which the organism is susceptible and resistant. With your blood pressure values, I see that they are towards the higher side. However, if it was measured using a digital BP apparatus, it is bound to be erroneous. Kindly visit your GP and get your BP checked. Manual measurement of BP is the preferred method. At your age, it is unlikely that you have this high BP. For further information consult an ENT otolaryngologist online -->

Hello. Revert back with the answer to the above questions to an internal medicine physician online -->

Hi. This qualifies for approximately 9 percent burns (attachment removed to protect patient identity). The child will need to take some painkiller medications like syrup Crocin DS (250 mg/5 ml), 2.5 ml thrice a day for 3 to 5 days to reduce the pain. As regarding the cream, it is good, please continue using it. Unfortunately, I will not be able to judge from the picture if the child needs Bactigrass application or no to the burn site. This can only be assessed by a surgeon. Hence, it is advisable to get the child physically evaluated by a surgeon as early as possible. If required, the surgeon will clean up the wound and debride or leave the skin as it is and can assess if the child needs Bactigrass sheet application or no.

Hello, Welcome to the icliniq.com. The edema due to renflexis is an uncommon side effect. If you have leg edema, then it is advisable to investigate as follow. 1. Serum protein estimation to rule out hypoproteinemia. 2. Sgpt (serum glutamate-pyruvate transaminase) to exclude liver disease. 3. Urea, creatinine estimation to rule out kidney disease. 4. Serum TSH estimation to rule out hypothyroidism. Echocardiography to exclude cardiac cause and finally local ankle joint X-ray if needed. If edema leg more than diuretic like Furosemide can be prescribed after consultation with your doctor. I suggest you consult nearby physician for a detailed discussion of all these. I hope I have answered your question.

Hello. It seems you have developed severe anxiety towards something. You may try Argentum nitricum 30c one dose (four pills) once a day in the evening for five days. After five days start taking Kali phos two tablets twice a day for 15 days. These remedies should help to reduce your anxiety to some extent. Please do not take these remedies for a longer duration than the recommended period. Let me know if you have any other questions. I would be happy to answer your queries.

Hello. I have read your query and understand your concerns. First of all, I will suggest you consider other possibilities before jumping to conclusions. There are a number of conditions which can present with twitches without any disease, and ALS (amyotrophic lateral sclerosis) is one of the remotest possibility for a 38 year old young male. The commonest cause for twitches is simple worry or anxiety. I know at least 100 individuals with anxiety, who presented with simple twitches and no other symptoms. In my opinion, you need to see whether these twitches have any relationship with your anxiety level. The another common conditions which present with twitches is endocrine abnormalities, such as thyroid and parathyroid disorders. In case the stress level is not able to explain the twitches, an evaluation for endocrine abnormality is indicated. The list may go on in a similar fashion. Find the answers to your questions below: I hope this helps you. If you have more questions, feel free to write back. For further queries consult a neurologist online -->

Hi. Without any clinical pictures, it is hard to comment on the situation. However, I will give you some basic facts. For more information consult an orthodontist online -->

Hello. I had gone through all the data posted. For further information consult an internal medicine physician online -->

Hello. These are not pregnancy symptoms, but rather they are symptoms of ovulation with mild abdominal ache, nausea, headache, bloating and thin mucus discharge from vagina. As her last menstrual period (LMP) was in the last week, two months back. So, it is day16 today. Hence in a 30 day cycle, this is the time for ovulation. As you had sex in the first week the following month, still she can be considered in her fertile period and hence an emergency contraceptive is advisable to be taken in 72 hours in your case to prevent pregnancy. However, the earliest you can detect pregnancy would be after 7 days post-intercourse with a serum beta-hCG test. If it shows the level of hCG more than 5 ng/dL then shall confirm pregnancy. Otherwise, she would be pregnancy safe. But, at present these are ovulation signs. Revert back after the test to an obstetrician and gynaecologist online -->

Hi. I have seen your query and concern. For further information consult a dermatologist online -->

Hi. Revert back for review after a month to a sexologist online -->

Hello. I understand your concern, but there are no attached photographs in your message. Kindly send a picture of the affected area to assess the condition and to suggest you the appropriate diagnosis and treatment. I need to see it to help you further.

Hello. I have thoroughly gone through the ECG results there are no specific changes that would indicate any pathological change. ECG results might show different shapes and morphology, but it does not necessarily mean it is abnormal. I have to ask what are you doing about your weight? You are overweight, and it puts you at risk for cardiovascular disease. I hope you have put in measures to help reduce your excess weight like dieting and exercise.

Hello. First of all, I would like to tell you my point of view as an ophthalmologist in and against any contact lens that stays in the eye for more than 12 hours. The puffiness is most probably related to an allergic reaction that your eyes are experiencing, and you should discontinue using these contacts. The redness, the light sensitivity, and even the tearing are all signs of dry eye for which you should start using artificial tears at least four to six times daily, especially if you plan on using contact lenses again. Regardless of what any manufacturer says, you should not sleep with your contact lenses, and I would advise you to use daily from now on. You can use artificial tears while wearing glasses.

Hello. Stammering or stuttering is not very uncommon in this age group. Most children do stammer at this age, and with time over a few months, it gets resolved usually. I believe that the delivery of this child was smooth, and she had no history of admissions for any illness. Also, her milestones are normal and not delayed. Now here, the family has to play an important role. Your child has started developing speech, and this is quite normal to happen. So, first of all, you stop worrying. And even if you worry because I know it can be alarming for parents, please do not pass on your anxiety to your kid. Just do not let her feel that it is abnormal. Whenever she speaks, to listen to her and never try to correct her or scold her for this. Pay attention to what she is saying and look at her, and eye contact should be there. When you talk to her, talk slowly so that she can grasp every word. Kids always try to imitate us. She will also start speaking slowly, which will help her say words correctly and with ease. Never criticize or scold, also tell everyone at your home and even school teachers. Encourage her to speak. Do not pass your anxiety to your kid is most important because if a child gets anxious, it will get more pronounced. Slowly and gradually, you will see that your kid has outgrown this. If still, you feel that there is no improvement after one to two months, speech therapy may be done. Speech therapy should be started before four to five years. I hope this advice would be helpful to you. I would be there for any help.

Hi. According to your history and from the photos (attachment removed to protect patient identity), you are suffering from acute dandruff with folliculitis. For further information consult a dermatologist online -->

Hello. Thanks. For more information consult a sexologist online -->

Hello. There are a few conditions which cause painful blisters even without a sexual contact, like genital herpes, primary syphilis, impetigo among others. Please provide more details: The treatment would vary according to the details you provide. If you underwent any investigations, please attach that during the follow-up. For more information consult a general medicine physician online -->

Hi. I have read through your query in detail. Please find my observations below. Severe pain in abdomen radiating to the back might be due to many conditions which require evaluation. Problems that might cause the stomach and back pain, all the possible reasons, For spasmodic pain you can take antispasmodic medicine like Spasmonil plus (Dicyclomine hydrochloride and Mefenamic acid). This has to be taken twice daily for pain that might be a spasm. This should reduce any spasmodic pain that you are having. Once pain is stable then please consult your doctor and get examined clinically. If required the doctor might ask for an ultrasound scan abdomen to be done to know the cause. Above mentioned causes are the commonest and there are many other conditions which might cause a similar pain. Clinical examination and investigations are important.

Hi. I understand your symptoms with chronological order. For further information consult a neurologist online -->

Hi. Revert back after two days to an orthopaedician and traumatologist online -->

Hello.  You need to do Mantoux test and interferon gamma level before starting biologics because they can cause reactivation of tuberculosis if there is doubt you should receive the two drug ATT regimen (anti-tubercular treatment) before starting biologics that is recommended if either Montoux or interferon gamma is positive.

Hello. Testicular pain after erection may be a signal that you are having epidydymo orchitis because the epididymis and testicles are the organs where your sperms are stored and produced respectively. So if the pain comes when there is a history of trying to ejaculate that may suggest inflammation somewhere in these organs was there a previous history of STI (sexually transmitted disease) before this incident, pain from the testes is usually referred to the lower abdomen. We also need to be mindful of testicular torsion.I advise you to do urine MCS (microscopy, culture, and sensitivity), semen analysis MCS then scrotal scan to see the testicles anatomically for any scarification.

Hello. Her cancer will be her 2 neu positive, in this scenario, it is mandatory to give 17 injections of Trastuzumab, otherwise chances of recurrence are high. As far as cost is concern, you can get some other way, like hospital cost is very inflated, get it administered at a small center, you can get injections from wholesale yourself, and you can go for generic drug.

Hello. Let me start by assuring you that you are not pregnant and need not worry. If you have had your periods 18 days before taking I-pill, your ovulation would have been around 13 to 15 days after that. Life of egg is only one day. So there is no chance of an egg being alive on that day of sex. I-pill or emergency contraception pill is a high dose of progesterone hormone. After ovulation, your ovary also will be producing the same hormone. As you have taken it after the ovulation date, the thickness of the inner uterine lining would have increased further. But would not have shed. Usually, if you take it before ovulation, your bleeding will start within a few days. So you should have had your regular periods, slightly thicker or more than usual. If you had bleeding almost like regular periods, then the inner lining of the uterus has been shed. There is no chance of pregnancy if at all, to catch inside the uterus. So do not worry, your next period will be one month from this period. I hope I have clarified your query, do write back if any more questions and for your feedback.

Hi. Yes, could be done in clinic after removal of mobile tooth assessment of available space and space management criterion and space maintainance methods implemented such as Maryland bridge. As your age is 30, I suggest you undergo orthodontic treatment sooner as bone elasticity for pressure tension decreases with age.

Hi. Do you have pain or decreased hearing? Did he rule out wax and outer ear infection? Could he see the ear drum?

Hi. As you are on Sizodon LS (Risperidone) for last four years and now alright. Stopping the drugs depends upon many factors like your diagnosis, family support, etc. It is true that if you are suffering from schizophrenia or related diseases, then it is advised that you continue the medicine for many years or possibly life long otherwise relapse (symptoms re-appear) can occur. So, continue your treatment according to the advise of your psychiatrist.

Hi. How are you doing today? As you said most probably it is the beginning of labor pain. Usually cervix, the mouth of uterus is slightly to the left. Pain usually lasts for a few seconds only, but reappears. Do not worry. Minimal vaginal discharge with this pain indicates that cervix is gradually opening. To confirm about the pain, just feel the top of uterus, trying to indent your fingers. When no pain, you can feel the baby parts. When you get the pain, uterus contracts and becomes stony hard, you will not feel baby parts. Just having pain is not an emergency.  Just note four points:  1. Movement- you should have atleast four movements after each meal. 2. Pain- if it is frequent and lasts longer. 3. Leak- you will feel thick water just wetting your clothes. Not minimal discharge. 4. Bleeding- obvious red colour.  You will need medical help in all these situations. Do not panic, if this is your first pregnancy, it takes about 12 hours for baby to come out after true labor pain and 6 to 8 hours, if second. All the best.

Hi. I saw your clinical pictures (attachment removed to protect patient identity), genitals look normal clinically, skin is little dry, I do not see any rash, blister or ulcer which are the manifestation of STD. In the first picture, those white tiny bumps below the glans (tip of the penis) are the harmless ones, they are called pearly penile papules. Are you referring to them? Herpes will have painful blisters in a group with redness at the base. Syphilis, chancroid will have ulcers. Gonorrhea presents with pus from the urethra, pain while urinating. At present, with your history and clinical pictures, I do not see any symptoms or signs of any STD.

Hello. It is a bony mallet injury. You need to wear the splint on for eight weeks totally, a mallet thumb splint. Do not remove the splint for eight weeks. Repeat X-rays after eight weeks of injury and splint application. And then after eight weeks, you will require physiotherapy for mobilization as you are expected to have the stiffness of that joint. Driving can be about three months after the date of injury. Heavy weight lifting can be done after six months of the date of injury. Can you send me the other view of the X-ray also, if you have so that I can see the fracture better in the other view of X-ray also? For more information consult an orthopedician and traumatologist online -->

Hello. Anisocytosis means a difference in the size of the red blood cells. This could mean that you have a mild iron deficiency. Anisocytosis of 1+ is a very mild variation in the size of the RBCs. Your hemoglobin levels are towards the lower end of the normal range and it is possible that your iron stores are depleted. This can be determined by testing serum ferritin levels. I would suggest that you continue taking the iron and folic acid tablets for another two to three months to bring up your hemoglobin levels and replenish your iron stores. There is no need for you to worry. For more information consult a hematologist online -->

Hi. I have gone through your history and blood reports (attachment removed to protect patient identity). Your test results are normal. The pain experienced all over the body looks like a different condition known as fibromyalgia. I want to ask you some questions to confirm it. Please say whether you had any history of mouth ulcer or excessive hair fall, history of difficulty in combing hair or had a problem in getting up from a toilet seat or had any mood changes when you got angry, any recent history of forgetfulness, any history of frequent headaches or bowel upset. Please explain your condition in detail.

Hello. As mentioned in your history you have (attachment removed to protect patient identity), 1. Atrial Fibrillation. 2. TIA (transient ischemic attack). 3. Hyperlipidemia. 4. Migraine. 5. Fibromyalgia. Atrial fibrillation is possibly not found last time, and so it might be you have paroxysmal atrial fibrillation. Most of your test including MRI brain, CT angiography of neck vessels, 2D echocardiography, and MRI spine did not show any specific abnormality. Also documented are anxiety and depression. I would like to know some detailed information about your symptoms and medications, 1. What exactly happened to you now? Since when weakness in right leg started and did it happen suddenly or slowly? 2. In toe numbness, do you feel tingling, pins, and needle sensations? Or you have less feeling of touch at toes? Had it also start along with weakness, or there was a time lag between weakness and numbness? 3. Do this numbness and weakness persistent or is it intermittent in the whole day? 4. Have you noticed any particular factor, which increases weakness and numbness (like walking or laying in the bed or forward bending or stressful situation or sleeplessness etc.)? 5. How is your usual mood in day-to-day activities? 6. How are your sleep and appetite? 7. Have you been gone through nerve conduction studies? If yes, please send that report too. Revert me with above mentioned information for better understanding and further judgement.

Hi. I read your query and understand your concerns. If your age and other description does not match with the above narration or if you have more questions feel free to write back to us. Consult a neurologist online for further help -->

Hello. From your symptoms, it seems like fibromyalgia with anxiety. Whenever we are anxious, our autonomic nervous system plays a role, and hence increases the blood flow to various organs by pumping more blood at higher rates, and thus heartbeats can be felt by us. Also, when we are subjected to constant stress, those muscles become stiff. And thus, due to constant tension in them, they hurt after some time because of lactic acid accumulation. Your BP (blood pressure) is also because of stress and not medical hypertension. I would like to know more about your symptoms. Let me know about the details so that I can help you further. Take care. Revert with more information to a psychiatrist online -->

hello, I can understand that you are suffering from obsessive compulsive disorder and having distressing obsessive thoughts. OCD is quite resistant illness which involve serotonin a kind of chemical in the brain. we generally prescribe antidepressants to increase level of serotonin in the brain. antidepressant require in higher amount because you know oCD symptoms are very resistant more than depression. there is also a talk therapy which is called as exposure and response prevention it's a kind of cognitive behaviour therapy . I would suggest you to visit your psychiatrist again and ask for this talk therapy. this will definitely help you hope my answer help you thank you kind regards feel free to ask further

Hello. Yes, still you are protected,  1)If you vomit more than two hours after taking your pill, you are always protected from pregnancy. 2) If you vomit within two hours of taking your pill, take another medicine right away. 3)If you do not take a replacement pill within three hours of your normal time, use a backup method for the next 48 hours.

Hello. Your chest x-ray appears normal. There is no pneumonia. What you have is an upper respiratory tract infection (URTI), mostly caused by viruses. This is a self-limited disease and usually clears up within seven days on its own. Sometimes, cough can persist a while longer and is called post-viral cough. Antibiotics are useless against viruses. They should only be used against bacterial infections. Viruses cause the vast majority of URTIs. These infections spread through the air (when you cough or sneeze) or through contact. They are not transmitted through food. Treatment for viral URTI is symptomatic. Fever medicines like Paracetamol, Ibuprofen, or Naproxen can be used. Nasal decongestants for the congested nose. If cough persists beyond a week, then a corticosteroid inhaler can help.

Hello. Orgasm is not traceable to your masturbation or porn history. Some people experience it a few times in their sex life. Even in a heterosexual relationship, most times the man cums even when the lady is yet to cum. On many occasion, she never cums. So it is body differences. Has nothing to do with your masturbation experience. Some ladies cum faster when oral sex is done on them. So there is nothing wrong with you. You are fine.

Hi. Such pain in abdomen with stool discomfort can happen as a result of stomach infection. Important here is clinical examination to know the site of the pain. So it is advisable to see your doctor. If he would feel suspicious, he would send you for an ultrasound abdomen. If all normal, you would be treated with antibiotics like Ofloxacin. Till you get medical help, you may take a combination of Pantoprazole and Domperidone that would reduce your acidity and pain. Take light food and drink plenty of fluids. Stomach infection. Ultrasound abdomen. Colic. Stomach infection. Light food. Review with ultrasound.

Hello. I can tell you about treatment in the broader sense. In case of the shorter lower jaw, either a surgical and orthodontic treatment is done (in case of poor esthetics, both jaws and teeth are corrected) or orthodontic correction of only teeth. Since your question is about the second treatment plan and pertains to extractions I will answer that. Extractions are relatively common in orthodontic treatment to create space. In cases with smaller lower jaws with space requirement, upper arch extractions are mandatory. Lower arch extractions are also advised if there is space requirement or extractions needed for bite improvement or maintenance of normal bite. So it is reasonable to advise the extraction of four teeth. You can send pictures of your teeth and X-rays to confirm whether this fits your case.

Hi, Welcome to the icliniq Following is my opinion for your asked question. The low ferritn , Low Mcv could be suggestive of early iron deficiency anemia. The common cause for high B12 include supplement intake , Liver disease or Kidney disease. Your liver & kidney profile reports are normal.So don't worry about that. If you have any history of supplement intake than mention it.B12 excreted by urine , so might need not to worry about that.High Non Veg food also sometime can cause elevated B12. For low ferritin no need of any treatment.Repeat your serum ferritin & serum iron after few days. The WBC in urine could be due to urinary tract infection.For that investigate further with urine culture report.Meanwhile take more water & cranberry juice extract tablet.Attach the urine culture report once done. Hope this will help you Regards

Hello. I suggest you have Agnus castus 200 three times a day at every eight hourly for at least 10 days. This medicine will help with both premature ejaculation and erectile dysfunction problems. Please also inform me if you have diabetes, high blood pressure, or any other diseases, so I will help us to do more and appreciate the treatment. I would also like to suggest you do some physical exercise daily in the morning for at least 30 minutes.

Hello. You probably had a transient arrhythmia (abnormal heart rhythm). The most common type of abnormal heart rhythm at your age (assuming you do not have any pre-existing heart conditions) is supraventricular tachycardia. This can produce symptoms like palpitations, lightheadedness, and a strange feeling in the chest. An ECG, if done during the actual episode, can provide a diagnosis. But at least, you should get a baseline ECG. So, I suggest seeing your general physician within the next few days. Other things that are pertinent when you have fast heart rhythms are: 1. Excess production of thyroid hormone (a thyroid test TSH would be appropriate).2. Excessive consumption of caffeine.3. Any recreational drug use like cocaine.4. Electrolyte imbalance.If you get these episodes frequently, you should see a cardiologist who can order some tests.

Hello. Yes, Zoloft (Sertraline) may cause muscle cramps, tingling by disturbing blood sodium chloride levels. Zoloft is an SSRI (selective serotonin reuptake inhibitor), which may cause a disturbance in these ions (sodium and chloride) hence may cause it. Get the blood test done serum sodium and serum chloride, or you may try increasing salt intake in your diet. Which if improves your problem then it is undoubtedly due to low sodium and chloride.

Hello. You have several symptoms related to the gastrointestinal tract: 1. GERD.  2. Irritable bowels.  3. Bloating.  You also seem to have abdominal obesity and high blood pressure. Proton pump inhibitors like Pantoprazole and Rabeprazole do not seem to have helped you. I suggest a dietary approach that will reduce your weight and also can get rid of the bloating, acid reflux and irritable bowel symptoms. That diet is the low carbohydrate, high fat diet (LCHF diet) or ketogenic diet. This involves cutting down your carbohydrate intake and increasing the intake of healthy fats. In my experience, nearly all people who followed this diet got rid of the acid reflux and bloating. The good thing is, you can also lose weight and possibly reverse your high blood pressure.

Hi. Blocked artery in the heart causes pain especially when one is engaged in activities like walking due to increased heart rate during activity which reduces blood supply to the heart muscles leading to ischemia and pain. This condition is called angina pectoris. It is a problem with the coronary arteries which supplies the heart muscle. The doctor to see is the cardiologist. Do ECG, do clotting time. Take Isorsobide Dinitrate 5 mg three times daily will help to open the heart arteries and relieve the pain. Take care.

Dear User, To decide a medicine for diabetes depends on the current physical and clinical condition. There are several aspects to be taken care of. It would be necessary for a doctor to start medicine after getting detailed medical history. That will include current sugar levels, which type of diabetes he has, basic diet pattern, physical activity status, family history of diabetes, current medicines he is taking for diabetes and uti, his body weight and height, any other physical condition, etc. As long as UTI is concerned, high sugar levels can also cause recurrent UTIs. We can communicate in detail regarding management of diabetes and UTI on this platform. ? uti due to high blood sugar levels. fbs/ppbs/hba1c s. creat urine r/m maintain good genital hygiene in view of uti. practise small frequent meals for diabetes. With detailed medical history.

Hi. Headache has numerous causes. And according to your presentation, I am going to list some of the causes that could be the reason for what you experience. Please, reflect them to your case. 1. Beginning of acute upper respiratory tract infection, in case you show other signs including runny nose, cough, sore throat or others of cold and flu symptoms. 2. Frontal headache can be due to paranasal sinus inflammation which is part of cold and flu symptoms or part of long-term inflammation. 3. Stress, lack of sleep, anxiety or bad mood. 4. Bad sleeping position (for the neck) or uncomfortable pillow (usually comes in the morning and back of neck and head but can be in the front as well). 5. Anemia (commonly iron deficiency anemia, specially if you are having the monthly period these days). 6. PMS (pre-menstrual syndrome) few days before monthly period. 7. Frontal headache can come with disturbed visual acuity (you might need to visit ophthalmologist for eye test) especially if have concomitant blurring of vision. 8. Head trauma, in case you experienced that before the beginning of that headache. 9. Diabetes mellitus type 2. 10. Hypoglycemia (low blood glucose) in case you are not following appropriate diet or not eating well. 11. Vitamin D deficiency (but usually for long term headache with other symptoms). I will list some of the investigations to do and medicines to take (for a few days). FBS (requires fasting 8 to 10 hours), HbA1c, complete blood count, Fe studies. Naproxen 500 mg tablets one tablet per 12 hours after meals for 3 to 5 days, as needed.

Hello. I understand your concern, but I would not advise you to jump into any hasty conclusions. First of all, birthmarks, moles are very common even with the localization that you mentioned. However, to advise you better, it is preferable to compare this lesion on photos taken during these last few years as a marker, keeping in mind that humans undergo many changes as they age. Second of all, it is more advisable to get digital images of this lesion captured by an optometrist or an ophthalmologist through a slit lamp and under magnification for better evaluation. Thirdly, if an ophthalmologist has confirmed your suspicion, a biopsy can be taken from it and sent to histopathology in the assessment at a cellular level, which will clear all doubts completely.

Hello. The neutrophil in children usually can be due to some temporary infection etiology. Viral infection also can cause neutropenia due to relatively high lymphocytes. I suggest to repeat CBC and peripheral smear examination report again after 10 to 15 days. I am also not in favour of repeating CBC after three months.

Hello. Psychosis should not be taken lightly because psychosis is a term that reflects a variety of explanation like it may be schizophrenia, it may be due to depression, may be secondary to alcohol or any other condition, so diagnosis is very important, that your primary doctor knows better. And every diagnosis has a different course of treatment, as for as you alcohol is a concern that blackout means you should be more concern and should be adequately treated. Do not stop it suddenly, and try not to drink heavily. Go to your doctor and tell your history he would help you to deal with the problem and you need to have health check-up and lab investigation for sure.

Hello. Stool tests can identify tapeworm infestation. However, because the worms and eggs are shed intermittently, the test may have to be repeated three to four times if the initial test is negative. Stool tests can also identify other intestinal parasites. Blood tests (serological tests) are also available, including ELISA (enzyme-linked immunosorbent assay) and PCR (polymerase chain reaction). Praziquantel is the drug that is used to treat tapeworm infestations.

Hello. I can appreciate your dilemma. I will suggest discussing your concerns with your psychiatrist. Write down all the reasons why you think you may have bipolar disorder and discuss it with your psychiatrist during your next review. Screening tests in the search may give approximate guidance, but they not very specific. For example, many teenagers have significant mood swings, which may inadvertently be flagged up as bipolar. A proper diagnosis can be made only by a comprehensive assessment, including detailed background history.

Hello. By the dates, you are five weeks pregnant. If no gestational sac is visible in your uterus even on transvaginal ultrasound, then it may be an ectopic pregnancy. Ectopic pregnancy presents with symptoms only if it grows or gets ruptured. That is an emergency and can even be life-threatening or at the least cause liters and liters on blood loss inside the abdomen. I advise you to go for a transvaginal scan. Rarely MRI to confirm the ectopic pregnancy. It may be dealt with medicines or go for laparoscopic removal of tube or milking whichever is feasible. Do it before it becomes an emergency.

Hello. No major concern but it would be important to know why your left atrium is dilated. It may be because of higher blood pressure or problems with the heart valves or due to any heart muscle problem. I recommend you see a specialist as you might need some additional workup, perhaps a heart rhythm monitoring and or a stress test. High blood pressure, and valvular disease. Heart rhythm monitor.

Hello. By ED do you mean erectile dysfunction or anything else? You are a male, so I pressure you to mean erectile dysfunction. The erectile dysfunction, together with the fact that you have to be on medication for your sugar control that could have been responsible for the depression that is entirely understood. The erectile dysfunction can cause d inability to have a penetrating sex.diabetes cause damages to tiny arteries which supplies the nerves, and when the nerves which carries e erectile sensation are affected, it results to a weak erection. Kindly consult your doctor and take the treatment with consent.

Hello. Do you have diabetes, hypertension, family history of a heart attack in young age? Do you have deranged kidney function? Answers to these questions if not, it is critical to decide medicine. If these are not present, then medication is not required at this stage. Only lifestyle and dietary modification are necessary. Reduce saturated fats and trans fats (ghee, butter) in diet, reduce red meat, consume more dry fruits, and vegetables. Avoid more than one egg yolk per day. Do regular exercise, such as jogging, cycling, brisk walk, etc. Avoid a sedentary lifestyle after three months repeat fasting lipid profile.

Hi. How high was the fever? Any other symptoms such as cough, colds, body aches, sore throat, and pain during urination? How would you describe abdominal pain, burning, crampy, or stabbing? Does it radiate to the back? If yes, which side? Does it occur after food intake? Do you wake up in the middle of the night because of the pain? Any other symptoms such as yellowish discoloration of the eyes or skin, nausea, or vomiting? I suggest taking Omeprazole 20 mg, 1 capsule 30 minutes prior to breakfast but may take one dose today. Complete blood count. Omeprazole 20 mg one capsule 30 minutes prior to breakfast for seven days, Paracetamol 500 mg one tablet every four hours as needed for fever.

Hi. As you explained the disease that your wife has multiple small moles over face and hands, it certainly indicates solar lentigines. It is a multiple freckles type mole due to sun exposure. Now, let me explain the treatment and precautions. Avoid exposure to sunlight as much as you can. Cover body with clothes and cap while going out. Use sunscreen over face and hand every four hourly till evening. This will prevent further development of disease. Now to treat existing lentigines we can opt for laser. Creams will not be of much helpful in this. Q-switched Nd:YAG laser (neodymium-doped yttrium aluminium garnet) will be very useful. You can consult a doctor around you for this laser. One or two sitting would be enough to remove it completely. There is no side effect. It could be costlier, but results are good.

Hello. You can surely lose weight with the help of homeopathy. Do you have any medical conditions that may be causing weight gain or taking any medication? In the meantime try taking Natrum Phos 6x two tablets twice a day 30 minutes before taking any meal (empty stomach).Try this for 15 days. In the meantime, please answer the following questions so that I get a complete overview of your problem. Kindly answer these questions.

Hello. First I would like to reaasure you that squamous cell carcinoma can not appear all of a sudden (over night). Second, from the pics you attached it looks like fungal infection (attachment removed to protect patient identity), something called tinea corporis, which comes with the same look and other looks as well, in addition to the symptoms that you mentioned (specially itchiness). Please follow the treatment that I will provide you and kindly follow up with photos for the skin lesion in five to seven days. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. Lamisil cream (Terbinafine), apply three times a day for 7 to 14 days or Daktacort cream (Miconazole, Hydrocortisone), apply three times a day for 7 to 14 days. Wash your own clothes and bed linens separately as it is infectious.

Hello. Went through your post. Generally, urine culture growth showing candida is not anything significant because it is a benign infection and usually does not need treatment unless a person has taken a lot of antibiotics, or is HIV positive. The white substance in urine is phosphate, and it is called Phosphaturia you are taking plenty of water is helpful, so no need to worry about that. I would suggest you complete two weeks of Fluconazole but no other antibiotics.

Hello. Can you please upload a few pictures if possible, to advice proper treatment.

Hello. I have gone through your queries. The only solution to phimosis is circumcision. However, you may have minor vascular injury inside the foreskin due to the use of a tight silicon ring. You can wait and watch to buy some time for natural regression of the swelling or else you can straightway go for circumcision after consulting your local urologist. By few days to weeks, the swelling will reduce. But the permanent solution of phimosis is circumcision.

Hello. Rather than a closed or open room, this is related to outside and inside ear pressure. There is an air cavity in our ear called a middle ear, and there is a membrane which separates this cavity from the external environment called a tympanic layer. So, there is air on either side of the tympanic membrane. So, when pressure on either side if high, then the membrane gets fixed and cannot move properly, giving the feeling of a clogged ear. And there is a connection between the middle ear cavity and our throat which equalizes pressure within the ear cavity and outside environment. So, whenever one gets an infection, then this tube blocked and there occurs a mismatch of pressure leading to clogged ear. And also swallowing movements opens this tube temporarily, which helps in equalizing the pressure leading to relief. Similar things occur when one travels in an airplane. So pressure changes are decisive in this. I hope this helps you and get back if you have any doubts.

Hello. I understand that you are greatly concerned about having early genital herpes. For more information consult a general practitioner online -->

Hello. I read carefully and reviewed the patient MRI report (attachment removed to protect patient identity) and would explain that it shows a progressive brain atrophy (brain cell death) and small ischemic strokes, which could cause progressive dementia. These changes are probably related to small vessel disease of the brain (chronic changes in small brain vessels caused by uncontrolled diabetes, dyslipidemia, hypertension, smoking, etc.). There is also a subdural collection, which is causing mild compression on the left frontal lobe. I would recommend consulting with a neurosurgeon about this. I would also recommend to closely monitor his blood pressure values, periodically check his fasting glucose and blood lipid profile. If dementia is present (memory troubles, confusion), I would recommend treatment with Donepezil or Memantine. Hope to have been helpful. For more information consult a neurologist online -->

Hello. Well, most of our patients initially complain to us about very vague symptoms at onset, just like yours. But we explore the possibility based on some more information and yes, of course, investigating them thoroughly. The pain you mention which made you still and shaky, can be arising from the gut as in abdominal colic (a sudden wave of spasm in muscles within the gut). Or can be arising from endometriosis which is anther problem of the female genital tract, whereby there is excessive growth of normal uterus tissues in the lower part of the belly. Thirdly, it can simply be due to perimenstrual syndrome which is pain occurring at the time of menses. For now, I suggest you to do some test and ultrasound abdomen and pelvis, later we can discuss the findings of your result. Functional abdominal colic. Perimenstrual syndrome. Endometriosis. Complete blood count. TSH (thyroid-stimulating hormone), FT3. Liver function tests. Stool detail report. Urine detail report. US (ultrasound) abdomen and pelvis. Follow up after investigation to discuss the results.

Hello. It could be lichen planus. It does not go off on wiping. If it goes off on wiping, then it is candida. Your case does not support submucous fibrosis as there is no blanching. My provisional diagnosis is lichen planus. History of smoking. Biopsy. Candida, leukoplakia, and submucous fibrosis. Lichen planus. Biopsy (nearest dental hospital) and follow-up with a specialist. Nicotine patch to stop smoking.

Hello. You have developed ulcers after two weeks. Usually, in gonorrhea you will have painful white discharge from penis. In syphilis, ulcer will develop after 10 to 14 days, painless single, button like ulcer. Painful genital ulcers in this case are may be herpes simplex, chancroid, and syphilis (from your picture) (attachment removed to protect patient identity).  What medication he gave? Will you please give names of the drugs? Better do  VDRL, TPHA, HIV and HSV2 investigation, smear study from penis discharge to rule out above STD.

Hello. I have seen the pictures (attachment removed to protect patient identity). It looks like scrotal dermatitis. Try doing the following. Consult your specialist doctor, discuss with him or her and start taking medicines after their consent. For more information consult a dermatologist online -->

Hi. Consult a diabetologist online for further clarifications -->

Hi. You are not on too high a dose of celexa or buspar. However serotonin syndrome is not always dose dependant. I feel just the chills and sedation are too general to be indicative of serotonin syndrome. You should have some level of muscle rigidity, high fever, muscular contractions (myoclonus) to suggest that. In my professional opinion I do not have much faith in Buspar.  Celexa is good enough as an antidepressant (SSRI) to eventually help you have a full remission of depression, anxiety and panic attacks. If I was your treating psychiatrist, I would have supplemented the celexa with clonazepam (Klonopin) on a as needed basis, between 0.5 and 1mg every 8 hours PRN anxiety. If you are feeling cold and shivering constantly you might need to see your PCP (Primary Care Physician) to urgently address if you have an active urinary tract infection and also have him check your thyroid function. In effect, I advise you to stop the Buspar for now. Hope it helps. Get back to a psychiatrist online for further help -->

Hello. I read your query and understand your concerns. Having less or no sensation in penis while having sex is generally due to local factors. The systemic illnesses rarely affect in this way. Masturbation is normal and it does not have any adverse effects either on sensation or erection. So it is time to realize that the sensation problem is not due to chronic masturbation. The possible reason as per available history is dryness of penis which makes the nerve endings non-functional over a course of time. To counter this problem it is essential to use oil based soap (rather than traditional soap) and skin moisturizer which prevent the dryness of skin of glans penis. It can be said that you can use any branded moisturizer for application to penis and local area after taking bath every day. During love making session I advise you to use Durex real feel which is available across the globe for increasing sensation and making the sex more pleasurable. Unfortunately there are no medicines for this purpose and lubricants which I have mentioned above will be helpful to a large extent. Revert back to a sexologist online for further follow up -->

Hello. Constipation. Digital rectal examination and proctoscopy. Anal fissure and hemorrhoids. Surgery. Medical treatment and diet modification to prevent constipation. For further information consult a surgical gastroenterologist online.--->

Hi.I have gone through your history and picture (attachment removed to protect patient identity). I get your worry. I can see that you have already tried a lot of therapies for the same with not much relief. Weight gain is usually a gradual process and not much skin stretch pain is experienced. But few nerve endings become exposed to the exterior in the stretched skin. When weight loss occurs, stretched skin hangs back loose. But it is still not back to normal skin. It is still thin and exposing your sensitive nerves when you stretch, like when you sit or squat. This is why you get that pain sensation during such activity.Now having considered that you have tried most of the options, I would suggest you try a few additional measures that can help.

Hello. I can understand your concern. According to your statement, you have been suffering from a tiny hard spot on the head of the penis. This type of tiny spot can result from various reasons such as mole produced from over secretion of melanin by skin cells. They are harmless and nothing to be worried. Penile papule appears around the penis head which does not itch or produce any fluid. They may disappear as time passes. Angiokeratoma is a tiny red bump that appears when blood vessels near your penile skin become dilated. They are rough in nature and may become thicker over time. Lymphocele has resulted from blockage in the lymph channel near your penile head. It does not need any treatment and dissolves over time. Peyronie's disease is resulted from scar tissue which is found on the top of the penis that tends to harden due to calcium deposition. Treatment is needed when it makes erection of the penis difficult. Again your penile tiny hard spot may be resulted from a pimple, cyst, or STD (sexually transmitted disease). As your penile spot does not create any difficulty in your regular performance so it is nothing to be worried and needs no treatment. I think it will disappear over time. You can undergo FNAC (fine needle aspiration cytology) or biopsy from a tiny hard spot on the top of your penile head.

Hi. You have a given a complete account of the clinical situation and it is as good as doing a real time face to face consultation. It is not uncommon for women to have spotting early in pregnancy. Most often it is what we call implantation bleeding that is a process of baby getting attached to your uterus. The fact that there is no blood clot in the uterus and the fetal heart beat is present is reassuring. The diagnosis is called threatened miscarriage. In this situation there is a good probability for the pregnancy to go on well that is more than 90%, hence it is unlikely to be serious. You can continue with your normal activities as long as it is not physically demanding. It is also advisable to avoid sexual intercourse for a few weeks. Absolute bed rest is not needed and in fact may be harmful can lead to blood clots in legs. No need to follow diet restriction. Taking Duphaston (Dihydrogesterone) is alright, but again not absolutely necessary. Just be your normal self. Repeat scan in two weeks to ensure things are fine. You will continue to have some form of discharge pink or red or brown or black for a couple of weeks. But, if the bleeding is heavy with clots or with cramping or foul smelling discharge you need to visit the hospital as soon as possible. I would like to stress that more than 90% of times, things will go on well. For further information consult an obstetrician and gynaecologist online -->

Hi. Get back if you have doubt. Take care. For more information consult an obstetrician and gynaecologist online -->

Hello. Tablet Gestin (Allylestrenol) contains natural progesterone, which is given for 5 days to bring about withdrawal bleeding. You have not mentioned how long you have taken the drug. Withdrawal bleeding usually occurs 48 hours after stopping the drug to up to 7 days. If you are still in that period, then you should wait for your period to commence. If you are over that, then I suggest you to do certain tests like transvaginal sonography, TSH (thyroid stimulating hormone) and AMH (anti-mullerian hormone testing). Considering your age, you could be in your perimenopause (stage nearing menopause) where menstrual irregularities are common. Revert back after the tests to an obstetrician and gynaecologist online -->

Hi. It looks like a minor aphthous ulcer, which gives no pain and subsides by itself. Please check if there is any pus discharge, pain in the tooth and any other area of the mouth also has this kind of spots. Aphthous ulcer often causes minimal symptoms or problems. Oral ulcers are small round or ovoid ulcers of 2 - 4 mm in diameter. They are round or ovoid in most situations but are often more linear in common site. They have an ulcer floor that is initially yellowish white and surrounded by an erythematous halo or redness. They are found mainly on the mobile mucosa of the lips, cheeks, the floor of the mouth, sulci or below the tongue. Yours is in between the junction of gums and sulcus of the cheek, so it is a soft mucosa looks like to be. They occur in groups of only a few ulcers that is, one to six at a time. In your case, you have one only. They heal in 7 to 10 days, and they may recur at intervals of one to four months. They leave little or no evidence of scarring. If it pains, then you can apply pain relieving gel. If it does not subside in a week or 10 days, then do visit your dentist. Aphthous ulcer. Do not eat spicy food. For further information consult a dentist online.--->

Hi. How was your bleeding during the cycles? Was the flow scanty when compared to your previous cycle (I am not talking about the duration of flow here)? Revert with the details to an obstetrician and gynaecologist online -->

Hello. Well, the whole blood and serum (white fluid within blood) contains large amount of virus, and virus can live on blood spots outside the human body for the duration of one week. So actually it depends upon how much blood, and how much time it has been on the stain that can determine the chances of acquiring infection if contaminated with food. So I guess my answer can be partially answering your query. If you tell me the exact event I may be in a better position to tell you the figures. Otherwise, as a general rule, hepatitis B does not spread via food, having said that, it can still spread if blood contaminated food has been ingested. Since virus invades the human body when comes in close to mucosa (lining of our mouth) and then spread to blood within human. This happens in the same way as one infected person can transmit infection via kissing, hugging, sharing of a towel, spoon, plates, and so on. If you are puzzled with all that information, I want you to simply get a blood test for hepatitis B infection. It is a simple blood test that can give us a clue. I hope this helps. Post-exposure risk stratification. Hepatitis B surface antigen. Hepatitis B core total. Follow up after testing.

Hello. There is a lymph node in the left supraclavicular region called as Virchow's node. If enlarged, it may indicate a malignancy of the abdominal region as that is the draining pathway of the lymph from that area. A lymph node from cancer is generally very hard to palpate. A soft node is generally secondary to some inflammatory response, generally an infection. Please ask your doctor to have a look at your abdomen and re-evaluate the node, although I am almost certain, it is nothing but an inflamed node. As it is of a short duration, it is highly unlikely to be anything dangerous. I suggest you get the following tests: For further queries consult an internal medicine physician online -->

Hello. I have seen the details given. The glucose levels mentioned are normal. Only 106 mg shows a pre-diabetic fasting level. These levels are unlikely to affect the nerve function. From your information, I get a feeling that you do not have diabetes. Is that right? In that case the nerve related issue is not due to glucose levels at all. It may be related to your obesity. With a BMI of 37.07 kg/sq meter (normal < 25 kg/sq meter) you are already in grade 2 obesity. Your ideal body weight should be 77 kg (169.4 pounds). Which means there is an excess of over 81 pounds. That could be the culprit. Plus it can be the cause for precipitating diabetes in the coming years.

Hello. Your HVS (high vaginal swab) was negative, so I presume it did not have discharge. Have you done a pelvic scan because if there are infection and collection at the pouch of Douglas, you may not see a visible discharge. Do you have a regular menstrual cycle, like a predictable cycle? The pain you get around be the time of your ovulation could be a sign of an ovarian cyst, pains of the cyst come towards ovulation. Try to do a scan and get back to me through this platform. I may prescribe some antibiotics and analgesics for the pain you can get Ciprofloxacin, Flagyl (Metronidazole) and Doxycycline and take them for seven days, Ibuprofen 400 mg b.d (twice daily) for four days.

Hello. The decision to treat conservatively or surgically depends on clinical symptoms. You have not mentioned anything about your symptoms. How much pain do you have? Is it bearable or unbearable? How much distance are you able to walk without pain? Are you ready to perform your activities of daily living comfortably? What do you do?

Hello. With history, I feel you have left foot cellulitis. It is the infection on the foot. You might need heavy antibiotics for the infection. Is warmth present on the wound? Any pus discharge from the area? Kindly update these details and also the picture of the purple color. And also I would like to know what is your sugars levels in present condition?

Hello. Welcome to the icliniq.com. In a flaccid state, the foreskin can be retracted back over the shaft of the penis easily even in phimosis case. However, you have a problem in erection state as well, and hence you have mild degree phimosis. For that topical steroid cream can be used after consultation with your dermatologist. If it does not help, then you can selectively undergo one daycare surgery that is circumcision. But it is an elective operation, which means the procedure can be done anytime as per your convenience. I hope I have solved your query.

Hello, Welcome to ilciniq.com. Your teeth are stained with yellow plaques, and the condition is called gingivitis.  Try this home remedy, 1) Take one tablespoon of baking soda with two tablespoons of hydrogen peroxide to make a paste. 2) Rinse your mouth thoroughly with water after brushing with this paste. 3) Use an antibacterial mouth wash and rinse. 4) Eat lots of vegetable and fruits. 5) Use a soft-edged toothbrush.

Hello. This condition called polydipsia, felling excessive thirsty. Tongue taste is due to dehydration. What about urination, passing more? Usually, this is a symptom of diabetes, are you are in a hot and humid place? For anxiety and panic disorder are you on any medication? Immediately go for investigation such as FBS (fasting blood sugar), PPBS (postprandial blood sugar), HbA1c and urine, sugar ketone RFT (renal function test), LFT (liver function test) and review. If sugar is high go for the treatment.

Hello. Interpretation of reports. With this advanced fibrosis, it could not be reversed back.

Hello. Can you please upload a few pictures if possible to advise the appropriate treatment. Are you married? If yes, did you complete your family?

Hi. Long time keeping hand in freeze or ice cold things, your blood vessels constrict to avoid heat to escape from the body. Continuously blood vessels constriction will not allow blood to reach to the hand tissues and nerves. So, numbness and pain comes. If you are diabetic or hypertensive, condition will be worse. So, in between your work just rinse your hand and fingers in warm water, not very hot. Use thick rubber gloves to avoid direct cold to your hand.

Hello. I guess the symptoms of cough and chest pain are resolving. If she compliants with her anti koch regimen she would not be losing much weight. But it is well known that chronic illness like tb and pneumonia can cause extensive weight loss and anorexia which again add to the weight loss. You need to see a dietician for prescribed dieting to help increase your calorie intake. Multivitamin should also be taken to improve appetite. Also do a chest X-ray to see the extend of the lesion in the chest with sputum afb.

Hello. The normal ESR and CRP essentially rules out inflammatory conditions. Uric acid levels, if high, can lead to joint pains, not body pains. Based on you height and weight, your body mass index is 37.3. This is considered morbid obesity. People with high BMIs can have issues like obstructive sleep apnea, impaired glucose tolerance and high blood pressure. Obstructive sleep apnea can present with manifestations like chronic fatigue and chronic body pains among others. If you are known to snore, have apneic spells (spells during sleep where your breathing stops for several seconds intermittently), feel fatigued and sleepy during the daytime, have frequent headaches and irritability, ask your doctor to screen you for obstructive sleep apnea. If present, that may explain your chronic body pains. Even if you do not have symptoms of OSA, losing weight can improve your overall health and prevent development of metabolic diseases like diabetes. If you want to lose weight, I suggest cutting down on carbohydrates and consuming healthy fats. This is a low carbohydrate, high and healthy fat diet (otherwise called ketogenic diet).

Hello. If you have symptoms of inflammation of urinary tract than you have to rule out urinary tract infection. For that, I suggest you investigate with urine routine microscopic examination report and urine culture for primary work-up. You can revert back with reports once done. Meanwhile, drink lots of water and avoid excess spicy foods intake. Cranberry juice extract tablet also needs to be taken for seven days. You have done protected sex so chance of sexually transmitted diseases is very unlikely.

Hello, Welcome to the icliniq.com. In the mentioned history hemoglobin level is low and MCV (mean corpuscular volume) is high, So macrocytic anemia is present (attachment removed to protect patient identity). The cause for which has to be ruled out. Hypothyroidism, vitamin B12 deficiency, liver disease, etc. are some of the causes. B12 deficiency is a common cause, so rule it out by serum B12 estimation. Second reversal of CD4 to CD8 ratio can be from defect in the immune systems like immunodeficiency problems or autoimmune disorders. Chronic illness like HIV also can lead to reversal ration for which fourth generation HIV, ELISA (enzyme-linked immunosorbent assay) testing can be done. Your further workup can be done in the form of peripheral smear examination so that it can guide you further. I hope this will help you. Consult your physician for further examinations and investigations.

Hello,  Welcome to icliniq.com. I want to know when did you last have Albuterol. It is is used in asthma for air pipe spasm. It has common side effects such as tachycardia (increased heart rate more than 90 minutes when the person is at rest) where people feel there heartbeat. I also notice your heart rate is 90, which seems to be secondary to Albuterol. Pounding of stomach however, is an unusual phenomenon, but can occur due to certain drugs and sometimes without any cause. The condition is called tachygastria. You can simply decrease the dose of Albuterol to see if it works in your case. I hope this helps. Tachycardia. GI motility disorder. Drug side effects and tachycardia. Reduce the dose of Albuterol.

Hello, Welcome to the icliniq.com. I can understand your concern. Do not worry, and I will clear your doubt. Infectious mononucleosis usually caused by EBV (Epstein-Barr), and it can spread through saliva mainly. So sharing of the objects like water bottle or glass object can spread infection. So you are at risk of spending it. But do not be panic. The symptoms are fever and sore throat, mainly with enlarged cervical nodes. Splenomegaly also can occur. If fever, malaise, and sore throat occur than investigate by CBC (complete blood count) and serological test for EBV, which includes ESP (extrasensory perception), Ig M (immunoglobulin M), and Elisa (Enzyme-linked immunosorbent assay). Infectious mononucleosis usually resolves by its own with time. Anyway if you suffer from fever and sore throat that will discuss further and you can consult a nearby physician for examination at that time. It is advisable not to share an object with an infected person. I hope this will help you. Get back with more query if you still have doubt.

Hello. As you had previous miscarriages and ectopic pregnancy, your doctor might have prescribed all these tablets for the maintenance of pregnancy and to prevent abortion. As Susten (natural micronized progesterone) and Duphaston (Dydrogesterone) both are progesterone with the same action, you can go for any one drug. Susten is preferable as it is natural micronized progesterone and category B drug in pregnancy. You have to take these tablets until the viability of pregnancy that is around 28 to 30 weeks.

Hello. You have given a history of STD treated, What type of STD it is? If it is syphilis, is it cured completely? If it is not healed completely may lead to a complication called tabes dorsalis. When syphilis is untreated, the bacteria damage the spinal cord and peripheral nervous tissue. This leads to the symptoms of tabes dorsalis (neurosyphilis). Tabes dorsalis is now very rare because syphilis is usually treated early in the disease. Do CFS (chronic fatigue syndrome), CT brain, and spine. Repeat VDRL (venereal disease research laboratory test), FBS (fasting blood sugar), and PPBS (post-prandial blood sugar).

Hello. You lie down on your back, stretch your legs straigh, then lift your left lower limb up without bending knee joint. If you get severe pulling pain from buttock to whole leg, then it is sciatica. This test is called (SLR) straight leg raising test. Hamstring muscle pain in the back of the thigh and lower buttock when walking, straightening the leg, or bending over. Do the SLR test to know there is sciatica or not.

Hello. I understand your concern. This is true. Only direct genital contact or contact through cuts on genitals, blood, semen or saliva can lead to STDs, not hand job. Take care.

Hello. Is this the first time you are experiencing insomnia or there has been a previous history? Sleep problems can happen if you are stressed, anxious or have a mood problem. Is there anything stressful going on in your life ? Do you do shift work? Try to address the root cause and learn relaxation strategies. I see that you are talking Zolfresh 10 mg (attachment removed to protect patient identity). It is fie to take it for a few days but not recommended to continue for a longer period. Try these self-help interventions: 1. Relax atleast an hour before bedtime. You can listen to music, or take a bath. 2. Go to bed at the same time. 3. Have a comfortable bed, keep the room dark. 4. Avoid drinking tea, coffee in the evenings. 5. Avoid watching TV or looking at bright screens in the evenings. It can affect your natural sleep inducing hormone secretion. 6. Avoid day time naps. 7. Do regular exercises. 8. Avoid eating heavy meals before sleeping. Take care.

Hello. The hypertension is multi-systemic disease and can affect many organs in our body including kidney as well. So hypertension need to be controlled with medication. Kindly attach your kidney reports so that I can look how much damages have occured. Your platelet count is very much high. You have to rule out essential thrombocythemia for that. I suggest you consult nearby hematologist for detailed evaluation.

Hello. Some people can experience worsening of anxiety when starting Effexor (Venlafaxine) also nausea, and dry mouth can happen as well. They usually settle by two to three weeks. You are only on a low starting dose so hopefully should settle in due course. Discuss with your prescribing doctor during the next review so that dose titration can be done very slowly as needed. If the side effects do not settle, then, other options need to be considered. You can use Klonopin (Clonazepam) as needed up to four weeks to manage excess anxiety during this period. Do not continue Klonopin beyond four weeks. Keep using CBT(cognitive behavioral therapy) or psychological therapy strategies to manage anxiety and OCD (obsessive-compulsive disorder). Also, try deep breathing techniques and progressive muscle relaxation exercises to manage stress and anxiety.

Hi. I can understand your concern regarding dental health. In this condition, it will take time to have healing of the ligament and tissue at the end of the root of the root canaled tooth as it was previously affected by the infection. So do not worry and take antibiotics and analgesics prescribed by your dentist. If the pain persists even after all these, then go for check up with a radiographic investigation of the same tooth.

Hello. Generalized lymphadenopathy cannot always be due to cancer. However, lymphoma blood cancer is one of the cause for that. I suggest you investigate with biopsy of grossly visible enlarged lymph nodes or FNAC scan to identify the cause for enlarged node. If you have lymphoma, then it will be evident by histopathology of biopsy specimen. It is advisable to rule out HIV also by combo ELISA testing.

Hi. It is unfortunate that you have to undergo repeated surgeries due to the infection. A combined therapeutic approach including surgical drainage, debridement, and prolonged treatment (more than three months) with combined antimicrobial agents, has been used in managing cases of atypical mycobacterium. In some cases based on clinical assessment, successful treatment requires aggressive debridement of all infected subcutaneous tissues and skin. Surgery does play a major role for these kinds of infections and may have to be repeated. I should be able to give you more inputs if I see the scans and reports. Kindly revert back with the same.

Hi. Such diarrhea is seen in Irritable bowel syndrome (IBS). IBS is of three types: You seem to be suffering from IBS diarrhea predominant. However, IBS is a diagnosis of exclusion. We investigate suspected cases of IBS with thyroid profile, fasting blood sugar and ultrasound abdomen. If all investigations are normal as you have mentioned blood and stool test (considering these investigations have been performed), then you are probably suffering from irritable bowel syndrome. In case you ever have had blood or mucous in stools, you require a colonoscopy to rule out any evidence of inflammatory bowel disease. I advice the following for treatment of IBS: Idiopathic. Routine. IBS. Stress free life.

Hello. Getting a tooth removed is a terrifying experience for all. It is the dentist's responsibility to address the patient's concerns and make them feel comfortable. Ideally, the procedure should be explained to the patient beforehand. Infection control is very important for the safety of both the dentist and the patient. A dentist must wear gloves and face mask before any treatment. As far as using a hammer and a chisel, these are the instruments usually present in dental clinic. They are a part of the dental instruments used for teeth extractions, especially in difficult cases. Although, a local anesthetic injection is given prior to removing a tooth, anxious patients may need more than one injection. Also, while the local anesthetic is good for numbing the area, patients can still feel the pressure sensation during tooth removal. In the end, it all comes down to proper communication with your patient and constant reassurance during the procedure.

Hello. Please do not be worried. There are no chances of pregnancy at all. Firstly, because you had washed your hand with soap which carried the sperms and sperms do not survive on contact with detergent or soap. Secondly, you have taken an i-pill within 72 hours. Hence, your menses are likely to be delayed due to high progesterone pill you have taken. Now, you should get a withdrawal bleed within next 7-10 days from the day of pill intake. So, you should be patient and wait for the withdrawal. However, if you are anxious then as on today you may get a serum beta hCG test done to rule out any pregnancy conclusively. If the hCG levels are less than 5ng/dL then you are surely pregnancy safe and you can then calmly wait for your menses to arrive naturally.

Hello. Yes, it is technically possible to implant a small GPRS (general packet radio service) chip in your post aural region. But, that type of device cost a lot. I do not think that anyone can access to that type of device as shown in most of spy movies. So, do not worry. Nobody is going to track you. If still you have any doubt then you can do an x-ray of mastoid region to clarify it.

Hello. I hope this helps you. Do not worry. It is most likely to be impacted wax. For further queries consult an ENT otolaryngologist online -->

Hi. I appreciate your vigilance. Mild frothing of urine is usual, but excess of frothing denotes protein leakage in urine. What is your age? Do you notice any swelling of your feet and face? Do you have any other medical problem? To be sure get a urine routine microscopy report and follow up with that. Revert back with answers to the above questions to a nephrologist online -->

Hi. You have done many tests with cardiac point of view? First of all, raised blood pressure in very young age, 12 years in your case, should be investigated. It must be secondary to some other disease. One of which is called pheochromocytoma. This condition causes both high BP and high pulse rate, along with sweating, fever. These symptoms are sudden and episodic. Pheochromocytoma is basically a tumor of adrenal glands. Other cause of high pulse rate may be hyperthyroidism in which thyroid gland is overfunctioning. Other symptoms include warm hands, sweaty hands, heat intolerance, weight loss despite good appetite, fine tremors, diarrhea, reduced sleep, thyroid gland may also be enlarged, some changes in eyes, etc. As you said your diet is not good, so it may have caused anemia. Anemia leads to fast heart rate. Another cause may be your sedentary lifestyle. As you said you are not active, it causes fast heart rate on slight activity. These are some non-cardiac causes of fast heart rate. Cardiac causes may be atrial fibrillation, inappropriate sinus tachycardia, atrial tachycardia, etc. Detection and differentiation of these requires ECG. If one of these is diagnosed, then next step is to detect the cause of it. Then treatment is done for the cause. So, possibilities of your condition are many. There is a huge list of differentials both cardiac and non-cardiac. Proper diagnosis requires focused investigations. Please provide your previous tests (ECG, holter, etc.) so that I may devise a plan for diagnosis of your condition which may require some other tests as well. Also send a record of daily BP and pulse rate of one week at least. Remember, if pheochromocytoma is the cause, then high BP and fast pulse may be present only during episodes and normal between episodes. Beta blocker is good to control heart rate. So please follow-up with your medical record and BP, pulse rate record.

Hello. Your present CBC report is not suggestive of polycythemia especially polycythemia vera which is blood cancer condition (attachment removed to protect patient identity). Your JAK 2, EXON 12 study and bone marrow report is normal as per history. So polycythemia vera is very less likely. Your high hemoglobin could be due to secondary polycythemia cause. Secondary polycythemia is pure benign condition. The causes for that include respiratory problem, cardiac problem, smoking, severe dehydration, etc. I suggest you drink lots of water especially three litres per day. Avoid smoking if having habit. It is advisable to repeat CBC again after a few days.

Hello. I reviewed carefully your ECG images (attachment removed to protect patient identity) and would explain that besides right axis deviation, I also noticed the presence of prominent P waves in DII lead, which indicates a pattern or left the posterior fascicular block. For this reason, I would recommend performing a cardiac ultrasound to examine the heart and exclude possible structural abnormality. Regarding the tingling, I would also recommend checking the thyroid hormone levels and blood electrolytes for possible imbalance. I hope you will find this answer helpful. I remain at your disposal for any further questions whenever you need. cardiac structural abnormality. Cardiac ultrasound.

Hello. I have gone through your query. You have been sexually active during your fertile period till the end of last month. Now, the presence of thickening of cervical mucus is a possible sign of conception but not conclusive. The earliest now, considering your anxiety, you can be tested conclusively for pregnancy is after eight days post last intercourse is with a serum beta hCG test (blood test). If the hCG levels are more than 5mIU/ml, then you are surely pregnant. So please get the test done and follow-up with the report.

Hello. I think it is very normal to have less hair on the face. Even if you have little hairs, it is normal. Do not worry about your DHEAS level. You should not be taking any hormonal treatment unless it is required and so you can consult an endocrinologist for it. If you have normal sexual functioning, you should not worry about it. If it bothers you too much, you can ask a hair transplant surgeon and get a nice beard transplant. Focus on a healthy diet and regular exercise.

Hello. An ECG should have been done immediately to see if the child was having VT, SVT, or anything else that would require you to slow down the heart. Based on the ECG, the next step could have been planned. This is because you have only written to me about the heart rate. The other aspects, like breathing and circulation (blood pressure), also decide the modality of treatment. Does it make sense to give epinephrine to a child having tachycardia? However, if there was no pulse afterward, epinephrine should be given at that particular time.

Hello. I saw the MRI (attachment removed to protect patient identity), the sclerotic tissue from which we have to confirm that the pain you are experiencing is mainly neuropathic and emerging not from the sclerotic tissues as much as from the adjacent structures that are rich with nerves and blood vessels. Due to the anatomic changes that the eye has gone through, all the adjacent structures are still adapting to those newly acquired conditions, and that is what most probably is causing the pain. Whether it is from the compression or the disturbance in blood supply, currently, there is not much to do but to keep reducing the inflammation and prevent future reoccurrence with the prednisolone, but specific preventive measures such as undergoing a comprehensive eye exam as per the ophthalmologist recommendations are necessary. That examination should include tonometry - intraocular pressure, perimetry-visual fields, and optical coherence tomography to exclude any newly acquired changes that might require intervention. As for the diagnosis, although not much changes to the treatment will take place, it should be enforced with a blood test called ANA (antinuclear antibodies) profile to exclude any autoimmune disease that might develop on other organs. I would add a course of Neurobion, which is a complex of vitamins group B and might want to consult a physiotherapist on a method to improve blood circulation in the affected area. I hope I have cleared a few of your questions, and please feel free to follow up with additional inquiries or test results.

Hello. Lobate gm (Clobetasol, Miconazole, Neomycin) cream contains a steroid, and because of continuous application, your skin gets thinner. I hope there are no pimples at present on your glans. If you have pimples or any rash, then you should consult a dermatologist. Apply two drops of coconut oil after bath and at night time after cleaning your glans with water. Do not use any soap over glans.

Hello. On the aspect of missing your period can be Sibelium (Flunarizine) because it has some effect of blocking the dopamine receptor in the brain. Besides, it is a calcium channel blocking effect. So the possibility is that by blocking the dopamine receptor that will cause a central increase of prolactin. Prolactin will lead to galactorrhea and in turn, alter the menstrual cycle. So it is a possibility that is if you have done a pregnancy test and it is negative. So that dopaminergic antagonistic may cause amenorrhea.

Hello, Welcome to ilciniq.com. Continuous something running in mind if it is unwanted is called brooding or rumination. The more you continue it, the more problems it may create. Problems like making you more lethargic. Better start behavioral modifications like exercise, distraction techniques, keeping yourself engaged, etc., with a proper timetable. Watch yourself for anxiety, and depression symptoms if any, then seek help accordingly.

Hello, Welcome to ilciniq.com. A blood pressure of 100/60 is normal for a woman in your age group. However, if you are feeling lightheaded upon standing, then you need evaluation to see if your blood pressure drops when you stand up. Your blood counts and urinalysis are normal. Your thyroid hormones Total T4 and Total T3 are within normal ranges. A single low TSH (thyroid stimulating hormone) reading may need confirmation with a repeat test. Are you on thyroid hormone supplements? What are your height and weight? You have been prescribed an antibiotic (Mahacef plus). There is no reason for you to take medicines. I suggest stopping it. Also, no indication to take Citro Soda (you do not have a urine infection). Your health is fine, and so you can stop all the medicines. Your symptoms may have other causes like lack of sleep, stress, etc. You will need further evaluation. You can start by getting a repeat TSH test done at a standard laboratory. Stop the medicines you have been prescribed currently. Once you have the repeat TSH level, you can get back to me.

Hello. The serum prolactin levels are high, which indicate hyperprolactinemia. This can cause hypomenorrhoea or shortened menses even though the cycles may be regular. The PCOD (polycystic ovarian syndrome) element further adds to insulin resistance and putting on weight. The aim of the treatment should be the PCOD regimen and Dopamine agonists like Cabergoline tablet to control and treat both PCOD and hyperprolactinemia, respectively. The classical sign of hyperprolactinemia is the discharge of watery substance from breast nipples, also known as galactorrhea. This often leads to breast heaviness and tenderness.

Hello. Your kid is suffering from an anal fissure that is a cut at anal mucosa. Give syrup Duphalac (Lactulose) one teaspoon full once a day at night time after meals. Apply several ano ointments (Lidocaine, Metronidazole, Sucralfate) locally three times a day for 15 days with the applicator. According to me stop milk from 8 am to 8 pm and give semisolid diet like dal, dalia, khichdi alu kela rice, apple, upama, halwa, rab kadi idle poha satu custard, etc and from 8 pm to 8 am give mother milk is preferable if not give top milk without water and add sugar as per your taste . To start with stop milk for four hours for 15 days and give semisolid diet, next stop milk for eight hours and give semisolid food, lastly, stop milk from 8 am to 8 pm and provide semisolid diet. As 100 ml milk gives 70 calories of energy, 100 ml juices give 55 calories of energy, and 100 gm of semisolid food gives 350 calories of energy. When giving a semisolid diet, provide water as the baby requires. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. Continue all the above for at least 2 years of age.

Hello. Use Trichospire hair kit and Qilib men lotion twice daily. I hope it helps. If you have any other question, please do not hesitate to contact us.

Hello. Chronic cough since long time suggests some allergic condition like asthma. For proper diagnosis you should do a chest x-ray and spirometry test. Other symptoms can be suggestive of some infective cause like tuberculosis. So, ultimately after an x-ray and spirometry test we can make a definite diagnosis. Vertigo can be because of chronic cough. But, clinically it is very difficult to say. Some blood test may also be required for making a diagnosis. Usually, the asthmatic patients have some other allergies also. You have not specified any other symptoms in detail. Please do not hesitate to contact me after doing the above mentioned tests. Treatment mainly depends on the reports. Allergy. Chest x-ray and spirometry test. Asthma. Inhaler medicines. Avoid known allergen.

Hello. For benign childhood epilepsy (BCE) your child is on 6.25 mg/kg/day of tablet Topiramate (anticonvulsant) which is a medium dose and is fine. Side effect to look from Topamac is dehydration. For dehydration, he needs to drink at least 700-1000 mL water daily. He can get tingling in finger which usually responds to taking high potassium diet like banana or raisin. Occasional side effects are kidney stones and word finding difficulty. All anti-epileptic medication comes with some side effects and one has to choose between them and benefit one can have with control of seizures. PET scan is performed in epilepsy patients for surgical evaluation in refractory cases. Is your child still having seizures after taking these two medicines? Also, has he been tried on other medicines before?

Hi. We are here to help you. The treatment would be based on the symptoms that you might be getting. I would advice in such case to first get a HRCT chest (high resolution CT scan) along with sputum for AFB (acid-fast bacilli) done, which would rule out the evidence of tuberculosis. Rest for rheumatoid arthritis, your treatment is going in right direction. Further treatment decision would be based on CT chest. Rheumatoid arthritis. CT chest. Avoid smoking.

Hi. White patches on the tongue can be oral thrush caused by candida albicans seen in severe imunosupression especially stage 3 or 4. Pain on swallowing can be from involvement of the larynx and oesophagus of the thrush seen in stage four. Persistent lymph node is also common. The kid should be put on PeP very important just to avoid getting infected, because there could be an open wound in the child's mouth through which the virus can gain entry.

Hello. If your HBsAg was positive on the second occasion, but negative 53 days before that, you have acute Hepatitis B infection. Most of the time, HBsAg is discovered incidentally. It is not common for Hepatitis B to be diagnosed in the acute phase. More than 90 % of patients with acute hepatitis B recover completely and do not progress to chronic hepatitis B. Less than 10 % develop chronic Hepatitis B. I suggest you consult a medical gastroenterologist or hepatologist or an infectious diseases specialist.

Hi. It seems the exercise put much stress on your groin, the pain could be from strain or tear of the inguinal ligament around that area, could be from the associated attached muscles to the ligament around that area, the associated left testicular pain may be because the spermatic cord which also carries nerves that supply the testicle which also travel via the groin to the scrotum was strained in the process making the pain to appear in the testicle of same side. Is there any testicular swelling? You can use an analgesic Ibuprofen 400 mg BD for five days, apply Diclofenac gel on your groin and massage it thoroughly three times daily. You can also take antibiotics just in case there is an associated epidydymoorchitis. Tablet Augmentin 625 mg BD for six days. You may feel better.

Hi. Yes, it is worth having a second opinion and clearing your doubts. But I think your doctor is absolutely right about the cause of pain. This is due to a slightly curved spine in the lower back causing the tailbone pain. Chiropractic adjustments and physiotherapy should help solve this problem. You should also try out anti-inflammatory medications to reduce the inflammation around your tailbone causing the pain while sitting. Medicines like Ibuprofen or Naproxen (for about 5 to 7 days). This medicine should only be taken if you are not allergic to it and if you are not suffering from bronchial asthma. If you have a lot of pain while sitting, you should use a doughnut shaped pillow or cushion for a few weeks. But yes, your previous doctor was spot on with the diagnosis. Coccydynia.

Hello. The pain is in the palmar aspect of your wrist or on the dorsal aspect? Was there any history of fall ,fracture before this and was there a huge swelling? There is a possibility that swelling lead to compression of the nerves that passes through the wrist to supply your fingers leading to severe pain and subsequently numbness. This is most likely a compartment syndrome. Can you still move the fingers? You need to do an X-ray of the hand and then see an orthopedic surgeon let them check you thoroughly.

Hello. Your problem looks like varicose vein. Veins will bulge when you are standing or moving around when unlike down it regressed and blood flows back into the deeper veins and empty back into the heart. Varicosity is due to incompetence or weakness in the valves within veins which prevents the blood from flowing back as the blood has to be returned to the heart for recirculation. Due to weaknesss in the calf muscle which contracts and compress the deeper veins causing blood to be squeezed out of then for upward emptying into the vena cava and into the heart. Blockage of the pathways of flow or deep veins due to venous thrombosis, usually common in women, tends to increase with age, and with use of contraceptive pills and with pregnancy because of increased intraabdominal pressure which in turn comprises the vena cava and affect return of blood back to the heart. Complications can be venous thrombosis due to increased stasis of blood. If there is so much build up of pressure for long time can cause venous ulcers. Management is elevation of the leg when lying down. Use compression stockings to support and collapse the veins, avoid use of high heels. Change your standing or sitting position from time to time. You can do Doppler ultrasound scan.

Hello. I want to know the reason for which you are using a penile extender. Do you have a very decent size why you want to increase it further? It is like your height is 6 feet but you want it to be 6.3. Everything you do has got side effects. If not done properly can lead to trauma and hence shortening. Are you diabetic or hypertensive? Any other chronic illness?

Hello. PCOS (polycystic ovary syndrome) clearly has an effect on hair growth on patients. Dietary carbohydrate causes more insulin release in women than men. This stimulates production of testosterone from ovaries in women. First try restrict carbohydrate from diet for few months before starting antiandrogen as a treatment. To avoid food rich in carbohydrates such as rice, milk, yogurt, ice-cream, potatoes, etc.

Hello. Failure in exam is quite common and always remember that it is only a temporary setback. Almost all successful people would have failed an exam at some point in their life. Do not put too much pressure on yourself by hiding it from your parents. It can be a difficult burden. Your parents may be upset, but eventually, they will get over it. After initial disappointment settles down, they will support you. Learn to develop coping strategies to manage frustrations. You will come out stronger in the long term. Try to distract yourself and relax for some days. Then plan to retake the exam with better preparation. Make sure you eat well, sleep regularly, listen to relaxing music, talk to supportive friends and family. If anxiety is just situational nothing to worry, it will get better when the situation improves. But if it is persistent, you will benefit from some counseling to manage anxiety.

Hello. The cough you say is it dry or sputum? Are you losing weight? Is there any drenching night sweat and persistent low-grade fever? Is there any history of contact with someone with a chronic cough in your locality? Do you smoke, is your occupation such that you are exposed to industrial dust, and asbestos? Is there any associated chest pain, any difficulty in breathing, etc. A small thyroid nodule may not make you cough but if the nodule is impinging on your trachea that can irritate which you claim you notice in your throat. The thyroid check you did was it thyroid function test to know the thyroid hormone profile, because a solitary thyroid nodule may be toxic and can be abnormally producing excessive hormones thyroxine which may cause other possible symptoms such as excessive sweating, weight loss, anxiety, intolerance to hot weather, diarrhea, palpitation (as if your heartbeat is audible to you). If non of these is the case, then you have to do screen for TB, do sputum AFB (acid-fast bacilli) and do GeneXpert, that will rule out tuberculosis. If you can help me by uploading some of the tests you did, that would help make a definitive diagnosis in this case.

Hello. Have you been back to your doctor after he recommended Pantoprazole? I think that you need to have an upper endoscopy to look at your esophagus and what is causing this problem. It sounds like you may have a Zenker's diverticulum. This is an outpouching of the lining of the esophagus. There are treatment options for this, but you have to Consult a gastroenterologist who may be able to fix the problem through the endoscopy. I hope this information is helpful.

Hello. What was the reason that you had your thyroid checked? Do you have a history of thyroid disease? Have you had your cholesterol checked? The number you provided is consistent with subclinical hypothyroidism. That is a low function of your thyroid that would not account for your low body weight. We usually do not do anything about these findings except to monitor them. I would recommend that you have your thyroid checked again in one to two years. I also recommend that you have your cholesterol checked and followed if necessary. If you develop any symptoms related to hypothyroidism, then you should see your physician immediately. Symptoms include heat intolerance, changes to your skin or hair, weight gain or loss.

Hi.  Good to know that you are eating well. What about family history? Are your both parents or anyone parent is underweight? If it is familial, it is difficult to gain weight. You can try with any protein powders, Ensure is good for a supplement. Take it as mentioned in the bottle. Try to include some evening snacks. You can eat milk based sweets like rasagollas, milkshake, etc., prepared at home. Exercise every day to increase your metabolic rate. Simplest is brisk walking. Gradually increase your intake of food. Do the above-said things and get back to me after 10 days. Ensure two teaspoons daily with milk. Follow up after 10 days.

Hello. You feel those symptoms when you take cold foods, and so you may likely be having symptoms of common cold and malaria. The chest pain could be a symptom of an ulcer. There may also be fever, I presume. You can run a test for malaria (blood film) if it is positive then treat it. Tablet Artemether Lumefantrine 80/480 mg b.d (twice a day) for three days, tablet loratadine 10 mg b.d for five days, tablet vitamin C 2 t.d.s (thrice a day) for five days. Add tablet Rabeprazole 20 mg b.d in case of ulcer.

Hello. Testicular cancer will have painless testicular lump, swelling of scrotum, swollen lymph nodes, or weight loss. Varicocele will have infertility dragging testicular pain, lump or swelling above testis in spermatic cord. Best to differentiate between two is ultrasound scrotum.

Hello, Welcome to the icliniq.com. Full penetrative intercourse has a high chance of pregnancy, but nonpenetrative contact of genital with vagina also has some risk of pregnancy because of contact of precum fluid from the penis to vagina. So you have less chance of pregnancy but wait for the next period. If the next period delayed for a week than rule out pregnancy by urine hCG (human chorionic gonadotropin) card test. If you want to exclude early than after three weeks of last menstrual period (LMP) investigate with blood hCG test. Get back with more query if you still have doubt. I hope this will help you.

Hello. It is called neoadjuvant chemotherapy. So with chemotherapy, the size of the tumor is reduced significantly to make breast tumor operable. She has completed four cycles every 21 days, and now they will start the second phase of weekly chemotherapy (a new drug) for 12 weeks as per international recommendations. After completion of the second phase, chemotherapy she will be restaged before surgery. It would be better if you would have attached CT scan, pathology (biopsy) reports also.

Hello doctor, The bump developed seems to be on your cheeks from the photo you shared (attachment removed to protect patient identity). Also, your lower second molars are erupting now, so the pain can be due to the eruption of that tooth. Even due to new tooth eruption, you may bite your cheek while talking or chewing. Please be cautious not to bite your cheeks and automatically the bump will vanish. From your BMI (body mass index) and weight, I suggest the bump may be your buccal pad of fat gets like bump due to some trauma. Once your tooth erupts, your problem will be fine. Follow rinsing your mouth with salt water twice daily. Your inflammation will subside. Let us wait and watch for 10 days. If the problem continues after 10 days, write to us again or consult your nearest dentist.

Hi. I read and understand that your concern is about the side effects of the newly prescribed drugs. Reduction of sexual drive is one of the side effects of beta-blocker group of drugs. Concor contains Bisoprolol which is a cardioselective beta-blocker. The systemic side effects of cardioselective beta-blockers are less compared to the general beta-blockers. So the effect of Concor on the sexual drive would not be that significant to affect your usual life. And the combination prescribed is safe to take. There are no significant drug-drug interactions between these group of drugs.

Hello. Diastolic dysfunction means there is dysfunction in cardiac relaxation. This is not a worrisome thing and quite common in elders, overweight and patients with hypertension, and other diseases which must have been ruled out on echo and ECG. However, this may cause symptoms like shortness of breath, pedal edema, etc. Needs to have a low salt diet and low dose diuretics like Torsemide for shortness of breath. I Hope this helps you and get back if you have any doubts.

Hello, Welcome to the icliniq.com.  At this moment I am giving you further information regarding your daughter condition. She has factor V Leiden mutation, which is a congenital cause of thrombosis. So Xarelto (Rivaroxaban) like good anticoagulant drug prescribed to her should be continued. AST (aspartate aminotransferase ) normal range is usually up to 40 in most of the laboratory. Her AST levels are not alarmingly raised. Sometimes the mild viral temporary infection can lead to high AST. If it is raised much than further workup needed otherwise not. Repeat AST after few days. I hope the provided information will help you. Get back with more query whenever required.

Hello. Pain in lower abdomen and testes can be due to multiple causes ranging from urinary tract infection, infection of testes, varicocele, or some stone problem in ureter and kidney. You will need a few investigations to see for the cause then only treatment can be advised. You will require sonography of abdomen and testes, microscopic urine test, and renal function test. Depending on the report of this test, we can determine the cause and advice further. If pain is too severe, you can visit a urologist for physical examination. Sonography of abdomen, pelvis and scrotum,with colour Doppler testes, urine microscopic test, and renal function test. Epididymo Orchitis, urinary tract infection, varicocele, and intermittent torsion. Follow-up with reports.

Hi. I saw all your reports and your clinical details (attachment removed to protect patient identity). Your tendency for recurrent stone formation which needs to be evaluated. You need not to worry about eGFR (estimated glomerular filtration rate) currently as creatinine is normal. Removal of stone will mostly increase GFR. Most importantly after your lithotripsy please send the stone fragments which comes in urine for stone analysis. From that we will have a clear idea how to prevent their recurrence. Secondly, some general measures which include drink at least 3-4 liters of water and restrict salt in your diet up to 2 g in total. Do not take any calcium supplements and restrict or possibly avoid animal protein that is non-vegetarian food for some years. Take lots of water particularly in evening so that you at least wake up twice in night to pass urine. These all are general measures which really worked for many of my patients for future stone prevention. Do some blood tests like serum calcium, phosphorus, uric acid, bicarbonate and magnesium from any reliable laboratory and send for review. Revert back with the laboratory reports to a nephrologist online -->

Hello. If a bat bite there will be bite marks, usually superficial. 1)Early symptoms are fever, headache, and general malaise. 2) If the disease progresses, there will be neurological symptoms such as insomnia, anxiety, confusion, agitation, difficulty in swallowing, hallucinations, excessive salivation, paralysis, hydrophobia (fear of water), or agitated behavior. If you still have doubt better go for vaccination ARV (anti-rabies vaccine).

Hi. Although there are multiple reasons for vaginal dryness, the most common among them is deficiency of estrogen, a female hormone. This is possible in your case due to presence of polycystic ovary syndrome (PCOS) which alters the hormonal profile. I will recommend two things which may help you. Firstly, use the topical Estrogen. It is available in the form of gel, ring or cream. As per your convenience you can use either cream or gel and the use of ring requires assistance of doctor. The second thing is stress management. Stress is one of the common reasons for causing decreased vaginal lubrication. Although, there is long list of do's and donot's; principally speaking healthy diet, regular exercise, avoidance of substance abuse, plenty of fluid intake helps most individuals. For further clarifications consult a sexologist online -->

Hello. I saw your pictures (attachment removed to protect patient identity). I can see pus-filled acne along with post acne pigmentation. Start using Azithromycin 500mg of any brand for six consecutive days after breakfast. Apply Epiduo gel once daily bedtime for a short contact period of 30 minutes then rinses off with cool water. Start biluma cream once daily in the morning on the spots. Avoid all sorts of dairy products bedtime and prefer carrots and spinach along with few soaked almonds. Have reviews about salicylic acid peeling and plan for three sessions accordingly. I hope this will help you.

Hi.  I got your chief complaint and opinions of two dentists. As far age is concerned, your daughter still is in need of these teeth as permanent teeth take time to erupt, by 6 to 7 years they will erupt. Till then, healthy front teeth are important otherwise she will develop irregular teeth later. As tooth has changed color so it is better to act on the suggestions of pedodontist and go for pulpectomy or RCT. It will keep the tooth intact and prevent formation of any cyst later. There is nothing wrong with it and there are modern gadgets to do the procedure, she will not feel any kind of pain during the procedure. If you leave it as such, it will weaken with time and may later contribute to huge financial burden to treat irregular teeth.

Hi.  Nucynta is an opioid analgesic, that has high first-pass metabolism when administered orally. It means only 32 % of orally administered dose reaches blood. After it produces its effect, 97 % gets metabolized in gastrointestine and liver and gets excreted out from body through urine.   In your case, you have delayed (slow) intestinal movements, hence the drug may get faster metabolism and faster excretion than a normal individual. Hence, I think it is not detectable in blood or urine.   Another possibility is very less amount of drug reaches your blood (less than 32 %) due to intestinal absorption issues. The half-life of this drug is four hours in healthy individual. It means, after oral administration, 32 % drug reaches the blood within 3 to 4 hours. If I draw the blood after four hours of oral administration, the amount showing in blood is expected to be 16 % (50 % of drug gets excreted by four hours). It is in a normal person. In your case, when to draw blood is the question. So, individualistic reasearch could be done for you with special care.

Hi. This pain seems to be due to vasospasm, unlikely to be aneurysmal bleed pain, if it was aneurysm it should have continued for a long duration. I have another set of questions, please answer them. Is this first ever headache of this kind? Was there nausea, vomiting, and dizziness? Was there any blurring of vision? Are the temples painful on touching? Is there any weakness in limbs or double vision?

Hi. It is a case of pericoronitis and due to that, you have all those symptoms. Yes, you need medical attention. Right now take these medicines: Amoxycillin Clavulanic acid 625 mg three times daily for five days. Tablet Acelofenac 100 mg with Paracetamol 325 mg and Serratidopeptidase 15 mg or Zerodol SP twice daily for five days but in case you relieve from pain you can stop its use after third day. Capsule Pantoprazole 40 mg once daily for five days. You also try salt gargles thrice in a day and maintain good oral hygiene. In a few days, you will relieve, however in case there is no relief then let me know, you may require radiograph and other surgical procedures.

Hello. Migraine is a chronic illness and can not be cured completely but changing the lifestyle do help a lot to alleviate the problem to a great extent. You can use pain aborting medication like Ponstan 1 gram (Mefenamic acid) at times of severe pain, and if you have nausea preceding it, you can also take Domperidone 10 mg. You can maintain a pain diary and reduce stress as well as a good sleep pattern and avoid excessive usage of electronic gadgets. Long term prophylaxis depends upon the recurrence of symptoms despite the above measures.

Hello. Decdan (Dexamethasone) is a steroid and has a lot of negative side effect as such. It may cause you a disproportionate and inappropriate fat deposition in the abdomen, face, on the upper back, and you would not like your shape. And besides the bad shape, you may start having high blood pressure, a heart condition, can predispose you to diabetes later. It can also lead to adrenal gland suppression by which the corticosteroid hormones will impair the natural hormone produced by your body, leading to adrenal failures. If you want to gain weight, you can increase your meal to mostly carbohydrate and fatty meals, increase the frequency of your meal. You can take Cyproheptadine tablet 4 mg in morning and night. It will increase your appetite and cause you to eat more, sleep more, and you gradually gain weight more proportionately.

Hello. Are you sure the dog scratched by nail or teeth? Is any open wound or bleeding present at the time? Did the dog die due to rabies or any other cause? So many questions there. Better get ARV vaccination (anti-rabies vaccine). Since dog died, the reason not known take human rabies immune globulin (HRIG) administered only once first, if you are previously unvaccinated. Then take ARV prophylaxis.

Hi. It is looking like candidal balanitis. Please take the following medications and revert back to me in seven days. Tablet Intawin 200 mg daily for 10 days, Canestan lotion, apply twice daily, tablet Teczin M once daily.

Hi. I can understand your concern. According to your statement you have been suffering from pimples on your penis for the past few months. Pimples can develop on the penis as they are common elsewhere on the body. Pimples are resulted from blockage of the sebaceous gland of the skin due to excess sebum or debris or dead skin. Sebaceous glands excess secretion of oil (sebum) can develop pimples. For the prevention of pimples, you should avoid excess sweat-producing activities, wear loose clothes for preventing them from frictions, take bath regularly, and do not rub your affected area. You can use topical retiniods, salicylic acid, benzoyl peroxide, etc. Without any medications they are also disappeared with passing of time by keeping personal hygiene strictly.

Hello. I understand your concern. The black, reddish papules may be angiokeratoma which bleeds when you scratch that, but that is not the cause of itching as such. I am prescribing you medications for itching and ring-shaped erosions. Kindly consult your doctor to discuss the suggestions and take the treatment with consent. 1. Tablet Fexofenadine 180 mg twice a day. 2. Tablet Ivermectin 12 mg today and after a week. 3. Cream Flutibact (Fluticasone Propionate, Mupirocin) cream twice a day for a week.

Hi. Well, ideally if you have bilateral inguinal hernia, or inguinaĺ hernia on one side and hydrocele on the other, the surgery should be done for one first before the other, not simultaneously so that when you are fully recovered of one, then the other can be planned and done. Pain can be due to entrapment of a nerve like ileoinguinal or ileohypogastric nerves which run with the spermatic cords or it could be also present if there is improper repair with subsequent breakdown of the repair and subsequent herniation of the bowel content into the inguinal ring or it can be from infection of the operation site. 12 weeks is quite a long time for surgical pains to have disappeared. You will need to do an abdominal pelvic ultrasound scan to see if there is any reccurence or failure of the surgery or if there is entrapment of visceral content.

Hi.  The half life of Lipitor (Atorvastatin) is 14 hours in humans (meaning drug is eliminated in about 14 hours). The main effect of Lipitor is to block the buildup and making of cholesterol in body. It does the job together with the help of other active ingredients and its effect on cholesterol synthesis is maintained in the body for about 20 to 30 hours. In this situation, it does not seem an issue if you just missed a dose or so. Do not worry about it. But start taking medication as soon as you get it back.

Hello. I presume that this recurrent anal yeast infection is candidiasis, and you have been using a topical mixture of antifungal and corticosteroid cream over it. Have you checked for immune statuses like HIV, and blood sugar level to rule out diabetes? Then if you have been using a steroid medicine for a very long time, that can also depress your immunity. If all these tests have been done and are negative, and you are not on prolonged use of the steroid, then I will prescribe an enteral antifungal together with the topical cream. Get Fluconazole tablet 200 mg daily for two weeks that will kill the candida from inside. You may also continue your Clotrimazole-Betamethasone cream till the yeast disappears. I want you to run a test for HIV and blood sugar.

Hello. I can understand your problem. Anxiety might be one of the main contributory factors for the symptoms you have. Racing thoughts, heaviness in the head, pain in neck and shoulder, excessive stress along with sleeplessness, etc., could be because of anxiety. If you have impairment in functioning, then please visit a psychiatrist for evaluation. Drugs like SSRIs (selective serotonin reuptake inhibitor) can help you in coming out of stress. Escitalopram or Sertraline or Paroxetine can be used. These drugs if used, regularly contributes in reducing the symptoms of anxiety, depression, and even the pain. The thoughts will be under control when you start taking the medicines. Kindly visit a psychiatrist for the prescription. Remain relaxed, and you will be alright. The blood test report you have attached shows nothing abnormal (attachment removed to protect patient identity).

Hello. Please send two to three clear pictures of the affected area for better evaluation and guidance. Do you have any symptoms (itching / burning) over this area?

Hello. ADHD (attention-deficit hyperactivity disorder) is a developmental condition which is noticeable since early childhood. Symptoms like hyperactivity, impulsivity, inattention will be present before the age of 12 years. Parents and teacher would have commented about it even in nursery and early primary school years. It is unlikely for someone to develop to ADHD in teenage years without having any symptoms before. Other causes like anxiety, too much stress and pressure, family, and social problems need to be ruled out. Also, important criteria for diagnosis is functional impairment like you may not be able to do well in academics and not able to achieve your potential. But you report doing well. So ADHD looks less likely. If you have any other concerns, discuss with your parents and family and consult your doctor.

Hello. Your history prompts me to go through further questions. Do you have a regular menstrual cycle? Any hair growth on the face, arms which is unusual than before? Scanty periods can mean oligomenorrhea (the medical term for decreased blood flow). Weight gain, hair growth, and oligomenorrhea are typical symptoms of a condition called PCOD (polycystic ovarian syndrome) which happens in girls, and multiple cysts are present in ovaries, and this leads to these symptoms. Sugar level also gets high due to this. So I would suggest getting blood glucose level fasting done, and ultrasound abdominal to see ovaries as it is confirmed whether you have it or not as it leads to treatment strategy. Cysts in ovaries, and oily food consumption. Blood glucose, abdominal ultrasound. Metabolic syndrome. Polycystic ovarian syndrome. After getting the reports. Avoid oily food.

Hello. You are right, these are panic symptoms. You can get yourself checked for a thyroid function test and a clinical examination from a doctor nearby to find out if there is some other reason for these episodes, which can happen in thyroid problems. If your doctor finds your tests and examinations are normal, then you can show this as proof to your parents and seek help from a psychiatrist for these anxiety symptoms. It may take some time but let us hope they listen to you. If not, you have a right to get yourself treated for your discomfort.

Hello. I suspect three things, it is just assumption based on history. 1. Stomach ulcer, as she had pain after food and water. 2. Worm infection, need to have a look after food. 3. If non of the above, must be ruled out by investigations. Then it is called functional abdominal pain. I advise you to visit a specialist. She might require one-week antibiotics and if symptoms not settled, then endoscopy also. But the best part is to visit the pediatrician. So he can evaluate her in detail and examine her. Meanwhile, you can give symptomatic treatment. Kindly consult your doctor to discuss the suggestion and take the treatment with consent.

Hello. You have a persistent headache in the frontal part of your head. Was there fever, chills, and rigor, were you feeling like vomiting, after taking those drugs prescribed for you? Did your headache subside? The medicines given at the pharmacy are fine for malaria, but it may not have been malaria, but it could be Salmonella typhi infection, which causes typhoid fever. Worm medicine is fine in the case. I will advise you to go to a lab and do blood film for malaria parasite, do Widal test and stool microscopy culture and sensitivity. If there is salmonella infection E coli or any enterobacteria infection, the stool MCS will detect it. If there is worm infestation such as hookworm or tapeworm, it will also pick it in microscopy. You can take tablet Buscopan (hyoscine butylbromide) 10 mg thrice daily. Then get tablet Ciprofloxacin 500 mg bd (twice daily) take them for five days. You can add tablet Rabeprazole 20 mg bd in case if there is any peptic ulcer since the description of the pain and the location in your abdomen was not very precise. Enteric fever. Malaria. Intestinal spasm. PUD(peptic ulcer disease)

Hello. As it is a year old injury now I will suggest doing some physical test like McKenzie maneuver to see if the radiating symptoms stops and the pain gets centralize to the lower back. The McKenzie maneuver is simple, and you can read about it and practice it. Now I think there is still a muscle weakness which is leading to nerve root entrapment like the lateral spinal muscles, paraspinal muscles, hip muscles, etc. I advice to not use cold therapy as it is aggravating the pain symptoms. Do proper exercise which will regain the strength in the muscles and avoid nerve root entrapment. In most cases, the pain is caused due to more of the muscle weakness, and it is common in most cases to have received the symptoms back. Doing proper exercise with proper guidance can resolve the matter.

Hello. To prevent Nipah virus, maintain good hygiene procedures like frequent hand washing and cooking food properly before using is the best procedure. It is a brain damaging virus spreading through vertebrate animals to humans and also human to human. Prevention: This virus also shows meningitis symptoms. Homeopathic medicines for prevention:  To detect the virus ELISA and PCR tests are useful. Symptoms of a headache, fever, nausea, fainting. In severe cases drowsiness and disorientation, and coma. In some cases blurred vision, vomiting, choking, fatigue and abdominal pain. According to symptoms, we can give Gelsemium and Eup per also can be given. For more information consult a homeopathy physician online -->

Hello. It would be helpful if you can share the pictures of the ultrasound you have undergone and also the report which mentions the endometrial thickness on day 14 of your scan.

Hello. Coenzyme Q10 had a specific benefit. Ashwagandha is a herbal supplement with multiple actions on various biochemical and metabolic pathways. From pharmacology, Naturopathy, and Integrative Medicine perspective, I can suggest taking both the medicine together. But I suggest you have a gap of one hour between these two supplements. While consuming Ashwagandha, please drink a cup of milk or honey and water, which gives more benefit according to Ayurveda.

Hello. It does not look like an infection to me. Could be due to some undigested food material. However, you have mentioned that a few tests have been performed. I would like to see the report before I comment further.

Hello. Do not worry. I will help you with your problem. As you said, you underwent surgery for pilonidal sinus two times and now you have one boil at the same site. As I can see in the image (attachment removed toprotect patient identity) it can be boil or recurrence of pilonidal sinus that may be due to infection of that local area. I will prescribe you some medicine. Please maintain local hygiene shave your hair in that area. Get back to me after five days. I will add some more medicine and local remedies. Sitz bath in luke water with Betadine twice a day, tablet Augmentin (Amoxicillin and Clavulanic acid)625 mg TDS for five days, tablet Chymoral forte TDS for five days, tablet Serradic P BD for three days, Capsule A To Z OD for 10 days.

Hello. This is a widespread scenario among children. The pain and swelling around your eyes will disappear. I recommend that you use ice packs to help faster recovery. The vision will likely improve in case you have any watering. This will happen spontaneously. I recommend that you see an ophthalmologist in case of no improvement in symptoms in a day or two. Redness, swelling, and pain can also occur due to a fracture of the orbital and facial bones. These will need repair to heal. Blurred vision can be due to various causes after injury. The most important and dangerous of these is retinal detachment and cataracts. I hope this helps you.

Hi. People spending longer time on computer, laptop screens have greater chances of developing dry eyes. Because while using computer, blink rate is decreased to 1 to 2 time per minute. Normal blinking is necessary to keep eye surface wet and eyelids function as wipers and spread tear film on corneal surface. If you do not blink, eye surface gets dry and you will feel irritation of grittiness or mild redness. Longer time you spend on screen, more chances of developing dry eyes.  So you need to slightly modify blinking habbits while working on laptop, screen. You should blink every 15 to 20 seconds to keep eyes wet. Secondly, you can use artifical tears, lubricants to minimize dryness. You can use Systane eye drop or Tears Naturale eye drop or any other tears available to you. You can use 3 to 4 times but you can also use more frequently if you feel so. There is no side effect of these drops, these are only artificial tears. I hope your problem will be solved.

Hi. Vasthi reduces vatha imbalance. But, this is not the final treatment. After the purification (detoxifying) therapy, further, follow up with herbal drugs needs to be taken based on your current clinical feature and naadi.  Agasthiyar Kuzambu is given once in four months for a normal individual to detoxify body. For any specific disease conditions, it is given more frequently with suitable Anupanam. It can be given to you after careful examination. Can you consult nearby Siddha doctor? After Agasthiyar Kuzhambu, further herbal medicines need to be continued for 2 to 3 months for better benefit. We need to see directly whether it is a fungal infection.  In your case, I feel, you may take Nannaari Manappaagu (syrup) one spoon mixed with water (morning, afternoon, evening) before each meal. This will remove your tongue coating.

Hello. You can keep reducing the sugar content of the milk slowly slowly until you reach a stage where there is no sugar in the milk. Also, you can check for your current milk output to see if even little is there. If even a little is there, please give the child breast for sometime and if the child suckles, let him suckle. After removing from the breast you can give the child some top feeds. That way the child will not stay hungry and your milk output will also increase. Slowly slowly a stage will come wherein your milk output will be enough to satisfy the hunger of the child and you will not need top feeds.

Hi. Trintellix is a type of selective Serotonin reuptake inhibitor which work by increasing serotonin levels in blood. The serotonin further treats the anxiety and panic attacks but sometimes SSRI may cause activation like rapid increase of serotonin in blood, which may lead to temporary increase in anxiety. To solve the issue, you can start with half tablet, a dose of 2.5 mg for initial five days, then make it 5 mg and continue it further. If it also does not help you, then contact your psychiatrist.

Hi. I see that you are worried about discharge from both your breasts and you are telling it has blister-like appearance. White discharge with blister-like appearance and sore to touch generally points towards an infection, but an infection occurring simultaneously in both breasts at the same time is very rare. Another possibility, is that milk secretion from both breasts which you might think as white discharge. Do not doubt, there are certain conditions where there can be milk secretion even without pregnancy and birth, which occurs due to hormone disturbances. Need some more information too, Do you have a fever? How are your menstrual cycles? Is it regular? Is the flow high? Do you feel any small lump behind the nipples? Do you take medicines for any other problem? Do not mistake me, but your problem needs a direct clinical examination to visualize the breast, discharge and to see if there are any lumps behind the nipples. You would not be comfortable to post pictures of your discharge and blisters, so I would recommend you to visit a doctor in person and have yourself examined. Meanwhile, do the investigations I have advised and try the medicines given below. Hypothyroidism. Hyperprolactinemia. ? Breast infection. Galactorrhea. Tablet Amoxicillin + Clavulanic acid 625 mg twice daily after food for five days, tablet Aceclofenac + Serratiopeptidase two tablets twice daily after food for three days. Avoid wearing tight vests and too much sweating.

Hello. From your history, it seems the skin is inflamed and cannot be retracted, this is called balanitis. There is a possibility of phimosis (tightness making it difficult to retract and painful. I am not sure of his personal hygiene because if he is not cleaning it properly, it can cause some pus like particles smegma which can provide medium for infection in it.  What you can do is use Augmentin 625 mg bd for 10 days, use enteral antifungal Fluconazole 200 mg daily for 10 days, tablet Ibuprofen 400 mg BD for six days. You can get triple action cream (contains combination of Corticosteroid, Antifungal and Antibiotics) that will help too. Permanent treatment for this problem is to see a doctor and get circumsicion that will solve the problem once and for all. Fungal and bacteria infection, poor personal hygiene. Swab for microscopy culture and sensitivity. Paraphimosis. Balanitis.

Hi. The pimple like small swelling you say is not painful and no other similar swelling anywhere else. Was there a history of sexual contact with an unknown woman unprotected prior to the appearance of the lesion, any swellings around your groin, the swelling, is it ulcerated? Is the color same as your normal penis colour or is it darker? Is there any pain on urination?  Based on your presenting symptom, if there was a history of unprotected sex, it may be primary syphilis or penile wart because these do not come with pain. Do laboratory test such as VDRL, then you can get medications IM Procaine Penicillin 1.2 g daily for 10 days, tablet Doxycycline 100 mg BD for five days.

Hello. I just read your query. You can go for your colonoscopy because these are all herbal supplements and as you have stopped all these, they will be flushed out of the body in a week. After colonoscopy, if you are re-scheduled for other investigations, then do not start these till then. Even if you are not, then you can take after two to three weeks.

Hello. Seroquel is Quetiapine and is an antipsychotic drug, but the drug is also used in mood disorders like bipolar disorder or resistant depression. The drug does not make a person schizophrenic. A lot of psychiatrists use this drug as augmentation therapy for depression or insomnia. If they have prescribed this drug, then remain relaxed. This will not cause any harm to your mental health but will help you. The drug is safe to use and has no severe side effects.

Hello. You should not be afraid of pap smear, having pap smear test does not mean cancer it is only a routine check-up. Your irregular cycles may be due to the hormonal problem, and there is no relation with cancer. You should do an ultrasound test of the pelvis and blood tests for sugar PP (postprandial), TSH (thyroid-stimulating), prolactin, and testosterone. Depending on the report, treatment is available.

Hello. First of all, let me tell you that visual development takes until the age of puberty. As your child grows, his vision parameters will change because his eyeball grows with him as he ages. So visual stability will continue to change until the age of 18-20 years old. Normally the child is born with a plus refractive error unlike the case here. Your child has a condition called myopia which is a refractive error with a minus as you said. But that is completely fixable as the child grows whether by glasses, contact lenses, or LASIK surgery if it continues and he needs to take glasses off later. The most important examination in his age is something called a red reflex. You should ask your doctor if he has done it to him. Also, I would ask about the fundus examination too. If both were normal, I would not have any concerns. I want to reassure you that your child's eyes are in good health. He just needs to be examined precisely every follow up every six months as your doctor suggested, just to make sure everything is going right and to treat anything if something happens early. The glasses will not be tolerated by a child as his age is too small, as soon as he can tolerate glasses, put them on. That could happen in two years. If you need further assistance do not hesitate to contact me.

Hello.  Antidepressant take around two weeks to show their effect as this much time is required to make changes in chemicals present in the brain. The symptoms you mentioned are typical of depression. Stalopam (Escitalopram) and Uvox CR (Fluvoxamine) both are antidepressant from SSRI (selective serotonin reuptake inhibitor) group but somewhat different profile. In the next few days, you will see some relief as 10 days already passed since starting on Uvox CR. Also, check your thyroid status as you are already on Thyroxine75 mcg and check that this dose is sufficient or not. Meanwhile, do regular exercise and go for a walk for at least 45 minutes, five times a week. Maintain good sleep hygiene and spend time on your hobbies. I hope it clarifies your concern and feel free to ask if anything unanswered.

Hello. Well, in this case, the jerk you had in your first experience is called ejaculation. I am sure you did not take any libido-enhancing drug cause that may also amplify the symptoms. And usually, there is adrenalin surge during ejaculation, which can cause a sudden increase in your heart rate, nervousness and eventually tiredness during ejaculation. After the entire process is over, then eventually you will become calm. I guess your fear may be stemmed from your first experience. Those symptoms you felt are normal for every man who has sex when it is time to ejaculate. It is not a problem. It is a normal physiological respond during ejaculation. So relax, nothing to worry about you are fine. I believe your subsequent experience will make you understand that it is normal. Erotophobia, sexual anxiety.

Hi. I see that you need to perform the following tests to see if you have acquired diabetes and/or anemia related to vitamin B12 deficiency. In case the test results are negative and the symptoms resolve in the coming days then there is no need to worry. If the condition continues despite negative result in the tests, then I suggest taking Vitamin B complex supplement, like the one I will mention in the treatment part. FBS (fasting 8 to 10 hours), HbA1c, CBC. Neurobion tablets one tablet a day after food for two months.

Hello. For further information consult an allergy specialist online -->

Hello. You are 50 years old, and you should get yourself checked by a physician to rule out hypertension and diabetes. These are important causes of erectile dysfunction. Reduced libido could be age-related. But if you have weak erection and early ejaculation, then drugs like Tadalafil can help. The drug will help in making strong erection and will improve the time too. Consult a psychiatrist for the prescription.

Hello. From your symptoms, it seems you are suffering from diverticulitis. The differential diagnosis is urinary tract infection. This can occur in elderly frequently in people who do not eat enough fibers in their diet. Also with age, our digestive system tends to get slow. You need prescription antibiotics to treat this condition. Also, if you develop other symptoms like rectal bleeding or fever or unexplained weight loss, burning pain during urination, you need to see your healthcare provider immediately to rule out other conditions. Normally, diverticulitis subsides within a few days with medication. For more information consult a family physician online -->

Hello. For further doubts consult a medical gastroenterologist online -->

Hello. Please send the test results. Revert with more information to a general practitioner online -->

Hello,  Welcome to icliniq.com. Though your wife is in the late part of her reproductive age and might be approaching her menopause, yet if she continues to have her menstrual cycles regularly there is a chance that she might be still ovulating and if intercourse happens in her fertile period she might conceive. It is better she takes Unwanted 72 this time. Unwanted 72 is safe for her from a medical point of view but it is not 100 percent effective in avoiding pregnancy and cannot substitute a routine contraceptive. So please do a pregnancy test also if she does not have her periods at the scheduled time. After her next periods follow up for an effective contraceptive with additional benefits for hormone replacement appropriate for her age.

Hi. I hope it helps you. If you have any further query, please ask me. For further queries consult an internal medicine physician online -->

Hello. Please apply Purelan 100 (Lanolin) to the cracked nipples and express the milk to prevent engorgement and feed the baby that milk (store in hygienic conditions) along with some top feeds if required. Reduce the latching of the baby to enhance healing. Till you have healed completely feed the baby expressed milk and top feeds. I hope this should help.

Hello. I understand your concern and would first recommend performing an EEG (electroencephalography) and a brain MRI to exclude any possible brain lesions that may lead to seizures. As seizures are persistent, I would recommend starting antiepileptic drugs. In this regard, considering your age, and the fact that you are overweight, I would suggest starting low dose Levetiracetam or Carbamazepine. You should discuss with your doctor on the above tests and treatment options. I hope you will find this answer helpful. I remain at your disposal for any further questions whenever you need. MRI brain, and EEG.

Hello, Welcome to the icliniq.com. For your erectile dysfunction problem, you have to rule out organic cause like thickening of an artery supplying penis due to fat deposition. It is called atherosclerosis thickening of the artery. For that color Doppler ultrasound, penile angiography can be done. USG (ultrasound) testes and serum testosterone estimation also need to be done. I suggest you avoid stress if you are having anxiety or stressful event history (psychological cause like stress is also associated with erectile dysfunction). You have to check your blood pressure and serum cholesterol values as well. Obesity also can be responsible for erectile dysfunction. So lose your weight. Take more fruit juices, especially pomegranates juice once daily at night. Regular exercise, yoga, meditation can be beneficial. If there is no improvement in one to two months, then we will discuss further. I hope I have answered your question. Let me know if I can assist you further.

Hello. What is your age? You need not worry for the nightfall or wet dreams. This is normal for young individual who thinks more about sexual things. Practice the following to control the nightfall. 1) Take Fenugreek (methi) with honey daily. 2) Take curd daily as it helps to sleep better without interference. 3) Gourd juice also induces better sleep. 4) Eating onions helps to reduce wet dreams. 5) Bath with oils mixed in the water can be relaxing. 6) You should relax your wandering mind. Enjoy entertainment, listen to soothing music, and read good books. 7) Avoid tea, coffee, and alcohol. 8) Eat healthy foods and drink plenty of water to help the body release toxins from the body. 9) Exercise regularly and practice yoga to keep the mind and body calm and relaxed.

Hello. She is taking lots of medicines but still if BP is raised the possibilities may be, 1. Not reducing salt intake, not following a healthy lifestyle guidelines, and not exercising. 2. Medicines may not be taken appropriately, some over-the-counter medicines such as NSAIDs may raise blood pressure. 3. She is overweight, and as such if BP apparatus cuff bladder is less than 2/3rd of arm circumference, then BP may falsely appear high. 4. Some other disease such as hypothyroidism may be present, leading to secondary hypertension. Serum TSH (thyroid-stimulating hormone) test is advised for that. Please consider these issues while measuring BP.

Hello. An average man needs 2500 calories to maintain, and 2000 to lose one pound of weight per week. At present, you are overweight BMI is 28.7. You have to reduce, but healthily. Choose whole foods instead of processed food, and avoid sugary drinks. Keep healthy food readily available. Fruits, vegetables, lean meats, fish, eggs, and nuts. Eat more fish than meat. Use whole grain flour in baking recipes and eat in smaller plates. Calculate 2000 calories. That means eating the equivalent of six ounces of grains each day, which includes 2.5 cups of veggies, two cups of fruit, three cups of dairy, and 5.5 ounces of protein-rich foods. Divide your food out over five meals like three slightly larger meals (breakfast, lunch and dinner) and two smaller snacks.

Hello. Left eye pain and hot feeling in your head is due to severe mechanical stress to your body because of extreme mental exertion and lack of sleep for three days. As a neurologist, my first advice will be to take some rest and be relaxed and calm. To take rest and enough sleep at least five to six hours in a day is a part of exam preparation. Sleep is a must for better and powerful performance in an exam. It will refuel and restart our brain. Sleep will help to build up and potentiate our memory. So as first advice, please maintain sleep hygiene. And take five to six hours of sound sleep in a calm, cool, and dark room. Take food on time. At present, all your symptoms are due to the same. 1) Take cold water shower. 2) Go to bed and try to sleep. 3) If still, you have problems, you can take medicine to calm down your mind like tablet Etizola (Etizolam) 0.25 mg one tablet immediately. It will give you sleep and calmness. After six hours of sleep with that tablet, you will able to restart your reading, and then you can take if needed.

Hello. High uric acid will require diet modification followed by medical treatment if not controlled by diet. You can start diet modification like, 1. Have adequate fluid intake. 2. Avoid dry fruits, cold drinks, and chocolate. 3. Avoid broccoli, spinach, beans, and non-vegetarian diet. I would highly recommend testing uric acid once again after one month to reassess the uric acid value. As a single high value should not be the basis for starting medical treatment. Because the treatment usually has to be continued for a long period. So begin the diet modification from today, and repeat uric acid after a month, and review again for further advice. As a patient with high uric acid has an increasing tendency to form renal calculi, I will also advise sonography of abdomen and pelvis, if already not done, before the surgery. Uric acid, RFT (renal function test), sonography of abdomen and pelvis. Review after one month with the above mentioned test.

Hello. It is due to traumatic extraction and lack of proper precautions taken during tooth removal. It happens either due to wrong injection technique, lack of appropriate stabilization from the jaws, particularly lower jaw. Moreover, the probability of dry socket cannot be ruled. The bad odor is due to infection of the socket. Can you please send further information like a photograph of the tooth or socket or any radiograph? Do you feel numbness in lip or tongue? Are you able to open your mouth correctly? Your inputs will help to address it properly.

Hello. Antazoline is not a drug to be used every three hours, and we as ophthalmologists do not use it much. I would advise you to consult an ophthalmologist because the blurriness that you are now experiencing is more worrying than the swelling of the eyelids and redness of the eye. Please take some high-quality photos of your eye and send them. I will try and help you in the best way possible. Also, provide me with your body temperature.

Hello. The reason can be gastritis, which is inflammation of the stomach. Please do the mentioned test and use the medicine below until you get the test result. H.Pylori in stools. Gastritis H. Pylori infection. Ranitidine 150 mg one capsule two times per day before food. Avoid chilli food, caffeine, mint, soda drinks, chocolates, and heavy fried food. Until I see the lab results. Give two hours gap before sleep and after eating. Follow-up when you get the lab result and mention whether you are getting improvement on the prescribed medication.

Hello, Welcome to the icliniq.com. You have polycythemia. It can be primary or secondary polycythemia. The primary polycythemia is the cancer of bone marrow, which means myeloproliferative neoplasm. However your total WBC count and platelet count within range. So the chance of primary polycythemia less. You have an excess smoking history. Thus smoking can lead to secondary polycythemia, which is a pure benign condition. Smoking can decrease oxygen level in blood and so compensatorily more red blood cells produced. You have to stop smoking to cure your secondary polycythemia. If you stop smoking than gradually your CBC (complete blood count) will be normal. Drink lots of water like two to three liters per day to help in your polycythemia. You may need not to use aspirin as per my opinion. I hope I have answered your question. Let me know if I can assist you further.

Hello, Welcome to ilciniq.com. There is are multifilament lesion (attachment removed to protect patient identity). I suggest total mastectomy, which is complete removal of the breast. The chances of recurrence will be low in this approach.

Hello. It depends on your period length and regularity that when and how the system will work. If you have regular periods then 14 days before menses you have ovulation, and if fertilization occurs on the ninth day, then you can have implantation at right or wrong place. If one-sided lower abdominal pain occurs after unprotected sex at the end of third or fourth weeks post period with or without bleeding, then it should be reported that you need urgent beta hCG. If positive, then should repeat beta hCG after 48 hours to check its progression to finalize the diagnosis if the pain is not severe. If after a positive pregnancy test for the pain have a transvaginal scan by expertise hands, immediate intervention. Have complete treatment of any health issue you have. Practice daily walk, yoga, and exercise. Have recreational activities and quit recreational drugs. You need to consult for detailed evaluation. Beta hCG twice and transvaginal ultrasound. Mediate detailed evaluation in case of one-sided lower abdominal pain along with positive pregnancy test.

Hello. You have been a smoker for 10 years, and I am not sure how many sticks or packs you consume in a day, that may help in quantifying your pack year. Now this cough is productive of dark tar stained mucus. Going by your symptoms and body weight, it seems you have really lost so much weight. I want to know for how long your cough has lasted whether it is more than three weeks or three months. I want to know if you have drenching night sweat, and anorexia that is loss of appetite. Is there any change in your voice like hoarseness, do you have pains in your chest when you cough, any halitosis (smell mouth) difficulty with breathing or any pains with breathing. Do you get breathless on mild or moderate exertion, any dwellings of your feet? Is your fever continuous and not relieved by Paracetamol or Ibuprofen? From all these, based on the history of long years of smoking, and the obvious wasting (weight loss) it is suggestive of a possible COPD (chronic obstructive pulmonary disorder), to rule out malignancy also possible ptb (pulmonary TB). Try and do a sputum microscopy culture and sensitivity, do a chest X-ray, but if you can afford a chest CT scan that will give a better image of your lungs. Do sputum AFB for TB get the results of the test for further review. Chronic bronchitis, pulmonary cancer, TB (tuberculosis), congestive cardiac failure, and bronchiectasis.

Hi. This is a picture suggestive of a fibroadenoma. It is not a malignant bump. But, FNAC identifies only the part that has been included in that needle. So to confirm, we do a trucut biopsy which tests the entire lump and is conclusive. 99 % this is a non-cancerous lump.

Hello. It is hard to advise you fully not knowing the full refractive status of your eyes and seeing the keratotopgraphy report that you underwent already and must have a report of it, you could upload it here for better evaluation. However, you have to understand that a human eye starts changing its refraction after the age of 40 and will continue to change every five years after that. So you will enjoy the result of this operation for a maximum of five years and then you will start wearing spectacles for near so keep that in mind. The second issue that you might face a new condition, that is if you are not suffering from it before the operation, and that is dry eye for which you still need to use a lubricant at least four times daily for the rest of your life. In summary, the choice is upto you of course but at such an age, I would not advise. If you would like a more decisive advice, please upload the reports.

Hello.  I would suggest you to repeat pregnancy test immediately and if again positive then repeat ultrasound as well to see what is happening and you can start taking Folic acid meanwhile. In the early pregnancies, sometimes sac is not seen and it becomes visible as pregnancy progresses. So, if pregnancy test is still positive then sac must become visible and if pregnancy test becomes negative that means that the previous one could be a false positive one.

Hi. The symptoms that you mentioned are common side-effects of Olanzapine (Zyprexa). Please, do your best to tolerate the side-effects especially in the beginning of therapy (if you just started taking the medicines) as in some situations the side effects decrease in intensity by time. I strongly advise you not to stop this medicine or skip doses as it is extremely important to stick to its dosage and continue to follow up with your doctor.

Hi.  To help you better, I need to have a look on your blood reports. Please attach them.

Hello. Your platelet count is within normal limit. So do not worry about that. Your total count and neutrophils count is high. But your total count is not high enough to be labelled as leukemia. Usually such high count up to 20000 can be due to infection or any inflammation. So in such case, antibiotic course can be prescribed and repeated CBC after 10 days. However, if you can attach your reports then further comment can be given. Do not directly think about leukemia.In leukemia, total count is very high up to 1 lakh.

Hello. First, I would like to reassure you that dysphagia and reflux symptoms are very common and more common than esophageal cancer. I want to reassure you that this is very unlikely to be esophageal cancer. Esophageal cancer is more common in older patients who have a history of smoking and or alcohol abuse. In patients with reflux symptoms, those symptoms are usually longstanding, and progress to Barrett's esophagus before any cancer develops. I think that you have gastroesophageal reflux and I think your symptoms can be easily managed. 1. Start an over-the-counter reflux medication. I recommend Ranitidine 150 mg every 12 hours. It takes about 30 minutes to start working, and you can take this as soon as you get up in the morning. 2. Make sure to not eat for two to three hours before going to bed. 3. Avoid spicy or acidic foods, especially for breakfast when you complain you have the most symptoms. This would include avoiding ketchup, citric fruit juices, coffee, and tea. Try to eat a very bland diet for the next two to four weeks and see if that improves. Eggs and toast, for example, caffeine can cause acid, and so I recommend avoiding coffee and tea. If you must have it (as I can understand), try to wait until later in the morning and make sure that you have any coffee or tea with food (even just a dry piece of toast). If your symptoms have not improved in one month, you may need to see a gastroenterologist to be evaluated for esophagitis or an ulcer.

Hello. I hope, this will help you. Kindly follow up with a sexologist online -->

Hello. I can understand your concern. I have worked through your attached query in detail. Masturbation is not responsible for your symptoms. Masturbation has no evil effects on your sex life. Premature ejaculation will gradually subside in due course of time. In case if symptoms persist, few medications like Dapoxetine will help. Practicing sex regularly will help to overcome premature ejaculation. Anxiety. Performance anxiety. Premature ejaculation. Tablet Dapoxetine. Increasing foreplay.

Hi. Sometimes, it happens because of low self-esteem. Hence, you need to work on it. You need aversion therapy. You do not have to interfere in other's rights but, other side you have to stand for your rights. Do not be very cruel or too innocent, and then people will start teasing you. Remain in between. For some people who are having predicted behavior, you can prepare answer beforehand. So, you will get some self-confidence. Also, do not think too much about others. Forget everybody. Focus on yourself. Remain happy and tension free.

Hi. Before I answer, I would like to point out a few issues here. You have not mentioned the location of your tooth pain, whether it is on the right or left side. The right and left indicator on the orthopantomograph (OPG) are not visible on the scanned image. So, I am going to describe the findings as I see it. To my right and left, I can see there is decay in two upper molar teeth. Upper third tooth from my right and the upper third tooth from my left.The decay in the upper right first molar appears to be deep. Depending on the symptoms, if you have acute pain that is unchanged, persistent and disturbs your sleep, then the tooth will require root canal treatment (RCT). This is because the nerve of the tooth (pulp) has been involved by the decay. If the RCT is started right away, the tooth can be saved. The decay in the upper left molar tooth is moderately deep and can be filled, if you get it done right away. If delayed, then the decay is likely to progress and involve the nerve of the tooth (pulp), then root canal treatment would be the only option to save the tooth.

Hi. Do not worry about your condition and your future baby. You are fine and your baby will also be fine, as genetic transmission is rare in this case. Again you should change the painkiller if you are not responding to it. You can start tablet Rofecoxib 50 mg daily for five days and let me know the condition of your pain. Apply Dolopar gel (Diclofenac) topically. Go for active physiotherapy exercises. Take a capsule Nutrolin B plus (multivitamin) daily for 15 days.

Hi. All your clinical problems appear to be related to anaerobic respiration. Based on your query, my opinion is as follows: For respiration, oxygen is most important - Anaerobic respiration mainly occurs because of reduced oxygen. You might require a lung function tests to evaluate for adequate oxygenation. If you are a smoker or exposed to pollution, dust or industrial exposure, it can get affected. Anemia requires evaluation. Hope your hemoglobin level is within normal limits. Get a hemogram done. Anaerobic respiration leads on to lactic acid production. This lactic acid accumulation causes muscle pain and tiredness. Do get your lactic acid accumulation level in blood evaluated before and after the exercise. Lactic acid level requires correlation with possible muscle storage disorders or dystrophies compared to exercise; there may be increased lactic acid production. Hydration would be washing of this lactic acid, which is possibly making you feel better. Meet a biochemist to get yourself tested for lactic acid increase and possible causes. Sweat glands can produce abnormal smell depending on diet. Look into your diet closely. Citrulline produces nitric oxide leading on to vasodilatation. It could be removing some amount of lactic acid or increasing oxygenation, but overall the main cause from lungs to blood and blood to muscle requires identification. Get the tests for hemoglobin level, lung function tests along with oxygen saturation and serum lactic acid. If all are normal, then muscle glycogen storage disorders or muscle biopsy for any pathology maybe necessary.

Hello. Please wash the area with lukewarm water regularly. Use a mild soap. Do not use the same towel in pubic area that which you use elsewhere on the body. Observe clearly if there is any change in color, foul smell, lesions over the penis. Maintain good hygiene down there. Remove pubic hair and keep the area dry. If you are the type who sweats a lot, then use mild antiperspirant talc over the groin area. If the climate where you live is very sultry, and you may need to bath many times daily. Use a different set of clothes every day. Do not use the same clothes again.

Hello. Do you have any medical problems that we should know about? How old are you? Are you exposed to any environmental stimulants (irritating chemicals, etc.)? Most often, a bloody nose is not concerning, but it should be evaluated if it is happening regularly. How much blood is coming out? A teaspoon? Is it always one nostril? You can certainly start using a saline nasal spray three to four times a day in each nostril. You can also put some Vaseline in each nose before you go to sleep at night. However, if there are any other medical problems or anything concerning in your history, as I mentioned above, then you should be evaluated in person. You may need to see an ear, nose, and throat (E.N.T) doctor who can take a look in your nose and see if any blood vessels are prominent and can be treated with cautery. Or you may need to see your general medical doctor and have some blood work done, including a full blood count and platelet levels. Please let me know your answers to my questions, and hopefully, I can direct you further.

Hello. Generalized anxiety, social anxiety, and related low mood symptoms are quite common in adolescents. It is positive that you are insightful about your symptoms and seeking help. Have an open talk with your parents and trusted family members about your worries and difficulties. It is important not to isolate yourself as it will worsen things. You can practice some self-help interventions to manage your anxiety like, 1) Try progressive muscle relaxation exercises. 2) Deep breathing techniques. 3) Exercise regularly for at least 15-20 minutes daily. 4) Eat healthily and sleep regularly for at least eight hours. 5) Develop some relaxing hobbies like listening to music and watching exciting programs on TV can help to provide a useful distraction. If anxiety is persistent, you can consult a doctor locally and have some counseling or talking therapy to manage your anxious thoughts and develop positive coping strategies.

Hello. I have just read your query, and from what you have mentioned, it appears that you have a normal thyroid function test results. The slightly high T3 and T4 are not a thing to worry because they can be caused by other hormonal medicine that you are taking for your chocolate cyst.You can keep checking your thyroid function test every three months. I hope you find my advice beneficial.

Hello. You have not mentioned your gynecological, obstetrics, menstrual and drug history. Have you previously had a normal delivery? If no, then the body prepares itself for normal vaginal delivery in the third trimester. In the first time mother, this process is long as it is happening for the first time. So, it takes more time than mothers who already had labor and normal delivery. Everyone's threshold for pain and body's reaction to late perineal changes in the third trimester and labor are different. Only mild cramps without severe contractions episodic going towards lower pelvis from the back are Braxton Hicks and it does not show labor changes in the cervix. Pressure symptoms, bladder heaviness, and recurrent urine are usual symptoms in the third trimester as the baby is mostly in cephalic presentation and growing size creates pressure in neighboring organs naturally. But precautions are necessary. It is better to differentiate between just Braxton Hicks and labor pains with cervical changes. Preterm delivery having lots of factors like infection, fetal, and maternal anomalies and diseases, rupture membranes, etc. Pain threshold relation to cervical changes is different for everyone. I cannot rule out that back cramping, the pressure in bum and vagina cannot lead to preterm delivery but there are factors behind that also that need to sort out. Otherwise, backache, pressure symptoms, mild labor like pains are normal symptoms in most of the women in late pregnancy. I hope you get my point. If there is a pain in the third trimester, we need to check with baby monitoring and mother's cervical changes with the strength of contractions. I hope u get my point. In case of labor-like frequent contractions, rupture of membranes and reduced fetal movements, you need to report to the hospital for monitoring and examination. For more information consult an obstetrician and gynaecologist online -->

Hi. How are you doing? At this young age of 18 years, I do not see any reason for you to get tensed. Hope I have clarified your query, do write back. All the best. For more information consult an obstetrician and gynaecologist online -->

Hello. The symptoms you are experiencing can all be in 4th nerve or superior oblique muscle palsy. This muscle acts to stabilize the eye when looking down and is the primary muscle acting while looking down and outwards. Since you mentioned that you do not have diabetes or other systemic illnesses, the cause could be idiopathic. Such idiopathic nerve palsies do have a good chance of improving on their own. The best sign to look for improvement is to see the double images moving closer to each other, and eventually disappear, on the complete resolution. In case you have any further questions or want any additional information, please let me know.

Hello. Instead of using 30 ml water with each scoop, please add 45 ml water to each scoop for making the formula. Also, reduce the consumption of milk and simultaneously increase the consumption of fruits, vegetables, chicken, etc., whatever the child likes. As of now, you can use laxatives as and when required. However, as soon as a week or two after the above diet changes are made, the need for a laxative should be much lesser than what it is now.

Hello. I can understand your concern about your symptoms. Yes, for a few weeks you will be having pain. The premature ejaculation could be because of the short frenulum, now after the procedure we will know it for sure. If your premature ejaculation persists, we can think of the other causes. Yes, you will be better after surgery with proper foreplay and appropriate lubrication you can easily penetrate since you just had the procedure. We need to wait for the recovery to to think about other cause of your issue and work on it. I hope I have answered your query. If you have further doubts, I would be happy to help you.

Hello, Welcome to ilciniq.com. Please follow the following prescription. Kindly consult your doctor to discuss the suggestions and take the treatment with consent. IBS (irritable bowel syndrome), abdominal flatulence, and diarrhea. Buscopan (Hyoscine ButylBromide) one tablet three times a day. Eucarbon (Charcoal) two tablets three times a day after meals.

Hello. I can understand your concern about your symptoms. No, you should not use estrogen tablets without an endocrinologist or a gynecologist review. Decreased lust or libido can be due to, 1.	Infections. 2.	Diabetes and hypertension. 3.	Hormonal disturbances like low testosterone, low levels of thyroid, and high levels of prolactin. 4.	Obesity, high cholesterol 5.	Chronic disease. 6.	Drugs and anxiety. You have to do vaginal examination by a gynecologist to rule out local infection. USG (ultrasound) pelvis to rule out pelvis infection and ovaries and uterus abnormalities. Thyroid check-up Free T3, T4, TSH (thyroid stimulating hormone), and lipid profile to know the cholesterol level. Also check blood pressure, and RBS (random blood sugar). Kindly share more details regarding above reason so that we can work on cause and treatment.

Hello. I have gone through your query. Your BP and cholesterol levels seem to be fairly well under control of treatment. Kindly share all your available reports, liver function tests, and details of the symptoms and problem that you are facing at present. Kindly get back with the above details and any other questions if you have further discussion and management.

Hello. You have seborrheic dermatitis probably. Use the following medications. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. 1. Zydip-C lotion (Clotrimazole, Beclomethasone) apply once at night on the scalp. 2. Protar K shampoo (Ketoconazole, Coal tar) three days per week. 3 Tablet Desloratadine 5 mg once at night. Do this for 20 days and avoid hair oil.

Hello. There are multiple reasons for what you suffer from, and your case could be one of them. First, that could be part of the illness, which is acute upper respiratory tract Infection (viral or bacterial, usually viral comes with such symptoms). The swelling could be as part of the disease as well which is swollen lymph nodes located around the ear and nothing to worry about as it is part of the infection that can be confirmed by neck ultrasound scan in all circumstances. I suggest you move to the emergency room for further evaluation and clinical examination. Acute URTI (urinary tract infection), reactionary lymphadenitis. Consult the emergency room for further evaluation.

Hi. Facial warts occur due to HPV (human papilloma virus) and some people are more susceptible to it due to some complex immunological parameters. They are too notorious to recur and avoid shaving for some time. Also, the probable treatment is electrocautery. Going to the swimming pool will not affect their behavior as you are already infected. But, you should use separate towels to prevent other susceptible person getting infected. For further information consult a dermatologist online -->

Hello. I can understand your concern about your symptoms. Many research says the average length of a flaccid penis is 3.61 inches, while the average length of an erect penis is 5.16 inches. Few studies recommended flaccid penis length of less than 1.6 inches or an erect penis of less than three inches should be considered for treatment. Pre-ejaculatory fluid when you are with your partner is normal. Considering your age, you will be fine in a few days. Normal sex time can be from 3 to 20 minutes, depending on the experience and stamina.

Hi. We define low blood pressure if the reading is lower than 90 mm Hg systolic or 60 mm Hg diastolic or if the patient has symptoms which are lightheadedness, dizziness, fainting, blurred vision or lack of concentration. These symptoms are most prominent when individuals go from the lying or sitting position to the standing position. The causes of low blood pressure could be endocrine problems, dehydration, blood loss, severe infection (septicemia), severe allergic reaction (anaphylaxis), or lack of nutrients in your diet. My advice to you is to eat a diet higher in salt, drink a lot of fluid especially in hot weather and while sick with a viral illness. And for your case, try to measure your blood pressure before and after taking normal saline. If there is no change, you can talk to an endocrine specialist. For more information consult an endocrinologist online -->

Hi,  Welcome to icliniq.com. I have gone through the case. In my opinion, if you have no contact history for almost a year then there is no need to repeat all the tests. But first, you need detailed physical examination because there are different types of itchy red bumps and some of these are linked to sex and some are not. So do not go for all tests at once.

Hello. You have two main concerns. The weakness is not due to low blood pressure. The low blood pressure can lead to dizziness and inability to stand as described by you. For that try to maintain hydration with lots of water and whenever you feel dizziness take salted food and fruit juices. You can check your blood sugar level as well. For tiredness, I suggest you investigate with serum potassium, serum sodium estimation, serum TSH (thyroid stimulating hormone) estimation, CBC (complete blood count), liver profile, and kidney profile. You can revert back with reports. For pain in the foot, avoid prolonged standing or walking. It is advisable to investigate with X-ray foot for further work up. You should get checked your serum calcium and vitamin D level as well.

Hi. Low blood pressure may be due to genetic factors. Do you have a family history of low blood pressure? Hydration and correction of electrolytes might help you. Mix one teaspoon of Electral powder (essential electrolytes) in a glass of water and drink thrice a day for a month. Low blood sugar and blackouts can occur if you do not eat your meals on time. Make sure you eat more frequent smaller meals, once in two hours. Alternatively, you can carry Hypotab tablets that contain a fixed dose of glucose. Pop it in when you feel a blackout coming. Palpitation can occur if your hemoglobin level is low. Include green leafy vegetables in your diet. If your blood counts are not good, you might need a supplement. Get a complete blood count done and get back with the results to a general medicine physician online -->

Hello. Firstly, Ismo (Isosorbide Mononitrate) is given for angina or chest pain. If one is not having it without Ismo then it may be stopped. So it is not an absolutely necessary medicine in absence of angina. Next thing, it can cause low BP, and low bp can cause dizziness. But, you mentioned, the lowest BP recorded was 110 systolic, and it is not too low to cause dizziness usually. Have you checked your BP while you being dizzy? So this BP can cause dizziness but not usually. Next thing, you said the response to Vertin (Betahistine), which is not likely in Ismo or hypotension induced dizziness. Vertin is for vertigo induced from the internal ear which is a very common problem. Also, importantly. dizziness induced by hypotension or Ismo will occur on standing or walking, but not while lying down or resting. So if it occurs on lying down as well or on neck movements then it is likely from the internal ear. Next, you should get one echo done to rule out the decrease in heart function as BP is remaining on the lower side. So overall, just go through the above description, and try to decide whether it is Ismo induced or from the internal ear, and you may stop Ismo as advised by the local cardiologist. Also, echo is necessary.

Hello. No, low blood pressure is not to be worried much but you should take little high protein diet and sodium diet. Keep an active lifestyle and eat lots of fruits and vegetables to maintain good blood pressure and keep away the weakness. Keep getting your blood parameters checked as it is beneficial for one to stay updated with your vital parameters.

Hello. Mass of 8*10 cm will most likely be cancerous. If I were your treating doctor, I would first evaluate in detail the extent of the disease, with the help of examination, chest X-ray, ultrasound of the abdomen. Once confirmed that the condition is limited to the breast, her treatment options will involve surgery, chemotherapy, and radiation. These days with advanced techniques, we have high cure rates for breast cancer with minimum side effects.

Hi. First this to rule out is a foreign body in the eye. For that ask someone to examine your eye with a torchlight and also check the upper lid by everting it because that is the common site for foreign body. Sometimes a very small foreign body cannot be seen with the naked eye and need an eye exam by a doctor. Wash your eye with clean water. If there is no foreign body seen then it is most probably conjunctivitis (that presents with the same symptoms) usually viral conjunctivitis. It usually takes 7-10 days to complete recovery but during this period protect your other eye and other family members because it spreads from one person to another through contact. For symptomatic relief, keep washing your eyes with cold water and do icepacks. That helps to relieve discomfort. Start antibiotic (Moxifloxacin 0.5%) eye drops four times a day to avoid secondary infection. If pain and discomfort are severe consult your nearby eye doctor for a complete eye exam.

Hi. I saw your pictures (attachment removed to protect patient identity). There are multiple erythematous (red) plaques and papules (bumps) on palms, sole, and wrist. Few lesions do look like target lesions. With these features, I can list a few possibilities as follows: May I know your age? Is there any similar rash inside the mouth? Did you have a fever before this rash or in the past one month? Have you used any topical cream? Is it the first episode? Did you take any painkillers, Ibuprofen, Diclofenac in the recent past? Do you have any history of eczema? For more information consult a dermatologist online -->

Hi. Probably may be a viral infection like hand foot and mouth disease. Do not worry. Please give syrup Crocin (250 mg/5 ml), 3 ml SOS, if the temperature is above 100 F. As for the rash, please apply Calamine lotion. It should be better in a few days time.

Hello. The probable cause in you is a cardiac arrhythmia. Firstly, were these episodes witnessed by others? And I guess there are tonic clonic movements as seen in seizures. Also, any precipitating events like stress, urination or passing stool, etc., this is to rule out the possibility of vasovagal syncopes. So, considering the likely possibility of cardiac arrhythmia and recurrent syncopes, there is an option of electrophysiological studies which can answer the cause. Otherwise, we will have to wait and watch until the episode of arrhythmia recurs and captured on ILR (implantable loop recorder). But, if you are having symptoms at present and there is nothing on ILR, then it cannot be a cardiac arrhythmia. So, if you are symptoms at present, then ILR should be interrogated, and if asymptomatic, then electrophysiological studies is an option. Otherwise, wait and watch. I hope this helps you and get back if you have any doubts.

Hello. I understand your concern. It seems superficial folliculitis (attachment removed to protect patient identity). In this condition you get small red lesions with yellowish pustules. Use the following medications: Cream T-Bact (Mupirocin). Apply twice a day on the affected areas as well as the nasal vestibules which harbor the bacteria responsible for the recurrence. Do this for 10 days. Take care.

Hello. Firstly, a single episode of early menstruation with normal flow does not qualify for being labeled as a case of polymenorrhea. Secondly, as you have been protected during intercourse, an implantation lasting for two complete days is also unlikely. So, you are pregnancy safe. Thirdly, the early withdrawal is likely to be stress induced hormonal imbalance especially progesterone level during this cycle which caused PMS (premenstrual syndrome) and menstrual cramps in this cycle. So, there is no actual need to be worried. Just maintain a menstrual calendar for next three months to understand the pattern of bleed. If the pattern continues then a hormonal profile and an ultrasound pelvis shall be required. But as of now, no intervention or investigation advised. Just increase your water intake and if not then try yoga and meditation which are great stress busters.

Hello. It is called as vaginismus. It is muscle spasm causing contraction of vagina. It happens due to various psychological issues. It could be due to guilt of sexual activity and some unconscious unresolved issues. It could also be due to dislike of partner. It needs counseling and medicines.

Hello. You have mentioned that you have pain in lower back region with radiation of pain to right buttock region. Along with this, you have also mentioned about your MRI reports (attachments removed to protect patient identity) which show degenerative disc disease at multiple levels. Actually, I need your clinical details after which it can be correlated with MRI images and then I can advise you accordingly. Please tell me in detail the intensity of your back pain on a scale of 1-10. I would like to see your detailed neurological examination if possible that includes assessment of motor power, sensory examination and evaluation of deep tendon reflexes. This can be done either by a qualified physical therapist or an orthopedic or spine surgeon. That will give me an insight on whether there is any compression of nerves, etc. I also want to see your MRI scan and dynamic x-ray anteroposterior and lateral - flexion and extension views of the involved region of spine. This can tell us, whether there is any dynamic instability at the involved region or not. Kindly also enclose any recent blood tests if you have done, your past significant medical history, etc. Once I have this information, I can clinically correlate and let you know the treatment plan. 1. Clinical examination findings. 2. MRI image. 3. Dynamic x-ray.

Hi. I have gone through the details provided by you. All investigations are normal (attachment removed to protect patient identity) such as hemoglobin levels, non-diabetic, with normal resting EKG. So, these are not issue in your case. However, the following are the possibilities. Post menopausal hormone imbalances - You might have increased spurts of estrogen production which are causing the hot flashes. This is common in such menopausal age and requires only mild treatment if there is evidence of the increase. For this, get the following tests done - FSH (follicle stimulating hormone), LH (luteinizing hormone), estradiol and progesterone levels in blood. Hypertension - Get your BP monitored on daily basis at different times of the day and see if there is increase in levels at any point of time. This is again a reason for hot flashes, anger and weakness. It can be cured with mild medicine if found to be present. Check for your thyroid levels. Since you are overweight, there might be a possibility that you are suffering from hypothyroidism. Vitamin D3 levels - this is another reason for general weakness. Now if we go to further serious reasons, then one probability can be TIA (transient ischemic attack), there can be slight loss of blood supply to the brain which might be causing weakness in limbs. I am not sure if this would fit into you as coming to a conclusion requires medical examination which we cannot do online. I would suggest that you send us all reports as mentioned above and also go to a doctor to get full examination done. Only then we can comment on what is the right treatment in your case.

Hello. Your CBC report is suggestive of lymphocytosis (attachment removed to protect patient identity). The common cause for lymphocytosis is viral infection. The enlarged lymph node could be due to that. Now, your enlarged node return to normal size as per history, so suggestive of infective etiology. You might be feared about leukemia like condition. But in blood cancer, total count is very much high like more than 50000. So, it is not suggestive of blood cancer. However, if you have persistent lymphocytosis, then it is advisable to investigate with peripheral smear examination report for further work up. It will be able to help in identifying any abnormal cells, if present like atypical lymphocytes, blast, etc. You can consult your pediatrician for detailed physical examination.

Hello. I understand your concern and would explain that there are a lot of other benign causes that may lead to fasciculations like anxiety and insomnia, benign fasciculation syndrome, vitamin D and vitamin B12 deficiency, an electrolyte imbalance or thyroid gland dysfunction. For this reason, I would recommend performing some tests: Complete blood count, blood electrolytes, thyroid hormone levels, vitamin D and vitamin B12 plasma levels. Nerve conduction studies would help to definitely exclude ALS and put your mind to peace. You should discuss with your doctor on the above tests.

Hello. After going through short the medical history I want to address some points for you. First important aspect of management of diabetes is diet. That will remain the primary objective for the management of type 2 diabetes across the globe. Please elaborate a little about your basic diet pattern. Second important aspect of management of diabetes is exercise. As you have mentioned your are an accountant and that will make you a less active person during a major time of the day. While on the job and presently in lockdown at home, take small 5-10 minutes of time and walk across the corridor. Start with little things. Then on the third part comes the medicines. You have not mentioned how many times a day you are taking Amaryl MV 1. Please do mention that. Your weight is also more compared to your height, Amaryl can cause a little weight gain also. You should opt for tablets that will not gain weight. There are certain medicines available now which controls blood sugars and also help in weight loss. Apart from this, I would like to know about your family history of diabetes and the stress levels you are facing on the scale of 1-10. Are you getting enough sleep? How many times you have to go for urine at night? Any pain, or burning sensation in legs? Obesity. Uncontrolled sugar levels. FBS (fasting blood sugar). PPBS (post prandial blood sugar). HbA1c (glycated hemoglobin). Lipid profile. Serum creatinine. Type 2 DM. Continue the same medicines until we work on detailed diabetic history. Take six to seven small frequent meals a day. More leafy vegetables, fruits, pulses. Take less grains, maida, and processed food. Once detailed history available and reports done.

Hi. The symptoms that you mentioned are consistent with acute gastroenteritis. Please follow the following diet, take the following medicines and do the following investigation. Diet: BRAT diet which is short for banana, white rice, apple sauce and white toast (bread). Stop eating all vegetables and fruits except bananas and potatoes. Drink ample fluid. Avoid dairy products, caffeine drinks, spicy food, food from outside, fried food, sweets. You can eat poultry or meat but cooked blandly. When you start to get better, introduce normal diet bit by bit. Feco-oral. Stool analysis, stool C and S. Acute gastroenteritis. 1. ORS one sachet in 1/2 cup water every four hours for four days. 2. Metoclopramide (Primperan) tablets one tablet two times a day for three days. 3. Eucarbon (Carbon) tablet two tablets three times a day after food for five days.

Hello. Gastritis is an inflammation of stomach mucosa. It happens due to Helicobacter pylori a bacterial infection, smoking, alcohol and also certain medicines like Aspirin. Presence of diverticulum also causes gastritis. You are taking good medicines to your concern, continue them. You can add Panchsakar Churna 3 gm twice a day with warm water after meals and Arogyavardhini Vati 1tab twice a day after meals. Avoid spicy and fried junk foods, quit smoking and drinking if you have these habits. There may be need of surgical removal of diverticulum.

Hello. Let me answer your questions via some bullets some points to make things easier to understand. 1. You are only 14 years old, and it is very unusual for a significant mood disorder like bipolar mood disorder to manifest at such a young age. However, this does not mean it is impossible but just far less likely. 2. As a young woman at 14 years of age, it can be considered completely to have mood swings and sleep disruption due to premenstrual hormonal changes. Puberty, overall, is a time of huge biological and psychological change and is not uncommon for a person to experience broad mood changes within one day. 3. I feel your mood swings and general well being should have a keen eye kept on them. If you have a severe mental health disorder, it will become clear fairly soon. 4. From your point of view, as long as you are still able to function normally at school and keep up with your academics as well as maintain relatively good social interactions you are very likely not suffering from a severe mental illness like bipolar. Also, consider the extent of your inner sense of personal distress. Sometimes things can seem like the end of the world in puberty but are much less severe when viewed from a different perspective. 5. I think it would be wise if your parents could allow you to see a psychotherapist or counselor regularly going forward for you to unload your feelings in a safe and confidential environment. Also, such a person could keep an experienced eye on you, and if any severe psychiatric symptoms appear, they can be recognized and acted on it correctly. 6. So my final suggestion is to ask your parents if they are willing to help you find a suitably qualified psychologist and counselor that you can see regularly and feel you can trust them with your feelings. Remember if you are unsure about how you feel and if it is reasonable and not something to worry about, it is always better to speak up about how you think, just as you have done here. Should see a clinical psychologist or counsellor regularly.

Hello. I do not think that because of chiropractor there will be any trouble to the lymph node. If the pain is radiating in nature, then it can be related to intervertebral disc injury which can be a past injury and due to which you had a sore neck. As the intervertebral discs are located in between the two vertebral bodies and the muscles are the supporting structures any trouble to the disc can first make the muscle sore and change the normal curvature of the cervical spine. The radiating symptoms can arise due to nerve root entrapment by the muscle as well as the intervertebral disc. Having an MRI scan of the cervical spine will be useful to avoid further injuries. Also, doing hot water fermentation will help to reduce the muscle spasm of the cervical spine region and the trapezius muscle by which the normal alignment of the cervical spine is achieved. Using cervical soft collar will help to reduce the mobility of the cervical spine leading to stabilization of the joints and less nerve root entrapment. Exercises like static neck exercises, shoulder stabilization exercises, interscapular muscle strengthening exercises will help to regain the muscle strength and correct the cervical spine alignment. If you have any more questions, you can ask me anytime.

Hello. Albendazole 400 mg single star dose is enough for prophylactic deworming. 10 days course is not required. Usually, it is very safe and is well tolerated. A rare side effect is a seizure, that can happen if the worm is already lying dormant in your CNS. I generally prefer a three-day course of Mebendazole 100 mg twice daily as it does not enter CNS and so there are no changes of seizures. I hope it helps. If you have any further queries, please ask me.

Question: Q. What does abutment of the nerve root mean?; Patient: 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?; Answer: 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 -->

Question: Q. What should I do to reduce my weight gained due to genetic hypothyroidism?; Patient: Hi doctor, I am a 22-year-old female who was diagnosed with hypothyroidism (genetic) when I was 12. Over the past five years, I have become around 50 pounds overweight and all of my attempts to lose have seemed to fail so I have given up, but my weight has stayed the same. There is so much information put there about losing weight with hypothyroidism but it all seems to conflict. I am so unsure as to what type of exercise and diet I should follow as a result but I still would like to lose weight, but most importantly have my body feel better. What can I do? I am currently on Levothyroxine, Buspar, and Benedryl.; Answer: Hi. You have really done well with the hypothyroidism problem. Your levels are normal with less medications which are very good. As it is genetically induced, it is very difficult to lose weight. My advice to you is, you should focus on maintaining normal levels of TSH (thyroid-stimulating hormone) and try to remain active, having a positive outlook in life. Or else, it will become very difficult to balance your life with the symptoms of hypothyroidism. Even though your weight has not reduced, be very careful in not putting on weight here afterward. Everyday brisk walking for 1 hour. If you have body pain, alternate with exercises and walking. Avoid all kinds of junk foods, processed, bakery products, rich sweets, fatty foods, sodas, alcohol, and smoking. Avoid partying and binge eating. Follow the food timings properly. Have small frequent meals. In between snacks should be strictly fruits or any kind of low-calorie foods. Have unsalted nuts around five daily. It can give a glow to your dry skin. Everyday water intake should be around 1.5-2 liters. You can use flax seeds. Powder it and mix it in your food. It is a fiber which will give you fullness. Use turmeric, fenugreek seeds, or powder every day. It is a good antioxidant and fenugreek helps in reducing cholesterol levels. Include low-fat milk, curd every day. Egg white, lean chicken, or fish can be taken daily in moderation (anyone). Organ meats need to be avoided. Is your menstrual cycle normal? Please get back if you have any other complaints. Follow up after 15 days.

Question: Q. I have started to get lots of acne on my face, particularly on my forehead. Please help me.; Patient: Hi doctor! I used to have clear skin but since I moved to a new place, I started to have lots of acne on my face particularly on my forehead. I thought it would disappear once I went back home, but it only got worse. I did some research and assumed that it was caused by drinking too much cow's milk, but it has been since since I stopped and they would still not go away. I also noticed that I get deep acne whenever I'm nearing my period, along with the usual small red bumps. I bought an acne soap and have been using it for a month now but I'm not sure if it works. I hope you can help me because it has been affecting my mental state lately :((((; Answer: Hi there Acne has multifactorial etiology. Only acne soap does not improve if ypu have grade 2 or more grade acne. You need to have oral and topical medications. This before writing medicines i need to confirm your grade of acne. For mild grade topical clindamycin or retenoic acud derivative would suffice whereas for higher grade acne you need oral medicines aluke doxycycline azithromycin or isotretinoin. Acne vulgaris Cleansing face with antiacne face wash

Question: Q. Why do I have uncomfortable feeling between the middle of my spine and left shoulder blade?; Patient: Hello doctor,I am having an uncomfortable feeling in between the middle of my spine and left shoulder blade. It seems to get stiff, and my bones pop a lot around there, and it is very uncomfortable to sit in specific ways feels like my bones shift, well the other night it seemed as if my shoulder would pop out of place causing more stiffness after a while of dealing with it. I ended up feeling a popping sensation, where the stiffness was an instant relief. It was so shocking it put my anxiety through the roof. I thought I was going to die because my whole body was shaking and tingling. What am I dealing with? Right now I have no pain or tender near that area still relief but curious on what happened and why I got this shock and that popping feeling so loud it scared me half to death.; Answer: Hello. The popping and discomfort what you felt is either because of improper scapulothoracic mobility or may be due to facet joint irritation in the neck with intervertebral hypermobility. Which could have caused due to stiffness in the chest muscles, shoulder stiffness, etc.  I would recommend you to do a lot of icing in the chest and back muscles. Maintain your neck and upper back posture by doing some back retraction work. Gently stretch your neck and chest. Gently massage your chest and shoulders to relieve tension in the muscles. I hope this is helpful for now. Kindly revert in case you need any help in this regard.

Question: Q. My symptoms after intercourse threatns me even after having negative HIV result. Kindly help.; Patient: Hello doctor,Before two years had sex with a call girl in a dark location for about 10 to15 min. I did not eject, and I am sure that she did not eject as well (not 100 % sure). Do not know if the condom broke (as it was dark) but had some liquid on my penis (maybe fluid in condom, not sure) After few days from then I had cold followed by itchy skin. I took medicine from the doctor and got it resolved.After a few weeks from then, I had fever 100 F, mild night sweats, mild sore throat, slight weight loss (around four to five kg). Also I feel tired most of times. After 50 days, I got an HIV blood test, which came out negative. Do not know the name of the test, they took blood from my fingertip, tested it using some chemical for 40 minutes, and gave a report. Doctor suggested me get the same test after three months. Now I took medicines for flu symptoms which are giving me relief. But, very worried about the situation. Will medicine I used for cold and itchy skin have impact on HIV. Was the test enough for diagnosis as I do not know the name like fourth-generation etc. Also I washed my penis after 20 minutes with water thoroughly. Please help.; Answer: Hello. The HIV test uses a finger prick blood sample, with results given within 20 minutes, and is 99 % accurate at detecting any HIV exposure that may have occurred more than 12 weeks ago. However, it can potentially pick up HIV infection from as little as four weeks ago. There is nothing to worry nothing will happen, and please repeat your test after 12 weeks. If you want accurate results to get, it has done RNA PCR which will give actual results within 10days. Antigen detection like P24 gives best results with in two to four weeks. Probably your suffering from a simple viral upper respiratory infection. After 12 weeks, please consult your doctor he will examine and treat you accordingly.

Question: Q. I had a surgery which ended up with some failures. What can I do to fix it?; Patient: Hello doctor,I had an emergency surgery six months ago punched through a window right arm cut both arteries cut radial nerve with ulnar damage and cut bicep tendon nerves back now almost full thumbs up the only issue is bicep. My question is there something I can do to fix it like lengthening surgery, or am I stuck? I am a boxer supposed to go Olympics this year. My surgeon focused on the nerve and did not care help. PS pronator is still little and has not fully recovered.; Answer: Hello. If you are saying it is already six months since the surgery and if you are doing regular physiotherapy, still has not gained much of the actions, then it is not worth waiting anymore. There are many muscle transfer surgeries which can give you the desired movements and help you in day today activities. But you have to remember that post such operations you will require time to train the brain and get the full use of such movements. That will take time. Do not want to demotivate you, but tremendous training and hard work might be required to reach the pre trauma stage of your boxing.

Question: Q. Kindly explain about Beta Strep.; Patient: Hello doctor, My culture from my gynecologist came back, showing that I have a yeast infection as well as Beta Strep. I was hoping for more information on Beta Strep. I have never heard of it, and there is a lot of information when I searched that is making me confused a little. I am not experiencing any symptoms, either. I feel perfectly fine.; Answer: Hello. There are lots of bacteria and other organisms that colonize healthy skin. Yeast a fungus also is a commensal in our body. Just the presence of these organisms is of no significance. The colony count is needed, which is high, will need a course of antibiotics, which can be decided by culture and sensitivity. But after a surgery like what you had, or any significant stress or use of lots of antibiotics (as would have happened after surgery) or use of steroids or diabetes, all infections show an altered balance between good and bad bacteria. You do not need any treatment for this. Just wait for your body to develop those good bacteria, and gradually, all tests will come negative. If you have any symptoms, treat as per need. Avoid unnecessary antibiotics use. They will further delay the recovery. I hope I have clarified your query, do write back if any more questions.

Question: Q. Kindly suggest a homeopathic medicine to stop hairfall and promote hair growth.; Patient: Hello doctor,I am 24 years old, and for the past nine years, I am facing hair fall problem nowadays my 60 % of hair is falling on my top and front of my head. I checked my thyroid and hemoglobin many times, but their reports are good. I use many home remedies and hair oils, but when I stop using it again, it starts falling. The allopathic doctor says use Minoxidil 5 %, Finasteride, and hair serum. But Finasteride has many side effects. Can you please tell me is any medicine available in homeopathy which stops hair fall and promotes hair growth if yes can you please tell me the name.; Answer: Hello. I checked the attached photo (attachment removed to protect patient identity) and read your description. It seems you have been suffering from hair loss problem for a longtime. Do you eat healthy food like vegetables and fruits every day? Sometimes lack of nutrition is also the reason for hair loss. Do you know if your father also differed from hair loss issue at this young age? Did you suffer from severe health issues or chronic illnesses? If you do not think above mentioned is the cause for your hair fall, then the only reason I can think is that you have been going through severe stress which has taken a toll on your health. Homeopathy would be a good option in this case as it will cure our problem from the root cause, and there will be no side effects. So to prescribe you a correct homeopathic remedy I need to understand your mental, emotional, and physical state. He ce I need detail case history which can be done either through face to face consultation or online consultation. I would advise you to visit a good homeopath for consultation. For the time being, you can apply arnica hair oil twice a week on your hair. Just mix one spoon of Arnica oil with five spoons of coconut oil and apply all over your scalp. You can gently massage your ear with this mixture. Try this for 15 days and then let me know how you feel. I hope you start feeling better. Let me know if you have any questions.

Question: Q. Will Nano-Leo give permanent solution for erection problem?; Patient: 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.; Answer: Hi. For further doubts consult a sexologist online -->

Question: Q. Every time I eat spicy food, I poop blood. Why?; Patient: 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.; Answer: 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 -->

Question: Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?; Patient: 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.; Answer: 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.

Question: Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?; Patient: 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.; Answer: Hi. For further doubts consult a sexologist online -->

Question: Q. I have stomach pain and bloating after taking Augmentin 625. Why?; Patient: Age - 33 years Height - 164 cms Weight - 67 Kg I am suffering from sore throat so I took Augmentin 625 before 12-13 days back but found no improvement but I started suffering from Stomach pain and excessive gases. Now I am taking below medicines as per prescribed by ENT specialist that are 1.Allegra M tablet 2.Rinifol capsule 3.Esoz D 40 capsule 4.Acinil O surup for ten days.Two days remaning to finish course. Stomach pain and blown stomach due to gas is still there.; Answer: Hello. I welcome you to icliniq. Well it is not uncommon to have Gastric upsets after a course of antibiotic. And antibiotic like augmentin are notorious to cause this. This occur secondary to effect of augmentin on decreasing the amount of lactobacillus microorganism which are normally present in the human gut and help digest the food. You should take yougurt, Kefir (fermented yougurt), Kefir. and there are certain diets with probiotic activity you can start taking it. Plus take Tab Ecotec twice daily for 4 weeks, and Tab Levosulpiride 75 mg once daily half hour before meals.for 2 weeks. You can continue with acinil O syp. while rest of your current medication can be stopped. I hope this will correct your microbiota and will bring the same healthiness as before. good day Antibiotic induced dysbiosis Small intestinal bacterial overgrowth Antibiotic induced dysbiosis Let me know in one week time how you respond to above regimen, if persistent of symptoms I would consider testing and giving some safe antibiotic therapy for 2 weeks.

Question: Q. Can a painless tooth be extracted since it has a hole in it?; Patient: Hello doctor,Can I pull out hard teeth out no pain because I got a hole in my teeth? Whenever I use to eat something, it got stuck in it and caused severe pain. Kindly give me some advice about pulling it out without any pain.; Answer: Hello. I had gone through your question, and I can understand your concern. If the pain occurs only when you eat food and it gets stuck into it, it is reversible pulpitis. For that, you do not need to get it extracted. You need to get it filled, and it will cost you less than that of pulling (extraction). Second, you will save your tooth too. My suggestion is to get dental filling done as soon as possible. If you want to get it removed, you need to visit a doctor (dentist), and there will be no pain because during extraction local anesthesia is given.

Question: Q. What does the darker pigmentation at the armpits indicate?; Patient: Hello doctor, My reverse elbow armpits have developed a darker (my skin color is fair) pigmentation. This pigmentation has also affected the whole of my groin area. Some dots of such pigmentation have also come up under my extreme armpits. What should I do now? What is this condition? Can you diagnose the state conclusively?; Answer: Hello. I understand your concern. The pictures are a bit hazy. But from the given images, it looks like a fungal infection by the name of pityriasis versicolor. I would also need to see your chest, upper back, and shoulders to be sure. Kindly send clear photos of the same to make a conclusive diagnosis. Meanwhile, you can start using the following medicines. 1. Tab Fluconazole 400 mg start and repeat once after a week. 2. 2 % Ketoconazole lotion apply for 5-7 mins and wash off once a day.

Question: Q. I get fever during rainy and winter season. Why?; Patient: Hello doctor, During rainy and winter season get frequent fevers. Most of the times I get it diagnosed, and every time doctors tell it is only viral fever. Fevers generally come twice a month. I take Paracetamol and Cefixime usually (on the advice of doctors). Generally, the illnesses go in 10 days. This has been happening from the last three years. Can you suggest any cure for it? I am a small time businessman, and this is affecting my financials. Regarding my medical history, I am a premature baby of seven months. As told by my mom and relatives, I remained alive on medicines with great difficulty. And also from childhood, I used to get skin diseases frequently, and for that, I think I was regularly administered antibiotics.; Answer: Hello. I need to know a few things, 1. Do you feel feverish, or does the thermometer record a temperature? 2. What other symptoms do you get? Runny or blocked nose, sore throat, throat pain with swallowing, headaches, body pains, etc. 3. Does anyone else around you (family members, co-workers, etc.) develop similar symptoms before or after you do? 4. Do you get any tests done like blood tests or X-rays during those episodes? From your description, it appears that you are getting frequent viral upper respiratory tract infections. These are acquired from other patients through the air (coughing, sneezing, etc.). They are usually short-lived and last no more than five to seven days. Since more than 300 different viruses can cause similar symptoms, you can get infected multiple times each time with a different virus. The same virus cannot affect you again. Unfortunately, antibiotics do not work against viruses. They are meant for bacterial infections only. However, doctors continue to prescribe antibiotics unnecessarily, and this has led to the emergence of widespread bacterial resistance.  Other than symptomatic treatment, no medicine can cure or prevent these infections. They are self-limited, and you will get better even if you do not take any medication. The older you get, the less frequently you will get these infections as your body will be building up defenses with every disease. No household tips or vitamin supplements have been proven to work. Premature birth can lead to increased frequency of infections, but unless the infections are bacterial, not much can be done about them. Please get back to me with answers to the above questions and also attach any test reports you may have.

Question: Q. Why does one develop swelling after snake bite?; Patient: Hi doctor, I am a 40 year old female. I got cottonmouth bite on the back of the left and right ankle. Three people saw and confirmed that as cottonmouth. I do not believe much venom was released. It happened under shallow water. I got immediate pain as if repeatedly the ankle and feet got hit with a bat and a burning swelling began quickly. I went to the ER. They monitored my blood for two hours and decided no antivenom. I was not given either a tetanus shot or any antibiotics. From the laboratory work, they said everything looks good, but I could not stand or walk. They sent me home with Ultram and Ibuprofen 800 mg. After two days, the swelling slightly increased instead of going down. My fiance took me to different hospitals. The swelling and the fang marks were evident. Again, the laboratory work came back as normal. I was still in pain and swollen ankles. They gave steroid IM injection and Prednisone pack and suggested antihistamine. It has been six days. Still, I cannot stand, walk or care for myself in any way. The swelling has not got down. I have kept it elevated and put some cool fabric packs on swollen areas. It seems to help with burning sensation. I have been drinking Echinacea tea, water and taking all medicines prescribed such as Ultram, Benadryl, Prednisone and Ibuprofen 800 mg. Back of my legs up to the thigh is swollen, entire legs hurt and tender to even minimal touch. Bruising has darkened and the swelling has not gone down. There are no red lines and no skin rotting. What shall I do now? I want the swelling to get relieved. I am scared. How to reduce the swelling? Please tell me what I need to do just to be able to stand briefly. The pain has subsided from 10 to 5, but if I try to stand by just keeping the foot down towards the floor, then the pain is excruciating. Please help.; Answer: Hi. I could understand your crisis. For further information consult a toxicologist online -->

Question: Q. Why is there a continuous rise in temperature despite taking antibiotics?; Patient: Hi doctor, My father is 71 years old. He had a fever for a week, and the temperature raised up to 104 during the night along with frequent urination. Two days ago, the fever came down to 98.4 for five hours but again increased to 102.3 despite taking the same antibiotics. He is taking tablet Gudcef-CV 200 for five days and injection Monocef, twice a day for four days. His TLC was 18,000 last week. Please give your opinion.; Answer: Hi. I went through your post and investigation (attachment removed to protect patient identity). Regards. For further queries consult an internal medicine physician online -->

Question: Q. Can my 3 year old son lead a normal life after sepsis?; Patient: Hi doctor, My 3 year old son was diagnosed with sepsis with SIRS, three days back. But, now his WBC and C-reactive protein are within limits. Will he have sepsis again? He frequently gets wheezing and allergic cough. He is currently taking Amclav.; Answer: Hello. Regards. For more information consult a paediatrician online -->

Question: Q. What is the main reason for sepsis in a newborn?; Patient: Hello doctor, What is the main reason for sepsis to occur in a newborn? Will parents be the reason?; Answer: Hi. For further information consult a paediatrician online -->

Question: Q. I have bulging eye problem for a year even after some treatment. Why?; Patient: Hello doctor, I am facing bulging eye problem for a year. I am not able to sleep at night due to watery eyes. I went to the doctor, and he did an MRI and found that my eye muscles have enlarged. He gave the treatment for three months, but there was no benefit. He gave me Solu Medrol 500 mg then 250 mg injections for two months and some vitamin tablets. It is a severe problem. Please help me.; Answer: Hello. The condition you have described is called proptosis. The most common cause of proptosis is thyroid abnormality (hyperthyroidism) and called thyroid eye disease (TED). In this condition, eye muscle gets enlarged due to GAG (glycosaminoglycans) material deposition. This condition usually resolves after active and quiet phase that takes up to five to seven years. During this time the actual cause is treated (hyperthyroidism) and for proptosis steroids may be given (that you have already taken). Enlarged muscles can compress the optic nerve and can cause permanent vision loss. So you need to consult an endocrinologist for the treatment of thyroid abnormality. Quit smoking (if you are a smoker) and keep follow your eye doctor to avoid complication that can cause permanent vision loss. You are welcome for any queries.

Question: Q. Why are my hands and feet cold and sweaty always?; Patient: Hello doctor, I am a 30 year old male, who weighs 200 lbs and 6 feet tall. I have been looking for my symptoms after watching a TV show. I know some things are not right with me, and I have been curious to find the cause. It could be one or more problems. Here is what is going on. I have cold hand and feet, sweaty hands and feet, many bumps in the arms, mainly right arm, sand paper hair since a young age, and my feet get numb and eventually very painful when walking. I have severe vitamin D deficiency, and my eyelids are always half closed. I have low metabolism, and I experience a lot of teeth problems. I might have osteoporosis. What is causing all this? Is it tumors or parasites or a neurological problem?; Answer: Hello. Cold and sweaty hands and feet can happen in heart failure, anxiety, hyperthyroidism and shock. Numb feet, which are painful while walking can be due to neuropathy, nerve root compression at lumbosacral spine, or arterial occlusion in legs. The half closed eyelids can be ptosis, or something else. I suggest you get the following tests done: Since when you are having these problems? Do you have any impending doom, palpitation, breathlessness? I suggest you meet a neurologist in-person for proper clinical examination and better judgment. Revert with more information to a neurologist online -->

Question: Q. Can thyroid problem cause excessive hair fall?; Patient: Hi doctor, I have thyroid issues for the past three years. I got this when I was pregnant. I am taking Thyronorm 75 mcg tablet for the last three months. Recently, I have done the thyroid test and my T3 and T4 are normal and TSH is very low. It shows less than 0.01. What does it indicate? First, I was on 50 mcg and before three months I started 75 mcg as the TSH was approximately 6 at that time. Please explain.; Answer: Hi. For further doubts consult an obstetrician and gynaecologist online -->

Question: Q. Why do I face difficulty in losing weight?; Patient: Hi doctor, I am a 35 year old woman. My height is 5'3" and weight is 147lbs. I do not have a child yet, but will be trying to conceive soon. I am a vegan and eat healthy. I workout five days a week and sometimes will go for a 5 km runs around two to three times a week as well. I went off my birth control pill about three months ago and have not had a period since. I was diagnosed with PCOS when I was 15, but after going vegan two years ago, doctor said it definitely helped with symptoms. I have been eating right and working out for the last three months, and my weight has not budged. In fact, it seems I have gained numbers on the scale. Three months ago, I was 139 lbs. Is there anything in my report that could be the reason for not being able to lose weight or abdominal fat? Is there anything in the infertility test portion that could indicate the issues in trying to conceive? I would like to get a professional advice on my blood work results. I am mainly looking to find out if anything on here can indicate infertility or difficulty in losing weight. Please help.; Answer: Hello. I have gone through the reports (attachment removed to protect patient identity). For further information consult an obstetrician and gynaecologist online -->

Question: Q. Suffering from subclinical hyperthyroidism with anxiety and palpitations.; Patient: Dear Doctor, I am trying to figure out what is wrong with my 15 year old daughter. Her symptoms have developed most significantly over the past few months, and include depression, weakness, constant light-headedness, shortness of breath (even when sitting still), difficulty taking a deep breath (causes pain), episodes where breathing becomes especially difficult, a complete lack of energy, continual exhaustion, continual muscle soreness (especially in the calves), cold hands and feet (to the point of turning blue), intolerance to cold and heat especially, episodes of a racing heartbeat, and episodes of anxiety and disorientation. At first our focus was on her was depression but now our focus is shifting toward her problems with physical activity and breathing, especially as she has now come to the point where she can no longer participate in any sports. We have seen a psychiatrist for her depression who discovered the MTHFR Mutation, which has since been addressed with a megadose of methyl folate. After three weeks on the medication there has been no improvement. Her paediatrician tested her for asthma and the results were negative. We have put her on various vitamin B supplements and have made sure she is getting proper nutrition and rest. Again, nothing has helped. Other labwork, as well as some of her symptoms, has made us consider her thyroid. The thyroid results are as follows:  TSH: 0.059 ulU/ml. AntioTPO-Ab: 84.9 IU/mL. Anti-Thyroglobulin: 134 IU/mL. Total T3: 130 ng/dL. T4: 10.5 ug/dL. Other labs that were out of the normal range are as follows:  - Ferritin: 31 ng/mL (her other iron results were normal). - Differential (Audo Diff) Neutrophils: 66%. In spite of a low TSH we have been told that as long as the T4 level is within normal range there is no need for attention with the thyroid. Yet, I canno help but keep coming back to the thyroid and wonder if this is not where we should focus our efforts. Any thoughts please?; Answer: Hi, It is really sad to know about your daughter. 1. As a matter of fact your daughter seems to have acute thyroiditis. Though the thyroid profile has not shown full blown thyrotoxic state, she has subclinical hyperthyroidism with TSH being suppressed. Since how long has she been like this? Thyroiditis might take 8-12 weeks to settle. How old are the reports? Thyroiditis might leave the patient hypothyroid. 2. Secondly she is 15, puberty is another phase of major hormonal and emotional change over. How are her periods? Has she put on weight? or lost some? You have supplemented with multivitamins, please see if B12 upto 1500 mcg is being given and Vitamin D 1000 IU daily or 60,000 IU once a week is going. Also supplement her with calcium and magnesium and check these levels as well. Treat her with Propranolol 10mg twice a day to beat the anxiety and palpitations. Get back to an endocrinologist online -->

Question: Q. Is PAP test valid for screening prostatitis symptoms?; Patient: Hi doctor, I asked my doctor to do PSA test. The PSA came back normal at 1.0 ng/mL. However, he also did prostatic acid phosphatase test which was high at 4.5 ng/mL. My question is whether prostatic acid phosphatase test is valid for screening or not? Should I need to do these tests again? I had prostatitis symptoms in the past. Now, it seems to be fine.; Answer: Hi. I have gone through your query. Prostatic acid phosphatase (PAP) has been replaced by PSA (prostate-specific antigen test). It is better in the detection of prostate cancer compared to PAP. The elevation of PAP levels alone is not a cause for concern. I hope your treating doctor has done a rectal exam to find out any prostate nodules. If it is normal, then it is not necessary to repeat the tests. Hope this helps you. Feel free to revert back with any questions. For more information consult an urologist online -->

Question: Q. Why is my free PSA abnormal?; Patient: Hello doctor, 50 years old, 5.8 inches, 260 lbs. On blood pressure pills. My doctor is out of town for a few weeks. I reviewed PSA test results and apparently I have one abnormal reading out of three. PSA total 0.5, PSA free 0.1, PSA % free 20. The PSA % free 20 is in red indicating abnormal. What does this mean? What causes it to be abnormal?; Answer: Hi. Free PSA should be more than 15 % to rule out prostate cancer. Free PSA is an additional tool used when PSA is above 2.5 and we want to check whether high PSA is due to benign prostate growth or due to prostate cancer. Some laboratories use 25 % cutoff, but most have 15 % cutoff value. Since your total PSA is quite low and free PSA is above 15 %, you should not worry. If in doubt, repeat after a few months.

Question: Q. I have frequent urination and minimal calcification. Does it mean prostate cancer?; Patient: Hi doctor, I am 27 years old. I am worried about my prostate as my grandfather had prostate cancer and my father had an enlargement but was already cured. I had an ultrasound last year due to frequent urinating and result showed minimal calcification a year back. The Radiologist told me that the calcification has nothing to worry as it was not that serious and my doctor (internal medicine) also did not care about it. But I am still worried as what I have read is that even at a young age you can have prostate cancer. Though I am still experiencing frequent urination (I am now drinking a lot of water 2 to 3 liters a day) now, my creatinine is in normal level and KUB is all normal.; Answer: Hi. I have gone through your query. It is extremely unlikely for you to develop prostate cancer at your age. Even in families with hereditary prostate cancer, the usual age people develop cancer is above 40 years of age at the lowest, though it is usually between 50 to 60 years. That said, in your case, it is too early to jump to conclusions of having prostate cancer in your family. The most likely explanation for your symptoms could be a mild urinary tract infection or even your increased fluid intake. Prostatic calcification is commonly seen and does not imply anything significant to worry now. If you are concerned, you can do a PSA (prostate-specific antigen) test and a prostate exam at 40 years. If normal, then you can repeat it after three years interval. For more information consult an urologist online -->

Question: Q. Please enlighten me on non-invasive procedures to detect prostate cancer.; Patient: Hello doctor, I am a 79 year old male. Excellent health, take no medications with the exception of an occasional Viagra. In a recent DRE, my urologist discovered two small nodules on my prostate. A PSA at the time was 6.3. Over the years, I have ranged in 2's and 3's. He suggested a biopsy of the prostate. I have read many negative things about this process. I have also read about nonevasive procedures to detect for cancer.; Answer: Hi. I have gone through your query. I concur with your urologist in the need for a biopsy. Any PSA (prostate-specific antigen) more than 4 or abnormal findings on DRE (digital rectal examination) needs evaluation to rule out prostate cancer. None of the non-invasive techniques are sufficiently accurate as a biopsy at present. The closest is an MRI which, if positive, needs to be confirmed by a biopsy, and if negative does not exactly rule out a malignancy, you will need a biopsy nevertheless. Many blood tests are available but those are only if the DRE is normal and will not be applicable in your situation. Hope this was helpful, feel free to revert back with any other questions. For more information consult a urologist online -->

Question: Q. What is the reason for continuous eye allergy and irritation?; Patient: Hi doctor, I have eye allergy for the past 1.7 years. I have consulted many doctors. I am using steroid eye drops too, but my eye allergy is still present. My eye irritates when it contact with blowing air, perfumes, air conditioner, strong odors, when I get cold and sometimes suddenly without any exposure. Occasionally, it causes pain in the eyes and head. I do not know what caused this. What is the permanent solution for this? Is there any other alternate remedy for this? When I take Cetirizine my irritation subsides in 30 minutes. Please help.; Answer: Hi. For further information consult an eye care ophthalmologist online -->

Question: Q. When should I stop Clexane and Ecosprin should before delivery?; Patient: Hello doctor, Presently I am on my 34 th weeks of pregnancy. LMP was before eight months. I had an IUD of more than 37 weeks before two years. Present medications are Clexane 20, and Ecosprin 75 daily. As per my doctor's planning, I should go for C-section between 36 to 37 weeks. Now when I should stop my Claxene and Ecospirin? This medication is given by my gynecologist after analyzing my boh panel report which states lupus anticoagulant by DRVTT is 45.50. No lupus-like anticoagulant present, APTT is 31.30 and PTT-LA is 98.80. Kindly advice.; Answer: Hello.  I feel that it would be the best if you do not stop these medicines without the advice of your doctor who recommended these and made a plan for your pregnancy because self-treatment strategy will lead to no benefits. And both of these drugs are safe to use, so you do not have to worry. Furthermore, for your knowledge, aspirin is usually stopped at 35 to 36 weeks of pregnancy, and Clexane (Enoxaparin sodium) is being continued until delivery, and even after that. So I would again say that please take advice from your particular doctor before stopping any of these medications as your pregnancy is very precious. I hope it has helped you. If you require any further queries, please do not hesitate to contact me.

Question: Q. Are my symptoms due to HIV infection? I had a high-risk exposure 15 months ago.; Patient: Hi doctor, After 15 months of unprotected sex, I went for HIV test called Comb AIDS test but, the result came back negative for both HIV-1 and 2. Again after three months, I redid the test, but even this time, the result was negative. I was not satisfied, so I went for ELISA test, and again the results came back negative. I consulted two general physicians, who told me that I do not have HIV. But, I am still worried because of the symptoms that I have. I am a male, who weighs 62 kg, and I am 6 feet tall. The symptoms i'm having are:  severe weakness, ulcers in mouth and tongue, fatigue, pain in legs while sleeping, itching in the private part, occasional sore throat, occasional itching and pain in ears, and black spots on my back.  I remember having loose motions after a week of unprotected sex. At that time, the doctor told me that I have food poisoning, and I was alright after taking medicines. Are these HIV tests done by me reliable? Was the loose motion caused due to HIV? Is it possible that my immune system was so weak to detect antibodies during my HIV test? Should I go for another test such as PCR RNA test? Please help me, I am worried. Your kind response will be appreciated. Thank you.; Answer: Hi. The test kits used to diagnose HIV are highly sensitive and specific and gives accurate results. The majority of the people who are infected with HIV (human immunodeficiency virus) develop antibodies by three months, and even in the rare instances of late seroconversions, they develop HIV antibodies by six months. You can rely on your HIV screening test results. If there had been no other exposure other than that, you do not require any further test. The symptoms which you mentioned could be due to various reasons and cannot be attributed to HIV. In fact, there are no specific symptoms or signs which can lead to the diagnosis of HIV. As per the above information, you are HIV negative. Just relax. Hope your query is answered, but if you have any other query, please do not hesitate to ask or call anytime. Best wishes. For more information consult an HIV AIDS specialist online -->

Question: Q. Is stretching exercise helpful for tight foreskin?; Patient: Hello doctor, I am a 22 year old male. I have problem of tight penis skin. Whenever I pull my penis skin back during erection it will be very hard to do. Then, my penis skin gets stuck behind the penis forehead and it is very painful to retract back. I generally use oil for this problem. Please suggest me what to do.; Answer: Hi. For further information consult a urologist online -->

Question: Q. My husband is over-possessive and controlling. Please help me.; Patient: Hello doctor, I am newly married. My husband is 26 years old and I am six months younger to him. My family members say that my husband is over-possessive and controlling. How can I know if my husband is over-possessive and controlling?; Answer: Hi. Most of the persons who are over-possessive of their partner show certain kinds of behavior that is uncommon in the general population. They feel less secure and this sense of insecurity is the driving force for the over-possessive nature. Someone who is insecure may doubt their partner's dedication and may, therefore, try to control them. In short, they feel vulnerable and will do anything to make sure they are not hurt. The sense of insecurity can stem from a number of situations including parents leaving a child, a past romantic partner who was unfaithful and many more. To control the possessiveness: Consult a psychiatrist online in case of further assistance in overcoming this situation -->

Question: Q. What can cause pimples near penis?; Patient: Hello doctor, I have pimples near my penis. I do not understand what problem I have. I am worried about that. Please explain my problem.; Answer: Hi. It is very difficult to say what disease you have, because pimple does not come over penile area. It could be molluscum which looks like a pimple. If you can send me the photos, then I can definitely diagnose it. Explain the lesion properly like itching, pain, duration, pus filled, etc? Are you sexually active? Revert back with the photos to a dermatologist online -->

Question: Q. How to calculate the number of days of pregnancy?; Patient: Hi doctor, I am 18 weeks 2 days pregnant. My friend told me that I am supposed to add two weeks to those 18 weeks while counting. Is that true? Can I get pregnant if I had sex during period? My period was on the 28th and I had sex on the 5th. That time, my period was on, but not heavy. Could I have gotten pregnant that time? How long do sperm stay in the body? Please explain.; Answer: Hi. For further information consult an obstetrician and gynaecologist online -->

Question: Q. As I am having a history of miscarriages, will taking hCG injections help me to continue pregnancy?; Patient: Hello doctor, My lmp was on five months ago. I was spotting for three days during my lmp and got a positive strip test after seven days. My beta hCG level on the day of a positive result was 126, and after two days, it was 125. I am being told that I will get periods in two weeks but told to continue folic acid and multivitamin and come for ultrasound in three weeks if no periods come. I have a history of miscarriages, and I am 35 years old. Can hCG injections help me or should I consult another doctor? Have I miscarried or there are still chances?; Answer: Hello. Unfortunately what your doctor has said is right. Spotting in early pregnancy is normal. But a fall or no rise beta HCG is a poor sign. Beta hCG is a hormone produced from fetal tissue. At a level of 25 mIU/mL urine test is positive it doubles in 48 hours. So if the result of 7th is 125, then on 9th it should have been around 250 or more. Only healthy fetal tissue can produce an adequate amount of this hormone, so indirectly we get to know the health of the embryo even without seeing it. So it just means the fetal tissue is not growing. There can be lab errors, so to be on a safer side doctor has asked you to come for scan, to confirm.  If you are worried about the repeated miscarriages, have yourself and your partner checked for any problem. Causes like blood sugar levels, thyroid hormone problems, or prolactin hormone abnormalities, any structural problems in the uterus or any problem in semen. Do not lose hope, if you are getting pregnant without much help, no matter what the outcome is, then you will surely have babies. I hope I have clarified your query, do write back if any more questions.

Question: Q. How to increase my height?I am 23 years old.; Patient: How to increase my height? I am 23 years old.; Answer: Hello. Consult a nutritionist online for further follow up --->

Question: Q. Is it safe to take Clenbuterol being overweight and asthmatic?; Patient: Hi doctor, I am 33 years old. My height is 176 cm and I weigh 77 kg. I started hitting gym a month back. I am into 1 hour daily workout, which include both aerobic and anaerobic exercises.  As per the BMI report, I was informed to keep my weight under 67-72 kg. Recently my gym trainer informed me about the pill Clenbuterol and it is safe to go for it. I went through a few websites and came to know it is more effective in burning fat, muscle build up and also used for treating asthma patients. My medical background is, I am an asthma patient. My recent medical checkup indicated that I have BP which is marginally little higher than regular and doctors indicated that it is not that much to be concerned about. I came to know, Clenbuterol is a steroid which has lots of other side effects like muscle cramp, dizziness, hand shaking, heart problems and effect on aorta. It has short and long-term effects too. It is completely banned in few countries and not available through prescription as well. Can you please inform me whether I have to go for it? Also, I want to reduce my weight without any side effects. As I am working as a software engineer, there might be a possibility that I will be traveling across countries and need to go for blood and urine tests for visa approval. I would like to know whether it will cause any problem in these cases as it is an illegal drug. Please let me know if any further details required from my side. Thank you in advance.; Answer: Hello. For further information consult an internal medicine physician online -->

Question: Q. Shall I take Raw Bovine Ovary pills to increase breast size?; Patient: Hello doctor, I am a 25 year old female. I am wondering whether Raw Bovine Ovary pills are safe to take. I am looking to gain weight in my thighs and breast. My thighs and boobs are skinny. Kindly explain.; Answer: Hi. For further information consult an internal medicine physician online -->

Question: Q. What can cause genital numbness?; Patient: Hi doctor, I have been riding my bike a lot more recently and now I noticed that I am having numbness within the perineal region including scrotum and penile area. I have stopped riding since the onset of symptoms and it has been over a week now. Should these symptoms resolve with time if I quit riding? Please suggest.; Answer: Hello. For further information consult a neurologist online -->

Question: Q. What causes warmness in the left side of chest?; Patient: Hello doctor, I am 23 years old. I am obese and have a family history of cardiac arrest. My father got cardiac arrest at the age of 53. I have consulted the local cardiologist and gone through ECG, echo, TMT, lipid, hs-CRP and other blood tests. All the tests were normal except heart rate, which was 110 and also high BP. I am taking Rosufit 10, Nebistar 5 and Cilaheart 10. Currently, I am feeling warm in the left side of my chest for a short span of time. Sometimes, I have slight pain in my left hand and feels like a pinch type of pain in the center of the chest when I inhale and exhale. Is it normal?; Answer: Hello. This kind of chest pain occurs during stress and anxiety only. We label them nonspecific cardiac chest pain. But, we should always keep in consideration cardiac chest pain and acid reflux. It is important to differentiate between the all. However, the cardiac chest pain is severe and crushing in nature. It increases on activity like walking and exercising. It also gets radiated to left arm. Since your ECG and other cardiac workup are normal, the pain is not due to cardiac issues. For acid reflux, I would advise you to take a combination of Pantoprazole and Domperidone once a day. Your increase in heart rate might be possibly because of anxiety only. For anxiety, try to do meditation and if no relief, you would be treated with anti-anxiety drugs like Etizolam. For further clarifications consult a cardiologist online -->

Question: Q. Why the absolute monocytes are low in my routine blood work?; Patient: Hi doctor, I just received my routine blood work for my cholesterol count and noticed that my absolute monocytes are low, 163. Other than this, all other blood results are within normal range. My total WBC is 5.1 and monocytes 3.2%. It there a reason to be concerned? I am currently healing from a terrible fall on my deck stairs, which resulted in a massive hematoma on my buttock. Would this have anything to do with the low absolute monocyte reading? I am currently on Lotrel and Lovastatin.; Answer: Hi. Based on your query, my opinion is as follows (attachment removed to protect patient identity): For further information consult a hematologist online -->

Question: Q. How to overcome sexual attraction towards my mother?; Patient: Hi doctor, I am a 22 years old male. I feel sexually attracted to my own mother. I had some mild feelings since childhood, but it became strong since teenage. I started feeling to be loved by mom as her son and sexually too. I sometimes feel guilty about it. But, I could not control myself. I saw my mother naked sometimes and this fed my lust towards her even more. I am getting dirty thoughts about her when I think about having love with her. I also watch porn especially incest. I want to express my love to her sexually. Please provide some way to overcome this. I am not under any medication. I am just trying to control myself mentally.; Answer: Hello. I can understand your problem. Sexual feelings in an adult towards a female are considered as normal and acceptable. But, such feelings towards any female with blood relationship are not acceptable in any society and this result in significant blow to reputation and respect. The feelings you have described towards your own mother are wrong and should be controlled. In future this might result in relationship problem in your case especially towards your wife. This might result in difficulty in maintaining relationship with any other female. To overcome the problem you have to work hard. One thing is that stop watching porn completely. If that is not possible at this moment then watch videos only and avoid going to forums or reading stories of incest online. Such things increase the perversions. Avoid watching any material that relates to incest. I am not saying that you should stop masturbating but stop thinking about incest. You are having guilty after incest ideas, so most likely these are intrusive ideas and should be treated also. If possible visit a psychiatrist for help. Medicines like Paroxetine or Fluoxetine can help to control your intrusive ideas and you will feel better. These are safe medicines. Spend your time in outdoor activities. Gym and sports will help to vent out your energy and you will feel better. Avoid spending more time on computer and if your work permits then stop using computer or internet for some days. This will help you to overcome the addiction. Psychological conflicts. For further information consult a psychiatrist online.--->

Question: Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?; Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?; Answer: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->

Question: Q. What are the causes of brown discoloration of the skin around the fingertips?; Patient: Hello doctor, I have a brown discoloration of the skin around my fingertips. What is the reason?; Answer: Hi. Revert with more information to a cosmetologist online -->

Question: Q. Please explain the reason for weight gain during pregnancy.; Patient: Hi doctor, When I had my third ultrasound, I was 24 weeks pregnant and it appeared like two faces in the ultrasound. I keep asking my obstetrician regarding my weight gain. I am gaining so much weight when I barely eat and my stomach so huge. I found that at 14 weeks on my first ultrasound I was having a boy and that was pretty early for me to find out a gender. I eat like two meals at once a day. I am now 34 weeks and 5 days pregnant. My obstetrician does not check my pelvis and not advised for another ultrasound. Can I send a picture of my third ultrasound to get a second opinion whether I am having twins?; Answer: Hi. For further information consult an obstetrician and gynaecologist online -->

Question: Q. My gums behind the last tooth is swollen and painful. Is it due to food impaction?; Patient: Hello doctor, I am an 18 year old, who dislikes visiting the dentist. Therefore, you can imagine my hygiene is very good. I had a brief period of gingivitis as a result of using braces for three years. Having removed my braces over a year ago, and lucky for me, I do not have wisdom teeth, the end of my dental pain seemed over. However, about five days ago all of a sudden, I woke up and the very back of my mouth around the last left molar is swollen. It is sore and irritable. I kept brushing and using salt water. There is no bleeding or pus, but it started to feel more irritable and tender as if it was an infection. It has not gotten worse in swelling or pain, but it has not gotten better either. My mother predicts a piece of food of some sort got wedged in the gum line, near my tongue. We have tried using Orajel to numb it enough so I could use floss or a toothpick to work around the gum, but it still is very painful to touch and it is very hard to reach that area. Sadly for me, I am starting my Invisalign treatment and I am going to get the impressions tomorrow. And I also have an appointment for a regular cleaning. I am petrified. Do you think a piece of food is the problem? Is there something I can do to remove the food before my appointment tomorrow? What will the dentist do tomorrow when I ask him to address the situation? What are the chances this is a bigger infection and is not food related, what will the dentist do then? Will I have to have surgery or procedure done or antibiotics will help?; Answer: Hi. Regards. For more information consult a dentist online -->

Question: Q. Is talking to myself in front of the mirror a symptom of schizophrenia?; Patient: Hi doctor, I am a 24 year old female. I am a healthy and happy person. I eat well and exercise well. I have a lot of friends, cool hobbies, etc. But, I have a weird habit. Whenever I am alone I talk to myself standing in front of the mirror. I imagine a lot. I think so many things like I am in an interview and I try to venture out the best answers and framing smart answers. When I am practicing on my guitar, I imagine lots of people are watching me and appreciating me for playing so well. I imagine futuristic conversations with people where I ask a question and answer them. When I am alone, I keep imagining some stuff. Also, I pick up some topic and start talking to myself in front of the mirror. I personally feel this habit has improved my communication skills, confidence and vocabulary. I am not shy and I do not have stage fear. When I meet my friends or when I am giving presentations at college, I am the one who used to stay very confident. However, some days back, when I was talking to myself in front of the mirror, my mom questioned me. Until now I did not pay much attention to what I was doing. But, ever since my mom saw me doing that I have become conscious. I have stopped talking to myself for two to three days. But, I do not feel like I have been missing out on anything. I am still friendly and confident. But, I am just wondering if I have crossed the line of sanity. I searched about this on the internet and came across something called as schizophrenia. Is this disorder setting with my habit? Do I have schizophrenia or any other disorder? To be honest, after reading about this schizophrenia I am very scared. It sounds like a very serious disorder to me. Please help.; Answer: Hi. I read your query with keen interest and understand your concerns. From the available description, I do not think you have crossed the limit of sanity or you developed schizophrenia. Schizophrenia is altogether very different disorder where people have abnormal perceptions such as hearing voices when no one is present and seeing objects when nothing is there. I do not see any of them with you. In my view, you need to put your worries at rest and do what your mind and heart considers right. It may be abnormal for your mother, but there is no pathology with this. If you feel more assistance is required or my answer to your query is far from setting down the worries, then it is better to see a psychiatrist in person. For further information consult a psychiatrist online -->

Question: Q. Why do I have a wet feeling inside the anus?; Patient: Hello doctor, I have a wet feeling inside the anus for the past one year. I did a colonoscopy and sigmoidoscopy, and the doctor said that everything is fine. They said probably the wet feeling is due to sweat. Swab culture and sensitivity report showed up Klebsiella pneumoniae. I took Augmentin 625 and applied ointments. But I feel it is some liquid discharge from the anus skin. Can you suggest some medication?; Answer: Hello. An anal leak is mostly due to underlying reasons, which need to be thoroughly investigated. Although we can together try reaching out on differential diagnosis. Regards. Revert with more information to a cosmetologist online -->

Question: Q. Is Metmax injection the right one for head spinning?; Patient: Hi doctor, My sister is having some neurological problem. She is normal, but at times she feel uneasy and head spinning. We have consulted with a doctor since one year and a few days back for the same issue her doctor prescribed Metmax injection to be taken one per day for the next five days. But, after taking one injection, she is feeling very drowsy and not able to remember things and forgetting the past. I request you to kindly let me know the details of Metmax injection. Is it the right treatment?; Answer: Hi. Revert back with the answers to the above questions to a neurologist online -->

Question: Q. Is it likely for HIV symptoms to show up after 5 to 6 weeks of possible exposure?; Patient: Hello doctor, I am a 31 year old male, and my query is regarding possible HIV exposure. Four months back, I had a sexual encounter with two female partners. I had insertive vaginal sex and received oral sex. Intercourse had lasted for about five minutes twice with each partner. Condoms were used throughout and were changed for every partner. I do not recall any of the condoms breaking or slipping off completely. About a week or so after the encounter, I experienced some health-related concerns, one after another.I got an eye stye, inside of the eyelid, which was little painful and irritating. It went away in a week. I got a boil, nearly an inch in diameter, in the lower abdomen, which subsided in a week. I also got a white area behind the wisdom tooth. This area was painful during the initial 3 to 4 days, then the pain subsided, and the white area started growing bigger. OPG and clinical examination suggested impacted wisdom tooth and trauma caused by friction of upper and lower wisdom teeth. So, I got both the wisdom teeth extracted. Now, it is normal.I also had a skin tag in the underarm area, which turned painful, hard, and dark purplish. One or two light reddish spots in the adjoining area. They resolved in 7 to 8 days. I have high blood pressure and triglycerides. My triglycerides were 292, which dropped to 195 after 10 days without medication. I got a severe headache one night, which went away next morning. I feel light-headed while walking, staring at the computer, etc., but not when lying down for 5 to 6 days. This happened concurrently with the diagnosis of high triglycerides and BP. I also have diarrhea type condition, that is, I have bowel movements thrice a day, which lasted for 9 to 10 days. My gastroenterologist remarked ‘no abnormalities detected.’ I took antibiotics and other medicines for the dental problem few days before this.I do not have a fever or any unusual skin rash. I do not have unusual body ache or weight loss or loss of appetite. I also do not have any apparent swollen glands. My creatinine and TSH test reports are normal. My LDL is normal, and HDL is little lower than normal. Assuming either of my partners was HIV positive, what is the chance of me contracting his? Does any of the above health concerns related to HIV? Does HIV symptoms, if any, appear together or can appear one after another? What is the most likely period after exposure when symptoms appear, if at all? In other words, is it likely for HIV symptoms to show after 5 to 6 weeks? I realize HIV infection can be confirmed only by a test. However, I sincerely request a prompt and clear response to the above queries, which will help me cut down the fear. Thank you.; Answer: Hi. The answers to your queries are as follows: Hope your queries are answered, but please do not hesitate to ask or call anytime for any further query. Best wishes.

Question: Q. My period has been late by 13 days. What could be the reason?; Patient: Hello doctor, I am a 24 year old female. My period has been late by 13 days. I am sexually active. I took a home pregnancy test but that was negative. My period has been fairly regular in the past with them happening 4 days prior or after my date. I have taken emergency morning after pill in the past (thrice in the last 4 months). What could be the reason? Is there a possibility that I could still be pregnant after a negative test, though I have not had any other symptoms of pregnancy nor am I having any sought of discomfort?; Answer: Hello. The striking point in your history is that you have taken morning after pill thrice in the last 4 months. It has to be understood that the most common side effect of an emergency contraceptive pill is delaying the next 2-3 menstrual cycles.  As your pregnancy test is negative even after 13 days post period, it clearly indicates that you are not pregnant . Hence, the delay in periods is likely to be due to ipill side effect. Or another possible reason for the delay could be stress induced hormonal imbalance during this menstrual cycle. Stress including emotional, psychological, physical or social disturbances, all have a bearing on the reproductive hormones and can easily delay your menses, once pregnancy is ruled out.  It is suggested that you can wait for another week to allow your menses to resume naturally , if not then you may opt for a withdrawal bleed with progesterone pills to resume your menses.  As pregnancy test is negative, you can rest assured and wait for another week safely. For further queries, consult an obstetrician and gynaecologist online -->

Question: Q. Had blisters due to rough masturbation. How would they heal?; Patient: Hi doctor, Yesterday night I did some rough masturbation. As a result two blisters appeared today at my penis. I have attached the picture. There is no itching and everything is normal except these blisters. How would they heal? Do I have to apply anything on them? Kindly guide.; Answer: Hi. Revert back with the answers to a dermatologist online -->

Question: Q. Can I get pregnant with fingering after he touched his penis?; Patient: Hi doctor, I had oral sex, and my partner ejaculated his sperms inside my mouth, and I sipped the sperm that came out. After that he touched his penis, then he grabbed my pants near my vagina twice. After that, he used the same fingers inside my vagina. It was my first time with the oral sex and fingering. I do not know that there were sperms in his hand. We did not have sex. But, can I get pregnant in this situation? I missed my periods this month. What is the cause?; Answer: Hi. In your case, there is a chance that semen might have entered into the vagina. As you have not done any sexual intercourse, there is less chance of getting pregnant. You have to rule out pregnancy by urine hCG (human chorionic gonadotropin) test. You can do this test at home. If pregnancy is not present, then thyroid problem and diabetes should be ruled out. Excess stress, obesity, prolonged fasting can also lead to a delayed period. You can consult a gynecologist for examination if needed. For more information consult a family physician online -->

Question: Q. What is the treatment for inguinal lymphadenopathy?; Patient: Hi doctor, I am a 55 year old male. I am suffering from inguinal lymphadenopathy. 2 years ago I have this on right side and now on left side. There is a square shallow knot present on the right side now. I have stiffness and rigidity especially in the left arm and occasional limited movements. Also I have discomfort in my legs and inguinal region. On ultrasound it was observed lipomatosis of inguinal lymphs. I have painful point in inguinal region, only if I press. I have noticeable weakness, but no weight loss. Occasionally I feel very low energy and could not maintain erection. I feel numbness in the shoulder or finger when wake from sleep. I have low sedimentation rate. There is no abnormal blood and urine finding. I had blood test and it is negative for all infectious diseases such as Lyme, cat scratch, AIDS, etc. Please help with some suggestion. Thank you.; Answer: Hi. I assure you not to worry as all things may get settled with proper care and follow-up. 1. Inguinal lymph nodes usually get prominent due to some infection (that you say have been ruled out) or some primary pathology of the nodes themselves.  2. The knots you are talking about also warrants to rule out if that is a vein pathology or lymph nodes can be benign or cancerous changes. Biopsy of the nodes is mandatory especially when there we see changes on ultrasound.  3. Weakness can be due to hemoglobin or red blood cell deficiency. Other causes of weakness may be hypothyroidism or fluid and electrolyte imbalances.  4. Your low sedimentation rate may be due to red blood cell, white blood cell changes and protein abnormality. Sickle cell disease also may cause it. But clinical correlation is the key and for that your physician needs to go for physical examination and if suspicion arises, he may refer you to hematologist.  5. Pain in the lymphatic region can be due to lymph nodes being pressed on or it is possibly from lipomatous changes.  6. I also prefer you to get a detailed heart evaluation from cardiologist as weakness, shoulder and arm issues warrant that too. This kind of symptoms also needs screening for hypertension and diabetes mellitus. Your physician can help you for that too.  7. If you have got tested the above in past 8 weeks, you may upload the reports here for my review and diagnosis. If more than 8 weeks old, please go for repeat fresh tests. Biopsy and histopathology of the lymph nodes. Can be decided on investigations and diagnosis. Revert back with the investigation reports to an internal medicine physician online.--->

Question: Q. Is it normal to have cobblestone appearance at the back of throat after tonsillectomy?; Patient: Hello doctor, I had tonsillectomy about a month ago. I had been healing but I am concerned about my healing process. My uvula has gotten smaller and has strange color plus I see cobblestone at the back of throat and blue or dark red color surrounding soft palate. And there are visible blue or red blood vessels everywhere around the palate and arch.; Answer: Hi. All these are normal after tonsillectomy surgery. I will suggest some steps to relieve some of the symptoms you are facing. Gargles with Benzydamine mouth wash diluted in water few times daily will help soothe the area and relieve pain. You may also take Tylenol for a few days for the pain relief. To relieve inflammation (the engorged blood vessels and cobblestone formation) you can take a combination of Trypsin Chymotrypsin Bromelain Rutopside. This medicine will relieve inflammatory cells and products from the area. Cobblestone formation is normal after the surgery. Regarding the reduced length of the uvula and the scarring on the palate, I would say, they are due to bad surgical technique. We carefully dissect the tonsil out of the pillars so that there is nil scarring of pillars and change to the uvula. We use a coblator for the purpose that minimizes bleeding and postoperative pain.

Question: Q. Despite negative pregnancy test, I did not get my periods. What to do?; Patient: Hi doctor, I had unprotected sex with my husband after five days of my last periods and took an i-pill immediately. I did not get my periods yet and my two home pregnancy tests were negative. My periods are always regular prior to this. I am under regular medication of Eltroxin 100 mcg. Please help me.; Answer: Hi. Revert back after a week to an obstetrician and gynaecologist online -->

Question: Q. After oil massage, my lower back is full of acne. Any suggestions?; Patient: Hello doctor, So I never had acne on the back, maybe one or two single, but after visiting this massage center, which I know was a big mistake, my lower back is full of acne. I tried a couple of ointments, did not work. Cortisone helped a little, but not really. I think I need oral back up, any suggestions?; Answer: Hello. Apply Adapalene and Benzoyl peroxide 2.5 % combination gel at bedtime over the back. Do not apply Cortisone cream (steroid). It can lead to worsening of the condition. Clinical photographs would have helped. For more information consult a dermatologist online -->

Question: Q. A 10-year-old girl obsess spanking frequently. Is this due to Asperger's syndrome?; Patient: Hello doctor, I am afraid that my 10-year-old daughter might have Asperger's syndrome. She obsesses over spankings all day long. She watches videos of spankings all day long also, and she fantasizes of getting hit. She even spanks her brothers and sisters. I can tell it gives her some pleasure. She has no friends, and she wants to sit fantasizing about it if she does not have an iPad to look it up. She also obsesses a specific type of people. Does she have Asperger's? Is this a symptom of it or something?; Answer: Hello. Your daughter is into the screen most of the time, and hence, it will be her primary advisor. She is just modeling what she sees and is quite common at this age. Try to minimize her interaction with the screen. She requires more human interaction. Put her in extracurricular activities to the maximum. Spend time with the child talking to her, and she will like it. Do not punish her, as it will have a negative impact, and the behavior can increase because of scolding. She will slowly get out of it. You can review with me for further follow-up.

Question: Q. We are trying to get pregnant but we lack high libido. Please help.; Patient: Hello doctor, Trying to get pregnant from last one year. All the tests for both of us are fine. The only problem is we are not very high on libido.; Answer: Hello. By saying that all tests were normal, I hope you mean 1. Blood sugars, thyroid profile, and prolactin hormone levels. 2. Husband's semen analysis. 3. Wife's scan of uterus and ovaries. 4. Fallopian tube patency tested with HSG (hysterosalpingography) or laparoscopy. Now for loss of libido, the following reasons are to be addressed. 1. Above mentioned blood tests. 2. Kindly seriously think of shedding few kgs. Your expected body weight is 52 to 57 kgs. 3. Try to reduce any physical or mental stress. Diabetes has to be ruled out with HbA1c. If all these are normal, there is no reason for you to worry, and you will surely get pregnant. I hope I have clarified your query, do write back if any more questions.

Question: Q. How to diagnose celiac disease from deamidated gliadin IgG level?; Patient: Hi doctor, My friend had his deamidated gliadin IgG antibody test done recently. The test result is 152. Does it mean that the person is having celiac disease?; Answer: Hi. Deamidated gliadin IgG antibody level of more than 30 is diagnostic of celiac disease. Since the number mentioned by you is 152, it indicates that the person is having celiac disease.

Question: Q. Can sound from a loudspeaker cause any effect on my eardrum?; Patient: Hi doctor, I went to a chant few days back. There the loudspeaker was very loud. The very next day I noticed that there is ringing in my left ear. Now, it has been four days, but it has not gone. Can you help me? I am very scared. Has it caused any effect on my eardrum? Please see to it. Thank you.; Answer: Hello. From your history of noise exposure and symptoms, it is suggestive of acoustic trauma. It occurs after a single exposure to very intense sound which cause damage to the organ of corti or damage the hair cells. Symptoms include ringing sensation in ear known as tinnitus and hearing loss. Treatment depends on severity of symptoms. If only tinnitus is present, protect the ear from further damage and also take some neuroprotective drugs. But, first you need to do a pure tone audiometry (PTA) to assess the severity. 1. PTA. 2. Tympanometry. Acoustic trauma. 1. Capsule Zincosule-4G (Multivitamin) once daily. 2. Tablet Defcort (Deflazacort) 12 mg once daily for seven days. Avoid loud sounds.

Question: Q. I had unprotected sex during my infertile days. Can I be pregnant?; Patient: Hi doctor, I am 32 years old female. I had unprotected intercourse 14 days back with no ejaculation from his end. I took an I-pill the next day at 8 PM for precaution. Those were my infertile days as my last period occurred 36 days ago. It has been more than a month; still I have not got my periods. Could you suggest some ways to get back my periods? Thank you.; Answer: Hi. Please wait for a week for your period to start. If it does not start by then, you will have to do urine pregnancy test to rule out pregnancy. Period could have been delayed due to stress. Another rare possibility is that of pregnancy. Though you mentioned the days you had sex as your infertile days, sometimes occasionally ovulation could be delayed making the days fertile. Still you had taken emergency pill (though it is highly effective in preventing pregnancy, protection offered is not absolute). So, there can be little chance of pregnancy which you need to rule out first. If you want to rule out pregnancy earlier, you can do blood beta-hCG test, negative result of which will rule out pregnancy. Other option as I told is to wait for a week. If pregnancy test comes negative and still period does not start, you can induce period by taking tablet Medroxyprogesterone acetate 10 mg twice daily for five days. Period generally starts within a week of last dose of tablet. It will not induce period if you are pregnant.

Question: Q. I am bleeding with clots after using MTP kit. Is this normal?; Patient: Hello doctor, I am 25 years old and had a pregnancy for five weeks. Four months back, I had used MTP kit. The problem is, even now I am having bleeding. Is this normal? How to sort this problem if it is not normal? Looking forward for your valuable feedback. Thank you.; Answer: Hi. I understand your situation. This much of bleeding is considered unusual. Either the process of abortion has been incomplete, because of which the uterus is still trying to expel out the products of conception. Or you have some blood problem. Are you still passing clots? Or is it plain blood that is coming? Also, if you could tell me exactly how you proceeded to take the medicine it would give an idea of the cause of bleeding. For the time being, take tablet Tranexamic acid 500 mg, thrice a day. This will stop the bleeding, but not cure the problem. So, till the time we know exactly what is wrong, you can take this tablet. Incomplete abortion. Ultrasound pelvis for retained products of conception (RPOC) and CBC (complete blood count).

Question: Q. How do I fade the acne marks without laser treatment?; Patient: Hello doctor, I have used Benzoyl peroxide gel for my acne and it has almost cleared. But, the acne left some red marks and blemishes on my cheek. I wanted to fade that redness on my skin. In the past, I used Epiduo gel. Please suggest me a product and guide me to remove that redness without laser treatment. Thank you.; Answer: Hi. There is redness and some pus filled acne too (attachment removed to protect patient identity).

Question: Q. I am 13 weeks pregnant. Kindly explain about subseptate uterus.; Patient: Hello doctor, I am 13 weeks pregnant. I have been diagnosed with subseptate uterus with the live fetus in the left horn. Baby is good, with heartbeat and growth. My doctor has advised me proper rest and some medicines. I want to know in detail about this subseptate uterus.; Answer: Hello. Let me start with a few basic facts and further clinical correlates and effects. Every lady has two uterine tubes, which fuse at birth, and over time, the wall between the two tubes disappear. Now the uterus is converted into a single cavity uterus. The upper ends of tubes remain separate as two fallopian tubes. Sometimes the fusion is complete, but the partition does not disappear. If the tubes do not touch others or do not fuse at all, then you get bicornuate uterus. But if only the wall is partially removed, it forms subseptate uterus. If the wall does not disappear at all, then the septate uterus is formed. Now in both the last two conditions, the main problem is that the space inside the uterus is compromised. The best option was to have a hysteroscopic resection of septa then get pregnant. Having rest makes no difference. At 14 to 16 the week, she can undergo an elective cervical cerclage. Due to septa, uterus loses its polarity, and she is prone to cervical insufficiency. As space inside the uterus is compromised, she can have preterm pains, preterm labor. Due to septate, the baby presentation may not be head down. I hope I have clarified your query, do write back if any more questions.

Question: Q. What causes respiratory problem in a 36-year-old?; Patient: Hello doctor, My mother is 36 years old, and she is suffering from the respiratory problem from last two days, her hemoglobin count is 9.6, can you please tell what causes this problem?; Answer: Hello. I have read through your question and would like to tell you that respiratory problems can be due to allergic or due to infection. Her Haemoglobin could be due to dietary deficiency. Give her iron-rich diet like dates, banana, and green leafy vegetables. If the respiratory problem is due to infection, then she may need an antibiotic course. For now, steam inhalation will help to relieve her. Steam inhalation with menthol twice daily. If her condition does not improve in two days, get her checked by a physician. If her Hemoglobin does not improve in one month, get a complete blood profile done to know the cause of anemia. I hope that answers your question. If you have any further questions, please feel free to write.

Question: Q. During orthodontic treatment, when will they remove the blue fillings?; Patient: Hello doctor, Today is my fourth day of braces, so I was just wondering when my blue fillings will be removed. The blue fillings purpose is to prevent me from biting down on the braces, but when will they get removed? Also, when will I feel comfortable biting down on my fillings, since my teeth are sore and it hurts, or when will I get actually to chew since I can only swallow?; Answer: Hello. Blue fillings or bites are removed when your teeth are better aligned, and deep bite (if present) is improved or corrected enough to prevent interference of upper teeth to lower braces. It takes a while to get used to the blue bites, usually 7 to 14 days. However, chewing continues to be less effective for longer. It is advisable to eat soft foods and supplement with nutritious juices and smoothies.

Question: Q. Current dose of Synthyroid is 150 mg. What is the recommended dose to get normal thyroid level?; Patient: Hello doctor,My 24 years old daughter born without a thyroid and treated with Synthroid since birth has a TSH level of 23.980 uIU/mL and T4 Free of 1.57 mg/dl on the current dose of Synthroid 150 mcg. Her weight is 150 lbs and height 5' 4". Her endocrinologist increased her dose to 300 mcg, thinking her dose had been 250 mcg (incorrect). What is the correct dose to return to normal thyroid levels for this condition at her age and weight?; Answer: Hello. It is better to increase the dose by 25 mcg, i.e. 175 mcg if she was using 150 mcg till date escalating the dose or thyroid medication will be like 25 to 50 mcg at a time. Not double the dose causes severe sickness. As you mentioned, she was Synthroid (Levothyroxine). It is better to continue the medication to maintain a normal thyroid level for a long time. After using this medication 175 mcg, it is better to repeat the thyroid profile after six weeks to check for that thyroid level.

Question: Q. Is it too risky for me to marry someone with sickle cell trait if I have beta thalassemia trait?; Patient: Hi doctor, I have beta thalassemia plus trait (AT+) and want to marry a man with sickle trait (AS). Please see the attached file of my beta thalassemia DNA genetics. Please give me the possibilities of our baby. I know there is a 25 % chance that the baby might have sickle beta plus thalassemia (ST+). But, will the symptoms be severe or mild or that of a carrier with very slight symptoms, that he/she will not need blood transfusions at all. What is your recommendation doctor? We love each other and want to be sure about our baby in the future. I am looking forward to your reply; Answer: Hello. I have seen the reports (attachment removed to protect patient identity). Take care. Hope this will help you. For more information consult a hematologist online -->

Question: Q. I have burning irritation in the middle portion of the penis after masturbation. Please help.; Patient: Hi doctor, I am an 18-year-old male. For the past four years, I have burning irritation in the middle portion of my penis after masturbation. The irritation gets relieved to some extent after I urinate. Please help me.; Answer: Hi. Penile pain occurs due to infections or inflammation of the bladder or prostate. Trauma, persistent erection (priapism), cancers, and Peyronie's disease (the development of scar tissue within the penis) are the other causes. Sickle cell anemia may cause priapism due to blockage of small blood vessels in the penis. I suggest you consult a doctor for a physical investigation.

Question: Q. What is the life expectancy of a sickle cell disease patient?; Patient: Hello doctor, My fiance got sickle cell SD. He is 27 and does not suffer from anything else. He takes medication and changes blood every 4 to 6 months. My question is does it affect his life expectancy?; Answer: Hello. Usually, in sickle cell anemia, blood transfusion is not needed. The prognosis depends on the severity of sickle cell. Dehydration, infection is a usual precipitant for sickle cell anemia. So it is better to avoid them and whenever having such incident, consult a doctor immediately. Sickle cell anemia patient's median age can be considered between 50 to 60 years but still, the exact specific prognosis cannot be predicted.

Question: Q. What causes pain during dehydration in a sickle cell anemia patient?; Patient: Hello doctor, Sickle cell anemia is my problem. My age is 30 years, while dehydration time, I am getting pain. Is this issue dangerous?; Answer: Hello. Yes, sickle cell anemia is a disease where RBC shape changes while dehydration and oxygen level goes down in body. Usually red blood cell will be round and plate shape. During dehydration and less oxygen time the shape of the red blood cell becomes sickle shape. Now RBC will stick together and block the blood vessels and produce ischemia. So to reduce the obstruction, you need fluids more. If obstruction is in lung, spleen, kidney or any organ, it is dangerous and severe painful. So avoid dehydration conditions, do not do severe exercise, avoid going to hill stations where oxygen is less. Drink adequate water.

Question: Q. Are my weakness and confusion due to low sugar or stroke?; Patient: Hello doctor,I am suddenly feeling faint, weak, shaking, confused, and as if moving in slow motion. It has been going on for nearly 24 hours. Is this low blood sugar or stroke?; Answer: Hello. For more information consult an internal medicine physician online -->

Question: Q. My dad is in coma now. What will be the prognosis?; Patient: Hello doctor, My dad is suffering from JE and both his thalamus are infected. Now, he is in coma. What is the prognosis of his condition?; Answer: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further doubts consult a neurologist online -->

Question: Q. Is there any risk in giving DTwP booster dose to a baby diagnosed with seizure?; Patient: Hello doctor, At birth, my son was diagnosed with a seizure. Now he is 18 months old. I am fearing about DTwP booster dose side effect. Earlier three doses had reaction of muscle stiffness and fever.; Answer: Hi. I have read your question in detail and I know that you are very concerned about your child but do not worry. Muscle stiffness and fever can occur after a DPT vaccination and is not a contraindication for vaccination. Contraindication for DPT vaccination are seizures, inconsolable crying, and central nervous system infection or encephalitis after giving DPT vaccination. If you want to be on safer side then go for acellular vaccine instead of whole cell vaccine. You should give DTaP vaccine instead of DwPT vaccine. Take care.

Question: Q. I am trying to conceive for the past one year with autoimmune hypothyroidism. Please help.; Patient: Hello doctor, I am not able to conceive after trying for almost one year. I was diagnosed with pituitary microadenoma and I am on medication. My prolactin levels have now reached normal levels after two months taking medication. I suffer from hypothyroidism and on medication. I have had this for five years now and it is well within the limits as per my endocrinologist now. This is due to an autoimmune disease where my TPO (thyroid peroxidase) antibodies were high during the diagnosis five years ago. My husband and I would like to know how should we best prepare for pregnancy and what to look out for. We would have preferred to visit the clinic. Unfortunately, I am not in a position to visit the doctor due to travel restrictions. It would be great to get in touch with a specialist. I am currently on Euthrox 100 mcg, Cabergoline 0.25 mg once a week, and Folic acid 450 mg daily.; Answer: Hello. I have gone through all your reports (attachment removed to protect patient identity) and your prolactin and thyroid levels are well in control. What is missing in the follicular monitoring profile of the dummy cycle and also your husband's semen analysis test? You have been following the correct protocol using LH kits for ovulation and post LH surge if a natural trial or timed intercourse did not work then husband's semen analysis becomes mandatory. Then when both male and female infertility causes are ruled out then comes mechanical causes where positions and version of uterus need to be considered and measures implemented. Anyways please send these two remaining reports before we can proceed further.

Question: Q. How to reduce the anger of my son?; Patient: Hi doctor,My son is very aggressive, sensitive, short temper, get panic, hyper and angry quickly. He could not listen to any good suggestions or guidance. He does not have a mental resistance. However, he is very sincere about his studies. He has got 83% marks in his studies. Now, he is preparing for the board exam. He tries a lot to study but gets pressure. He was suffered from brain fever at the age of 2.5 years. I have tried to give him ayurveda brain tonics like Shankhapushpi, anjeer, etc. But after taking those, he became more violent. There is no problem about sleeping. He plays cricket very well. He has good knowledge about computer, mobile, etc. How to reduce anger and increase the mind resistance of my son? I request you to guide me properly and suggest any medicine to solve his problem. Thank you.; Answer: Hi. For further information consult a psychologist counsellor online -->

Question: Q. What causes eye swelling in the morning with itching?; Patient: Hello doctor, I have been getting a swollen eye once a week, usually in the mornings. I feel a slight irritation beforehand, itchiness. Then my eyelid swells to the size of a golfball. The eye is not red, I can see perfectly, there is no sign of cuts or scrapes. No discharge, maybe a little dryness beforehand. Please help.; Answer: Hello. You are describing an allergic reaction of the eye to some factor. If you are not also suffering from sneezing and dry cough at night then you can use antihistamine eye drops such as Pataday once daily or Patanol or Zyrtec twice daily for a period of 10 days. If you have started using any kind of new cream or make up around the eyes, change it into something hypoallergenic. Best of luck.

Question: Q. What is the reason for on and off toe swelling in a diabetic?; Patient: Hello doctor,My mother-in-law 72 years old. She gets swelling in her toe on and off for the past year. Recently there was pus inside, and she is having pain. After soaking the toe in hot water and betadine, discharge came out, but it is relapsing again. She had antibiotic too. She has diabetes but under control with medication.; Answer: Hello. She has an infection in the nail bed space. Need to focus on three things. 1. Her diabetics need better control. Better diet modification with medicines. HBA1c is too high. 2. The nail needs to be trimmed well regularly, and the area needs to be cared well daily. She may not have a proper sensation at the region due to diabetes. So regular inspection and care is mandatory. She should not walk barefoot, and slippers need to be correctly selected. 3. She needs control of infection. Visit a nearby surgeon (preferably podiatric) for the drainage of pus if present. Take an X-ray to rule out bone involvement and also need to check the blood supply to the region. I hope your queries have been cleared. Please review if any further questions.

Question: Q. I am suffering from chest pain and I heard a sloshing in my chest. Why?; Patient: Hello doctor, I am an 18-year-old female, taking no medications, and I am 5'3" in height and 180 lbs weight. Since last night, I am having severe chest pains. I cannot sleep, and when I try to eat, my chest hurts more. It hurts all the time, but the severity comes and goes in spurts. I am not sure if this has anything to do with the chest pain, but just today, I was lying on my right side and moved to my left side, and I heard and felt a sloshing in my chest or upper abdomen area. What could it be?; Answer: Hello. Thanks for providing clear and consistent history about your current medical condition. I can reflect on what you mentioned that it is related to Excedrin as it can cause gastric upset by increasing the secretion of HCl (hydrochloric acid) in the stomach. I suggest that you stop taking Excedrin for the coming period (at least a month), take some dietary precautions including avoiding caffeine, spicy food, dark chocolate, mint, fizzy drinks mainly cola containing ones, deeply fired, chili and spicy food. Avoid NSAIDs (non-steroidal anti-inflammatory drugs) like Voltaren tablets and even injection and aspirin as well. Take the medication mentioned in the treatment part. In case, the condition continues, you need to visit your doctor (general physician or GIT specialist) for further evaluation. Gastritis, Peptic ulcer, and GERD(gastroesophageal reflux disease). Zantac (Ranitidine) 150 mg tablet one tablet two times a day for seven to ten days.

Question: Q. I am diagnosed with migraine. Kindly provide me second opinion.; Patient: Hello doctor,I am a 15-year-old male with a height of 148 cm and weight 44 kg. I am diagnosed with migraine, and I want a second opinion.; Answer: Hello. Migraine is a diagnosis based on symptoms given by the patients. The symptoms are a severe headache, dizziness, vomiting some patients also get migraine by a loud sound, acidity, and excessive heat or cold. If you are having other symptoms like pain in the neck or back or shoulder, excessive acidity or deteriorating eyesight, then maybe the diagnosis of migraine can be challenged. If not Fepanil (Paracetamol) is good medicine, use it as advised by your doctor. If you have any other questions, please feel free to ask.

Question: Q. I am 33 weeks pregnant and suffering from dental abscess. Kindly help.; Patient: Hello doctor,I have a dental abscess, and I am 33 weeks pregnant. It is so painful that I cannot eat, sleep, drink, or do anything. My dentist cannot do anything about it until next month. I was wondering if the emergency room can do something about it.; Answer: Hello. You could ask your dentist or go to the emergency room to prescribe Antibiotics like Augmentin 625 mg thrice a day for five days along with Tylenol (paracetamol). This will help in pain relief and then go to the dentist to get the tooth extracted. Do not delay, as the pain and infection will affect your baby's growth as you would be avoiding normal diet and infection would not allow nutrition to pass onto your baby. It is okay to take during pregnancy if so much infection and pain are there.

Question: Q. I have sour burps and motions. Please help.; Patient: Hello doctor, I am suffering from sour burps and motions. Kindly help.; Answer: Hello, Welcome to the icliniq.com. Kindly answer the following questions to guide you further. 1. Do you have a fever, abdominal pain, nausea complaint? 2. What is the frequency of your motion? 3. Is there any blood in stool? 4. What is the duration of your symptoms? 5. Have you taken any treatment so far? You can revert with answers. Meanwhile, you can be prescribed antacid like Pantoprazole and Dimethicone (Polydimethylsiloxane) containing acid MPS syrup. I hope this will help you.

Question: Q. When should I dispose the gauze after a tooth have been pulled?; Patient: Hello doctor, How long should I keep gauze in after a tooth is pulled?; Answer: Hello. After a tooth is extracted, it is advisable to keep the gauze in the site for 30 minutes, in the same position. After 30 minutes, do not spit, take the gauze through your hand and discard. This is to arrest bleeding and help in clot formation by pressure method, and spitting will lead to dislodgement of the clot. So, be careful with splitting (do not do it forcefully) for at least one day. I hope you have got the other instructions from your dentist.

Question: Q. What causes TMJ disorder after wearing of braces?; Patient: Hello doctor,I got my braces a year ago, and before that, I did not have any problem in my jaw articulation. Since my orthodontist gave me elastics to put I have TMJ disorder, my left articulation crack every time I open my mouth or eat or speak (I have decided not to put the elastics so that it does not get worse) and I am a bit worried. What causes this? Can this be fixed?; Answer: Hello. Based on the given history, it can be due to the extra force you gave to open the mouth while on elastics. Based on your age, it can be due to an impacted wisdom tooth. Sometimes, this can be due to any muscle problem too (myofascial pain dysfunction syndrome), mostly due to physical stress in that area or emotional or mental stress. As for now, do not open your mouth very wide, like during yawning, etc. This is curable. Do not worry much. Do you have pain along with the click? I would suggest you talk to your orthodontist or general dentist or oral and maxillofacial surgeon to get a final diagnosis after a clinical examination done by them. If possible, send me your OPG (orthopantomogram) and lateral TMJ (open and closed mouth) X-rays to guide you further.

Question: Q. I consume marijuana and I am 22 weeks preganent. How long will it stay in my system?; Patient: Hello doctor,I am 22 weeks pregnant. Due date is after three months. I smoked marijuana for the first few months to help with severe morning sickness. I stopped smoking probably last month. I went to a gynecologist this month, and they took a urine sample in which they tested for drugs and marijuana was the only one I tested positive for.After two weeks of my appointment, I smoked once to help with a bout of morning sickness and have not since then. And I have planned not to do ever again during my pregnancy. My next appointment is after one week. Will I be threatened with CPS because of my positive urine from last time? And will they test my urine at my next visit? I am only 18, and I am very nervous. I am concerned because before I got pregnant, I smoked marijuana every day since I was 15. How long will it stay in my system? How can I safely detox it from my body?; Answer: Hello. My advice to you that please stop taking marijuana, if you love your baby, then please stop it right now, because it affects your baby growth. And why you want your baby to suffer because of you, so please stop it and the other thing there is no safe antidote of marijuana. So better is to stop it, and yes, marijuana remains in your body system for up to three weeks. Please take medicine regularly and do USG (ultrasound) regularly and please for your child please stop to take marijuana.

Question: Q. Could vomiting cause prominence of the vessels of sclera?; Patient: Hi doctor, I am a 21 year old female. I was bulimic for about a year. It happens once or twice a week. I never noticed any permanent changes in my eyes throughout my episodes. However, the last time I ever binged and purged three months ago, I vomited violently. A few weeks after this, I noticed that the vessels in my sclera are indefinitely more prominent than before. Did this happen because of the continuous pressure subjected to my eyes with vomiting? Or could it just be due to many hours of reading and laptop use? I have seen an ophthalmologist and he said that there is nothing wrong with my eyes and suspect a very mild case of blepharitis or bilateral dry eyes. I am using Optive comfort solution. I would like to know if my bulimic phase could have caused the prominent vessels in my eyes, as this has not been mentioned anywhere else online.; Answer: Hello. I can understand your concern regarding your complaints. Revert back with the answers to the above questions to an eye care ophthalmologist online -->

Question: Q. I am trying for conceive but I have adenomyosis and ovaries endometrioma. Please advice.; Patient: Hello doctor, I am a 38-year-old female. Trying for conception since eight years of marriage. Before three months I have been diagnosed with adenomyosis and both ovaries endometrioma I did laparoscopy and hysteroscopy for the same in the month of may and after that they put me on conjugated estrogen tablets and Decca peptide injection after 20 days of the operation but after a month of the operation during my periods I had severe pain and PMS. I had my BP raised severe palpitations along with severe bleeding and have painful periods like before operation I am concerned after operation why there are so many such problems. I asked my gynecologist about this, but he said show to your physician I went to my family physician he started bp medicines. He said it is a temporary increased. But I am concerned about my health now and wants to get rid of all this problem. My gynecologist said conception is the only remedy to solve adenomyosis and endometriosis. I want to have a normal life because I am on bed rest for three months. Please help.; Answer: Hello. Let me start by saying that, as your doctor said, pregnancy is the best solution for all these problems. I do not see any need for bed rest. If BP reading is regular, try to reduce and gradually stop the medicine. Reports of infertility workup are missingHave your periods day three or fourth FSH (follicle stimulating hormone) and AMH (antimullerian hormone), to find what is your ovarian reserve. I hope your husband's semen report is normal. If everything is fine, please go ahead with ovulation induction with hormone IUI (intrauterine device). This would increase pregnancy chance by four times, thereby resolving other complaints. Do not waste time on other treatments. Try to get pregnant before you lose the benefits of surgery. I cannot comment on pain, as details of findings before surgery and surgical procedure is missing. I hope I have clarified your query, do write back if any more questions and for your feedback.

Question: Q. I had spotting on the next day of my unprotected sex. Is this a sign of pregnancy?; Patient: Hello doctor, I had unprotected sex on my infertile day, but I was quite scared, so I took post-pill a week later I had another unprotected sex this time in my fertile days but did not receive the post-pill immediately next day I saw a slight spotting which prompted me into taking the emergency pill. Now a week later, I have been bleeding for two days. I hope this is not a sign of pregnancy. Please help me understand it better.; Answer: Hello. Ideally, the emergency contraceptive pill is to be taken within 72 hours of last intercourse to be effective 99 %. It is of no importance if taken after a week. Nevertheless, the bleeding which you got mid cycle before you took the pill was likely to be an ovulation bleed as you had sex in your safe period, then you took the high dose progesterone emergency pill, which initiated a progesterone withdrawal after two days in the form of bleeding as expected. This rules out pregnancy as you had a withdrawal bleed, but it is always best in such cases to get a serum beta hCG test done to be conclusively sure.

Question: Q. 3-year-old son has diarrhea for a week. Is this something serious?; Patient: Hello doctor, My 3-year-old son had diarrhea for a week. He has thrown up a couple of times throughout the week as well. He was eating and drinking normally and has appetite. There does not seem to be any blood in the stool. And his belly ache goes away after each diarrhea episode which he has many each day. He is usually drinking as well. His doctors seem to believe that it is a viral infection and will go away in time. We just started a bland diet for him. Should I be overly worried? He is active and wants to eat and drink. So is this something more serious than we think or am I too worried?; Answer: Hello. If there is no blood in stools, it is mostly viral. It usually gets settle in five days. Important here is maintaining hydration. Make sure you give him plenty of fluid, ORS (oral rehydration solution). If he is vomiting, you can ask your doctor to prescribe Ondansetron. Give him probiotics and keep a watch on urine output. If he is passing adequate urine, then there is no point of worry.

Question: Q. Does my skin test indicate tuberculosis?; Patient: Hello doctor, Looking for an opinion on tuberculosis skin test. Please answer if you have experience with PPD skin tests. I am 34 years old, former cigarette smoker. My friend got diagnosed with tuberculosis due to strong arthritis medications, and I have had some contact with him. I have attached images of my skin test below.; Answer: Hi. Montoux test, PPD test is a very non-specific test and does not give you any confirmation for tuberculosis. It is used as an adjuvant test for diagnosis and never as sole test. It is read after 48 hours of injection. You have not mentioned the duration. You have to measure its diameter. It should be less then 10 x 10 mm. I cannot measure it online but apparently it is negative for tuberculosis (attachment removed to protect patient identity).

Question: Q. How can tight foreskin be managed?; Patient: Hello doctor, I am 18 years old, boy and I have a very tight foreskin and I have not even pulled it back. I tried to do it once using oil but it was of no use.; Answer: Hello. The mentioned history is suggestive of phimosis in which foreskin cannot be retracted back over glans. Topical steroid cream can be beneficial in mild case. But, in severe case like in your case, if foreskin cannot be retracted, then circumcision like day care minor surgery can be done. So, I suggest you consult Urologist for your examination and operation.

Question: Q. What can be the reason for my erection problem?; Patient: Hi doctor, I have experienced a problem in erection since last three months. I am a smoker. The testosterone level in my last routine medical checkup was 134. Please help.; Answer: Hello. Revert back with the answers to the above questions to a sexologist online -->

Question: Q. What are the ways to stop sugar addiction?; Patient: Hello doctor, I am having sugar addiction. I always eat candy non-stop and chips and soda, but I am so addicted that I failed the 30-day sugar free challenge in the first three hours itself. I need help, how can I stop this addiction if all my ways are failing everytime I keep trying.; Answer: Hello. Sugar is not an illicit drug, but the brain acts in a similar manner to other substance abuse and addictions. Another reason you could be craving sugar regularly is due to how it makes you feel after consuming it. Generally, a sugary treat causes a rush of both glucose and endorphins in your blood. One of the best things you can do to fight your sugar addiction is to start by swapping sweet foods for healthy alternatives like vegetables. Yes, vegetables can be sweet, but the natural sugars you find in carrots, beets, sweet potatoes, and peas are so much lower than what you will find in treats such as gummies, cookies, or donuts. At the same time, they’ will satisfy your craving for sweetness and you can train yourself to eat these healthier choices over-addictive sugary desserts.  The last small tip for fighting your sugar addiction is to generate a plan for how you will eat. You can write this plan out, post it somewhere, or simply keep a mental note of it, but a plan can help you to succeed in various situations. For example, keep carrot sticks cut up in your fridge so that after work, you can plan to snack on those instead of cookies. Or if you are going out to brunch, decide that your plan is to order an omelet with vegetables so that pancakes (basically, a maple syrup delivery device) is not an option. The idea here is to have a plan for how you will succeed in various scenarios that typically create problems for you.

Question: Q. What causes a soft spot in the middle of forehead in a baby?; Patient: Hello doctor, My daughter has a soft spot in the middle of her forehead for the past nine months but can only be noticed when she raises her eyebrows or if the lighting is right. When sliding a finger over it you cannot feel anything, the forehead feels normal even when she has her eyebrows raised. It looks like a soft slightly raised lump when you can notice it. I have taken her to the doctors but they could not see anything. I had to show them photos as sometimes it really stands out, other times you cannot see it. What should I do?; Answer: Hello. Small spot in center of forehead is seen in some pictures (attachment removed to protect patient identity). As you know skull is made up of 16 small bones, these bones are attached with cartilages and get ossified with times. Due to some gaping, this swelling is seen. Give your kid Calcirol sachet once a week for five weeks, dissolve in two spoon water. Syrup Ostebon (Calcium) one teaspoon full twice a day. Feris drops 1 ml once a day. Zincovit drops one ml once a day. Vitanova drops 0.5 ml once a day. All the above for six months.

Question: Q. Is it possible to have infertility due to low progesterone levels?; Patient: Hello doctor, I recently took a women's health test to test my hormones. I just got my results back and my Progesterone level is extremely low where as my Estradiol level is in the normal range. I have dealt with many irregular periods since I was young and have not been able to conceive a child with my husband and now I think I know why. I was wondering if my results can be looked at by a doctor to give me anymore information on what is going on with my test results. I am only 25.; Answer: Hello. The reports are fairly normal including the hormonal profile but the progesterone levels (attachment removed to protect patient identity). If these levels are from the proliferative phase then they can be considered normal, however, if from the luteal phase, then they are definitely low. Considering that LH was 11, this test may have been done around day 10 to 14 of your cycle, was it? In cases of progesterone deficiency, one tends to get anovulatory cycles and also shortened cycles with mid cycle bleeds and irregular shedding with often passage of clots, so if not so and if you are experiencing delayed irregular cycles then cause is likely PCOS and not progesterone per se. Also, important in any fertility evaluation is the the male fertility factor. It is important to learn if the semen analysis report of your partner is normal or not, whether the quality and quantity of his sperms are good or not, so please share his semen analysis report as well for review.

Question: Q. My intraocular pressure is getting high in the last six years. Why?; Patient: Hello doctor,Over the past six years or so, my intraocular pressure (both eyes) has risen to 16, to 19, and now to 21. Will it continue to increase still? Kindly help.; Answer: Hello. As you might have been informed, increased eye pressure is mainly associated with the disease called glaucoma. This chronic symptomless disease is very drastic to the optic nerve and might lead to irreversible damage, and in the end, cause blindness. However, this eye disease is never diagnosed or established based on eye pressure measurements and requires a detailed and comprehensive examination including many diagnostic tests like, visual fields, gonioscopy, OCT (optical coherence tomography), multiple measurements of eye pressure during at least three consecutive days and these tests might be repeated twice and even thrice in the first year and then every six months if the only suspicion remains. If you have not undergone these tests, please do, and if you require a second opinion, please upload the results of all these tests and I will gladly provide you with my opinion.

Question: Q. What can be done for swollen gums where wisdom tooth is erupting?; Patient: Hello doctor, I think my right side bottom wisdom tooth is coming as there is a ball on the back side of my gum that is really swollen. It almost feels like a pimple and the area around it has white lines on the inner cheek wall. What should I do?; Answer: Hello. If there is not much pain, it is better to let it grow fully. It may take a month or two to fully come out. If it does not, and the area gets painful then better to get an X-ray done for its exact position. Use warm salt water gargle twice a day for a week or two. Use a chewing gum on that side, it helps in faster growth of the tooth into occlusion.

Question: Q. Please comment on the severity of my wife's wrist x-ray.; Patient: Hi doctor,My wife is 42 years old. She is feeling pain in the right wrist while moving the palm laterally outward. The movement gets somewhat obstructed slightly and it is not smooth. This has been started after an occasion when she tried to pull or carry one heavy bag a week ago. X-ray has been done on her right wrist which is enclosed herewith. Please comment on the severity of the wound and its medication. Thank you.; Answer: Hello. Revert back with the photos to an orthopaedician and traumatologist online -->

Question: Q. Kindly have a look on my chest X-ray and explain.; Patient: Hello doctor, I had severe cough and mucus formation which was in yellow. The doctor had prescribed antibiotics, Salbutamol tablet and allergy tablets. Now that cough has reduced but I feel some heaviness at the back right hand side and when waking up in the morning. While I had visited the doctor they had adviced me to take an X-ray. Later they said there is slight pneumonia and to continue antibiotics (Azithromycin) for five days. Also, I have completed my antibiotics dose for four days, still left with one more day. Cough is not there currently and better. I am attaching X-ray that was taken for your advice. Would like to have a second opinion on the X-ray report.; Answer: Hello. In attached X-ray report (attachment removed to protect patient identity), there is presence of slight consolidation in right side. So, it is suggestive of pneumonia like infection. For that, you need to complete antibiotic course. If clinically improved well, then no need for further work up.

Question: Q. Which one should I opt for a vision problem, a laser treatment or specs?; Patient: Hello doctor, I would like to know to weather the laser treatment is better than continuing specs for vision. What would be the drawbacks of laser treatment, is it very complicated?; Answer: Hello. This is quite a common question youngsters ask. The best answer to this is it depends on you and your daily activities, profession, and lifestyle, etc. For example, if you want to take up professional sports, modeling, enjoy adventure sports, few jobs in the armed forces, getting a surgery done would be quite necessary.  On the other hand, if you want to pursue higher studies and professions where you work a lot with computers and work on fine parts like watchmaking, then surgery would put you at a slight disadvantage as it slightly reduces image quality and increases chances of getting dry eye diseases. Some surgeons also prefer wearing glasses as it protects against infection and blood spurts during operations.  With the latest equipment and techniques, laser refractive surgery is quite safe, and outcomes are good. The risk involved is very less. Although a power of - 5.0 is on the higher side, we can still expect good results given that your corneas are suitable for the surgery.  The main thing to consider is of course long term outcomes are, 1. As a woman, your power will naturally change during pregnancy and lactation, and this happens to all women. Some have more, others less. This is unpredictable. 2. Surgery only corrects you for distance vision. Another natural change in eyes is presbyopia. Here you need to wear reading glasses. So even if you were to get surgery now, you would only remain glasses free for up to around 40 years of age after which you need reading glasses. I hope this answers your doubts. In case you have any further questions please let me know.

Question: Q. What are the tests I have to undergo after having unprotected oral sex?; Patient: Hello doctor,I had an oral sex with a girl without protection, and I licked her vagina too, later I came to know she has PSV which she had undergone treatment and she was cured, I came to know risks of the STD's via oral sex and I was suggested to have test after four weeks, but they did not tell what test I have to go through in detail. My query is, what is the list of a test I have to go through? Please give me the names of the test in detail, so that I can approach a lab for testing.; Answer: Hello. There are many tests, but the below mentioned are usually done to rule out the infection. These are a screening test.  1. Test for HIV. Tridot test. 2.Test for gonorrhea (urine or oral swab) and chlamydia. 3. Test for Hepatitis B (HBsAg) and C virus. 4. Test for syphilis such as VDRL (venereal disease research laboratory test) and if required RPR (rapid plasma reagin) test. 5. Test for HPV (human papilloma virus). Herpes virus test is usually not required if no symptoms are present or there is no outbreak of it. I hope this clarifies your concern. Ask again if anything unanswered,

Question: Q. Is Bimatoprost safe enough for optical nerve damage?; Patient: Hello doctor, My mother, is 76 years old, currently suffering from low, blurry vision (both near sight and far sight). Her BP, sugar, and thyroid are normal. A year before, she was critically suffered from urosepsis with AKI, DM II, pleural effusion, etc. but recovered. Though she has the first stage of renal failure and ventricular ectopic in ECG now. Recently she visited an eye hospital where she was told that her eye problem is mainly due to gradual damage of optical nerve, which is irreversible and the doctor cannot do much. In this respect, she was tested with digital fundus photography and OCT (Retina -Tessellated fundus in the right eye, FR dull in left eye). As per doctor's mention, I come to know that she has some cataract in the right eye (nuclear sclerosis grade II diagnosed in both eye) which need to operate soon for better vision, but I am not sure about it as it is not written in prescription as a diagnosis. She is advised to take a drop of Bimatoprost 0.01 % in both eyes every day to control optical damage. Now, I like to know is this medicine helpful if she complains with optical nerve damage without glaucoma or cataract. Is there any other solution to save her vision or further damage at least.; Answer: Hello. I understand your concerns, and I am very sorry to hear about your mother's eye changes. I am afraid that the changes in the optic nerve are indeed irreversible and according to the reports is near total. This is known by the part of the reports that say CDR 0.9 in both eyes. To explain it in a very simple manner, the eye is like a camera, both have lenses, and just like the camera has a film, the eye has the retina. If there is a problem in both the lens and the film, simply changing the lens would not improve the quality of the picture as the film (retina) is also compromised. But in few cases may improve to a limited, yet unknown extent. The problem also gets compounded with her poor general condition with heart problems along with the recent sepsis. So operating on her cataract is quite risky. Regarding the eye drops, Brimonidine eye drops have been known to help in neuroprotection and may help in the preservation of whatever optic nerve function is left, theoretically. So this would be the thought process behind this plan of management given to the overall condition. As far as the next step in managing, it depends on the daily activities of your mother and if at all she feels her current vision is not enough for her to carry out the daily routine activities. In case you need more information, please let me know.

Question: Q. Other than Sutent, which medicine can I opt for papillary renal cell carcinoma?; Patient: Hello doctor,My father is recently diagnosed with papillary renal cell carcinoma type 1, and he has no BP or sugar. However, he had undergone bypass surgery ten years ago. Our doctor has suggested targeted therapy is better for him as there is another mass found in the lungs too. Our doctor has prescribed Sutent 37.5 mg, to begin with, and slowly increase it to 50 mg.However, due to our financial conditions, we cannot afford Sutent as it is pretty expensive for us. As we do not have any insurance. Is this the only drug available for this type of cancer, or do we have any other affordable and similar drugs with minimal side effects? We want to get your suggestion on this. Kindly help.; Answer: Hello. As per history given above. Your father as metastatic renal cell carcinoma. I would have liked to have few additional markers like his general condition, report of CBC (complete blood count) and LFT (liver function test), RFT (renal function test) to look at his risk score. In metastatic RCC, in first-line settings we have three TKI (Tyrosine kinase inhibitor) that are approved and commonly used. Namely, Sunitinib, Pazopanib, and Cabozantinib. Sunitinib and pazopanib have almost the same progression-free and survival benefit. Cabozantinib has benefit in progression, but final overall survival was the same as sunitinib. Toxicities are bit different for Pazopanib with more chances of hepatitis, weight loss, and diarrhea. If you are not affording for Sunitinib, then I would say Pazopanib would be better as it is cheaper with similar benefits and slightly different toxicities. Cabozantinib is costlier and not yet available. I hope it helps. I would be happy to help you further if you have any more queries or questions regarding toxicities of these drugs. TKI.

Question: Q. How to hide the gap that will occur due to the wearing of braces?; Patient: Hello doctor,I am going to get braces soon, and I am going to have a large gap, is there anything a dentist could make to hide my gap?; Answer: Hello. Braces are placed to align your teeth more esthetically and camouflage the malpositioned teeth. From your question what I have understood is either you have a large gap already, and for that, you do not have to worry, braces will close it, or you are saying that during treatment you are going to have a gap because of the teeth removal. In that case, I want you to know that a few teeth are removed during orthodontic braces treatment to get space for the rest of the teeth to move and align themselves, and ultimately the gap will be closed. So, in both cases, the gap will be minimized or closed. You do not have to worry. Maintain proper oral hygiene, be careful with the brackets, do not break them, follow the advice of the orthodontist and do not miss any follow-ups as these minor steps will help the treatment to finish on time or maybe a little earlier too. Now, if you can elaborate on your question, I can answer more precisely. A picture of the gap will be helpful also.

Question: Q. What is the treatment for a 11-year-old patient with combined type 1 and 2 diabetes?; Patient: Hello doctor, The patient is 11 years old, and right from birth, he is suffering from type 1 and 2 diabetics. Initially, he was on injection and now on tablets every day. As per the doctor, his pancreas is not working from his birth. Can you please let me know if there is any treatment available for this? Also, can the bone marrow blood infusion technique help in treating this issue permanently?; Answer: Hello. Yes, there is a procedure called pancreatic transplant. It must be taking place in your place as well. You can click on the individual hospital website and check if they have a pancreatic transplant facility, but it could be very expensive. But let me tell you one thing that even after any transplant, the patient has to take immunosuppressive medications all his life and compared to that the diabetes pills are still a better option.

Question: Q. Is it safe to get a filling fixed while running a low-grade fever from a UTI?; Patient: Hello doctor, Can I get a filling fixed while running a low-grade fever from a UTI?; Answer: Hello. Theoretically, yes. But, practically I would not suggest you get it done as you will not be comfortable (mainly because of the water spray from the handpiece or drilling machine) and that will make it difficult for the dentist too. If it is an emergency or you do not have accompanying stuffed nose or difficulty in breathing through the nose, then you can go for filling. Depends on your comfort level and severity of your condition. I hope this has helped.

Question: Q. What should be done when a 5-year-old has a fever of 102° with TLC 16700?; Patient: Hello doctor,My son is having a fever of 102°. He is 5 years and 4 months old. Since last two days, his temperature is not reducing. We have given Ibuprofen plus paracetamol syrup. Tablet Zedocef (100) DT 1 tablet twice a daily for five days after food. Syprup Ondem 5 ml thrice daily 1/2 hour before food, syrup Ibuprofen, paracetamol 7.5 ml 6 hours once after food. We tested his blood, but there was no malaria or typhoid. But his TLC is 16700. He is not taking any food, but sometimes he drinks ORS. So suggest us what to do?; Answer: Hello. You are already giving multiple antibiotics and antipyretics. The TLC (total leucocyte count) count in the report is on the higher side, which suggests some bacterial infection. Continue with the advised treatment. Some times fever may take three to four days to respond. Continue to give Ibugesic plus for each episode of fever for now. Cold sponging also helps to bring down the temperature. Get a repeat CBC (complete blood count) and Urine microscopy done. If fever is persisting and not responding to oral medication. The child may require admission for starting IV antibiotics. A complete clinical examination by the pediatrician to find out foci of infection is recommended.

Question: Q. I am suffering from angiomas on the back. Kindly help.; Patient: Hello doctor, I have angiomas on the back. Kindly help.; Answer: Hello. Yes, these are cherry angioma. What do you want to know specifically about these? These are harmless and will require electrocautery if you want them to get removed. No creams or oral medications are effective.

Question: Q. How to find out if my son is suffering from any communication problem?; Patient: Hello doctor, I have twins, a boy and a girl aged 2 years. I noticed that the girl advanced in skills than the boy. In the first few months of life, my son was faster than his sister in the growth and everything. And then, it was reversed. I am a graduate of psychology. I have a brother suffering from autism and frankly, I have a fear of this disease. I do not care and I do not want to surrender to delusions. But, mom and dad insist on reminding me of everything you see them that my son is also the possibility of getting hurt. I started since 10 months; I am watching my son very much. I blame him if he did not implement what I am asking. He says dad and mom. He loves to play, laugh and shake hands if I asked him to do so. He looks into my eyes when I talk, but I do not feel that he understands what I am saying to him always. For example, if I asked him to bring me cheesed off the table, he does not focus with me and ignore me. On the other hand, if he feels he is thirsty, then he will come to me and say a bottle of water. I know this is probably because the rate of a normal IQ and concentration varies from one to another child. I want a word from the doctor that makes me serenely scream in the face of all of the notes that my son is not normal and I tell them that my son safe and sound. The question is how completely I know that my son is not suffering from any problems in communicating diseases or behavior?; Answer: Hi. I have gone through the query with keen interest and understand your concerns. Before making any opinions I need to inform you that take the things in objective manner and not on emotions I understand there is history of autism in the family and it does not mean your child suffers with autism. In a normal growing child there are many ups and downs and not responding on some occasions is not indicative of serious pathology like autism. We need to take notice that a child plays well with another child, responds to language on most occasions, cheerful, not having any abnormal repetitive stereotyped movements and communicates with the mother. Having said this I feel it will be appropriate to fill a simple questionnaire called Autism Spectrum Screening Questionnaire (ASSQ). This is a screening instrument for autism and you will know probably with sure that whether there is problem or not. If you still feel there is something abnormal, then you may contact the specialist doctor nearby for a physical evaluation. For further information consult a psychologist counsellor online -->

Question: Q. Will taking antibiotics cause diarrhea or loose stools?; Patient: Hello doctor,I took antibiotics about a month ago, and ever since the fourth day of antibiotic treatment, I have been suffering from diarrhea or loose stools. On the fourth day, I had bad cramps and loose stools that lasted from the fourth day to the seventh day. This then returned afterward with even worse pains, but this time, I had yellow stool followed by diarrhea. Ever since I have been having loose stools on and off that is foul smelling and mushy. Is this because of the antibiotics, or is it an infection?; Answer: Hello. Your diarrhea could be a direct side effect of the antibiotic, in which case, it should resolve after stopping the antibiotic. It could also be due to a condition called Clostridium difficile infection (C. diff for short). C. diff is a bacterium typically found in the intestines of most people. But under certain circumstances (frequent exposure to antibiotics), a couple of strains of this bacteria can multiply and produce toxins (called C diff toxin A and B). This can provide diarrhea-sometimes bloody, with crampy abdominal pain. I suggest getting tested for C diff. You need to submit a stool sample for C diff toxin. If it is positive, there are treatments for it includes oral Vancomycin, Fidaxomicin, or Metronidazole. I hope this helps.

Question: Q. I have a strong history of cancer. Should I concern about the sore in my leg?; Patient: Hello doctor, I have sore on my leg for a long time. More than a year, I did shave part of my leg at one point. It became like a sore, but I have a strong history of cancer.; Answer: Hello. I have gone through your case. In my opinion, your lesion should be biopsied as early as possible as you have a long-standing history of cutaneous cancer, and I fear it could be slow-growing skin cancer. I have two to three differential diagnosis. 1. Nodular squamous cell carcinoma. 2. Nodular non melanocytic melanoma. 3. Basal cell carcinoma. 4. Keratoacanthoma. 1.Sun-exposed area. 2.White race and, 3 Past history of cancer Biopsy. Need excision as early as possible.

Question: Q. Kindly suggest diet for my 18 months old son with beta thalassemia intermedia.; Patient: Hello doctor,My son is 1 and a half years old. A few months ago we came to know that his Hb is 4.3 and Hb F is 92 percent and that he has beta thalassemia intermedia. He was immediately transfused once. Now he is taking vitamin C, and Hydroxy and Folic acid and his Hb are 10.2. Please suggest some diet for him to maintain his health.; Answer: Hello. As your child is suffering from thalassemia intermedia, you should avoid giving iron rich food and food that leads to an increase in iron absorption.The foods which decrease its absorption are, (i) cereals and (ii) dairy products. The foods which increase the absorption are, (i) fruit and vegetables rich in vitamin C, (ii) meat, fish, shellfish and poultry and (iii) pickles, sauerkraut, soy sauce, vinegar, and alcohol. You can also supplement the child with folic acid 1 mg a day. Give nutritious diet and vegetarian protein sources, avoid meat and liver. Have a regular follow-up with your pediatrician for Hb level and iron overload.

Question: Q. My problem of bad breath persists even after teeth cleaning. What to do?; Patient: Hello doctor,I tried teeth cleaning, I avoided non-veg foods and beverage drinks, which produce gas, and I am eating a balanced diet. My bad breath problem is since for the past five years till now, so in this period I realize that I have a white layer on my tongue and when I smell my tongue then I feel very bad breath. Also, I have a hole on my throat back of the tongue, and something comes through that way like thick water and when I smell it so bad.Another is when I eat something, then that smell lasts for a long time. What to do? I have been spent more money to avoid bad breath, so give me a suggestion to get rid of it. Bad breath is the main reason for my unsuccessfulness. Sometimes thinking about this problem, I become depreciate. I needed your help.; Answer: Hello. The white coating on your tongue is mostly due to bacteria and debris. And, it seems that you might have a dry mouth. All this must be causing bad breath. Clean or scrape your tongue regularly, maintain proper oral hygiene, drink a lot of water and even empty stomach will cause bad breath, so have food regularly on time. Do mouth rinse with lukewarm water and salt or lukewarm water and a bit of mouthwash diluted in the water. But, better to avoid continuous use of mouthwash as this itself can cause dry mouth sometimes, and discoloration of teeth. Get a consultation from a dentist regarding dry mouth, to rule it out. If you have dry mouth, a Sialogogue (to increase salivary flow) will be prescribed by the dentist. Do not worry. You will be fine. If possible, send me a picture of your tongue and teeth.

Question: Q. Do I need surgery for removal of gallstone?; Patient: Hi doctor, I have a 7 mm gallstone as seen in my ultrasound. They gave me Ranitidine, and I tried apple cider vinegar with fresh apples. Do I need surgery?; Answer: Hi. Thanks for sharing your concern. Obesity. Cholelithiasis. Gallbladder surgery. For further information consult a general practitioner online.--->

Question: Q. What is the life expectancy in cancer?; Patient: Hi doctor, My friend has been having left shoulder pain for months. For the last three weeks, he is also having the hoarseness in his voice (can barely speak) and little energy. He is eating well, but not gaining weight. He has no other symptoms. He is a carpenter and 50 years old. He smokes cigarettes, weed and crack cocaine. I think he has been doing this for 30 years. Today, his blood test and blood pressure are fine. His chest x-ray came back with a large mass on his left lung, it looked large to me. He was given a TB shot other than that they suggested a specialist. It was an ER visit so they did not say much other than it could be a cancer. What does this sound like to you? I deeply appreciate any of your help. Thanking you in advance.; Answer: Hi. We are here to help you. I am really sorry to hear about his state. For further information consult an internal medicine physician online -->

Question: Q. Is it possible to get extreme nausea, acid reflux, fatigue, and weight loss due to gallstone?; Patient: Hello doctor, I am 41 years old, male. I have symptoms of extreme nausea, acid reflux, fatigue, and weight loss. Ultrasound shows gallstone. I have enclosed the report. The doctor wants to do a HIDA scan and remove the gallbladder. Are my symptoms due to gallstone? Is there a substitute test for a HIDA scan? Should I go for surgery? Please advise diagnosis and treatment.; Answer: Hello. First, gallstones in itself require treatment. The only treatment for 10 mm size stone is surgery. Medication will not reduce it. Untreated gallstone at your age may lead to complications. Your second query regarding whether symptoms of acid reflux are associated with gallstones are not. That is difficult to answer. There is an association of the two but difficult to directly link causation of acid reflux to gallstones. Hence, your symptoms may or may not rebate after surgery. Some patients although do show symptom relief. You should also undergo an upper GI endoscopy if your symptoms are persistent after discussion with a gastroenterologist.

Question: Q. I have gas formation, constipation and gallstone. What can be done?; Patient: Hello doctor,I am 27 years old, height is 65 inches. Weight 56 kg now. Three months ago weight was 57.5. kg. Sleep 6 to 7 hours. About two years ago, weight was 58.5 kg. Blood pressure usually normal but sometimes low. I have a gas formation problem for about four years. Maximum time no pain but gas and heavy feeling in the abdomen. 11 months ago I did ultrasonography and got that gallbladder stones (3 to 4 stones larger size 0.6 cm). I am taking homeo medicine. Gallstone and constipation. Truly say in a month 12 days I feel good and 18 days I got gas problem but within last seven months sometimes I feel weak (tiredness). Within the last five months, my weight is not increasing and my hands are getting thin. Sometimes, I need to take Ranitidine tablet when much gas. I had a rheumatic fever at age 8 and took allopathic treatment till 20 years of age. Oracink tablet. Please, suggest me. Do I need to do any blood test? I will do an ultrasound after two months. I am taking Iron Vitamin capsule Zilvit according to the suggestion of relative. About four months ago I took Zilvit for 20 days and feel good. Homeo doctor said that he should not give other medicine for weakness.About 2 to 3 years ago I took Mazpro, Omeprazole tablet sometimes but most of the times it took time to remove the gas problem. Now I am taking homeo medicine for gallstones (eight months running) and took homeo medicine for constipation for four months from the same doctor. The allopathic doctor who did ultrasound suggests that there is no need to hurry to surgery and can wait for about one year.; Answer: Hello. Your three main concern is the weakness, gallstone, and gas problem. For weakness following workup can be done: Investigate with above investigations as you have a weakness for many days. If still no cause for weakness found than EMG (electromyography) done. For gallstone, if no symptoms mean no abdominal pain present than surgery not needed. Ursodeoxycholic acid tablet 300 mg OD (once daily) can be prescribed for that. Avoid high fatty foods and reduce weight. For gas problem following measures can be taken: Take care. For more information consult an ayurveda specialist online -->

Question: Q. Is it possible for PCOS patient with regular periods to conceive?; Patient: Hello doctor, I was diagnosed with PCOS at 16, but have had successful pregnancies (other things I had zero breast change and less than once a day of milk production). We have never used any form of birth control yet our youngest is now almost 5. We have been actively trying for almost two years now. My periods during the last six months have been on time and consistent. I am 31. Why are we not able to get pregnant after two babies?; Answer: Hello. As I have learned that your last pregnancy was five years back and that your menses have been regular since last six months and you have been trying for last two years without any use of contraceptive practices to conceive. This qualifies for secondary infertility treatment. Now the first thing which needs to be checked is to get your partner's semen analysis done to check for quantity and quality of sperms as of now. There are chances that the count may have gone down or the quality may have depreciated which can be treated accordingly. In middle age men, such male infertility is common and needs to be addressed first before a lady is subjected to tests and examinations for evaluation of secondary infertility. Hence, it is requested that you may please get his semen analysis and culture test done first and review with reports. In the meantime, you may send across any ultrasound pelvis reports or hormonal profile tests (from the last six months) that you may have undertaken for review (if the element of PCOS still persists or not). Semen analysis and culture for the male partner. Male infertility. Secondary infertility. As per reports (awaited).

Question: Q. I have PCOS because of which I am facing difficulty in reducing weight. Please suggest.; Patient: Hi doctor, I am 20 years old. I am a college student. Few weeks back, I was told that I have PCOS because of which I am facing difficulty in reducing weight. My weight is 65 kg and I am 5'4" height. It would be really helpful if you could suggest me a diet plan.; Answer: Hi. I can give you some guidance which might help you reduce weight with PCOS (polycystic ovaries). For further information consult a dietician online -->

Question: Q. What can I do to straighten my curved lumbar spine and un-cant hips?; Patient: Hello doctor,I am a 19-year-old male. Around two months back, I had a hiccup when dead-lifting and my lower back or lumbar spine area had a sharp pain. At the time, I did not think much of it and since then discontinued dead-lifts. Over time, I have developed some sciatica in my left hamstring area. I visited a chiropractor about two weeks ago and he took X-rays of my spine, revealing that my lumbar spine is curved to the right, canting my hips and therefore putting pressure on my sciatic nerve. I went in for three adjustments with him, over a one and half week span. I no longer have access to my chiropractor, being that I am overseas. My question is what can I do by myself in order to straighten out my lumbar spine and un-cant my hips so that my sciatic nerve can get some relief? Am I going to have to find another chiropractor and get more adjustments while I am over here? Note that the discomfort of sciatica only happens with a straight left leg when bending at the waist.; Answer: Hi. Based on what you wrote, it sounds as though you may have scoliosis, a wedged vertebrae in the lumbar spine, a disc issue, or even lower cross syndrome. If there is any way to attach images of the X-rays, that would be ideal (though I know the current situation is not ideal). Assuming it is indeed a scoliosis curvature, I can tell you that you will not be able to straighten your spine (anatomically speaking). If it is a lower cross syndrome, your best bet while you are overseas is to work on core stabilization exercises. Bridge exercises, planks, and clams may all be beneficial to the lumbopelvic-hip-complex. All of these exercises can be found online, but essentially we want to strengthen the weak muscles and relax the overactive muscle. Please get the help of internet resources to have a knowledge of lower cross syndrome to get an idea of what muscles may be overactive and underactive. Without examining you myself, or seeing X-rays, this is about all of the information I can provide. When you return to your place, I would recommend continuing treatment with your chiropractor. For more information consult a chiropractor online.-->

Question: Q. Why do I feel itchy while urinating?; Patient: Hi doctor, I feel cramped, itching and lower abdomen pain during urination. I had intercourse with my partner last month and since then I have faced this problem. I went to meet a gynecologist and she prescribed some medicine and felt fine for 10 days. Then, again I am facing the same problem. Also, I have PCOD. Please help me.; Answer: Hello. Urine for routine and microscopic examination as well as culture sensitivity. Revert back with the test reports to an obstetrician and gynaecologist online.--->

Question: Q. I have underdeveloped jaw bones, scoliosis, and swollen face. Please help.; Patient: Hi doctor, I am 20 years old. I have one kid and I am seven months pregnant. Since I started puberty, I got a lot of health problems. The left side of my underjaw is not fully grown. It feels like pieces are missing. You can also see the big difference between the left side of my chin and the right side. My cheekbones are also not fully grown. I have poor blood circulation and my face gets very very swollen. Mostly in the morning, my face looks quite normal and my skin color as well. Later, in the day, my face gets swollen and big and also when I eat and when I eat a lot and unhealthy it gets more swollen. When I lay down the swelling lessens. I also have mental stress and an anxiety and I have a scoliosis. I get tired quickly and my skin is very dry. I have dark or purple undereyes and dark patches on my ankles, knees, etc.; Answer: Hello. I just read your query. See the issues like scoliosis, underjaw shape, and underdeveloped cheekbones are anatomical issues which are related to the natural structure of your body. They can not be corrected with the help of medication. You may take help from artificial modern techniques, which you can learn from a nearby physician. The poor blood circulation, swelling on face, stress and anxiety, tiredness can all be related to pregnancy. I advise you not to take any random treatment or any supplement without consulting your gynecologist. This is the crucial time of your pregnancy. So visit a nearby gynecologist and ask for the help for all the issues you are having.

Question: Q. Can knee arthroscopy cause scoliosis and pain?; Patient: Hello doctor,I have mild scoliosis convex to the left and was wondering if a left knee arthroscopy can be the cause of my posture and/or pain issues. For example, sitting, standing. Also, having scoliosis, would that cause a blood clot (pulmonary embolism) after this surgery? With being a severe asthmatic.; Answer: Hello. Scoliosis is a structural problem and knee pain will not cause this. Arthroscopy can rarely lead to a clot formation but is not necessarily a known risk factor for DVT (deep vein thrombosis) as you are likely to mobilize very quickly and the procedure is usually short. Scoliosis does not add to the risks either. For more information consult an orthopaedician and traumatologist online -->

Question: Q. There is white fungal ring infection on forehead. Kindly suggest the ointment.; Patient: Hello doctor, There is white fungal ring infection on forehead of my daughter. Can you please suggest some oitnment?; Answer: Hi. I have gone through your case. In my opinion, I have two diagnosis of your daighter's lesion. It could be fungus or eczema patch. For this, please mix Hydrocortisone and Clotrimazole creams in equal amount and apply two times a day for 14 days. Also apply any baby lotion at night. Within 14 days, it should heal. If in case, it does not heal, then please see your local dermatologist to evaluate her for other conditions. My second diagnosis is leprosy. Please consult your local dermatologist if the lesion does not heal.

Question: Q. What are the ways to control anxiety while driving?; Patient: Hello doctor, I have been suffering with obsessive compulsive disorder- OCD, fear of germs, ordering things, obsessive thoughts. I also have anxiety while driving car at higher speeds. I have been diagnosed with Fibromyalgia which is lined to general stress, anxiety levels, which causes the muscles to be held tight. I have been able to accomplish most of the daily tasks and be successful in life. However, the anxiety while driving is troubling me. I need to reduce anxiety while driving, while also maintaining focus. Also, the general level of anxiety or stress is causing other physical ailments. Due to muscles being in constant state of tension. Currently, I do not take any medication. Only supplements 5-HTP (Seratonin) and one sleep aid (Melatonin).; Answer: Hi. I understand you experience OCD symptoms, general anxiety symptoms and specific driving anxiety and some anxiety related physical problems. What is your current profession? Your job timings? Family members? For how many years you are having 0CD symptoms? GAD symptoms? Stress? Why? Exercise? Relaxation? Any therapy? Family support? Any other anxiety triggering factors than driving? Sleep? Physical intimacy? Please reply. Take care.

Question: Q. Will a 2 year old baby with Duchenne Muscular Dystrophy walk?; Patient: Hello doctor,My youngest son is 2 and a half years old. Currently, he is crawling, and he is a delay in walking. I bought him for the child development clinic at the hospital. They have sent his blood sample to another country, and the result says that he has Duchenne Muscular Dystrophy. Kindly advise what should I do. My son can stand at the sofa, but he refrains from standing at the floor. He can lift his body. Is he able to walk?; Answer: Hello. It is a genetic disorder. I am sorry to say this, as this disease has a poor prognosis. You need to visit a medical genetic specialist. Physical therapy, braces, etc. are common management. Along with that if you want to go for alternative treatment, then try Ayurvedic panchkarma therapy where Ayurvedic massage can be given to your son. It had good results in muscular dystrophy disorders. You need to visit a nearby Ayurveda physician or a panchkarma center. It can help you up to some extent. I hope you understand my point. For more queries, you can consult me.

Question: Q. Why do I get frustrated easily?; Patient: Hello doctor,People called me stupid and annoying it is not that I do not understand. It is that I cannot focus, I have a tough time focusing, and I would not deny I am annoying. I never sit still I am wandering around the house all the time I told my dad I would not sit still even if I was glued to the sit and he said I believe that. People complain about the fact I talk a lot, and I talk fast. I climbed a broken fence I love climbing fences when I was 12 I let my friend push me across the road in a shopping cart, and I let my friend push me around in a shopping cart on a bumpy ground I do not think before I act. I get very mad when people talk badly about me I get easily frustrated I get crazy if I cannot find something or if mess up on something I will pretty much get mad over anything I have a low tolerance when it comes to anger. ADHD runs in my family.; Answer: Hello. You are reporting symptoms which are suggestive of ADHD (attention-deficit hyperactive disorder). How are you managing at school? Further assessment, including developmental history from parents, corroborative information from school will help to clarify the severity of your symptoms and also to rule out other conditions mimicking ADHD. Effective management of the underlying condition will help you to function better. I will advise discussing with your parents and consult your doctor locally who can refer you for further specialist assessment as needed. Depending on the evaluation, medication or behavioral support may be recommended.Meanwhile, you can try some strategies to improve your functioning. Exercise regularly, make a reminder list for essential weekly activities to avoid missing deadlines, minimize distractions by avoiding TV, mobile during your work hours, etc. I hope this helps.

Question: Q. There is a reddish-sticky part on my foreskin even after having medications. Why?; Patient: Hello doctor, I am 39 years old. Since more than a month I had a blister on my foreskin, and I noticed a reddish-sticky part in my foreskin. I saw this after sex because it was painful (but it was not hard sex at all). The blister went away, but the reddish-sticky part stayed. I had also burning and heat in the skin of my testicles. I went to the doctor, and he found an infection. I had antibiotics pills and fungal cream. After a week, everything was improved, but the reddish-sticky part was still there, but the doctor said everything was fine. But it is not. I went to another two doctors (a urologist and a dermatologist), and they said everything is fine. The dermatologist prescription was Vaseline, that was two weeks ago, and this stays. I am worrying about cancer, and I asked them a biopsy, but they refused. Since before five months I also had a red rash in the gland coming and going, but for more than a month, it has not happened again.; Answer: Hello. I understand that you are concerned, but I can assure you that in the photographs there is no feature suggestive of any cancer. I understand that you had a blister after intercourse, that might be friction blister as other cause of blister in genitals include herpes, but that present as multiple tiny blisters. Recurrent glans rash can be candida, but right now, I cannot see any changes. It might feel sticky and thin after healing of a blister for some time, but there is nothing to worry. And certainly, there are no features of cancer. Just use some good moisturizer or use the following. 1. Cetaphil moisturizing cream.

Question: Q. Is it advisable to use Neomycin during first month of pregnancy?; Patient: Hello doctor, My wife is currently on her sixth month of pregnancy. I am pretty much concerned about using Neomycin 0.5 % and Clobetasol 0.05 % ointment during the first month of our pregnancy. We had itching and burning sensation. We used approximately 4 g of ointment in total. She applied some ointment over her inguinal area and me over head of penis and we also had intercourse after that. This happened two times. Would this have caused vaginal absorption of Neomycin and damaged the fetus? Or as it was the month of conception would it have damaged the sperms, egg or the fertilized egg? I read some articles where topical Neomycin has caused ototoxicity, nephrotoxicity and reduced spermatogenesis in males. Should I have terminated the pregnancy earlier? Should I monitor the baby after birth for these toxicities? We did three scans so far dating scan, NT scan and anomaly scan which are normal.; Answer: Hello. There are possibilities of absorption per vaginally and I agree there are reports of ototoxicity and nephrotoxicity but as she is six months pregnant now and all scans are normal so there are no morphological anomalies in the child but as far as ear hearing abnormalities are concerned, that cannot be detected by scans. Also, as on date after 20 weeks of gestation, pregnancy cannot be terminated by law unless gross abnormalities are evident in the foetus and permission would have to be sought by high court only.

Question: Q. My Hb is 8 to 9 with normal MCV and spleen enlargement. Please advice.; Patient: Hello doctor, My Hb is 8 to 9 always, and MCV is on the normal range, on CBC. I have enlarged spleen (moderate to severe) since childhood and chronic since then. I have a history of blood transfusions but had transfused only 6 to 7 times. My brother has the same problem with the same symptoms also. He is 31, and I am 34 years old. My mother is anemic with Hb 7.5 to 9.0 always, with normal MCV on CBC. She is 51 years old. Father has normal HB 14 always.; Answer: Hello, Welcome to the icliniq.com. You have to rule out iron deficiency anemia and hemolytic anemia in your case. You need to investigate further as follow. You can revert with reports once done.If you have hemolytic anemia than hemoglobin level usually remains in the borderline range.If your above reports suggest towards iron deficiency anemia than iron tablet will recover your anemia completely. So revert with reports once done. Meanwhile, you can be prescribed ferrous ascorbate tablet for your anemia.I hope I have answered your question. Let me know if I can assist you further.

Question: Q. Does vaginal itching after sex indicate STD?; Patient: Hello doctor,I had sex with a prostitute last week. I used a condom, but I played her vagina with my hand. I came back home that night and had sex with my wife again. I also played her vagina with my hand. Next day, she had her periods and felt itchy at her vagina (I think genital herpes). So she scratched her vagina, and it became a damaged spot under the vagina. But it is better now and is about to heal. Is this STD or not?; Answer: Hello. It may be normal, but I cannot deny from STD (sexually transmitted disease), and it may be herpes and vaginitis too. 1. Apply Betnovate-N locally up to deep in the vagina, after proper wash two times a day till required. 2. Ciplox TZ (Ciprofloxacin, Tinidazole) two times a day after food for three days. 3. Candid veginal tablet at night for six nights.It will be fine. And it means you believe in polygamy, which is one day become dangerous. Be loyal, and you can use her ten times a day. So she will remain healthy so as you. If she has vaginitis, you also can get the infection.

Question: Q. Please recommend some treatment for jock itch.; Patient: Hi doctor, I am having an abscess on my balls. It is reddish and painful, but not much. I have jock itch right now. I saw terrific images on the internet, but it is not like that. Please help.; Answer: Hi. Please put up two to three clear photos of the affected area for proper evaluation and guidance. Revert back with the photos to a dermatologist online -->

Question: Q. I am having PCOS, and trying to conceive for eight months. What is the treatment?; Patient: Hello doctor, I am 33 years old. I have been trying to conceive for eight months from now. I have monthly periods and positive OPKs and BBT shifts, but periods are also very light, basically spotting. I had an Ultrasound which showed a few cysts, had mildly elevated testosterone, normal LH and FSH, normal estrogen, low progesterone. My PCP is not convinced. I have PCOS but I am wondering if that is still a possibility and what I should anticipate for treatment in the future (clomid vs. progesterone therapy, etc.)?; Answer: Hello. The fact that you are getting positive OPKs each cycle indicates that you have an anovulatory cycle or in simple terms that you are ovulating regularly. PCOD (polycystic ovarian syndrome) cannot be diagnosed alone with just small cysts in ovaries, rather one should have around 10 to 12 multiple small subcenterimetric follicles lining the periphery of the ovary during midcycle scan, one should have featyres of clinical hyperandrogenism like acne, hirsutism (excessive facial and body hair), acanthosis and most importantly oligomenorrhoea or irregular menses. Testosterone alone does not justify the diagnosis. However, if o e needs to be sure, then AMH (ante Mullerian hormone) test can be done, which is more than four indicates PCOD. As mentioned that you are on thyroid medications, I believe your TSH levels are less than five. Please share your ultrasound and hormonal profile reports for review. Now, it would also be essential to check for your partner's semen analysis for quality and quantity of sperms. I am not sure if you have any kids before or not as you have not mentioned, but if you do not yet, then semen analysis of your partner would be mandatory, as your reports are relatively normal. Progesterone deficiency can be treated, and even Clomid can be contemplated only of the male infertility factor has been ruled out first.

Question: Q. Are tonsil stones, sore throat, and swollen gums symptoms of oral or throat cancer?; Patient: Hello doctor, I have tonsil stones, sore throat, swollen gums, and dry cough. Is this the symptoms of oral or throat cancer?; Answer: Hello. A recurrent sore throat can occur in a number of pathologies. Most often it is as a result of some local pathology like Rhinosinusitis, nasopharyngitis, tonsillitis, GERD (gastroesophageal reflux disease), LPR (laryngopharyngeal reflux). Rather than relapsing and recurring course malignancies tend to have a progressive course. Further age is a crucial factor. Younger people usually do not have malignancies. Your doctor must have checked your throat, and he would for sure have picked something if there was any such thing. GERD and LPR are mainly known to cause recurrent sore throat. Malignancy is the last thing one would suspect at your age.

Question: Q. What are the chances of developing a heart attack in a GAD patient?; Patient: Hello,I am a 28-year-old female. I always worried about her heart. I have GAD specifically focus on health anxiety and often experience heart attack symptoms so much so that I have gone to my doctor and the ER many times (always to be cleared). I continue to worry whenever the symptoms come back. I have been cleared so many times, but still, fear that something could go wrong or something might have been missed. Is there a chance that I could develop a risk of a heart attack without making any major changes?; Answer: Hello. A heart attack usually occurs in those with risk factors for ischemic heart disease such as high BP, high sugar, high cholesterol, family history of a heart attack in young age, etc. Your tests are normal thats good. To estimate the lifetime risk of development of atherosclerotic diseases such as stroke and heart attack, have a fasting lipid profile done and send to me.

Question: Q. How to get rid of the rashes which exist even after medications?; Patient: Hello doctor,I have these rashes appearing in my inner thigh and body, and they started small and now has spread across 60 % of my body. I went to my local general physician and was given antibiotics, but that did not help. I was also given Dermol 500 lotion, Betnovate RD cream and Lyclear dermal cream to no avail. It is probably more comfortable if I send you the picture as it is very annoying. It is not painful, but it is spreading to my buttocks, inner thighs near my penis, both arms and body rib. What could it be?; Answer: Hello. I understand your concern. I would have appreciated a bit clearer pictures with good light (attachment removed to protect patient identity). The distribution and morphology point towards a superficial fungal infection, which has been modified by topical steroids use? Has it been itchy at any point, any redness? Kindly consult your doctor to discuss the suggestion and take the treatment with consent. 1. Capsule Itraconazole 100 mg twice a day. 2. Tablet Levocetirizine 5 mg once at night. 3. Terbinafine cream apply twice a day. Do this for a week.

Question: Q. Will sharing water bottle cause transmission of genital herpes?; Patient: Hello doctor, My cousin was diagnosed with genital herpes a few days back. She also has a sore throat currently that the doctor thought was strep throat but the strep test was negative. I shared a water bottle with her recently. Could I have contracted herpes from sharing the water bottle?; Answer: Hello. The sharing of water bottle is not known to spread herpes. Genital herpes spread through sexual route. The viral infection also can cause sore throat like influenza infection. It will give streptococcus negative test.

Question: Q. What should I do for my dizzy feeling?; Patient: Hello doctor, I do not want to be sound like I am panicking, but I really do feel quite uneasy. Since I woke up I feel dizzy. My head is rolling and when I close my eyes, I feel like the world is rolling around in a full speed. It never happened with me any time before. I just had my lunch now, but I do not feel to eat any due to the same. Please advise what should I do? Thank you.; Answer: Hi. For further information consult an internal medicine physician online -->

Question: Q. I slept for long hours after taking Zyprexa. Is it normal?; Patient: Hi doctor, I take on a daily basic- 100 mg Ixel, 60 mg Paxet, 0.5 mg Clonazapem. My psychiatrist told me to take 5 mg of Zyprexa in cases of SOS. I do not have any psychotic symptoms. He told me it was meant to knock me down, so I could have relief from stress and I could sleep. I took this pill (first time ever) and I slept for 20 hours (I was awake for one hour in between). Then I was awake for three hours feeling really bad, dizzy, spaced out, tired. Then I slept for another nine hours. I still felt bad and restless for a day, but slowly I got less tired and more alert. I guess it is not normal. It was even quite scary. In the meanwhile, should I avoid this pill or maybe reduce it?; Answer: Hello. I can understand your problem. You are on high dose of Paroxetine and are also taking Milnacipran, Clonazepam and if even with these medicines the symptoms are persisting, then there is no harm in adding a low dose antipsychotic drug like Olanzapine. Olanzapine in low dose has great efficacy in depressive symptoms, anxiety disorders and in resistant depression symptoms. The drug is associated with excessive sedation and this is the reason you slept for very long duration after taking this drug. In that case one option is to reduce the dose of the drug to 2.5 mg and give this a try. This should help you without causing unnecessary sedation. But, I am not sure if the drug will help much in anxiety if used in SOS basis. The drug should be used regularly after dinner and Clonazepam dose can be skipped which can be kept for use on SOS basis. You can have a talk with your psychiatrist for this.

Question: Q. I had LASIK done. My vision is all right, but I feel burning sensation in my eyes.; Patient: Hi doctor, I had LASIK done for my eyes two months back. My vision is all right but, I feel a burning sensation at the corners of the eyes (corners from where tear comes). After 20 days of LASIK, (back then) whenever I put any eye drops my eyes started burning. Due to the burning sensation, my eyes started watering. I had consulted many doctors, and they prescribed eye drops like Systane Ultra, L-Pred, and Eubri. But no eye drops help me. I do not know what to do. Sometimes I also get redness in the eyes. Is it dryness or something else?; Answer: Hi. LASIK when it is done, corneal nerves will be cut. These corneal nerves take several months to regenerate. This can lead to continuous dryness and irritation in the eyes. Eyes also become hypersensitive. Systane ultra is artificial tear eye drops which is a substitute given for this dryness. But, the burning sensation in the corners can be due to an allergic reaction.  L-Pred may help that. Please avoid rubbing your eyes in case of irritation, as it may take a long time for healing the corneal flap; they create in LASIK. Sometimes, eye drops may themselves can cause an allergic reaction to your eye and can cause irritation. You can use different company drops of same content medicine to avoid this problem. Try Levocetirizine tablets. You can a send a picture of your eyes for a detailed evaluation.

Question: Q. Please help with my issues of numbness and vitamin deficiency.; Patient: Hi doctor, I am a 33 year old male. I am from prickling, numbness, warm sensation in my feet and hands and tingling in my lips and mouth for the past two years. I had a severe cough for around two years and recently, it got resolved. My issue, initially started with prickling and burning sensations in feet and after that both palms. Now, it has increased above knee. I visited a neurologist, but the problem was not solved. Presently, I am suffering from numbness and tingling in the mouth on lip area, prickling, burning sensations and numbness in feet, legs and palms, getting tired after moving through staircase, feeling some discomfort in chest area like heaviness for some time, gas problem and recurrent mouth ulcer. My sugar test, BP, NCV, ANA profile, TMT and ECG are normal. ACE 69, HSV1 positive, vitamin D 17 deficient and uric acid 8.2. I am completely blank now; I am not getting any hope of good treatment for my problem. I had unprotected sex 9 years ago. My CMIA test and rapid HIV test came back negative that time. I had medicine for herpes simplex for a month, vitamin D3 60K once in a week for four weeks and then once a month for six months. But, my problem remains the same. I will be highly obliged to you. I am struggling because of my present health condition. Kindly advise the treatment.; Answer: Hi. Your problem still could be due to a nerve problem, even though your NCV test is normal (nerve conduction velocity). Also, you might be having calcium deficiency, which is very common associated with vitamin D deficiency. I suggest you calcium supplements like tablet Shelcal HD daily once for three months. Apart from vitamin D and herpes medication, have you taken any medicines for your problem? Kindly let me know that. If not done, then kindly get serum vitamin B12 levels tested and revert back with the report. Revert back with the reports to an internal medicine physician online -->

Question: Q. Does ventricular ectopic beats lead to cardiac arrest?; Patient: Hello doctor,My heart is normal, but I have ventricular ectopic beats. Could these cause cardiac arrest and kill me at the age of 23? I worry about it every day. Kindly advice.; Answer: Hello. It is unusual for ventricular ectopics alone to cause cardiac arrest. Still, it depends on various factors like cause of ectopics, the morphology of ectopics, frequency of ectopics LV function on Echo. What symptoms do you have? Please provide your ECG and Echocardiography report. You have uploaded your photo as an attachment (attachment removed to protect patient identity).

Question: Q. My throat hurts after I smoked for the first time. Why?; Patient: Hello doctor, Why does my throat hurt after smoking cigarettes for the first time?; Answer: Hello, Welcome to iclinic.com. For further queries consult an ENT otolaryngologist online -->

Question: Q. Got chickenpox during pregnancy. What shall I do now?; Patient: Hi doctor, I am 21 years old. My weight is 48 kg. I am 3 months 2 weeks pregnant. Now, I got chickenpox. I am very anxious about the adverse affect for my baby. I have visited a gynecologist and she suggested me to get abortion. Please clarify me the right step.; Answer: Hi. Really this is a confusing state, but this does not mean you have to abort the fetus right now. When mother get infected with chickenpox, fetus carries a risk. But the risk is only 2% and in those cases the fetus might develop rarely some form of abnormality. Thus, straightaway recommendation of termination is not always a choice. Definitely there is no direct answer and it is upto you what to do. If you want to have the risk of 2%, which is very minimal and often equal to an incidence of congenital anomalies in low risk pregnancy, definitely you can continue it. In that case, just go for an anomaly scan from a very good center at the 18th to 19th week to confirm about the integrity of the fetus. For further information consult an obstetrician and gynaecologist online -->

Question: Q. What is the harm of stopping Veltam plus in a person with BPH?; Patient: Hello doctor,My father, 74 years of age, has BPH. He had UTI four years ago and was diagnosed with BPH. PSA was 60 and last three years was on Urimax and past few months on Veltamplus. His PSA is 0.9 prostate size 45 cc and PVR is 70 ml. His symptoms have been the urinary frequency of every two hours all these four years. One doctor has asked to continue the medication. On a recent visit to the second doctor, the new doctor asked to stop the medication. So, I wanted a third opinion. What is the harm if we stop? What is the benefit of continuing it? The medication lowers blood pressure. So, it is down from the 70s to 50s.; Answer: Hello. I would suggest you continue medicines as at present his flow (which is good) and postvoid (which is less, it should be less only) are because of medicines. I think if he stops the medicines then his urinary symptoms may get worse or postvoid may also increase. There is no harm in taking medicines. Veltam plus (Tamsulosin and Dutasteride) may cause postural hypotension. If he is suffering from severe postural hypotension then he can stop Veltam plus.  So harms of stopping are: His urinary symptoms may worsen. His postvoid may increase. He may develop UTI (urinary tract infection). Regarding frequency which is every two hours, I think at 74 years it is fine. Just continue as it is. Because apart from prostate there are many age-related changes in the bladder which cause these symptoms and which are inevitable and irreversible. Until and unless very bad frequency like every half an hour then only intervene. Make some lifestyle changes like drink less water at night before bed. Avoid or reduce drinks which cause diuresis like coffee and tea. For more information consult a urologist online -->

Question: Q. I feel as if the skin over my belly button is firm. Is it hernia?; Patient: Hello doctor, The top of my belly button, that is, the skin of my belly button is hard and firm, and the rest of my belly button is not. I feel as if there is something under the surface. I changed my diet, so I lost some weight. I was 168 lbs, and now I am 135 lbs. If I place two fingers over my belly button and do wide circles, I feel like there is something hard underneath. Is this a hernia or where my umbilical cord was? I do not have pain or symptoms, but I just feel it firm and hard. What is this?; Answer: Hello. For further queries consult a family physician online -->

Question: Q. I have a pulsating feeling on the left side of my stomach. Will this go away by itself?; Patient: Hi doctor, I am a 34 year old female who is generally in good health. Yesterday, I went to dinner, ate a lot, felt very full after and felt I had strong gas. But, I was not in pain, just felt very full. What freaked me out was this pulsating feeling on the left side of my stomach above my belly button. It continued throughout the day on and off. I woke up with a feeling of no appetite. I was bloated and burping a lot but not nauseous and there was no diarrhea. I have been on Avaine birth control for about a year now and have never missed a pill, but am concerned I could be pregnant as the burping was an earlier sign when I was. Other than the burping, I do not feel any pregnancy symptoms. Is this something that will just pass or should I be concerned?; Answer: Hello. Regards. For more information consult an internal medicine physician online -->

Question: Q. Why do I feel swollen feet and numbness when they are not so?; Patient: Hi doctor, I am having issues with my feet. I feel that they are swollen and numb, but they are not swollen and also there is no discoloration. I do not have any chest pain, lightheadedness, dizziness, shortness of breath or any unusual pain and ache anywhere else. This usually happens while sitting down or lying down on the couch. It goes away when I stretch my toes out or walk. I play basketball twice a week. I am taking vitamins B12, C, E, potassium, garlic and fish oil on a daily basis. I have looked these symptoms up, but nothing matches completely with what is on the internet. I also have noticed a hard lump or knot in the middle or bottom towards my toes, where the numbness and swollen feeling starts. I think this might be something else. Please help.; Answer: Hi. Revert back after a month to an orthopaedician and traumatologist online -->

Question: Q. Though the cholesterol is normal, is it necessary to take Ecosprin AV?; Patient: Hi doctor, Sometimes, my father used to get chest pain. Angiography showed that he has a LAD bridging and vessels are normal and clear. His echo is normal. His BP, blood sugar and cholesterol are normal. After the chest pain, he was given the following medicines for one year. They are Stator, Ismo, Clopidogrel, Aspirin, Cardace and Metoprolol. Now, after 1 year, his cardiologist has prescribed Ecosprin AV 150/20 (Aspirin and Atorvastatin) for lifelong. But, he does not have any pain now. So, is it necessary to take this tablet? Also, his cholesterol level is normal and he is not even having any blood clot as well. I read on the internet and beta blockers are given for LAD bridging, but this doctor have not given it now. He just gave Metoprolol and stopped. Please clear my doubts.; Answer: Hi. I have noted all details of your father. Revert back with the reports to a cardiologist online -->

Question: Q. If my periods are delayed due to pregnancy, can Medroxyprogesterone cause abortion?; Patient: Hello doctor, I have PCOS, and I missed my last two periods. Can I take Meprate or Deviry? In case I am pregnant, I want to keep the baby. Will these medicines cause abortion?; Answer: Hi. How are you doing? You can definitely take either of the medicines, they both are the same. They are both Medroxyprogesterone acetate, and it is the same hormone which is released from your ovaries in the second half of periods after ovulation. In PCOD (polycystic ovary disease), as you are not ovulating, this hormone will be deficient. So, taking the pill meprate will cause bleeding, only if you are not pregnant. If there is pregnancy, this same progesterone hormone is produced by the ovary to support the fetus. So, these medicines will not cause abortion, but it will support it further. These medicines are very safe whether you are pregnant or not. It can never cause abortion. Hope I have clarified your doubt, do write back. All the best. For more information consult an obstetrician and gynaecologist online -->

Question: Q. Is there a solution for heavy snoring?; Patient: Hello doctor,I am suffering from a heavy snoring issue. With this issue, I am not able to enjoy with my friends when going on trips and even when someone visits our apartment. Is there a solution? My snoring is very severe.; Answer: Hi. Sure, there is a solution but firstly you have to detect the cause with the help of investigations and tests. You have to be examined by an otorhinolaryngologist to detect the nature of the soft palate, uvula, nasal septum, nasal turbinates, tongue base and to exclude any nasal polyps. The second step is CT scan for your nose and sinuses. The final step is the airway examination during sleep in a sleep laboratory. For more information consult an ENT otolaryngologist online -->

Question: Q. Why am I having itching and burning sensation in eyes while using contact lenses?; Patient: Hello doctor, I have contacts on and they bother me so much. If I take them out I want to scratch so bad, my eye burns and itches.; Answer: Hi. If you are having trouble with your contacts, you should discontinue wearing contacts and consult an ophthalmologist for an eye exam. Discomfort with contacts may be due to allergy to contacts or lens solution or it may be due to dry eyes (due to contacts) and in such cases contacts can make abrasions, ulcer on your cornea that would need a treatment. So, get your eyes evaluated from an eye specialist to diagnose the exact cause and get it treated appropriately. You are welcome for any queries.

Question: Q. I have pain and clicking sound in knee. What does my MRI show?; Patient: Hello doctor, I would like to get help reading knee MRI. Based on physical examination: Acute medial meniscus tear. Pain, clicking sound and cannot do activities.; Answer: Hi. Please note the images are sub-optimal for giving a professional report as we need to see the images in detail at the workstation computer (attachment removed to protect patient identity). However, my observations after viewing the images sent by you are the following: Your MRI knee is showing a mild knee joint effusion and is the likely cause of your pain an discomfort. The medial meniscus shows a suspicious area of signal abnormality in in the anterior horn root area and is not a serious concern. The rest of the meniscus is looking normal. The anterior cruciate ligament is intact, however there can changes from a mild strain of the ligament.

Question: Q. How can wisdom tooth pain be treated?; Patient: Hello doctor, I am having wisdom tooth pain and I am currently traveling. Can you please suggest some good pain relief medicine and once I am back home, I shall get it treated. Please find the attached X-ray.; Answer: Hi. Do not worry. I checked your attachment (attachment removed to protect patient identity). Pain is due to impacted wisdom tooth which has also damaged adjacent tooth leading to caries. You may require disimpaction and restoration of adjacent tooth by root canal. Right now you take the following medicines: Ofloxacin 200 mg with Ornidazole 500 mg BD for five days. Tablet Acelofenac 100 mg with Paracetamol 325 mg, Serratidopeptidase 15 mg BD for five days after taking food. Tablet Pantoprazole 40 mg OD for five days. Mouthwash Hexidine three times daily for 30 seconds by rinsing oral cavity. You are also advised to maintain good oral hygiene.

Question: Q. How to cure mouth ulcer?; Patient: Hi doctor, I have a sore in the mouth. I have attached the photos. Please help.; Answer: Hi. Revert back with the answers to the above questions to a dentist online -->

Question: Q. Why am I having thick white and greenish vaginal discharge with itching?; Patient: Hello doctor, I think I might have an yeast infection, I have thick white discharge, itching, and today the discharge is a little greenish. What should I do?; Answer: Hi, Welcome to iclinq.com.  If its appearance is like curd, then probably it is yeast and you can take a single dose of tablet Canestein 150 mg to treat it.

Question: Q. Can falling from a moving escalator cause inner ear disorder?; Patient: Hello doctor, Three weeks ago while descending on a moving escalator I fell down but I was holding the bannister and it only caused me to sit on the steps from where I got up and walked away upon reaching down. Next day, while sitting on a high chair with a very small base and seat, I slipped off but managed not to fall by holding on to a nearby support. For the previous three years, I have preferred to hold on to the railing while climbing or going down a flight of stairs. I consulted a neurologist who suggested an inner ear disorder and seeing an ENT speciialist. She told me to perform a brain MRI and consider a nerve conduction study. Can you shortlist the possible inner ear disorders? Then, please tell me the tests in sequence which I should do to identify the specific inner ear disorder.; Answer: Hi. I understand your concern, you are probably suffering from imbalance. It is a type of vertigo. Such problems arises when vestibule of inner ear is not working properly. Balancing of moving body is managed by vestibule of inner ear. Sometimes inner ear gets diseased by viral infection, bacterial infection, metabolic dysfunction like hydrops. Diagnostic tools are good clinical examination by ENT doctor. Investigations like electronystagmography (ENG). My suggestion is to please consult your ENT doctor, certainly he or she will do same as above I said and will reach to correct diagnosis to manage your problem.

Question: Q. How can I manage dry eye?; Patient: Hello doctor, I have a problem in my eyes. My right eye is dry and left is normal. I use Systane Ultra eye drop from the last one year and Omega 3 capsule from last three months. No result was found. No improvement was found. Please suggest me how I can get relief in my right eye? I want to overcome dryness in my eyes.; Answer: Hello. Unfortunately, dry eye is a chronic condition and does not go away. First of all, you should use the eye drop in both eyes and not only on the one you feel the dryness in, second of all, the minimal quantity of drops that might help you during the day is four times but there are no limits, you can even use it every hour. The other option is to have punctum plugs inserted and that might reduce the quantity of drops you have to use or to use the only available medication for this condition which is called Restasis. For a more detailed advice please provide me with more information such as schirmer test results atleast.

Question: Q. Why am I having a yellow thick foul smelling vaginal discharge?; Patient: Hi doctor, I have a yellow thick foul smelling discharge. It has been a while but it seems to be a problem. My partner also mentioned that I have extra smell compared to his previous partners. Why is this?; Answer: Hello. You are suffering from bacterial vaginosis which is a bacterial infection. This can be confirmed with a high vaginal swab culture and shall require a course of antibiotics for a week with avoidance of intercourse during treatment. Try using alkaline vaginal washes to clean yourself and avoid chemical soaps. Meet your gynecologist for a local examination and prescription.

Question: Q. Am I having recurrent BV because of unprotected sex?; Patient: Hello doctor,I have recurring BV and I do not know why. I have stopped taking baths, I do not douche, I never use any scented products. I am in a monogamous relationship. I just realized that my fiance washes his penis with shampoo, and we have unprotected sex. Could this be why I cannot seem to get rid of it?; Answer: Hi. BV (bacterial vaginosis) is not a sexually transmitted disease. It is just an abnormal change in your normal bacterial flora. I would recommend using tablet Metronidazole 2000 mg once or you can use Clindamycin 5 % vaginal creams once for five days. That is available over the counter. Also, avoid using unnecessary antibiotics. Get your diabetes checked if you are gaining weight. Sometimes, use of probiotics is also helpful in some people. For more information consult an internal medicine physician online -->

Question: Q. Is there any way to treat BV while being 34 weeks pregnant?; Patient: Hello doctor,Is there any way that I can treat BV while being 34 weeks pregnant? I had Metronidazole gel and suppositories and they did not work. The smell is pretty uncomfortable plus I have HPV. So, I do not know if that is associated with the smell too. BTW is BV contagious?; Answer: Hi. BV (bacterial vaginosis) is not a sexually transmitted infection. You must be having associated fungal infections causing itching. Take tablet Metronidazole 400 mg three times daily for one week. Take capsule Clotrimazole vaginal pessary at bedtime for a week. Drink plenty of water.Keep your perineal area dry. For more information consult an obstetrician and gynaecologist online -->

Question: Q. What is the skin rash that itch sometimes in a child?; Patient: Hello doctor,My daughter has just started kindergarten three weeks ago and came home today with a rash all over her arms, hands, and feet and one by her lip. She feels fine otherwise but they itch sometimes. Our 7-year-old neighbor just got over strep and impetigo and I am wondering if this could be that. It seems to look similar to the hand, foot, and mouth. She has already missed three days of school for a cold but I do not want to send her if she is contagious.; Answer: Hi. I have seen your query and examined your given pictures (attachment removed to protect patient identity). It seems your son has a hand, foot, and mouth disease, and does not look like impetigo. HFMD (hand, foot, and mouth disease) is a viral infection caused by the coxsackie virus. It is a self-limiting disease and takes around 5 to 7 days to subside. Symptomatic treatment can be taken like topical Lactocalamine lotion local application twice daily and Orasep (Chlorhexidine gluconate) mouth gel local application twice for five days after consulting your gp or near by dermatologist,

Question: Q. Is it possible to treat hydrosalpinx by natural methods?; Patient: Hello doctor,Is hydrosalpinx treatable by natural methods? If possible, what should I do?; Answer: Hello. I think you are talking about hydrosalpinx. It is a temporary or permanent blockage of single or both fallopian tube. It is one of the major cause of infertility. It can be managed naturally through ayurvedic medicines and some specific Panchakarma procedure, Uttar Basti of medicated oil like Yavakshara oil. It helps to resolve blockage and open the fallopian tube. There are several causes to such conditions. Some of them are pelvic inflammatory disease, gonorrhoeal infection, etc. Ultrasonography, and hysterosalpingogram. PCOD (polycystic ovary disease), and hypothyroidism. Uttar basti with medicated oil like Yavakshara oil is the safe and successful treatment of hydrosalpinx. Avoid spicy and fried junk foods. Avoid cold drinks soft drinks ice-cream etc. Do regular kapalbhati Mandukasana and Ardha matsyendrasana as well as pranayana like anuloma viloma nadi shodhan and bhramari.

Question: Q. I have diarrhea following constipation for a long time. Why?; Patient: Hi doctor, I am having a slightly upset stomach with bloating for the past four months. I thought I had a bug. Two weeks later, it seemed much better. However, my bowel movements did not return to normal. I had mostly constipation for about a month (even though my stomach did not feel as upset anymore). Then after that month, things flipped and now for the last four weeks at least, I have had movements that are almost diarrhea (very soft, formed only slightly). Colour does not seem abnormal and there is not a bad smell and I do not see oil drops in the toilet bowl. Every morning I have this. I also am having increasing stomach reactions. Every time I put food into my mouth, the gurgling starts. I am not feeling this is a food intolerance as it happens instantly no matter what I eat. I also get a lot of bloating due to the gas. I will, of course, be following up with my doctor, but wanted to ask here. I have a history of breast cancer, so I easily get concerned about cancers (I realize that breast cancer does not often spread to the bowels, but I am still worried about another cancer). I am not a person with a strong history of gastrointestinal upset. I did go through about 7 to 8 weeks of something about seven years ago and never really had a true explanation. Those symptoms accompanied many other symptoms such as nerve pain, twitching, cramping. I felt as though I was having an autoimmune type reaction and am now wondering if it was tied to hormonal changes as my periods changed at the very same time as I had those symptoms (perimenopause). I am currently on Letrozole for hormone positive breast cancer targeted therapy. I had my ovaries out two years ago. So my body is definitely experiencing a massive drop in estrogen over the past two years. I am wondering if you have any thoughts on what this could be? No blood in the stool.; Answer: Hi. Your history fits into the acid peptic disease. I do not find any sign of cancer over here (attachment removed to protect patient identity). I would recommend you the following. A combination of Pantoprazole and Domperidone once daily for a few days. A good probiotic, to take a soft and bland diet, to walk after all meals. I would also recommend you to get your thyroid profile checked.

Question: Q. I have acne. Can I use Pantoprazole with Cutein?; Patient: Hello doctor, I have acne for around five years. Now I am using Cutein tablets. I suddenly got a burning sensation in my stomach. So, now I am using Pantoprazole tablets along with Cutein. Is that effective or injurious?; Answer: Hi. Cutein tablet contains Iron as one of the ingredients, along with some other vitamins. The iron tablets can give increased acid in the stomach and indigestion. But, if you take both Cutein and Pantoprazole tablets together, the iron will not get absorbed. Therefore, first take Cutein tablet on empty stomach in the morning, and then 30 minutes later take Pantoprazole.

Question: Q. Can a rough foreplay be a cause for a bump inside my vagina?; Patient: Hello doctor,I am a 24-year-old female. I was engaged in some foreplay with someone last weekend. And they fingered me hard. Last night, I noticed a tiny bump on the inside of my vagina. It is a pea-sized right against the wall. It is completely painless, and I would not have even noticed it was there had I not put one of my fingers inside myself.Is it possible that this is just a cyst from the rough foreplay? It feels a bit smaller than it did last night, but I cannot tell. It almost feels like a pimple, But it is on the inside of my vagina, and I can only feel it by pressing my finger against it. What could this be?; Answer: Hello.  Yes, probably it is due to injury caused by fingering. And if it is not painful and not causing any discomfort, then you only have to wait until it resolves spontaneously. And the other option is that after a few days say three to four days you can get yourself examined by your local doctor to make sure that there is nothing more than that and this swelling has been resolved entirely. I hope it has helped you should you require any further queries. Please do not hesitate to contact me.

Question: Q. One liter water bottle has fallen on my 5. 5 months old baby. What should I do?; Patient: Hello doctor,My baby was 5.5 months old. One liter water bottle fallen in my baby's head, and that place became reddish. Already she was suffering from fever too. Kindly help.; Answer: Hello. Please apply cold water bag to the reddish area. Also, you will need to start the child on drops crocin based on the current weight of the child (is it 2.72 kg? 2.72 kg is too less for a 5.5 months old child). Dose for 2.72 kg is 0.3 ml of drops crocin (100 mg/ml). Also please document the fever with a thermometer. If it is above 100 degrees Fahrenheit, it is advisable to get the child evaluated physically by a pediatrician. Also, if you feel the child is lethargic, has a convulsion or his refusal to feed, it is best to go to the nearest hospital.

Question: Q. I am having some signs on my hand particularly in summer. Why?; Patient: Hello doctor,I have some signs on my hand on the summer period. No doctor gives me any idea what it is or what causes it? Or how to fix it? Kindly help.; Answer: Hello. What are the symptoms in it? How long has it been there?

Question: Q. A white patch has been formed at the tip of the penis associated with skin tightness. Why?; Patient: Hello doctor, I used to masturbate regularly, and I do not care much for hygiene (I wore the same used underwears, cleaned my penis once in a while, etc.). Now from the last two months, I am unable to retract. The foreskin seems to have become tight and not allowing me to even pull it back a little. There is a kind of white patch formed at the tip of my penis as well. That is concerning. Could you please let me know what might be the issue?; Answer: Hello. Let me tell you one thing, you need not worry about your condition, as it is widespread to have phimosis, which is the case with you. The foreskin is tight in your case, and hence, retraction is painful. The white patch you are referring to is nothing but color due to fibrosis. This has nothing to do with masturbation. You can undergo a simple procedure called circumcision, which will get rid of the foreskin and your problem with it, once for all. It is a minor procedure. Please address the issue of hygiene better. Though there will not be any serious health issues with cleanliness, absence of hygiene can result in fungal infection, which can be avoided by addressing the hygiene properly. Let me reassure you again, and you need not worry much, go for circumcision.

Question: Q. Please advice whether I can continue my same dosage of thyroid tablets after the variation of TSH levels.; Patient: Hello doctor, I am under medication for thyroid from past one year. Initially, TSH was 15.5, and I was using 50 mcg later TSH came to 13 so increased dosage to 75 mcg. After which my TSH came to 8.8, and now with same 75 mcg TSH got risen to 11.11. Please advise do I need to continue with the same dosage or increase the dosage.; Answer: Hello.  The goal of treatment in hypothyroidism is to normalize TSH (thyroid stimulating hormone) levels. The dose of thyroxine needs to be adjusted until this happens. The dose is weight related to some extent. The approximate dose of thyroid hormone is equal to weight in kg x 1.6. But ultimately, it is the TSH that guides the dosage. Here is what you need to do, 1. Increase the dose of Thyroxine to 100 mcg once a day. 2. Take the tablet on an empty stomach. Do not consume anything except water for one hour after taking Thyroxine. (No tea, coffee, milk, iron or calcium tablets, etc.). 3. Whenever the dose of Thyroxine is adjusted, recheck TSH after six to eight weeks. 4. No diet restrictions for hypothyroidism. Contrary to popular belief, it is fine to eat cabbage, cauliflower, broccoli, soybeans, etc. I hope this helps.

Question: Q. What could be the painless lump under my skin on my arm?; Patient: Hello doctor,I have a lump under my skin on my arm, and it is slight my raised. It is not painful, and it is 5 mm in diameter. It has got a dark center that looks like a bruise. It has not grown in size either. What could it be?; Answer: Hello. I understand your concern, but there are no attached photographs in your message. Kindly send a picture of the affected area to help you better. I need to see the affected area to assess the condition and to suggest the appropriate diagnosis and treatment. Please send the picture of the affected area.

Question: Q. Please guide how to use snehapana at home.; Patient: Hello doctor,I have chronic gastritis. I want to do snehapana at home with pure cow ghee. Can you please guide me?; Answer: Hello. Ideally, you should have done it under the supervision of a nearby Ayurveda physician. Because this procedure also requires a close watch and some dietary restriction. Even if you are taking some medicine without guidance, it is not advisable to do it on your own. It can also cause some issues like nausea, vomiting, etc. in some cases, and it might be hard for you to manage it at home. The amount of ghee should be taken on various factors, and it requires a complete history and clinical examination. Also, the amount of ghee needs to be increased day by day for some days. After intake of ghee symptoms need to be watched for proper digestion. If the physician does not find appropriate digestive symptoms, then he can manage accordingly. After proper digestion of ghee, a particular dietary regimen and lifestyle have to be managed. So you should do it under supervision. I hope you understand my point that rather than doing it at home, it is better to do under the supervision of a nearby Ayurveda physician.

Question: Q. Can I use Benzodiazepine for a longer period?; Patient: Hello doctor, I am 29 years old male, with height 5' 10" and weight 75 kgCurrently, I am on 1. Clonazepam 2 mg one tablet during the night. 2. Trazine-S half tablet during night. I have been suffering from a borderline personality disorder (BPD) along with symptoms of anxiety, panic disorder, extreme irritability, anger, and so on. So for that, I have been prescribed with the above medicines for the past seven months. Came to know that Benzodiazepines like Clonazepam should not be consumed for more than a month, but in my case, I have been drinking it for more than seven months. The doctor is not tapering off the dosage either. So is it safe to continue? What shall I do? Kindly help.; Answer: Hello. If it is the requirement of Benzodiazepines than you need to take for long periods. There is nothing wrong to take medication for a long time if you are stable on it. Theoretically and ideally, Benzodiazepine should be tapered off within four weeks, but in clinical practice, we have to give it for an extended period, depending upon the patient diseases. If you have no anxiety or sleep disturbance, then you can taper off your way. You can make it half of your tablet for two weeks then take half tablet alternate day for two weeks and then you can stop it.

Question: Q. What could be the cause for heaviness in the head?; Patient: Hello doctor, My husband has been having head heaviness for a month now and I do not know what is causing this. He has had a cervical scan done and other tests were done and he was told there is nothing wrong. It been two months now since this started and is a sudden onset. Prior to this, he used to work out a lot at the gym but not now as he is having numbness and tingling sensation radiation from the lower back down his right leg with severe pains in the morning. There is a moderate pain with movement. He is currently having back pain issues before this head heaviness started. He has had a CT scan done and the report is as follows:  L1-L2 normal findings.   L2-L3 disc bulge with thecal indentation and irrelevant effect.   L3-L4 disc protrusion with caudal migration causing moderate canal stenosis and compression of the L4 nerve root at the lateral recess. Calcification of the disc noted posteriorly.   L4-L5 disc bulge with thecal indentation and contact to the L5 nerve roots at the lateral recess.  Impression: Essentially L3-L4 disc protrusion migration causing moderate canal stenosis and compression of the L4 nerve root at the lateral recess. I want to know what is actually happening. Some advice and recommendation and treatment options available in this situation.  Also, how can we treat the heaviness in the head as is causing difficulty in sleeping?   Are there any medications?   Also, does the head heaviness got anything to do with this situation?; Answer: Hello. Your husband's lumbar spine CT (computed tomography)scan is indicative of a disk herniation, which is responsible for the pain in lower back and tingling sensations radiating in the right leg. It is not related to headaches. Considering these CT findings, I would recommend having some rest, avoiding prolonged standing up or sitting position and weightlifting. Physiotherapy and painkillers (Acetaminophen and Ibuprofen) coupled with a muscle relaxant like Flexeril. If the pain persists consulting with a spine surgeon. Regarding headaches, I would like to review his cervical spine CT scan report. It could be related to a wrong posture or a tension-type headache ( related to psychological or physical stress). For more information consult a neurologist online -->

Question: Q. What are the abortion options during 6 weeks of pregnancy?; Patient: Hi doctor, I would like to get a summary of abortion options for someone 6 weeks pregnant. Please explain the risk statistics as in what percentage the patient have risks and what type of patients they typically are. The woman in question is an otherwise healthy 21 year old.; Answer: Hello. For someone who is 6 weeks or 42 days pregnant as per the ultrasound and the pregnancy has been localized intrauterine, there are actually two options: In medical abortion the patient is given a set of medicines namely Mifepristone and Misoprostol in a set protocol. The aim is to disallow further growth of pregnancy by stopping the cytotrophoblastic invasion into the endometrium (through Mifepristone) and then initiating uterine contractions and placental separation (through Misoprostol). The procedure for drug protocol lasts till max 2000 mcg of Misoprostol has been given in a set protocol till the pregnancy has been aborted. The success rates are 93%-96%, but the disadvantage is that it may lead to prolong bleeding for up to two weeks before all the products of conception can be actually aborted. Sometimes, the bleeding just continues for long and one may have to resort to surgical curettage to remove the remaining decidua in utero. Surgical evacuation is a day care procedure where a suction canal is introduced inside the uterus through the cervix, with patient under anesthesia or a paracervical block and the products of conception are suctioned out completely. If the procedure is ultrasound guided, then the success rates are 100 percent and major advantage is, one can leave for work after 6 hours (till the anesthesia effect passes of if general anesthesia or after 2 hours in case of post paracervical block). The remote chances of Asherman syndrome or intrauterine adhesions have been documented in 1% of women who underwent surgical evacuation where adhesions were formed inside the uterus leading to secondary infertility. But, a controlled, ultrasound guided dilation and curettage under an experienced hand is safe. I would suggest her to opt for medical abortion if the pregnancy is unplanned or accidental as this would be a natural way of aborting and moreover pregnancy being less than 7 weeks, can be easily aborted. A repeat ultrasound pelvis to check for completion of abortion shall be necessary after the procedure is undertaken. The mild bleeding and discharge may or may not continue for long, it depends from woman to woman. If this fails, then of course you have a surgical option to look at. Pregnancy should be completely avoided for the next four months of post procedure as that is the time required by uterus and pelvic organs to return back to their pre-pregnant state.

Question: Q. Is the sharp pain that I experienced on my left armpit, a sign of heart attack?; Patient: Hello doctor, I am a 27 year old female. My weight is 195 lbs and height is 5'8". I have hypothyroidism and I am on Synthroid. I am taking Amoxicillin for a lingering cold. Yesterday, I experienced a sharp pain on my left side, under my armpit, equal with my left breast. I had this episode of pain twice yesterday. On both the occasions, the pain lasted for about 5 to 10 minutes. When I put my hand on the area it felt as though something was passing through my ribs and once it passed the pain subsided and I was fine. There was a bit of tenderness in the region of pain. I am wondering whether this is due to gas from all the holiday food and carbonated drinks. Or is this something serious that I should get looked at? I wanted to wait and see if it happened again, but was looking for a second opinion on that. Both my grandparents passed away because of heart attack and so, I am worried. I am a mother of two kids and do not want there to be an issue.; Answer: Hi. I understand your concern as your grandparents passed of a heart attack, the fear you have is genuine. But, just pain in your chest is not an indication of a heart attack. Since you gave a history of carbonated food and tablet Amoxicillin along with thyroid medication, these both can cause an acid reflux and that can cause heartburn and lead to such non-specific pain. However, if the pain was associated with sweating and stabbing character or constricting type with radiation to the left arm, then it is always better to get an ECG done to see if it is related to your heart. Heartburn. ECG. For further information consult an internal medicine physician online.--->

Question: Q. What is the small fleshy growth in my anus?; Patient: Hello doctor, I am a 19 year old female with no past medical history. I experienced constipation for some days, and I saw blood in my stools. I found this small fleshy growth on the anus, which hurts after passing motion. The pain ceases after a few hours. This fleshy growth retracts inside when I contract the surrounding muscles, but it comes out when I relax. It does not cause any pain during other times. I am attaching a picture of this fleshy growth. Please help.; Answer: Hi. I have seen your attached picture (attachment removed to protect patient identity). It shows old hemorrhoids called as skin tags. This picture, along with the pain that you are describing is suggestive of anal fissure. This is a tear in the wall of the anus, at the base of these skin tags. Here is what you need to do: To heal the fissure, do sitz bath. Take lukewarm water in a medium sized tub, put two teaspoons of ordinary salt per liter of water. Total 10 g salt per liter of water. Now sit in this water and try to push out on the anus. Try to make the water clean and sooth your anal region. Sit for around 15 minutes, 3 to 4 times every day for a month or so. Try to do this at least twice per day if you are working professional. It will decrease pain, itching, and help to heal the fissure. Do these for around 6 to 8 weeks. For pain relief during passing stools as well as healing of the fissure, I suggest the following or equivalent generic combinations for at least three weeks, after that only sitz bath should be enough: For constipation, I suggest you try the following: Curing constipation treats these and also prevents these from troubling again. Some people need surgical treatment for bleeding hemorrhoids, but only if dietary measures are not effective in controlling the problem. I hope that helps. Kindly leave feedback. Follow-up if you need any more information. For more information consult a surgical gastroenterologist online -->

Question: Q. Can long-time earphone usage cause pain in ears?; Patient: Hi doctor, Yesterday I used earphones which fit directly into ears for a very long-time. Today I am having extreme unbearable pain in back of head and ears. I have stopped using earphones now. Is there a fast fix for this unbearable back head pain? Can I take Disprin (I never take painkillers)? I use earphones on a daily basis under the prescribed volume limits. Though I have little pain sometime but not to this extent. Please suggest any medication.; Answer: Hi. My understanding and inference is that the pain is not related to the earphones or sound level. This is because of loud noise which usually produces classical symptoms like giddiness, ringing sound in ear, hearing loss, intolerance to loud sounds and some pain in ear. Your symptoms are not very classical to diagnose. Please answer below questions for clear diagnosis. With the details available as of now, I infer that the pain is muscular most probably. For the same, I suggest you the following measures. To understand any occurrence of sound trauma to your ears we must do a pure tone audiometry. This is the definitive investigation to understand any damage to inner ear due to sound. I feel a strong pain killer like Aspirin is not required for these complaints. However, there is no reason to worry as of now. Muscle ache. Bad posture. Rigorous exercise. Pure tone audiometry (this investigation is usually present in speech centers and otolaryngology clinics). For further information consult an ENT otolaryngologist online.--->

Question: Q. What is the reason for period like cramps 12 days before period?; Patient: Hi doctor, I am 28 years old. Eight months ago, I got married. Now, I am trying to conceive. I am getting period like cramps 12 days before period, mainly on the right side of the lower abdomen. Pain ranges from mild to severe. My hormones are normal, but AMH is 7.01 ng/mL. My TVS before and after periods is normal. Please suggest what to do.; Answer: Hi. I do understand your concern and due respect for that. For further information consult an obstetrician and gynaecologist online -->

Question: Q. What are the possible causes for heart trembling?; Patient: Hello doctor, I am 56 years old. I have a feeling of trembling at heart since a month. Sometimes, I feel this trembling even while sleeping and hence, the sleep gets disturbed. During daytime, I also get uneasiness and shivering for hours after an episode of heart trembling. My BP after this feeling was a little bit high at 180/85 mmHg and then it came down to 135/85 mmHg. I went to a neurologist and took CT scan and Doppler of the neck to find for any blocks. Both the scans were normal. The doctor prescribed Rancil, a beta blocker 50 mg, Aspirin, sleeping pill 0.25 mg and Vertin. I hear some sounds in ears. I also had ear pain and giddiness due to ear fluid. The doctor told that such trembling feeling may be due to ear fluid imbalance or may be due to little blocks in blood vessels, which may not be seen in the CT scan. After I took the medicine for six to seven days, there was no such feeling. For the last three days, I stopped medicine, which was prescribed for 15 days. Yesterday night, I felt the same trembling at heart and the sleep was disturbed. Then, I took only beta blocker 25 mg (half of the original prescription), Aspirin and sleep pill and I had a good sleep. I am not a diabetic and have no BP so far. The BP in the last three to four days was normal at 125/80 mmHg even though I did not take the medicines. I walk for one hour on a daily basis regularly. I am also experiencing fainting like feeling, lack of concentration, losing of a sharp and normal vision sometimes. It takes about two to three hours to recover from these symptoms. When I take a beta blocker, Aspirin and sleep pills I find myself feeling better, but the BP gets lowered to about 95/60 mmHg. For the last two decades, I had vertigo. I used to get it once in every 12 to 15 months and I had got used to it. It normally go away in 15 to 20 days. But this time, in the last one month I doubt this is vertigo though I hear some ear sounds and have a little pain in the ears. Though I drive car and two-wheeler slowly, the feeling and unsteadiness makes me very uneasy. During night, sometimes I suddenly wake up after some vibration from the stomach and the chest portion and hence, sleep will be disturbed. I experienced trembling, three times in one month during daytime and felt uneasy in the hands and legs for five hours after that. In the morning, unsteadiness starts to occur and it has happened five times in one month. I am not able to concentrate and there is a fearful sensation in the body. This problem needs to be treated. I doubt whether taking Metoprolol and Rancil will lower the blood pressure. For the past 10 days, I am taking Metoprolol 50 mg, Rancil 20 mg at night, Aspirin at night, Vertin at night, sleep pill 0.25 mg at night and Pan 40 in the morning. Earlier, I was taking Vertin. Please help me.; Answer: Hi. I read your query and understand your concerns. For further information consult your neurologist online -->

Question: Q. I am getting pain in penis and tingling sensation in testicles. Please help.; Patient: Hi doctor, I am a 27 year old sexually active male. I have been with the same girl for the past 10 years and we are loyal in the relationship. I am having a ton of issues and pain in my lower region. The symptoms are lower back pain, pain in my pubic region, pain and tingling in my testicles, burning with and without urination and pain within the penis. I have been to three different walk-in clinics and had three different antibiotics, including Levaquin, Bactrim and Cipro. I went to a urologist and was told to have pelvic pain syndrome. I have had similar issues in the past. I dealt with a prostate infection a few years ago and that was treated with antibiotics. But, this time nothing is working. Most urine cultures show no bacteria. My thoughts are possibly pudendal neuralgia or interstitial cystitis, as my mom has IC. Do you advise sonogram or endoscopy or medications?; Answer: Hi. Your symptoms do point towards chronic prostatitis. With negative culture and positive pus cells, it is likely that you are suffering from CPPS IIIA, which is non-bacterial inflammatory chronic prostatitis. Now, this is a difficult condition to manage and requires long-term therapy. I would suggest that you follow up with a urologist on a long term basis. Therapy takes some time and different medications work for different patients. IC (interstitial cystitis- painful bladder) is also a possible condition, but CPPS is more common in males than IC. You do not meet all criteria for IC as per the classic definitions. So, I would keep CPPS as the first differential. I am mentioning some tests that you may want to get done to clarify the situation in a better way. Recurrent infections. Urine anti-proliferative factor, EPS Culture (expressed prostatic secretions) after prostatic massage, uroflowmetry with post-void residual urine assessment and cystoscopy. 1. CPPS IIIA. 2. BPS (bladder pain syndrome) / IC. I suggest combination of Amitriptyline, alpha blockers, NSAIDS (nonsteroidal anti-inflammatory drugs) and Gabapentin. Dietary modifications will be necessary. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Stay away from spices, coffee and anything that you feel trigger the symptoms or aggravate them. Revert back with the reports to a urologist online.--->

Question: Q. What is the home remedy for burning sensation of the anus?; Patient: Hi doctor, What are some of the home remedies for burning sensation of the Anus? What is the reason for this burning sensation? It happens whenever I eat outside food. Though I did not eat more spicy food, why it is happening.; Answer: Hi. The following are the causes for burning sensation in the anus. Here are some home remedies for curing the burning sensation of the anus.

Question: Q. What is the solution for frequent urination after sex?; Patient: Hi doctor, I am a 33 year old female who has had meningomyelocele (spina bifida) since birth. I suffer from scoliosis of the spine, paralysis of the lower limbs and valgus of the feet. My bladder and bowel control had always been exceptionally good in spite of my condition. Before 12 days, I had sexual intercourse for the first time. Since that day, I have noticed that I urinate with extreme frequency for every 30 minutes. The urge to go is also very strong and holding it for more than 5 minutes has become impossible. I even wake up in the night to visit the bathroom. 12 days have passed and the symptoms have not abated yet. Is this a common symptom? Is it related to meningomyelocele? What is the solution? Please help.; Answer: Hello. Please relax and do not worry. I will explain you everything in detail. 1. Urine routine. 2. Urine culture and sensitivity. 3. Ultrasound of abdomen and pelvis with post-void residual urine. 4. Hemogram. 5. Serum creatinine. Consult your specialist doctor, discuss with him or her and take the treatment below. 1. Tablet Norfloxacin 400 mg in the morning and evening for five days to be started after giving a urine sample for culture. 2. Tablet Pan 40 (Pantoprazole) in the morning for five days. 3. Syrup Cital 10 mL (Disodium hydrogen citrate) in glass of water in the morning and evening for seven days. Drink at least 2 liters of water daily. Revert back with the reports to a urologist online.--->

Question: Q. I feel numbness in penis. Is it due to nerve impingement?; Patient: Hello doctor, I am a 26 year old male. My height is 190 cm and weight is 85 kg. I do exercise with weights regularly. I have noticed that I have reduced feeling in the skin on my shaft. I cannot feel normal touch, but I can feel the pain if I pinch it with my nails. To best describe it; it feels like my penis is not there when the head was covered by foreskin. I just noticed it two weeks ago. Is this due to nerve impingement? I do not have any back pain or radiating pain down the legs. There is no trouble or pain with defecation or urinating. There is no tingling or pins and needles on the shaft. Rarely, I feel some burning or numbness feeling. I do not notice any discoloration or anatomical abnormalities. Is this a sign of diabetes? But, there are no symptoms such as polydipsia, polyuria, etc. I do not remember any trauma to the penis. I do not ride bicycles at all. I have been to a urologist and done an ultrasound of the penis and testicles along with a Doppler. But, there is no finding to be worried.My libido is very low. I get erections during the night or if I really concentrate on erotic thoughts. I have not tested testosterone levels, but I suspect them to be normal. I do not really mind the reduced feeling in the shaft. But, it would be nice to get it back. I am worried by thinking that it may spread or this is a start of a more serious disease. What is your opinion? Thanks in advance.; Answer: Hi. This is a localized numbness that we are bothered with. Disease starting from this region without any other associated symptoms is quite rare and without them we may not think of a systemic pathology right away. Have you tried nerve tonics? I suggest back strengthening exercises and Pregabalin 75 mg once a day for two weeks. Vitamin B12 levels and HbA1c should be helpful. Consult a specialist doctor, discuss with him or her and take the medicine with consent. Lack of erections may suggest a more systemic disease, but we need to have more a detailed talk before we can attribute symptoms. For further information consult a urologist online -->

Question: Q. My right eye is smaller than my left eye. How to correct it?; Patient: Hello doctor, I am a 19 year old male. My right eye is smaller than my left eye. For this cause I am not able to see clearly with my right eye. Please help.; Answer: Hi. I understand your concerns. The treatment options for you include: Consult an eye care ophthalmologist online for further follow up -->

Question: Q. What can the painful inflamed ridges on penis be?; Patient: Hello doctor, I got my penis injured while having sex with my girlfriend. Now, I have what seems to be an inflamed rib or ridges on only one side of my penis. It hurts all day while walking or lifting too. I have a hard flaccid penis since this has happened. I have been taking anti-inflammatory drugs and icing it, but cannot get them to go away. Everything aggravates around night-time erections and all erections are painful on that side. I drive all day and just by pressing the brake, it hurts the whole day. I do not have peyronie's or a curved erection. Going to a urologist just blows me off. Has anyone ever heard of this situation? Is there any anti-inflammatory injection or drug that will make me not get erections until it heal? I never had these before the injury. I am attaching the picture. Please help.; Answer: Hello. I had a look at the photo (attachment removed to protect patient identity). For further information consult a urologist online -->

Question: Q. Can you suggest any medicine to get proper erection?; Patient: Hi doctor, I am a married guy of 32 years old. For the past two to three years, I am facing problem to get proper erection. I have already consulted a doctor and he asked me to get some tests done such as cholesterol, sugar and BP. We found that the triglyceride value is more than 350 mg/dL. He advised me to take tablet Lipicard 160 and Nano-Leo total sachet twice a day in milk for a week. He also advised me to do regular exercise and decrease the fatty or oily food. After a week, I found some difference in erection. It was better than before, but still I am not getting a triggering effect like I was having in my younger age. I had Sildenafil citrate in the past. Currently, I am taking Duralast 30 mg. In my teenage, erection used to happen even by thought. But, now I am getting it after struggling on bed. With my partner too the duration is very short. Please help.; Answer: Hi. 1. Hyperlipidemia. 2. Dapoxetine. Erectile dysfunction. Exercise and dietary changes. For further information consult a sexologist online.--->

Question: Q. Which ayurvedic medicine can give a long time relief from asthma?; Patient: Hello doctor, Thank you for giving us the first query free. I am 26 years old male suffering from asthma for the past 14 to 15 years. So, I feel shame for myself when I use an inhaler. I am not able to go on tour especially in winter because I do not want to share my worst condition in front of my known people. I do not need any sympathy faces. Sometimes, I do not feel shortness of breath but wheezing irritates me, and I am unable to focus on work. When people leave me alone, then I take inhaler. When I take a bath in winter, I feel shortness of breath. Right now I am taking Bresol (Himalaya tablet) two times a day for past two months with lukewarm water. This winter I am drinking lukewarm water every time. But the problem is still there. When I go to sleep, I feel wheezing and the same when I wake up. A pharmacist said to use Septilin (syrup) with Bresol and take Bresol thrice a day and Septilin twice, and nobody told me how long I have to take this. I know asthma is not curable. Please give me some good advice and names of medicines (ayurvedic) for long time relief. And also advise regarding Bresol and Septilin (especially how long I have to take this).; Answer: Hello. Regarding the continuation of medicines, you may have to use the multivitamin tablet, Septilin (Tinospora) and Bresol (Turmeric, Vasaka, and Vaividang) for a long time till your allergic condition persists. These medicines are for helping your body develop good immunity against the respiratory problems. These medicines act slightly different than inhalers. Although, I would like to tell you that inhalers are scientific. Ayurvedic medicines may not help to get respite from an acute problem. Asthma is a manifestation of hypersensitivity. It is wise to find the cause of the hypersensitivity. We call the same allergy. Rhinitis asthma is different manifestations of allergy. Allergy is present in the genes, and we may not be able to cure allergy entirely. Allergen avoidance forms the mainstay of the treatment and management of allergy. You should be carefully noting down which areas and circumstances lead to the symptoms in you. Like going to gardens, smoking, pollution, dust, particular smells and fragrances, fumes, effluents, climate, etc. You should also note when the symptoms are more and when they are less. Whether there are any seasonal or diurnal variations. Once you have a detailed diary regarding this, you will be able to make some reasonable conclusions regarding when you have to be careful. Next method of finding out the allergen is allergy testing. The two methods available are skin prick testing and blood immunoCAP method. Both methods are easy and fast, but skin prick testing is more accurate. Once we find out the allergens causing the problem for you, we can give you specific advice on how to avoid these allergens and stay safe. The treatment of Septilin and Bresol that you are taking are to help your body stay healthy, improve immunity, provide all nutrients and micronutrient for the body to deal with offending agents. But these are not the definitive cure for the problem. Hence, it is not possible to say clearly till what time you will have to take the medicines. Additionally, if you get an asthma attack during the course of these medicines, you may still need inhalers or nebulization or medicines on an SOS basis. Do share with us your prescriptions and investigations reports so that we can help you better. Hope to see you healthy soon. For more information consult an allergy specialist online -->

Question: Q. I have pink rash on the side of my nose that gets worsened in sunlight. What could it be?; Patient: Hello doctor, I have had a red/pink rash on the side of my nose for about a year and a half now. It is on the bridge of my nose. It gets better at times, but most of the time it is prominent. It also usually gets better when I am in a cool environment and worse when I am in a hot climate or in sunlight. I used to take allergy pills every day for about two years and then I noticed the rash, so I stopped pretty much completely for about a month. It seemed to get worse and again I started taking them for another 3 months probably. It had no effect on the rash and I stopped completely and I have not taken a pill for almost three months. Does this sound like a reaction to the pill or is it something else? The rash also burns and so I know when it flares up. The rest of my face seems to have gotten a little more inflamed but it might be my imagination. I am a 22 year old male. My height is 5'11" and I weigh 160 lbs. I have tried everything to get rid of it. Please help.; Answer: Hi. After carefully reading your history I came to a conclusion that there are two possibilities of your rash. Drug reaction: Photoallergic dermatitis: I would advise you take Prednisolone 40 mg in tapering doses and sunscreen with at least 50 spf, thrice daily at 8 AM,11 AM AND 2 PM, with 2.5 finger tip unit (one finger tip unit is the amount of ointment expelled from a tube with a nozzle of 5 mm diameter, from the skin crease that is closest to the end of the finger, to the tip of the index finger) for at least face. Consult a dermatologist online for further follow up -->

Question: Q. Kindly suggest a permanent cure for penile yeast infection.; Patient: Hi doctor, I have a yeast infection in my penis for the last two years. I have tried all natural medicines like coconut oil, yogurt, etc. Also, if apply Panderm plus or FourDerm or Candid cream daily, then I feel normal. Otherwise, I am getting inflammation and swelling of the penis. Kindly suggest a good medicine for permanent cure. Thank you.; Answer: Hi. Always evaluate the cause of recurrent yeast infection. It can be any of the following reasons. Maintain good genital hygiene. Daily wash the genital area with soap and water and keep it dry. If you are uncircumcised, then clean under the foreskin. If it recurs after stopping the treatment, then continue the treatment once in a week regimen after consulting your dermatologist. If none of these works, then go for circumcision. For further information consult an internal medicine physician online -->

Question: Q. Having melasma on face. Can Kojivit Gel be used and how to use it?; Patient: Hello doctor, My mother is having melasma on face. Can she use Kojivit gel? If yes, please suggest whether it can be used at night time or otherwise?; Answer: Hi. I have few questions for you to suggest the most appropriate treatment. Also, please get her hormonal tests done to ensure that it is not hormonal (FSH and LH). And please do follow the below suggestions: Avoid sun exposure - Use a sunscreen (UVA and B) minimum 30 SPF. (Neutrogena is good but you may use any as per your skin or requirement. Even shalaks pharmaceutical has a good sun cream- UV AVO) If she has to go out or even indoors, she must clean her face and then apply sunscreen.

Question: Q. What treatment will help for discolored skin and red circles in inner thigh?; Patient: Hello doctor, I am a 49 year old fairly healthy male. My height is 6 feet and weight is 260. I am overweight and also have low testosterone. I have had a noticeable shrinkage in my testicles in recent years. I have embarrassing erectile issues, including premature ejaculation and often I am unable to maintain an erection. I am not on any regular medication. I do not drink alcohol or smoke. I have attached my photos for your reference. My skin is discolored with red circles on my inner side of the legs up to each side of the scrotum. It frequently itches especially after much walking. The red circles are also present just above my penis, but are obscured by my pubic hair. I am also concerned about a patch of darker skin on my scrotum. There is also a pimple or a tag of skin on my inner right leg; two smaller ones on the inner left leg and one at the top of my right leg where my pubic hair stops. They all sometimes hurt, especially when my innerwear rub against them. I have had these for years. I was in the hope that they would go away on their own, but now I have noticed a few small ones begins to develop in the same area. There is also a mole or pimple like growth between the base of my scrotum and anus. This hurts or itches when I sit or walk too long. I have not sought treatment to care of these issues before because of embarrassment. What treatment or medication might help? What do you suggest?; Answer: Hello. At the onset I would like to tell you that though I understand your concern and situation, but there is nothing to be ashamed or apprehensive of yourself. It is a medical problem and can only be tackled by proper medical treatment and advice, and not by hiding your problem from doctors. It is great that you do not smoke as it may increase your problem. According to your weight and height your BMI is 35, which falls in borderline to moderately to severely obese. I advise you to visit or ask an endocrinologist regarding the shrinking of the testicles and erectile issues as these may be related to hormonal balance or even obesity. Red circles on the inner thighs (attachment removed to protect patient identity) are indicative of fungal infection known as tinea cruris. For this, a course of antifungals is advised. I would suggest the following treatment. Consult your specialist doctor, discuss with him or her and take the medicine with consent. The outgrowths of skin are skin tags and they are usually related to hyperlipidemia. They are not harmful and only have cosmetic concerns. They are best dealt with by simple office based surgery with cautery machine requiring only local anesthesia, which is a 5 minute superficial procedure. But, they will not go on their own. You may get your fasting serum lipid profile done, which will measure the levels of cholesterol, LDL (low-density lipoprotein), VLDL (very low density lipoprotein) and HDL (high-density lipoprotein). If any of these are abnormal suitable, then medicine can be started. Medicine is important as abnormal lipid profile increases one's risk of cardiac events in the future. One important thing on which I cannot emphasize enough would be decreasing your weight. If you can gradually decrease your weight even by a few pounds, you would see a lot of these medical problems would get better by themselves. You may follow up after two to three weeks. Revert back after three weeks to a dermatologist online -->

Question: Q. I am hearing a strange noise only at night. Please help.; Patient: Hi doctor, Around three months back, I started to hear a strange noise at night. We live in a village. Apart from the odd barking dog and passing car, it is silent, especially at night. However, I started to hear what sounded like a distant engine, but it never got any closer. It is almost like a droning sound, not a hum as such as seemed to almost vibrating through me. It did not particularly stop me sleeping, but was annoying. It was there for a couple of nights and I would go outside and could not hear it. I could hear it in other rooms of the house, although maybe not as loud as the bedroom. I could find no real explanation for it. Electric cables are going to the house but have been the same for years, and nothing has changed. Then a couple of weeks later, the noise was back and was really loud when I went to bed. I fell asleep but woke in the middle of the night, and it kept me awake. The next day I could still hear it everywhere in the house, also in the next door house, but not so much outside. It is like a constant distant aircraft noise or car engine that goes in and out, louder, quieter, louder, quieter and at times I almost feel it than hear it. It left me tired with a slight headache, and it was just pulsating through my body all the time. That was the worst day. Since then we moved to another house in an entirely different area, although still a quiet village location. There is a very little passing traffic as we are at the end of a lane. At first the noise seemed to have gone; however, I have begun to notice it again. I can hear it all the time, but in the day there are other noises and distractions. It is at night when it is very quiet I can hear a constant drone. It now seems mainly in my left ear, or I can hear it especially in that ear. If I put my finger in that ear, it stops. Also if I hold my nose and blow and keep the pressure up the noise cannot be heard. If I put my finger in my right ear, I can still hear it, although maybe not as loudly. For example, it was very distant this morning. If I put my left ear on the pillow and lie on my side, I can hear it just the same. It does not keep me awake and or cause me any real problems. I am just getting concerned it could be due to something nasty, like a brain tumour or something. I went to the pharmacist and got some cleaning spray. I have also had a consultation with an ENT specialist. I did not explain to him about the droning sound as it is difficult in another language, but he gave me a checkup and did not find anything out of the ordinary by looking in my ears, nose, throat, etc. I have recently been diagnosed with hypothyroidism although I can get no connection. If it is tinnitus, then I can live with it quickly enough at the moment. But, I am concerned that it could be the symptom of any serious underlying problem. I have had recent blood tests done, and they were all fine apart from my TSH levels for hypothyroidism, and my blood pressure is fine.; Answer: Hi. Revert with the reports to an ENT otolaryngologist online -->

Question: Q. Can I use Kojivit gel to get fair skin?; Patient: Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance.; Answer: Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online -->

Question: Q. There is a thin black line on my finger nail. Is it skin cancer or melanoma?; Patient: Hello doctor, I am a 25 year old female. Two years back I had noticed a very thin black straight line on my nail in the right hand finger. This line is growing along as my nail grows. Though the line was thin initially, now it has increased in its width and thickness. When I searched in the net about the straight black line on my right hand forefinger, it is showing up as something related to skin cancer or melanoma. I am worried. Should I be concerned about this? I am not very dark, nor very fair. I have wheatish skin. Please advice me. I am attaching a snap of my finger with dark line for your reference. Also, I used to have three moles on my left hand which had been there since my childhood, but to my surprise two years back they went off easily. I got another very small new mole at a different place on the same hand and that too went away when I scratched it off. Is this something normal?; Answer: Hi. I can understand your concern. I have gone through the attached picture (attachment removed to protect patient identity). Presence of linear pigmented lines on the nails can be due to multiple causes. In white people they are considered abnormal and require thorough assessment including biopsy. In dark skinned people it is a common variant. The most common cause of these lines is racial factors. Others being drugs, trauma, lichen planus, subungual nevi and malignant melanoma. You do not have to worry too much, but do keep a watch on the pigmentation. If you notice any variation within the pigmented line or pigmentation on the adjacent nail fold or finger pulp, then consult a dermatologist in person and get yourself evaluated. Regarding moles at other sites, it is sometimes possible that they can disappear. So you do not have to worry about that. For further queries, consult a dermatologist online -->

Question: Q. What does my blood investigation suggest?; Patient: Hi doctor, Please find my blood investigation report attached and provide me the required steps to take further. Thank you.; Answer: Hi. For further information consult a criticalcare physician online -->

Question: Q. What is the cause for itching of face and chest after sex?; Patient: Hi doctor, After sex, my girlfriend's face, chest and legs burn and itch. What is the cause? And what can we do for it?; Answer: Hello. Kindly revert back with the details to a dermatologist online -->

Question: Q. I am having mild umbilical hernia after C-section. Is it curable in Ayurveda?; Patient: Hello doctor, I had C-section three years ago. My stomach started bulging, so I visited a doctor and had sonography. So came to know that I have mild umbilical hernia 0.7. If I do proper exercise and follow ayurvedic medicine suggested by you, then is this mild hernia curable? Please help me with this. Also, can I climb stairs in mild hernia?; Answer: Hello. I understand your concern. Since you had C-section, you are likely to develop incisional hernia which is a common issue faced post C-sections if proper care is not taken during wound healing. It is not curable with only medicines but it can be preventable from reaching further stages. If you find and center close by which practices post partum care in Ayurveda then get the following done. Apply Dhanvantara taila followed by veshta bandhana (abdominal binder). Avoid lifting weights and too much physical exertion.

Question: Q. Increased intraocular pressure in both the eyes. Should I go for Laser Peripheral Iridotomy surgery(LPI)?; Patient: Dear Doctor, I have abnormal pressure in my eyes. I believe it was 24 in one and 23 in the other. My doctor told me that he would not dilate my eyes because it would be dangerous and asked me to find someone to do Laser Peripheral Iridotomy surgery(LPI). I am 23 years old with no medical conditions. Need a second opinion.; Answer: Hello, Thanks for posting your query at icliniq.com. Hence I advise you to consult an eyecare ophthalmologist online for treatment accordingly -->

Question: Q. I am getting recurrent left eye pain with worsening eyesight. What is the problem?; Patient: Hi doctor, I am 19 years old. I have pain in the corner of my left eye for the past one year. I went to the doctor, and he gave me Sterdex. I used it and felt better. My pain went away. After a few months, I started to have pain, but it was not so severe as the first time. I wear glasses and lenses, and I am treating my eye allergy with Chibro Cadron 5 ml, and for dry eyes, I use Fluidabak after taking the lens. Whenever I do my yearly eye checkup, my eyesight gets worse because of the pain in the corner, and I am scared about my sight. I do not know whether I use an appropriate medicine to my eye. Whenever I consult the doctor, he gives me the same medication. Please help me.; Answer: Hi. Minimize the use of steroids as much as possible to avoid side effects such as an increase in eye pressure leading to glaucoma. Both Sterdex (Dexamethasone) and Chibro are steroids. They may relieve your symptoms in the short run but may harm your eyes if used for long term. Pain in the corner should not affect your eyesight. Just use appropriate glasses. For lubricant, you can start with Carboxymethylcellulose containing drops, and it can be changed later if more lubrication is needed. For allergies, Olopatadine containing drops can be used. Keep in touch with your doctor.

Question: Q. What is the reason for decrease in the visual field even after having medicines for glaucoma?; Patient: Hello doctor, I am a 60-year-old female, who weighs 198 lb and 5.7 height. I was diagnosed with metastatic breast cancer 20 years ago. I am suffering from chemical depression due to chemotherapy, and so, I am on antidepressants for 20 years and on Celexa for the past three years with good results. Before five years, I was diagnosed with 90 % optic nerve damage in the right eye and 75 % damage in the left eye due to open-angle glaucoma. I am under Brimonidine Tartrate and Dorzolamide twice daily and Latanoprost once daily for the past five years with good control of glaucoma and proper visual fields. The recent visual field test showed a decrease in the visual field. Laser treatment was done again for open-angle glaucoma before a week.; Answer: Hello. I am sorry to hear about what you are going through and wish all the health in the world. Fortunately, Celexa (Citalopram) is not significantly correlated with glaucoma as a side effect, and I doubt that the progression of your disease is related to your intake of the antidepressant. Glaucoma is a chronic disease that tends to progress regardless of all actions taken by the ophthalmologist slowly. Our main approach towards glaucoma is to keep it under control because we are not able to treat it and based on your history of ophthalmic care you seem to be in good hands, but you should be very punctual on your follow-up and doctor's recommendations. You can also add artificial tears four times daily at least to that list of eye drops that you are using. Dry eye is inevitable with all the medications that you are using.

Question: Q. My child got hurt while playing. Can we use T-Bact or Neosporin ointment?; Patient: Hi doctor, My child, who is 2 years old, fell off while playing. She got hurt above the left eye with mild scar. Please suggest some medication. Thank you.; Answer: Hello. Revert back with the answers to the above questions to a paediatrician online -->

Question: Q. My father has been detected with glaucoma. Do we need to take urgent action?; Patient: Hello doctor, My father has been detected with glaucoma. The problem started about two months back. There is some irritation in eyes and vision is hampered in one eye. I wanted to get an opinion on how serious. What should be done? Do we need to take urgent action? Can we cure it completely?; Answer: Hi. The thing with glaucoma is that it is a progressive condition and we can arrest its progress to a level that it does not cause further damage. The vision loss that has already been done by the disease is not reversible. Our goal here is to lower the pressure to such a level so that it does not cause further damage. The severity of damage is assessed: For the photographs, you have sent: For more information consult an eye care ophthalmologist online -->

Question: Q. Can minimally invasive glaucoma surgery be done in sensitive eyes with glaucoma?; Patient: Hello doctor, My mom is a glaucoma patient for the last 10 years. She has been on medications like eye drops including Azopt, Ganfort, Alphagan, Vigamox, and prior to them Cosopt (which did not suit her). She has gone through retina eye laser and also has been injected in both her eyes almost 22 times for retinal leakage as well, has also gone through cataract eye surgery 16 years ago. At the moment her eye pressure remains between 21 to 24. The doctor says implants are necessary as she can see very less now. Given her eye condition is sensitive, a doctor has suggested that it is best to operate her with Ahmed valve implant, however, it has its own risks. I wanted to know if it is better to try the latest option, called MIGS (minimally invasive glaucoma surgery) like Xen Gel Stent and InnFocus Microshunt as it has near to no complications. I want to get an opinion about this before thinking about Ahmed valve.; Answer: Hello. I am very sorry to hear about your mother's eyes. I suspect that she must have undergone the retina laser and the injections for a condition called as diabetic retinopathy. I feel that most likely it is a complication of diabetic retinopathy that might have caused a high pressure in her eyes. Xen gel stent is currently FDA approved for refractory glaucoma not caused by diabetic neovascularization and Inn focus micro shunt is currently being tested for long term side effects and usefulness in such situations. I must be clear in letting you know that neovascular glaucoma is a very adamant disease to treat and the treatment may not be straightforward and may require multiple procedures and reviews with the treating doctor, yet the most often agreed upon surgery, across most hospitals in the world is currently Ahmed glaucoma valve, along with of course the laser and injections. In case you need further clarification or if your mother is not a diabetic, please send a scanned copy of all her doctors records and prescriptions. I will do my best in helping you understand the situation.

Question: Q. Are Formonide and Pantacid enough for asthma and GERD?; Patient: Hello doctor, I am suffering from asthma since last three years. I am using Formonide 200 two puffs two times daily. I am also suffering from GERD for the past seven years. Now I only take Pantacid 40 as and when required. It is my question. Is it a perfect prescription for me?; Answer: Hello. A Formamide inhaler is a good medicine for asthma. Is that dose right for you or not depends on your level of asthma control? If it is well controlled, it can be continued. However, if over the last three months of your symptoms were well controlled may be able to attend come down with the inhaler dose. I would suggest you be in touch with your pulmonologist for this. If your GERD (gastroesophageal reflux disease) symptoms are only occasional taking Pantacid as and when needed shall suffice.

Question: Q. I am taking Foracort for asthma. Will it give complete cure?; Patient: Hi doctor, I am 21 years old now. I am suffering from asthma for more than 17 years. It was horrible until my 15 years of age. It was pretty bad. But the severity has reduced now. It usually occurs at night time. Sometimes it happens in the daytime too. Wheezing is present, and there is chest tightness. I am taking Foracort 400 Rotacap during breathlessness. I am taking the tablet for the past four to five years.; Answer: Hi. Having night symptoms mean that your asthma is not well controlled and upgrading the treatment is required. Foracort Inhaler 400 mg is a right combination that is used daily. I recommend you take Singulair 4 mg tablet (Montelukast) once daily in the evening. Use blue inhaler during the time of exacerbation every five minutes till 20 minutes. If there is no improvement, you should visit the nearest ER (emergency). Also, let me know if you have a PEFR (peak expiratory flow rate) chart.

Question: Q. Kindly mention about the foods to be avoided in an asthma patient.; Patient: Hello doctor, What are the foods items that should be not given to the asthma patient?; Answer: Hello. As you said correctly that asthma patients should always take care of their diets as some food ingredients may cause a severe asthma attack. Grossly we cannot avoid all food types because there is person to person variability to the food allergy. So you should strictly avoid food that is causing some difficulty in breathing or attack. To find out exactly we can do skin prick allergy test or blood allergy test so that you definitely know what food you are allergic to. After that, you must avoid those food items. Processed foods, some bakery items containing eggs, chilled drinks, food colorants, should be strictly avoided. Always check ready-made foods or processed foods for ingredients. Sometimes butter, cheese, yogurt, and milk also needs to be avoided in some cases of diagnosed allergy. Otherwise, you can enjoy fresh fruits and vegetables in your diet.

Question: Q. Is it true that baldness is hereditary?; Patient: Hi doctor, I am 20 years old. My hair is getting thin. As my father is bald,  I fear that I will also get bald. Also, I want to improve my skin texture. Please help.; Answer: Hi. For further information consult an ayurveda specialist online -->

Question: Q. Can allergic asthma turn into permanent asthma?; Patient: Hello doctor,I am 29 years old now. I have allergic asthma for last 6 to 7 years but in very mild form (mild suffocation and coughing for 2 to 3 days, once in three months). It used to get triggered by an old house (old book or newspaper dust) or distemper and paints or orange flavored drinks. But since last one month, frequency and magnitude both have increased. Yesterday, for no possible reason known to me, it got triggered. My query is can such allergic asthma turn into permanent asthma? I want to avoid any long-term course until extremely important. What is my option to tackle or control and reduce above symptoms, with mostly home remedies, diet control exercise and minimum synthetic medicines? Nose bleeding in childhood, frequent nasal blockage till the age of 21.; Answer: Hi. As per your symptoms, you are suffering from bronchial asthma with allergic rhinitis, but you need to confirm this by doing a spirometry with reversibility test. Asthma is a disease related to hypersensitivity of our respiratory system to some allergens which cause triggering, inflammation in the respiratory mucosa. Undoubtedly you need to take medications else symptoms will get worse as your age advances. So visit a chest physician. I am a practicing chest specialist so I know the pros and cons of the disease. See this asthma is a genetic disease acquired during childhood, and any genetic disease means in genes and currently we in our medical field we are under research for a permanent cure like answers in this genetic diseases field, so my opinion would be visiting a pulmonologist or a chest physician for proper work up and guidance. Chest physician can do a spirometry and total serum IgE levels and as per your need will prescribe you some inhaled medications like long-acting beta 2 agonists and inhaled corticosteroids and maybe some oral steroids as per need which can help you with minimum side effects. Maybe you will need those medications for some duration like three months a year at maybe long or on changing seasons. For more information consult a pulmonologist online -->

Question: Q. Can pain and popping sound during jaw movements indicate osteoarthritis?; Patient: Hello doctor, I am 35 years old, 5 feet 11 inches tall and weight 79 kg. Vegetarian diet. Before two years, due to stomach disturbance and pain and some popup and cracker sound occurred in my knee joints. I visited the doctor and he suggested me for a laboratory test of liver function test and all reports were in normal range except sugar which was 138 at that time and gave me some medicines and referred to orthopedic for joint pain. I have visited an orthopedic specialist. He took an X-ray of both leg, knee, and told that it is an early stage of osteoarthritis of the knee and he suggested for MRI and I got my MRI done. In the MRI report, it is mentioned that left knee has been affected with osteoarthritis. After that, he gave some medicine for 10 days and referred to a physiotherapist for exercise and weight loss. I have visited as he told and now I have reduced my weight and now there is very little pain remaining in my left knee but now my other joints like the left hand thumb, finger, and both hand and knee have popup sound during movement. Kindly diagnose my problem and suggest the treatment for the same.; Answer: Hi. I went through all the history details and reports. It shows mild osteoarthritis which is not reversible. But if you maintain your weight and exercise, it will halt. Please do quadriceps exercise for knees and for shoulder, bench press. Take a lot of fruits and vegetables. The cracking noise is normal and you need not worry. I hope I have answered your questions. Please feel free to ask me if there is any doubt in this regard.

Question: Q. I have leg pain which moves around. Is it osteoarthritis?; Patient: Hello doctor, I have pain in my left leg which moves around. First in my knee, then in the lower leg, upper leg, etc. I previously had pain in my left arm. An urgent care doctor told me it was osteoarthritis. An X-ray of my knee was done. I was prescribed an anti-inflammation medication.; Answer: Hello. Osteoarthritis is a possibility. However, it is associated with pain and swelling of the knee joint and pain is predominantly while walking, especially going upstairs. NSAIDs (nonsteroidal anti-inflammatory drugs) may help. However, physiotherapy and weight reduction are important. It would have been better if you had uploaded a snapshot of the X-ray. For more information consult a rheumatologist online -->

Question: Q. Suffering from osteopenia and osteoarthritis. Taking AcuCal and FreeFlex. Is it safe to take SAM(S Adenosyl Methionine) to enhance mobility?; Patient: Dear Doctor, My mother is 66 years old. She is having Trigeminal Neuralgia and for which she is taking Lyrica 75mg, Tegritol CR 400 and Symbal 30. And other medication details as below: For Cholesetrol -> Storfib -10mg. For BP -> seloken xl 100mg and amlodac 5mg. For Urinary Incontinence -> tropan 5mg and cranpac. Her bone mineral density revealed to scores of Osteopenia, and also Osteoarthritis. She is taking AcuCal calcium tablet and FreeFlex Forte. But her mobility is still very much restricted. So I want to know whether she can take SAM (S Adenosyl Methionine), and is it safe? Also If she can take SAM, what will be the dosage and duration. I am asking whether she can take this as a supportive to enhance her mobility. She is a pure vegetarian and on fat free diet. Her weight is 70kg, height is 5.1 feet. Please give your suggestion.; Answer: Hi, Welcome to icliniq and thanks for the query. She can take SAM or MSM (Any one of them). SAM is a safe medication. It is a cartilage protective drug and will help her improve some of the pain in osteoarthritis. For osteoarthritis: you have to remember that these medications like free flex, collagen peptides, SAM and MSM are like to help to nourish cartilage and provide some relief. They do not actually replenish the cartilage. I normally advise to take these cartilage supplements for a period of 3 months and gap of 6 months and again restart them. Just check the medication freeflex might contain MSM. Regarding osteopenia, I advise her to continue calcium and consult local orthopaedic surgeon if he can help her with some medications that can build up calcium. If her mobility is restricted, then better to get an x-ray and check the current stage of osteoarthritis and depending on it, we can suggest further treatment. Consult an orthopaedician online -->

Question: Q. Do I have osteoarthritis?; Patient: Hi doctor, I am a 24 year old female. My BMI is normal. I am fairly active on my feet all day because of work and I used to walk instead of transport. I was a lot more active when I was younger. I used to dance for roughly 20 hours a week and swim five hours a week. Since I have got older and due to injury, I dance for 2 hours a week and swim when I get a chance. I was diagnosed with Osgood-Schlatters in both knees when I was 16 and had physio for a year. They used to swell drastically and I still have prominent bony lumps just below both the kneecaps. The only thing that really seemed to help is drastically cutting down exercise as they would become so painful that I could barely walk. The pain comes and goes after an active day at work such as cycling, swimming, driving a long distance or sitting for a long period of time as I am 5'10", it is regular. I have also noticed recently that I have been getting neck and lower back pain as well as regularly feeling like I have strained my right shoulder. I have tried to pass it off as just pain, but it is becoming too often to be a coincidence and cannot help thinking it is linked. I have looked online and read a bit about osteoarthritis and this seems to fit what I have been finding. But, I do not want to jump into conclusion. Do you have any idea what this could be and whether it is linked? Is there anything that I can do prevent it other than cold compression? Thanks in advance.; Answer: Hello. 1. Osteoarthritis. 2. Overuse injury. 3. Rheumatological diseases (less likely). 1. Complete blood count (CBC). 2. Antinuclear antibody (ANA). 3. X-ray of the shoulder with Y-view and x-ray of the cervical and lumbar region. 1. Most likely degenerative joint disease (DJD). 2. Osteoarthritis of cervical and lumbar vertebrae and shoulder joint. 3. Less likely rotator cuff injury for shoulder and nerve impingement of the lumbar (lower back) area. 1. Ibuprofen 400-600 mg every 8 hours as needed for pain. Should take the tablet with food and do not take it empty stomach. 2. Muscle relaxant like Cyclobenzaprine 10 mg every 12 hours on as needed basis. You should not drive while taking it. 3. Physiotherapy would be very helpful. 1. Minimize your exercise to three times a week and strengthening exercise encouraged. 2. Use braces (knee brace and back support). Revert back with the reports to an orthopaedician and traumatologist online.--->

Question: Q. I am having skin tags in underarms and neck. Please help.; Patient: Hello doctor,I am 34 years male. I have skin tags in underarms and neck. I have a skin tag in the shaft of the penis for the past four months. I consulted a doctor here in my town, and they said it is a skin tag. I want to re confirm it again. Please help.; Answer: Hello. Please send a clear picture of the affected lesions for better evaluation and guidance.

Question: Q. Why do we have pain after deep tissue massage to tight calf muscle?; Patient: Hello doctor,I was suffering from minor Achilles tendinopathy and visited a physiotherapist today to get it checked. During the session, he performed some deep tissue massage on the calf (which was very tight) to relax it, which was very painful. After the massage, I experienced sharp pains while walking (which was not there beforehand), and when I brought this up with the physio, he said it was normal because it was the first time I had gotten deep tissue massage on that area.I have been icing the calf and resting, and while it has gotten a little better, it still hurts to walk. I have my exams tomorrow which I have to get to and other events on the weekend where I have to be (and will involve walking). I am worried about how I can see as I cannot walk at all. Is it normal to experience such pain after deep tissue massage to tight calf muscles, or did I sustain some injury (say a muscle strain or something similar) and need to get it checked out?; Answer: Hello. I read your concern. Sometimes, usually, they try to break the trigger points, and it would have caused discomfort. The technique itself is pro-inflammatory techniques and will induce some more inflammation so that healing happens.  So do not worry. Now, I request you to ice your calf frequently like once in two hours for 15 minutes as of now and stretch it properly things should settle down fast. Tomorrow morning you might feel a lot of stiffness in the calf, do not worry as you have to stretch your calf gently and roll your calf over a foam roller or if have somebody ask them to massage it for few seconds. Things will be fine. You can walk without pain. I hope this is helpful to you. Kindly revert in case you need any further information in this regard.

Question: Q. I am getting scared for everything after my delivery. Kindly advice.; Patient: Hello doctor, I am 27 years old, and I have 1.6 months old baby. After my delivery, I am getting scared for everything. If something bad had happened to anyone, I am scared to talk with that people am thinking that it will happen to me also. If I love to buy any product while taking am thinking that if I take some bad will happen to me like that I am thinking.; Answer: Hello. Please do not worry. After delivery, for any woman, it is common to have a hormonal imbalance which could cause anxiety and depression symptoms. More over, the trauma associated with the childbirth also could trigger anxiety and depression. But both of the anxiety and depression conditions are normal and they are for a short time. Your symptoms should clear within three months.

Question: Q. What are the chances of getting pregnant with precum?; Patient: Hello doctor, I had intercourse yesterday. In the beginning, the condom was not there, can say for one to two minutes for three to four penetration. After that condom was there and semen came after masturbating for 10 minutes. Can I get pregnant with precum?; Answer: Hello. The chances of getting pregnant with precum are very low. It also depends on the time of your cycles. If you are not in the middle of your cycles say day 13, 14 or 15 of the monthly periods, it should be a safe time.

Question: Q. Why am I having small, round and itchy growth on shaft?; Patient: Hi doctor, This is really nerve racking but I noticed these growth on my shaft (fold area) that are very small and round. They tend to itch quite often especially when touched. I can attach an picture.; Answer: Hi. I see that the growth over the shaft of your penis has been disconcerting to you. It has a scabies look, which is caused by a small mite. For confirming the diagnosis, I need to know how long are you having this? Do you have itching over any other area in your body? Do any other people in your home have any recent itchy lesions over their body? Are you sexually active, and if so, does your partner have any genital lesions like white discharge, etc.? Please get back with the details, so that I can zero in on a diagnosis and prescribe the appropriate medicine for you.

Question: Q. How to manage unilateral paralysis of the diaphragm?; Patient: Hi doctor, What health implications have been observed with a unilateral paralysis of the diaphragm? I have had a plication performed, but it failed and is back to the original issue. Currently, I am suffering from shortness of breath, chest pain with dizzy spells and increased heart rate. I am on Propranolol for the heart rate issue. Please help.; Answer: Hi. Traumatic or some cancer causing nerve compression. MRI Scan and spirometry. Unilateral diaphragmatic paralysis. For further information consult a pulmonologist online.--->

Question: Q. I took Diflucan to treat urinary candidiasis. When will I get cured completely?; Patient: Hello doctor, My doctor prescribed Diflucan (14 days / 200 mg) to treat urinary candidiasis. I just took day 6 of Diflucan. I am feeling a little better but still have achiness in pelvic area, bladder. My question is how much longer until I get full relief? Is this normal?; Answer: Hi. I suppose you have urine culture proven urinary candida infection for which this tablet Diflucan was started. Usually for urinary tract infection, it is given for 1 to 2 weeks depending on patient symptoms. You can continue till two weeks till sypmtoms subside and then repeat the urine culture test for documentation of complete resolution. You should also check for your blood sugar as these infections are common in diabetic person and high sugar can lead to recurring infection. Burning sensation in urine or achiness as you described is most probably due to infection. A sonography of abdomen and pelvis is advised to rule out other causes such as stone disease as cause of infection.

Question: Q. How to bring back the liver function to normal?; Patient: Hello doctor,I have non-alcoholic fatty liver grade 2, bilirubin 1.7, and creatinine is 1.2. How to reduce cholesterol and bring back to normal liver function?; Answer: Hello. Your fasting glucose is high so that you might also have diabetes. Should treat it adequately, apart from diet and lifestyle changes. Cholesterol is fine, and if you follow the changes in diet and lifestyle regimen, cholesterol will get normalized too. Excessive sleeping and always feeling tired is due to alcoholic fatty liver damages. Should stop drinking alcohol and increase water intake. Stinging nettle supplement will help detox your liver. Keep following up with gastroenterologist regularly.

Question: Q. I have chest and arm pain with fever and vomiting. What should I do?; Patient: Hello doctor, I am suffering from right side chest pain and right arm and also have fever and vomiting. What should I do? Is it symptoms of something big?; Answer: Hello. You have mentioned that you have diabetes. Patients with diabetes need not always be present with typical chest pain in case of any sudden cardiac event; symptoms like right sided pain, and persistent vomiting should not be taken lightly. And also you did not mention about history of any 1) cough, 2) abdominal pain, and 3) burning urination In addition to a coronary cardiac event, your symptoms also suggest the possibility of any lung infection as it can lead to fever chest pain and even vomitings sometimes.And as people with diabetes have a predisposition to infections, patients with fever and vomitings should be evaluated for urinary infection also if other symptoms are present. You need to get 1) ECG. 2) Chest X-ray. 3) Complete blood picture. 4) Complete urine examination is done. Without any delay and also chest and abdomen needs to be examined for any infection. You can contact me any further queries.

Question: Q. I stopped taking Adderall for some days and it is not effective now. Why?; Patient: Hello doctor, I have recently been diagnosed with adult ADD. My psychiatrist prescribed 20 mg Adderall every morning. I took it for a few days (it worked) and then took a break of two days as I found I was not able to sleep on it. I thought I would get a good night sleep and then resume the meds to see if they were active. After the break, I have been taking them consistently every day and find they do not have any effect on me anymore. My psychiatrist now prescribed 75 mg of Wellbutrin. I also told him that I was having crashes in the evenings when I was taking Adderall. Why would the Adderall stop working so soon? What effect will the Wellbutrin have?; Answer: Hello. It usually takes a few attempts to optimize your ADHD (attention-deficit hyperactivity disorder) medication regimen. It can be somewhat frustrating, but your experience is not uncommon. Your doctor will titrate the dose of Adderall (Dextroamphetamine, Amphetamine) according to your clinical response and tolerability. There is some evidence to show that Wellbutrin (Bupropion) is helpful in adult ADHD, especially if you also have any low mood and anxiety symptoms. So continue having regular reviews with your doctor who will monitor your response. Follow proper sleep hygiene measures and try to exercise regularly. It will have a beneficial effect.

Question: Q. How can I get rid of major depressive disorder?; Patient: Hello doctor,I am a 19-year-old female with 170 Ibs, currently on 30 mg of Cymbalta. I have been diagnosed with major depressive disorder, generalized anxiety disorder, and insomnia. I have had three major depressive episodes in the past two years, and I feel like I am on the verge of another one. I had an appendectomy eight days ago and was prescribed Hydrocodone to manage the pain. I am still taking all of my regular medications, but I stopped the Hydrocodone four days ago. I feel hollow, incredibly sad, and very lonely (even though I am not alone). I am also having disturbing and very vivid dreams, which only increase the feelings of isolation and sadness. I eat healthily, exercise lightly, and manage my stress well. What can I do to fight off this impending depressive episode?; Answer: Hello. You have undergone appendectomy recently, and it is normal to develop mood disturbance after any surgery. You are already on the major depressive disorder, and this is the reason you are feeling bad, isolated, sad, and lonely. Wait for few more days and see if spontaneous improvement occurs. If the mood gets worsened, then the dose of Cymbalta can be increased. For sleep, any good Benzodiazepine can be taken, which will help in calming you.

Question: Q. I have pain in right side of the stomach whenever I move or take deep breathe. Please help.; Patient: Hello doctor, I am a 34-year-old male. I am experiencing pain in my right side of the stomach, about 7 inches right of my navel (in line with my navel). When I sit or lay down I do not feel pain as long as I do not move. I feel pain whenever I take deep breathe, cough, and move my torso. My stool and urine look normal and I do not have difficulty in passing stool and urine. I started feeling this pain for the past four days. I just noticed that my right stomach looks bigger than my left. It seems that it is inflamed. Please help.; Answer: Hello. Are you diabetic? Do you feel any pain after food intake? I have seen the images that you attached with your query (attachment removed to protect patient identity). Possible causes are: 1. This is the area for gallbladder possibility of cholecystitis. 2. Right ureteric stone may present pain in this right para umbilical/ right hypochondrium area. 3. Fatty liver. 4. Colon infection (ascending colon). 5. Gall stones may also present like pain in this region. So use the tablet Cyclopam (Dicyclomine and Paracetamol) twice a day for five days, Ofloxacin and Ornidazole twice a day for five days after food, tablet Pantoprazole before breakfast for one week. Drink plenty of liquids. Avoid fatty foods. If symptoms not improved please get it done ultrasound abdomen and post me.

Question: Q. What are these white spots on my tongue?; Patient: Hi doctor,I have some white spot on my tongue. I researched on the internet and it looks like white oral cancer lesion. Any of your thoughts will be appreciable. I have attached the pictures for your reference. Please help.; Answer: Hi. For further information consult a dentist online -->

Question: Q. I am under treatment for diarrhea for past 10 months. Can I include curd and lassi in my food?; Patient: Hello doctor,I am suffering from diarrhea for the past 10 months and having treatment at the hospital. I want to know about the diets I should have. The doctor says no for milk, but fine to have curd or lassi. I want to confirm if I can have curd and lassi?; Answer: Hello. Probably your diarrhea comes when consuming milk containing food, which means your intestines are intolerant to lactose, which is the sugar that is present in milk. We call such situation as lactose intolerant enteritis. Curd and lassi you can take because their lactose content has been degraded by fermentation and so you can have both.

Question: Q. How can I overcome the loneliness when my partner ignores me?; Patient: Hi doctor, I am having trouble in my relationship, my partner has not been contacting me for the past one month and it is affecting me a lot. I am talking to myself considering that I am talking to him, I am making up stories of why he is doing this, sometimes the story is against him and somtimes it is supporting him. I am scared of waking up in the morning thinking that I have to now go throught one more day suffoctaing and crying for the same reason. I am even scared to lock my doors because I feel totally all alone like if there is noone for me, even though I stay with my parents and dog. Please help me to get out of this situation. I seriously need your help.; Answer: Hello. This will last for some more weeks and you will then get adjusted to new change in your life. If he is not contacting you and is totally ignoring you then in that case there is no benefit in thinking about him. If he is so stubborn that he has no contact with you for the last one month then he should get the reply in the method he deserves. You should focus on yourself, whenever you have thoughts about him you should call your friends or your family members. Try to distract your mind. You can go for shopping to distract yourself. One month has passed already so I think you have developed good strength. Try to consolidate your strength. This is the age at which you should focus on your studies and career. He should be ignored totally. If you will ignore him, you will get more strength.

Question: Q. What can cause heel pain?; Patient: Hi doctor, I am a 67 year old male. I am overweight, mildly diabetic and have high BP. I have pain on backside of my left heel. It increases in the evening. I think I have Achilles tendinitis. Please help.; Answer: Hello. 1. Recent blood tests like CBC (complete blood count), ESR (erythrocyte sedimentation rate), CRP (C-reactive protein) and serum uric acid. 2. X-ray ankle - lateral view. 3. A clinical picture showing exact site of pain and inflammation, so that the pathology can be estimated. 1. Achilles tendonitis (Achilles tendinitis). 2. Plantar Fasciitis. 3. Bony spurs. Follow up with investigations to an orthopaedician and traumatologist online.--->

Question: Q. Can you suggest physiotherapy treatment for plantar fasciitis and knee pain?; Patient: Hello doctor, I am a 40 year old man. I have a foot pain which was diagnosed a few years ago as plantar fasciitis. I use shoes with special support, insoles, and cushion on the socks. I also have a pain in my right knee, especially on the inner side. I want to know if there are any exercises or stretches I can do to improve the condition. Also, can you suggest any other home treatment options for the knee and the feet? I am giving you some more details about the presenting complaint. Regarding the foot pain, I feel it early in the morning after walking or after sitting for a long period of time. And the knee pain is usually while walking. However, the condition gets worse if I walk after sitting for long periods of time as well. I have been going to the Chiropractor for a few months. The knee pain has gotten better. They have recommended hamstring stretches, quadriceps stretches, wall stretches for the calf, foot stretches and bridge exercises. For the knee pain, they have diagnosed sore muscles in the inner thigh, right above the knee and it is responding well to such treatment. Also, based on the tests they suggest my gluteal muscles are not activating fully due to prolonged sitting.; Answer: Hello. The protocol followed by you is good. You should follow that regularly for the next one month. For the plantar fasciitis, I suggest the following: For the knee pain, I suggest the following: This will help ease your pain. Happy recovery. For more information consult a physiotherapist online -->

Question: Q. How to recover from plantar fasciitis and hip pain?; Patient: Hello, I am 60 years old. I have plantar fasciitis from one year and two months. It is getting better, but I wanted a second opinion on my MRI done two months ago. Also, since the past two weeks, I have hip pain from the groin to the outer part of the hip in a semi-circle. It is painful to get in and out of a car or climb stairs. I have been doing Cross-fit gym for the past three years.; Answer: Hello. I have gone through your reports (attachment removed to protect patient identity). Revert with reports to a fitness expert online -->

Question: Q. Why do I get thigh muscle numbness?; Patient: Hi doctor, My uric acid in blood shoots up to 7.9. I do not have the problem or gout or kidney stones. How to reduce it? I have already started to drink lemon water the whole day. I have attached the photographs. I have only knee pain, which is at the backside of the knee while climbing up and down stairs for the last two years. Also, my left leg thigh muscle has localized numbness for the past five years. Numbness did not hurt, but bothers sometime. Numbness is not heavy if i use nail on it or scratch on it, I sense it well. How to cure this numbness? Is this serious?; Answer: Hello. Revert back with more clinical details to an orthopaedician and traumatologist online -->

Question: Q. My brain tests came normal. Do I still need treatment for epilepsy?; Patient: Hi doctor, Is it normal to be treated for epilepsy without an epilepsy diagnosis and all brain tests came back clear? I had three generalised seizures, each of which lasted around a minute in the beginning of this year and none since. CT, MRI and EEG all came back clear. I have recently been diagnosed as B12 deficient and read that this can cause seizures and believe this may have been what caused mine. My aunt also had seizures all in the same day 20 years ago, all tests came back clear. They said it must have been viral. She refused to take medication when leaving hospital as they had told her it was viral, and never had a seizure since. She was then also diagnosed as B12 deficient. My neurologist still expects me to take epilepsy tablets. I am told that epilepsy is the working diagnosis. I never had any health problems in my life until I had these seizures. I took myself off the medication over two months ago due to side effects including that they were making me forgetful, not just forgetting to do something but my mind would be totally blank which really freaked me out as it is not like me at all. My memory is always 100 %. Since coming off them I feel so much better, and my only symptoms at the minute are from B12 deficiency and I am being treated for that with injections. I am 38 years old and female.; Answer: Hello. I read carefully your question and would explain that a normal EEG does not exclude seizures. Anyways, there are many other causes that may trigger seizures even in healthy persons like insomnia, alcohol or drugs, thyroid gland dysfunction, electrolytes imbalances, anemia, head trauma, etc. Epilepsy is a disease which leads to repeated seizures in the absence of the above triggering factors or other medical disorders. Coming to this point, as you have stopped medication and you are feeling great, I would recommend just wait and see if you will have any seizures while free of AED. If this happens, I would recommend starting another AED like Levetiracetam in low dose. In the meantime, I would recommend following a regular sleep hygiene, eating a balanced diet, avoiding caffeine, alcohol or smoking. I would also recommend avoiding driving in the next months as we can not predict if seizures will reoccur or not.

Question: Q. I get abdomen pain while walking and standing for a long time. Please help.; Patient: Hello doctor, I am 31 years old 5ft 11" in height and weight 24 stone. I have been getting lower right side abdomen pain for the past few months, and it usually starts after walking or standing for a long time. Today the pain has got worse, and I also have lower back pain. I suffered from Crohn's disease and had a bowel resection seven years ago, but currently, I remission and my Crohn's consultant does not think this problem is related. I also have a problem with passing urine, as it takes me ages to go and have to strain or sometimes rock and also will sometimes stop mid flow and have to strain to continue. I am worried as the pain become worse this evening.; Answer: Hello. Your history suggests the relationship between Crohn's disease and lower right abdominal pain. Gut resection causes this kind of symptom as the overall function is compromised. A post-surgical follow-up visit to the surgeon would be helpful to see whether urinary bladder or ureters were involved. I will suggest you make a post-surgical follow-up with the surgeon and a gastroenterologist for Crohn's disease follow-up. Consult with an orthopedic doctor for osteoarthritis and calcium, and vitamin D supplements. Bone pains in osteoarthritis occur due to condition itself and also due to calcium and vitamin D insufficiency.If any X-ray of abdomen and neck you have, please send me.

Question: Q. How to differentiate between ulcerative colitis and Crohn's disease?; Patient: Hello doctor, My 6 year old daughter was born with tyrosinemia type 1. She had diarrhea and bloody stools for 10 days, a month back. She was tested for many things, and everything came back normal, except her calprotectin level was 1250 while she had loose and bloody stools. She was admitted and had a cleanse and got an endoscopy done, and it showed lots of inflammation. She was put on a high dosage of steroids and Sulfasalazine for five weeks. The bleeding has stopped, and we weaned off the steroids. The biopsy results said it was IBD. Two weeks ago, she had her calprotectin level checked again, and it was in the 200. This week, we checked it again, and it was 39. I will include pictures of the biopsy results and pictures of the endoscopy. Her doctor said that the reports are not 100 % fine, and it is either UC or Crohn's. The doctor said that further down the line, we would be able to know which one she has. I would love to get a second opinion on what it could be.; Answer: Hi. I have seen all the attached reports (attachment removed to protect patient identity). Have a nice day. Revert with more information to paediatrician online -->

Question: Q. Is my lower abdominal pain pointing towards Crohn's disease?; Patient: Hi doctor, I had severe abdominal pain with diarrhea a month back. The next day pain subsided, but slight discomfort was there for two weeks. Then, I went to see the doctor who prescribed Flagyl and Rifamixin. The lower abdominal discomfort did not disappear and the stool has not formed yet. Then recently, last week I had more investigations and as per investigations, the doctor says that I have Crohn's disease. Is it really Crohn's or could be something else?; Answer: Hello. I went through your report (attachment removed to protect patient identity) and post, the thing which is favoring Crohn's disease is normal biopsy colonoscopy. You need to do ASCA (anti-saccharomyces cerevisiae antibodies) and a CT enterography. Your CRP (C-reactive protein) and calciprotein are high. So, Crohn's is a strong possibility which will be confirmed by CT enterography and antibody test. For more information consult an internal medicine physician online -->

Question: Q. I am a crohn's disease patient. Can I take ayurvedic medicines?; Patient: Hi, I am a crohn's disease patient and now my ESR level is 70 and CRP positive. I am taking pentasa 1g twice (morning and evening) and also 150mg of azoran (immunity suppressant tablet) in the morning alone. Today I visited an ayurvedic doctor to start ayurvedic treatment and he gave me medicine indukantham kashayam and septilin and both seems to boost the immunity of the body. I want to know is it good to have both medicines like pentasa/azoran with ayurvedic medicines as mentioned above.My ayurvedic doctor has said that I can continue both for some time and then review after a week and check if ESR levels have fallen. Please advise.; Answer: Hi. Crohn's disease is an autoimmune disease, in which our own immune system tries to act against our body tissues. With this concept, allopathy physicians give drugs to suppress immunity, thus no action against our body tissue. This is the way of allopathy treatment. These immunosuppresants have their own side effects over a long period of time.  Revert back to an ayurveda specialist online after two weeks for further follow up -->

Question: Q. I need a second opinion regarding my daughter's fever treatment. Please guide me.; Patient: Hello doctor, My one year old daughter had a fever for four days, with one episode of seizure on the fourth day which lasted less than a minute. There was no post ictal confusion or drowsiness. At first, the doctors started with Ceftriaxone and Amikacin for four days, then a lumbar puncture was done showing leucocytes. The report said 135 with 80 % lymphocytes and 20 % monocytes. The day before lumbar puncture, she was started on Vancomycin. The blood culture done before starting Ceftriaxone showed Staphylococcus growth with 50 thousand colonies. They said it may be contaminated. Urine culture showed enterococcus faecium, but repeat test came negative. All subsequent tests came negative. Now the child is doing well, without fever for four days. They stopped both Vancomycin and Amikacin and told to continue Ceftriaxone for two weeks. I am awaiting the CSF culture reports. My concern is whether it is alright not to give Vancomycin.; Answer: Hello. I can understand your concerns. I hope this helps. Take care. For more information consult a child health specialist online -->

Question: Q. What could be causing extreme lymph node pain in the neck?; Patient: Hi doctor, What could be causing the extreme pains in my lymph nodes under my neck and tingling the in head? Should I see a doctor in person? I had a sinus infection a month ago when the neck pains suddenly appeared. I was given antibiotics. It got rid of my other sinus symptoms, but not the lymph node pain. Recently, I was found to have an abscessed wisdom tooth and an abscessed crowned tooth. I had both pulled and was given Clindamycin for 10 days. Still, I have neck pains.I have been on a ton of antibiotics so not sure if bacteria are even responsive anymore. Should I be concerned about meningitis or that the infection has spread to lymph nodes? It has been about a month or two that neck pain has continued. Would blood work or an ultrasound be a better way to see what is going on? Is there anything I can do to treat this at home?; Answer: Hello. For further information consult an internal medicine physician online -->

Question: Q. I lost my hearing capacity due to meningitis. Should I consult a rheumatologist?; Patient: Hello doctor, I had meningitis fever when I was 7 years old because of which my hearing capacity was lost. I use hearing aids and I can hear from hearing aid, but it is hard to listen. One of the doctors said that I have bones issues, and I need to consult with a rheumatologist. But it is hard for me to understand.; Answer: Hello. The main problem with meningitis is that it is an infection which causes irreversible damage. As far as knowledge goes, there are not many cases who benefitted with the hearing. The cochlea is the hearing organ of the human body. It has three partitions filled with fluid. When hearing loss is caused by meningitis, the cochlea begins to ossify (the canals in cochlea start turning into bone). Thus the sound vibrations are not able to reach the auditory nerve. Usually, the loss is permanent. If you already wear hearing aids and now having a problem with understanding the speech, you need to see an audiologist and recheck your hearing as it might have progressed. If the loss has increased, please reprogram your hearing aids. If it has not changed, then you need to practice communication perception techniques. A speech therapist can help you with the techniques to improve communication. There are few techniques for better communication, but as you have not mentioned, I am not familiar with what method you use. I feel you should have discussed the problem in detail so that I could have helped you more with techniques. Do not hesitate to contact me.

Question: Q. My brother is in coma with fungal meningitis. Will he recover?; Patient: Hi doctor, My brother has fungal meningitis and is in a coma. Initially, he responded to the commands, but after him having a tracheostomy and a feeding tube put in him; he is not responding to our words. What do you think? Is there a possibility of recovery? Will he wake up?; Answer: Hello. For further information consult a neurologist online -->

Question: Q. My mother had TB meningitis and is now suspected to have tubercular spine. Help.; Patient: Respected doctor, My 63 year old mother was diagnosed with tuberculosis meningitis (TBM) 10 months ago when she complained of a severe headache. She has undergone CSF study and the report of the study is attached. She has been taking ATT medicines since then. The list of all the medicines she is taking is also attached. The medicines had come down to only one tablet (R-Cinex) in the last 10 months. But, now for the last two months, she started having back pain in the spine area and is now suspected to have a TB infection in the spine. She has a history of L3-L4 collapse four years ago, but that was due to osteoporosis. Her BMD score was -3.2. The spine has been severely infected from L1 to L5.  The MRI revealed an abscess with a pus collection in it (report attached). The doctor says it could be Pott's spine and may be because of a drug resistance (MDR), and they wanted to perform a USG aspiration for Xpert plus SRL, culture and sensitivity of pus. But, the test did not happen because the location of the pus was very deep in the muscle and could not be extracted. So, they extracted some tissues near by the infection area and sent for a small biopsy. The report of the histopathology (small biopsy) is also attached. It says mild nonspecific chronic inflammation. Since no strong evidence of drug resistance could be found in the small biopsy, the doctor has restarted the medicine of AKT-4 plus STM 0.75, and they want to see whether this reduces the problem or not. They said we cannot start DR/MDR treatment without any strong evidence of drug resistance. The current OPD card is also attached in which the medicine has been restarted. Now please guide us about what should be the treatment plan of the disease based on the information submitted. Can anything can be done to get a strong evidence of drug resistance since the ATT medicine is very heavy and the doctor has restarted this medicine only on the basis of his opinion? How can we assess the recovery from the disease apart from relying only on the reduction of pain? Does she require any further MRI or any test after some time?; Answer: Hello. I went through your post which has nicely described the events. Also, I reviewed her reports (attachment removed to protect patient identity).  For more information consult an internal medicine physician online -->

Question: Q. How to manage nosebleed?; Patient: Hi doctor, My 3 year old daughter has had three nosebleeds in about 3 hours. During the nosebleeds, she said her cheek bone area close to her nose hurts. What to do?; Answer: Hello. For further information consult a child health specialist online -->

Question: Q. What causes nausea and vomiting without any underlying condition?; Patient: Hello doctor, My wife has nausea, vomting episodes that are not related to conditions, for example she can eat and feel nauseated or vomit after an hour or two or not feel anything. Then a few days later it can happen again. It comes and goes and is not stable, or triggered by certain conditions. It is totally random mostly. She gave birth to twins with a CS and was on Prontogest supplement for 7.5 months.; Answer: Hi.  She may have repeated biliary colics or recurrent attacks of gastritis or may have urinary tract infections. So, she needs urine routine test, liver function test for further comments.

Question: Q. How can I grow a full beard?; Patient: Hello doctor, I cannot grow beards on my cheeks but moustache and beard near chin grow properly, what can be done to grow full beard? Please help.; Answer: Hello,  Welcome to icliniq.com. This is very common not to have full grown beard. As you have mentioned you have hair on chin and moustache but not on cheeks, you can consider meeting an endocrinologist and get your hormones laboratory test done. This is just to ensure that you do not have any hormonal issues. If everything is normal, you can consider beared transplant surgery. It is safe and permanent solution to your problem.

Question: Q. Can skin prick tests predict positive reactions completely?; Patient: Hello doctor, How accurate are skin prick tests for predicting positive reactions? My family is interested in a pet and I have had negative skin prick and blood work tests for dander. Before we bring a pet in and before my kids become bonded, is it reasonable to assume negative tests will translate in no reactions. Occasionally, when I interact with animals, I have a reaction but it is difficult to determine whether it is actually the pollen which I am highly allergic to.; Answer: Hi. Skin prick allergy testing is one of the most accurate ways of diagnosing the allergen, one is sensitive to. It is definitely more accurate than blood immunoCAP testing (blood allergy testing). Skin prick testing checks your sensitivity to the protein in question. Even if sensitive, it need not mean you are allergic. Whereby, a positive result need not always mean you will get allergy with the protein. It means that your immune system is sensitised to that allergen and that an allergy can occur in subsequent exposures to the allergen. A negative in skin prick testing will mean that you are not sensitive to that protein and that you will not end with an allergy upon its exposure. This is true. But it is specific for the particular type of allergen. What all animal danders were included in your profile and what was the response to each? Is there a photograph or record of the wheal or flare that developed after each prick? Was the test read by a clinical allergist or immunologist and were you provided a report as to that you are not allergic to any animal dander? Were you diagnosed with pollen allergy or sensitivity? Have you observed any symptoms of allergy while in gardens or bushy areas? Or in any particular season? Does any one else in your family have allergies?

Question: Q. How can hair fall be reversed?; Patient: Hi doctor, I am an 18-year-old girl. It had been quite noticeable for some time that I have had excessive hair loss, especially in my hairline. I am a ballet dancer and have been putting my hair in buns ever since I was little. Two years ago, I started training a full time course which meant I needed to put my hair in a bun every day with hairspray, and a lot of times I got home too late to wash it out. Now I am taking more caution but I have lost a lot of hair and my hairline has receded a lot. Is there anything I can do to reverse or help it?; Answer: Hello. From your description, it seems like it is traction alopecia that occurs due to excessive pressure on hair roots due to hair bun, etc. First thing is to make sure to relieve pressure from your hair roots. Use Minoxidil spray BD over the frontal area. Take biotin supplements BD for atleast three months. Follow up at one month.

Question: Q. My T3 and T4 values are normal, but my TSH values is high. Why?; Patient: Hello doctor,I am a 44-year-old male with 5ft 4" in height and 69 kgs weight. My TSH (9.83) value is high, but T3 total (104.6) and T4 total (8.5) are normal. No medications are other than Uprise-D3 60 K capsule, which I take weekly. I have no particular symptoms but no weight loss in spite of very active sports and workouts daily and cholesterol borderline high in spite of a very balanced low-fat diet. My report says, Cholesterol 201, LDL Cholesterol 135, HDL Cholesterol 42, Non-HDL Cholesterol 159.00, and Triglycerides 118.; Answer: Hello. I can understand your concern. I have gone through the reports you have attached. In my opinion, you should get done repeat test after a month.No need to start thyroid medicines. Do regular aerobic exercise like running, cycling, swimming, or walking. I hope I have solved your query. I will be happy to help you further.

Question: Q. My cheek feels sore after placing a temporary bridge. Why?; Patient: Hi doctor, I had a tooth extraction and a temporary bridge on my back upper teeth. The temporary bridge broke and I got another one. After this, I started to have some soreness in my left cheek and left side of my tongue. My cheek feels swollen and sore. I noticed two white bumps on the inner side of my cheek today. Is this from the dental work or something else?; Answer: Hi. For further information consult a dentist online -->

Question: Q. Does itchy red pink rashes mean candidal balanitis?; Patient: Hello doctor, I was diagnosed with candidal balanitis and wanted a second opinion. I have itchy red and pink rash. No open sores or lesions. I had this a month ago and after Diflucan for 14 days it went away but came back this weekend.; Answer: Hello.  I understand your concern.  1. It certainly looks like candidal balanoposthitis (attachment removed to protect patient identity), though I would appreciate a photo without flash to see the lesional morphology better. 2. Besides the fact that it can spread via sexual contact and one is advised to get their partner also treated, other precipitating factors like blood sugar should be ruled out. Treatment remains the same as you are already taking it. Get other relevant investigations done to rule out any associated STDs. Take care.

Question: Q. What can be done to cure candidal balanitis soon?; Patient: Hello doctor, I was diagnosed with balanitis about three weeks ago. I got antibiotics and was told by the doctor to keep the area clean and apply an anti-fungal cream. At first, it was super itchy and could not use anything tight. Right now I do not feel it but I can see as you see in the pictures, it is healing. It was my fault to get this so bad because at the beginning it was just red and I thought it was a simple rash because of my sensitive skin but then the rash was so bad that was burning my penis. I just want this to be over, right now. I want to be back to normal but is healing so slow that I am getting desperate. I am using Menaderm Clio, Emuaidmax, Gelmicin, and Cortisone. Not sure if this sensitive area is normal to heal slowly or maybe I am using the wrong medication. They already tested for any infection. Usually, I am very sensitive and I think because I did not pay attention to the initial redness and kept doing a lot of things without taking care developed the severe rash.; Answer: Hi. Looking at the picture, features are consistent with candidal balanoposthitis. It is quite severe. Please stop using Menaderm, Cortisone, both are steroid cream, that makes the infection grow rather healing it. Gelmicin has steroid along with anti-fungal medicine. Any history of unprotected sexual intercourse before this rash appeared? Clean the area with lukewarm water, use a mild soap. Apply Clotrimazole 1 % gel or cream twice a day for 3 to 4 weeks. Avoid sexual contact till it heals. You need oral antifungal capsule. Do you know if you have any allergy to any medication? You need Itraconazole 200 mg, one pill twice a day for just one day. It is a single day treatment. Buy two capsules of Itraconazole 200, take one pill in the morning after breakfast and one pill at night after dinner. Please do not take Itraconazole if you are allergic to it. Since it is severe, you may need to repeat the Itraconazole capsules after one month.

Question: Q. I have irritation of foreskin and whitish discharge. Please advise.; Patient: Hi doctor, I am a 40 year male. Since last one month, I have been suffering from irritation of foreskin. The skin has become tight and cannot be pulled back. There has been a whitish discharge from the penis and constant irritation. I have tried using Candid B cream but there has been no improvement. There has been a little pain around the penis head. I am not a diabetic and there are no other ailments. I have a problem of high BP and have been prescribed Eritel 40 mg. Please advise.; Answer: Hello. You might be suffering from candidal balanoposthitis. Please send good quality photographs of the lesion taken in a natural light for confirmation of diagnosis and treatment. Regards. For more information consult a dermatologist online -->

Question: Q. How can a person with PTSD, depression and anxiety be treated?; Patient: Hello doctor,What is your recommendation for someone with PTSD, depression, and anxiety?; Answer: Hello. If a person is suffering from PTSD (posttraumatic stress disorder), depression and anxiety, they will probably need a combination of medication and psychological therapy to manage their condition. Lexapro (Escitalopram) is a good antidepressant that can be helpful in this situation. Based on more clinical information and formulation, psychological therapy can be considered. CBT (cognitive behavioral therapy) will be helpful in addressing depression and anxiety. If PTSD is the predominant primary condition, trauma-focused CBT or EMDR can be considered. Kindly discuss with your doctor locally. Also ensure, you follow the necessary self-help measures like healthy eating, adequate sleep, regular exercise, avoiding alcohol, etc. You can contact again if any further advice is needed.

Question: Q. What will be the prognosis of nerve regeneration after a surgery in a 10-year-old?; Patient: Hello doctor, I am looking forward to have advice about the outcome or prognosis of nerve regeneration and repair for my son. Before 13 days, my 10 years old son fell with a bottle in his right-hand palm and had his palm triangle open. As we were in another place, the local surgeon cleaned the injury, and I took him to another place where he undertook a surgery before 10 days of nerve repair of the proper ulnar digital nerve of the median nerve. I do not know if it is the exact term, but the nerve cut was the one at the root of the index, and that goes on the inner side (facing the 3rd). Would you please advice me about the outcome of this surgery? Is this nerve responsible for some functional disabilities of the Index? Is it only sensitive? Can he flex his index and use it usually afterward? No other tissues were cut, like tendon.; Answer: Hello. I have read your concern. Can you give me more of the details of the surgery if you can still remember? How was it repaired as what you have told by your doctor? How is the finger at this moment (can he flex? can he feel anything at the tip of the finger?) I am hoping for your reply.

Question: Q. Why am I not able to focus both the eyes on a single point?; Patient: Hi doctor, When I look towards my left, I can use either left eye or right eye. I am unable to focus both the eyes on a single point. Also, When I move my eyes towards left, my left eyeball goes little upward than the right. Please help.; Answer: Hi. Revert back with the answer to the above question to an eye care ophthalmologist online -->

Question: Q. How can I overcome my depression and self-harming thoughts?; Patient: Hello doctor, I am taking Welbutrin for the first time and I have questions about the physical and mental side effects. Also, I have depression coupled with suicide and self-harming thoughts. In the past, I have been on Lexapro. I want to inquire if I am improperly diagnosed?; Answer: Hello. You are suffering from depressive features and hence the low self-esteem and self-harming thoughts. I suggest you take Zosert (Sertraline) 50 mg twice daily along with tablet Lonazep (Clonazepam) 0.5 mg at night for a period of two weeks. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. You need to focus on a new hobby. Give time for physical fitness.You can review with me for further followup. For more information consult a psychiatrist online -->

Question: Q. I have depression and suicidal thoughts. Please help.; Patient: Hello doctor, I have depression, feeling of failure in life, no more attraction to live life. Sad, anxious, or empty mood. Loss of interest or pleasure in activities. Thoughts of death or suicide, including suicide attempts.; Answer: Hello. I understand what you must be feeling right now. Depression is a serious but treatment illness. I can see you have thoughts of suicide and suicide attempts are also there which indicates that your depression worsened now. But do not worry, there are various treatment options available, with which your condition can be improved. Depression is a biological illness just like diabetes. It is neither your fault nor your wish to be in the pain that you are in right now and you cannot overcome these feelings and thoughts. Every disease needs appropriate treatment. I would advise you to consult a psychiatrist online or offline as soon as possible. Remember help is there please avail it. I would require more details about your problem. Thyroid function test, serum B12. May require inpatient care, medicines, therapy.

Question: Q. I have depression and severe insomnia. Please help me.; Patient: Hi doctor, I am 79 years old. I have depression for over ten years. I usually take 10 ml alcohol every evening. I had been taking Prozac 20 mg for many years. I suffer from insomnia. I am taking Mirtazapine 15 mg, Valium 5 mg, and Phenergan 25 mg. These give me sleep for 12 hours. Before three days, I increased the dosage of Prozac to 30 mg as I was more depressed and extremely fatigued for many months. After taking it, it worsened my insomnia. I had no improvement in fatigue. A few months back, I took Mirtazapine 30 mg. It also worsened my insomnia. Then I reverted to 15 mg. Please help me.; Answer: Hi. Please use Prozac in the morning as it can worsen sleep when used at night. You can take Prozac 40 mg. Do not increase the dose of Mirtazapine as higher doses of Mirtazapine cause insomnia whereas low dose help in sleep. Mirtazapine 15 mg is sufficient. Do not take Phenergan and Valium at the same time. Please continue to choose only one drug, and the dose is adequate. I would also advise you get an MRI brain (magnetic resonance imaging) done. Along with the medicines, engage yourself in social activities and do exercise frequently. You can consider starting therapy for depression and alcohol dependence.

Question: Q. Can depression cause crying without reason, feeling useless and demotivated?; Patient: Hello doctor, Do I have depression? I need to know because I think it will be a whole lot easier if I know and admit it myself. Last night I was crying without reason, it has been like this for five years now. I can go on not going out of my room for a week without eating and every time I worry too much, I cannot concentrate. I want to be good at studying but there are days when it is too much and I cannot seem to focus. One day I feel fine and positive and really motivated but then after a few hours I hit that feeling of uselessness again and I cannot do anything.; Answer: Hi. Depression can be normal and can be a disease. Depression is diagnosed when a person has low or depressed mood for most of the day every day at least two weeks, lack of interest and pleasure in daily activities, other symptoms are sleep disturbances, appetite changes, poor concentration, pessimistic thoughts, feeling guilty, hopelessness, thoughts of ending life. It is multifactorial. Your history is suggestive of depression as you have mentioned that these symptoms were in the past also, try to find out what is causing your depression. Any current issues or any past life event? Tablet Escitalopram 10 mg at night, tablet Alprazolam 0.5 mg at night if sleep issues, lifestyle modification (go for walk daily, meet with your friends, share your problem with whom you trust), psychotherapy sessions.

Question: Q. Why has my 5-year-old been having eczema since she was 3 months old?; Patient: Hello doctor,My 5 years old girl has been having eczema since she was 3 months old. She was scratchy all the time (at least every 3 to 4 hours). Even though we have applied moisturizers such as Aveeno, it was not helping her. When doctors prescribed topical steroids, we used it and she felt better. But as soon we stopped steroids she got the eczema back. As the doctors told we believed that as age progress eczema will subside. But she has even now and in fact it is little worse than before. We stopped steroids about six months back and trying to manage without it. One thing we noticed recently is that when we did not apply any oil or moisturizer (coconut oil or moisturizer never really helped) she did not scratch in the day time. But in the night between 12 AM and 2 AM she has been scratching all the time without sleep and sleep again. We are really worried if she will carry this lifelong and we are stressed. Also, we do not want to use steroid and would like your opinion on that if there is any complication if we avoid steroid completely and just leave her in this routine in the hope of getting better (we do not want her body to get used to steroid).After reading the above points please advise on how we should handle her without much medicine, if possible?Should we avoid moisturizer and oil as she is not scratching in daytime (rough patches still exist though)?When will she get better or at least have less and manageable eczema? Will it be at least at her teenage?; Answer: Hello. You have put your query with nice description but I think you have uploaded wrong images. So, if possible share correct images. From your description, it seems atopic eczema. It is endogenous eczema which may have several aggravating factors. Predisposition may come from the hereditary mechanism. Other first or second degree relatives may have features of some kind of allergy or atopy. Seasonal changes may also affect disease course. Some food like groundnut, cow milk, an egg may cause the problem. It starts with dry skin. Then some tiny lesions, sometimes oozing, scaling, crusting. They may coalesce to form large plaques. So we have to put first check on dry skin by use of plenty of moisturizers. It is best to use just after taking bath, tap the water with towel softly then apply moisturizer within 3 to 5 minutes of the bath. And have to apply 3 to 4 times a day as per requirement of skin to combat dryness. The dry or cracked skin may produce stinging sensation: burning sensation initially but it will go on its own. Or you can try a different moisturizer, even a good vaseline or coconut is also perfect. Topical steroids are useful during exacerbation of disease. It comes in different potency, and I hope your doctor had prescribed low-mid potency one. Like Hydrocortisone, Desonide, Flucinolone or Fluticasone. Among these, Desonide is best according to efficacy and safety. There is nothing like being habitual. You can stop anytime. But try to stop in tapering way like initially daily, then alternate day then weekends then stop. Your baby is 5 years old so you have one more option to replace steroids. Topical Tacrolimus 0.03 % ointment. Once lesions are clear by use of steroid then you can shift to Tacrolimus. Or on the face, it is alone sufficient. No need to use steroids on the face. How to manage with minimum medicine: Can moisturiser be avoided? No. Apply with a soft hand, do not massage vigorously. When will she get better? Usually, 80 % child become better by age of 12 to 13 years. But it depends on several factors like family history, exposure to aggravating factors, management of exacerbations. You have to pamper skin of your baby, care during cleaning, tapping, applying moisturizer all needed. There are several another way to treat exacerbation so you should not be worried. For more information consult a dermatologist online -->

Question: Q. Could you give your opinion about my eczema on the fingertips?; Patient: Hi doctor, I am a 23 year old female who has developed dry fingertips. The skin flakes off to leave smooth raw skin that has pins and needles when touched. It started with the index finger of my left hand. I asked a pharmacist for an opinion, and he thought it was nerve damage and recommended steroid cream. Over the last six months, it has spread to fingers of both hands. During this period, I also developed an itchy rash on the inside of my elbows. When I went to the doctor, she said it as eczema and prescribed me Dermol, Doublebase cream, and steroid cream. My fingers have not improved over the past month, but my arms have. Could you please give me your opinion on the supposed eczema on my fingertips? I am not convinced on what it is. Thank you.; Answer: Hi. Continue the same treatment. 1. Avoid excessive wet work and direct contact wit soaps and detergents. 2. Avoid direct hair dye application. 3. Reduce gardening activities if any. For further information consult a dermatologist online.--->

Question: Q. I have itchy painful eczema in fingers. Please help.; Patient: Hello doctor, Eczema or fungus on right thumb and index, it looks like it is expanding and it leaves apparently dead skin behind which peels off. I have pictures for a better understanding. It itches none to moderately, it hurts slightly when applied pressure on. I am a driver.; Answer: Hi. From your pictures (attachment removed to protect patient identity), it is more in favor of eczema but infected one. Do you use gloves while holding steering? It is not a fungal infection clinically. You have to apply combination ointment containing Betamethasone and Neomycin. The most important thing for eczema is to maintain moisture and hydration of the skin. For that you have to use Vaseline (petroleum jelly) 4 to 5 times a day. Take non-sedating antihistamine. You will get better. Eczema. Apply a combination of Betamethasone plus Neomycin ointment, Vaseline 4 to 5 times a day, take non-sedating antihistamine tablet. Maintain hygiene of area, wash with soap and water, avoid using Dettol and other irritants, use cotton gloves.

Question: Q. Small warts are spreading on my face and neck. Please help.; Patient: Hello doctor, Small skin warts are spreading on my face and neck drastically. Can you please suggest the cure for this kind of a virus infection? It started one and a half months back. But, I only recently realized that it is multiplying.; Answer: Hello. For more information consult a dermatologist online -->

Question: Q. Does burning sensation in the scrotum after having oral sex indicate HIV?; Patient: Hello doctor,I had receptive oral sex (received fellation) with an escort girl three weeks ago. Since then, I have got urethritis three days after. I have been treated with Levofloxacin for 10 days. The urethritis got cured, but I kept getting some strange burning sensations in my scrotum and the top of my buttock, but no lesions or bumps were visible. Only redness.The symptoms then disappeared then for four days, I got ticklings on my back, arms, chests, but again nothing visible on my skin. Since two days I have got paresthesia on my left foot, left arm and left hand that does not seems to stop (sometimes I feel it more or less) and sometimes some cramps in my leg or arm. I got a 4th generation HIV test at three weeks, which was negative. Do you think I have a chance to have HIV? Do I need to retest at four weeks or six weeks? If you do not think I have a chance of getting HIV, what options should I look for?; Answer: Hello. Oral sex is least related to HIV. Symptoms are very bizarre and mostly by oral sex HSV, and STI is common. The tickling sensation is different as such, may be seen in vitamin B 12 deficiency, and anxiety. Symptoms come but goes in a particular time. You can still go for the HSV test. And STD panel test. No signs you had related to both. Till then you can take, Tablet Mecobalamin (Methylcobalamin) 1500 mg one at night for one month. If you feel better, you can continue for another a month if at all required. Tablet Escitalopram 10 mg (esitelop10) one at night for ten to fifteen days if at all needed. It is not at all HIV. I hope you have understood.

Question: Q. My penis size is smaller than normal, will it be a problem during sex?; Patient: Hi doctor, I am 25 years old and my penis size is 2.2 inch in flaccid state and 5 inch in erect state. I would like to know that, is it a good size because I have read somewhere that 6 inch is normal size. My penis size is smaller than the standard size. What to do now? Do girls think about penis size? I also have a small testicle and read that a small testicle cannot produce enough sperm, is it right? I am noticing one thing in the morning. When I get up, my penis is in erect state. Is there any problem about that? Please give me some advice because I am planning for marriage soon. Kindly clear my doubts. Thank you.; Answer: Hello. Thanks for choosing this platform. 2 to 5 inch of the penis size is normal. The average size of penis is 3-5 inch while erect and 1-3 inch while flaccid. Having said this I like to inform you that penis size does not make things different during sex as only one third of the female vagina is sensitive. So, even 3 inch of penis in erect state provides equal pleasure to both partners. In regard to penis size your fear of small penis is baseless and you can get this idea out of your mind now. Girl may or may not think about the size as it is their domain, but as I said it dose not matter on bed. What you read in pornographic magazines is distorted presentation and does not hold any truth. I do not understand what do you mean by small testicle and low sperm count. It is the number of seminiferous tubules in the testis that matters. Other than that if you are having doubt you can get report of semen analysis which will reveal true sperm count in your semen. Having morning time erection is completely normal and there is nothing to worry about that. If you do not get morning erection that may be a sign of problem. For further information consult a sexologist online -->

Question: Q. How to get the phlegm out of the body?; Patient: Hi doctor, My son is 2.6 years old. His weight is 12 kg. He is a healthy and active child. But, he is getting coughs and cold at least once in a month for the past three months. Currently, he has a fever for the past two days (101 degree) and cold from today morning. I am giving him Cetirizine and Ambroxol for cough and cold, Meftal for high fever of above 102 degree Fahrenheit and Crocin for normal fever. Other than these, I am giving him Zincovit. I guess that the cold, which he has gotten subsided once he take antibiotic and cough syrup. Whenever he coughs too much, he will then vomit the phlegm out. Other than this, the phlegm is not coming out either in the nose or through the stools. Please get me some solution to make the cold come out. Thank you.; Answer: Hello. Viral fever. Complete blood count, CRP (C-reactive protein), parasite F and V test, CUE (complete urine examination) and chest x-ray. Viral pyrexia. I suggest the following medicines. Consult your specialist doctor, discuss with him or her and take the medicine with consent. 1. Syrup Cetirizine 5 mL, once daily at night. 2. Continue Crocin (Acetaminophen) and Meftal (Mefenamic acid). 3. Nebulization with 3% Nacl (Sodium chloride), twice daily for three days. 4. Syrup Ascoril LS (combination of Ambroxol and Salbutamol) 4 mL, three times a day for three days. Revert back after three days to a paediatrician online.--->

Question: Q. Every day I sneeze at least 10 to 15 times. Please advice.; Patient: Hello doctor, I am 26 years old and my weight is 70 Kg. I got married 6 months back and I am having PCOD. I had sinusitis few years back and I got treated for the same. For about a year, I have been facing frequent cold issues and sneezing issues. Every day I sneeze at least 10 to 15 times. I have done a few tests showing less vitamin D and serum iron and also with absolute eosinophilia. I am facing heavy hair loss and my TSH is normal. Please advice.; Answer: Hi. I reviewed your reports (attachment removed to protect patient identity). I advise you following: Revert back after 2 weeks to a general medicine physician online -->

Question: Q. Why am I getting white hair in young age?; Patient: Hi doctor, I am 17 years old and getting white hairs. They are white near the scalp and black in the tip. What to do?; Answer: Hello. As you are only 17 years old, the primary cause behind it might be genetic as your parents or grand parents may have white hairs at an early stage. The other possible causes might include poor nutrition, improper lifestyle, stress, etc. White hairs mean lack of melanin, the coloring pigment in hairs. Once the hair that grows white, there are fewer chances to revert them back to normal black color. But, you can stop further graying of hairs. First of all add foods like figs, curry leaves, raisins, fresh fruits, and vegetables in your diet. Avoid excessive caffeinated drinks, spicy and junk food. Quit smoking and drinking if you do. Sleep adequately at least for 6 to 8 hours a day. Try to go to bed before midnight. Avoid taking too much stress. As far as medicine is concerned, I suggest tablet Asthiposhak two tablets twice a day with water for six weeks. Apply Bhringraj oil on your hairs two to three times a week one night before washing hairs. Wash your hairs with a mild herbal shampoo. Have one glass of lukewarm milk and add a pinch of black pepper and turmeric in it and take it before sleeping. Try all these things, and you will soon feel positive results. 1. Genetics. 2. Poor nutrition. 3. Stress. Revert after a month to an ayurveda specialist online.--->

Question: Q. Can you explain the reason behind burning sensation of gums?; Patient: Hi doctor, Whenever I eat spicy food, I feel some kind of irritation, burning sensation and pain in my gums. I do not have any cavity in my teeth. I got scaling done 2 years back. Once I stop eating spicy food, the pain fades away in few minutes. I would like to know the reason behind it. Please advice me the preventive measures as well.; Answer: Hi. Hurting of gums while taking spicy food might be due to the following causes: 1. Gingivitis (swelling and inflammation of the gums) - Swollen gums may be painful and may cause burning sensation and pain while taking hot and spicy food. Gingivitis occurs due to either plaque or other debris accumulating around the teeth and gums. Also hormonal changes occurring during menstrual cycle can cause swollen and painful gums. Any medicines taken for medical issues like hypertension, epilepsy, etc., also cause gum changes and swelling. 2. Any ulcers in the mouth will get hurt while taking hot and spicy food. Ulcers might occur due to faulty tooth brushing techniques, usage of toothbrushes with hard bristles, stress, sharp tooth hurting the tissues, any dental appliances or ill-fitting dentures. 3. Any abscess related to infected tooth might also hurt while taking spicy food. But, you have mentioned that you do not have any cavities or teeth issues. Have you been examined by a dentist regarding this? 4. Any impacted tooth (teeth that remain unerupted due to inadequate space inside the mouth or remain inside the bone itself) may develop swelling of gums around it. When the opposing teeth impinges on this swollen tissue while taking spicy food it gets hurt. 5. Hypersensitivity reactions may occur to certain foods. This might cause swelling, reddening and burning sensation of the mouth. This may occur due to some food additives. 6. Habits like smoking and usage of tobacco products may also cause burning sensation while consuming spicy and hot food. 7. Dental procedures like scaling (cleaning of teeth) might cause minor tissue injuries. These hurt and cause burning sensation while taking hot and spicy food. But, this heals in 4-5 days after cleaning. In your case, this might not be the reason, as you have undergone scaling before 2-3 years. 1. Get dental scaling done, if you have any plaque or calculus deposits causing swollen gums. 2. Get your oral cavity examined by your dentist, for any ulcers, abscesses, infected teeth and impacted teeth. 3. Also get checked for any sharp teeth and any dental appliances or ill-fitting dentures. If found, sharp teeth have to be trimmed and reduced, and ill-fitting dentures and dental appliances have to be corrected immediately. 1. Kindly make a note if you develop any gum swelling, redness or bleeding gums during your periods. 2. Use toothbrushes with soft bristles for brushing your teeth. Also follow the proper brushing technique for brushing your teeth. 3. Make a note whenever your gum hurts and what foods hurt your gums. Check if any food causes the same issue repeatedly. In case, if that food contains some additive that causes hypersensitive reaction, then you may have to avoid that particular food in future. 4.Quit habits like smoking or usage of other tobacco products (in case you do). For further information consult a dentist online.--->

Question: Q. My blood group is positive and my fiance's is negative. What problem do we need to face?; Patient: Hi doctor,My blood group is B positive. I am going to marry a person with B negative blood group. Is there any problem?; Answer: Hi. I can understand your concern. From history, I hope you are telling that you (male) is B positive and your fiance (female) is B negative. It will not cause a problem in first pregnancy but in second pregnancy severe hemolytic disease of the newborn can occur. So, we have to prevent this sensitization when she will be pregnant. So, just keep this in mind and in first pregnancy of your wife (she is having a negative group as per history), she should be given Rh(D) immunoglobulin injections in the antenatal period at 28 week of gestation. In addition, before marriage, you both should be investigated for thalassemia minor status. For further information consult a hematologist online -->

Question: Q. I had my right ovary and tube removed due to a 4. 5 cm dermoid cyst. Was it the right call?; Patient: Hi doctor, I am a 34 year old female, and I had my right ovary and tube removed during C-section, due to a 4.5 cm dermoid cyst. The cyst was found during an ultrasound scan, five years back. The surgeon said a cystectomy was no possible because the cyst had completely replaced the ovary. Could you please confirm if the attached histopathology report says anything about the ovarian tissue? I had no symptoms, no pain, no torsion, and the right ovary was functioning in spite of the cyst. I became pregnant twice due to ovulation from the right ovary. What is the medical condition due to which the entire ovary is replaced by a dermoid cyst? Thank you.; Answer: Hi. I have gone through your attached reports (attachment removed to protect patient identity). Take care. Hope your concern is solved. For more information consult a pathologist online -->

Question: Q. How to prevent pregnancy without using a condom?; Patient: Hello doctor, How to avoid pregnancy after sex without condom?; Answer: Hi. I am afraid the answer is not so simple. However you can avoid sex in the unsafe period. The unsafe period is the period roughly between 10th to 20th day in a woman having a 30 days menstrual cycle. This period roughly corresponds to the most fertile period in a woman's menstrual cycle. You can also try the withdrawal method where you need to withdraw just before ejaculation, but it needs lots of mental strength on your part. Your partner can also use certain female condom or spermicides also. Use emergency contraceptive methods to prevent pregnancy after having an unprotected sex. But please keep in mind that, all these are never 100% to prevent a pregnancy. Revert back to an obstetrician and gynaecologist online -->

Question: Q. I have bad faeces smell coming from my nose when I breathe. What could be the possible causes?; Patient: Hello doctor, I have bad faeces smell coming from my nose when I breathe. What could be all possible causes? Nobody around me feels that smell and that is how I got to know that it is from my nose itself. Please advice.; Answer: Hello. Bad smell during breathing could be due to various reasons. Let us see those one by one. Malignancy: an intranasal (inside the nose) or intraoral (inside the mouth) malignancy can produce foul smell, that can be perceived as faeces smell by the nose. Malignancy can be painless and without any symptoms. Malignancies of paranasal air sinuses also produce foul odor. Dental infection: a tooth decay can produce bad smell. Dental infection usually produces significant pain. Food particles get collected inside the decayed tooth and hence cause the bad smell. Sinusitis: Chronic sinusitis can cause constant post nasal drip and purulent discharge (pus discharge). This results in foul odor. Maxillary sinusitis commonly produces foul odor. Sinusitis will have other symptoms like headache, facial pain, nasal blockage, post nasal drip, etc. Foreign body inside nose: A foreign body which has got stuck inside nose without being removed for many days will produce purulent discharge and smell. The discharge will be from one side of the nose. It is common among kids. Foreign body produces nasal block. Atrophic rhinitis: It is a disease where the normal space inside the nose gets increased due to destruction of the anatomy. Also the condition causes merciless anosmia (loss of sensation of smell). The sufferer cannot perceive any smell but the people around him can get the extreme foul odor emanating from the patients nose. Atrophic rhinitis also presents with crusting inside nose and nose block. Maggots in nose: Maggots are larval stage of fly (chrysomia). Maggots usually occur in association with atrophic rhinitis. Fly lays its eggs inside nose leading to maggots inside nose. They are attracted to the foul odor and they themselves aggravate the odor. Tonsillitis: Pus accumulated over the tonsil can cause bad smell. Tonsillar enlargement with infection and consequent foul breath is common in many children. Other symptoms of tonsillitis include fever, throat pain, enlarged lymph nodes of neck, difficulty and pain while swallowing. Nasal diphtheria can produce foul odor. Diphtheria produces a membrane over the affected mucosa. Rhinitis caseosa: it is a destructive disease producing foul odor. It was thought to be a fungal disease, exact etiology is still not clear. Tuberculosis: TB of nasal mucosa produces granulomatous inflammation and caseating necrosis, consequent death of tissues and foul smell. Hope I have cleared your query. Further evaluation and clinical examination is required. For further follow up, consult an ENT otolaryngologist online.--->

Question: Q. I have a burning sensation on the tip of my penis when I pee. Is it due to an infection?; Patient: Hello doctor, Recently I have been experiencing a slight burning sensation on the tip of my penis. When I pee, it stings a bit. The stinging sensation is subtle, but there is always a slight urge to pee. It feels like something is streaming down, but I can only feel it when it reaches close to the head of my penis. I am uncircumcised and I notice a white substance that seems to be, what I feel is, dripping down. I have not had sex in a while and if I did, it was always protected. I thought it might be due to lack of hydration. So, I have started to drink more water. I was told that cranberry juice works, which I started drinking today. My pee stream is slightly weaker, but the color is normal. Any advice? I thought it might be an infection but I do not want to jump to conclusions yet.; Answer: Hello. For more information consult a urologist online -->

Question: Q. How many times can I masturbate a day?; Patient: Hello doctor, How many times can I masturbate a day? I am a 14 year old boy going through puberty and hence such doubts.; Answer: Hello. It is one of its kind and the most interesting question that I have come across. It is good to see that how an adolescent can be so inquisitive about his sexual development. For any other sexual health related queries, feel free to consult a sexologist online -->

Question: Q. If I stop taking Keppra suddenly, will it cause withdrawal seizure?; Patient: Hello doctor, I had a seizure for the first time in my life when I was about 19 years old. The emergency room physician did not do any tests before he put me on Keppra. After I had been put on Keppra, I went to a neurologist who did an MRI and a sleep study. Nothing showed up on either test, but he wants to keep me on the medication. The issue that I have is I think the medication is causing more problems than helping. Why would he keep me on the medication when I was not diagnosed with anything? But I was told that even if I do not need the medication and I still stopped it cold turkey, it could cause seizures. Is it true?; Answer: Hi. I read your query and understand your concern. I hope this answers you. If you have more questions feel free to write back to me. For more information consult a neurologist online -->

Question: Q. How do I get rid of enlarged circumvallate papillae?; Patient: Hello doctor, I have enlarged circumvallate papillae from the last 45 days. How do I get rid of it? What medicines are suggested?; Answer: Hello. Normally, circumvallate papillae are enlarged structures at the base of the tongue. So it is normal to have enlarged papillae and it does not need any treatment especially if you do not have any symptoms like pain, swallowing difficulty, etc. Also, there is unlikely to be any abnormalities in them as it is unchanged since last 45 days. You upload the picture of those papillae so that I can confirm. However, with a sore throat, it may appear bulky and slightly enlarged but it settles down after it is treated, and you already took Amoxicillin for that. Hope this helps you and get back if you have any doubts. For more information consult an internal medicine physician online -->

Question: Q. Why do I have bad smell coming from my nose?; Patient: Hello doctor,Why do I have this bad smell coming from my nose? It is embarrassing. People around me smell it all the time. I do not have my mouth open and people smell it soon as I walk in the room. What is it?; Answer: Hi. The first thing that comes to my mind is a disease called atrophic rhinitis. Here, the mucous membrane and structures inside the nose shrink and the nasal cavity is filled with crusts, which get infected and smell. In this condition, the patient has decreased sense of smell, but others can feel bad smell coming out from the patient's nose. A diagnostic nasal endoscopy is sufficient to diagnose the condition. It can specify whether it is atrophic rhinitis or something else. If it is at all atrophic rhinitis, the treatment is frequent saline nasal washes and mechanical removal of the crusts by an ENT specialist. Rarely surgery is needed. For more information consult an ENT otolaryngologist online -->

Question: Q. I had two menstrual cycles in one month. Is it something serious?; Patient: Hello doctor, I had two menstrual cycles in one month, two weeks apart. I have not had an intercourse for two months. Should I be concerned?; Answer: Hello. For more information consult an obstetrician and gynaecologist online -->

Question: Q. I have a BB sized lump where my preauricular node is. What are the possibilities?; Patient: Hello doctor, I have a BB sized lump where my preauricular lymph node is, right outside my right ear. My dermatologist, who is treating me for melanoma in situ, is sending me to an ENT this week to check it out, but said melanoma in situ cannot spread. I have no other symptoms. It is not tender and he described it as rubbery and movable. I discovered it a few weeks ago incidentally because my jaw hurt a little one day, so who knows how long it has been there. It has not changed in the two to three weeks I have known about it. What are the possible things it could be (your differential)? Should I have it biopsied, and does it sound like cancer?; Answer: Hello. For swelling in the pre-auricular area, my differentials are: Since it is rubbery and movable, I feel it is more like a node only. Nevertheless, we need to investigate it. A fine needle aspiration cytological (FNAC) study will be required, but since the area is close to the branching of the facial nerve, we need to very careful with this investigation. An ultrasonogram of the swelling will be very useful for this. It demonstrates the likely contents of the swelling and indicates a diagnosis.The likelihood of cancer is there but not more than other possible differentials. Parotid tumors can occur in young individuals like you. They are not uncommon. Please revert back with details and we shall help you. Revert with more information to an ENT otolaryngologist online -->

Question: Q. How long will it take to heal frenulum tear?; Patient: Hi doctor, I got married before seven years and living happily with my wife. A week ago, I had a very enthusiastic sex session in the shower. During which I slipped out and missed going back in and had a substantial impact. At that time I believe I had a frenulum tear and the skin was split. After initial redness and swelling, now it has a small scab. How long will it take to heal? And is going to a doctor worth my time?; Answer: Hi. It is quite common to get a frenulum tear while having coitus. It will heal within four to five days and pain will subside in a day or two. However, if you still continue to have pain, you can seek an opinion. Avoid coitus for few days for a quick recovery. For further information consult a sexologist online -->

Question: Q. Suddenly my nipples are swollen and boobs are tender. Why?; Patient: Hello doctor, Just as of today my nipples have got swollen and my boobs are tender to touch. It started less than an hour ago. I had headache all day. As far as I am aware, I am not sure what is going on? I never had this issue before. Please help.; Answer: Hello. A swollen nipple as well as tender breasts can occur if you are just before your cycle. If so, it is quite normal. It is due to the temporary hormonal fluctuation inside you. Otherwise, taking hormonal contraceptive pills could be a reason. Hard sex with rough handling of your breasts is another issue. Just apply some hot compress over your breasts and put them in tight undergarments all the time. If the pain is more, you can avail Paracetamol 500 mg tablets as and when necessary basis. For further doubts consult an obstetrician and gynaecologist online -->

Question: Q. Is there any treatment for frequent urination in ayurveda?; Patient: Hi doctor, My sister is 20 years old. She does not feel bladder emptying and she was diagnosed to have a weak bladder. She has frequent urination problem and undergoing allopathy treatment for the past one year. Still, there is no significant improvement. Is there any treatment for frequent urination in ayurveda?; Answer: Hello. Urodynamics if needed. Revert back after a month to an ayurveda specialist online.--->

Question: Q. Why is my foreskin not covering my penis properly?; Patient: Hi doctor, I am a 21 year old virgin. My foreskin is tight which has not gone down. I had sexual intercourse with my girlfriend yesterday, were my foreskin came far down the penis head that was really paining and hurting me. Now, my foreskin is still back and not going up. My exposed penis is very much sensitive, like even my pants touch them also it is very much incredible for me to bear. The foreskin which has come beyond the penis head is not going back and I do have some scar wounds reddish on my foreskin. The other problem is, if I get erection it is paining for me, I do not really feel comfortable like before. I am also getting some smell around my penis, can it be smegma? What should I do? Is this a serious issue? Why is my foreskin not getting above my penis head and covering my penis like before? Is this normal? Should I go consult a doctor? I am so much confused. Please help.; Answer: Hello. For further information consult a urologist online -->

Question: Q. I am a 25 year old male. My body looks feminine. Please help.; Patient: Hello doctor, I am a 25 year old male. I am 181 cm tall and I weigh 70 kg. All the members in my family are tall, but I am not that big when compared to my father and brother. I am mentally depressed since my childhood. It is all about my body. I was a female looking boy with very soft body, less energy and not interested in sports. Since that time my arms and legs are very long. But arms are very lean as girls. My puberty was too late at around 18 years of age. But after puberty, I have hair on face, but till now it is not much as my brother had in that age. Facial hair is also thin and not uniform everywhere. I feel my bones are like females and not very strong, arms and fingers are not as big as males. My muscles are less too. I went for gym and built up a little muscle, but forearm and fingers are still feminine. I feel my waist is a little wide. Did I have any genetic problem or hormonal imbalance at puberty stage? I am totally exhausted. I am always worried about that. Please help me.; Answer: Hi. I totally understand your anxiety. Based on the description which you have given, there could be a possibility of Klinefelter syndrome. This condition can be seen in about one in 600 boys. A normal male will have a chromosomal pattern of XY. However, in case of Klinefelter syndrome, there would be an extra X chromosome which would have happened randomly during the formation of the egg or sperm, or after the baby boy had conceived.  The extra chromosome is not inherited. So, this condition does not run in families. The adult male body may not be able to produce enough testosterone, the hormone responsible for the development of male characteristics. There may be low energy and sex drive, lack of muscle and too much body fat around the waist. Most men with this condition lead normal lives and also have normal relationships. A few boys with condition may feel shy and may have low levels of self confidence. They may grow quickly than usual and may become taller than other family members. The testicles may be smaller than normal and may not produce enough of the sex hormone testosterone. This may lead to features such as: This condition can be diagnosed by: It is advisable to get treat early in order to avoid further fertility issues. Treatment options available are: A definitive diagnosis can be made only after a complete physical examination and after performing laboratory tests. Visiting an endocrinologist at the earliest would be advisable. Consult an endocrinologist online for further follow up -->

Question: Q. Is Arjunarishta beneficial for heart patients?; Patient: Hi doctor, I am a 33 year old male. My height is 5'10" and I weigh 81 kg. I am suffering from anxiety and somatization (as described by my medical report) more than a year. I was under allopathy medical treatment without any remarkable benefit with many doctors as general physician and cardiologist. I was also suffering from some side effects of these medicines. One day suddenly I came to know about the Arjunarishta, then I left all allopathy medicines and started this ayurveda medicine and felt relax within a week. I have been taking Arjunarishta since two months approximately but I still have some problems on and off as 1-3 times in a day. They are congestive pain in chest and neck, irregular heartbeat, hard and pounding heartbeat, pain in left arm, pain in jaw, hot and cold flashes, rarely feeling suffocation or dizziness or vertigo (not together) for 2-5 seconds, feeling relax at morning or when I sleep if feeling any problem. I am feeling one or two symptoms together; I have many normal ECG and blood test when I was under allopathy medical treatment. Am I suffering these current problems because of Arjunarishta? Even I do not want to leave Arjunarishta. Even my parents have also started Arjunarishta. My mother who is 55 years has left anterior fascicular block as in ECG. Is it fine to continue Arjunarishta for whole life?; Answer: Hi. Arjuna tree bark has many benefits in the cardiac patients. I suggest you to continue arjuna bark medicines. In your case, the Arjunarishta contains minimal alcohol. So, continuous consumption may cause some gastritis. If the symptoms appear within 2 hours of the consumption of Arjunarishta, then it might be due to the medicine. If the symptoms appear after 3 hours of consumption of Arjunarishta, then it means; it is due the disease itself. Only first 3 hours, the Arjunarishta will control the disease. So, you can consume the arjuna tree bark in different method, such as tablets or powder. This will avoid the bad effect of alcohol in Arjunarishta. For further information consult an ayurveda specialist online -->

Question: Q. What can cause waxy buildup on the roots of hair?; Patient: Hello doctor, I am an 18 year old female. For the past two years, I have had this waxy buildup only on the roots of my hair. It feels sticky, oily and stiff. None of the shampoo I have tried has fixed it. The problem goes away a couple of days after I dye my roots. I am wondering if there may be a problem with my scalp. Please help.; Answer: Hi. I have seen your query and concern. Oily skin and excess sebum secretion. 1. Seborrheic capitis. 2. Tinea capitis. Seborrheic capitis. I would suggest you Sebowash (Fluocinolone) shampoo twice weekly. It has to be applied on scalp and left for 15 minutes before you wash. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You should not apply hair oil. You can use conditioner and shampooing regularly rest of the day. Revert back after a month to a dermatologist online.--->

Question: Q. Why do I have dark spots on my fingers and knuckles?; Patient: Hi doctor, I am 44 years old. For the past one year, I have noticed dark spots on the fingers and near knuckles on the left hand. They do not hurt, but look like a burn. I also noticed numbness in the tip of my left middle finger. I have allergies, asthma and sleep apnea. I am also suffering from herpes 1 and 2. My current medications are Adipex, Zyrtec, Oxybutynin multivitamin, Valtrex (only when I have a flare-up) and Ventolin inhaler. Please suggest some advice.; Answer: Hello. I have read your query in detail and viewed the attached pictures (attachment removed to protect patient identity) and do understand your concern. You are most probably suffering from hand eczema or lichen simplex. Numbness in your finger does not seem to be related to this, however, it may be seen in case of certain orthopedic such as nerve compression or medical conditions like diabetes. For the dark patches, I suggest steroid ointment containing Clobetasol twice a day for two weeks. Consult your doctor, discuss with him or her and take the medicine with consent. 1. Avoid excessive use of soap. 2. I suggest apply an emollient or a moisturizing cream to your hand frequently during the daytime. Revert back after two weeks to a dermatologist online.--->

Question: Q. My left nose makes a weird sound following a hit. Why?; Patient: Hello doctor,One week ago and five days, I hit a school clock off the wall and on the left side of my nose. I went to the E.R., and they said it was not broken, and it was only swollen and bruised. The swelling went down, but it is still hurting, and it has been stuff since then. I used a flashlight to look into my nose, and in the left nostril, I saw to things like deep into that was red and kind of swollen, and when I looked into the right nostril, I saw the same thing, but they were pink and not swollen. But when I breathe in hard, my left nostril makes a weird nose like a motor that was not before the injury. Please help.; Answer: Hello. Nasal trauma and consequent inflammation can cause symptoms like you are complaining. Epistaxis and stuffiness can be present. Since you have been examined at ER and they did not find any signs of fracture, there is nothing much to worry. The swelling you saw deep into your nose is turbinate, and they need not be necessarily identical on two sides. Since there was trauma, it is likely to be congested. There is no reason to be worried too much. Use decongestant drops for a while, and it will be fine.

Question: Q. Does ill fitting dentures lead to peeling of skin inside the mouth?; Patient: Hello doctor, The last week two weeks I have been getting peeling in my mouth like on my cheeks. And I wanted to know if that is from loose fitting dentures or if I have not been cleaning them properly.; Answer: Hello. Usually, vitamin B complex deficiency causes such peeling of the oral mucosa. If you are using dentures for a long time, then it may be the reason for this.Take a multivitamin once a day and eat a good healthy wholesome diet.

Question: Q. Kindly see my results and advice whether I can father a child?; Patient: Hello doctor, Please, can you help me to analyze this result. I need a specialist who can help me to investigate this result and can a person with such a result father a child? If no, what is the remedy or treatment for it?; Answer: Hello. The two semen analyses reports show entirely different semen characteristics (attachment removed to protect patient identity). The first report is entirely normal, and the person can father a child as long as his female partner is normal. The second report shows no sperms, hence the person cannot father a child. But there are few clarifications needed, 1. Whether both reports are from one person only? 2. What were the collection methods? 3. What was the time gap between two reports if both are from one person? 4. What is the fructose value in the second report? 5. What is the serum FSH (follicle stimulating hormone) value in person with the second report? 6 . what does transrectal and scrotal ultrasound show in both? If you can clarify these points, I shall be able to give still a detailed answer.

Question: Q. What type of cap should I opt for RC treated tooth, single or joined?; Patient: Hello doctor, I went for five root canals on front teeth. Which type of caps are advisable single or joined?; Answer: Hello. Yes, caps are advisable but single is best. Joined or bridge has a drawback. If any side of the joined cap is loose or any damage comes, then the whole bridge is removed. In single if one particular tooth or cap has any problem or any damage, then the single cap will be repaired and removed.

Question: Q. Why could be the reason for breathing difficulty in breathing after mitral valve replacement?; Patient: Hello doctor,My mother is 59 years old and had undergone mitral valve replacement operation 15 days back. Now she is having breathing difficulty sometimes. SpO2 after exertion is 87 to 89 (without 02), the respiratory rate is around 28 to 30. I have attached the CT contrast thorax. There is no fever and wheezing. The echo shows only mild MR, and TR. No pulmonary hypertension and pleural effusion. She cannot take Duolin nebulization because she is a patient of atrial fibrillation, it increases her heart rate. But atrial fibrillation is under control by medicine. Please suggest the treatment.; Answer: Hello. I have gone through all the history you provided here. Your mother is currently suffering from two different problems. Mitral valve replacement followed by mild MR and TR as well as atrial fibrillation, are distinct cardiac problems. And according to you, she is taking prescribed medicines regularly.After going through the CT scans images (attachment removed to protect patient identity), it looks like she is suffering from some infective lesions in the lungs, most probably pulmonary tuberculosis (PTB). She is having breathing difficulty with low oxygen saturation, probably due to underlying lung infection. To confirm the diagnosis, further sputum tests are advised for sputum AFB (acid-fast bacilli) and culture tests. If no sputum sample is available, then induce sputum by nebulization with saline solution or perform a bronchoscopy. You are advised to consult pulmonologist doctor who will evaluate history and will advise recommended tests and medicines if required. Currently, symptomatic management includes oxygen supplementation with a high protein diet. Continue all cardiac medicines as advised. Depending upon the sputum AFB report, further treatment can be planned. I hope I have cleared all your doubts. In case you have any questions please do not hesitate to contact me again. Infection with PTB. Sputum AFB and Bactec AFB Culture. Depending upon sputum AFB report may require antitubercular treatment. Strictly use a mask while coughing and talking.

Question: Q. I have bipolar 2 and panic disorder. Is it normal for me to think that I have psychosis?; Patient: Hello doctor,I was diagnosed with bipolar 2 and panic disorder. I currently take Zoloft and Klonopin. My psychologist believes I am functioning normally, but sometimes I worry that I may be in psychosis, or displaying symptoms. My only concern is that recently, I have been having paranoid thoughts. Nothing extremely delusional, but sometimes I feel like my parents think I am crazy or that they are lying to me. I also had a paranoid thought that my boyfriend was lying to me. The thoughts do not happen very often, but is this normal for bipolar type 2?; Answer: Hello. It is common to have some paranoid thoughts, especially when you are feeling stressed, anxious, and feeling low in confidence. From the way you have described your symptoms, psychosis appears very unlikely. You can recognize the paranoid nature of your thinking, and your thoughts do not seem to have delusional thinking. Your report says that you are functioning normally and so I think your psychologist is right. Continue with your psychological therapy to manage your mood and anxiety symptoms and challenge your distorted thinking pattern. I will recommend having regular follow-up with your prescribing doctor to monitor your mental state and seek review if you experience any new symptoms.

Question: Q. Please advice on my blood reports.; Patient: Hello doctor,I did the blood test a few days ago, and the reports state that,1) Monocytes 0.19.2) Red cell distribution width 46.7.3) Platelet distribution width 21.4) Mean platelet volume 13.4.5) Platelet to large cell ratio 50.5.Kindly advice.; Answer: Hello. The test is not specific. You need to specify why it was done and what your symptoms are. The test indicates macrocytosis larger platelet than usual, red cell distribution width is higher than normal (11.5 to 14.5). This indicates that your bone marrow which produces all the blood cells such as red blood cells, platelets and granulocyte white blood cells (neutrophils, eosinophils, basophils) and monocyte is not getting enough vitamin B 12 (cyanocobalamin) and folic acid. I do not know are you anemic since there is no indication of red blood cell count there. The cause can be from not getting enough folic acid and vitamin B 12 in your diet, or your intestine does not absorb enough B 12 vitamin, a condition called pernicious anemia from lack of intrinsic factor needed for their absorption. You may be a vegetarian because if you eat enough meat, you would not be having folate and B 12 deficiency.You may have vitamin B12 and folic acid tablets.

Question: Q. Kindly suggest treatment for urticaria.; Patient: Hello doctor, I am a 25-year-old male. I am suffering from urticaria for a long time. I did not remember exactly how long but it has been approximately four months since I am suffering from this issue. My father and brother also had suffered from this, but only once or twice, but for me, this is a normal thing. My skin has become so much sensitive that even soft rubbing can cause redness, itching, and swelling. I had not taken any treatment yet because I was told that this would be cured automatically within a short span of time. But in my case, it is getting worse day by day.; Answer: Hello. You have new-onset urticaria. Since it has gone on for longer than six weeks, it is now considered chronic urticaria. It is a common condition. Most people will experience at least one episode of urticaria during their lifetimes. There are many causes of urticaria such as 1. Infections-viruses, bacteria, and parasites 2. Drug allergies. 3. Food allergies. 4. Insect bites or stings. 5. Physical causes like exposure to cold. The exact cause cannot be identified in about 50 % of the cases. Please try to see if you have changed any cosmetics (hair dye, creams, powders, soaps, shampoos, deodorants, etc.). Have you started any new medicine or supplements (including herbal, over-the-counter, etc.)? Any recent change in your occupation, use of latex, etc. Any urine infection-burning urine etc. Any use of food colors?If no answer can be obtained, I suggest checking a complete urine examination. Also, I would try a course of de-worming treatment. Albendazole chewable tablets (brand name Zentel) 400 mg. Take it in two doses. The first and second dose should be separated by a week. Take after food, only two doses are required. For symptom relief, try antihistamines. I suggest a non-sedating anti-histamine taken once a day in the morning.If this alone helps, fine, if not, take a different antihistamine at night. Take them daily for a few weeks and then start cutting back slowly and observe. If your itching and urticaria do not respond to anti-histamines, you may need to take corticosteroids.

Question: Q. I get throbbing headache in the morning after long working hours and late night sleep. Please help.; Patient: Hello doctor, I woke up with a throbbing headache. Previously I was alright before going to sleep which was around 2 AM. Lately, I have been sleeping very late due to working at home for long hours. Please help.; Answer: Hello. I can understand your concern. According to your statement, you have been suffering from throbbing headaches during waking up. Headache which is throbbing in nature may result from the dilation of blood vessels from increased blood flow. Headache is very common in everyone life. Strenuous work, stressful life, dehydration, anxieties, tension, common cold, allergies, low glucose sugar level, etc., can cause headaches. Throbbing headaches may result from some health conditions such as migraines. Throbbing headache occurs at the top of head, Cluster headache occurs as throbbing headache behind the eyes, Occipital neuralgia presents as throbbing headache at the back of headache, Temporal arteritis occurs as throbbing headache in temples, Hemicrania continua occurs as throbbing headache on one side. Treatment depends on the causes. You should undergo some investigations like CBC (complete blood count), x-ray PNS (paranasal sinus) can detect the cause which is responsible for your sufferings and then treat them accordingly. You can take for your headache as follows. Tablet Inderal (Propronolol) (40mg) 0+0+1 for 15 days, Naprosyn (Naproxen) (500 mg) 1+0+1 for 10 days, Prevacid (Lansoprazole) (30 mg) 1+0+0 for 15 days. In case of allergy or cold take tablet Allegra (Fexofenadine) (120 mg) 0+0+1 for 10 days. In case of any other query knock me.

Question: Q. Can LSD, DMT, and Ecstasy trigger the borderline personality in seperation anxiety disorder?; Patient: Hello doctor, I am 23 years old. I have been diagnosed in the past with (SAD) separation anxiety disorder, autism spectrum as well as ADHD. Lately, I have been harming myself and having trouble controlling my emotions. I sometimes feel as if the whole world hates my guts. Then I feel good again a little while later, sometimes soon, sometimes not even until the next day. As well as some delusions towards those closest to me. Now that I have told you a little about my self. The question is, can separation anxiety develop into borderline personality? Can the fact that I have smoked weed almost daily for the past two to three years and occasionally from age 16 cause borderline. Or can substances like LSD, dmt, and ecstasy trigger the borderline as well? I am having a hard time believing how extreme my emotions are. Kindly advice.; Answer: Hello. Yes, separation anxiety disorder might develop in borderline personality disorder (BPD). But based upon the information you provided I am not sure if you have SAD. Smoking weed might increase anxiety, which could worsen the symptoms in BPD. Smoking weed can lead to precipitation of acute psychosis, which can prove dangerous. LSD (lysergic acid diethylamide) or any hallucinogen can increase psychotic symptoms.

Question: Q. Will IgG antibodies take care of the secondary infection in a HSV 1 postive patient?; Patient: Hello doctor, I recently have had tests done after I was with someone that I do not trust after the fact. The only thing I have come up positive for is the common HSV 1. I remember having one outbreak when I was young and no outbreaks after. I have IgG antibodies present in my blood. I fear that the person I was with carried HSV 1 and reinfected me. I hope that my antibodies reacted and destroyed the second infection. I had a blister present on my skin after being with this friend. But it healed up immediately, more than a regular blister. Is there a chance that my IgG antibodies took care of the second infection? I told this person that I had perfect sexual health, and it was essential to me and the love of my life, which I am hoping to find. So it has hurt me at a phenomenal rate. I think of it daily. I need to know if I had IgG antibodies built up before reinfection, can it destroy the reinfection if symptoms are present? My symptom was present one day before it started healing. On the upside, a doctor that looked at it said it was nothing. Other doctors said it was probably nothing. It has cost thousands of dollars to find an answer. I am looking for a true love to live life out with and this is very important to me. Please let me know if IgG antibodies could kill reinfection if a symptom were only present for a day. It has been about nine months, and I have not had any symptoms. If you can help me, it would mean the universe to me.; Answer: Hello. I understand your concern. Please follow the following facts.  1. Once you get infected with HSV-1 (herpes simplex virus), as you had been in childhood, IgG antibodies remain there in the blood indefinitely or life long. 2. They help in containing further episodes, so subsequent episodes of herpes are always less in severity than the primary one. 3. Usually, herpes secondary episodes last for a few days, can heal in a couple of days also if it is minimal. 4. You are getting worried too much, and please relax, it has been nine months, there is no need to panic now. 5. You did not mention the site of blisters or any photographs you have taken, and it might not even be herpes. 6. There is no sign of HSV IgG in blood, and it just indicates you had an infection anywhere in the past.

Question: Q. I have allergy and sinusitis so I cannot eat or drink cold items. Please help.; Patient: Hello doctor, I am suffering from sinusitis and dust allergy. I cannot eat or drink cold items.; Answer: Hello. Have you done the X-ray of the sinusitis? Sinusitis is inflammation of the paranasal sinuses which are like air pockets found within the cheeks, frontal part of the skull and inside the anterior skull bases. Obstruction to the draining channels of those sinuses lead to blockage and accumulation of secretions which becomes infected and the problem begins. Or there can also be a congenital deficiency in the ciliary cells that beats to drain the secretions into the meatus. You will have to use antibiotics such as Augmentin, use Actifed tablet one tds. Also, you can use nasal drop to help open the ostium so that the mucus clogging it can go out. There is also a surgical procedure, e.g., antrostomy to drain out the maxillary antrum sinuses.

Question: Q. My genital redness exists still after medication. Please help.; Patient: Hello doctor, I am 25 years old male. My problem is redness of the genitals. It has been two months now. It first started from my penis head with four or five red bumps like spots. Then I consulted a dermatologist. He gave me Candid-B cream to apply and some anti-fungal tablets. But I mistakenly use liquid Dettol in water to wash my penis, and it spread badly to my scrotum area. Whole red no itching and no pain just a little red nerves beneath. I have used creams like Onabet, Dermiford k5 prescribed by doctors. And have done 25 days course of Itraconazole 200 mg two times per day. And that with Onabet cream and glycerin lotion. The last cream I used was Betnovate gm, which damaged my penis and gave me a burning sensation on scrotum and foreskin. Now I am applying no cream, only keeping ice pack, and I consulted another doctor. He said after seeing pictures that there is no fungus just irritant contact dermatitis. Please help.; Answer: Hello. According to the history given by you, it could be irritant contact dermatitis followed by application of dettol. Since you have used most of the creams and few of it containing steroids, your skin has got thinned, and that is why you could see red colored vessels. It is advisable that you should not apply any cream which contains steroids it could worsen your lesions. Apply coconut oil before taking a bath, no soap on the affected area during bath. Please share pictures of it so that we could start with the treatment. You might need to take oral steroids to improve your condition, but no topical cream. You can take tablet Levocetirizine 5 mg at night time for five days. This is to reduce the itching or burning part but not going to cure it. It is advisable to consult a dermatologist.

Question: Q. My sister has pain in the legs from thigh to knee. Please help.; Patient: Hello doctor, The problem is with my second elder sister who is unmarried and aged 62 years. She was a school teacher and has retired from service. She is 160 cms in height and weighs 60 kg. She falls under the category lean to good health except for a bulging tummy. Main problems are, 1. Pain in both the legs with more pain in the right leg from thigh to the knee. 2. Sometimes a feeling of being pushed from behind when standing. a. Apart from these, she is also suffering from, When lying down to sleep or sitting for some time, 1. Feeling as if the veins inside the legs are getting loose with pricking pain on both feet. 2. Biting pain on both feet even when one foot is pressed with another foot 3. Sometimes a feeling of scratching with a sharp instrument. 4. Pain in toes and nails. 5. Pain in the bottom of the feet 6. Burning sensation in feet, especially when the saree edge touches the feet. 7. Feeling of standing on a carpet while standing on the ground without slippers. 8. Tips of the toes are getting rough even though creams are applied. 9. The sudden jerk of hand enough to break sleep. 10. Pain in the legs are spreading from the feet upwards towards the knee. b. While standing 1. Need for placing hands on nearby objects like a wall, chair, table to get better support. 2. Pain just on the right side of the right knee (the place where the knees fold) and a feeling as if the bone will break c. When walking 1. A feeling of getting pushed from the back 2. Unable to walk at a stretch for even half a kilometer 3. The feeling of forceful dragging of legs 4. Feeling of breathlessness d. Hands are unable to work with both sides together (e.g., holding utensils with both hands for placing them on a gas oven, holding the utensil with one hand while stirring the contents with the other) even though there is no problem when working with one hand alone. She has some relief when washing legs with cold water I am attaching herewith copies of all the doctor's prescriptions, the test reports including latest scan and MRI report of the spine, the medicines she has taken for your kind perusal, please. Please go through the details and kindly advise us what to do and what medications to take to make the pain bearable, if not eradicate the same.; Answer: Hello. Went through your queries and the files attached (attachment removed to protect patient identity). This clinical scenario is possible in two cases. 1) Compression of the spinal cord at the cervical level or lumbar level or both. 2) Peripheral neuropathy is affecting all four limbs. She has been extensively investigated. Treatment for peripheral neuropathy has been tried in the form of pregabalin, gabapentin, nor tryptiline, etc. which do not seem to have afforded any improvement to her. So I suggest we may try a course of the following medications for a week. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. 1) Tablet Medrol 4 mg 1-0-1 after food (Methylprednisolone). 2) Tablet Pan 40 1-0-1 before food (Pantoprazole). 3). Tablet Phlogam 1-1-1 before food (Trypsin, Bromelain, Rutoside). 4). Tablet Nurokind LC 1-0-1 after food (Vitamin B12, Levocarnitine). 5). Tablet Nervijen-NP 1-0-1 after food (Nortryptiline, Pregabalin). 6). Tablet Alsody 1-0-1 after food (Alpha lipoic acid, Superoxide dismutase). Cervical stenosis, lumbar stenosis or peripheral neuropathy.

Question: Q. Why does bruise reappears after stopping the vitamin supplements?; Patient: Hello doctor,I get bruising easily. My blood reports are fine, and the bruise gets clear with vitamin C and K tablets but occurs again when I stop the medicine. Why?; Answer: Hello. Kindly mention since how long you have such problem? And mention the duration of the treatment. In such easy bruising case, the causes like liver disease, low platelet count, and coagulation abnormality have to be ruled out. You have investigated for that, and all the parameters are within the range. So if your problem is since a few days, then you can continue oral vitamin C that is Limcee and topical vitamin K. If the problem continues, then consult nearby hematologist for detailed evaluation. Hematologist might evaluate further in the form of fibrinogen estimation and full coagulation profile testing. I hope I have answered your question. Let me know if I can assist you further.

Question: Q. Can Homeopathy help in masturbation problem?; Patient: Hello doctor,I have some health issues that I would like to address. I have depression, fatigue, low energy, tiredness, and red eyes when I wake up, and I feel exhausted after masturbation. I have a history of masturbating for eight to nine years since I was 12 years old. The first few years, I was continually masturbating with lots of pornography. I am now masturbating one to two times a week yet still feel exhausted and fatigued daily and even watch porn one to two times a week. I have trouble with morning wood maybe once a week. What can Homeopathy offer me to heal from masturbation and get back to being healthy?; Answer: Hello. I understand that you are concerned about various health issues, and it seems most of the symptoms are related to over masturbation. Masturbation at the teenage is prevalent. Homeopathy has a vast number of remedies to heal this issue. However remember that masturbation was is not bad, but overuse is something that causes health issues, twice or thrice a week is not bad.Homeopathic remedies will help you to deal with this habit, and you would be able to concentrate more on other things in life like a career or job, etc. Homeopathic remedies are prescribed after taking your mental, emotional and physical health in to the consideration. Based on the little information you provided here you can start Lycopodium 30c four pills once a day for five days. Then begin with Kali Phos 6x two tablets twice a day for 15 days.These pills and tablets usually dissolve as soon as you keep them over the tongue. Hence there is no need to swallow these with water or anything liquid. Kindly report back on15 days. I hope you start feeling better. Let me know if you have any questions. I would be happy to answer.

Question: Q. Will emergency contraceptive pills work when taken during withdrawal bleeding?; Patient: Hello doctor, 1. I took ECP during withdrawal bleeding (as I stopped contraceptives). Will it work? 2. Will this affect my menstrual cycle as I have not got my periods in my due date. I am freaking out. 3. When should I go for pregnancy test to clear my doubt?; Answer: Hello. 1. Usually the possibility of ovulation is less during withdrawal bleeding, so the need for emergency contraception is less. But as you took the pill already, if at all there is any possibility of pregnancy, it can help. 2. Because of high dose of hormone in it, it can affect your periods. Sometimes after taking emergency contraceptive pill, you may see withdrawal bleeding after 7 to 10 days. 3. For accurate result better to test three weeks after having unprotected intercourse.

Question: Q. Why does the stomach blossoms without food in the morning?; Patient: Hello doctor,The stomach blossoms without food, even in the morning. It is felt more in the upper part of the stomach.; Answer: Hello, Welcome to the icliniq.com. You can have a gas problem due to functional indigestion. I suggest you take gelusil MPS like syrup before bedtime for one week. It is advisable to take Rabeprazole like antacid for the week also. If there is no improvement than USG abdomen scan should be done for further workup, meanwhile avoid gas forming foods like cabbage, cauliflower, etc. Carbonated drinks should be restricted. I hope I have answered your question. Let me know if I can assist you further.

Question: Q. My tongue is bleeding while brushing and having white sopts in the uvula. Kindly explain.; Patient: Hello doctor,My tongue hurts and bleeds when brushed. White spot on uvula area and white and small red dots on the roof of my mouth. Also, a yellowish color is seen on the roof of my mouth.; Answer: Hello. The condition is called aphthous stomatitis. It usually follows a brief period of stress to be emotional or physical, as a febrile sickness. You need to take a short course of antibiotics, topical analgesics, anesthetics. Multivitamin supplements and antacids can be taken. It is usually self-limiting, and the treatment is aimed at symptom relief.

Question: Q. Does alcohol hinder the work of Abilify?; Patient: Hi doctor, A person used Abilify and drank alcohol heavily on Abilify. Then switched medications and quit drinking for years. Can that person go back to Abilify again? Will it work? Or does drinking alcohol make the medication never work again? Please explain.; Answer: Hi. For further information consult a psychiatrist online -->

Question: Q. Can Seroquel withdrawal cause loss of sensation in penis?; Patient: Hello doctor,I finally withdrew from the drug called Seroquel. But now my penis has no sensation at all. I have much more arousal meaning my sex drive is back. But it is as though 90 % of the sensation is gone. While on Seroquel, I had more, but I stopped the medicine due to many bad side effects. It has been two weeks since my last dose.; Answer: Hello. Seroquel is Quetiapine, and the drug is an antipsychotic and mood stabilizer drug. In high doses in some individuals the drug is known to result in side effects like reduced libido, sometimes delayed ejaculation, difficulty in orgasm, etc. But Quetiapine is one of the safer antipsychotics if we compare this drug with other antipsychotic drugs.  The possible explanation of reduced sensation on the penis could be mild withdrawal, which might result in numbness like symptoms, and this may present with symptoms like reduced sensation around the penis. But the dose you were taking that is 50 mg is not a very high dose. Stopping this would not result in much withdrawal except mild insomnia. If we link this with sexual side effects of Quetiapine or Seroquel, then this will reverse by own in coming days. In most cases, sexual side effects go by own in less than four weeks of stopping the offending drug. You were not on a very high dose so that the recovery would be earlier. Prolactin levels increase seen with antipsychotic use (in high doses for a long duration, but some individuals even in low dosage). The standards will normalize in some days, and this will result in an improvement of sensation on the penis. No need to worry, and at this point nothing should be done because your erection is relatively better now, this means libido is improving.

Question: Q. What should I need to do to get rid of my skin infection on my arm?; Patient: Hello doctor, I have a skin infection on my right arm and would like to know what I need to get better.; Answer: Hello. How long has it been there? What are the symptoms in it? And any other family member affected?

Question: Q. A gurgling occurs while breathing in and out. Why?; Patient: Hello doctor,I am gurgling when breathing in and out, especially when laying down. In the beginning, I had a fever with strong cough and wheezing sound when breathing in and out, after a few days, I am back to normal, but this wheezing turned into gurgle till now.; Answer: Hello. Take syrup Bromhexine two tablespoon thrice daily for a week. It will produce a cough. Please excrete it out. Also, do steam inhalation thrice a day for a week.

Question: Q. How long should I take Soltus for delusion?; Patient: Hello doctor, I am a 33-year-old male, and my height is 5 ft and 8 inches. I am currently on medication of Soltus 75 mg, which was earlier Soltus 100 mg. I am on medication for one year and a half. I was having delusions. I want to know till how long do I need to continue this medication as I am gaining wait and my mental alertness has also reduced. What could it be?; Answer: Hello. Soltus (Amisulpride) is an antipsychotic medication given to manage symptoms like delusions, hallucinations, thought disturbances, etc. These symptoms can occur in different situations like extreme stress, psychosis, etc. Discuss with your prescribing psychiatrist regarding the diagnosis as he will have a complete history. This medication needs to be continued for at least a year, possibly longer depending on the nature of your symptoms, previous history, etc. So again, kindly discuss with your prescribing doctor. If you are stable, your doctor may consider decreasing the dose to soltus 50 mg daily. But any dose reduction needs to be done under medical supervision. Weight gain can be an issue with this medication. It can be managed by eating healthily (avoid fast foods, high-calorie snacks, etc.) and having regular exercise.

Question: Q. I have eczema only in my legs. What to do?; Patient: Hi doctor, I am aware that I have eczema. But, everything I try does not work. I have been having severe eczema since I was 8. I am about to be 19 now. I have tried using unscented lotions, dermatology approved lotions, organic oils and even all of the ointments doctors prescribe me with. The only thing that the lotions and ointments do is calm the irritation. Over the years, I have learnt to resist the urge to scratch unless it becomes unbearable. But, I always find myself sleep scratching. Yeah, I said it sleep scratching. I wake up with tingling legs and can see how hard I have scratched in the middle of the night. I moisturize all the time. Yet nothing works. I am getting to the point where it is starting to interfere with my life. I am young. I want to wear shorts and sundresses whenever I want. But I cannot because of the ugly scarring I have on my legs. I forgot to mention that my eczema is only active on my legs. Occasionally it occurs in my hands and rarely on my arms. Sometimes I even get it on my face. I have tried keeping my nails short so I do not have gross scratch scars but it does not work. I get my nails done because it does not leave scratch scars but it leaves bruises. And do not get me wrong the ointment is the best thing that works but I do not want to have to be wearing that ointment as a lotion. I have to leave to the ladies room about every hour so I can moisturize my legs to prevent the itching from happening but honestly who wants to live a life like that? It has begun to affect my life emotionally and I do not know how much more I can take of it.; Answer: Hi. I can understand your concern. Being a dermatologist observes in day-to-day activity few diseases have bad impact on lifestyle, out of which eczema is one of them. But, with your descriptions it seems to be atopic dermatitis, which becomes better as age progress. In adults, it involves the flexural surface eventually localizing to the front of elbows and behind the knees. You need not have to worry that much. Besides medicine, you should do some yoga exercises, which will help you much. Few general measures you have to follow are: In case of oozing, avoid ointment or cream, corticosteroids in lotion form may be used. When there is no oozing or in dry eczemas, corticosteroid cream is to be applied locally twice a day. Local antibiotic cream with or without corticosteroid is helpful where bacterial infection is present. Skin biopsy needs to be done to confirm the diagnosis. Atopic dermatitis. Revert back for regular follow up to a dermatologist online.--->

Question: Q. Can missed period mean pregnancy?; Patient: Hello doctor, I am 18 (unmarried) and I have missed my periods on first two days and I suppose I might be pregnant (unplanned) as I am not having any symptoms of my monthly periods. Me and my fiance had a pullout in 6-10 seconds after he inserted the penis in vagina but there was just a pre-cum which he had already wipped away and there was no ejaculation taken place (sure). Is it a sign of pregnancy? Can I consult a Gynecologist alone without parents or guardian? Can I terminate the pregnancy by medication as it has been only 6 days? What should I expect? Please help, I am stressed.; Answer: Hello. Please do not get worried or panicked. Get a beta hCG test done. It is a blood test to confirm pregnancy. A value less than 5 means you are not pregnant. Even if it is positive, you do not need to worry. You can get it terminated by medicines (You will need to get an USG done first). You can visit a gynecologist without parents and your privacy will be respected. Please make sure you visit a qualified gynecologist and do not visit quack out of social fear. Gynecologists are professional and will not meddle in your private life and will help you get rid of pregnancy without risk to your life.

Question: Q. Why do white spots appear on teeth?; Patient: Hi doctor, I have two small white spots on the lower portion of my front tooth. Can it be removed by microabrasion? Is the procedure worth? Please guide.; Answer: Hi. There are several reasons for the white spots on your teeth. Usually, white spots appear when the mineral content in the outer part of the teeth (enamel) is less. White spots could also occur due to high fluoride level in the drinking water or nutritional deficiency during teeth development and infections to name a few. Are the white spots only on the front teeth? Or do you have them on other teeth as well? Microabrasion certainly does not help whatever the cause of the white spots may be. It just makes the surface of the teeth rough and gives rise to other problems. You could consult your dentist and ask whether bleaching can be done. There are other options like placing a veneer on the surface of the teeth. However, a small part of the tooth surface needs to be abraded to place the veneer.

Question: Q. I am finding it difficult to have intercourse. Why?; Patient: Hello doctor, I recently got married and I knew my partner for long before marriage. My query is I am finding it hard to have intercourse. I am very active while doing foreplay, but when I am about to insert somehow I end up ejaculating outside. We as a couple are planning for pregnancy at the earliest. Please guide us. Thank you.; Answer: Hello. As per your history, you seem to be suffering from erectile dysfunction (difficulty in sustaining erection) after marriage. The commonest cause of erectile dysfunction after marriage is performance anxiety. If you are worried about erection and your performance during sexual intercourse, it could cause problems with erection. To overcome this, you can try the following techniques. You can take these tablets on alternate days if needed as the effect of these medicines will last for 2 days. If you are taking any other medicine for blood pressure or cardiac condition, ask your doctor if it is fine to take these medicines along with the other medicines. You will not need these medicines for more than 15 to 20 days because you will develop confidence when you have sex successfully for a few times. As you are recently married, do not worry about pregnancy so soon. You will have plenty of time and opportunity for planning a baby. This added pressure of getting pregnant could also adversely affect your erection. Performance anxiety. Erectile dysfunction. 1. Relaxation techniques. 2. Tablet Forzest and Rivotril.

Question: Q. Will sleep deprivation cause any permanent changes in brain?; Patient: Hi doctor, I do not used to sleep a lot from early age. Daily to the maximum I will sleep for 6-7 hours. Now, these days I find scary researches about how sleep deprivation can damage brain permanently. I want to know whether my condition too is also related to sleep deprivation. Will it cause any permanent subtle changes to my brain? Please help me.; Answer: Hi. Yes, the research has gained a lot of attention and we do consider the facts. But, what has been done cannot be reversed. However, if we go with clinical experience, usually people who modify back there lifestyle do not get any ill effects in life. In fact, I would advice in such case that you should stop thinking that what is reversible and what is not. Start living your life normally and take help with a psychiatrist if there is great difficulty in sleeping. One can be treated easily with hypnotic drugs which help in controlling these issues.

Question: Q. My child developed phobia for terrorist. How to eliminate this?; Patient: Hi doctor, Recently my child seems to have developed phobia for terrorist. She is just 4 years old. I did not know how really she even came to know about the word terrorist. Now, she remains afraid for most of the day and night. She thinks that they are going to come to her. She does not like to go outside the flat and visit public area. I think it may be that one of the movies seen recently has left a deep impact on her. We tried our level best to convince her that movies show false things, but somehow the word terrorist has got deep inside her. She keeps talking about them throughout the day. We do not really know how to get this out of her. These things have started very recently and becoming more intense. Kindly help.; Answer: Hello. Child's mind is very delicate and easily moldable. Subtle things can cause drastic and unexpected effect on them, which we cannot even predict at times. In your case, it is quite easily observable to you. It is good that you could recognize this change in her behavior so early and decided to take an opinion for the same without wasting further time. Violence and rage have very severe effect on a child's mind. This is what happened with your daughter. The violence depicted in the movie and the reactions caused by that violence in the movie characters have made a deep impact on her mind. The fear caused by that violence had got imprinted on her mind. This can be the beginning of development of an underlying anxiety illness in her. So, it is very important for you as a parent to help her overcome this. You have to gradually make her aware that though the terrorist are the ones who spread violence and chaos, but on the other hand there are good people also who stop them. To begin with storytelling is a good way to inculcate things. Then play therapy can help. You can get her into play activities where you can strengthen her faith that there is no need to be afraid of bad guys and there are always good guys to help with. Gradually start taking her out and expose her to the people in neighborhood. Tell her about different kind of people living nearby. Familiarize her with the surroundings. Besides this, you should avoid watching content depicting violence and rage in front of your daughter. Child's age is a tender part of their life, they learn very quickly. So, use this as a therapy to manage her fear.

Question: Q. How can I divert my mind when I become sad due to the rude behavior of my loved one?; Patient: Hello doctor,I am a 32-year-old woman. The one with whom I am in love sometimes behave rudely to me. He remains silent whenever he dislikes anything that I say. I am a bit outspoken, and I am unable to control this. His silence kills me. I find it difficult to do routine work. I feel so sad and shattered. He will not answer my messages and will not pick up my call even if I had called 50 times a day. I feel like hurting myself. I suffer from depression since childhood, and I am taking Amitriptyline since the last 13-14 years. How can I divert my mind and focus on my work during those times? It happens almost twice a month. We are together for five years now.; Answer: Hello. It looks like you and your partner have different personality styles and deal with conflicts differently. For example, if you are an extrovert, you would like to talk your way through issues. But if your partner is an introvert, he may have an aversion to conflict and arguments and may withdraw during stressful periods. This is a natural way of responding to some people and not to be taken personally.  If your partner is otherwise fine and treats you well, it may be helpful to have an open and honest discussion with him when both of you are calm. Write down your thoughts if direct talking can be difficult and ask your partner to reply. Both of you have to respect each other and learn to form your ways of dealing with conflict as a couple. It is natural for all couples to have disagreements, try not to overthink in such situations. Try relaxation techniques and carry on with your usual routines. If needed, you can try counseling or couples therapy. Also, look after your emotional health. Consult your doctor to review your mental health and the need for continuing anti-depressants. I hope this helps.

Question: Q. Will delaying vaccines for an infant cause any problem?; Patient: Hi doctor, I am blessed with a baby boy (3 months 10 days). I am sharing with you his vaccination card. All vaccines are almost due because of the Corona Pandemic. Most of the clinics are almost closed. Will you please suggest, whether these vaccines can be delayed a bit till the suspension of lockdown, or do I need to arrange it ASAP. Really tensed about this unexpected and unfortunate situation.; Answer: Hello.  I understand your concern for your child. I would say you can wait for some more time till the end of this month as probably after this month lockdown restrictions will be over. I believe you should go according to your pediatrician as he would understand the situation best at your place. Till then, best hygiene measures should be taken for your child. Use hand rub or wash hands properly before touching your child. Avoid giving bottle feeds. If you maintain this, there should be no problem. All vaccines can be given at a later date.

Question: Q. I need some medications to relax as I am nervous most of the time. Please help.; Patient: Hello doctor, I am a 26-year-old female. I am nervous most of the time and cry a lot because my dad passed away a month ago. I feel like there is no reason for life now, have no goals and moments without happiness. I thought about suicide several times, so I need some pills to relax me during the day time without sleeping effect. What should I do? I will never see my father again, which drives me crazy.; Answer: Hello. It is always painful to lose a loved one. Your symptoms are suggestive of an acute grief reaction to the loss of your dad. Grief causes significant emotional distress for some weeks, but usually, you will heal gradually with support from family and friends. To clarify, did you experience any emotional problems or mental health issues before your dad passed away? In that case, the grief can be more intense, prolonged, and you may need professional support like bereavement counseling.  Usually, pills are not recommended for normal grief. But if you have any other underlying emotional problems, kindly consult your doctor who can assess and prescribe according to the need. I will advise not to isolate yourself during this period. Try to go out regularly even if you do not feel like it. Open up and talk to trusted family and friends, tell them how you feel. Try to eat daily and sleep well. Go for short walks and try to do your regular activities.

Question: Q. I am suffering from burning sensation and inflammation in anus after intercourse. Will this be HPV?; Patient: Hello doctor, I am a 24-year-old bisexual male. 10 months ago a friend stroked his penis between my thighs, and suddenly his penis slipped and entered my anus for merely an inches, and he pulled out then we stopped performing it. And after four months I got constipation and hard stools, and then day by day I started to feel inflammation and burning sensation throughout my anus sometimes this burning pain moves to my perianal area and maybe in the rectum. As I read about the HPV infection, I got very scared, and I am in a deep depression. I do not know what this HPV or piles are? Kindly tell me what to do as I am in deep agony, pain, and depression. Please help.; Answer: Hello. HPV (Human papillomavirus), usually HPV infection does not cause any noticeable symptoms or health problems. Some time produce genital warts.For your complaints, constipation and burning sensation may be due to piles or anal fissure. So better go for the rectal exam and proctoscopy examination to rule it out. For piles and fissure try these medicines. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. 1. Tablet Pilex 1 t.i.d (three times a day) for 20 days. 2. Tablet Dulcolax (Bisacodyl) one or two for constipation. 3. Proctosedyl ointment use, as per instructions are given in box for 20 days.

Question: Q. 18 weeks pregnant woman used spray pesticide. Is it harmful for the baby?; Patient: Hello doctor, My wife is around 18 weeks pregnant and, she started to spray pesticides inside our home. I am concerned that this might harm our developing baby. Please advise.; Answer: Hello. I understand your concern. Definitely pesticides of any category are harmful. If it can damage the pests, then that will be harmful to the baby. But we humans are bigger in size and damage is not significant, unless sprayed daily for many days, for a long time and directly onto the face. By 18 weeks, the baby is fully formed, so there cannot be any significant damage or long term effects on the baby. To be on a safer side better to avoid your exposure to pesticides. Do not worry, and your baby will be ok now. I hope I have clarified your query, do write back if any more questions and for your feedback.

Question: Q. Does side effect of the anxiety drug diminishes the memory?; Patient: Hello doctor, I am a 42-year-old male. When I was 15 years old, I started to suffer from depression and had to undergo psychiatric treatment. I was prescribed Trazonil for a sleep disorder and Flunil for depression and anxiety. I was under this medication for nearly seven years. In the meanwhile, I got hooked to alcohol and smoking before 20 years. I took an overdose and consumed almost 90 tablets of Trazonil in an attempt to end my life. However I survived, but I have felt that it really damaged my brain especially my memory and till today I remember most of the things which took place prior to this incident as well as things I learned, but in my daily life after that I became very forgetful and had trouble remembering things, events or new things which I try to learn. So my question is that is there any way which I can reverse this ill effect or lessen to a high degree so that I can remember things better or have a better memory. I have been drinking for the past 20 years, and since last three years after moving to another place my frequency and dosage of alcohol has increased, and I know it also plays a significant role in diminishing memory. I quit taking medicines almost 14 years back.; Answer: Hello. It is good to know that you are insightful about the problems caused by excessive alcohol intake. Have you contemplated cutting down on alcohol? Alcohol may be playing a significant part affecting your memory and also have a negative impact on your emotional health. Your memory difficulties may be more related to a history of depression and concurrent alcohol abuse. It is less likely to be a long term effect of Trazonil (Trazodone) overdose. You may know that alcohol has a depressant effect on the brain (despite the initial euphoric effect). With your history of depression, it is essential and can be tackled at the earliest. You appear to have experienced significant depression, including a risky overdose. You seem to be resilient in your way but are you still depressed? Are you using alcohol as a coping mechanism to manage everyday stressors? I will recommend consulting a doctor to review your mental state and proceed accordingly. You can consider counseling or talking therapy to address issues related to excessive alcohol use. Try reading books. Also make sure you take care of the basics like eat healthily, sleep enough, and exercise regularly. Try yoga or meditation if available locally.

Question: Q. My girlfriend takes Microgynon for PMS. Is it normal for her to experinece spotting?; Patient: Hello doctor, My girlfriend has been taking Microgynon 30 for two months, with two packages back to back. She took Microgynon for suppressing severe PMS. The medicine successfully suppressed the PMS, but there seem to be some side effects. She experienced some spotting for a week, and the other doctor told me that it is normal for a microgynon-taker. Her actual period started the very next day after stoppage of spotting (which is late for two weeks), and it has been lasting for 18 days. In the beginning, the volume is lower than average, but red blood is visible. In recent days, the volume keeps increasing, and it gets me worried about whether some issues are occurring. Should I take her to a gynecologist for a check-up or it is entirely reasonable for a microgynon-taker? We did not have any sexual intercourse before and in the case for an extremely rare accident, she took a pregnancy test, the result was negative. Therefore, pregnancy could be eliminated. She finished her second package of Microgynon around 6/4, and the next day, the blood volume started to increase. One more question, she has a third package of Microgynon and the gynecologist we saw said that she should begin the third package when the second period stops. Is this correct?; Answer: Hello. Your doctor is right in saying that this is normal with the medicine you are taking. Microgynon is progesterone. It is a hormone which builds up and helps in the growth of the inner layer or lining of the uterus called endometrium. Due to overgrowth sometimes the endometrium sheds off and appears as vaginal bleeding or periods. The drug is otherwise safe just that continuous bleeding is a nuisance and may lead to anemia. She must take some iron supplements and wear a panty liner. For PMS (premenstrual syndrome), she can try a few things after the course of medicine is finished. She must stop taking tea and coffee. Minimize her salt intake and less water for a week before her expected periods. Also, PMS is a broad term, and treatment depends on what symptoms bother her more.

Question: Q. My husband behaves rudely all the time. Kindly advice.; Patient: Hello doctor,My husband is mostly sad and depressed. He cannot listen a word against him or his family(mom, dad & sister). He gets mad and behaves very rudely with everyone if they do not agree to what he says. He fought with his boss in his company for silly reasons. He abuses me emotionally and mentally. He hides from colleagues and friends about his marital status, to some he says he is not married and to some, he says he is married, and his wife stays with his family and works in a bank (but I live with him and work in MNC). He always uses to tell a lie to me in small things also, he is never ready to accept his fault. Even if it is evident that it is his fault, he will never agree. He was flirting with some girl and went to meet her, and I got to know this when I checked his phone when I confronted him, he got mad at me. He is not ready to accept that he is at fault. He never answers my questions, always diverts the discussion. He does not have any plan. He hates my family for no reason and always say abusive things against them. He says he loves me but never let me live happily. In short, he is still right. Is he mentally ill?; Answer: Hello. I can understand your concern. Considering the history of the symptoms you have mentioned, there are few possibilities. One is some underlying mood disturbance which could part of bipolar disorder. This should be appropriately evaluated to make a diagnosis. Repetitive mood swings, keeping grudges, anger outbursts, repetitive lying, etc., are seen commonly.  Such symptoms can occur as part of some personality disturbance. Anger, irritation, etc., could be related to personality issues. Please talk to him and if possible, consult a psychiatrist. Mood stabilizers can be used to control his anger and mood swings.

Question: Q. I am scared to sleep whenever I hear about some accident. Why?; Patient: Hello doctor, It has been around four years that I am always scared to sleep. It usually happens if there is an accident I am scared that it will happen to me too, and I would not sleep for about a week. I am so scared of earthquakes, and many nights, I will not sleep thinking that our building will fall. If there is any news like killing people, I will lock all the doors and windows thinking that I will be killed too. And another thing is supposed I eat at 1 pm for the next two hours I will be full and suddenly I feel so hungry, and in a minute I started feeling so weak and start to shiver. This happens whenever I am feeling hungry.; Answer: Hello. Your symptoms are suggestive of an anxiety disorder, which is making you excessively worried about things happening around you. It can be tiring and emotionally exhausting to experience high levels of anxiety all the time. Try relaxation exercises to help manage stress and related anxiety levels. Deep breathing techniques and progressive muscle relaxation exercises will be beneficial. If possible, try yoga as well, and counseling or talking therapy will be helpful. If symptoms are severe and persistent, you will benefit by consulting a psychiatrist for a full assessment and consider medication options as well.

Question: Q. I am worried about my reports. Kindly advice.; Patient: Hello doctor,I had a seven-day monitor, and I have attached my reports. Nothing has been added about whether I need medication, etc. This sounds dangerous. should I be worried?; Answer: Hello. Can you upload the report again? I did not get the part narrow complex 5 qrs hr etc. Do you have any chest pain or discomfort heaviness on exertion, or shortness on exertion? These are ectopics or extra beats. These are usually benign and not life-threatening. These are frequently associated with MVP (mitral valve prolapse), caffeine, alcohol, thyroid problems may aggravate these. But, considering your age, we should rule out ischemia in you. You should also get a thyroid test done. So should get a stress test like stress thallium or TMT (treadmill test) done. You will need beta blockers like Metoprolol to keep these under control. If there is any evidence of ischemia, then you can opt for antiplatelets and Statin. I hope this helps you and get back if you have any questions.

Question: Q. What can be done for treating chest acne?; Patient: Hello doctor,I am an 18-year-old male, and for over two years, I have been dealing with a lot of chest acne. I have been told it is folliculitis. I have gone to three different derms who have just prescribed me Benzoyl peroxide washes, sodium washes, Doxycycline, and a bunch of different creams but nothing helped.It has impacted the quality of my life, and I am not sure what else to do anymore. I have been doing a lot of research on fungal acne, and I feel like this is the problem I have. Even though I mentioned this to my dermatologist, she said she thinks it is more bacterial and said to see if it would improve by prescribing me new creams, and that I would maybe have a culture test done later on to see if it is fungal acne. Do you have any tips or recommendations on what I can do to solve my problem? Or does this look like fungal acne?; Answer: Hello. I understand your concern. It looks to me like Pityrosporum folliculitis. Some people call that fungal acne too. Does it itch? Please take the following medications for three weeks. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. 1. Capsule Itraconazole 100 mg after dinner once a day. 2. Ketoconazole, 2 % Cream, apply twice a day. 1. Capsule Itraconazole 100 mg once a day after dinner 2. Ketoconazole 2% Cream apply twice a day  For 3 weeks

Question: Q. I am getting some rashes after taking Aripiprazole. Should I worry about this?; Patient: Hello doctor,I have started taking Aripiprazole 5 mg tablets, after which I started getting spontaneous rashes. My question is, is this effect worrisome (should I go to urgent care)?; Answer: Hello. Aripiprazole can induce skin rashes though it is not commonly reported. It will be safer to get yourself checked to rule out any systemic involvement, especially if you have any fever, pain, signs of the exfoliating rash. Are you on any other medication that can increase the chances of drug-induced rashes? Most rashes are simple and transient, but a few rashes need more urgent attention. So you need to be examined. Depending on the nature and severity of the rashes, you will be advised either to stop or discontinue Aripiprazole. So consult your primary doctor at the earliest.

Question: Q. What has to be done for accidental swallowing of tooth crown?; Patient: Hello doctor, My friend had accidentally swallowed tooth crown an hour ago, she is not facing any problem till now, what should she do, kindly advise.; Answer: Hello. I understand your concern but I think as so much time has already passed and by God's grace everything is fine then I think it has not gone into the airway, problem erupts only when it gets stuck in the airway, it might have gone down through the digestive tract and shall pass out normally through faeces. The biggest question is whether it went inside along with breath or food? That will surely subside the confusion and the one who swallowed most probably can feel this. I would surely want to know which number tooth it belonged to in order to know whether it was bigger or smaller in size. Anyway, an X-ray is always advisable for safety if your area is now open for the same. Be careful and look for the engulfed crown in your passed out fecal matter that will also relax you if you find it sooner. It mostly passes out in 24-48 hours. You can have banana so as to help it pass digestive tract smoothly.

Question: Q. I am having small black spots on my toenail. Does it indicate melanoma?; Patient: Hello doctor,I am 21 years old. Today I noticed a small black spot on my toenail, I did a little research and found out that it might be a melanoma cancer, but also it could be a fungus infection. After a bit more research, I noticed that an unusual cystic pimple between my chest that I have had for two months now might also sign of melanoma. I spend little to no time in the sun. Do I have melanoma? The black spot on my toenail might be because of the tight shoes I have been wearing lately, my toe also hurts a little bit from those shoes. The red pimple between my chest appeared five to six month ago, then disappeared and reappeared multiple times, I squeezed it, and blood and fluid came out of it.; Answer: Hello. I understand your concern. The thing on the chest looks more of a sebaceous cyst, (attachment removed to protect patient identity) which comes and goes even if you pop out the contents as it needs to be excised completely to prevent the recurrence. For the toenail spot, I am not sure that it is melanoma, it can be other things like a subungual traumatic hematoma, or pseudomonas nail infection. Nonetheless, you need to keep observing it for any color or size changes. The two conditions you mentioned do not seem to be related, though. Use the following medication for two weeks, and if it is because of infection it will improve 1. Tablet Ciprofloxacin 500 mg twice a day for two weeks. And avoid tight footwear.

Question: Q. Is it safe to use Montair LC kid in a 4-year-old for reactive airway disease?; Patient: Hello doctor,My son is four and a half years old, and he is suffering from reactive airway disease (enclosing the reports and prescription). Kindly suggest based on the above medication that till how long we can safely go ahead with Montair LC Kid. Is there any upper limit of giving this. I am very skeptical about continuing it in the long run. He is completely fine with this medicine, but if I skip a single dose, he starts coughing just anyways and ends up vomiting everything he had. So I keep on giving him a daily dose of MLC kid. Also, he is a bit aggressive and impatient. I do not know whether these are the emotional changes associated with this medicine. Please tell me that is he losing his natural immunity due to this.; Answer: Hello. Please note that the medications prescribed are to the best of my knowledge. Montelukast has been prescribed for patients for prolonged periods extending up to even two years without any problems. It uses has shown reduced requirements of admission and improving the quality of life in patients suffering from hyperreactive airway disease. However, it would be good if we can omit the LC (Levocetirizine) content by just giving Montelukast alone in the form of tablet Montair 4 mg daily at 8 pm instead of Montair LC syrup (Levocetirizine, Montelukast). The Levocetirizine component may cause dry mouth, sleepiness consequent irritable behavior in very few children if given for prolonged periods. The tablet (Montair) can be crushed in a small cup of water, and the child can consume the paste or solution. Most of such cases usually get alright as age advances with complete remission by the age of six to eight years. Very rarely this may persist till 10 years. If it continues until the age of 10 to 12 years, it may progress into asthma in adulthood.

Question: Q. Kindly advice about the diagnosis of paranoid schizophrenia.; Patient: Hello doctor, I am concerned about my friends medical diagnosis about paranoid schizophrenia is fabricated by him and resulting in unnecessary medication. Kindly advice.; Answer: Hello. The diagnosis of paranoid schizophrenia is not easy. Proper evaluation by a psychiatrist is needed to make the final diagnosis. The individuals with schizophrenia show symptoms like hearing voices talking or voices are giving commentary, suspiciousness against anyone or even family members, ideas of prosecution, ideas of reference, etc. These should be present persistently, and in usual cases, there is no insight about the symptoms. It is the family and friends who take the patient for evaluation and not the patient he or herself visits the doctor for a diagnosis. Yes, depression or anxiety can be the possibilities, but these too should be evaluated. Symptoms of depression like low mood, anhedonia, reduced energy, fatigue, negative thoughts, bad thoughts, lack of surety about future, feelings of helplessness, worthlessness or hopelessness, etc. are seen.If he has doubts about his symptoms, he should be evaluated by a psychiatrist.

Question: Q. Do my symptoms indicate bipolar disorder or schizophrenia?; Patient: Hello doctor, Since I was around 8 years old, I have experienced mood fluctuations but not in the normal bipolar way (which I am being tested for). I do not feel like my mood sways between depression and mania. It is always some level of mania but without depression. I also experience tactile hallucinations such as something grabbing my leg, ants or bugs crawling up my legs as well as something breathing on and grabbing my arm. Tension headaches are also common, and intrusive thoughts pretty much ruin my life. Another common occurrence is I notice I have trouble talking, not in a word salad kind of way, but a slurred sometimes mumbled speech. My Psychiatrist says it is likely bipolar, but I do not think that that is the only possible diagnosis. To me, it seems more closely related to schizophrenia or schizoaffective disorder. All I want to know is that is there a possibility that I am correct? Could it be a schizophrenic related disorder? In the past, they gave me Citalopram for anxiety.; Answer: Hello. Yes, your psychiatrist is correct. Bipolar is a more likely diagnosis. Bipolar disorder need not be present with depression and mania both. Recurrent mania also comes under the category of bipolar disorder. In mania, our sensitivity to stimulation increases like colors appear more bright, music appears more appealing and smoothing, also hallucinations are common in mania too. Schizophrenia and schizoaffective disorder diagnosis are made only when there are criterias of disease which get full filled. You can refer ICD 10 bluebook for detailed criteria. To me also, the diagnosis of schizoaffective disorder and schizophrenia is less likely.

Question: Q. What are the ways to control schizophrenia?; Patient: Hello doctor, My son aged 32 years is suffering from schizophrenia for the last six months and not accepting any treatment and since the last 10 days his symptoms got worsened and became violent and today he tried to get injured and he is suspicious on everybody thinking everyone is talking about him and plotting to harm him and asking us to kill him by giving poison and today he became very violent and after consulting a psychiatrist doctor today we gave him Risdone liquid 2 ml by mixing with fruit juice. Now he is sleeping calmly tonight. Please help us for further treatment.; Answer: Hello. I can understand your concern. A lot of patients of schizophrenia or other psychotic disorder refuse to take medicines and this becomes difficult in treatment. Risperidone liquid is tasteless and odorless and can be given without knowledge to the patient. But keep one thing in mind that he should not become suspicious that he is being given medicine by mixing with food. Most of the patients come to know about this. You will have to remain alert for this. This should be followed strictly. In coming days he will become ready to take medicines by own. Till then you can give him Risperidone liquid. He is on 2 mg per day and if needed, the dose can be increased to 3 mg per day. The second option in his case if he refuses to take even food or juices from you is long-acting injectables. Long-acting injections of Haloperidol or Fluphenazine or Risperidone or Paliperidone are available. These have actions for around 15 days and can be given to him if he refuses to take medicines. This can make treatment easy for him. You can discuss with his doctor for this treatment option.

Question: Q. Can herpes cause cold sore on lip?; Patient: Hi doctor, I have had a bad cold sore 8 weeks ago on my top lip and a bit of the skin above it. I used Zovirax externally 2 weeks course and Acyclovir 2 weeks course to treat it. The actual sore improved, the blister stopped weeping, the scab formed and flaked off within 3 weeks but the redness is still lingering. I rung the doctors that put me through a pharmacist who told me to use Hydrocortisone 1 % cream. I used it for a week as he recommended but it still did not go away. That was two weeks ago. I also had a new flare up three days ago. Also on the top of my lip symmetrical on both sides. It looks different to a cold sore in that it was some redness and skin flaking. Home remedies I have tried so far: Aloe vera (not much help), Tea tree oil (irritated it), Manuka oil (helps healing where the sore is but seem to irritate the new flare up), Coconut oil (irritated it), Almond oil (seems to soothening it at the moment). I am worried if this is still unresolved herpes/cold sore and can be transmitted to my partner who does not have herpes. Is it contagious and am I able to kiss my partner?; Answer: Hello. As per the current picture sent by you, it does not look like a cold sore as of now (attachment removed to protect patient identity). Also, I would advise to stop all ongoing treatment (including the Hydrocortisone) and just leave it alone for a week. Apply Dologel only. It contains Cholinesalicylate along with certain other ingredients that help to heal. No application of any lipstick or any other ointments or creams to the region. I would not advise kissing for 2 more weeks atleast till things resolve to prevent spread. Also, limit alcohol intake if you are currently consuming alcohol. Avoid spicy foods too to promote healing.

Question: Q. Are my symptoms suggestive of schizophrenia or OCD?; Patient: Hello doctor, I am looking for an appointment with you firstly for reassurance I suppose and then CBT rather than waiting for the NHS. I have had OCD since I was a teen (intrusive thoughts and having to touch wood, say prayers, etc.). This seemed to subside until I had my daughter but then flared up again after and I was misdiagnosed with postnatal and placed on Citalopram. After a couple of years, I came off the tablets and was extremely stressed. Then suffered what I now see as an OCD relapse. I was petrified. I was losing my mind. Researched schizophrenia and almost gave myself all symptoms, suffered depersonalization on the commute home from work and spiraled into an anxious mess. I took myself to a doctor and was adamant I was psychotic. I was screened and told that I had bad anxiety and OCD. From here, I was put on Fluoxetine and things got a lot better. Five years later, I am going through a lot of stress and I stupidly did not take the tablets every day for a period of time. I am now again riddled with OCD thoughts and feelings around schizophrenia. I am my own worst enemy as I know if I had schizophrenia I would not query it. I would believe irrational things. So in turn, my OCD tried to confuse me and I do believe the thoughts. I do not want to carry on like this please help. I am a working mother.; Answer: Hi. I understand you must be going through a tough time. First of all, please do not stress yourself so much with whether it is OCD or schizophrenia or what not. You are much more than a diagnosis. It is important you are at peace and have some relief from the distress. Coming to your symptoms, you have said you have intrusive thoughts but what kind of intrusive thoughts do you have? And apart from saying prayers and touching wood is there anything else that you do? From your history, it does seem that you are having severe OCD which is causing a lot of anxiety. If Prozac has helped you in the past, you can reconsider the same medication but you will have to take it for longer duration like two years or more and at a higher dose like 60 mg. Consider tablet Clomipramine 20 mg along with Prozac for an augmentation effect. For acute anxiety, you can consider tablet Etizolam on SOS basis. As for psychotherapy, rather than CBT, exposure and response prevention seems to be a more helpful option for you but we can explore more on that only when we know the exact nature of your intrusive thoughts. Please look up progressive muscle relaxation techniques. These will help you gain some control over your anxiety symptoms.

Question: Q. I have something like genital warts. Please confirm if it is the same.; Patient: Hello doctor, I have a few and little genital warts in my vagina. I can send you a picture if you want, I am very worried that it could be VPH. Please help me.; Answer: Hello. It seems to be HPV (human papilloma virus) warts only. But need to be confirmed. Are you sexually active? If yes then does your partner also has similar lesions?

Question: Q. My baby has constipation and gas problems due to Dexolac. Should I change the formula milk?; Patient: Hello doctor, My daughter is a premature baby. Her birth weight was 1.7, and now she is 2 months old and weights 3.1. Our doctor suggested dexolac special care. She is suffering from constipation, and gas problem after having it. The doctor suggested medicines, but there were no changes. One to two days she was fine, and the next day the same problem started again. She is mostly crying at night and not sleeping. Can I change formula powder? What powder is the best for my baby? Please advice.; Answer: Hello. Please note that children below the age of 6 months pass stools either once in two to three days or 10 to 15 times per day. It is normal, and it is not labeled as loose motions or constipation. If you are labeling it as constipation because of hard pellet like stools, then I would advise you to increase the water content of the top feeds and see. As far as the gas problem is concerned, it is also normal. Nothing is to be done. Almost all babies have gas just like a normal adult. There is no medicine for the same because it is normal. You can calm down a crying baby by either singing (light tones), suckling (allowing baby to suckle), swaddling (wrapping the baby in cloth), swinging (putting the baby in a small too and fro motion). You can also tap slowly on the stomach to reduce discomfort as and when required.

Question: Q. I always feel like third person is ordering me. Kindly advise.; Patient: Hello doctor, I am suffering from depression. It has been four years. I am always demotivated. I was average student but then I became a failure. I cannot concentrate on studies. I feel like god is talking to me and orders me certain things which I must do. I always feel like third person is ordering me and I get tired answering them. I feel like I have become a small child of second grade.; Answer: Hi. The symptoms like someone is talking to you, talking to God or hearing voices which others cannot hear could be occurring due to some psychotic issue. Such kind of symptoms are not generally seen in depression. Since such symptoms have resulted in loss of performance in studies, poor concentration in studies, so please visit a psychiatrist for help and evaluation. Drugs like Amisulpride, Olanzapine, Quetiapine, etc., can help you in coming out of depression and psychosis.

Question: Q. Why is my penis not getting hard during sexual intercourse?; Patient: Hello doctor, I recently got married but when I started having sex with my wife, I started noticing that my penis is not becoming hard enough to have sexual intercourse. Also, sexual arousal is also not happening. I believe I am suffering from erectile dysfunction. Kindly advice what I should do.; Answer: Hi. Erectile dysfunction can occur because of many factors like diabetes, hypertension, thyroid disorder and also due to stress and psychological problems. So, visit a nearby psychiatrist to find the exact cause and then act accordingly. If there is no physical or medical condition then, Sildenafil or Tadalafil will help in erection and these drugs can only be used after discussing with your doctor. Meanwhile, spend enough time on foreplay. You can take few days for only foreplay and proceed to sexual intercourse only when you feel that you are fully erect. Avoid any substance abuse like alcohol or tobacco. Take adequate sleep. Do regular exercise like morning walk for 45 minutes daily. Do exercises of pelvic muscle like kegels exercises.

Question: Q. What are the ways to manage the withdrawal symptoms of Benzodiazepine and Alprazolam?; Patient: Hi doctor, I took Benzodiazepine Alprazolam for insomnia for 2 months for a total dose of 30 mg, while stupidly attending college parties and binge drinking once a week during the period (I have never taken the pill on the day I was drinking). I did not take the drug every day and after roughly two months I quit the drug altogether, the withdrawal, that I did not recognize at the time, kicked in (Extreme tinnitus, sweating, heart racing, heightened anxiety). I went to ENT doctor and she gave me two Dexamethasone injections in 3 days (I think 8 mg). I developed during these 3 days a major loss of short term and then long term memory, trouble finding words, trouble learning in general. The physical symptoms of the steroids and benzo withdrawal went away in 2 weeks. It has now been a month since I feel physically fine, but the cognitive issues persist and they do not get better at all. I have been to a psychiatrist because I felt overwhelmed that Iam not going to be able to finish school in such a state and she gave me Escitalopram thinking it could be psychological, but there is no improvement in cognition after a months use. Does that combination have that drastic side-effects and could it caused a chemical or structural problem in brain? What can I do to return somewhere close to my old self? I am 24 years old.; Answer: Hi. People taking Alprazolam should not combine it with alcohol and avoid combining it with other medications, such as narcotic pain relievers, that cause drowsiness. Doing so can cause additive drowsiness and reduced breathing as well as other side effects, which can be dangerous and possibly fatal. Alprazolam may be habit-forming when taken for long periods of time. If you have been taking this medication regularly for a long period of time (more than one month), do not stop taking the medication without speaking with your doctor. A gradual reduction in dose is recommended when stopping this medication to avoid withdrawal symptoms.  Escitalopram works by blocking the reuptake of serotonin so that there is an increased level in the brain. Serotonin is an important neurotransmitter responsible for mood and well being. It is usually taken once daily and may take a few weeks to months reach maximum therapeutic potential. So continue taking Escitalopram until you see significant improvements in your memory.

Question: Q. I hit my forehead against a wall and got a scar. Can I treat that scar?; Patient: Hello doctor, I hit my forehead against a wall and had a small cut on my forehead and now it has healed and it looks like a scar. Will I have a permanent scar?; Answer: Hi. First, you need to understand that scar treatment depends on its depth and lenght. Whether your scar is permanent or not, it is very important to evaluate it. Mostly scar lightens and becomes equal to the surrounding skin with passage of time. However, scars which are deep becomes permanent. Such scar will not go away with any creams or gels. Best treatment for permanent scar is reversal by plastic surgery or it could recover to some extent with C02 laser.

Question: Q. Is it advisable to get operated for gallbladder stone during pregnancy?; Patient: Hello doctor, I am six weeks pregnant and there is a stone of 3 to 4 mm in gallbladder. Can I get operated for the same?; Answer: Hello. I understand that you are worried about gallstones and it can be stressful whilst undergoing pregnancy. However, let me assure you that most gallstones do not cause any symptoms. Seeing as they are small in size, they can be easily left alone until after the mother has delivered the baby. The risk of miscarriage is always present whenever a pregnant women undergoes any procedure. Are there any symptoms that are bothering the mother? Like jaundice, uncontrollable pain, etc.? I would also request you to share the investigation reports as it will help us make a better decision. LFT, Ultrasonography Pain medication - Tablet Paracetamol 500mg SOS if having pain Avoid spicy and oily food

Question: Q. What causes lump at the base of chin?; Patient: Hello doctor, I have lump at the base of chin in the middle, where it meets the curve of neck. The size is a little smaller than a dime. Only you can feel that but not see. I was having discomfort for a month on the left side like I have to move my neck but has stopped now. Then noticed the round lump about four days ago. It does not hurt.; Answer: Hi. I need to examine either this is lipoma or enlarged lymph nodes. If possible, send images.

Question: Q. I am suffering from abdominal pain with cramps. Why?; Patient: Hello doctor,As of now, I experience abdominal pain with cramps in the lower right of my abdomen. What could be the problem?; Answer: Hello. This could be as simple as digestive problems with gaseous distention. It requires medications for indigestion or gaseous distention like Charcoal tablets, passing by symptoms of gastroenteritis. If diarrhea and vomiting develop, food poisoning is one of the reasons as well. Also, it can be a kidney or ureter problem (stone or salts). This site can suggest acute appendicitis as well, which should be dealt with as an emergency. In all circumstances, I recommend a visit to your general physician or internal medicine specialist for further history taking, clinical examination, and evaluation. Visit your doctor for further evaluation.

Question: Q. I am suffering from burning sensation on the feet for three days. Kindly advice.; Patient: Hello doctor,I have a burning sensation on the feet for three days. I am currently under Clonazepam.; Answer: Hello. Causes of burning feet include peripheral neuropathy and plantar fasciitis. I suggest you use footwear even at home and take over-the-counter pain medications to alleviate pain. You may also use Diclofenac gel for local application. If the symptoms do not subside over one month, please get electroneuromyography of the lower limbs to look for nerve involvement.

Question: Q. My father has inhomogeneous opacity in the lung. How to treat him?; Patient: Hi doctor, My father has a round inhomogeneous opacity in the right middle of the lung. He is taking Ceftum 600. How to treat him?; Answer: Hi. For further information consult an internal medicine physician online -->

Question: Q. How can I improve my immunity against pneumonia?; Patient: Hello doctor, How can I improve my immunity for pneumonia since I already had it five times? Once when I was a kid, thrice in high school and currently at college. Please help.; Answer: Hello. For further doubts consult a pulmonologist online -->

Question: Q. Is bronchoscopy and tube necessary in a pneumonia patient with COPD?; Patient: Hello doctor,My father is in the hospital fighting pneumonia and has COPD. His latest X-ray has shown some improvement. The X-ray shows he has an extensive airspace and interstitial opacities in the left lung and patchy opacity in the right lower lung. The plan is to do a bronchoscopy and use a tube to assist in getting him oxygen.; Answer: Hello. I have gone through the history of your father's illness you have provided (attachment removed to protect patient identity). The X-ray reports are suggestive of pneumonia. At this stage, on initial antibiotics and supportive treatment, if he has not improved, bronchoscopy may be essential to isolate the organism that has caused pneumonia. This will help to guide antibiotic therapy. By tube to assist oxygen, they are possibly implying putting him on a ventilator? That may be necessary if he is not able to breathe on his own adequately to maintain oxygen in his body. For more information consult a pulmonologist online -->

Question: Q. Am I suffering from pneumonia?; Patient: Hi doctor, I am having fever for about a month now. So, I have done a master health checkup and the report shows raised PLBS 184, SGPT 121, LDL 112 and fatty liver. My chest x-ray PA view shows right lower zone soft tissue opacity. Because of the soft tissue opacity fever pack, thyroid profile, blood culture and sensitivity, sputum AFB, sputum culture and sensitivity and sputum gram stain tests were done. The results were normal except the gram stain test results. The gram stain sputum culture conventional showed pus cells and epithelial cells occasionally, bacteria - gram positive cocci, gram negative rods. Sputum culture and sensitivity showed pus cell - occasional, epithelial cells - occasional, bacteria - gram positive cocci and gram negative rods and growth observed - normal flora. So, kindly explain the above results and advise me. My past medical history includes fistula-in-ano, hypertension and vitamin D deficiency. Currently, I am taking Telma 40 mg and Lumia 60k.; Answer: Hi. Revert back with the investigation reports to a pulmonologist online -->

Question: Q. Can pneumonia cause prolonged QT waves?; Patient: Hi doctor, I went to the emergency room with fast heartbeats. The doctor did an EKG and chest x-ray, and he said I had pneumonia. But, my QT was slightly prolonged. He repeated the EKG after a week later and said it was fine. Should I be concerned about the prolonged QT? Can pneumonia have caused it?; Answer: Hello. Hope this helps you and get back if you have any doubts. For further queries consult a cardiologist online -->

Question: Q. Please explain the test results of diabetic and renal tubular acidosis patient.; Patient: Hi doctor, My father was previosuly diagnosed with renal tubular acidosis and diabetes mellitus, was maintained on Potassium citrate and Gliclazide OD. Currently he had an infected insect bite on the left anterior lateral aspect of the leg. He was started on CO-Amoxiclav BID. Currently on its 4th day, I had his labs taken which revealed HbA1c: 8.5, FBS: 7.57, Crea: 2.79 mg/dl, BUN: 3.67 mg/dl, Hgb:195, Hct: .58 wbc:13.2, plt: 157 with normal lipid profile and uric acid. Should I start CKD medicines already? Should I step up with the DM medicines? Thank you.; Answer: Hi. High creatinine suggests a CKD picture for a long term diabetes particularly uncontrolled DM. Your fathers HbA1c is high which shows his diabetic status is not under control. High potassium levels is one of the complications of CKD, in this picture taking Potassium citrate is not advisable as it may increase its levels. And diabetic drugs also need to be modified when a person lands up in CKD, most oral medicines cannot be given. It is safe to shift the treatment with Insulin. You need to visit a Nephrologist for alterations in your medications and appropriate advice for CKD. serum potassium, sodium, phosphorus urine routine USG abdomen DM, CKD

Question: Q. What is the treatment for fatty liver when my cholesterol and thyroid levels are high?; Patient: Hi doctor, I am 40 years old male. I am suffering from fatty liver. I have high cholesterol, and thyroid level is also high. I am not taking any medication.; Answer: Hi. I have gone through the attachment (attachment removed to protect patient identity). You have a high cholesterol level which is the cause of the fatty liver rather than weight. A lipid-lowering medication is required. Regarding your thyroid, the hormone levels are within normal. There is no need to worry about them, unless if you have significant symptoms. I suggest a medication take Atorvastatin 10 mg tablet once daily before dinner and repeat the lipid profile after six weeks. Liver enzymes should be done after one month as a precaution. For more information consult a family physician online -->

Question: Q. What does grade-1 fatty liver mean?; Patient: Hello doctor, All my reports are normal except one. They told me that I have a grade-1 fatty liver. What does this mean?; Answer: Hello. For further queries consult a medical gastroenterologist online -->

Question: Q. How can we treat fatty liver?; Patient: Hi doctor, I have a fatty liver for a year. I gained a lot of weight. After regular exercises, walking, and maintaining my diet, I am unable to lose weight. Can I take Lycopodium along with Calcera carbonica? And I also have a lot of dandruff problems. I am taking Himalaya liv 52 ds.; Answer: Hello. The fatty liver is due to obesity. You have to check your blood pressure and sugar levels as well. Check serum cholesterol, serum triglyceride. Regular active one hour exercise is needed for you and a strict diet restriction has to be followed. Fatty foods should be taken less. Fruits to be taken more. The Ursodeoxycholic acid tablet can be used for fatty liver. Dieting is needed along with exercise to reduce weight. Check hypothyroidism by serum TSH (thyroid-stimulating hormone) estimation. For more information consult a family physician online -->

Question: Q. How to manage fatty liver?; Patient: Hi doctor, I had diarrhea for about 20 days. After I got recovered, my doctor advised me to do an MRI of the abdomen. These were the results shown. There was a mild signal drop noted in the liver on the T2 fat sequence suggesting a fatty infiltration. My pancreatic head and uncinate appeared normal. Distal body and tail showed a fatty replacement. Kindly advise.; Answer: Hi. You have a fatty liver on MRI (magnetic resonance imaging). It is very common. Please say about the habits you have. Please mention your medical history. Please tell about your BMI (body mass index). Fatty liver can lead to liver damage and cirrhosis after a long period. I advise you check your liver function tests, sugar, and lipid profile. Follow a regular exercise and diet. Try to lose your weight. Have healthy food. Revert me with the blood reports. There is no need to take medicines for fatty liver. They will disappear after a lifestyle modification.

Question: Q. Is nonalcoholic fatty liver disease life-threatening?; Patient: Hello doctor, Hemoglobin: 14.3, platelets: 174000, SGOT: 38.9, SGPT: 65.0 and vitamin D: 23.6. All other reports are normal.; Answer: Hello. You seem to be suffering from non-alcoholic fatty liver disease (NAFLD). This does not require any special treatment. I suggest you avoid painkillers, alcohol, and reduce weight if you are obese. I would also recommend you testing for hepatitis B and C. I hope it helps you. For more information consult a medical gastroenterologist online -->

Question: Q. I am consuming Codeine. Will this affect conceiving?; Patient: Hello doctor, I am addicted to codeine for the past 4 years. After my marriage, my wife had conceived but that time we did not want it. So, we aborted and it has been 2 years. Now we are trying to conceive but it is not happening.; Answer: Hi, Welcome to icliiq.com.  I read your query and understand your concerns. First of all I would like to inform you that Codeine can be stopped in gradual manner. Scientifically speaking you can go for 10% reduction of original dose every week leading to complete abstinence at the end of 2-3 months. In case this is not possible or you are not able to tolerate the lower dose of Codeine you can get yourself treated form local psychiatrist. We often recommend Clonidine for this purpose which helps in the withdrawal symptoms of Codeine. The medication dose is decided depending on the dose of Codeine, age of the patient, duration of abuse and blood pressure. I mean to say that this is high time to say "NO TP ADDICTION" and take this opportunity to come out of this addiction without delay. I understand that your concern is not addiction but inability of your wife to get pregnant despite repeated efforts. But we need to understand that addiction and infertility are related to some extent and removal of one risk factor might pave for fathering a child. In addition it is also important to get semen analysis done for yourself and follicular study for your wife to rule out other causes.

Question: Q. I am underweight and my BMI is 16. 5. How to improve my weight?; Patient: Hello doctor, I am underweight and my BMI is 16.5. Kindly help me to put on weight.; Answer: Hello. First, you explain about your daily routine, and like and dislike foods.

Question: Q. My aunt doubts that all the girls are trying to come closer with her husband. Kindly advice.; Patient: Hello doctor,I want to share my aunt case and seek advice regarding this case. My aunt is about 54 years old, and her husband is around 63 years old.After the death of my aunt's father, a behavioral change occurred in my aunt. She started to blame her husband and try to make her husband stay away from all young girls.She got extra possessive about her husband. She blamed three to four girls and stopped them to come close to her husband even she blamed her daughter in law to stay away from her husband. We do not know why she is doing this? She always thinks that all girls and aunties trying to get interact and come close to her husband. Please advice.; Answer: Hello. She should consult a psychiatrist. The symptoms like possessiveness, ideas, or even delusional beliefs about the fidelity of husband, blaming husband, etc. cannot be ignored. She might be suffering from some mood disorder most likely depression with psychotic symptoms. This could be some psychosis too. Individuals with psychosis show paranoid delusions, delusional beliefs, and become suspicious. Considering her age and late onset, the chances of depression with psychosis are more. She might refuse to visit a psychiatrist and will try to evade the visit. Drugs like Olanzapine or Quetiapine can be used to reduce her psychotic symptoms, and she will come out of depression.

Question: Q. I am suffering from muscle twitching and discomfort even after medications. Please advice.; Patient: Hello doctor, I would like to ask about my symptoms. It started with aweful headache for two days. The following week had pain in muscles and bones. Then that went followed by extreme anxiety attacks, burning on neck, tingling in head and face. I was in and out of hospital for three days. Started on Lexapro and Rivotril. Three weeks after having the medicines had muscle pain and twitchingsome muscle weekness. It is been five weeks now, and the anxiety is better but still have muscle twitching and some muscle discomfort.; Answer: Hello. I will be happy to help you out here, and I need a little more history.  1. Do you have any flu-like symptoms? 2. Any nausea, vomiting, or diarrhea? 3. Have you been taking any over-the-counter supplements?

Question: Q. Can witnessing a life-threatening trauma in young age cause changes in behavior?; Patient: Hello doctor, I just want to know what kind of mental illness my fiance has. When she was 11, her mom's fiance shot her in front of my fiance and when he turned the shot gun on himself he told her to look. I just want to know if that could be a reason for why she acts a little weird and off sometimes. She talked about her mother a lot too. She misses her.; Answer: Hello. Yes, if she has witnessed such life threatening trauma in her young age, she might act weird sometimes. But that does not mean that she has any psychiatric illness. You should focus on your relationship with her and give her proper time and she will come out of her psychological trauma. But symptoms like hearing things which others cannot hear, or talking to her mom, fear, etc., should be evaluated by a psychiatrist. This could be due to excessive stress or some psychotic issue. This should be ruled out.

Question: Q. Kindly explain about the diastolic heart failure.; Patient: Hello doctor, I am a 41-year-old male with 5'11" height and weight 214 pounds. Multiple sclerosis and bipolar disorder are co-morbid conditions. I was recently admitted for a heart catheterization to check for any potential blockage after an abnormal ECG, chest and chin pain, months of breathlessness, and a very strong family history of cardiovascular disease. Fortunately, no blockages were found. However, my cardiologist informed me that I had diastolic heart failure. To be clear, he did not say diastolic dysfunction, and he said heart failure. My high blood pressure has always been controlled. My reports say,  1. Moderate tortuosity of epicardial vessels consistent with hypertension. 2. Hyperdynamic left ventricular ejection fraction of 75 to 80 %. 3. Moderate to severely elevated left ventricle end-diastolic pressure 24 mm Hg. My cardiologist never gave me a prognosis. He told me to eat a low sodium diet and to get checked for sleep apnea (which I will do), but he never gave me a prognosis. I have dealt with health problems for a very long time. It is essential for me to know what a diastolic heart failure diagnosis means for my lifespan. I am married and have five children, and it would be nice to know what I am looking at. Kindly advice.; Answer: Hello. I am sorry to hear that you did not receive any detailed explanation of your condition. Diastolic dysfunction is the inability of the heart to relax, which can be diagnosed with echocardiogram or with evidence of high pressures inside your heart chambers, as evidenced by the increase LVEDP (Left ventricular end-diastolic pressure) in your cardiac cath (it was 24 mmHg, and normal is considered less than 15 or 18 mmHg). The term diastolic heart failure is used when we have evidence of diastolic dysfunction as above in addition to symptoms of heart failure (the shortness of breath you described). There is some belief that diastolic heart failure is more benign than systolic heart failure, but in reality, that is not the case. They have similar prognosis when compared in general. However, patients with advanced systolic heart failure have a worse prognosis than those with diastolic heart failure. The complicating aspect is that there are no many proven therapies that work for diastolic heart failure, other than low sodium diet, diuretics, exercise, proper eating, and lifestyle modification. To provide a more precise diagnosis, it would be essential to understand how is your exercise tolerance, however that can be challenging with your multiple sclerosis. I hope this information helps. I do not want you to feel discouraged but instead focus on lifestyle modification. Eating well, stress reduction (mindfulness or mediation can help) and practice physical activity. Hypertension, and obesity. Possibly an exercise stress test to objectively assess your exercise capacity, sleep study, and probably a Holter or event monitor (to assess for arrhythmias or atrial fibrillation).

Question: Q. My husband gets frequent sharp cramps in right lower abdomen lasting for a minute. What could this be?; Patient: Hi doctor, My husband gets sharp cramping in the lower right side of the abdomen over a period of two months. It happens once or twice a week and lasts for a minute. We checked for appendicitis and kidney stones and all the reports are negative. We did a CT scan of the abdomen and it came normal but with a finding of stage 1 fatty liver. Can you please help me understand what is his issue?; Answer: Hello. I will definitely help you. Right lower abdomen pain has many reasons including appendicitis and kidney stones. There are some other reasons like indigestion of food, infection of the small intestine, or worm infestation. This may be functional also in which no cause is identified. The main reasons are indigestion and irritable bowel syndrome in which all investigation were normal. So if a CT scan is normal and there are no other complaints like vomiting, bloody stool, urinary complaint, constipation then it must be functional due to indigestion. Avoid fatty and spicy food and lots of water have to be taken Give two-hour gap between dinner and going to bed. Please get back to me if any of the above symptoms are there and attach an investigation report also for better help.

Question: Q. Can starving for longer period make you eat more?; Patient: Hello doctor, I have started to notice something about my eating habits. I noticed that I have gained a lot of weight this year. And I have even been eating food that I do not like. I get hungry so many times during the day, even though I already ate. Last year, I would not say I was on a diet. But, I hardly ate much. I was wondering if that is the reason why I am gaining this new eating habit. If you starve yourself for a long period of time, will it trigger you to want to eat more? This is a serious concern of mine, because I have never been such a big eater.; Answer: Hello. If you starve for a long time, your body demands for more carbohydrates to complete its metabolism. If the starvation continues for a long time, the body starts accumulating energy for the period of starvation, hence you feel to eat more. The best way is to provide lots of fluids and fibres so that you feel full and avoid carbohydrates and junk. Decide your meals to 5 to 6 meal pattern, increase protein fibre, you will maintain weight. If gained, start with exercises for good result.

Question: Q. How can IBS related to SIBO be managed?; Patient: Hi doctor, I realize I have IBS symptoms and they seem to be related to SIBO. I need your advice on how to treat it effectively. Here are some symptoms and test results. Leaky gut or intestinal permeability with multiple food intolerances. Seems to have hydrogen sulfide based SIBO, severe farting with a foul smell of eating foods like cabbage, broccoli, cauliflower, high protein foods. I may have an overgrowth of sulfate-reducing bacteria. Rifaximin seems to help with SIBO but it is temporary. I have to eat rice as I cannot eat gluten or wheat. Some experts on SIBO say that MMC or vagal nerve dysfunction is the root cause of SIBO. I have heard a lot of patients get better when they increase gut motility. So I wanted to ask if taking prokinetic or cholinergic support will help SIBO from reccuring.; Answer: Hi. The best is to avoid eating foods that cause trouble. Secondly, for SIBO (small intestinal bacterial overgrowth), it is better to use a combination of Tetracyclines plus Metronidazole for two weeks. Effective probiotic will also help. Take the following medications: 1. Tablet Tetracycline 500 mg thrice a day two weeks. 2. Tablet Metronidazole 400 mg thrice a day for two weeks. 3. Take a good probiotic for two weeks at the end of the previous two drugs. 4. Take fresh homemade yogurt twice daily in a small bowel.

Question: Q. Why do I have bad breath after taking the fever medications. Suggest me a cure.; Patient: Hello doctor, I have severe bad breath problem after taking fever medications for a week. Does it come from my stomach? Please help me, as I am embarrassed.; Answer: Hi. Bad breath is due to the destruction of good bacteria in the intestine by antibiotics. I suggest you try probiotics, such as Lactobacilli, thrice daily for two weeks. You will feel better.

Question: Q. Should I seek medical help for the side effects of probiotics?; Patient: Hi doctor, I had probiotics for two days as I was having issues with constipation and it helped me. Later, I got side effects of nausea, headache, cold and hot sweats, sleepiness, loss of appetite and going to the bathroom more often for the past three days. I discontinued probiotics. Should I seek medical help?; Answer: Hello. Thank you for providing a precise history. Revert back with the answers to the above questions to an internal medicine physician online -->

Question: Q. Is there a permanent remedy to get rid of psoriasis?; Patient: Hello doctor, I would like to know a few details of the tablets which I have been taking for my scalp psoriasis. Winolap 5mg once in a while when itching is too high (without doctor's prescription). Isotretinoin drugs/other drugs (with doctor's prescription). I have been taking these medicines on a regular basis and were very effective. But only till I take them. If I stop the medication, I have to visit my doctor again and start medications again to get some relief from itching in scalp. I want to know if these medicines will cause harm/side-effects in future? Can these be taken continuously?; Answer: Hello. Isotretinoin is a potentially dangerous drug and in many countries there are very strict guidelines over its use. It basically contains retinoids which in simple language is a derivative of vitamin A. It is primarily used to treat severe cystic acne and I fail to understand why your doctor has prescribed it to you for psoriasis. Its side effects include: Well, I need some more information: 1) For how long have you been suffering from scalp psoriasis? 2) Exact name and exact dose of the medicines which you are taking? 3) For how long have you been taking each medicine (in detail)? 4) Any medicine which you had taken in the past but not taking now? 5) Do you feel any side effects which I have mentioned above? 6) How much relief have you got in your scalp psoriasis from these medicines or no effect at all yet? 7) Do you have psoriatic lesions anywhere else on the body or just on scalp? Kindly provide these information, so that we can evaluate your case in detail and prescribe you with the best possible treatment. Revert back to a dermatologist online for further follow up -->

Question: Q. I heard one of the reasons for psoriasis is lack of Vitamin D. Is it true?; Patient: Hi doctor, I am suffering from psoriasis for the past 24 years. I have tried a lot of ointments already. I heard one of the reasons is lack of vitamin D. Is it true? I am 54 years old now.; Answer: Hi. Psoriasis is a T-cell mediated autoimmune disorder. What you have heard about lack of Vitamin D as its cause is a myth among patients because nowadays there is a new class of topical drugs available which are analogues of Vitamin D. These reduce the excessive cell proliferation and differentiation seen in the skin cells of a psoriasis patient. A few of these drugs are Calcipotriol, Calcitriol, and Tacalcitol. Their pros are that they do not cause skin atrophy, but they are useful only for stable and moderate psoriasis. To help you better, I need photographs plus a detailed history with a previous medication you had taken.

Question: Q. There is a large area of redness in my buttocks,is it psoriasis?; Patient: Hello doctor, For a couple of months, I have had a red area between my butt cheeks (not anus, further up where butt cheeks meet). This developed on the right side as a large area of redness which now feels scaly and a bit raised. At times it may feel moist, watery, not quite bleedy though. I tried an athlete's foot antifungal spray which I think helps a little bit, but it comes back again. Is it psoriasis or fungal infection or just irritation? I am a runner and sweat a lot due to heavy exercising every day. I took a picture, and I have attached it. Please advise.; Answer: Hi. After carefully reading your complaints and looking at your photographs, there seem to be three possibilities (attachment removed to protect patient identity). For making a clear cut diagnosis, I need the answers for a few questions: Looking forward to your response in order to help you.

Question: Q. Kindly comment on my psoriasis prescription.; Patient: Hi doctor, I have been suffering from psoriasis in my palm. When I was 12 years old, I had this disease for the first time. After taking some medicines it disappeared. But, it used to come on and off. In the past one year, I have faced this problem quite often. In between, I had homeopathy. As it cannot be cured, I shifted to allopathy again. A local doctor prescribed me some medicines for psoriasis and I want a second opinion about the prescription.; Answer: Hi. Yes, your treatment is right. But, do not take Folitrax for long duration (Methotrexate) as it can adversely affect your liver and immunity. For further information consult a dermatologist online -->

Question: Q. Why are SGOT, SGPT, and cholesterol levels high in a diabetic?; Patient: Hello doctor, My SGPT and SGOT are increased. Diabetes is also not under control. Cholesterol levels have also increased.; Answer: Hi. Regarding your SGOT and SGPT, it is elevated because of liver tissue strain due to diabetes and hyperlipidemia. But other liver enzymes are under control. Avoid spicy and fatty food and if you are alcoholic or smoker, stop. Regarding diabetes, you are on right medications but HbA1C is 7.1. ABG is 157, care for diet and mild exercise, we can bring it down. Renal uric acid and urea and creatine are not increased, so renal condition is fine. Continue the treatment, diet and exercise. Monitor BP. Do ECG, US abdomen and review. Diabetes and lipoma. BP, ECG, echo, ultrasound abdomen. Cirrhosis of liver. Liver disease, DM, hyperlipidema. He can continue the same treatment with diet and exercise. 1. Roseday A75, once, 2. Istamet 50/1000 twice, 3. Glimepride 2 twice 4. Febutrix40once and, 5. Remylin D once. Liv 52 two tablets twice daily. Avoid fatty and spicy food, no alcohol and smoking.

Question: Q. Sore throat did not go away with several antibiotics. How can I get well again?; Patient: Hello doctor, I am a 27 year old lady. I started having a sore throat two months back. I just thought it was a flu coming. But then, when I noticed that it had been on for two weeks, I decided to take Amoxicillin. I took it but did not finish the course on the last day. I had traveled and forgotten them at home. The sore throat went away but came back a few days later. I took another full course of Amoxicillin and during the course, the sore throat went away. I finished the full course but a few days later, the sore throat came back again. I went to the clinic and the nurse noticed that my throat was inflamed and prescribed Erythromycin. I took it but the sore throat kept on coming back. The nurse then prescribed Ciprofloxacin. I took the full course but still the sore throat did not go away. When I went back to the clinic, the nurse said it was no longer inflamed but I could feel it, but only that the discomfort seemed to be going deep down the throat. It is like each day I can feel it is moving down. It is not a very painful sore throat. I do not take any painkillers. My body temperature and blood pressure are normal and have been normal throughout the period. Right now, I can feel discomfort in my upper part of the chest. Another thing is that the first episode of sore throat occured after I visited my sister who from time to time gets swollen glands (below the ear). What could it be and how can I get well again?; Answer: Hello. I have gone through your complaints. Repeated attacks of a low-grade sore throat suggest that it could be chronic pharyngitis. The other common causes of chronic sore throat are due to acidity and gastroesophageal reflux. That means stomach acids pop into esophagus silently and burn the throat in the nights. You should undergo upper GI esophagoscopy and a throat swab to rule out infection. Try taking antacids for a week. Do not take antibiotics. I think this would suffice. For more information consult an ENT otolaryngologist online -->

Question: Q. I get bloody semen with clots and pain in my right testicle. What is my problem?; Patient: Hello doctor, I am a 33-year-old male. I have not had any previous health problems, non-smoker, and non-drinker. Generally, I am feeling fine. For the past six months, I have produced bloody semen with blood clots and producing more recently. I have also recently started feeling mild pain behind my right testicle. Occasionally, my left testicles seem to change in size slightly and seem to almost disappear and the right testicle becomes quite tender and firm. I had an ultrasound scan about six years ago and there was found some cyst but little concern. About a week ago, I sensed a small lump rising above my right testicle to my lower abdomen, it was uncomfortable but I slept and the discomfort eventually went away. I see little blood-colored spots appearing on my arms and torso perhaps resembling perhaps petechiae and have an area of this rash on my torso that I am not sure may be related to my concern? I have been taking Azithromycin since yesterday incase it may be a virus or something bacterial but it does not seem to be helping the problem. I had a blood test in January 2020, but have not been able to make a follow-up blood test yet. Not sure why it might be necessary. What does the problem sound like to you?; Answer: Hello. Hematospermia (blood in semen), is fairly common. Generally it is not considered as a sinister sign. There are whole list of possibilities for this theoretically, but once we ensure it is not due to sinister cause and rule out treatable causes say like infections we do not beyond that as it will not affect the management. Sinister causes mainly prostate and testicular cancers. At your age prostate cancer is extremely unlikely but need to ensure no testicular problem. With your symptoms with testes, you need another scan to be on safe side as the scope for examination to be conclusive. I suspect you have epidydimal cysts which are very common and can cause pain, etc. So if the scan does not show anything other than this, I would not worry about it at all. I think the rash is completely unrelated to this or any of your urological problems. Nor the rash or hematospermia is related to old history of chlamydia. Since you have not had any other urinary symptom, I would not worry much about other tests related to urinary tract. However, I would also recommend sending semen for culture to see any infection in it. Lastly about prostate cancer virtually unheard in your age. Finger examination of prostate, PSA blood test and MRI scans of prostate are the screening tests in general. But not something I would recommend if testes scan comes back normal and if you are still worried an MRI then will be helpful as last resort. Idiopathic. Testicular pathology. Ultrasound scan of testes. Ideally an examination of genitals including prostate by a clinician. Semen culture. Idiopathic. Hematospermia. With reports.

Question: Q. I am getting pimples and dark spots. How to treat it?; Patient: Hi doctor, I am having skin problems for the two months where pimples are like faint and after it disappears that spot becomes black. Please help.; Answer: Hello. I will help you with your problem. You are having acne vulgaris which is the most common skin condition of your age. Generally, the eruptions on healing leave a mild dark spot. If the eruptions are manipulated by picking them or squeezing them, they leave darker spots on healing. In your case, if you are having oily skin, you should use Ahaglow S facewash four to five times a day. This will prevent oily skin which is one of the main causes of the acne. For the treatment of the eruptions, you should use Deriva CMS gel on the eruptions at night daily. Also take tablet Azithromycin 500 mg three days a week for 1 month (3 days daily dose, then 4 days gap, then repeat). The dark spots, if persist after the course of treatment, can be treated by other creams then. Acne vulgaris. As mentioned above.

Question: Q. What are the signs of tonsillitis?; Patient: Hi doctor, My 15 year old daughter always gets sick. When I take her to the doctor, every time he used to say it as viral infection. This is the fifth time in a year she has been sick with the same symptoms. Her symptoms are cough, low fever, sore throat and yellowish white colored mucus covering her tonsils and back of throat. Are these the signs of tonsil infection? Should her tonsils get removed?; Answer: Hi. Let me first enlighten you about tonsils. 1. Eating more chocolates or ice creams. 2. Dental and oral hygiene. Throat swab and culture or RADT (rapid antigen detecting test). URTI (upper respiratory tract infection). If culture is positive then I suggest Tablet Amoxicillin 625 mg twice daily or tablet Amoxicillin 500 mg thrice daily for 10 days. Consult your specialist doctor, discuss with him or her and take the medicine with consent. 1. Repeated salt water gargling. 2. Maintain oral hygiene. 3. No high carb diets like ice creams and chocolates. For further information consult an internal medicine physician online.--->

Question: Q. What does positive strep test mean?; Patient: Hi doctor, I am 24 years old. I have had a sore throat every day for almost a month. I had antibiotics already, but it did not work. What could be wrong with me? It is chronic and I have been more tired with this. Sometimes, I am getting a fever and belly pain. My laboratory test showed strep test positive. What to do now? Please help.; Answer: Hello. I understand that you have done strep test, which is a rapid test to find out whether the pharyngitis has bacterial origin. The strep test is positive and this means most probably the Streptococcus pyogenes detected in your throat is the causative organism for the pharyngitis. The strep throat infection has to be treated with appropriate antibiotics. I suggest you take a course of Amoxicillin and Clavulanic acid (625 mg) twice daily after food. Take supportive treatment in the form of salt water gargling of the throat, anti-inflammatory and pain killer tablets. Also avoid spicy, oily and masala-rich foods, which aggravate the throat irritation. As a painkiller, I suggest tablet Paracetamol 650 mg twice a day. Anti-inflammatory tablets are combinations of trypsin-chymotrypsin enzymes. If you do not get relieved with this antibiotic, then I suggest you go ahead with a throat swab culture and sensitivity. That will tell us about the details of the antibiotics to which the organism is susceptible and resistant. With your blood pressure values, I see that they are towards the higher side. However, if it was measured using a digital BP apparatus, it is bound to be erroneous. Kindly visit your GP and get your BP checked. Manual measurement of BP is the preferred method. At your age, it is unlikely that you have this high BP. For further information consult an ENT otolaryngologist online -->

Question: Q. What can be the reason for raised liver enzymes during fever?; Patient: Hi doctor, The issue is from 39 years ago. When I was 13 years old, I was considered for the possibility of poisoning. I was admitted to hospital for 8 days and the diagnoses were cervical adenitis and viral syndrome. I had a fever of 103 degrees for several days before going to hospital. My throat culture grew Strep. On admission to hospital, CBC showed WBC 12,900 (normal range), Hb 13.2, Hct 38.7, 36 lymphocytes, 9 monocytes, 7 eosinophils and the platelets were adequate. The almond size lymph node on the left cervical chain and the right side lymph was golf ball size. The neck was supple, no rigidity and some restriction of movement. There is no mass or thyroid palpable. The rest of the physical examination is within normal limits. Total bilirubin 0.4, ALT or SGPT was 714 initially and on discharge it was 215. SGOT or AST was 426 initially and 202 on discharge. LDH was 297 and then 217 on the day of discharge and albumin 3.8.  I am trying to figure out why my liver enzymes were so high initially and 8 days later they came down. I was treated with Keflex IV antibiotic, which cured the infection. Mono spot was negative. Urine and blood cultures are negative. From what I read, the liver cause could be toxic. But, at the of 13, I neither drink, nor had hepatitis.; Answer: Hello. Revert back with the answer to the above questions to an internal medicine physician online -->

Question: Q. What is the degree of burns in a baby injured by boiling water?; Patient: Hello doctor, 1 year and 10 months old boy got injured by boiling water, the doctor pricked some of the blisters. The hospital could not say which degree of burn it is, so we are concerned and want to get a second opinion since he is crying a lot and is in pain, the doctor did not advise anything further. He is around 10 kg. The genital parts also have some blisters. Picture has been attached. The white area on the picture is Flammazine cream that the doctor prescribed. Should we find another hospital, is it serious?; Answer: Hi. This qualifies for approximately 9 percent burns (attachment removed to protect patient identity). The child will need to take some painkiller medications like syrup Crocin DS (250 mg/5 ml), 2.5 ml thrice a day for 3 to 5 days to reduce the pain. As regarding the cream, it is good, please continue using it. Unfortunately, I will not be able to judge from the picture if the child needs Bactigrass application or no to the burn site. This can only be assessed by a surgeon. Hence, it is advisable to get the child physically evaluated by a surgeon as early as possible. If required, the surgeon will clean up the wound and debride or leave the skin as it is and can assess if the child needs Bactigrass sheet application or no.

Question: Q. Can Renflexis cause ankle swelling?; Patient: Hello doctor,I am 61 years old. I have some weird swelling on my left ankle, and I took photos of it to send to my son. He is worried it is related to a Renflexis infusion I had last week. I have had RA since I was 39.; Answer: Hello, Welcome to the icliniq.com. The edema due to renflexis is an uncommon side effect. If you have leg edema, then it is advisable to investigate as follow. 1. Serum protein estimation to rule out hypoproteinemia. 2. Sgpt (serum glutamate-pyruvate transaminase) to exclude liver disease. 3. Urea, creatinine estimation to rule out kidney disease. 4. Serum TSH estimation to rule out hypothyroidism. Echocardiography to exclude cardiac cause and finally local ankle joint X-ray if needed. If edema leg more than diuretic like Furosemide can be prescribed after consultation with your doctor. I suggest you consult nearby physician for a detailed discussion of all these. I hope I have answered your question.

Question: Q. I feel stress even for small things which urges me to pass stool frequently. Why?; Patient: Hello doctor,I feel stress, tension, and anxiety for even little things. Due to tension, I have the urge to pass stool frequently. My digestive system has been distributed. Some times I ​suffer from constipation, and loose motion, but mostly from loose motion. Gas also forms in the stomach. I always feel less stamina, loss of strength, weakness, fatigue, tiredness, with low immunity​ associated with tightness, aches, and pain in both hands and legs. Kindly advice.; Answer: Hello. It seems you have developed severe anxiety towards something. You may try Argentum nitricum 30c one dose (four pills) once a day in the evening for five days. After five days start taking Kali phos two tablets twice a day for 15 days. These remedies should help to reduce your anxiety to some extent. Please do not take these remedies for a longer duration than the recommended period. Let me know if you have any other questions. I would be happy to answer your queries.

Question: Q. I have constant twitches in my upper arm. Could it be an early sign of ALS?; Patient: Hi doctor, I am a 38 year old male, and I have been feeling twitches in my arm. I started feeling this constant twitch about six weeks ago. I did not experience any weakness in that arm or anywhere else in the body. The twitches lasted for about a week and then went away. The twitches have now appeared four weeks later in the same area (upper arm). Again, there is no apparent weakness, which I have tested by lifting weights at the gym and both my upper and lower body strength seems to be fine. What is worrying me to death is, could these twitches be an early sign of ALS? Is it possible that weakness will follow even though I do not have it now? Do ALS twitches go away for four weeks at a time and reappear? If I started to experience constant twitches six weeks ago, if this was ALS should not I have experienced some weakness by now? Is the fact that the twitches are localized to the same place a bad thing?; Answer: Hello. I have read your query and understand your concerns. First of all, I will suggest you consider other possibilities before jumping to conclusions. There are a number of conditions which can present with twitches without any disease, and ALS (amyotrophic lateral sclerosis) is one of the remotest possibility for a 38 year old young male. The commonest cause for twitches is simple worry or anxiety. I know at least 100 individuals with anxiety, who presented with simple twitches and no other symptoms. In my opinion, you need to see whether these twitches have any relationship with your anxiety level. The another common conditions which present with twitches is endocrine abnormalities, such as thyroid and parathyroid disorders. In case the stress level is not able to explain the twitches, an evaluation for endocrine abnormality is indicated. The list may go on in a similar fashion. Find the answers to your questions below: I hope this helps you. If you have more questions, feel free to write back. For further queries consult a neurologist online -->

Question: Q. What are the options to correct dental midline shift?; Patient: Hello doctor, I am a female, and I have an issue with my upper teeth. I lost the right canine tooth when I was young, which made my upper front teeth to move to the side. And my front two teeth are a little big. I consulted a local dentist, who said the solution is to take out one normal tooth, that is, the tooth after my left canine. Then he will put braces to align the other teeth, and he said he will bring my teeth back in the center. I just want to know if there are any other options to correct my teeth. I do not want to loose a good tooth. Can you help me?; Answer: Hi. Without any clinical pictures, it is hard to comment on the situation. However, I will give you some basic facts. For more information consult an orthodontist online -->

Question: Q. I have enlarged bumps on the back of my tongue. Is that due to fungal infection?; Patient: Hi doctor, I am a 29 year old male. I have some enlarged bumps and white lesion on the back of my tongue. I thought that I had a gum problem because my saliva was often brownish and I had a funny taste in my mouth. Now, I believe that I have some fungus infection. It looks exactly like on the picture I have attached, but only in the back of my tongue. What kind of treatment should I need?; Answer: Hello. I had gone through all the data posted. For further information consult an internal medicine physician online -->

Question: Q. When exactly does the pregnancy symptoms arise after unprotected sex?; Patient: Hi doctor, I had unprotected intercourse with my fiance during the first week of last month. Same week, within few days she complained about vomiting sensation but had no vomiting. Immediately the next day she had a little discharge from vagina and a little menstrual cramp. Her last menstrual period was in the last week, two months back. The local gynecologist told it is because of gas and gave an antibiotic tablet, multivitamin syrup and gas related tablet. The following day, early morning she felt headache and a body ache. Is it something to be worried about? Is she pregnant? When do the earliest symptoms of pregnancy come up?; Answer: Hello. These are not pregnancy symptoms, but rather they are symptoms of ovulation with mild abdominal ache, nausea, headache, bloating and thin mucus discharge from vagina. As her last menstrual period (LMP) was in the last week, two months back. So, it is day16 today. Hence in a 30 day cycle, this is the time for ovulation. As you had sex in the first week the following month, still she can be considered in her fertile period and hence an emergency contraceptive is advisable to be taken in 72 hours in your case to prevent pregnancy. However, the earliest you can detect pregnancy would be after 7 days post-intercourse with a serum beta-hCG test. If it shows the level of hCG more than 5 ng/dL then shall confirm pregnancy. Otherwise, she would be pregnancy safe. But, at present these are ovulation signs. Revert back after the test to an obstetrician and gynaecologist online -->

Question: Q. Having pubic hair with white coating. What is it?; Patient: Hi doctor, I have been getting pubic hair with a white coating under the testicle area. It almost looks like the hair is coated with white conditioner. I have also noticed that the area seems to be sticky when I sweat. I shave the pubic hair off, but it comes right back. I have been checked for STDs and I have none. Is this from my partner since it keeps coming back? Or is that it is deeper than shaving the hair off? Is there any creams I can use?; Answer: Hi. I have seen your query and concern. For further information consult a dermatologist online -->

Question: Q. What does dilated extrarenal pelvis mean?; Patient: Hi doctor, In my kidney ultrasound, my left kidney shows mild dilatation of calyces with dilated extrarenal pelvis of approximately 39 mm. What does it mean?; Answer: Hi. For further information consult a nephrologist online -->

Question: Q. Me and my wife are trying to have intercourse but unable to. Any advice?; Patient: Hello doctor,  I am a 29 year old male. My height is 5'9" and I weigh 95 kg.   I got married in January 2014. My wife is 2 years younger than me. She comes from a very simple family and she has had no relationship before marriage.   I am the first guy in her life. She is also the first woman in my life and both of us have never had physical relationship ever before.   Now since January 2014, we are trying to have intercourse but unable to.   We are wanting to have a baby now, but are really worried with the situation. My wife is very shy and does not know much about sex.   I masturbate every day in the morning before bath on my bed with the stomach position.   I have never masturbated with tool in hand position and I have even tried but I am not able to. I cannot ejaculate in that manner.   The moment I lay down on stomach, I ejaculate in less than 20 seconds. I am very worried.   My masturbation has become even more regular since I am unable to have sex with my wife.   Also my wife is very sensitive when I touch her vagina.   Recently she has started enjoying fingering but she resists a lot if I do it with two fingers.   I wonder how I will ever penetrate her with such small space.   Also we tried penetration a lot of times but the moment I come close to her I lose erection.   We are very frustrated and are dying to have a baby.   I am very uncomfortable with my foreskin rolled down.   I know for penetration the head of the penis needs to be inserted but the head is very very sensitive and that is why I prefer masturbating in laying on stomach position.  Please help us. We want to have a baby now and before that we want to be sexually happy.; Answer: Hi. Revert back for review after a month to a sexologist online -->

Question: Q. What can I do to grow hair in the case of genetic hair loss?; Patient: Hello doctor,I am 36 years old. I have genetic hair loss, is there something I can do to grow more hair? I use Minoxidil, but it is not working.; Answer: Hello. I understand your concern, but there are no attached photographs in your message. Kindly send a picture of the affected area to assess the condition and to suggest you the appropriate diagnosis and treatment. I need to see it to help you further.

Question: Q. My ECG report was strange. Is this due to anxiety?; Patient: Hello doctor,I had a strange ECG from my watch. No one else looks like mine, and my primary doctor said that it is anxiety.; Answer: Hello. I have thoroughly gone through the ECG results there are no specific changes that would indicate any pathological change. ECG results might show different shapes and morphology, but it does not necessarily mean it is abnormal. I have to ask what are you doing about your weight? You are overweight, and it puts you at risk for cardiovascular disease. I hope you have put in measures to help reduce your excess weight like dieting and exercise.

Question: Q. My right eye is red and puffy after wearing contact lenses under light. Why?; Patient: Hello doctor,My right eye is red and puffy. It hurts when I blink by the top of my iris. It also tears up a lot when it hurts, and when under the light. I use contact lenses that I can use for a week straight, and it started on day three. When it started, it only hurt when I blinked, and the eye would tear up a bit, the next day it was red, puffy and it reacted to light. I immediately removed the contact lenses. What is wrong with my right eye?; Answer: Hello. First of all, I would like to tell you my point of view as an ophthalmologist in and against any contact lens that stays in the eye for more than 12 hours. The puffiness is most probably related to an allergic reaction that your eyes are experiencing, and you should discontinue using these contacts. The redness, the light sensitivity, and even the tearing are all signs of dry eye for which you should start using artificial tears at least four to six times daily, especially if you plan on using contact lenses again. Regardless of what any manufacturer says, you should not sleep with your contact lenses, and I would advise you to use daily from now on. You can use artificial tears while wearing glasses.

Question: Q. What can be done for stammer in children?; Patient: Hello doctor, My daughter has started to stammer. What should I do?; Answer: Hello. Stammering or stuttering is not very uncommon in this age group. Most children do stammer at this age, and with time over a few months, it gets resolved usually. I believe that the delivery of this child was smooth, and she had no history of admissions for any illness. Also, her milestones are normal and not delayed. Now here, the family has to play an important role. Your child has started developing speech, and this is quite normal to happen. So, first of all, you stop worrying. And even if you worry because I know it can be alarming for parents, please do not pass on your anxiety to your kid. Just do not let her feel that it is abnormal. Whenever she speaks, to listen to her and never try to correct her or scold her for this. Pay attention to what she is saying and look at her, and eye contact should be there. When you talk to her, talk slowly so that she can grasp every word. Kids always try to imitate us. She will also start speaking slowly, which will help her say words correctly and with ease. Never criticize or scold, also tell everyone at your home and even school teachers. Encourage her to speak. Do not pass your anxiety to your kid is most important because if a child gets anxious, it will get more pronounced. Slowly and gradually, you will see that your kid has outgrown this. If still, you feel that there is no improvement after one to two months, speech therapy may be done. Speech therapy should be started before four to five years. I hope this advice would be helpful to you. I would be there for any help.

Question: Q. What can cause itchy scalp and tiny white balls all over the head?; Patient: Hi doctor, I am a 28 year old male. I have itchy scalp and hair fall with tiny white ball all over the head and also in shoulder. The balls are attached to the skin and coming out in nails with pressure. I have attached the photos along with this query. I am using anti-dandruff shampoo, which cures the itch for one or two days. But, the white balls are still coming out. I am facing this problem over a year. Now, my hair fall has seriously increased. I have oily skin. Advice me some medicine which is easily available and some technique to care my hair.; Answer: Hi. According to your history and from the photos (attachment removed to protect patient identity), you are suffering from acute dandruff with folliculitis. For further information consult a dermatologist online -->

Question: Q. Is it compulsory that the foreskin has to retract during sex?; Patient: Hello doctor, I got married three months back. And since then, I am not able to have sex with my wife. I am not able to retract my foreskin when erect, and the head of the penis is not visible. I can only retract it less than 1 cm. The foreskin on the penis is very soft, and I cannot roll it back. When I try to penetrate, it pains and my erection is not very strong to penetrate. I tried taking tablets for improving my erection, but it has not helped. My erection is better now, but I am not able to penetrate. Please help me. Is it compulsory that the foreskin has to retract during sex? Please help me as soon as possible; Answer: Hello. Thanks. For more information consult a sexologist online -->

Question: Q. I have blisters on my penis after masturbating without a lubricant. What is the treatment?; Patient: Hello doctor,I have blisters on the head of my penis due to masturbation without proper lubricant. I thought that it would heal by itself in a few days but now the blister popped and the skin is very tender and hurts to the touch. Also, another blister of sort, developed on the tip. It cannot be an STI because I have not had sex for several months now. How should I go about with the treatment?; Answer: Hello. There are a few conditions which cause painful blisters even without a sexual contact, like genital herpes, primary syphilis, impetigo among others. Please provide more details: The treatment would vary according to the details you provide. If you underwent any investigations, please attach that during the follow-up. For more information consult a general medicine physician online -->

Question: Q. I have severe stomach and back pain at the same time. Can you Suggest any quick remedy?; Patient: Hello doctor, I have severe stomach and back pain at the same time. Suggest some quick remedy.; Answer: Hi. I have read through your query in detail. Please find my observations below. Severe pain in abdomen radiating to the back might be due to many conditions which require evaluation. Problems that might cause the stomach and back pain, all the possible reasons, For spasmodic pain you can take antispasmodic medicine like Spasmonil plus (Dicyclomine hydrochloride and Mefenamic acid). This has to be taken twice daily for pain that might be a spasm. This should reduce any spasmodic pain that you are having. Once pain is stable then please consult your doctor and get examined clinically. If required the doctor might ask for an ultrasound scan abdomen to be done to know the cause. Above mentioned causes are the commonest and there are many other conditions which might cause a similar pain. Clinical examination and investigations are important.

Question: Q. Due to excessive masturbation, my penis is shrunk. What to do?; Patient: Hi doctor, I had a very bad habit of excessive masturbation. I started it when I was 14 and now I am 27. I masturbate around two to three times per day. I was not aware of the side effects of the masturbation. Now, my penis is totally shrunk. It is looking wired. I visited a doctor. He gave Nano Leo capsules. It has been three weeks and I am not finding any change at all. Is there any hope for me? Will it cure my side effects? Please help me. I had the habit of smoking and drinking habit as well. Now, I stopped everything before three weeks. Can I get my normal old life?; Answer: Hi. For further information consult a sexologist online -->

Question: Q. I have become extremely anxious after electric shock. Why?; Patient: Hello doctor, I am 17 years old and mostly healthy. I had an EEG and an MRI several months back; both came back fine. I suffer from OCD related tension headaches. On the 15th, I was in my father's office looking for something. It was too dark and so I decided to turn on my dad's lamp. It is an archaic thing, built in the 1930's by my grandfather's sister and it is mostly copper. I grasped for the light switch, instead I accidentally touched the copper beam of the lamp. The moment I touched it my hand gripped it. Around four to five seconds passed till I realized that my hand was shaking and got an electric shock. I quickly pulled away. Then, I felt sick, extremely anxious and in a daze. The next morning, I woke up extremely anxious and a tad bit confused. I felt as if I was confused. My parents brushed it off as anxiety and stress. Later that day, I had what seemed to be an allergic reaction to my lunch. I had red blotches all over my chest and neck. My face felt hot. Then, I received a 50 mg Benadryl shot. Almost instantly I felt as if the space around me shifted. I felt taller soon after I got tired, confused and disorientated. By the time I got into the car, I fell asleep, although I was not really asleep. I felt like I was slipping in and out of consciousness the entire way home. It was as if half of my brain had shut off. My muscles were limp and I was thinking strange things as if my mind was thinking by itself and I had no control on it. I then managed to walk into my room without falling and sleep. It was a dreamless sleep. When I woke up, I was irritated. Every voice in the house made me angry and I ended up cursing my brother and mom. I engaged in short nonsense conversations on and off. I would talk about something that did not make any sense and then I forget and ask what I was talking about. My head and neck vibrated. My muscles were weak and my body felt jittery. I wanted to sleep, but I could not. The space around me was fluctuating. Then, I had a large panic attack that lasted till 12 AM and I woke up the next morning around 10 AM with severe confusion and deorientation. I was thinking nonsense and could not construct a sentence. My muscles were weak again and I could not focus on reality and my head was vibrating. Fear sets in again. I do not cry even when terrible things happen as I usually cope, but I could not control my mind and cried a lot. We called the doctor who gave the injection. He told me that I was having some kind of allergic reaction and that I should take Zantac to help the Benadryl move through my system. Later in the day, it seemed to dissipate slightly. But, now (7 PM) it is back and almost as bad as it was this morning. I took another Zantac, but it has not done anything yet. I feel the vibrations most in my teeth and nose. Also, I have a rapid heartbeat. Is this being caused by the electric shock? And if so, will it go away over time? Am I in long term issue? Or is this caused by the Benadryl? It has been over 30 hours and I believe it is only since I was injected. Did this trigger long-term side effects? Do stress headaches have anything with this? Or is this caused by a combination of all three things? I just need help. Please I need to know what is going on. I really do not want to live with this. I am having a very hard time writing this. Thank you so much for your time. Also, my dad got shocked three times by that lamp.; Answer: Hi. I understand your symptoms with chronological order. For further information consult a neurologist online -->

Question: Q. My arm got trapped in a door. What should I do?; Patient: Hi doctor, I got my arm trapped between a metal pole and an electrically controlled door. The blood flow was cut off for around 30 seconds to a minute. My arm is quite painful and swollen. It has some blood spots and my wrist hurts when I bend my hand and fingers. Do I need to see a doctor? Is it sprained? What should I do?; Answer: Hi. Revert back after two days to an orthopaedician and traumatologist online -->

Question: Q. Can I opt biologic Etanercept for ankylosing spondylitis?; Patient: Hello doctor,I have ankylosing spondylitis (HLA B27 positive) for the past 12 years and with pulmonary tuberculosis the very next year. And took medicine for nine months, and now I am daily taking Saaz, and I am going to plan for Biologics. The doctor suggested Etanercept 50 mg, but I am afraid of side effects as I was already affected by TB before 11 years. Shall I go for biologic Etanercept 50 mg, and what precautions I have to take during biologics? (I have enclosed the report); Answer: Hello.  You need to do Mantoux test and interferon gamma level before starting biologics because they can cause reactivation of tuberculosis if there is doubt you should receive the two drug ATT regimen (anti-tubercular treatment) before starting biologics that is recommended if either Montoux or interferon gamma is positive.

Question: Q. My testicles start hurting after erection without orgasm. Why?; Patient: Hello doctor, After every erection without orgasm, my testicles start hurting along with abdominal pain. Kindly advice.; Answer: Hello. Testicular pain after erection may be a signal that you are having epidydymo orchitis because the epididymis and testicles are the organs where your sperms are stored and produced respectively. So if the pain comes when there is a history of trying to ejaculate that may suggest inflammation somewhere in these organs was there a previous history of STI (sexually transmitted disease) before this incident, pain from the testes is usually referred to the lower abdomen. We also need to be mindful of testicular torsion.I advise you to do urine MCS (microscopy, culture, and sensitivity), semen analysis MCS then scrotal scan to see the testicles anatomically for any scarification.

Question: Q. Kindly suggest the alternative medicine for the hormone blocking injections in the treatment of breast cancer?; Patient: Hello doctor,My mother was diagnosed with breast cancer early this year. She underwent MRM surgery and now undergoing chemotherapy. Her age is 57, and the doctor advised for eight cycles of chemotherapy. Now she completed five cycles, and now the doctor had advised 17 more injections for hormone blocking. We find 17 more injections are too much and will be highly stressful for my mother. Could you please suggest an alternative treatment.I have attached a few essential reports for your reference. Please let me know if you need any more details.; Answer: Hello. Her cancer will be her 2 neu positive, in this scenario, it is mandatory to give 17 injections of Trastuzumab, otherwise chances of recurrence are high. As far as cost is concern, you can get some other way, like hospital cost is very inflated, get it administered at a small center, you can get injections from wholesale yourself, and you can go for generic drug.

Question: Q. Kindly help me to clarify that my period is normal or is it due to the side effect of I-pill.; Patient: Hello doctor, Last month I had I-pill (within 48hours of intercourse) after 18 days of onset of my periods. I did not have any side effects like withdrawal bleeding, nausea, etc., after taking the I-pill. I got my periods on the 1st of this month. I am unsure if this is my normal period or bleeding due to the side effect of I-pill? Please help me to clarify this. If it is my regular periods, then there is no delay in it (a week before or week after than expected date). Is it normal? Is there a need to take a test or any chances of pregnancy? If yes, when to take the test?; Answer: Hello. Let me start by assuring you that you are not pregnant and need not worry. If you have had your periods 18 days before taking I-pill, your ovulation would have been around 13 to 15 days after that. Life of egg is only one day. So there is no chance of an egg being alive on that day of sex. I-pill or emergency contraception pill is a high dose of progesterone hormone. After ovulation, your ovary also will be producing the same hormone. As you have taken it after the ovulation date, the thickness of the inner uterine lining would have increased further. But would not have shed. Usually, if you take it before ovulation, your bleeding will start within a few days. So you should have had your regular periods, slightly thicker or more than usual. If you had bleeding almost like regular periods, then the inner lining of the uterus has been shed. There is no chance of pregnancy if at all, to catch inside the uterus. So do not worry, your next period will be one month from this period. I hope I have clarified your query, do write back if any more questions and for your feedback.

Question: Q. What are the ways to close the gap between teeth after removing the bottom milk teeth?; Patient: Hi doctor, I have a milk tooth in the bottom row middle, which is moving and needs to be removed. And I got irregular teeth in the top and bottom which needs correction. Is it possible to close the gap after removing the bottom milk teeth, the gap would be about the width of a 5 rupee coin.; Answer: Hi. Yes, could be done in clinic after removal of mobile tooth assessment of available space and space management criterion and space maintainance methods implemented such as Maryland bridge. As your age is 30, I suggest you undergo orthodontic treatment sooner as bone elasticity for pressure tension decreases with age.

Question: Q. I feel that there is water in my ear after cold exposure. Please help.; Patient: Hi doctor, A month ago I was at an outside chlorinated hot springs but it was really cold and windy. I remember saying my ear is so cold like freezing so we went inside. Ever since that day it feels like water is in my ear. Sometimes worse than ever. Then I got a head cold and both my ears felt clogged. But the ear that got super cold still feels like water is in it even after the cold has mostly cleared up. I went to my family doctor and they said it was red in my ear canal but they do not see an infection or water in it. What do you think? If for some reason it is compacted, could that be seen?; Answer: Hi. Do you have pain or decreased hearing? Did he rule out wax and outer ear infection? Could he see the ear drum?

Question: Q. Can stopping Sizodon LS suddenly cause any problem?; Patient: Hello doctor, Since four years I am taking Sizodon LS medicine from a trusted doctor. Nowadays I feel sufficient response. But after consulting my same doctor, he is avoiding to stop that medicine. As per his opinion, if I stop this tablet, again I will face problem after a month. Now, I request you, is it true or false?; Answer: Hi. As you are on Sizodon LS (Risperidone) for last four years and now alright. Stopping the drugs depends upon many factors like your diagnosis, family support, etc. It is true that if you are suffering from schizophrenia or related diseases, then it is advised that you continue the medicine for many years or possibly life long otherwise relapse (symptoms re-appear) can occur. So, continue your treatment according to the advise of your psychiatrist.

Question: Q. Does sharp pain in lower left abdomen in pregnant woman mean labor?; Patient: Hello doctor, I am 37 weeks pregnant. I have sharp pain in lower left side that is coming every couple minutes but does not last long. Is this the start of labor? I am also possibly leaking amniotic fluid but I am not entirely sure since there is not a lot.; Answer: Hi. How are you doing today? As you said most probably it is the beginning of labor pain. Usually cervix, the mouth of uterus is slightly to the left. Pain usually lasts for a few seconds only, but reappears. Do not worry. Minimal vaginal discharge with this pain indicates that cervix is gradually opening. To confirm about the pain, just feel the top of uterus, trying to indent your fingers. When no pain, you can feel the baby parts. When you get the pain, uterus contracts and becomes stony hard, you will not feel baby parts. Just having pain is not an emergency.  Just note four points:  1. Movement- you should have atleast four movements after each meal. 2. Pain- if it is frequent and lasts longer. 3. Leak- you will feel thick water just wetting your clothes. Not minimal discharge. 4. Bleeding- obvious red colour.  You will need medical help in all these situations. Do not panic, if this is your first pregnancy, it takes about 12 hours for baby to come out after true labor pain and 6 to 8 hours, if second. All the best.

Question: Q. Are rashes on penis due to sexually transmitted disease?; Patient: Hello doctor, For the past two months, I have been experiencing a minor rash on the crown of my penis. I have have been using antibacterial cream since then but it does not seem to recover. The rash occurred a month after I had an unprotected sex. No itch, no discharge, no pain while urinating or anything just a few rashes that do not seem to go away. Could this be a sign of STDs? No other symptoms are present. I also had an HIV test a month after I had sex and it was non-reactive but I have a very high cholesterol level. Could you please tell me what is going on? I use Brulidine cream (antiseptic and antibacterial cream).; Answer: Hi. I saw your clinical pictures (attachment removed to protect patient identity), genitals look normal clinically, skin is little dry, I do not see any rash, blister or ulcer which are the manifestation of STD. In the first picture, those white tiny bumps below the glans (tip of the penis) are the harmless ones, they are called pearly penile papules. Are you referring to them? Herpes will have painful blisters in a group with redness at the base. Syphilis, chancroid will have ulcers. Gonorrhea presents with pus from the urethra, pain while urinating. At present, with your history and clinical pictures, I do not see any symptoms or signs of any STD.

Question: Q. I had spica cast. When can I start driving or riding a motorcycle?; Patient: Hello doctor,I had a road accident and fractured my right thumb. It happened three weeks back and was administered a spica cast the next day of injury. After an X-ray, the doctor suggested that the cast can be removed in a few days. I want to understand, how long before I can resume my normal activities like driving or riding a motorcycle, etc. Also, I was strength training regularly before the accident, when is it advisable to lift heavy weights again?; Answer: Hello. It is a bony mallet injury. You need to wear the splint on for eight weeks totally, a mallet thumb splint. Do not remove the splint for eight weeks. Repeat X-rays after eight weeks of injury and splint application. And then after eight weeks, you will require physiotherapy for mobilization as you are expected to have the stiffness of that joint. Driving can be about three months after the date of injury. Heavy weight lifting can be done after six months of the date of injury. Can you send me the other view of the X-ray also, if you have so that I can see the fracture better in the other view of X-ray also? For more information consult an orthopedician and traumatologist online -->

Question: Q. My CBC showed 1+ anisocytosis. Any suggestions?; Patient: Hello doctor,My recent CBC showed 1+ anisocytosis and 1+ anisocytosis. My hemoglobin is 12.9. The lowest hemoglobin I ever had was I believe post my C-section. I do take multivitamin/ or prenatal almost on daily basis even now. I am concerned with these results: I know in previous blood test it showed some anisocytosis but not +1. My physician did not say anything about this. I found out because I read my tests. I am going back to see him and question these results. Any suggestions?; Answer: Hello. Anisocytosis means a difference in the size of the red blood cells. This could mean that you have a mild iron deficiency. Anisocytosis of 1+ is a very mild variation in the size of the RBCs. Your hemoglobin levels are towards the lower end of the normal range and it is possible that your iron stores are depleted. This can be determined by testing serum ferritin levels. I would suggest that you continue taking the iron and folic acid tablets for another two to three months to bring up your hemoglobin levels and replenish your iron stores. There is no need for you to worry. For more information consult a hematologist online -->

Question: Q. I am experiencing tender muscles all over the body. Why?; Patient: Hi doctor, I am a 41-year-old male. My blood and urine tests are normal. I am experiencing tender muscles all over the body. I have pain in legs and arms, and I have tried various treatments to treat them. I have done physical therapy, chiropractic, and massage. I am concerned that it can be an overall systemic issue. I am having this problem for about ten years. I have sensitive spots all over the arms and legs. More recently, I had joint pain. I have moderate anxiety (OCD) and mild sadness or depression. I also have dust allergies. Please help me.; Answer: Hi. I have gone through your history and blood reports (attachment removed to protect patient identity). Your test results are normal. The pain experienced all over the body looks like a different condition known as fibromyalgia. I want to ask you some questions to confirm it. Please say whether you had any history of mouth ulcer or excessive hair fall, history of difficulty in combing hair or had a problem in getting up from a toilet seat or had any mood changes when you got angry, any recent history of forgetfulness, any history of frequent headaches or bowel upset. Please explain your condition in detail.

Question: Q. What can I do for weakness of the legs and numbness of the toes?; Patient: Hello doctor, My right leg is weak and toes also numb. Last year I had the same problem in my left leg. I can no longer control and use my left hand. I had same problem with my right hand before two years. I am very concerned because I can feel my left leg getting weaker and numb and my right hand is going numb again. Kindly advice.; Answer: Hello. As mentioned in your history you have (attachment removed to protect patient identity), 1. Atrial Fibrillation. 2. TIA (transient ischemic attack). 3. Hyperlipidemia. 4. Migraine. 5. Fibromyalgia. Atrial fibrillation is possibly not found last time, and so it might be you have paroxysmal atrial fibrillation. Most of your test including MRI brain, CT angiography of neck vessels, 2D echocardiography, and MRI spine did not show any specific abnormality. Also documented are anxiety and depression. I would like to know some detailed information about your symptoms and medications, 1. What exactly happened to you now? Since when weakness in right leg started and did it happen suddenly or slowly? 2. In toe numbness, do you feel tingling, pins, and needle sensations? Or you have less feeling of touch at toes? Had it also start along with weakness, or there was a time lag between weakness and numbness? 3. Do this numbness and weakness persistent or is it intermittent in the whole day? 4. Have you noticed any particular factor, which increases weakness and numbness (like walking or laying in the bed or forward bending or stressful situation or sleeplessness etc.)? 5. How is your usual mood in day-to-day activities? 6. How are your sleep and appetite? 7. Have you been gone through nerve conduction studies? If yes, please send that report too. Revert me with above mentioned information for better understanding and further judgement.

Question: Q. I have pain,extreme fatigue,unsteadiness and muscle twitching. I do not know if all these symptoms are related to one issue or more.; Patient: Hello doctor, I have had this problem for 8 years with no proper solutions. Please help. Strange sensations, tiredness, feeling of heaviness in the arms and legs. Hands and feet become warm. I have an electrical shock like feeling in face. I have extreme fatigue, unsteadiness and muscle twitching in the arms and legs and my eye often twitches. Now my feet and hands itch like crazy. Feet are worse than the hands. I take Cymbalta, Lyrica and Levothyroxin. I have had MRIs of the spine and brain, nerve conductivity test, and many blood tests including heavy metals, HIV, syphilis, drug test, vitamin levels test, Lyme disease test, ANA and so many others. The doctors are not able to figure out what is wrong. I had about 25 hours of sleep only this whole week, because I have so much pain. When I do sleep I thrash all over the bed. Going this long without getting much sleep is not normal for me. I usually do get more sleep than this. When all this first started I got very sick, lost weight (about 40 lbs in two months) and laid on the couch for a year missing out on life because I was too exhausted and sick. I do not know if all these symptoms are related to one issue or more. The doctors thought I had MS, but no lesions. Please help me. Thank you!; Answer: Hi. I read your query and understand your concerns. If your age and other description does not match with the above narration or if you have more questions feel free to write back to us. Consult a neurologist online for further help -->

Question: Q. Stress causes stiffness in my neck and back. What can be done about it?; Patient: Hello doctor, I have a stiffness of neck and pain which continues to the back further. This often happens when a stressful situation arises, which also raises my BP. Worries related to health and other life concerns keep bothering me. Please suggest.; Answer: Hello. From your symptoms, it seems like fibromyalgia with anxiety. Whenever we are anxious, our autonomic nervous system plays a role, and hence increases the blood flow to various organs by pumping more blood at higher rates, and thus heartbeats can be felt by us. Also, when we are subjected to constant stress, those muscles become stiff. And thus, due to constant tension in them, they hurt after some time because of lactic acid accumulation. Your BP (blood pressure) is also because of stress and not medical hypertension. I would like to know more about your symptoms. Let me know about the details so that I can help you further. Take care. Revert with more information to a psychiatrist online -->

Question: Q. What is the reason for stomach pain and blood in stools?; Patient: Hi doctor, For several years my father is suffering from stomach pain. His problem includes blood in stool and pain in left side abdomen area. He has taken ayurveda, homeopathy as well as allopathy medicines, but nothing has benefitted. We did test like endoscopy, but some doctors said it is due to piles. But, no medicine was effective till date. Kindly guide us.; Answer: Hello. For further information consult an internal medicine physician online -->

Question: Q. I am currently having obsessive thoughts and find it hard to control them. Please help.; Patient: Hi. I am 20 years old, and a student. I am currently having obsessive thoughts and I find it hard to control the thoughts. I have fears and getting anxious that something might happen to me yet, I am trying to convince myself to not to. But then again, i've been seeking for help from psychiatrists that offer free consultations because, as I said I am just a student wanting to know more about my condition. I hope someone could help me. I have ear problems and mitral valve prolapse. I for now, have medical prescriptions for mitral valve prolapse and haven't checked up for this ear problems of mine. I am currently taking Propanolol.; Answer: hello, I can understand that you are suffering from obsessive compulsive disorder and having distressing obsessive thoughts. OCD is quite resistant illness which involve serotonin a kind of chemical in the brain. we generally prescribe antidepressants to increase level of serotonin in the brain. antidepressant require in higher amount because you know oCD symptoms are very resistant more than depression. there is also a talk therapy which is called as exposure and response prevention it's a kind of cognitive behaviour therapy . I would suggest you to visit your psychiatrist again and ask for this talk therapy. this will definitely help you hope my answer help you thank you kind regards feel free to ask further

Question: Q. I vomited two combined pills after 12 and 14 hours respectively. Am I still protected?; Patient: Hello doctor,I started the combined pill 12 days ago. I vomited on the 6th day after 14 hours of taking medicine. I also vomited on the 9th day after 12 hours of taking the pill. Am I still protected?; Answer: Hello. Yes, still you are protected,  1)If you vomit more than two hours after taking your pill, you are always protected from pregnancy. 2) If you vomit within two hours of taking your pill, take another medicine right away. 3)If you do not take a replacement pill within three hours of your normal time, use a backup method for the next 48 hours.

Question: Q. Are cough and chest congestion the symptoms of pneumonia?; Patient: Hello doctor,I am having cough and chest congestion for the last three days. Also getting a mild fever again and again. I also have a chest X-ray done today only. Please suggest is it pneumonia and if yes how severe is it?; Answer: Hello. Your chest x-ray appears normal. There is no pneumonia. What you have is an upper respiratory tract infection (URTI), mostly caused by viruses. This is a self-limited disease and usually clears up within seven days on its own. Sometimes, cough can persist a while longer and is called post-viral cough. Antibiotics are useless against viruses. They should only be used against bacterial infections. Viruses cause the vast majority of URTIs. These infections spread through the air (when you cough or sneeze) or through contact. They are not transmitted through food. Treatment for viral URTI is symptomatic. Fever medicines like Paracetamol, Ibuprofen, or Naproxen can be used. Nasal decongestants for the congested nose. If cough persists beyond a week, then a corticosteroid inhaler can help.

Question: Q. I never had an orgasm even after masturbating to porn. Why?; Patient: Hello doctor, I am a 20-year-old female. I got used to masturbating to porn for seven years now, and I never had an orgasm by myself only, maybe twice my whole life before my relationship. And now I am in a lesbian relationship, and we are living together. The whole six months, I have never had an orgasm with her except when we masturbate together. I have started to worry, sometimes I almost reach but never totally reached, and sometimes I return without an orgasm. Is it because of my porn history? I do not know where the problem is?; Answer: Hello. Orgasm is not traceable to your masturbation or porn history. Some people experience it a few times in their sex life. Even in a heterosexual relationship, most times the man cums even when the lady is yet to cum. On many occasion, she never cums. So it is body differences. Has nothing to do with your masturbation experience. Some ladies cum faster when oral sex is done on them. So there is nothing wrong with you. You are fine.

Question: Q. Why are there abdominal pain with loose motion and fever?; Patient: Hello doctor, There is abdomen pain since three days. Pain is not continous but really painful. Little loose motion, light headache when gets out of bed, little fever on day 1 and 2.; Answer: Hi. Such pain in abdomen with stool discomfort can happen as a result of stomach infection. Important here is clinical examination to know the site of the pain. So it is advisable to see your doctor. If he would feel suspicious, he would send you for an ultrasound abdomen. If all normal, you would be treated with antibiotics like Ofloxacin. Till you get medical help, you may take a combination of Pantoprazole and Domperidone that would reduce your acidity and pain. Take light food and drink plenty of fluids. Stomach infection. Ultrasound abdomen. Colic. Stomach infection. Light food. Review with ultrasound.

Question: Q. Is it mandatory to remove the premolars for my orthodontic treatment?; Patient: Hello doctor,Yesterday I consulted an orthodontist, and I was told, that to keep the changes that braces will acquire, they will have to pull out four of my healthy teeth, without including the wisdom teeth. Those are going to be four premorals, two on the upper jaw, and two on the bottom jaw. I heard that it is the only way because of my severe jaw defect. I was wondering if it can be true because nobody wants to get rid of healthy teeth.; Answer: Hello. I can tell you about treatment in the broader sense. In case of the shorter lower jaw, either a surgical and orthodontic treatment is done (in case of poor esthetics, both jaws and teeth are corrected) or orthodontic correction of only teeth. Since your question is about the second treatment plan and pertains to extractions I will answer that. Extractions are relatively common in orthodontic treatment to create space. In cases with smaller lower jaws with space requirement, upper arch extractions are mandatory. Lower arch extractions are also advised if there is space requirement or extractions needed for bite improvement or maintenance of normal bite. So it is reasonable to advise the extraction of four teeth. You can send pictures of your teeth and X-rays to confirm whether this fits your case.

Question: Q. Can you please review my blood test reports?; Patient: Hello ! Can you please review my blood test? My concern are low level of ferritin, high level of B12 and Urine WBC is very high.; Answer: Hi, Welcome to the icliniq Following is my opinion for your asked question. The low ferritn , Low Mcv could be suggestive of early iron deficiency anemia. The common cause for high B12 include supplement intake , Liver disease or Kidney disease. Your liver & kidney profile reports are normal.So don't worry about that. If you have any history of supplement intake than mention it.B12 excreted by urine , so might need not to worry about that.High Non Veg food also sometime can cause elevated B12. For low ferritin no need of any treatment.Repeat your serum ferritin & serum iron after few days. The WBC in urine could be due to urinary tract infection.For that investigate further with urine culture report.Meanwhile take more water & cranberry juice extract tablet.Attach the urine culture report once done. Hope this will help you Regards

Question: Q. Can I take Damia drops for premature ejaculation and erectile dysfunction?; Patient: Hello doctor,My age is 28, and I think I am suffering from sexual weakness like premature ejaculation and erectile dysfunction. I want my young days back. I think it is just sexual weakness. Can I take Damia drops? What is the dosage and till when I have to take for six months or a year?; Answer: Hello. I suggest you have Agnus castus 200 three times a day at every eight hourly for at least 10 days. This medicine will help with both premature ejaculation and erectile dysfunction problems. Please also inform me if you have diabetes, high blood pressure, or any other diseases, so I will help us to do more and appreciate the treatment. I would also like to suggest you do some physical exercise daily in the morning for at least 30 minutes.

Question: Q. I had vibration in my chest associated with shoulder pain. What does it indicate?; Patient: Hello doctor,I am 27 years old, weighing 57.1 kg and about 1.45 in length. I was busy cleaning this morning when my heartbeat felt very strange. Like it was vibrating inside my chest, it lasted for about 30 seconds and stopped. After that, I feel very tired, a little out of breath, and a heavy weight on my shoulders. Should I be concerned?; Answer: Hello. You probably had a transient arrhythmia (abnormal heart rhythm). The most common type of abnormal heart rhythm at your age (assuming you do not have any pre-existing heart conditions) is supraventricular tachycardia. This can produce symptoms like palpitations, lightheadedness, and a strange feeling in the chest. An ECG, if done during the actual episode, can provide a diagnosis. But at least, you should get a baseline ECG. So, I suggest seeing your general physician within the next few days. Other things that are pertinent when you have fast heart rhythms are: 1. Excess production of thyroid hormone (a thyroid test TSH would be appropriate).2. Excessive consumption of caffeine.3. Any recreational drug use like cocaine.4. Electrolyte imbalance.If you get these episodes frequently, you should see a cardiologist who can order some tests.

Question: Q. Will Zoloft cause muscle pain, cramps or tingling?; Patient: Hello doctor, Do Zoloft cause muscle pain and cramps or tingling?; Answer: Hello. Yes, Zoloft (Sertraline) may cause muscle cramps, tingling by disturbing blood sodium chloride levels. Zoloft is an SSRI (selective serotonin reuptake inhibitor), which may cause a disturbance in these ions (sodium and chloride) hence may cause it. Get the blood test done serum sodium and serum chloride, or you may try increasing salt intake in your diet. Which if improves your problem then it is undoubtedly due to low sodium and chloride.

Question: Q. What can be done for bloating in a patient with acidity, GERD and IBS?; Patient: Hi doctor, I am suffering from acidity, GERD, IBS from the last five years. I am just taking Pantop DSR or Rabekind DSR from the last three years but no result. I have high BP, stage 1 BP varies from 140 to 150 and 90 to 110. I feel bloated mostly. Sometimes breathlessness, pressure in eyes and head. I have fat in my stomach around 2 to 3 inches. I have visited many gastroenterologist but no result.; Answer: Hello. You have several symptoms related to the gastrointestinal tract: 1. GERD.  2. Irritable bowels.  3. Bloating.  You also seem to have abdominal obesity and high blood pressure. Proton pump inhibitors like Pantoprazole and Rabeprazole do not seem to have helped you. I suggest a dietary approach that will reduce your weight and also can get rid of the bloating, acid reflux and irritable bowel symptoms. That diet is the low carbohydrate, high fat diet (LCHF diet) or ketogenic diet. This involves cutting down your carbohydrate intake and increasing the intake of healthy fats. In my experience, nearly all people who followed this diet got rid of the acid reflux and bloating. The good thing is, you can also lose weight and possibly reverse your high blood pressure.

Question: Q. A vein is blocked in heart and there is chest pain while walking far. What has to be done?; Patient: Hello doctor, A vein is blocked near the heart. The doctor told that he checked up today and there is a pain in the chest when he walks far. He is 45 years old, what should be done?; Answer: Hi. Blocked artery in the heart causes pain especially when one is engaged in activities like walking due to increased heart rate during activity which reduces blood supply to the heart muscles leading to ischemia and pain. This condition is called angina pectoris. It is a problem with the coronary arteries which supplies the heart muscle. The doctor to see is the cardiologist. Do ECG, do clotting time. Take Isorsobide Dinitrate 5 mg three times daily will help to open the heart arteries and relieve the pain. Take care.

Question: Q. Please suggest a medicine to lower my husband's blood sugar level.; Patient: I am looking for my husband doxtor becuase he is a diabetic, asking for you what is the better medicine to lower his blood sugar at the same same time he has UTI .; Answer: Dear User, To decide a medicine for diabetes depends on the current physical and clinical condition. There are several aspects to be taken care of. It would be necessary for a doctor to start medicine after getting detailed medical history. That will include current sugar levels, which type of diabetes he has, basic diet pattern, physical activity status, family history of diabetes, current medicines he is taking for diabetes and uti, his body weight and height, any other physical condition, etc. As long as UTI is concerned, high sugar levels can also cause recurrent UTIs. We can communicate in detail regarding management of diabetes and UTI on this platform. ? uti due to high blood sugar levels. fbs/ppbs/hba1c s. creat urine r/m maintain good genital hygiene in view of uti. practise small frequent meals for diabetes. With detailed medical history.

Question: Q. What can be done for severe headache that starts during late morning?; Patient: Hello doctor, I have had a crippling headache for two days now and nothing seems to help. It starts late morning and gets worse throughout the day. I just want to know what I should do. I am 21, 5'8", female, around 160 pounds.; Answer: Hi. Headache has numerous causes. And according to your presentation, I am going to list some of the causes that could be the reason for what you experience. Please, reflect them to your case. 1. Beginning of acute upper respiratory tract infection, in case you show other signs including runny nose, cough, sore throat or others of cold and flu symptoms. 2. Frontal headache can be due to paranasal sinus inflammation which is part of cold and flu symptoms or part of long-term inflammation. 3. Stress, lack of sleep, anxiety or bad mood. 4. Bad sleeping position (for the neck) or uncomfortable pillow (usually comes in the morning and back of neck and head but can be in the front as well). 5. Anemia (commonly iron deficiency anemia, specially if you are having the monthly period these days). 6. PMS (pre-menstrual syndrome) few days before monthly period. 7. Frontal headache can come with disturbed visual acuity (you might need to visit ophthalmologist for eye test) especially if have concomitant blurring of vision. 8. Head trauma, in case you experienced that before the beginning of that headache. 9. Diabetes mellitus type 2. 10. Hypoglycemia (low blood glucose) in case you are not following appropriate diet or not eating well. 11. Vitamin D deficiency (but usually for long term headache with other symptoms). I will list some of the investigations to do and medicines to take (for a few days). FBS (requires fasting 8 to 10 hours), HbA1c, complete blood count, Fe studies. Naproxen 500 mg tablets one tablet per 12 hours after meals for 3 to 5 days, as needed.

Question: Q. The nevus on my lacrimal caruncle shows some difference. Is it melanoma?; Patient: Hello doctor, I have a nevus on my lacrimal caruncle which has been there for almost 10 years. Recently I have noticed a slight change in it. Could it be melanoma?; Answer: Hello. I understand your concern, but I would not advise you to jump into any hasty conclusions. First of all, birthmarks, moles are very common even with the localization that you mentioned. However, to advise you better, it is preferable to compare this lesion on photos taken during these last few years as a marker, keeping in mind that humans undergo many changes as they age. Second of all, it is more advisable to get digital images of this lesion captured by an optometrist or an ophthalmologist through a slit lamp and under magnification for better evaluation. Thirdly, if an ophthalmologist has confirmed your suspicion, a biopsy can be taken from it and sent to histopathology in the assessment at a cellular level, which will clear all doubts completely.

Question: Q. Is it normal to have raised WBC count in teenager?; Patient: Hello doctor, My 16 years old son had a routine CBC performed as part of his physical for summer camp. His white blood count came back low 3.4 thousand/uL (reference 4.5 to 13.0), absolute neutrophils 1445 cells/uL (reference 1800 to 8000), neutrophils 42.5 %. He has always been very healthy and has not had any recent illnesses or infections. The other numbers were within normal range. The doctor wants to retest the blood in three months. Why wait so long? Knowing that some of the causes of a low white count are serious makes me want to retest sooner. What do you advise?; Answer: Hello. The neutrophil in children usually can be due to some temporary infection etiology. Viral infection also can cause neutropenia due to relatively high lymphocytes. I suggest to repeat CBC and peripheral smear examination report again after 10 to 15 days. I am also not in favour of repeating CBC after three months.

Question: Q. Should I continue the Olanzapine as I had a blackout episode when I was drunken?; Patient: Hello doctor, Almost two years back, I was diagnosed with psychosis. I improved in two months after taking treatment. I took medicine (Olanzapine) for nearly 9 to 10 months then I stopped taking the medication as I recovered from it completely. I did not consult doctors. Still, my condition is good, and I face no such psychological problems. But I had a blackout episode lately when I was heavily drunk. Should I start taking the same medicine Olanzapine? As I do not want to go to for check-up any more.; Answer: Hello. Psychosis should not be taken lightly because psychosis is a term that reflects a variety of explanation like it may be schizophrenia, it may be due to depression, may be secondary to alcohol or any other condition, so diagnosis is very important, that your primary doctor knows better. And every diagnosis has a different course of treatment, as for as you alcohol is a concern that blackout means you should be more concern and should be adequately treated. Do not stop it suddenly, and try not to drink heavily. Go to your doctor and tell your history he would help you to deal with the problem and you need to have health check-up and lab investigation for sure.

Question: Q. What can I do to get rid of tapeworms?; Patient: Hello doctor, I suspect I may have tapeworms. How can I be sure and what can I do to get rid of them?; Answer: Hello. Stool tests can identify tapeworm infestation. However, because the worms and eggs are shed intermittently, the test may have to be repeated three to four times if the initial test is negative. Stool tests can also identify other intestinal parasites. Blood tests (serological tests) are also available, including ELISA (enzyme-linked immunosorbent assay) and PCR (polymerase chain reaction). Praziquantel is the drug that is used to treat tapeworm infestations.

Question: Q. How to identify if I am bipolar?; Patient: Hello doctor,I did a lot of tests to see if I am bipolar because I have a lot of similar symptoms. They all had the same answer that there is a high possibility that you are bipolar, go to a specialist. I already have a psychiatrist, but I do not know how to talk about it. Could you help me because I am desperate?; Answer: Hello. I can appreciate your dilemma. I will suggest discussing your concerns with your psychiatrist. Write down all the reasons why you think you may have bipolar disorder and discuss it with your psychiatrist during your next review. Screening tests in the search may give approximate guidance, but they not very specific. For example, many teenagers have significant mood swings, which may inadvertently be flagged up as bipolar. A proper diagnosis can be made only by a comprehensive assessment, including detailed background history.

Question: Q. My blood and urine pregnancy test are positive, but there is no visible sac in the scan. Is this ectopic?; Patient: Hello doctor, My last period was before a month, and it has been nine days I missed my period. I got positive in my blood and urine test. My beta hCG on last month was 675, and yesterday it was 3300. I almost completed 10 days after the missed period. Yesterday I went for scan my doctor told no sac is visible. I have some breast pain heavily and feel like period pain but no other symptoms. My TSH value is 2.9, and my doctor suspected may be ectopic. I do not have any pain or bleeding so far, but it is only like period pain. Please help.; Answer: Hello. By the dates, you are five weeks pregnant. If no gestational sac is visible in your uterus even on transvaginal ultrasound, then it may be an ectopic pregnancy. Ectopic pregnancy presents with symptoms only if it grows or gets ruptured. That is an emergency and can even be life-threatening or at the least cause liters and liters on blood loss inside the abdomen. I advise you to go for a transvaginal scan. Rarely MRI to confirm the ectopic pregnancy. It may be dealt with medicines or go for laparoscopic removal of tube or milking whichever is feasible. Do it before it becomes an emergency.

Question: Q. What does mild LA dilation in sonogrpahy indicate?; Patient: Hello doctor,I am a 48-year-old male with 5”8 height and 250 lbs in weight. No health problems. Blood pressure is 118/70. Total cholesterol is 165, LDL is 99, Hdl is 46 and Triglycerides 101. Had sonography of heart and said I had a mild LA dilation of 4.8 cm. Please help.; Answer: Hello. No major concern but it would be important to know why your left atrium is dilated. It may be because of higher blood pressure or problems with the heart valves or due to any heart muscle problem. I recommend you see a specialist as you might need some additional workup, perhaps a heart rhythm monitoring and or a stress test. High blood pressure, and valvular disease. Heart rhythm monitor.

Question: Q. I am a diabetic patient and I suffer from ED and depression. Kindly advice.; Patient: Hello doctor,I am diabetic suffering from ED and depression. Please advice.; Answer: Hello. By ED do you mean erectile dysfunction or anything else? You are a male, so I pressure you to mean erectile dysfunction. The erectile dysfunction, together with the fact that you have to be on medication for your sugar control that could have been responsible for the depression that is entirely understood. The erectile dysfunction can cause d inability to have a penetrating sex.diabetes cause damages to tiny arteries which supplies the nerves, and when the nerves which carries e erectile sensation are affected, it results to a weak erection. Kindly consult your doctor and take the treatment with consent.

Question: Q. My lipid test report shows quite high values. Kindly advice.; Patient: Hello doctor, I am 35-years-old. My cholesterol level is 222, triglycerides 87, HDL (cholesterol) 60, LDL (cholesterol) 156 and non-HDL (cholesterol) 162. Kindly advice.; Answer: Hello. Do you have diabetes, hypertension, family history of a heart attack in young age? Do you have deranged kidney function? Answers to these questions if not, it is critical to decide medicine. If these are not present, then medication is not required at this stage. Only lifestyle and dietary modification are necessary. Reduce saturated fats and trans fats (ghee, butter) in diet, reduce red meat, consume more dry fruits, and vegetables. Avoid more than one egg yolk per day. Do regular exercise, such as jogging, cycling, brisk walk, etc. Avoid a sedentary lifestyle after three months repeat fasting lipid profile.

Question: Q. I have occasional fever with acid feel in chest and stomach pain. What could this be?; Patient: Hello doctor, I have on and off fever since last Friday and been having chest and stomach pain since yesterday (pain somewhere in between the chest and the stomach). I have a loss of appetite and can feel acid coming out of my chest a few times. I also feel like I always need to poop but nothing is coming out when I try to. I already took Biogesic for my fever but did not took any medicine for the chest and stomach pain. Can you please advise me on what medicines to take and food to take or avoid?; Answer: Hi. How high was the fever? Any other symptoms such as cough, colds, body aches, sore throat, and pain during urination? How would you describe abdominal pain, burning, crampy, or stabbing? Does it radiate to the back? If yes, which side? Does it occur after food intake? Do you wake up in the middle of the night because of the pain? Any other symptoms such as yellowish discoloration of the eyes or skin, nausea, or vomiting? I suggest taking Omeprazole 20 mg, 1 capsule 30 minutes prior to breakfast but may take one dose today. Complete blood count. Omeprazole 20 mg one capsule 30 minutes prior to breakfast for seven days, Paracetamol 500 mg one tablet every four hours as needed for fever.

Question: Q. What would be the reason for development of large number of moles?; Patient: Hello doctor, My wife is 25 years old. She has been developing lot of moles on her body especially on hands and face. Initially they are very light almost like a small brown spot, but gradually they are becoming darker. They are incrementing periodically. What would be the reason for it? Is there any medication for it to stop and eradicate the issue? Thank you.; Answer: Hi. As you explained the disease that your wife has multiple small moles over face and hands, it certainly indicates solar lentigines. It is a multiple freckles type mole due to sun exposure. Now, let me explain the treatment and precautions. Avoid exposure to sunlight as much as you can. Cover body with clothes and cap while going out. Use sunscreen over face and hand every four hourly till evening. This will prevent further development of disease. Now to treat existing lentigines we can opt for laser. Creams will not be of much helpful in this. Q-switched Nd:YAG laser (neodymium-doped yttrium aluminium garnet) will be very useful. You can consult a doctor around you for this laser. One or two sitting would be enough to remove it completely. There is no side effect. It could be costlier, but results are good.

Question: Q. What are the measures to lose weight?; Patient: Hello doctor, I want to lose weight. Kindly advice.; Answer: Hello. You can surely lose weight with the help of homeopathy. Do you have any medical conditions that may be causing weight gain or taking any medication? In the meantime try taking Natrum Phos 6x two tablets twice a day 30 minutes before taking any meal (empty stomach).Try this for 15 days. In the meantime, please answer the following questions so that I get a complete overview of your problem. Kindly answer these questions.

Question: Q. I have red, itchy and scaly spots on my arm. Are these signs of skin cancer?; Patient: Hello doctor, I am a 19-year-old female. I woke up this morning with two medium sized red, itchy and scaly spots on my upper arms, I searched, and it seemed to me that this resembles an early stage of skin cancer (squamous cell carcinoma). What should I do?; Answer: Hello. First I would like to reaasure you that squamous cell carcinoma can not appear all of a sudden (over night). Second, from the pics you attached it looks like fungal infection (attachment removed to protect patient identity), something called tinea corporis, which comes with the same look and other looks as well, in addition to the symptoms that you mentioned (specially itchiness). Please follow the treatment that I will provide you and kindly follow up with photos for the skin lesion in five to seven days. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. Lamisil cream (Terbinafine), apply three times a day for 7 to 14 days or Daktacort cream (Miconazole, Hydrocortisone), apply three times a day for 7 to 14 days. Wash your own clothes and bed linens separately as it is infectious.

Question: Q. Why does urine appear dark brown inspite of having Fluconazole?; Patient: Hello doctor, I was initially diagnosed with a urinary tract infection by the presence of white blood cells in my urine. I had symptoms of a typical UTI. I was given a five days course of antibiotics, but the symptoms did not go away, followed by 2*5 days more courses of antibiotics. A urine culture was done after three types of antibiotics failure. A urine culture was conducted, and it was found that I had candida albican (yeast), and I was put on an oral antifungal medication called Fluconazole, but my urine is still dark brown with white substances in it, and I still feel itching after urination. I drink a lot of water, and I am HIV negative, I tested negative for prostate cancer, and I am 27 years old. Please help. I also experience a lot of nausea and heart racing when exposed to cold areas.; Answer: Hello. Went through your post. Generally, urine culture growth showing candida is not anything significant because it is a benign infection and usually does not need treatment unless a person has taken a lot of antibiotics, or is HIV positive. The white substance in urine is phosphate, and it is called Phosphaturia you are taking plenty of water is helpful, so no need to worry about that. I would suggest you complete two weeks of Fluconazole but no other antibiotics.

Question: Q. My hairs are shedding even after using Minoxidil. Why?; Patient: Hello doctor,I have been using Minoxidil for about a year now and continue to shed. I now have balding patches where it was not an issue before. Ironically the thinning I had started using it for filled in. Wondering if I need to stop the use or if it is normal to experience shedding still? I use it consistently twice a day.; Answer: Hello. Can you please upload a few pictures if possible, to advice proper treatment.

Question: Q. After using larger size silicone ring to loose the foreskin, I experience pain. Why?; Patient: Hi doctor, I am a 30-year-old male. I am currently using phimocure silicone rings to loosen up my foreskin. Yesterday afternoon I accidentally used a large ring 26 mm by wearing it for 1 hour 30 minutes. After taking off the ring, I have this persistent pain like burning and pressure on the tip of the foreskin (majority on the left side). I still have this pain and wanted to know if it will go away by itself? I am also using Betamethasone cream.; Answer: Hello. I have gone through your queries. The only solution to phimosis is circumcision. However, you may have minor vascular injury inside the foreskin due to the use of a tight silicon ring. You can wait and watch to buy some time for natural regression of the swelling or else you can straightway go for circumcision after consulting your local urologist. By few days to weeks, the swelling will reduce. But the permanent solution of phimosis is circumcision.

Question: Q. Ears feel clogged while in a closed room. Why?; Patient: Hello doctor, Why do our ears feel full or clogged when we are in a closed room? Are these because of air pressure and ambient noise?; Answer: Hello. Rather than a closed or open room, this is related to outside and inside ear pressure. There is an air cavity in our ear called a middle ear, and there is a membrane which separates this cavity from the external environment called a tympanic layer. So, there is air on either side of the tympanic membrane. So, when pressure on either side if high, then the membrane gets fixed and cannot move properly, giving the feeling of a clogged ear. And there is a connection between the middle ear cavity and our throat which equalizes pressure within the ear cavity and outside environment. So, whenever one gets an infection, then this tube blocked and there occurs a mismatch of pressure leading to clogged ear. And also swallowing movements opens this tube temporarily, which helps in equalizing the pressure leading to relief. Similar things occur when one travels in an airplane. So pressure changes are decisive in this. I hope this helps you and get back if you have any doubts.

Question: Q. I have a red dot on my penis head. Could it be herpes?; Patient: Hello doctor, I had a UTI two years ago that went untreated which resulted in the problem. I now have a permanent red dot on the head of my penis. No pain, bump or itching has ever come from the said dot. It has not increased in size in over a year. I have been using Kermatazole on the penis head for over a year now when the redness gets brighter. I take comprehensive STD tests every four months. The readings are always the same and the results negative. Now, I am worried that I have tested as an early case of herpes II simplex (genital herpes). I have performed two HSV2 IGG quant tests this year. Four months ago, I tested with a reading of 0.076. This month, I tested with a reading of 0.232. I had several different sexual partners during this period with unprotected contact, but no unprotected penetration, including two days before the most recent test. Should I be worried I contracted genital herpes?; Answer: Hello. I understand that you are greatly concerned about having early genital herpes. For more information consult a general practitioner online -->

Question: Q. Please explain the diagnosis of MRI result.; Patient: Hello doctor, I would like to know the diagnosis of this MRI result. Multiplanar and multisequential MRI of the brain without intravenous contrast administration was taken. Single voxel MR spectroscopy through the basal ganglia was also performed. The brain parenchyma demonstrates interval development of diffuse cerebral volume loss, most prominently involving the cortex, with a widening of the sulci and ex-vacuo dilatation of the ventricular system. There is a faint T2-FLAIR hyperintense signal of the bilateral hemispheric white matter. There is sparing of the cerebellum and only mild interval thinning of the corpus callosum. Interval development of a subdural collection along the left cerebral convexity, most prominent at the left frontal convexity causing a mild mass effect on the left frontal parenchyma. It shows mildly increased FLAIR signal, likely related to proteinaceous content. The intraorbital optic nerves have decreased volume, compatible with optic atrophy. There are punctate foci of susceptibility artifact in the right parietal and right occipital region, likely related to minimal hemosiderin staining. No mass lesion or midline shift. There is no acute intracranial hemorrhage or acute territorial infarction. No hydrocephalus. No cerebellar tonsillar herniation. Preserved flow voids of the major intracranial vessels. There are bilateral mastoid and middle ear effusions and mucosal disease of the bilateral paranasal sinuses. Single voxel MRI spectroscopy at the basal ganglia demonstrates increased choline and mildly decreased NAA, nonspecific markers of parenchymal injury. Impression:  Interval development of severe supratentorial brain volume loss with thinning of the intraorbital optic nerves. Interval development of a subdural collection along the left cerebral convexity with mild mass effect on the left frontal lobe.; Answer: Hello. I read carefully and reviewed the patient MRI report (attachment removed to protect patient identity) and would explain that it shows a progressive brain atrophy (brain cell death) and small ischemic strokes, which could cause progressive dementia. These changes are probably related to small vessel disease of the brain (chronic changes in small brain vessels caused by uncontrolled diabetes, dyslipidemia, hypertension, smoking, etc.). There is also a subdural collection, which is causing mild compression on the left frontal lobe. I would recommend consulting with a neurosurgeon about this. I would also recommend to closely monitor his blood pressure values, periodically check his fasting glucose and blood lipid profile. If dementia is present (memory troubles, confusion), I would recommend treatment with Donepezil or Memantine. Hope to have been helpful. For more information consult a neurologist online -->

Question: Q. How to wean Veniz XR safely?; Patient: Hi doctor, I am a 23 year old male. Currently, I am taking 225 mg Veniz XR for depression. I am taking it for the past 6 years. My problem is ED. For the past one year, I am suffering from erectile dysfunction. Please suggest me some medicine. I am unmarried. Can I use Sildenafil for one night stand? I also have one side affect from Veniz XR. I get excess sweating after sleep at day time. Is this due to medication? How can I overcome this problem? Also please suggest me how to wean off Veniz XR safely without withdrawal symptoms.; Answer: Hello. For further information consult a sexologist online -->

Question: Q. I feel my teeth are slanting at the end of ortho treatment. What shall I do?; Patient: Hello doctor, I am nearly two years into my orthodontic treatment to correct overcrowding and midline correction. Although I am really concerned as my face seems to look really asymmetrical and my teeth are slanting, I feel really self-conscious about it. I feel it is something my orthodontist not correcting. Please advise what I should do and give me your expert opinion.; Answer: Hi. For further information consult an orthodontist online -->

Question: Q. I get sudden shaky abdominal pain with dizziness. Could this be a shock?; Patient: Hello doctor, I experienced a sudden and severe pain in my stomach (lower part) and anus, which caused me to shake, become dizzy, and really pale, and I have difficulty breathing. I did not faint, but if I were standing up then, I probably would have. It happened to me once before and I was on my period then. I had consulted a doctor then as well and was told that perhaps my body was just shocked because I had skipped a few months of my period. I am also diagnosed with iron-deficiency anemia, but I am currently not taking my iron tablets. This time around, however, I had my period last month and was not on my period at all. I am not sure what it is but wanted to let you know should you have come across a similar situation with one of your patients. Please reply.; Answer: Hello. Well, most of our patients initially complain to us about very vague symptoms at onset, just like yours. But we explore the possibility based on some more information and yes, of course, investigating them thoroughly. The pain you mention which made you still and shaky, can be arising from the gut as in abdominal colic (a sudden wave of spasm in muscles within the gut). Or can be arising from endometriosis which is anther problem of the female genital tract, whereby there is excessive growth of normal uterus tissues in the lower part of the belly. Thirdly, it can simply be due to perimenstrual syndrome which is pain occurring at the time of menses. For now, I suggest you to do some test and ultrasound abdomen and pelvis, later we can discuss the findings of your result. Functional abdominal colic. Perimenstrual syndrome. Endometriosis. Complete blood count. TSH (thyroid-stimulating hormone), FT3. Liver function tests. Stool detail report. Urine detail report. US (ultrasound) abdomen and pelvis. Follow up after investigation to discuss the results.

Question: Q. What could be the white lines near the teeth on the lower lip?; Patient: Hello doctor,I have white lines near the teeth on the lower lip which appears and goes by their own. But sometimes it hurts.; Answer: Hello. It could be lichen planus. It does not go off on wiping. If it goes off on wiping, then it is candida. Your case does not support submucous fibrosis as there is no blanching. My provisional diagnosis is lichen planus. History of smoking. Biopsy. Candida, leukoplakia, and submucous fibrosis. Lichen planus. Biopsy (nearest dental hospital) and follow-up with a specialist. Nicotine patch to stop smoking.

Question: Q. Why am I having painful wound with itching in penis after sex?; Patient: Hi doctor, I am 36 years old, male. I am traveling and had sex two weeks ago without condom. After two days, I felt itching and pain while peeing. Now, two weeks later, I have white painful wound on my penis. I visited a doctor yesterday and received an injection and two pills antibiotics. He said gonorreah. I am scared that he could be wrong. Please help me.; Answer: Hello. You have developed ulcers after two weeks. Usually, in gonorrhea you will have painful white discharge from penis. In syphilis, ulcer will develop after 10 to 14 days, painless single, button like ulcer. Painful genital ulcers in this case are may be herpes simplex, chancroid, and syphilis (from your picture) (attachment removed to protect patient identity).  What medication he gave? Will you please give names of the drugs? Better do  VDRL, TPHA, HIV and HSV2 investigation, smear study from penis discharge to rule out above STD.

Question: Q. How to treat a red dry skin on the scrotum?; Patient: Hi doctor, I found a red dry skin on my scrotum today. What is is? Is it dangerous? How can I treat it? I am still a virgin. I have attached the pictures of the dry skin.; Answer: Hello. I have seen the pictures (attachment removed to protect patient identity). It looks like scrotal dermatitis. Try doing the following. Consult your specialist doctor, discuss with him or her and start taking medicines after their consent. For more information consult a dermatologist online -->

Question: Q. My mother's fasting sugar is higher than the post prandial sugar. Why is this happening?; Patient: Hello doctor, My mother's fasting sugar is higher than the post prandial sugar (130 and 115 respectively). She had normal diet only. And also, 2 hours after taking 75 grams of glucose, without any work, the sugar level is 260. Why is this happening?; Answer: Hi. Consult a diabetologist online for further clarifications -->

Question: Q. While extraction, I was told that my tooth was attached to bone. Is it common?; Patient: Hi doctor, During a recent extraction of 9 teeth, the dentist said that my right upper back molar had attached itself to the bone. When he tried to extract it a piece of my jaw bone cracked off, pierced the sinus cavity and punctured an artery. Blood spurted everywhere and they frantically applied pressure and packing until it stopped. They sutured it and sent me home with Penicillin. The dentist acted very casual like it happens all the time. I cannot find anything about this subject on the internet. It has been eight days and I have been weak and experiencing constant cold sweats. I do not have fever. I am still spitting out fresh clots of blood three or four times a day. They are not very large, but they are definitely fresh. Is this something that happens frequently with lasting and future effects? What is your opinion of these events?; Answer: Hi. For further information consult a dentist online -->

Question: Q. Need second opinion on Celexa and Buspar for severe anxiety/panic attacks; Patient: Dear Doctor, I am a 24 year old female, was prescribed with Celexa 20mg  once daily and Buspar 5mg twice daily for severe anxiety/panic attacks. Both of these medicines are SSRIs though, and I read about it online that everyone/every source says never to take them at the same time due to risk of serotonin syndrome. Today, after taking the Buspar, I felt cold and shivered constantly. I could not get warm and I was very sleepy. Now I am scared to take the night time dose of Buspar and Celexa. I would like to have a second opinion on the safety of taking these medications together. If it is not safe, can I take only one instead? Which one would you recommend, the Buspar or the Celexa? Thank you in advance.; Answer: Hi. You are not on too high a dose of celexa or buspar. However serotonin syndrome is not always dose dependant. I feel just the chills and sedation are too general to be indicative of serotonin syndrome. You should have some level of muscle rigidity, high fever, muscular contractions (myoclonus) to suggest that. In my professional opinion I do not have much faith in Buspar.  Celexa is good enough as an antidepressant (SSRI) to eventually help you have a full remission of depression, anxiety and panic attacks. If I was your treating psychiatrist, I would have supplemented the celexa with clonazepam (Klonopin) on a as needed basis, between 0.5 and 1mg every 8 hours PRN anxiety. If you are feeling cold and shivering constantly you might need to see your PCP (Primary Care Physician) to urgently address if you have an active urinary tract infection and also have him check your thyroid function. In effect, I advise you to stop the Buspar for now. Hope it helps. Get back to a psychiatrist online for further help -->

Question: Q. I do not feel any sensation in my penis at the time of sex. Does masturbation cause this numbness?; Patient: Hello Doctor I am a 30 year old male, married for 2 years. I do not smoke or drink. There is no medical history. My penis is circumcised from childhood. The problem which I am facing is that I do not feel any sensation in my penis glans at the time of sex or while masturbating.In normal state, my penis is dry. I use lubricants while having sex. But still the penis remains numb. Only a few seconds before ejaculation I feel the sensation in my penis. I started masturbating 10 years back. Is this a reason for this numbness? I do not have any erectile dysfunction. But still I am not able to enjoy sex due to this problem. Is there any medication to enhance sensation? Please help me overcome this problem.; Answer: Hello. I read your query and understand your concerns. Having less or no sensation in penis while having sex is generally due to local factors. The systemic illnesses rarely affect in this way. Masturbation is normal and it does not have any adverse effects either on sensation or erection. So it is time to realize that the sensation problem is not due to chronic masturbation. The possible reason as per available history is dryness of penis which makes the nerve endings non-functional over a course of time. To counter this problem it is essential to use oil based soap (rather than traditional soap) and skin moisturizer which prevent the dryness of skin of glans penis. It can be said that you can use any branded moisturizer for application to penis and local area after taking bath every day. During love making session I advise you to use Durex real feel which is available across the globe for increasing sensation and making the sex more pleasurable. Unfortunately there are no medicines for this purpose and lubricants which I have mentioned above will be helpful to a large extent. Revert back to a sexologist online for further follow up -->

Question: Q. Why is my fasting blood sugar level higher than postprandial?; Patient: Hi doctor, My fasting blood sugar is 130 to 135 over last four years. My postprandial sugar is between 90 to 110. Yes, my postprandial is less than my fasting sugar level. Usually, the reading will be taken after 1 hour 45 minutes or 2 hours after eating breakfast. I am unable to bring down the fasting sugar level. My HbA1c reading is 6. I am taking Glycomet 500 mg before dinner daily. Can you tell me why my fasting is higher than my postprandial?; Answer: Hello. For further doubts consult a diabetologist online -->

Question: Q. Can you suggest any medicine to reduce the bump near anus?; Patient: Hi doctor, I have a painless peanut size bump near the outer side of my anus. I have attached snaps for your reference. It has been there since last 10 years. But, for the past one year I feel it is growing. Sometimes, it bleeds, but no pain at all. It is just like an extended mass and it feels very uncomfortable. I consulted a local doctor. He found a fissure inside the anus and suggested surgery. But, I never felt any pain or bleeding from inside till date. I used to have a hot water seat daily since last few months as per his advice. Do you suggest any medication to restore or reduce the bump? I tried a few antibiotics, but they did not work.; Answer: Hello. Constipation. Digital rectal examination and proctoscopy. Anal fissure and hemorrhoids. Surgery. Medical treatment and diet modification to prevent constipation. For further information consult a surgical gastroenterologist online.--->

Question: Q. The stretch marks on my inner thighs hurt. Please help.; Patient: Hello doctor, I have stretch marks on my inner thighs and buttocks area. When I sit for about 30 minutes, the stretch marks hurt (in the scale of 1-10, the pain is around 8). So, I have to stand up once in a while. More and more stretch marks appear when they hurt and they hurt too. It is very uncomfortable, and it already affects my work (programmer) where I have to sit all the time. I have visited 4 dermatologists already, and one of them even said that stretch marks are not painful, maybe it is varicose veins. I already tried laser, derma roller, pain reliever, retin A, collagen cream and cocoa butter (but they did not work) as per doctors advise. This all started when I started gaining weight/muscle a few years ago. I already stopped going to the gym and all my supplements about a month ago, but the pain is still there.; Answer: Hi.I have gone through your history and picture (attachment removed to protect patient identity). I get your worry. I can see that you have already tried a lot of therapies for the same with not much relief. Weight gain is usually a gradual process and not much skin stretch pain is experienced. But few nerve endings become exposed to the exterior in the stretched skin. When weight loss occurs, stretched skin hangs back loose. But it is still not back to normal skin. It is still thin and exposing your sensitive nerves when you stretch, like when you sit or squat. This is why you get that pain sensation during such activity.Now having considered that you have tried most of the options, I would suggest you try a few additional measures that can help.

Question: Q. I have tiny hard black spot on penis with no harm and it does not go away. What could it be?; Patient: Hello doctor, I have a tiny hard spot on the head of my penis. It does not bother me unless I mess with it. It has been there for many many years, but just recently I have noticed a bit of pain when I am just sitting around. It is probably the size of a pinhead and it is dark in color. I have not had a sexual partner in a very long time (years). It does not seem like a boil or a pimple. The very top of the spot is black. Please suggest.; Answer: Hello. I can understand your concern. According to your statement, you have been suffering from a tiny hard spot on the head of the penis. This type of tiny spot can result from various reasons such as mole produced from over secretion of melanin by skin cells. They are harmless and nothing to be worried. Penile papule appears around the penis head which does not itch or produce any fluid. They may disappear as time passes. Angiokeratoma is a tiny red bump that appears when blood vessels near your penile skin become dilated. They are rough in nature and may become thicker over time. Lymphocele has resulted from blockage in the lymph channel near your penile head. It does not need any treatment and dissolves over time. Peyronie's disease is resulted from scar tissue which is found on the top of the penis that tends to harden due to calcium deposition. Treatment is needed when it makes erection of the penis difficult. Again your penile tiny hard spot may be resulted from a pimple, cyst, or STD (sexually transmitted disease). As your penile spot does not create any difficulty in your regular performance so it is nothing to be worried and needs no treatment. I think it will disappear over time. You can undergo FNAC (fine needle aspiration cytology) or biopsy from a tiny hard spot on the top of your penile head.

Question: Q. I am expecting first child and pregnant of around 6 weeks. Noticed some bleeding while urinating; Patient: Hi doctor, I am pregnant of around 6 weeks now. This is my first pregnancy. I have noticed a few drops of bleeding while urinating twice in a week. I have consulted a doctor and she suggested to do transvaginal ultrasound and got the following report. Uterus is bulky in size. Regular well defined gestational sac is seen. Single fetal node is seen. CRL - 0.64 cm. GA - 6 weeks 3 days. Fetal cardiac activities are normally visualized. Decidual reaction is good. Peridecidual color flow is normal. No peridecidual clot or hemorrhage is seen. Yolk sac is seen. Ovaries - normal in size and echotexture. Impression - single live fetus of 6 weeks + maturity. Now I am in need of a second opinion. Is there anything serious in my case? Can I continue my normal work? Can I take Duphaston 10 mg for next 8 weeks as directed my doctor? What kind of precaution do I need to take?; Answer: Hi. You have a given a complete account of the clinical situation and it is as good as doing a real time face to face consultation. It is not uncommon for women to have spotting early in pregnancy. Most often it is what we call implantation bleeding that is a process of baby getting attached to your uterus. The fact that there is no blood clot in the uterus and the fetal heart beat is present is reassuring. The diagnosis is called threatened miscarriage. In this situation there is a good probability for the pregnancy to go on well that is more than 90%, hence it is unlikely to be serious. You can continue with your normal activities as long as it is not physically demanding. It is also advisable to avoid sexual intercourse for a few weeks. Absolute bed rest is not needed and in fact may be harmful can lead to blood clots in legs. No need to follow diet restriction. Taking Duphaston (Dihydrogesterone) is alright, but again not absolutely necessary. Just be your normal self. Repeat scan in two weeks to ensure things are fine. You will continue to have some form of discharge pink or red or brown or black for a couple of weeks. But, if the bleeding is heavy with clots or with cramping or foul smelling discharge you need to visit the hospital as soon as possible. I would like to stress that more than 90% of times, things will go on well. For further information consult an obstetrician and gynaecologist online -->

Question: Q. Will I lose my virginity if I finger myself?; Patient: Hi doctor, I am an 18 year old female, and I masturbate very often. I just rub my vagina, but I do not finger myself. I get really tempted to finger it. Whenever I try to do so, I get nervous and just finish it off by rubbing my vagina. Is it safe to finger my vagina? If yes, how do I do it? What are the safest ways to do it and how often should I do it? Is my hymen going to break if I do so? Will I lose my virginity? Also, is it weird that my vagina becomes wet when I am aroused?; Answer: Hi. Get back if you have doubt. Take care. For more information consult an obstetrician and gynaecologist online -->

Question: Q. Delayed periods even after taking Gestin. What is the reason?; Patient: Hi doctor, I am suffering with delayed periods. Consulted a gynecologist and started Gestin since 1 week. But still have not got my periods. Home pregnancy tests done and turned out to be negative thrice. Please help.; Answer: Hello. Tablet Gestin (Allylestrenol) contains natural progesterone, which is given for 5 days to bring about withdrawal bleeding. You have not mentioned how long you have taken the drug. Withdrawal bleeding usually occurs 48 hours after stopping the drug to up to 7 days. If you are still in that period, then you should wait for your period to commence. If you are over that, then I suggest you to do certain tests like transvaginal sonography, TSH (thyroid stimulating hormone) and AMH (anti-mullerian hormone testing). Considering your age, you could be in your perimenopause (stage nearing menopause) where menstrual irregularities are common. Revert back after the tests to an obstetrician and gynaecologist online -->

Question: Q. I have a painless, small, white dot on my gums. What could it be?; Patient: Hi doctor,I have a small white dot on my gums. It looks like a whitehead. I noticed it a couple of days ago. It is painless. It is just above my left canine. I do not know what it is. It is towards the top of the gum. I have attached the photo. Can you suggest what it could be? I am scared of the dentist, so any option avoiding that would be nice.; Answer: Hi. It looks like a minor aphthous ulcer, which gives no pain and subsides by itself. Please check if there is any pus discharge, pain in the tooth and any other area of the mouth also has this kind of spots. Aphthous ulcer often causes minimal symptoms or problems. Oral ulcers are small round or ovoid ulcers of 2 - 4 mm in diameter. They are round or ovoid in most situations but are often more linear in common site. They have an ulcer floor that is initially yellowish white and surrounded by an erythematous halo or redness. They are found mainly on the mobile mucosa of the lips, cheeks, the floor of the mouth, sulci or below the tongue. Yours is in between the junction of gums and sulcus of the cheek, so it is a soft mucosa looks like to be. They occur in groups of only a few ulcers that is, one to six at a time. In your case, you have one only. They heal in 7 to 10 days, and they may recur at intervals of one to four months. They leave little or no evidence of scarring. If it pains, then you can apply pain relieving gel. If it does not subside in a week or 10 days, then do visit your dentist. Aphthous ulcer. Do not eat spicy food. For further information consult a dentist online.--->

Question: Q. What are the chances of me to get pregnant after taking i-pill?; Patient: Hello, I had sex and took i-pill. My periods started around 12 days later and lasted for 4 days. I got my periods next month around the same date, which lasted for just one day. So, I took a urine pregnancy test, which was negative. I got my regular periods on the third month as well and it lasted for 3 days. My next periods lasted for just 2 days. I have read on the internet sources that many women get periods during their pregnancy. What are the chances of me being pregnant? I am doubtful because I always used to have regular periods which last for 5 days.; Answer: Hi. How was your bleeding during the cycles? Was the flow scanty when compared to your previous cycle (I am not talking about the duration of flow here)? Revert with the details to an obstetrician and gynaecologist online -->

Question: Q. What is the chance of spread of hepatitis B through food contaminated with blood?; Patient: Hello doctor, Is there any chance of hepatitis B spread through eating food contaminated with infected blood?; Answer: Hello. Well, the whole blood and serum (white fluid within blood) contains large amount of virus, and virus can live on blood spots outside the human body for the duration of one week. So actually it depends upon how much blood, and how much time it has been on the stain that can determine the chances of acquiring infection if contaminated with food. So I guess my answer can be partially answering your query. If you tell me the exact event I may be in a better position to tell you the figures. Otherwise, as a general rule, hepatitis B does not spread via food, having said that, it can still spread if blood contaminated food has been ingested. Since virus invades the human body when comes in close to mucosa (lining of our mouth) and then spread to blood within human. This happens in the same way as one infected person can transmit infection via kissing, hugging, sharing of a towel, spoon, plates, and so on. If you are puzzled with all that information, I want you to simply get a blood test for hepatitis B infection. It is a simple blood test that can give us a clue. I hope this helps. Post-exposure risk stratification. Hepatitis B surface antigen. Hepatitis B core total. Follow up after testing.

Question: Q. What would cause a dark horizontal line across nose?; Patient: Hi doctor,I have a line across my nose going horizontally. This is because I used to push my nose up always. Can u suggest some natural remedy to get rid of it?; Answer: Hi. For further information consult an internal medicine physician online -->

Question: Q. There is a lump above my left collarbone. Is it cancerous?; Patient: Hello doctor, I consulted two doctors regarding a lump that I could feel above my left collarbone, whenever I strain or turn my neck. Both the doctors said that it was just a prominent tendon, but gave me an ultrasound to ease my mind. The ultrasound said 'there is a 6 by 4 mm hypoechoic nodule in my left supra clavicular area, presumably representing a small lymph node. If clinically indicated, an MRI or a CT can be done for further evaluation. On seeing the reports, one of the doctors said that I need a biopsy right away. The other doctor referred me to an ENT. I followed up with the ENT, but he was not able to feel the lymph node and said that the lump is just a prominent muscle and nothing to worry about. The ENT also said that the ultrasound was normal and that a 6 by 4 mm node is normal and nothing to worry about. I have been reading online, and it is mentioned everywhere that a hypoechoic nodule is cancerous, especially in the left collar bone area. What does a hypoechoic nodule mean? Does this mean it is a small cancerous lymph node? What does it mean by 'if clinically indicated, a CT or MRI can be done for further evaluation.'? I also had a CBC done, and that was normal. I had a neck CT done six months ago for a pulled muscle, and that was normal as well. If it did not detect this small nodule six months back, can it have grown in just six months? Is hypoechoic bad? Why did the ultrasound say presumably a lymph node? I am so worried now. Do I need a biopsy or is there nothing to worry about?; Answer: Hello. There is a lymph node in the left supraclavicular region called as Virchow's node. If enlarged, it may indicate a malignancy of the abdominal region as that is the draining pathway of the lymph from that area. A lymph node from cancer is generally very hard to palpate. A soft node is generally secondary to some inflammatory response, generally an infection. Please ask your doctor to have a look at your abdomen and re-evaluate the node, although I am almost certain, it is nothing but an inflamed node. As it is of a short duration, it is highly unlikely to be anything dangerous. I suggest you get the following tests: For further queries consult an internal medicine physician online -->

Question: Q. Is it possible to get nerve related problems due to high lipids and blood glucose levels?; Patient: Hi doctor, I have developed symptoms of nerve dysfunction (burning, tingling, etc.) but all the nerve related tests were normal. Over the past 9 to 12 months, my diet was poor, I am about 70 pounds overweight, age 40, and have high LDL. My blood glucose last year was 86, then it went up to 97 by the fall, and then up to 106 this year. I went on a diet and lost 20 lbs so far, but the test this week was at 101 after a 12-hour fast. My question is this: Can a blood glucose around 100 to 105 and high lipids for numerous months cause any nerve related symptoms?; Answer: Hello. I have seen the details given. The glucose levels mentioned are normal. Only 106 mg shows a pre-diabetic fasting level. These levels are unlikely to affect the nerve function. From your information, I get a feeling that you do not have diabetes. Is that right? In that case the nerve related issue is not due to glucose levels at all. It may be related to your obesity. With a BMI of 37.07 kg/sq meter (normal < 25 kg/sq meter) you are already in grade 2 obesity. Your ideal body weight should be 77 kg (169.4 pounds). Which means there is an excess of over 81 pounds. That could be the culprit. Plus it can be the cause for precipitating diabetes in the coming years.

Question: Q. What could be the cause for the burning sensation on my waist?; Patient: Hello doctor,I have a burning sensation on my waist. Please tell me what could be the cause?; Answer: Hello. Your HVS (high vaginal swab) was negative, so I presume it did not have discharge. Have you done a pelvic scan because if there are infection and collection at the pouch of Douglas, you may not see a visible discharge. Do you have a regular menstrual cycle, like a predictable cycle? The pain you get around be the time of your ovulation could be a sign of an ovarian cyst, pains of the cyst come towards ovulation. Try to do a scan and get back to me through this platform. I may prescribe some antibiotics and analgesics for the pain you can get Ciprofloxacin, Flagyl (Metronidazole) and Doxycycline and take them for seven days, Ibuprofen 400 mg b.d (twice daily) for four days.

Question: Q. Is it possible to treat AVN without hip replacement?; Patient: Hello doctor, I am a 31-year-old. I have AVN stage 3 in right hip and stage 2 in the left hip. This is due to the use of steroids. I have done this MRI before two months. Many doctors told me to go for total hip replacement. Today I had an X-ray, and the doctor told me no collapse is done yet and suggest me to go for core decompression and Osteofos 70 mg daily. 1. I want to know, is it possible to treat it without hip replacement? 2. Will core decompression help in my case? 3. Is Pamidronate injection helpful in my case? 4. Any medicine which can stop or delay the progression?; Answer: Hello. The decision to treat conservatively or surgically depends on clinical symptoms. You have not mentioned anything about your symptoms. How much pain do you have? Is it bearable or unbearable? How much distance are you able to walk without pain? Are you ready to perform your activities of daily living comfortably? What do you do?

Question: Q. I am a diabetic with swollen and discolored foot. Why does it happen?; Patient: Hello doctor, My left foot is swollen with purple color and pain. I am currently on Diamicron 60 mg and Xelevia 100 mg.; Answer: Hello. With history, I feel you have left foot cellulitis. It is the infection on the foot. You might need heavy antibiotics for the infection. Is warmth present on the wound? Any pus discharge from the area? Kindly update these details and also the picture of the purple color. And also I would like to know what is your sugars levels in present condition?

Question: Q. Prepuce is not getting retracted during erection. What can I do for it?; Patient: Hello doctor,I am a medical student, and I came across phimosis. My prepuce can be retracted easily and normally but when I get erect it does not retracts on own and even if I do it forcibly it gets stuck around corona which is painful. Is this a problem? If yes can I do something on my own and if I need a radical therapy, should I wait till my marriage?; Answer: Hello. Welcome to the icliniq.com. In a flaccid state, the foreskin can be retracted back over the shaft of the penis easily even in phimosis case. However, you have a problem in erection state as well, and hence you have mild degree phimosis. For that topical steroid cream can be used after consultation with your dermatologist. If it does not help, then you can selectively undergo one daycare surgery that is circumcision. But it is an elective operation, which means the procedure can be done anytime as per your convenience. I hope I have solved your query.

Question: Q. I am 18 years old and my gums have receded because of improper brushing. Kindly help.; Patient: Hello doctor,I am 18 years old, and I am worried because I feel that my gums have receded. It is because of my improper brushing routine, they are yellow, not wobbly, and gums are becoming a darker version of red, gums have receded from the front teeth.; Answer: Hello, Welcome to ilciniq.com. Your teeth are stained with yellow plaques, and the condition is called gingivitis.  Try this home remedy, 1) Take one tablespoon of baking soda with two tablespoons of hydrogen peroxide to make a paste. 2) Rinse your mouth thoroughly with water after brushing with this paste. 3) Use an antibacterial mouth wash and rinse. 4) Eat lots of vegetable and fruits. 5) Use a soft-edged toothbrush.

Question: Q. I have some weird taste of the water as if my mouth is salty associated with excessive thirst. Kindly help.; Patient: Hello doctor,Since yesterday, I had excessive thirst. I am drinking a lot of water and still feel it. The same happened today, I drank over 500 ml and again feel thirsty. When I drink, I think some weird taste of the water as if my mouth is salty. I have anxiety (panic disorder), so this made me slightly worried about what could have happened to me. Can you help?; Answer: Hello. This condition called polydipsia, felling excessive thirsty. Tongue taste is due to dehydration. What about urination, passing more? Usually, this is a symptom of diabetes, are you are in a hot and humid place? For anxiety and panic disorder are you on any medication? Immediately go for investigation such as FBS (fasting blood sugar), PPBS (postprandial blood sugar), HbA1c and urine, sugar ketone RFT (renal function test), LFT (liver function test) and review. If sugar is high go for the treatment.

Question: Q. Is stage 2 liver fibrosis a reversible condition?; Patient: Hello doctor,The patient is 65 years old. Doctors have concluded liver fibrosis stage 2. In fibro scan, the lymphocytes are 95 %, amylase is 20 U/L, monocytes and macrophages is 5 %. The fluid is hazy in appearance. Can liver fibrosis be reversed?; Answer: Hello. Interpretation of reports. With this advanced fibrosis, it could not be reversed back.

Question: Q. I have a male pattern hair loss. Please suggest if Finasteride can help in hair sustenance.; Patient: Hello doctor, I am suffering from male pattern hair loss for a long time. I had tried saw palmetto for a short duration and got a decent result (as suggested by a trichologist) but did not continue due to lack of information on long term effects. Please suggest if Finasteride can help in hair sustenance?; Answer: Hello. Can you please upload a few pictures if possible to advise the appropriate treatment. Are you married? If yes, did you complete your family?

Question: Q. What is the treatment for numb and painful hands and fingers?; Patient: Hi doctor, I am 58 years old and currently working in a meat shop, working always in frozen foods. My problem now is about my hands (fingers). It is numb and painful. I always feel this everyday and wake up with numb and pain. Any medicine or vitamins aside from Vitamin B1, B6, B12?; Answer: Hi. Long time keeping hand in freeze or ice cold things, your blood vessels constrict to avoid heat to escape from the body. Continuously blood vessels constriction will not allow blood to reach to the hand tissues and nerves. So, numbness and pain comes. If you are diabetic or hypertensive, condition will be worse. So, in between your work just rinse your hand and fingers in warm water, not very hot. Use thick rubber gloves to avoid direct cold to your hand.

Question: Q. Why does weight loss occur in a patient with TB and pneumonia after an extensive phase?; Patient: Hello doctor, A TB and pneumonia patient for the last two months passed the extensive phase and gained two kg. But recently she lost two kg weight, and she feels ill and weak every afternoon. She takes her medication regularly and on time. Why does this occur?; Answer: Hello. I guess the symptoms of cough and chest pain are resolving. If she compliants with her anti koch regimen she would not be losing much weight. But it is well known that chronic illness like tb and pneumonia can cause extensive weight loss and anorexia which again add to the weight loss. You need to see a dietician for prescribed dieting to help increase your calorie intake. Multivitamin should also be taken to improve appetite. Also do a chest X-ray to see the extend of the lesion in the chest with sputum afb.

Question: Q. How can chronic body pain associated with movement be tested?; Patient: Hello doctor, I am a 44-year-old man with undiagnosed chronic body pain associated with movement. Sed rate and CRP in normal range, uric acid level tested after a bout of kidney stones last year, but that was also in normal range. Is there any tests you could suggest to my attending? Please advise.; Answer: Hello. The normal ESR and CRP essentially rules out inflammatory conditions. Uric acid levels, if high, can lead to joint pains, not body pains. Based on you height and weight, your body mass index is 37.3. This is considered morbid obesity. People with high BMIs can have issues like obstructive sleep apnea, impaired glucose tolerance and high blood pressure. Obstructive sleep apnea can present with manifestations like chronic fatigue and chronic body pains among others. If you are known to snore, have apneic spells (spells during sleep where your breathing stops for several seconds intermittently), feel fatigued and sleepy during the daytime, have frequent headaches and irritability, ask your doctor to screen you for obstructive sleep apnea. If present, that may explain your chronic body pains. Even if you do not have symptoms of OSA, losing weight can improve your overall health and prevent development of metabolic diseases like diabetes. If you want to lose weight, I suggest cutting down on carbohydrates and consuming healthy fats. This is a low carbohydrate, high and healthy fat diet (otherwise called ketogenic diet).

Question: Q. What causes inflammation of urinary tract after protected sex?; Patient: Hello doctor, I have protected sex with stranger and after that I get inflammation in urinary tract. Should I get worried about it?; Answer: Hello. If you have symptoms of inflammation of urinary tract than you have to rule out urinary tract infection. For that, I suggest you investigate with urine routine microscopic examination report and urine culture for primary work-up. You can revert back with reports once done. Meanwhile, drink lots of water and avoid excess spicy foods intake. Cranberry juice extract tablet also needs to be taken for seven days. You have done protected sex so chance of sexually transmitted diseases is very unlikely.

Question: Q. Please provide opinion on my complete blood count report.; Patient: Hello doctor,I would like to know your opinion of my complete blood count. I have attached my reports with this which shows absolute lymphocytosis and macrocytic anemia from two years.; Answer: Hello, Welcome to the icliniq.com. In the mentioned history hemoglobin level is low and MCV (mean corpuscular volume) is high, So macrocytic anemia is present (attachment removed to protect patient identity). The cause for which has to be ruled out. Hypothyroidism, vitamin B12 deficiency, liver disease, etc. are some of the causes. B12 deficiency is a common cause, so rule it out by serum B12 estimation. Second reversal of CD4 to CD8 ratio can be from defect in the immune systems like immunodeficiency problems or autoimmune disorders. Chronic illness like HIV also can lead to reversal ration for which fourth generation HIV, ELISA (enzyme-linked immunosorbent assay) testing can be done. Your further workup can be done in the form of peripheral smear examination so that it can guide you further. I hope this will help you. Consult your physician for further examinations and investigations.

Question: Q. I feel pulsations in my upper stomach from yesterday. Why?; Patient: Hello doctor, My upper stomach area is pulsing suddenly from yesterday after eating. What does that mean?; Answer: Hello,  Welcome to icliniq.com. I want to know when did you last have Albuterol. It is is used in asthma for air pipe spasm. It has common side effects such as tachycardia (increased heart rate more than 90 minutes when the person is at rest) where people feel there heartbeat. I also notice your heart rate is 90, which seems to be secondary to Albuterol. Pounding of stomach however, is an unusual phenomenon, but can occur due to certain drugs and sometimes without any cause. The condition is called tachygastria. You can simply decrease the dose of Albuterol to see if it works in your case. I hope this helps. Tachycardia. GI motility disorder. Drug side effects and tachycardia. Reduce the dose of Albuterol.

Question: Q. I used water bottle of a person who was diagnosed with Mono. Am I at risk?; Patient: Hello doctor,I have PBC stage 4, Gave, COPD, Hashimoto's, etc. I have been around someone who was just diagnosed with mono. I have used her water bottle. Should I be worried and, if so, what symptom could I develop? Do I have to stay away from this person now? I am currently under Urso 300 mg six per day.; Answer: Hello, Welcome to the icliniq.com. I can understand your concern. Do not worry, and I will clear your doubt. Infectious mononucleosis usually caused by EBV (Epstein-Barr), and it can spread through saliva mainly. So sharing of the objects like water bottle or glass object can spread infection. So you are at risk of spending it. But do not be panic. The symptoms are fever and sore throat, mainly with enlarged cervical nodes. Splenomegaly also can occur. If fever, malaise, and sore throat occur than investigate by CBC (complete blood count) and serological test for EBV, which includes ESP (extrasensory perception), Ig M (immunoglobulin M), and Elisa (Enzyme-linked immunosorbent assay). Infectious mononucleosis usually resolves by its own with time. Anyway if you suffer from fever and sore throat that will discuss further and you can consult a nearby physician for examination at that time. It is advisable not to share an object with an infected person. I hope this will help you. Get back with more query if you still have doubt.

Question: Q. I am seven weeks pregnant. Can I take both Susten and Duphaston?; Patient: Hello doctor,I am a 24.5 years old female. I am seven weeks pregnant and have a history of ectopic pregnancy and two miscarriages. My doctor has prescribed Folic acid, Duxil, Susten 200 mg, Duphaston, and Ecosprin. All tablets once a day. Should I take both Susten and Duphaston or just Susten is enough? Also till what time am I supposed to have these?; Answer: Hello. As you had previous miscarriages and ectopic pregnancy, your doctor might have prescribed all these tablets for the maintenance of pregnancy and to prevent abortion. As Susten (natural micronized progesterone) and Duphaston (Dydrogesterone) both are progesterone with the same action, you can go for any one drug. Susten is preferable as it is natural micronized progesterone and category B drug in pregnancy. You have to take these tablets until the viability of pregnancy that is around 28 to 30 weeks.

Question: Q. I have burning feet, warm palms and slightly warm penis after treating STD. What can I do?; Patient: Hello doctor,I am 29 years old, and I have burning sensation underneath my feet since last year, after treating an STD. It was occurring mostly at nights, but these days it appears to be there from morning till night. Then I had a series of a sore throat last year, for which I was treated with antibiotics. Some months ago, I started having this pain in my left chest, which sometimes crosses over to the center. The pain has subsided, but I still feel slight pain just after and below my left chest and an occasional sharp one on my right breast. Underneath my feet is still burning, my palm feels warm, and my penis has this slight warm sensation. Are they all connected? What can I do?; Answer: Hello. You have given a history of STD treated, What type of STD it is? If it is syphilis, is it cured completely? If it is not healed completely may lead to a complication called tabes dorsalis. When syphilis is untreated, the bacteria damage the spinal cord and peripheral nervous tissue. This leads to the symptoms of tabes dorsalis (neurosyphilis). Tabes dorsalis is now very rare because syphilis is usually treated early in the disease. Do CFS (chronic fatigue syndrome), CT brain, and spine. Repeat VDRL (venereal disease research laboratory test), FBS (fasting blood sugar), and PPBS (post-prandial blood sugar).

Question: Q. Why is there a dull aching pain above the back of my knee and buttock?; Patient: Hello doctor, I have had a dull aching pain just above the back of my left knee (near the hamstring) and in my left buttock on occasions for about five weeks now. I am normally fine sitting but hurts when standing still or walking. Could it be a hamstring strain or sciatica?; Answer: Hello. You lie down on your back, stretch your legs straigh, then lift your left lower limb up without bending knee joint. If you get severe pulling pain from buttock to whole leg, then it is sciatica. This test is called (SLR) straight leg raising test. Hamstring muscle pain in the back of the thigh and lower buttock when walking, straightening the leg, or bending over. Do the SLR test to know there is sciatica or not.

Question: Q. I received handjob. Can STD transmit this way?; Patient: Hello doctor, I went to a massage parlor and got a handjob. I was told by my doctor that STDs are not transmitted this way. Is this true?; Answer: Hello. I understand your concern. This is true. Only direct genital contact or contact through cuts on genitals, blood, semen or saliva can lead to STDs, not hand job. Take care.

Question: Q. What can be done for insomnia?; Patient: Hello doctor, I am suffering from insomnia from the past three weeks. Please help.; Answer: Hello. Is this the first time you are experiencing insomnia or there has been a previous history? Sleep problems can happen if you are stressed, anxious or have a mood problem. Is there anything stressful going on in your life ? Do you do shift work? Try to address the root cause and learn relaxation strategies. I see that you are talking Zolfresh 10 mg (attachment removed to protect patient identity). It is fie to take it for a few days but not recommended to continue for a longer period. Try these self-help interventions: 1. Relax atleast an hour before bedtime. You can listen to music, or take a bath. 2. Go to bed at the same time. 3. Have a comfortable bed, keep the room dark. 4. Avoid drinking tea, coffee in the evenings. 5. Avoid watching TV or looking at bright screens in the evenings. It can affect your natural sleep inducing hormone secretion. 6. Avoid day time naps. 7. Do regular exercises. 8. Avoid eating heavy meals before sleeping. Take care.

Question: Q. Is it normal to have high platelet count in a high blood pressure patient?; Patient: Hi doctor, I am 26 years old, female. I have high blood pressure problem from the last one month (silent BP) and my kidneys are damaging beacuse of this and my platelet count is 12 lakhs. These are continuously increasing from the last eight months, that is 6 lakhs, 8 lakhs, 11 lakhs and now 12 lakhs. My legs and foot pain are increasing day by day. Please reply as soon as possible.; Answer: Hello. The hypertension is multi-systemic disease and can affect many organs in our body including kidney as well. So hypertension need to be controlled with medication. Kindly attach your kidney reports so that I can look how much damages have occured. Your platelet count is very much high. You have to rule out essential thrombocythemia for that. I suggest you consult nearby hematologist for detailed evaluation.

Question: Q. Will taking Effexor increase my anxiety level?; Patient: Hello doctor, I am currently on 37.5 mg of Effexor and 7.5 of Mirtazapine. I started Effexor about 10 days ago, my anxiety has increased since starting, and I am taking Klonopin to help with that. Is increased anxiety a normal side effect when starting Effexor? I am also having nausea, dry mouth, and grinding my teeth at night. I do not want to switch to another medication if this is something that could subside in time. Please help.; Answer: Hello. Some people can experience worsening of anxiety when starting Effexor (Venlafaxine) also nausea, and dry mouth can happen as well. They usually settle by two to three weeks. You are only on a low starting dose so hopefully should settle in due course. Discuss with your prescribing doctor during the next review so that dose titration can be done very slowly as needed. If the side effects do not settle, then, other options need to be considered. You can use Klonopin (Clonazepam) as needed up to four weeks to manage excess anxiety during this period. Do not continue Klonopin beyond four weeks. Keep using CBT(cognitive behavioral therapy) or psychological therapy strategies to manage anxiety and OCD (obsessive-compulsive disorder). Also, try deep breathing techniques and progressive muscle relaxation exercises to manage stress and anxiety.

Question: Q. Why is there pain in opposite tooth after root canal treatment?; Patient: Hi doctor, I did a root canal before a couple of days. But I have pain in the exact upper tooth of the root canaled tooth. I have attached the X-ray after the first sitting of the root canal. Please suggest.; Answer: Hi. I can understand your concern regarding dental health. In this condition, it will take time to have healing of the ligament and tissue at the end of the root of the root canaled tooth as it was previously affected by the infection. So do not worry and take antibiotics and analgesics prescribed by your dentist. If the pain persists even after all these, then go for check up with a radiographic investigation of the same tooth.

Question: Q. Does swollen lymphnode everywhere in the body mean cancer?; Patient: Hello doctor, I have had swollen lymph nodes for over 1.5 years. I have gone through scans and viruses blood test, which resulted negative (attachment removed to protect patient identity). I have them everywhere I can feel. Neck, groin, armpits, chest and even on my face. What are the chances it is cancer?; Answer: Hello. Generalized lymphadenopathy cannot always be due to cancer. However, lymphoma blood cancer is one of the cause for that. I suggest you investigate with biopsy of grossly visible enlarged lymph nodes or FNAC scan to identify the cause for enlarged node. If you have lymphoma, then it will be evident by histopathology of biopsy specimen. It is advisable to rule out HIV also by combo ELISA testing.

Question: Q. Is surgery the only option for nontuberculous mycobacteria infection?; Patient: Hello doctor, I am 30 years old and married for the last 3.5 years. One and a half years back, I had a surgery to remove ovarian cyst and fibroid tumor from uterus by laparoscopy. But, somehow one incision area got infected and I was under antibiotic for almost 5 months. Meantime, I relocated and the infection become worse for which I had to undergo another surgery to remove the abdominal abscess. In a couple of months, I become quite well but one sudden day pus came out from the same area along with pain. My surgeon said it was fine as the pus was there during the healing period. But this gets worsen and the area again needs to be cleaned out through a minor surgery. I still have that area swollen with pain on the left abdomen and hence recently went through another CT scan and it seems that I am suspected of having nontuberculous mycobacterium infection on my abdomen wall. My doctor wanted another round of surgery to clean up the wound followed by prolonged antibiotic. Could you please guide me by letting me know if surgery is the only option or there are other ways that I can leverage and get cured? I do not want another surgery and looking for alternative but effective solutions. Please let me know if you require additional information.; Answer: Hi. It is unfortunate that you have to undergo repeated surgeries due to the infection. A combined therapeutic approach including surgical drainage, debridement, and prolonged treatment (more than three months) with combined antimicrobial agents, has been used in managing cases of atypical mycobacterium. In some cases based on clinical assessment, successful treatment requires aggressive debridement of all infected subcutaneous tissues and skin. Surgery does play a major role for these kinds of infections and may have to be repeated. I should be able to give you more inputs if I see the scans and reports. Kindly revert back with the same.

Question: Q. I am suffering with sudden bouts of loose motion. Please help.; Patient: Hi doctor, I am a 62 year old male. I am suffering from multiple neurofibroma of spinal cord and acoustic neurofibroma. I had bypass surgery four years ago and since then I am under medication, which is given below. My present problem is related to stomach. Since the operation, I started having sudden bouts of loose motion. Earlier, the interval between the bouts was about 15 to 20 days which gradually reduced now to about three days. I have consulted numerous doctors including gastro specialist. Sonography reveals all organs to be normal except grade one fatty liver. No blood, pus cells in stool. My hemoglobin is 16.1. I have undergone deworming course by taking Rcifax 400 bd for five days, Noworm 400 and Nortryptomer od for three days, but there has been no effect. The consulted doctors have different opinions, some say that it is due to neurofibroma and some say it is due to reaction of medicines which I am taking. But no remedy has been suggested yet. If the loose motions become uncontrolled, I am forced to take Norflox TZ, which gives temporary relief. These loose motions are sudden, often soil clothes and have imprisoned me in the house. My current medication includes Nikoran 5 bd, Cardivas 3.125 bd, Cardace 2.5 od, Flavedon MR od, Lasix 40 half tablet od, Becosule od, Clopivas 150 od and Rosuvas 10 od. Please help me.; Answer: Hi. Such diarrhea is seen in Irritable bowel syndrome (IBS). IBS is of three types: You seem to be suffering from IBS diarrhea predominant. However, IBS is a diagnosis of exclusion. We investigate suspected cases of IBS with thyroid profile, fasting blood sugar and ultrasound abdomen. If all investigations are normal as you have mentioned blood and stool test (considering these investigations have been performed), then you are probably suffering from irritable bowel syndrome. In case you ever have had blood or mucous in stools, you require a colonoscopy to rule out any evidence of inflammatory bowel disease. I advice the following for treatment of IBS: Idiopathic. Routine. IBS. Stress free life.

Question: Q. Is it safe to do extraction without wearing gloves?; Patient: Hi doctor, I took my mother to a dentist. She hit the tooth hard with a hammer and chisel to remove the second molar of upper jaw. She has experience as a dentist for 30 years; still she does not wear gloves. I am wondering, is this practice safe? My mother cried during the procedure, but the dentist told it will not pain. My mother cried because of fear. I am looking forward to hear from you. Thank you.; Answer: Hello. Getting a tooth removed is a terrifying experience for all. It is the dentist's responsibility to address the patient's concerns and make them feel comfortable. Ideally, the procedure should be explained to the patient beforehand. Infection control is very important for the safety of both the dentist and the patient. A dentist must wear gloves and face mask before any treatment. As far as using a hammer and a chisel, these are the instruments usually present in dental clinic. They are a part of the dental instruments used for teeth extractions, especially in difficult cases. Although, a local anesthetic injection is given prior to removing a tooth, anxious patients may need more than one injection. Also, while the local anesthetic is good for numbing the area, patients can still feel the pressure sensation during tooth removal. In the end, it all comes down to proper communication with your patient and constant reassurance during the procedure.

Question: Q. My fiance ejaculated on my hand. Could I be pregnant?; Patient: Hi doctor, I am not sexually active. But my fiance did foreplay and ejaculated on my hand. I washed my hand with soap after that. I do not remember the semen going near my vagina. I am still virgin and he did not penetrate me. However, the next day I got worried and took an emergency pill. I still have not got my period and it has been a week. I also have PCOD. Have I missed my period because of PCOD? Or could I be pregnant? Please let me know.; Answer: Hello. Please do not be worried. There are no chances of pregnancy at all. Firstly, because you had washed your hand with soap which carried the sperms and sperms do not survive on contact with detergent or soap. Secondly, you have taken an i-pill within 72 hours. Hence, your menses are likely to be delayed due to high progesterone pill you have taken. Now, you should get a withdrawal bleed within next 7-10 days from the day of pill intake. So, you should be patient and wait for the withdrawal. However, if you are anxious then as on today you may get a serum beta hCG test done to rule out any pregnancy conclusively. If the hCG levels are less than 5ng/dL then you are surely pregnancy safe and you can then calmly wait for your menses to arrive naturally.

Question: Q. Is it possible to insert GPRS chip inside ear?; Patient: Hi doctor, Recently, I had an operation in left external auditory canal under general anesthesia. I am having doubt that some GPRS tracking system has been inserted during operation. Is it possible to insert GPRS or something like that inside ear? Please help me.; Answer: Hello. Yes, it is technically possible to implant a small GPRS (general packet radio service) chip in your post aural region. But, that type of device cost a lot. I do not think that anyone can access to that type of device as shown in most of spy movies. So, do not worry. Nobody is going to track you. If still you have any doubt then you can do an x-ray of mastoid region to clarify it.

Question: Q. I used hydrogen peroxide for my clogged ears and now it is stuck. Please advise.; Patient: Hello doctor, I woke up five days ago with clogging in my ears. Stupidly, I went with one of the first solutions I found online and poured hydrogen peroxide in my ear. It is now stuck in my ear canal and I cannot get it out. I have tried Swim-ear drops, ear candle, wax removal kit and shaking my head violently. It is so annoying. I do not want to get an infection, that could lead to hearing loss in my left ear. I have no insurance and I am a young guy struggling to make it. I am in need of some advise. Please help me.; Answer: Hello. I hope this helps you. Do not worry. It is most likely to be impacted wax. For further queries consult an ENT otolaryngologist online -->

Question: Q. Is it normal to have foamy urine?; Patient: Hello doctor, My urine is foamy. I am confused whether everyone will get bubble and foamy urine while urinating. Please explain me.; Answer: Hi. I appreciate your vigilance. Mild frothing of urine is usual, but excess of frothing denotes protein leakage in urine. What is your age? Do you notice any swelling of your feet and face? Do you have any other medical problem? To be sure get a urine routine microscopy report and follow up with that. Revert back with answers to the above questions to a nephrologist online -->

Question: Q. Is it normal to have palpitations with high blood pressure?; Patient: Hi doctor, I am 18 years old and I have started to struggle with palpitations. When I was around 12 I started having high blood pressure and since then it has not stopped. I have gotten many tests done for my heart and all have turned out normal, but I am still concerned. I do have a poor diet and I am not very active. Could this be causing my heart problem or could it be something more worse?; Answer: Hi. You have done many tests with cardiac point of view? First of all, raised blood pressure in very young age, 12 years in your case, should be investigated. It must be secondary to some other disease. One of which is called pheochromocytoma. This condition causes both high BP and high pulse rate, along with sweating, fever. These symptoms are sudden and episodic. Pheochromocytoma is basically a tumor of adrenal glands. Other cause of high pulse rate may be hyperthyroidism in which thyroid gland is overfunctioning. Other symptoms include warm hands, sweaty hands, heat intolerance, weight loss despite good appetite, fine tremors, diarrhea, reduced sleep, thyroid gland may also be enlarged, some changes in eyes, etc. As you said your diet is not good, so it may have caused anemia. Anemia leads to fast heart rate. Another cause may be your sedentary lifestyle. As you said you are not active, it causes fast heart rate on slight activity. These are some non-cardiac causes of fast heart rate. Cardiac causes may be atrial fibrillation, inappropriate sinus tachycardia, atrial tachycardia, etc. Detection and differentiation of these requires ECG. If one of these is diagnosed, then next step is to detect the cause of it. Then treatment is done for the cause. So, possibilities of your condition are many. There is a huge list of differentials both cardiac and non-cardiac. Proper diagnosis requires focused investigations. Please provide your previous tests (ECG, holter, etc.) so that I may devise a plan for diagnosis of your condition which may require some other tests as well. Also send a record of daily BP and pulse rate of one week at least. Remember, if pheochromocytoma is the cause, then high BP and fast pulse may be present only during episodes and normal between episodes. Beta blocker is good to control heart rate. So please follow-up with your medical record and BP, pulse rate record.

Question: Q. What does polycythemia (JAK 2 negative) mean?; Patient: Hello doctor, I am diagnosed with polycythemia (JAK 2 negative). I need more knowledge, my BM and JAK 2 studies are within normal limit.; Answer: Hello. Your present CBC report is not suggestive of polycythemia especially polycythemia vera which is blood cancer condition (attachment removed to protect patient identity). Your JAK 2, EXON 12 study and bone marrow report is normal as per history. So polycythemia vera is very less likely. Your high hemoglobin could be due to secondary polycythemia cause. Secondary polycythemia is pure benign condition. The causes for that include respiratory problem, cardiac problem, smoking, severe dehydration, etc. I suggest you drink lots of water especially three litres per day. Avoid smoking if having habit. It is advisable to repeat CBC again after a few days.

Question: Q. Had ECG for palpitations. Please have a look and assess further steps.; Patient: Hello doctor,I have a patient who is an athlete, has a history of panic attacks. Yesterday, he had palpitations, and some tingling was then sent for an ECG. The findings are sinus rhythm, marked right axis deviation, and ECG without any abnormalities. Would you be able to see it and assess what further steps I need to take?; Answer: Hello. I reviewed carefully your ECG images (attachment removed to protect patient identity) and would explain that besides right axis deviation, I also noticed the presence of prominent P waves in DII lead, which indicates a pattern or left the posterior fascicular block. For this reason, I would recommend performing a cardiac ultrasound to examine the heart and exclude possible structural abnormality. Regarding the tingling, I would also recommend checking the thyroid hormone levels and blood electrolytes for possible imbalance. I hope you will find this answer helpful. I remain at your disposal for any further questions whenever you need. cardiac structural abnormality. Cardiac ultrasound.

Question: Q. I am having the symptoms of frequent urination, dizziness, and white thin cervical mucus. Will I be pregnant?; Patient: Hello doctor,I am 32 years and trying to conceive since last six months. My last period was a month before, and intercourse was 10 days after that for four days. I have been facing the following symptoms like frequent urination, dizziness, etc. However, there was clear milky white thin cervical mucus until this month.However, it was less or hardly visible in quantity. I am not sure if it was too slippery for me to have noticed as well. But I did not get thick cervical mucus. And today morning I got traces or a very minute or small thick cervical mucus and negligible in quantity. I am waiting for a missed period, which is due next week. I am anxious because of the absence of cervical mucus. Am I pregnant? Please help.; Answer: Hello. I have gone through your query. You have been sexually active during your fertile period till the end of last month. Now, the presence of thickening of cervical mucus is a possible sign of conception but not conclusive. The earliest now, considering your anxiety, you can be tested conclusively for pregnancy is after eight days post last intercourse is with a serum beta hCG test (blood test). If the hCG levels are more than 5mIU/ml, then you are surely pregnant. So please get the test done and follow-up with the report.

Question: Q. My facial hair is less. Can I take DHEA supplements for beard growth?; Patient: Hello doctor,I am a 28-year-old man with very less facial hair. Recent blood check-up shows that my DHEAS value is 195.9. Insulin check-up indicates that there is a high chance of becoming a diabetic patient. My doctor suggested me Ashwagandha, and I have been taking it for a month (two capsules per day). Not much gain. So, I would like to take DHEA supplements for beard growth, is it fine?; Answer: Hello. I think it is very normal to have less hair on the face. Even if you have little hairs, it is normal. Do not worry about your DHEAS level. You should not be taking any hormonal treatment unless it is required and so you can consult an endocrinologist for it. If you have normal sexual functioning, you should not worry about it. If it bothers you too much, you can ask a hair transplant surgeon and get a nice beard transplant. Focus on a healthy diet and regular exercise.

Question: Q. Why does the pulse rate fall in a 4-year-old after administration of Epinephrine?; Patient: Hello doctor, I am reviewing the patient care of a 4-year-old child diagnosed with the flu. He was having trouble breathing, so we called an ambulance. I was very apprehensive about him receiving any drugs from a doctor. His pulse was 149, 161, and 150. The medic then said his pulse was falling, which I did not see. He then requested an order to give Epinephrine, which does not make sense to me. His pulse rate then fell quickly. What is your opinion?; Answer: Hello. An ECG should have been done immediately to see if the child was having VT, SVT, or anything else that would require you to slow down the heart. Based on the ECG, the next step could have been planned. This is because you have only written to me about the heart rate. The other aspects, like breathing and circulation (blood pressure), also decide the modality of treatment. Does it make sense to give epinephrine to a child having tachycardia? However, if there was no pulse afterward, epinephrine should be given at that particular time.

Question: Q. Please have a look over MRI and suggest that the fibrotic is still visible on the MRI.; Patient: Hello doctor, Pain after idiopathic orbital inflammation before 11 years. I have undergone biopt two times due to inflammation with fibrosis and sclerosis. Now the doctors say the disease is gone. But I am still in pain and again using 15 mg Prednisone a day. They told me I have neuropathic pain, and this is more often in other patients with pseudotumor orbitae. My question is, can fibrotic tissue that is still visible on the MRI, cause the pain? Is there inflammation seen on the MRI? Or abnormalities or myositis?; Answer: Hello. I saw the MRI (attachment removed to protect patient identity), the sclerotic tissue from which we have to confirm that the pain you are experiencing is mainly neuropathic and emerging not from the sclerotic tissues as much as from the adjacent structures that are rich with nerves and blood vessels. Due to the anatomic changes that the eye has gone through, all the adjacent structures are still adapting to those newly acquired conditions, and that is what most probably is causing the pain. Whether it is from the compression or the disturbance in blood supply, currently, there is not much to do but to keep reducing the inflammation and prevent future reoccurrence with the prednisolone, but specific preventive measures such as undergoing a comprehensive eye exam as per the ophthalmologist recommendations are necessary. That examination should include tonometry - intraocular pressure, perimetry-visual fields, and optical coherence tomography to exclude any newly acquired changes that might require intervention. As for the diagnosis, although not much changes to the treatment will take place, it should be enforced with a blood test called ANA (antinuclear antibodies) profile to exclude any autoimmune disease that might develop on other organs. I would add a course of Neurobion, which is a complex of vitamins group B and might want to consult a physiotherapist on a method to improve blood circulation in the affected area. I hope I have cleared a few of your questions, and please feel free to follow up with additional inquiries or test results.

Question: Q. Why do I get wrinkles on the glans penis after using Lobate cream for pimples?; Patient: Hello doctor, I got a little tiny pimple on my penis glans it vanishes when I use on ointment Lobate GM, and my glan skin seems to get a wrinkle, and it is not smooth anymore. I do not know what to do? Please help.; Answer: Hello. Lobate gm (Clobetasol, Miconazole, Neomycin) cream contains a steroid, and because of continuous application, your skin gets thinner. I hope there are no pimples at present on your glans. If you have pimples or any rash, then you should consult a dermatologist. Apply two drops of coconut oil after bath and at night time after cleaning your glans with water. Do not use any soap over glans.

Question: Q. Will taking Sibelium for migraine delay the periods?; Patient: Hello doctor, I am taking Sibelium 10 mg from last some weeks for my migraine and last month I missed my periods. Kindly clarify the reson. Is it delaying due to this medicine?; Answer: Hello. On the aspect of missing your period can be Sibelium (Flunarizine) because it has some effect of blocking the dopamine receptor in the brain. Besides, it is a calcium channel blocking effect. So the possibility is that by blocking the dopamine receptor that will cause a central increase of prolactin. Prolactin will lead to galactorrhea and in turn, alter the menstrual cycle. So it is a possibility that is if you have done a pregnancy test and it is negative. So that dopaminergic antagonistic may cause amenorrhea.

Question: Q. I am unable to focus and something is running in my mind. Please help.; Patient: Hello doctor,I am a lazy one, and all the time's something is running in my mind. I am not accurately able to focus on my studies, and I am getting afraid and tensed by every little issue. So kindly help me.; Answer: Hello, Welcome to ilciniq.com. Continuous something running in mind if it is unwanted is called brooding or rumination. The more you continue it, the more problems it may create. Problems like making you more lethargic. Better start behavioral modifications like exercise, distraction techniques, keeping yourself engaged, etc., with a proper timetable. Watch yourself for anxiety, and depression symptoms if any, then seek help accordingly.

Question: Q. My TSH level is 0. 022. Why do I feel so depressed?; Patient: Hello doctor,I have 100/60 blood pressure, and I feel less active. My TSH level is 0.022, and I am feeling alone and depressed, but I am getting sleep. Please help.; Answer: Hello, Welcome to ilciniq.com. A blood pressure of 100/60 is normal for a woman in your age group. However, if you are feeling lightheaded upon standing, then you need evaluation to see if your blood pressure drops when you stand up. Your blood counts and urinalysis are normal. Your thyroid hormones Total T4 and Total T3 are within normal ranges. A single low TSH (thyroid stimulating hormone) reading may need confirmation with a repeat test. Are you on thyroid hormone supplements? What are your height and weight? You have been prescribed an antibiotic (Mahacef plus). There is no reason for you to take medicines. I suggest stopping it. Also, no indication to take Citro Soda (you do not have a urine infection). Your health is fine, and so you can stop all the medicines. Your symptoms may have other causes like lack of sleep, stress, etc. You will need further evaluation. You can start by getting a repeat TSH test done at a standard laboratory. Stop the medicines you have been prescribed currently. Once you have the repeat TSH level, you can get back to me.

Question: Q. I am a PCOS patient and my prolactin level is 42. Kindly explain.; Patient: Hello doctor,I have PCOS, and my recent report says that prolactin level is 42, what does it mean? Otherwise, my period is normal.; Answer: Hello. The serum prolactin levels are high, which indicate hyperprolactinemia. This can cause hypomenorrhoea or shortened menses even though the cycles may be regular. The PCOD (polycystic ovarian syndrome) element further adds to insulin resistance and putting on weight. The aim of the treatment should be the PCOD regimen and Dopamine agonists like Cabergoline tablet to control and treat both PCOD and hyperprolactinemia, respectively. The classical sign of hyperprolactinemia is the discharge of watery substance from breast nipples, also known as galactorrhea. This often leads to breast heaviness and tenderness.

Question: Q. What should I do to treat the constipation in a 8 months old baby?; Patient: Hello doctor,My baby boy is 8 months old and has trouble in passing stools. With Laxatives, doctor prescribed he is passing hard stools once in four to five days, and he is crying while passing stools. What can I do to improve his constipation? And what diet changes do I need to make? Currently, I am giving him oatmeal pear puree, pear puree, apple puree, and chikoo puree.; Answer: Hello. Your kid is suffering from an anal fissure that is a cut at anal mucosa. Give syrup Duphalac (Lactulose) one teaspoon full once a day at night time after meals. Apply several ano ointments (Lidocaine, Metronidazole, Sucralfate) locally three times a day for 15 days with the applicator. According to me stop milk from 8 am to 8 pm and give semisolid diet like dal, dalia, khichdi alu kela rice, apple, upama, halwa, rab kadi idle poha satu custard, etc and from 8 pm to 8 am give mother milk is preferable if not give top milk without water and add sugar as per your taste . To start with stop milk for four hours for 15 days and give semisolid diet, next stop milk for eight hours and give semisolid food, lastly, stop milk from 8 am to 8 pm and provide semisolid diet. As 100 ml milk gives 70 calories of energy, 100 ml juices give 55 calories of energy, and 100 gm of semisolid food gives 350 calories of energy. When giving a semisolid diet, provide water as the baby requires. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. Continue all the above for at least 2 years of age.

Question: Q. Kindly suggest the management for extreme hair fall.; Patient: Hello doctor,I am 24 years old and having extreme hair fall. My center of the scalp has already started showing up. Please help.; Answer: Hello. Use Trichospire hair kit and Qilib men lotion twice daily. I hope it helps. If you have any other question, please do not hesitate to contact us.

Question: Q. What is the treatment for chronic dry cough?; Patient: Hi doctor, I am suffering from chronic dry cough originating primarily in bronchial area. I feel fatigue, vertigo, lack of appetite and periodic nausea. Please help.; Answer: Hello. Chronic cough since long time suggests some allergic condition like asthma. For proper diagnosis you should do a chest x-ray and spirometry test. Other symptoms can be suggestive of some infective cause like tuberculosis. So, ultimately after an x-ray and spirometry test we can make a definite diagnosis. Vertigo can be because of chronic cough. But, clinically it is very difficult to say. Some blood test may also be required for making a diagnosis. Usually, the asthmatic patients have some other allergies also. You have not specified any other symptoms in detail. Please do not hesitate to contact me after doing the above mentioned tests. Treatment mainly depends on the reports. Allergy. Chest x-ray and spirometry test. Asthma. Inhaler medicines. Avoid known allergen.

Question: Q. Is PET scan necessary for epilepsy diagnosis?; Patient: Hi doctor, My four year old son, weighing 16 kg is taking medicine for benign childhood epilepsy. Medicines he is taking are namely Topamac 100 mg a day in two divided doses and Lobazam 15 mg a day (5-0-10).  His MRI for epilepsy protocol is normal without abnormalities. I would like to know whether he is taking overdosed medication. Does anti-epileptic drug cause lot of side effect? Doctor suggested PET scan. Is PET scan required for epilepsy diagnosis? Please suggest.; Answer: Hello. For benign childhood epilepsy (BCE) your child is on 6.25 mg/kg/day of tablet Topiramate (anticonvulsant) which is a medium dose and is fine. Side effect to look from Topamac is dehydration. For dehydration, he needs to drink at least 700-1000 mL water daily. He can get tingling in finger which usually responds to taking high potassium diet like banana or raisin. Occasional side effects are kidney stones and word finding difficulty. All anti-epileptic medication comes with some side effects and one has to choose between them and benefit one can have with control of seizures. PET scan is performed in epilepsy patients for surgical evaluation in refractory cases. Is your child still having seizures after taking these two medicines? Also, has he been tried on other medicines before?

Question: Q. Please explain my chest x-ray report.; Patient: Hi doctor, I am a 36 year old male. For mild chest pain, I have got my chest x-ray PA view done as suggested by my rheumatologist. My doctor said that x-ray report shows changes of chronic bronchitis in both lungs more in lower zones and old fibrotic scarring is seen in left apex. I am suffering from arthritis for which I am on medication. I have glaucoma. My medication at present for arthritis is Cobix 200 twice daily, HCQS 200 once daily, Pan D before breakfast, Rosuvas once at night, Tryptomer 10 in night, Espidase DP, Folvite 5 mg and Imutrex 15 mg once in a week. Kindly suggest me medication according to the reports attached. Please do not suggest me any other doctor or any hospital as I want to get treated through your medication.; Answer: Hi. We are here to help you. The treatment would be based on the symptoms that you might be getting. I would advice in such case to first get a HRCT chest (high resolution CT scan) along with sputum for AFB (acid-fast bacilli) done, which would rule out the evidence of tuberculosis. Rest for rheumatoid arthritis, your treatment is going in right direction. Further treatment decision would be based on CT chest. Rheumatoid arthritis. CT chest. Avoid smoking.

Question: Q. There is white tongue with swollen lymphnodes. Why?; Patient: Hello doctor, My friend has white tongue since 20 days, used probiotics from 10 days but problem did not solve. But no sore throat and no discomfort while eating anything. He feels lymph nodes near right side of neck, back side of ear and near arm ankle from last one week. Got some pimples on his face and one or two on chest and stomach. Fourth generation HIV duo tests (p24 and antibody) done on 6th, 20th and 35th day and came as non-reactive. He is in a little worry as symptoms are still there (white tongue and nodes). A kid kissed on his blood wetty pimple of him, did that kid get infected? It was done 24 hours back. Is it good to go for PeP? Please suggest.; Answer: Hi. White patches on the tongue can be oral thrush caused by candida albicans seen in severe imunosupression especially stage 3 or 4. Pain on swallowing can be from involvement of the larynx and oesophagus of the thrush seen in stage four. Persistent lymph node is also common. The kid should be put on PeP very important just to avoid getting infected, because there could be an open wound in the child's mouth through which the virus can gain entry.

Question: Q. Can I completely get rid of HBV in six months?; Patient: Hello doctor,I am 28 years old. I had my blood test done last month. HBV was negative. When tested again 53 days later, it came out to be positive. Do I have acute or chronic? Are all HBV acute for the first six months? What are the chances that I will completely get rid of it within six months?; Answer: Hello. If your HBsAg was positive on the second occasion, but negative 53 days before that, you have acute Hepatitis B infection. Most of the time, HBsAg is discovered incidentally. It is not common for Hepatitis B to be diagnosed in the acute phase. More than 90 % of patients with acute hepatitis B recover completely and do not progress to chronic hepatitis B. Less than 10 % develop chronic Hepatitis B. I suggest you consult a medical gastroenterologist or hepatologist or an infectious diseases specialist.

Question: Q. What causes strain in groin and pain in testicles during exercise?; Patient: Hello doctor, I am 21 years old, male. I was doing excercise with suppoter. Then I suddenly felt strain in my groin and pain in my left testicles. After two days I went to doctor. He physical examined my testicles and wrote two tests CBC and urine. In CBC, eosinophils was 6. He said it is because of filaria infection, then I got fileria antigen test (ICT) done and test shows not detected. What is it ?; Answer: Hi. It seems the exercise put much stress on your groin, the pain could be from strain or tear of the inguinal ligament around that area, could be from the associated attached muscles to the ligament around that area, the associated left testicular pain may be because the spermatic cord which also carries nerves that supply the testicle which also travel via the groin to the scrotum was strained in the process making the pain to appear in the testicle of same side. Is there any testicular swelling? You can use an analgesic Ibuprofen 400 mg BD for five days, apply Diclofenac gel on your groin and massage it thoroughly three times daily. You can also take antibiotics just in case there is an associated epidydymoorchitis. Tablet Augmentin 625 mg BD for six days. You may feel better.

Question: Q. What can be done for sharp pain in tailbone area while sitting or standing up?; Patient: Hello doctor, I have had a sharp pain in my tailbone area when I am sitting or standing up. This has been going on for several months and has not improved. I recently saw a doctor. He diagnosed it as a curve in my lumbar and suggested I see a chiropractor here. Is there anything else I could do to fix this problem?; Answer: Hi. Yes, it is worth having a second opinion and clearing your doubts. But I think your doctor is absolutely right about the cause of pain. This is due to a slightly curved spine in the lower back causing the tailbone pain. Chiropractic adjustments and physiotherapy should help solve this problem. You should also try out anti-inflammatory medications to reduce the inflammation around your tailbone causing the pain while sitting. Medicines like Ibuprofen or Naproxen (for about 5 to 7 days). This medicine should only be taken if you are not allergic to it and if you are not suffering from bronchial asthma. If you have a lot of pain while sitting, you should use a doughnut shaped pillow or cushion for a few weeks. But yes, your previous doctor was spot on with the diagnosis. Coccydynia.

Question: Q. How can wrist pain with numbness in fingers be treated?; Patient: Hello doctor, I have had pain in my right wrist for a week now. But these past three days, my fingers and hand have been numb and it is getting worse and worse. Please help.; Answer: Hello. The pain is in the palmar aspect of your wrist or on the dorsal aspect? Was there any history of fall ,fracture before this and was there a huge swelling? There is a possibility that swelling lead to compression of the nerves that passes through the wrist to supply your fingers leading to severe pain and subsequently numbness. This is most likely a compartment syndrome. Can you still move the fingers? You need to do an X-ray of the hand and then see an orthopedic surgeon let them check you thoroughly.

Question: Q. Is it normal to have bulging veins in arms and legs with pain?; Patient: Hi doctor, I am 19 years old and I am currently experiencing an issue with the veins in my arms and legs, primarily on the left side of my body. It started about a month ago when I noticed a vein on the top of my left foot that started bulging up out of nowhere. It was concerning but not painful until a few days later, it gave me extreme shooting, throbbing pain. This lasted for a about a week then started to fade to what it is today, a numb pain that gets sharp if I support my weight too much on that foot. This has limited my movement quite a bit, which makes it hard to complete my daily tasks, and I cannot wear closed toe shoes anymore without pain. The problem got even more concerning when other veins in my body started to bulge ang give pain, first in my legs, and now in my hands and arms. My left hand is my primary one and now I cannot lift things or write or hold it downwards without having a pain in my arm, where a big vein pops up just below the wrist. This has all happened in the course of a month. Does this condition sound familiar and if so, what should I do to get treatment for it?; Answer: Hello. Your problem looks like varicose vein. Veins will bulge when you are standing or moving around when unlike down it regressed and blood flows back into the deeper veins and empty back into the heart. Varicosity is due to incompetence or weakness in the valves within veins which prevents the blood from flowing back as the blood has to be returned to the heart for recirculation. Due to weaknesss in the calf muscle which contracts and compress the deeper veins causing blood to be squeezed out of then for upward emptying into the vena cava and into the heart. Blockage of the pathways of flow or deep veins due to venous thrombosis, usually common in women, tends to increase with age, and with use of contraceptive pills and with pregnancy because of increased intraabdominal pressure which in turn comprises the vena cava and affect return of blood back to the heart. Complications can be venous thrombosis due to increased stasis of blood. If there is so much build up of pressure for long time can cause venous ulcers. Management is elevation of the leg when lying down. Use compression stockings to support and collapse the veins, avoid use of high heels. Change your standing or sitting position from time to time. You can do Doppler ultrasound scan.

Question: Q. Will penis extender cause shortening of size instead of enlarging?; Patient: Hi doctor, I have been using high quality, highly rated penis extender for two days for 8 hours a day and no for the past three weeks now. Do these things really work? Is it possible to experience penis shortening instead of enlarging? A month ago, I was 7” but now I am almost at 7”.; Answer: Hello. I want to know the reason for which you are using a penile extender. Do you have a very decent size why you want to increase it further? It is like your height is 6 feet but you want it to be 6.3. Everything you do has got side effects. If not done properly can lead to trauma and hence shortening. Are you diabetic or hypertensive? Any other chronic illness?

Question: Q. Advice some supplements for hair thinning and hair fall.; Patient: Hello doctor,I am a PCOS patient. I have regular periods, but heavy bleeding, overweight, high sugar levels, and the egg size is 15 with using the medicine. But I could not conceive, and extreme hair thinning and hair fall. I am on metformin twice a day from last week. I want you to suggest any supplement for my hair loss. I am very upset. Kindly help.; Answer: Hello. PCOS (polycystic ovary syndrome) clearly has an effect on hair growth on patients. Dietary carbohydrate causes more insulin release in women than men. This stimulates production of testosterone from ovaries in women. First try restrict carbohydrate from diet for few months before starting antiandrogen as a treatment. To avoid food rich in carbohydrates such as rice, milk, yogurt, ice-cream, potatoes, etc.

Question: Q. I am anxious because I failed in my exams and scared to inform parents. Please help.; Patient: Hello doctor, I think I am going through anxiety because I failed in my exams and I am scared to tell parents. I do not know what to do. It is mentally exhausting. Please help.; Answer: Hello. Failure in exam is quite common and always remember that it is only a temporary setback. Almost all successful people would have failed an exam at some point in their life. Do not put too much pressure on yourself by hiding it from your parents. It can be a difficult burden. Your parents may be upset, but eventually, they will get over it. After initial disappointment settles down, they will support you. Learn to develop coping strategies to manage frustrations. You will come out stronger in the long term. Try to distract yourself and relax for some days. Then plan to retake the exam with better preparation. Make sure you eat well, sleep regularly, listen to relaxing music, talk to supportive friends and family. If anxiety is just situational nothing to worry, it will get better when the situation improves. But if it is persistent, you will benefit from some counseling to manage anxiety.

Question: Q. What could be the reason for persistent cough and the feeling of having something in the throat?; Patient: Hello doctor, I had a cough for six months, and now I have the feeling of something in my throat. I had a sinus X-ray, lungs checked, checked for asthma, swallow test done, and thyroids checked (I have a tiny nodule, in which the doctor said that would not make me cough). Do you have any suggestions on what it could be? I am very tired of coughing.; Answer: Hello. The cough you say is it dry or sputum? Are you losing weight? Is there any drenching night sweat and persistent low-grade fever? Is there any history of contact with someone with a chronic cough in your locality? Do you smoke, is your occupation such that you are exposed to industrial dust, and asbestos? Is there any associated chest pain, any difficulty in breathing, etc. A small thyroid nodule may not make you cough but if the nodule is impinging on your trachea that can irritate which you claim you notice in your throat. The thyroid check you did was it thyroid function test to know the thyroid hormone profile, because a solitary thyroid nodule may be toxic and can be abnormally producing excessive hormones thyroxine which may cause other possible symptoms such as excessive sweating, weight loss, anxiety, intolerance to hot weather, diarrhea, palpitation (as if your heartbeat is audible to you). If non of these is the case, then you have to do screen for TB, do sputum AFB (acid-fast bacilli) and do GeneXpert, that will rule out tuberculosis. If you can help me by uploading some of the tests you did, that would help make a definitive diagnosis in this case.

Question: Q. I feel like something is stuck in my throat associated with acidity. Kindly advice.; Patient: Hello doctor, I feel like something is stuck in my throat from two months, and I also have the problem of food coming in the mouth sometimes, and acidity. When I went to the doctor, he recommended Pantoprazole after which I had little relief, but not so much. Please prescribe me something better.; Answer: Hello. Have you been back to your doctor after he recommended Pantoprazole? I think that you need to have an upper endoscopy to look at your esophagus and what is causing this problem. It sounds like you may have a Zenker's diverticulum. This is an outpouching of the lining of the esophagus. There are treatment options for this, but you have to Consult a gastroenterologist who may be able to fix the problem through the endoscopy. I hope this information is helpful.

Question: Q. What does it indicate when my T3 and T4 are normal but my TSH is 8. 5?; Patient: Hello doctor,I am a 19-years-old. Recently I checked my thyroid, and the report states that T3 and T4 are normal, but TSH is 8.5. What does that mean? I am skinny and 55 kgs weight. I do not have any past health issues. Please explain this.; Answer: Hello. What was the reason that you had your thyroid checked? Do you have a history of thyroid disease? Have you had your cholesterol checked? The number you provided is consistent with subclinical hypothyroidism. That is a low function of your thyroid that would not account for your low body weight. We usually do not do anything about these findings except to monitor them. I would recommend that you have your thyroid checked again in one to two years. I also recommend that you have your cholesterol checked and followed if necessary. If you develop any symptoms related to hypothyroidism, then you should see your physician immediately. Symptoms include heat intolerance, changes to your skin or hair, weight gain or loss.

Question: Q. Though I take regular diet, I look very thin. Why?; Patient: Hello doctor, I am a 26-year-old male. My height is 5'9" and weight is 54 kg. I do not look healthy. I take a regular diet and meals thrice a day. I do not have any health problems like cough, fever, and pain. Actually, I want to put on my weight and develop my muscles because I look very thin. Could you suggest me any medicines or supplements for my better body growth?; Answer: Hi.  Good to know that you are eating well. What about family history? Are your both parents or anyone parent is underweight? If it is familial, it is difficult to gain weight. You can try with any protein powders, Ensure is good for a supplement. Take it as mentioned in the bottle. Try to include some evening snacks. You can eat milk based sweets like rasagollas, milkshake, etc., prepared at home. Exercise every day to increase your metabolic rate. Simplest is brisk walking. Gradually increase your intake of food. Do the above-said things and get back to me after 10 days. Ensure two teaspoons daily with milk. Follow up after 10 days.

Question: Q. I am suffering from nausea, headache, and chest pain after having cold foods. Why?; Patient: Hello doctor, I am 28 years old. My weight is 55 kg. Whenever I am taking cold foods, I am suffering from nausea, headache, and chest pain. Kindly advice.; Answer: Hello. You feel those symptoms when you take cold foods, and so you may likely be having symptoms of common cold and malaria. The chest pain could be a symptom of an ulcer. There may also be fever, I presume. You can run a test for malaria (blood film) if it is positive then treat it. Tablet Artemether Lumefantrine 80/480 mg b.d (twice a day) for three days, tablet loratadine 10 mg b.d for five days, tablet vitamin C 2 t.d.s (thrice a day) for five days. Add tablet Rabeprazole 20 mg b.d in case of ulcer.

Question: Q. How to differentiate symptoms of testicular cancer from varicocele?; Patient: Hello doctor, What are the difference in symptoms in testicular cancer and a varicocele?; Answer: Hello. Testicular cancer will have painless testicular lump, swelling of scrotum, swollen lymph nodes, or weight loss. Varicocele will have infertility dragging testicular pain, lump or swelling above testis in spermatic cord. Best to differentiate between two is ultrasound scrotum.

Question: Q. My partner came all over me on top of my vagina without protection. What are the chances of conceiving?; Patient: Hello doctor,My baby is 3 months old. Last night my husband and I did not have intercourse, but he came all over me on top of my vagina without any protection. Any chances that it will make me pregnant? I am very scared. Please advice.; Answer: Hello, Welcome to the icliniq.com. Full penetrative intercourse has a high chance of pregnancy, but nonpenetrative contact of genital with vagina also has some risk of pregnancy because of contact of precum fluid from the penis to vagina. So you have less chance of pregnancy but wait for the next period. If the next period delayed for a week than rule out pregnancy by urine hCG (human chorionic gonadotropin) card test. If you want to exclude early than after three weeks of last menstrual period (LMP) investigate with blood hCG test. Get back with more query if you still have doubt. I hope this will help you.

Question: Q. Chemotherapy sessions for breast cancer has been increased to 12. Why?; Patient: Hello doctor,My mother is suffering from breast cancer, and her treatment is going on. We have already done four chemotherapy with a gap of 21 days, but now instead the surgery doctor advised us to take 12 chemotherapy weekly. Please let me know the treatment that is going on is right or wrong?; Answer: Hello. It is called neoadjuvant chemotherapy. So with chemotherapy, the size of the tumor is reduced significantly to make breast tumor operable. She has completed four cycles every 21 days, and now they will start the second phase of weekly chemotherapy (a new drug) for 12 weeks as per international recommendations. After completion of the second phase, chemotherapy she will be restaged before surgery. It would be better if you would have attached CT scan, pathology (biopsy) reports also.

Question: Q. I have a bump on my jaws and my teeth seem to be shifting. Do I require a surgery?; Patient: Hello doctor,Back of my jaw has a bump, and my teeth seem to be shifting. Do I need jaw surgery to fix my open bite? Kindly advice.; Answer: Hello doctor, The bump developed seems to be on your cheeks from the photo you shared (attachment removed to protect patient identity). Also, your lower second molars are erupting now, so the pain can be due to the eruption of that tooth. Even due to new tooth eruption, you may bite your cheek while talking or chewing. Please be cautious not to bite your cheeks and automatically the bump will vanish. From your BMI (body mass index) and weight, I suggest the bump may be your buccal pad of fat gets like bump due to some trauma. Once your tooth erupts, your problem will be fine. Follow rinsing your mouth with salt water twice daily. Your inflammation will subside. Let us wait and watch for 10 days. If the problem continues after 10 days, write to us again or consult your nearest dentist.

Question: Q. Ramipril is causing dry cough and my doctor replaced it with Amlovas. Is it safe drug?; Patient: Hello doctor, I am a 54-year-old hypertension patient and in control with medicines Ramipril 10 mg, Natrilix 2.5 suspense release and Rosuvastatin 10 mg. Ramipril was causing dry cough and was nanaging until recently. But now cough becomes very sensitive due to current COVID 19 situation and so visited another clinic for an opinion and the doctor changed to Concor 5mg and Amaasc 5 mg at least for three months until the current situation improves as constant cough due to Ramipril concerns me and others as well.; Answer: Hi. I read and understand that your concern is about the side effects of the newly prescribed drugs. Reduction of sexual drive is one of the side effects of beta-blocker group of drugs. Concor contains Bisoprolol which is a cardioselective beta-blocker. The systemic side effects of cardioselective beta-blockers are less compared to the general beta-blockers. So the effect of Concor on the sexual drive would not be that significant to affect your usual life. And the combination prescribed is safe to take. There are no significant drug-drug interactions between these group of drugs.

Question: Q. Velocity E is 84. 2 cm/s, and the MVA max velocity is 133. 5 cm/s. What does it indicate?; Patient: Hello doctor, I was diagnosed with diastolic dysfunction. The report says velocity E is 84.2 cm/s, and the MVA max velocity is 133.5 cm/s. What does this mean?; Answer: Hello. Diastolic dysfunction means there is dysfunction in cardiac relaxation. This is not a worrisome thing and quite common in elders, overweight and patients with hypertension, and other diseases which must have been ruled out on echo and ECG. However, this may cause symptoms like shortness of breath, pedal edema, etc. Needs to have a low salt diet and low dose diuretics like Torsemide for shortness of breath. I Hope this helps you and get back if you have any doubts.

Question: Q. Please provide some information about factor V Leiden.; Patient: Hello doctor,My daughter is 17 years old, and she is on Xarelto for four months. Her liver enzymes have gone up. Although it is normal but has increased from the level before drug. Her AST is 43, and the range is up to 31. She is on bcp and has factor V Leiden. This is why her doctor put her on Xarelto.; Answer: Hello, Welcome to the icliniq.com.  At this moment I am giving you further information regarding your daughter condition. She has factor V Leiden mutation, which is a congenital cause of thrombosis. So Xarelto (Rivaroxaban) like good anticoagulant drug prescribed to her should be continued. AST (aspartate aminotransferase ) normal range is usually up to 40 in most of the laboratory. Her AST levels are not alarmingly raised. Sometimes the mild viral temporary infection can lead to high AST. If it is raised much than further workup needed otherwise not. Repeat AST after few days. I hope the provided information will help you. Get back with more query whenever required.

Question: Q. I am suffering from pain in lower abdomen, penis and testicles. Kindly advice.; Patient: Hello doctor, I have pain in lower abdomen, penis, and testicles. Please advice.; Answer: Hello. Pain in lower abdomen and testes can be due to multiple causes ranging from urinary tract infection, infection of testes, varicocele, or some stone problem in ureter and kidney. You will need a few investigations to see for the cause then only treatment can be advised. You will require sonography of abdomen and testes, microscopic urine test, and renal function test. Depending on the report of this test, we can determine the cause and advice further. If pain is too severe, you can visit a urologist for physical examination. Sonography of abdomen, pelvis and scrotum,with colour Doppler testes, urine microscopic test, and renal function test. Epididymo Orchitis, urinary tract infection, varicocele, and intermittent torsion. Follow-up with reports.

Question: Q. Will removal of kidney stone improve GFR?; Patient: Hi doctor, I am a 26 year old female. I have had a kidney stone in my right kidney for around eight months and now it is relatively large 22 mm. I have attached my report for your reference. I am suffering from recurrent kidney infections in the past couple years and had a stone in my left kidney when I was 15. I have attached my latest blood, urine and CT reports. I am concerned that I have CKD stage 1 from the GFR I calculated using the parameters in these reports. Could you please advise me on this? In general, does GFR improve after a stone is removed through lithotripsy or PCNL? I am scheduled for a lithotripsy in a week. Any information regarding if you think I have CKD and what prognosis will be very helpful?; Answer: Hi. I saw all your reports and your clinical details (attachment removed to protect patient identity). Your tendency for recurrent stone formation which needs to be evaluated. You need not to worry about eGFR (estimated glomerular filtration rate) currently as creatinine is normal. Removal of stone will mostly increase GFR. Most importantly after your lithotripsy please send the stone fragments which comes in urine for stone analysis. From that we will have a clear idea how to prevent their recurrence. Secondly, some general measures which include drink at least 3-4 liters of water and restrict salt in your diet up to 2 g in total. Do not take any calcium supplements and restrict or possibly avoid animal protein that is non-vegetarian food for some years. Take lots of water particularly in evening so that you at least wake up twice in night to pass urine. These all are general measures which really worked for many of my patients for future stone prevention. Do some blood tests like serum calcium, phosphorus, uric acid, bicarbonate and magnesium from any reliable laboratory and send for review. Revert back with the laboratory reports to a nephrologist online -->

Question: Q. How can I distinguish that I was bitten by a bat or not?; Patient: Hello doctor, I think I was bitten by a bat, so I wanted to know how to know that if I was really bitten by a bat. I did not felt anything at that time but some itching after that. I am not sure that I was bitten by a bat, so I wanted to know how do we feel when bitten by a bat. Also I saw that the thing which landed on my neck was small but had small wings that looked like a bat. I was asking ways to distinguish that I was bitten by a bat or not.; Answer: Hello. If a bat bite there will be bite marks, usually superficial. 1)Early symptoms are fever, headache, and general malaise. 2) If the disease progresses, there will be neurological symptoms such as insomnia, anxiety, confusion, agitation, difficulty in swallowing, hallucinations, excessive salivation, paralysis, hydrophobia (fear of water), or agitated behavior. If you still have doubt better go for vaccination ARV (anti-rabies vaccine).

Question: Q. How accurate is CMIA test?; Patient: Hi doctor,I had one sexual incidence. After 175 and 180 days, I got tested with CMIA technique. Please check my reports and suggest whether these are conclusively negative. How accurate is CMIA test?; Answer: Hello. For further information consult a pathologist online -->

Question: Q. Can PCOS cause vaginal dryness?; Patient: Hello doctor, I am a 30 year old female. I have history of PCOS and hypothyroid from last year. I also have a history of swollen pituitary gland, but it is normal now. I am only taking a 100 mcg pill for thyroid. My problem is that whenever I indulge in sex with my boyfriend, we are able to have intercourse very rarely as I am unable to produce sufficient lubrication in my vagina for intercourse. I get excited when we spend a lot of time on foreplay and I am not scared of intercourse. I actually love to have intercourse with him, but mostly I do not feel myself sufficiently wet to have intercourse and feel pain while having intercourse. What should I do?; Answer: Hi. Although there are multiple reasons for vaginal dryness, the most common among them is deficiency of estrogen, a female hormone. This is possible in your case due to presence of polycystic ovary syndrome (PCOS) which alters the hormonal profile. I will recommend two things which may help you. Firstly, use the topical Estrogen. It is available in the form of gel, ring or cream. As per your convenience you can use either cream or gel and the use of ring requires assistance of doctor. The second thing is stress management. Stress is one of the common reasons for causing decreased vaginal lubrication. Although, there is long list of do's and donot's; principally speaking healthy diet, regular exercise, avoidance of substance abuse, plenty of fluid intake helps most individuals. For further clarifications consult a sexologist online -->

Question: Q. Kindly suggest the management of acne breakouts on my cheeks, neck and ear.; Patient: Hello doctor,I am 40 years old. I have major adult acne breakouts mainly on my cheeks, neck, and under my ear. I am dark complexioned, so when it does clear, it leaves scarring and dark spots. The last dermatologist I consulted suggested birth control. Could please give some suggestions?; Answer: Hello. I saw your pictures (attachment removed to protect patient identity). I can see pus-filled acne along with post acne pigmentation. Start using Azithromycin 500mg of any brand for six consecutive days after breakfast. Apply Epiduo gel once daily bedtime for a short contact period of 30 minutes then rinses off with cool water. Start biluma cream once daily in the morning on the spots. Avoid all sorts of dairy products bedtime and prefer carrots and spinach along with few soaked almonds. Have reviews about salicylic acid peeling and plan for three sessions accordingly. I hope this will help you.

Question: Q. Is it advisable to get RCT done in a child?; Patient: Hello doctor, My 2.5 years old daughter had a fall around 6 to 7 months back and one of her front teeth was chipped. At that time, it looked fine and till now, she had no pain or any sensitivity issues in eating. But off late, the color of the chipped tooth has turned green. We consulted two dentists, first one was a specialist in child dentistry and recommended an RCT treatment wherein a chemical will be placed to cure the infection. He said that the discoloration will increase with time and this baby tooth might fall off much earlier (in 4 to 5 years) than the expected time (6 to 8 years). The other dentist recommended to observe for six months and see if any rash or boil is developed above the gums and any kind of pain is experienced. He also said that such a tooth might fall off before time. We are confused as to what we should do? If RCT is the way out then we would prefer to get it done before she starts with her formal schooling at 3. But we are mainly concerned if she could endure such a treatment as she is very small. Please provide suggestion. I have attached a photo of the X-ray.; Answer: Hi.  I got your chief complaint and opinions of two dentists. As far age is concerned, your daughter still is in need of these teeth as permanent teeth take time to erupt, by 6 to 7 years they will erupt. Till then, healthy front teeth are important otherwise she will develop irregular teeth later. As tooth has changed color so it is better to act on the suggestions of pedodontist and go for pulpectomy or RCT. It will keep the tooth intact and prevent formation of any cyst later. There is nothing wrong with it and there are modern gadgets to do the procedure, she will not feel any kind of pain during the procedure. If you leave it as such, it will weaken with time and may later contribute to huge financial burden to treat irregular teeth.

Question: Q. My urine and blood tests are negative after taking Nucynta. Why?; Patient: Hello doctor, I am a 28-year-old female. I have been on Nucynta for over a year. I take Nucynta ER 50 mg BID and Nucynta IR 50 mg once a day. For the last two months, my urine tests (immunoassay and lab testing) have come back negative. Two weeks ago a blood test was done and it was also negative. I religiously take these medicines as prescribed by my pain management doctor. Due to these negatives he is now refusing to prescribe any oral medications (including my Flexeril, Gabapentin, and oral Ketamine). I understand his need to be able to prove to Nucynta in my system but he is also refusing to try anything else. I am a walking genetic defect. I also have known pharmacogenetic and pharmacokinetic issues. I also have EDS, CRPS, POTS, MCAS, gastroparesis (severe enough that EGD showed food in my stomach 18 hours after last eating), endometriosis. Could any of this be causing the problem? Could any of the medicines I take be causing the problem? My medicines are Lopressor, Trazadone, Fetzima, Zyrtec, Ketamine, Magnesium Citrate pills, Melatonin, Gabapentin, Flexeril, Nucynta, Junel Fe. What suggestions do you have? Is there any research to help me?; Answer: Hi.  Nucynta is an opioid analgesic, that has high first-pass metabolism when administered orally. It means only 32 % of orally administered dose reaches blood. After it produces its effect, 97 % gets metabolized in gastrointestine and liver and gets excreted out from body through urine.   In your case, you have delayed (slow) intestinal movements, hence the drug may get faster metabolism and faster excretion than a normal individual. Hence, I think it is not detectable in blood or urine.   Another possibility is very less amount of drug reaches your blood (less than 32 %) due to intestinal absorption issues. The half-life of this drug is four hours in healthy individual. It means, after oral administration, 32 % drug reaches the blood within 3 to 4 hours. If I draw the blood after four hours of oral administration, the amount showing in blood is expected to be 16 % (50 % of drug gets excreted by four hours). It is in a normal person. In your case, when to draw blood is the question. So, individualistic reasearch could be done for you with special care.

Question: Q. After lying on stomach for 20 minutes, I get most intense headache. Is this brain aneurysm?; Patient: Hi doctor, I was lying on my stomach for about 20 minutes. When I moved to a seated position, I get the most intense painful headache of my life. It was in both my temples and lasted about a minute. Should I worry it is a brain aneurysm?; Answer: Hi. This pain seems to be due to vasospasm, unlikely to be aneurysmal bleed pain, if it was aneurysm it should have continued for a long duration. I have another set of questions, please answer them. Is this first ever headache of this kind? Was there nausea, vomiting, and dizziness? Was there any blurring of vision? Are the temples painful on touching? Is there any weakness in limbs or double vision?

Question: Q. Why is there a discomfort in my gums where the wisdom tooth is piercing them?; Patient: Hi doctor, My wisdom tooth is coming in. I have discomfort in my gums where the tooth is piercing them. I am having pain when I open my jaw and swallow. My throat is a bit red. I have swollen glands under my neck on the side where the tooth is coming in. Do I need medical attention?; Answer: Hi. It is a case of pericoronitis and due to that, you have all those symptoms. Yes, you need medical attention. Right now take these medicines: Amoxycillin Clavulanic acid 625 mg three times daily for five days. Tablet Acelofenac 100 mg with Paracetamol 325 mg and Serratidopeptidase 15 mg or Zerodol SP twice daily for five days but in case you relieve from pain you can stop its use after third day. Capsule Pantoprazole 40 mg once daily for five days. You also try salt gargles thrice in a day and maintain good oral hygiene. In a few days, you will relieve, however in case there is no relief then let me know, you may require radiograph and other surgical procedures.

Question: Q. I am unable to cure my migraine. Please help with the treatment.; Patient: Hello doctor, I am a 20-year-old female. My height is 163 cm and weight 63 kg. I have a migraine, and I have consulted many doctors, but I am unable to cure it. Please help.; Answer: Hello. Migraine is a chronic illness and can not be cured completely but changing the lifestyle do help a lot to alleviate the problem to a great extent. You can use pain aborting medication like Ponstan 1 gram (Mefenamic acid) at times of severe pain, and if you have nausea preceding it, you can also take Domperidone 10 mg. You can maintain a pain diary and reduce stress as well as a good sleep pattern and avoid excessive usage of electronic gadgets. Long term prophylaxis depends upon the recurrence of symptoms despite the above measures.

Question: Q. Are Decdan and Practin good drugs for weight gain?; Patient: Hello doctor, Can I take tablet Decdan and Practin for weight gain?; Answer: Hello. Decdan (Dexamethasone) is a steroid and has a lot of negative side effect as such. It may cause you a disproportionate and inappropriate fat deposition in the abdomen, face, on the upper back, and you would not like your shape. And besides the bad shape, you may start having high blood pressure, a heart condition, can predispose you to diabetes later. It can also lead to adrenal gland suppression by which the corticosteroid hormones will impair the natural hormone produced by your body, leading to adrenal failures. If you want to gain weight, you can increase your meal to mostly carbohydrate and fatty meals, increase the frequency of your meal. You can take Cyproheptadine tablet 4 mg in morning and night. It will increase your appetite and cause you to eat more, sleep more, and you gradually gain weight more proportionately.

Question: Q. I got scratched by a nail of the dog. What should I do?; Patient: Hello doctor,I was scratched by a nail of the dog a week back. Do I need to do anything for that? The dog died today, probably due to some other reason, and the dog was not vaccinated.; Answer: Hello. Are you sure the dog scratched by nail or teeth? Is any open wound or bleeding present at the time? Did the dog die due to rabies or any other cause? So many questions there. Better get ARV vaccination (anti-rabies vaccine). Since dog died, the reason not known take human rabies immune globulin (HRIG) administered only once first, if you are previously unvaccinated. Then take ARV prophylaxis.

Question: Q. My penis is paining on retraction with some red dots on the tip. What to do?; Patient: Hello doctor, I had been suffering from this problem from last one week, as I retract my penis outer wall, it is paining and slightly swollen, also the tip of the penis has red small colour dots on it and it is scratchy and painful. So please recommend for necessary action.; Answer: Hi. It is looking like candidal balanitis. Please take the following medications and revert back to me in seven days. Tablet Intawin 200 mg daily for 10 days, Canestan lotion, apply twice daily, tablet Teczin M once daily.

Question: Q. I have pimples on my penis for the past several years with no pain. Please help.; Patient: Hi doctor, I have pimples on my penis, I do not feel any pain when I touch. I just want them to dissappear. I am having this for the past many months, I was feeling shame to consult, but now I do not want to take risk. Please help.; Answer: Hi. I can understand your concern. According to your statement you have been suffering from pimples on your penis for the past few months. Pimples can develop on the penis as they are common elsewhere on the body. Pimples are resulted from blockage of the sebaceous gland of the skin due to excess sebum or debris or dead skin. Sebaceous glands excess secretion of oil (sebum) can develop pimples. For the prevention of pimples, you should avoid excess sweat-producing activities, wear loose clothes for preventing them from frictions, take bath regularly, and do not rub your affected area. You can use topical retiniods, salicylic acid, benzoyl peroxide, etc. Without any medications they are also disappeared with passing of time by keeping personal hygiene strictly.

Question: Q. I have itching and a pimple-like stuff that is bleeding a little in my scrotum. What could it be?; Patient: Hello doctor,I am a 29-year-old male. I recently realized that my scrotum is itching and there is pimple-like stuff that is bleeding a little. There are reddish black spots on my scrotum, but it is not the area that bleeds. The area that bleeds looks like a ring-cut.; Answer: Hello. I understand your concern. The black, reddish papules may be angiokeratoma which bleeds when you scratch that, but that is not the cause of itching as such. I am prescribing you medications for itching and ring-shaped erosions. Kindly consult your doctor to discuss the suggestions and take the treatment with consent. 1. Tablet Fexofenadine 180 mg twice a day. 2. Tablet Ivermectin 12 mg today and after a week. 3. Cream Flutibact (Fluticasone Propionate, Mupirocin) cream twice a day for a week.

Question: Q. I am having pain after inguinal hernia and hydocele operation. Please help.; Patient: Hi doctor, After suffering with groin pain, I had a double operation 12 weeks ago. During the operation, I had a repair of left side inguinal hernia and right hand hydrocele. I am now in more pain than I was before the operation. My testicle thorns with pain constantly and I have stabbing pain on hernia side. It feels like someone is sticking a bottle in me. I am struggling to walk very far, climb stairs and drive. I am unable to have a sex life. Is it normal to do both operations at the same time? Can you explain any possible cause for pain?; Answer: Hi. Well, ideally if you have bilateral inguinal hernia, or inguinaĺ hernia on one side and hydrocele on the other, the surgery should be done for one first before the other, not simultaneously so that when you are fully recovered of one, then the other can be planned and done. Pain can be due to entrapment of a nerve like ileoinguinal or ileohypogastric nerves which run with the spermatic cords or it could be also present if there is improper repair with subsequent breakdown of the repair and subsequent herniation of the bowel content into the inguinal ring or it can be from infection of the operation site. 12 weeks is quite a long time for surgical pains to have disappeared. You will need to do an abdominal pelvic ultrasound scan to see if there is any reccurence or failure of the surgery or if there is entrapment of visceral content.

Question: Q. Can my cholesterol increase again if I miss Lipitor?; Patient: Hi doctor, I have lost my prescription for Lipitor and have been taking it for four days. I will get it tomorrow. I am on 10 mg a day. I am worried, will my cholesterol go up in that time since I am not taking it?; Answer: Hi.  The half life of Lipitor (Atorvastatin) is 14 hours in humans (meaning drug is eliminated in about 14 hours). The main effect of Lipitor is to block the buildup and making of cholesterol in body. It does the job together with the help of other active ingredients and its effect on cholesterol synthesis is maintained in the body for about 20 to 30 hours. In this situation, it does not seem an issue if you just missed a dose or so. Do not worry about it. But start taking medication as soon as you get it back.

Question: Q. My anal yeast infection disappears away with cream but comes back when I run out. Kindly advice.; Patient: Hello doctor,I am looking to get a prescription for Clotrimazole-Betamethasone. I currently have one, but I am almost out. I have been dealing with anal yeast for around 10 years. Now it goes away with the cream but comes back when I run out. I do not wish to see any more doctors.; Answer: Hello. I presume that this recurrent anal yeast infection is candidiasis, and you have been using a topical mixture of antifungal and corticosteroid cream over it. Have you checked for immune statuses like HIV, and blood sugar level to rule out diabetes? Then if you have been using a steroid medicine for a very long time, that can also depress your immunity. If all these tests have been done and are negative, and you are not on prolonged use of the steroid, then I will prescribe an enteral antifungal together with the topical cream. Get Fluconazole tablet 200 mg daily for two weeks that will kill the candida from inside. You may also continue your Clotrimazole-Betamethasone cream till the yeast disappears. I want you to run a test for HIV and blood sugar.

Question: Q. Kindly suggest medications for massive stress and pain in the neck and shoulder area.; Patient: Hello doctor,I have been suffering from massive stress for the past 34 months. I have severe pain in neck and shoulder area. My head is tight, and stress levels fluctuate, racing my thoughts and giving me sleepless nights. Please suggest me medication that will help me flush all my stress and pain. I was earlier diagnosed with a generalized anxiety disorder.; Answer: Hello. I can understand your problem. Anxiety might be one of the main contributory factors for the symptoms you have. Racing thoughts, heaviness in the head, pain in neck and shoulder, excessive stress along with sleeplessness, etc., could be because of anxiety. If you have impairment in functioning, then please visit a psychiatrist for evaluation. Drugs like SSRIs (selective serotonin reuptake inhibitor) can help you in coming out of stress. Escitalopram or Sertraline or Paroxetine can be used. These drugs if used, regularly contributes in reducing the symptoms of anxiety, depression, and even the pain. The thoughts will be under control when you start taking the medicines. Kindly visit a psychiatrist for the prescription. Remain relaxed, and you will be alright. The blood test report you have attached shows nothing abnormal (attachment removed to protect patient identity).

Question: Q. I have dark spots on my cheeks close to eyes on both sides. What could it be?; Patient: Hello doctor, I am a 59-year-old male. I have dark spots on my cheeks close to eyes on both sides identical. I would like to have medical advice on this problem which I am having for more than three years. I am currently taking Obimet SR 500, Glimisave M1, Pivasta 2 mg, Pinom 40 mg, and Clopilet 75 mg.; Answer: Hello. Please send two to three clear pictures of the affected area for better evaluation and guidance. Do you have any symptoms (itching / burning) over this area?

Question: Q. Can someone get ADHD in their teenage years?; Patient: Hello doctor, I am a 16-year-old male. I am concerned about my mental health. I have symptoms of ADHD like fidgeting, restlessness, being very talkative, losing focus or attention, but I am very extroverted, and my academic ratings are good. Does someone get ADHD in their teenage years? And am I one of those people?; Answer: Hello. ADHD (attention-deficit hyperactivity disorder) is a developmental condition which is noticeable since early childhood. Symptoms like hyperactivity, impulsivity, inattention will be present before the age of 12 years. Parents and teacher would have commented about it even in nursery and early primary school years. It is unlikely for someone to develop to ADHD in teenage years without having any symptoms before. Other causes like anxiety, too much stress and pressure, family, and social problems need to be ruled out. Also, important criteria for diagnosis is functional impairment like you may not be able to do well in academics and not able to achieve your potential. But you report doing well. So ADHD looks less likely. If you have any other concerns, discuss with your parents and family and consult your doctor.

Question: Q. I am obese and my period flow is not proper. How to reduce my weight?; Patient: Hello doctor,I am 17 years old, and my weight is 98 kg. I am obese, and I need to lose weight. I feel lazy, sluggish, and sleepy all the time. I am on the second day of my period, and the flow is not proper. Kindly advice.; Answer: Hello. Your history prompts me to go through further questions. Do you have a regular menstrual cycle? Any hair growth on the face, arms which is unusual than before? Scanty periods can mean oligomenorrhea (the medical term for decreased blood flow). Weight gain, hair growth, and oligomenorrhea are typical symptoms of a condition called PCOD (polycystic ovarian syndrome) which happens in girls, and multiple cysts are present in ovaries, and this leads to these symptoms. Sugar level also gets high due to this. So I would suggest getting blood glucose level fasting done, and ultrasound abdominal to see ovaries as it is confirmed whether you have it or not as it leads to treatment strategy. Cysts in ovaries, and oily food consumption. Blood glucose, abdominal ultrasound. Metabolic syndrome. Polycystic ovarian syndrome. After getting the reports. Avoid oily food.

Question: Q. Are hand trembling, chest pain,choking feeling and light-headedness symptoms of panic attack?; Patient: Hello doctor,I think I have a panic attack or panic disorder because I experience hand trembling, chest pain, feeling choking, light-headed, difficult to breathe, numbness, nausea, a sudden fear of death, sometimes fainted, and tightness in my throat but my parents do not believe me. I am sick, and they do not want to bring me to the psychiatrist because they do not believe me.; Answer: Hello. You are right, these are panic symptoms. You can get yourself checked for a thyroid function test and a clinical examination from a doctor nearby to find out if there is some other reason for these episodes, which can happen in thyroid problems. If your doctor finds your tests and examinations are normal, then you can show this as proof to your parents and seek help from a psychiatrist for these anxiety symptoms. It may take some time but let us hope they listen to you. If not, you have a right to get yourself treated for your discomfort.

Question: Q. A 5-year-old child has stomach ache around the navel area from time to time?; Patient: Hello doctor, My 5 year old daughter has stomach aches around the navel area that happens from time to time. It lasts a few minutes each time and goes away. Abdominal X-ray and ultrasound were done and has not found any abnormalities or umbilical hernia. Stomach pain starts while eating or drinking and also at random times. Other symptoms including the passing of stools about four to five times a day, including while having a meal. A most recent development within the last week has had several accidents and says she did not feel it coming. This is not normal for her. No other emotional distress could be a reason.; Answer: Hello. I suspect three things, it is just assumption based on history. 1. Stomach ulcer, as she had pain after food and water. 2. Worm infection, need to have a look after food. 3. If non of the above, must be ruled out by investigations. Then it is called functional abdominal pain. I advise you to visit a specialist. She might require one-week antibiotics and if symptoms not settled, then endoscopy also. But the best part is to visit the pediatrician. So he can evaluate her in detail and examine her. Meanwhile, you can give symptomatic treatment. Kindly consult your doctor to discuss the suggestion and take the treatment with consent.

Question: Q. I am suffering from severe stomach pain after having medications for headache. Kindly advice.; Patient: Hello doctor, I had a constant headache for two days then I visited a close-by pharmacy and I was asked to treat malaria. I was given Metherine Forte tablets (Artemether 80 mg and Lumefantrine 480 mg tablets) and two cards of Paucofenacmol Caplets. Two days after taking the drugs as prescribed by the pharmacist, I started having some stomach bites, serious ones which tended to go down after I eat. It made me eat often. I went back to the pharmacy and was given worm drugs Tindex 500 (Tinidazole Tablets 500 mg) and Wormplan (Albendazole tablets 400 mg). I took those worm drugs in the morning today, yet my stomach pains are still severe.; Answer: Hello. You have a persistent headache in the frontal part of your head. Was there fever, chills, and rigor, were you feeling like vomiting, after taking those drugs prescribed for you? Did your headache subside? The medicines given at the pharmacy are fine for malaria, but it may not have been malaria, but it could be Salmonella typhi infection, which causes typhoid fever. Worm medicine is fine in the case. I will advise you to go to a lab and do blood film for malaria parasite, do Widal test and stool microscopy culture and sensitivity. If there is salmonella infection E coli or any enterobacteria infection, the stool MCS will detect it. If there is worm infestation such as hookworm or tapeworm, it will also pick it in microscopy. You can take tablet Buscopan (hyoscine butylbromide) 10 mg thrice daily. Then get tablet Ciprofloxacin 500 mg bd (twice daily) take them for five days. You can add tablet Rabeprazole 20 mg bd in case if there is any peptic ulcer since the description of the pain and the location in your abdomen was not very precise. Enteric fever. Malaria. Intestinal spasm. PUD(peptic ulcer disease)

Question: Q. My sciatica is heavy after a minor herniated disc L4 or L5. Why?; Patient: Hello, I had a minor herniated disc L4 or L5 last year. (MRI confirmed nerve pinch, but no broken disc or liquid leaks) With heavy pain, I was hospitalized, but recovered within two weeks. With Ibuprofen and muscle relaxants, I was able to walk and function pretty normally. Sciatica (leg nerve pain) came and go during the time now and when I was in the hospital last year. Right now, I am experiencing almost no back pain, but the sciatica is heavy. Mostly on the back of my left upper leg, down till the end of the knee. I am doing stretching exercises, belly position, upper body up, or on the back, leg stretches towards the torso, plank training, etc. But I still have to sit a lot due to my job. I tried a standing desk, which resulted in feet pain and also more sciatia. Though I am sitting straight, the fascinating thing is that heat and cold are influencing sciatica. As long as I apply heat to the leg (not the lower back), the pain disappears instantly to an almost level of no pain. A bit of cold and the pain becomes very heavy immediately as well. Can there be an underlining other issue causing it?; Answer: Hello. As it is a year old injury now I will suggest doing some physical test like McKenzie maneuver to see if the radiating symptoms stops and the pain gets centralize to the lower back. The McKenzie maneuver is simple, and you can read about it and practice it. Now I think there is still a muscle weakness which is leading to nerve root entrapment like the lateral spinal muscles, paraspinal muscles, hip muscles, etc. I advice to not use cold therapy as it is aggravating the pain symptoms. Do proper exercise which will regain the strength in the muscles and avoid nerve root entrapment. In most cases, the pain is caused due to more of the muscle weakness, and it is common in most cases to have received the symptoms back. Doing proper exercise with proper guidance can resolve the matter.

Question: Q. Which fruits are safe to have to protect self from Nipah virus?; Patient: Hello doctor, Just for precaution which fruits are safe to have to protect self from Nipah virus? Coconut water and citrus limetta, are safe to take? What to eat to detect Nipah virus? I heard there is a homeopathy medicine already invented to combat that virus? Is that true? Gelsemium 200 is the name? I have no symptoms and fit and fine. Just asking for precaution; Answer: Hello. To prevent Nipah virus, maintain good hygiene procedures like frequent hand washing and cooking food properly before using is the best procedure. It is a brain damaging virus spreading through vertebrate animals to humans and also human to human. Prevention: This virus also shows meningitis symptoms. Homeopathic medicines for prevention:  To detect the virus ELISA and PCR tests are useful. Symptoms of a headache, fever, nausea, fainting. In severe cases drowsiness and disorientation, and coma. In some cases blurred vision, vomiting, choking, fatigue and abdominal pain. According to symptoms, we can give Gelsemium and Eup per also can be given. For more information consult a homeopathy physician online -->

Question: Q. How to know whether I am going to ovulate in this cycle or not?; Patient: Hello doctor, I am 28 years old. I had my last period before two weeks. I have PCOS, and the doctor asked me to take Letrozole (3 to 7) 2.5 mg, Clomid (5 to 9) 50 mg, Estradiol 6mg per day (8 to 12) and Metformin 1000 mg daily. I got a positive ovulation test on the 14th day of my cycle, and I went for an ultrasound, and my doctor said I am not ovulating now, so I wanted to know if I am going to ovulate in this cycle or not.; Answer: Hello. It would be helpful if you can share the pictures of the ultrasound you have undergone and also the report which mentions the endometrial thickness on day 14 of your scan.

Question: Q. Is it fine to take Coenzyme Q10 and Ashwagandha on the same day?; Patient: Hello doctor, Can I take Coenzyme Q10 and Ashwagandha on the same day?; Answer: Hello. Coenzyme Q10 had a specific benefit. Ashwagandha is a herbal supplement with multiple actions on various biochemical and metabolic pathways. From pharmacology, Naturopathy, and Integrative Medicine perspective, I can suggest taking both the medicine together. But I suggest you have a gap of one hour between these two supplements. While consuming Ashwagandha, please drink a cup of milk or honey and water, which gives more benefit according to Ayurveda.

Question: Q. I can see white substance globbed together on my stools after having greasy foods. Please advice.; Patient: Hello doctor,After eating greasy food, the following day, I pass stool and floating on the top is a transparent white substance globbed together, my stool is not formed usually and is mostly short segments. I often go about four to five times a day, and sometimes less. I am not on any medication.; Answer: Hello. It does not look like an infection to me. Could be due to some undigested food material. However, you have mentioned that a few tests have been performed. I would like to see the report before I comment further.

Question: Q. Painful boil occurred at the site of pilonidal surgery. Is this recurrence of the same?; Patient: Hello doctor, I have pilonidal sinus. I had two surgeries one with the endoscopic method and the second one six months before by incision and drainage method. After recovering from this, I had a small pimple on the wound. Doctor said it is normal and it is because of surgery. But now I am having redness around that. I am using alcohol swap to clean the opening areas of pilonidal sinus and they are closed. Kindly tell me is this recurrence of pilonidal sinus or boil or what it is? It is causing pain while sitting as well.; Answer: Hello. Do not worry. I will help you with your problem. As you said, you underwent surgery for pilonidal sinus two times and now you have one boil at the same site. As I can see in the image (attachment removed toprotect patient identity) it can be boil or recurrence of pilonidal sinus that may be due to infection of that local area. I will prescribe you some medicine. Please maintain local hygiene shave your hair in that area. Get back to me after five days. I will add some more medicine and local remedies. Sitz bath in luke water with Betadine twice a day, tablet Augmentin (Amoxicillin and Clavulanic acid)625 mg TDS for five days, tablet Chymoral forte TDS for five days, tablet Serradic P BD for three days, Capsule A To Z OD for 10 days.

Question: Q. What do to when eye was swollen following a hit?; Patient: Hello doctor,I got a ball hitted on my eye so my eye got swelling, redness and pain and also my vision is lightly blur. So kindly tell what I should do?; Answer: Hello. This is a widespread scenario among children. The pain and swelling around your eyes will disappear. I recommend that you use ice packs to help faster recovery. The vision will likely improve in case you have any watering. This will happen spontaneously. I recommend that you see an ophthalmologist in case of no improvement in symptoms in a day or two. Redness, swelling, and pain can also occur due to a fracture of the orbital and facial bones. These will need repair to heal. Blurred vision can be due to various causes after injury. The most important and dangerous of these is retinal detachment and cataracts. I hope this helps you.

Question: Q. What can be done for dryness, redness and red lines in both eyes?; Patient: Hello doctor, I have dryness, redness and red lines in both eyes. No liquid discharge. Right eye hurts sometime. I have 5 to 6 hours work on laptops.; Answer: Hi. People spending longer time on computer, laptop screens have greater chances of developing dry eyes. Because while using computer, blink rate is decreased to 1 to 2 time per minute. Normal blinking is necessary to keep eye surface wet and eyelids function as wipers and spread tear film on corneal surface. If you do not blink, eye surface gets dry and you will feel irritation of grittiness or mild redness. Longer time you spend on screen, more chances of developing dry eyes.  So you need to slightly modify blinking habbits while working on laptop, screen. You should blink every 15 to 20 seconds to keep eyes wet. Secondly, you can use artifical tears, lubricants to minimize dryness. You can use Systane eye drop or Tears Naturale eye drop or any other tears available to you. You can use 3 to 4 times but you can also use more frequently if you feel so. There is no side effect of these drops, these are only artificial tears. I hope your problem will be solved.

Question: Q. Can I take Agathiyar Kuzhambu for kapha vata imbalance?; Patient: Hello doctor, I have been told that I have a kapha vata imbalance and I have taken vasthi (Panchakarma) procedure. But I still have white coating on tongue and my digestion is weak and. And if I do not eat, I feel weak and nervous. If I eat, I get indigestion. Will Agathiyar Kuzhambu help me?; Answer: Hi. Vasthi reduces vatha imbalance. But, this is not the final treatment. After the purification (detoxifying) therapy, further, follow up with herbal drugs needs to be taken based on your current clinical feature and naadi.  Agasthiyar Kuzambu is given once in four months for a normal individual to detoxify body. For any specific disease conditions, it is given more frequently with suitable Anupanam. It can be given to you after careful examination. Can you consult nearby Siddha doctor? After Agasthiyar Kuzhambu, further herbal medicines need to be continued for 2 to 3 months for better benefit. We need to see directly whether it is a fungal infection.  In your case, I feel, you may take Nannaari Manappaagu (syrup) one spoon mixed with water (morning, afternoon, evening) before each meal. This will remove your tongue coating.

Question: Q. What are the ways to avoid sugar in Formula milk for a baby?; Patient: Hello doctor, I have 3.5 months old baby. I do not have sufficient breastmilk, hence, was giving fomula milk. Baby was not satisfied with the taste of formula milk and was never having it properly, so one day my mother added sugar to formula milk and since that day my baby is having formula milk as per his requirement. Now, if we do not put sugar to formula milk, he will not have it. I am giving him Abbott semilac iq+ stage 1. Please let me know what can I do.; Answer: Hello. You can keep reducing the sugar content of the milk slowly slowly until you reach a stage where there is no sugar in the milk. Also, you can check for your current milk output to see if even little is there. If even a little is there, please give the child breast for sometime and if the child suckles, let him suckle. After removing from the breast you can give the child some top feeds. That way the child will not stay hungry and your milk output will also increase. Slowly slowly a stage will come wherein your milk output will be enough to satisfy the hunger of the child and you will not need top feeds.

Question: Q. Can Trintellix cause lump in throat?; Patient: Hello doctor, I started Trintellix yesterday for panic, anxiety attacks and today I felt like a lump in my throat, almost like someone is choking me. I am not sure if this is due to the drug and if this is something to worry about? Should I take my next dose today?; Answer: Hi. Trintellix is a type of selective Serotonin reuptake inhibitor which work by increasing serotonin levels in blood. The serotonin further treats the anxiety and panic attacks but sometimes SSRI may cause activation like rapid increase of serotonin in blood, which may lead to temporary increase in anxiety. To solve the issue, you can start with half tablet, a dose of 2.5 mg for initial five days, then make it 5 mg and continue it further. If it also does not help you, then contact your psychiatrist.

Question: Q. I get white discharge in both nipples with small blisters and they are sore to touch?; Patient: Hello doctor, I am 17 years old. and have a littl bit of white nipple disharge in both breasts but one has it a little worse and the skin on my nipple appears to be white and has little blisters on it. It does not really itch or anything but it is sore to the touch.; Answer: Hi. I see that you are worried about discharge from both your breasts and you are telling it has blister-like appearance. White discharge with blister-like appearance and sore to touch generally points towards an infection, but an infection occurring simultaneously in both breasts at the same time is very rare. Another possibility, is that milk secretion from both breasts which you might think as white discharge. Do not doubt, there are certain conditions where there can be milk secretion even without pregnancy and birth, which occurs due to hormone disturbances. Need some more information too, Do you have a fever? How are your menstrual cycles? Is it regular? Is the flow high? Do you feel any small lump behind the nipples? Do you take medicines for any other problem? Do not mistake me, but your problem needs a direct clinical examination to visualize the breast, discharge and to see if there are any lumps behind the nipples. You would not be comfortable to post pictures of your discharge and blisters, so I would recommend you to visit a doctor in person and have yourself examined. Meanwhile, do the investigations I have advised and try the medicines given below. Hypothyroidism. Hyperprolactinemia. ? Breast infection. Galactorrhea. Tablet Amoxicillin + Clavulanic acid 625 mg twice daily after food for five days, tablet Aceclofenac + Serratiopeptidase two tablets twice daily after food for three days. Avoid wearing tight vests and too much sweating.

Question: Q. Why is there itching with pain while retracting foreskin?; Patient: Hello doctor, My husband is 44 years old and taking no medication but only anti-fungal cream. He has a lot of itching and his foreskin does not go back without pain. Please help.; Answer: Hello. From your history, it seems the skin is inflamed and cannot be retracted, this is called balanitis. There is a possibility of phimosis (tightness making it difficult to retract and painful. I am not sure of his personal hygiene because if he is not cleaning it properly, it can cause some pus like particles smegma which can provide medium for infection in it.  What you can do is use Augmentin 625 mg bd for 10 days, use enteral antifungal Fluconazole 200 mg daily for 10 days, tablet Ibuprofen 400 mg BD for six days. You can get triple action cream (contains combination of Corticosteroid, Antifungal and Antibiotics) that will help too. Permanent treatment for this problem is to see a doctor and get circumsicion that will solve the problem once and for all. Fungal and bacteria infection, poor personal hygiene. Swab for microscopy culture and sensitivity. Paraphimosis. Balanitis.

Question: Q. I have a painless pimple like swelling above penis area. Why?; Patient: Hello doctor, Yesterday onwards I could see one small swelling, seems to be a pimple like one appearing above my penis area. Could you please explain this? I do not have any pain but feeling afraid.; Answer: Hi. The pimple like small swelling you say is not painful and no other similar swelling anywhere else. Was there a history of sexual contact with an unknown woman unprotected prior to the appearance of the lesion, any swellings around your groin, the swelling, is it ulcerated? Is the color same as your normal penis colour or is it darker? Is there any pain on urination?  Based on your presenting symptom, if there was a history of unprotected sex, it may be primary syphilis or penile wart because these do not come with pain. Do laboratory test such as VDRL, then you can get medications IM Procaine Penicillin 1.2 g daily for 10 days, tablet Doxycycline 100 mg BD for five days.

Question: Q. Is it necessary to reschedule colonoscopy after taking Ayurvedic medicines?; Patient: Hello doctor, I have been taking Ashwagandha, Turmeric, Amal powder and Brahma supplements. I am scheduled for a colonoscopy in three days. It is a preventive screen. I last took them a few days back. Should I reschedule my colonoscopy?; Answer: Hello. I just read your query. You can go for your colonoscopy because these are all herbal supplements and as you have stopped all these, they will be flushed out of the body in a week. After colonoscopy, if you are re-scheduled for other investigations, then do not start these till then. Even if you are not, then you can take after two to three weeks.

Question: Q. Does Seroquel extend the time of my derealization last longer?; Patient: Hello doctor,I have been using an antidepressant for the last two to three years. About two months ago, I received very exciting news that I had been waiting for a long time. After a short while, I had panic attacks one after another. I asked a doctor and learned that the things I was experiencing were depersonalization and derealization.For the past two months, I have been, living in fear and anxiety, hoping it passes, but nothing significant has happened. Now the doctor prescribed me 25 mg of Seroquel an antipsychotic drug. My antidepressant prescribed has also doubled in amount. I have read that Seroquel can have negative consequences when taken unnecessarily, or it can lead to schizophrenia.I am moving abroad within the next three months, and need to have healed by then. Do you think that there will be adverse effects of Seroquel on me, such as worsening my situation, intensifying the feelings of fear or making the time of my derealization last longer? What should I do?; Answer: Hello. Seroquel is Quetiapine and is an antipsychotic drug, but the drug is also used in mood disorders like bipolar disorder or resistant depression. The drug does not make a person schizophrenic. A lot of psychiatrists use this drug as augmentation therapy for depression or insomnia. If they have prescribed this drug, then remain relaxed. This will not cause any harm to your mental health but will help you. The drug is safe to use and has no severe side effects.

Question: Q. I have irregular periods and waiting for pap smear. Should I worry about uterine or cervical cancer?; Patient: Hello doctor,I am 24 years old. For the past two years, I have been having an irregular period cycle. My doctor recently suggested me to get my exam Pap smear. I have gained 60 pounds in the last three years. When I was younger, I had the HPV shots. I am nervous about the pap smear and having an irregular period cycle. Should I be worried about uterine cervical cancer? I have not lost weight. I do not have pain. I recently had a yeast infection, and I am still healing from that.So when I had intercourse last time I felt a little discomfort in a certain position. I started spoofing today, and I am having normal PMS symptoms sensitive boobs, and I do not bleed in between things. I read that cervical cancer takes 15 years to be invasive, and I am scared.; Answer: Hello. You should not be afraid of pap smear, having pap smear test does not mean cancer it is only a routine check-up. Your irregular cycles may be due to the hormonal problem, and there is no relation with cancer. You should do an ultrasound test of the pelvis and blood tests for sugar PP (postprandial), TSH (thyroid-stimulating), prolactin, and testosterone. Depending on the report, treatment is available.

Question: Q. My 1-year-old kid has -3. 5 and -2. 5 refractive error. Do he needs glasses?; Patient: Hello doctor, My child is one year old. On routine examination his eye has a power of minus 3.5 and minus 2.5 refractive error. What is the normal refractive error at this age as refraction continues to change? Doctor said to follow up after six months as glasses may be needed if power increases. Please help.; Answer: Hello. First of all, let me tell you that visual development takes until the age of puberty. As your child grows, his vision parameters will change because his eyeball grows with him as he ages. So visual stability will continue to change until the age of 18-20 years old. Normally the child is born with a plus refractive error unlike the case here. Your child has a condition called myopia which is a refractive error with a minus as you said. But that is completely fixable as the child grows whether by glasses, contact lenses, or LASIK surgery if it continues and he needs to take glasses off later. The most important examination in his age is something called a red reflex. You should ask your doctor if he has done it to him. Also, I would ask about the fundus examination too. If both were normal, I would not have any concerns. I want to reassure you that your child's eyes are in good health. He just needs to be examined precisely every follow up every six months as your doctor suggested, just to make sure everything is going right and to treat anything if something happens early. The glasses will not be tolerated by a child as his age is too small, as soon as he can tolerate glasses, put them on. That could happen in two years. If you need further assistance do not hesitate to contact me.

Question: Q. I have body pain and not interested in any work after having Uvox CR. Why?; Patient: Hello doctor, I am a 44-year-old female. My height is 161 cm and weight 87 kg. Clarify one doubt about an antidepressant. My new psychiatrist started Uvox CR 10 days back. I was on Stalopam for three to four years before that. For the past some days, I am feeling body pains and disinterested to do any work at all. But I somehow manage to complete the work also but with a lot of effort. Will the medicine take time to set? Why do I have these symptoms?; Answer: Hello.  Antidepressant take around two weeks to show their effect as this much time is required to make changes in chemicals present in the brain. The symptoms you mentioned are typical of depression. Stalopam (Escitalopram) and Uvox CR (Fluvoxamine) both are antidepressant from SSRI (selective serotonin reuptake inhibitor) group but somewhat different profile. In the next few days, you will see some relief as 10 days already passed since starting on Uvox CR. Also, check your thyroid status as you are already on Thyroxine75 mcg and check that this dose is sufficient or not. Meanwhile, do regular exercise and go for a walk for at least 45 minutes, five times a week. Maintain good sleep hygiene and spend time on your hobbies. I hope it clarifies your concern and feel free to ask if anything unanswered.

Question: Q. I become nervous and faint when I try to masturbate. Why does this happens?; Patient: Hello doctor, When I try to masturbate or when I am thinking of it, I became very nervous, and a little fainted. I do not know why.; Answer: Hello. Well, in this case, the jerk you had in your first experience is called ejaculation. I am sure you did not take any libido-enhancing drug cause that may also amplify the symptoms. And usually, there is adrenalin surge during ejaculation, which can cause a sudden increase in your heart rate, nervousness and eventually tiredness during ejaculation. After the entire process is over, then eventually you will become calm. I guess your fear may be stemmed from your first experience. Those symptoms you felt are normal for every man who has sex when it is time to ejaculate. It is not a problem. It is a normal physiological respond during ejaculation. So relax, nothing to worry about you are fine. I believe your subsequent experience will make you understand that it is normal. Erotophobia, sexual anxiety.

Question: Q. What causes numbness of foot?; Patient: Hello doctor, Part of my foot has been numb for several days but I feel fine. No pain or anything. Is this any reason for concern?; Answer: Hi. I see that you need to perform the following tests to see if you have acquired diabetes and/or anemia related to vitamin B12 deficiency. In case the test results are negative and the symptoms resolve in the coming days then there is no need to worry. If the condition continues despite negative result in the tests, then I suggest taking Vitamin B complex supplement, like the one I will mention in the treatment part. FBS (fasting 8 to 10 hours), HbA1c, CBC. Neurobion tablets one tablet a day after food for two months.

Question: Q. Can I take Carisoprodol as I am allergic to Ibuprofen?; Patient: Hi doctor, I am allergic to Ibuprofen. Can I take Carisoprodol?; Answer: Hello. For further information consult an allergy specialist online -->

Question: Q. I have a harsh pain in the left side of lower abdomen. What is the cause?; Patient: Hello doctor, I am a female aged 50. I have awful pain in the lower abdomen for four days. I have a pain in the right arm and the left side of lower abdomen. My abdomen is bloated and sore. My bowels are moving. I gave up Seroquel a few weeks ago. I have IBS and diverticulitis.; Answer: Hello. Regards. For more information consult an internal medicine physician online -->

Question: Q. Why do I have a decreased libido, improper erection, and ejaculation?; Patient: Hello doctor, I am 50 years old. I have decreased libido, lack of proper erection, and early ejaculation. Please advice.; Answer: Hello. You are 50 years old, and you should get yourself checked by a physician to rule out hypertension and diabetes. These are important causes of erectile dysfunction. Reduced libido could be age-related. But if you have weak erection and early ejaculation, then drugs like Tadalafil can help. The drug will help in making strong erection and will improve the time too. Consult a psychiatrist for the prescription.

Question: Q. How can pain on the left side of stomach be alleviated?; Patient: Hello doctor, There is a pain on the left side of stomach and lower back and the skin feels sore. There is also burping a lot these days now. Please help.; Answer: Hello. From your symptoms, it seems you are suffering from diverticulitis. The differential diagnosis is urinary tract infection. This can occur in elderly frequently in people who do not eat enough fibers in their diet. Also with age, our digestive system tends to get slow. You need prescription antibiotics to treat this condition. Also, if you develop other symptoms like rectal bleeding or fever or unexplained weight loss, burning pain during urination, you need to see your healthcare provider immediately to rule out other conditions. Normally, diverticulitis subsides within a few days with medication. For more information consult a family physician online -->

Question: Q. Kindly help me get rid of my stomach problem.; Patient: Hi doctor, I am a 28 year old female. Before 10 months, I got left side abdominal pain with mild fever. I went to the ER. After blood tests and CT scan, they said it as diverticulitis. After using antibiotics, it got cleared. Every couple of months I feel pain when I press my abdomen but no fever. When I take liquid diet for two days, the pain will go away. Even though my bowel movements are regular, sometimes the stool is hard and I can see blood. I am drinking lots of water at least 2 liters a day and stopped junk food. But, still I am suffering with pain. Sometimes, I feel a sharp pain inside the rectum. Recently, I went for an annual checkup. After checking the reports, my GP said that it may or may not be diverticulitis. He said it might be colitis and nothing to worry. My last blood in stool was two months ago. Sometimes, my stool is mushy and fluffy. I am very much worried about this. Please help me out.; Answer: Hello. For further doubts consult a medical gastroenterologist online -->

Question: Q. I am feeling muscle and joint pain after playing rugby. Is this normal?; Patient: Hi doctor, I am a 22 year old female. I was playing touch rugby two days ago. It just so happens, and I have not exercised in a while now. I am having severe lower back pain, muscular and  joint pains around my thighs. Today is the second day, and I am still feeling the pain. Is this normal? Do I need to seek medical attention?; Answer: Hello. For further information consult an internal medicine physician online -->

Question: Q. I have fever and body pains. Please suggest some medicines.; Patient: Hello doctor, I have a constant fever from the last week, and severe body pains as well. I have undergone some tests for the same.; Answer: Hello. Please send the test results. Revert with more information to a general practitioner online -->

Question: Q. My wife is 50 years old and is it safe for her to take OCP to prevent pregnacy?; Patient: Hello doctor, My wife is 50 years and I am 54 years old. Last night we had sex with a condom, but I have doubt it may be unsafe. Her period occurs once in one and a half months. Other than this she does not have any gynecological problem. Can she take any contraceptive pill like Unwanted 72?; Answer: Hello,  Welcome to icliniq.com. Though your wife is in the late part of her reproductive age and might be approaching her menopause, yet if she continues to have her menstrual cycles regularly there is a chance that she might be still ovulating and if intercourse happens in her fertile period she might conceive. It is better she takes Unwanted 72 this time. Unwanted 72 is safe for her from a medical point of view but it is not 100 percent effective in avoiding pregnancy and cannot substitute a routine contraceptive. So please do a pregnancy test also if she does not have her periods at the scheduled time. After her next periods follow up for an effective contraceptive with additional benefits for hormone replacement appropriate for her age.

Question: Q. How long can I take Ibuprofen for pain from broken ribs?; Patient: Hi doctor, I am a 65 year old female, and I fell 10 days back and broke one or two ribs. The only thing that brings any relief is Ibuprofen 800 mg. I need to know how often and for how long can I take Ibuprofen? I tried Oxycodone 10 mg, but it does not work that well. Thank you.; Answer: Hi. I hope it helps you. If you have any further query, please ask me. For further queries consult an internal medicine physician online -->

Question: Q. I am a nursing mother and my nipples are cracked. Please advice.; Patient: Hello doctor, I have cracked nipples that have failed to heal for the past five weeks. I am a nursing mother, and I am not able to feed.; Answer: Hello. Please apply Purelan 100 (Lanolin) to the cracked nipples and express the milk to prevent engorgement and feed the baby that milk (store in hygienic conditions) along with some top feeds if required. Reduce the latching of the baby to enhance healing. Till you have healed completely feed the baby expressed milk and top feeds. I hope this should help.

Question: Q. What should I do to manage nocturnal seizures?; Patient: Hello doctor, For the last seven years, I have been having about one to three nocturnal seizures (tonic-clonic) a year. There was one year in the previous seven years, where I did not have any nocturnal seizures, but I had two to three a year for the last couple of years. I am not on medication, and I have tried to improve my sleeping habits. What do you recommend?; Answer: Hello. I understand your concern and would first recommend performing an EEG (electroencephalography) and a brain MRI to exclude any possible brain lesions that may lead to seizures. As seizures are persistent, I would recommend starting antiepileptic drugs. In this regard, considering your age, and the fact that you are overweight, I would suggest starting low dose Levetiracetam or Carbamazepine. You should discuss with your doctor on the above tests and treatment options. I hope you will find this answer helpful. I remain at your disposal for any further questions whenever you need. MRI brain, and EEG.

Question: Q. I have erectile dysfunction inspite of having L-Arginine. Kindly advice.; Patient: Hello doctor, I am suffering from erectile dysfunction. Early morning sex power is also very low. There is a quick immature erection. The genital part does not stand properly. Right now, I am taking 1000 mg L-Arginine once daily. Can you please solve my problem?; Answer: Hello, Welcome to the icliniq.com. For your erectile dysfunction problem, you have to rule out organic cause like thickening of an artery supplying penis due to fat deposition. It is called atherosclerosis thickening of the artery. For that color Doppler ultrasound, penile angiography can be done. USG (ultrasound) testes and serum testosterone estimation also need to be done. I suggest you avoid stress if you are having anxiety or stressful event history (psychological cause like stress is also associated with erectile dysfunction). You have to check your blood pressure and serum cholesterol values as well. Obesity also can be responsible for erectile dysfunction. So lose your weight. Take more fruit juices, especially pomegranates juice once daily at night. Regular exercise, yoga, meditation can be beneficial. If there is no improvement in one to two months, then we will discuss further. I hope I have answered your question. Let me know if I can assist you further.

Question: Q. What are the measures to be followed to stop nightfall?; Patient: Hello doctor, I am suffering from nightfall for past three months. Please give solution to stop nightfall.; Answer: Hello. What is your age? You need not worry for the nightfall or wet dreams. This is normal for young individual who thinks more about sexual things. Practice the following to control the nightfall. 1) Take Fenugreek (methi) with honey daily. 2) Take curd daily as it helps to sleep better without interference. 3) Gourd juice also induces better sleep. 4) Eating onions helps to reduce wet dreams. 5) Bath with oils mixed in the water can be relaxing. 6) You should relax your wandering mind. Enjoy entertainment, listen to soothing music, and read good books. 7) Avoid tea, coffee, and alcohol. 8) Eat healthy foods and drink plenty of water to help the body release toxins from the body. 9) Exercise regularly and practice yoga to keep the mind and body calm and relaxed.

Question: Q. Why is blood pressure normal in the morning but increases at night?; Patient: Hello doctor, My mother's blood pressure is 130/80 in the morning, but by 10 pm before she eats her medicine in the night, her bp becomes 160/80. She is taking calcium channel blockers, which cause swelling in her legs resulting in difficulty in walking. She is currently under,  Moxilong 0.3 mg tablet twice. Tazloc 40 twice. Ecosprin AV 75 in the night. Minipress XL 5 mg twice Prolomet XL 50 twice. Dytor 5 and Benidipine 8.; Answer: Hello. She is taking lots of medicines but still if BP is raised the possibilities may be, 1. Not reducing salt intake, not following a healthy lifestyle guidelines, and not exercising. 2. Medicines may not be taken appropriately, some over-the-counter medicines such as NSAIDs may raise blood pressure. 3. She is overweight, and as such if BP apparatus cuff bladder is less than 2/3rd of arm circumference, then BP may falsely appear high. 4. Some other disease such as hypothyroidism may be present, leading to secondary hypertension. Serum TSH (thyroid-stimulating hormone) test is advised for that. Please consider these issues while measuring BP.

Question: Q. Kindly suggest the diet to improve my health.; Patient: Hello doctor,My height is 165 cm, and my body weight is 79 kg. I want to start doing exercise, and I want to become healthy. I want to know about what diet I must follow to improve my health. How many proteins, carbohydrates, vitamins, minerals, fats do I need to consume daily, and what diet I must take?; Answer: Hello. An average man needs 2500 calories to maintain, and 2000 to lose one pound of weight per week. At present, you are overweight BMI is 28.7. You have to reduce, but healthily. Choose whole foods instead of processed food, and avoid sugary drinks. Keep healthy food readily available. Fruits, vegetables, lean meats, fish, eggs, and nuts. Eat more fish than meat. Use whole grain flour in baking recipes and eat in smaller plates. Calculate 2000 calories. That means eating the equivalent of six ounces of grains each day, which includes 2.5 cups of veggies, two cups of fruit, three cups of dairy, and 5.5 ounces of protein-rich foods. Divide your food out over five meals like three slightly larger meals (breakfast, lunch and dinner) and two smaller snacks.

Question: Q. Why does my brain become hot while studying even if I take proper rest?; Patient: Hello doctor, I feel that my brain becomes hot while studying. I studied the whole day and slept for two hours continuously for three days after that my left eye started paining, and my brain also started getting hot severely. Still, now it is continuing even if I take proper rest during exam time when I study less also.; Answer: Hello. Left eye pain and hot feeling in your head is due to severe mechanical stress to your body because of extreme mental exertion and lack of sleep for three days. As a neurologist, my first advice will be to take some rest and be relaxed and calm. To take rest and enough sleep at least five to six hours in a day is a part of exam preparation. Sleep is a must for better and powerful performance in an exam. It will refuel and restart our brain. Sleep will help to build up and potentiate our memory. So as first advice, please maintain sleep hygiene. And take five to six hours of sound sleep in a calm, cool, and dark room. Take food on time. At present, all your symptoms are due to the same. 1) Take cold water shower. 2) Go to bed and try to sleep. 3) If still, you have problems, you can take medicine to calm down your mind like tablet Etizola (Etizolam) 0.25 mg one tablet immediately. It will give you sleep and calmness. After six hours of sleep with that tablet, you will able to restart your reading, and then you can take if needed.

Question: Q. Which medicine should I take when uric acid level is 8. 5?; Patient: Hello doctor, My mother has been diagnosed with 8.5 uric acid and recently underwent a hysterectomy. Which medicine should she take for uric acid?; Answer: Hello. High uric acid will require diet modification followed by medical treatment if not controlled by diet. You can start diet modification like, 1. Have adequate fluid intake. 2. Avoid dry fruits, cold drinks, and chocolate. 3. Avoid broccoli, spinach, beans, and non-vegetarian diet. I would highly recommend testing uric acid once again after one month to reassess the uric acid value. As a single high value should not be the basis for starting medical treatment. Because the treatment usually has to be continued for a long period. So begin the diet modification from today, and repeat uric acid after a month, and review again for further advice. As a patient with high uric acid has an increasing tendency to form renal calculi, I will also advise sonography of abdomen and pelvis, if already not done, before the surgery. Uric acid, RFT (renal function test), sonography of abdomen and pelvis. Review after one month with the above mentioned test.

Question: Q. My swelling that has occurred after tooth removal has not subsided. Is it due to dry socket?; Patient: Hello doctor,I had my wisdom teeth removed before four days. Even after two days, my swelling has not gone down. I also have mild to moderate pain coming from the site of extraction, that also seems to affect my jaw. My jaw is stiff, and it hurts when I talk too much or move (look down, left, and right). I seem to have bad breath coming from my mouth, but I use salt water rinse every two hours which helps a little, but that odor is still there and seems to be stronger at night when I sleep. Have I formed a dry socket or an infection of some sort? If it helps, I also suffer from a preexisting condition regarding bleeding gums.; Answer: Hello. It is due to traumatic extraction and lack of proper precautions taken during tooth removal. It happens either due to wrong injection technique, lack of appropriate stabilization from the jaws, particularly lower jaw. Moreover, the probability of dry socket cannot be ruled. The bad odor is due to infection of the socket. Can you please send further information like a photograph of the tooth or socket or any radiograph? Do you feel numbness in lip or tongue? Are you able to open your mouth correctly? Your inputs will help to address it properly.

Question: Q. My eye swelling has not reduced even after using eye drops. Why is it so?; Patient: Hello doctor,Before three days, I had a feeling in my eye that there was something in it, probably my eyelash. I tried to get it out with water, but the sensation did not go. After two days, I met a pharmacist who prescribed me an anti-allergy eye drop (containing Antazoline). I have been using it every three hours. However, the first time I used it, and then I woke up with a swollen red eye. Today is the sixth day of use, the redness has reduced, but the swelling is still there. The vision in the affected eye is now blurry along the side with a burning sensation on exposure to sunlight.; Answer: Hello. Antazoline is not a drug to be used every three hours, and we as ophthalmologists do not use it much. I would advise you to consult an ophthalmologist because the blurriness that you are now experiencing is more worrying than the swelling of the eyelids and redness of the eye. Please take some high-quality photos of your eye and send them. I will try and help you in the best way possible. Also, provide me with your body temperature.

Question: Q. Why do I have pain in the center part of the stomach below the kidney?; Patient: Hello doctor,I have regular pain in the upper center part of the stomach just below the kidney. Please tell me the reason and medicine. Pain arises, especially in the early morning.; Answer: Hello. The reason can be gastritis, which is inflammation of the stomach. Please do the mentioned test and use the medicine below until you get the test result. H.Pylori in stools. Gastritis H. Pylori infection. Ranitidine 150 mg one capsule two times per day before food. Avoid chilli food, caffeine, mint, soda drinks, chocolates, and heavy fried food. Until I see the lab results. Give two hours gap before sleep and after eating. Follow-up when you get the lab result and mention whether you are getting improvement on the prescribed medication.

Question: Q. Does polycythemia occur due to smoking?; Patient: Hello doctor,I was recently diagnosed with polycythemia due to increased red cell count of 5.28x10^12/L, HCT 0.466, and hemoglobin of 161 g/l. I stopped smoking two weeks ago. Six months ago, when I started to smoke, I smoke only four cigarettes per day. Would the high red cell count be a case of secondary polycythemia, or would it be due to smoking? If so, would my red cell count decrease after a month after I have smoked? Also, in this situation, would I need to take a low dose aspirin before a long haul flight (12 hours)?; Answer: Hello, Welcome to the icliniq.com. You have polycythemia. It can be primary or secondary polycythemia. The primary polycythemia is the cancer of bone marrow, which means myeloproliferative neoplasm. However your total WBC count and platelet count within range. So the chance of primary polycythemia less. You have an excess smoking history. Thus smoking can lead to secondary polycythemia, which is a pure benign condition. Smoking can decrease oxygen level in blood and so compensatorily more red blood cells produced. You have to stop smoking to cure your secondary polycythemia. If you stop smoking than gradually your CBC (complete blood count) will be normal. Drink lots of water like two to three liters per day to help in your polycythemia. You may need not to use aspirin as per my opinion. I hope I have answered your question. Let me know if I can assist you further.

Question: Q. Is surgery mandatory for breast cancer after chemotherapy?; Patient: Hello doctor, I need a second opinion on getting a surgery done for breast cancer after chemotherapy.; Answer: Hello, Welcome to ilciniq.com. There is are multifilament lesion (attachment removed to protect patient identity). I suggest total mastectomy, which is complete removal of the breast. The chances of recurrence will be low in this approach.

Question: Q. Please explain the time taken by a fertilized egg to implant.; Patient: Hello doctor, I have a few questions regarding ectopic pregnancy. 1) How long does a fertilized egg stuck and implant itself in a tube? 2) I ovulated on day 15 and felt a sharp pain in the right side (for a moment) on day 24 (8 days post ovulation), is it an ectopic symptom?; Answer: Hello. It depends on your period length and regularity that when and how the system will work. If you have regular periods then 14 days before menses you have ovulation, and if fertilization occurs on the ninth day, then you can have implantation at right or wrong place. If one-sided lower abdominal pain occurs after unprotected sex at the end of third or fourth weeks post period with or without bleeding, then it should be reported that you need urgent beta hCG. If positive, then should repeat beta hCG after 48 hours to check its progression to finalize the diagnosis if the pain is not severe. If after a positive pregnancy test for the pain have a transvaginal scan by expertise hands, immediate intervention. Have complete treatment of any health issue you have. Practice daily walk, yoga, and exercise. Have recreational activities and quit recreational drugs. You need to consult for detailed evaluation. Beta hCG twice and transvaginal ultrasound. Mediate detailed evaluation in case of one-sided lower abdominal pain along with positive pregnancy test.

Question: Q. I can see a tar kind of thing when I cough in the morning. Why?; Patient: Hello doctor,I am a smoker for the past 10 years. Now reduced from last two to three months. During morning cough I can see tar kind of things after brushing. Why is it so?; Answer: Hello. You have been a smoker for 10 years, and I am not sure how many sticks or packs you consume in a day, that may help in quantifying your pack year. Now this cough is productive of dark tar stained mucus. Going by your symptoms and body weight, it seems you have really lost so much weight. I want to know for how long your cough has lasted whether it is more than three weeks or three months. I want to know if you have drenching night sweat, and anorexia that is loss of appetite. Is there any change in your voice like hoarseness, do you have pains in your chest when you cough, any halitosis (smell mouth) difficulty with breathing or any pains with breathing. Do you get breathless on mild or moderate exertion, any dwellings of your feet? Is your fever continuous and not relieved by Paracetamol or Ibuprofen? From all these, based on the history of long years of smoking, and the obvious wasting (weight loss) it is suggestive of a possible COPD (chronic obstructive pulmonary disorder), to rule out malignancy also possible ptb (pulmonary TB). Try and do a sputum microscopy culture and sensitivity, do a chest X-ray, but if you can afford a chest CT scan that will give a better image of your lungs. Do sputum AFB for TB get the results of the test for further review. Chronic bronchitis, pulmonary cancer, TB (tuberculosis), congestive cardiac failure, and bronchiectasis.

Question: Q. What does my FNAC report of breast indicate?; Patient: Hello doctor, I am waiting to be booked for what my doctor calls a core-biopsy and it is taking too long. As I wait I would like to research and gain more information. I would like an interpretation of this report please. These are the results of a fine needle aspiration on left breast: The smears are highly cellular. Cohesive branching monolayers of mildly pleomorphic ductal epithelial cells are present in a background containing frequent bare bipolar nuclei, occasional macrophages and some myxoid stroma. Within the epithelial cell aggregates, nuclear streaming and an admixed myoepithelial cell population is revealed. No dissociated malignant cell population or true papillary epithelial cell aggregates with fibrovascular cores are identified.; Answer: Hi. This is a picture suggestive of a fibroadenoma. It is not a malignant bump. But, FNAC identifies only the part that has been included in that needle. So to confirm, we do a trucut biopsy which tests the entire lump and is conclusive. 99 % this is a non-cancerous lump.

Question: Q. Is it advisable to undergo super Lasik surgery in a 37-year-old person?; Patient: Hello doctor, I am planning to undergo vision correction surgery. I am 37 years old, female, single. My ophthalmologist informed me that I have astigmatism. I am short sighted. My doctor suggested of a super Lasik surgery. Can you please advise if I should go ahead with this surgery? Secondly, what would be the side effects? And the recovering period. The doctor did mention I have a thick cornea and I will recover the same day. But I am not very confident and require your second opinion.; Answer: Hello. It is hard to advise you fully not knowing the full refractive status of your eyes and seeing the keratotopgraphy report that you underwent already and must have a report of it, you could upload it here for better evaluation. However, you have to understand that a human eye starts changing its refraction after the age of 40 and will continue to change every five years after that. So you will enjoy the result of this operation for a maximum of five years and then you will start wearing spectacles for near so keep that in mind. The second issue that you might face a new condition, that is if you are not suffering from it before the operation, and that is dry eye for which you still need to use a lubricant at least four times daily for the rest of your life. In summary, the choice is upto you of course but at such an age, I would not advise. If you would like a more decisive advice, please upload the reports.

Question: Q. Pregnancy kit shows positive result but ultrasound shows no pregnancy. Please help.; Patient: Hello doctor, My period got delayed by 10 days and after checking with a pregnancy kit, I found out that I am pregnant. But, when underwent sonography, there was no pregnancy. I have not got my periods yet and have vomiting and giddiness. Please help.; Answer: Hello.  I would suggest you to repeat pregnancy test immediately and if again positive then repeat ultrasound as well to see what is happening and you can start taking Folic acid meanwhile. In the early pregnancies, sometimes sac is not seen and it becomes visible as pregnancy progresses. So, if pregnancy test is still positive then sac must become visible and if pregnancy test becomes negative that means that the previous one could be a false positive one.

Question: Q. I take Olanzapine. Why am I having headache, cramps, nausea, and bad morning sickness?; Patient: Hello doctor, I have headache, cramps, nausea, bad morning sickness, back pain, hunger, feel light headed. I am taking Olanzapine and Zyprexa.; Answer: Hi. The symptoms that you mentioned are common side-effects of Olanzapine (Zyprexa). Please, do your best to tolerate the side-effects especially in the beginning of therapy (if you just started taking the medicines) as in some situations the side effects decrease in intensity by time. I strongly advise you not to stop this medicine or skip doses as it is extremely important to stick to its dosage and continue to follow up with your doctor.

Question: Q. Why am I having extreme bloating, abdominal pain, and fatigue with scaly marks?; Patient: Hello doctor, I have been having increased issues with extreme bloating, abdominal pain, fatigue, vomiting a lot of the time, excessive diarrhea, weird tiny patches of scaly marks on my shins, arms, and face. I literally dread eating anything. I am not starving by any means, I have more than enough meat on my bones but eating is worse than feeling pains of hunger. This has been increasing year by year and has been present for about five years now. My PCP is related to stress but I know there is something much more dire going on. I recently did an at home test for food sensitivities and I had reactions to 93 out of 96 foods tested. Does not seem quite right to me and I understand that IgG does not test for allergies. I am highly reactive to citrus as well as baker's yeast. Previously I thought I was having an allergy to the protein found in wheat and I went on and off of a gluten-free diet. I have gone so far as acupuncture to assist with proper digestion because I frequently find myself vomiting up undigested foods at least 7 to 9 hours after consuming them. I am 35 years old, a mother of five and a business owner of three. I do not consume sweets only because I have never taken a liking to them, I do not drink sodas, teas nor do I consume coffee. I also do not consume red meats and I am not a huge fan of vegetables. I have recently regurgitated a pile of blood and every time I eat anything, I am extremely bloated almost immediately. I am getting worried. Please suggest underlying potential issues that I should have tested with my local GP and specialists.; Answer: Hi.  To help you better, I need to have a look on your blood reports. Please attach them.

Question: Q. Does the CBC report of elevated WBC and platelets mean leukemia?; Patient: Hello doctor, About a month ago, I did a CBC for a regular check up. It came back as elevated WBC and platelets. It was 16.3. Neutrophils absolute 11.8, lymph’s absolute 3.5, platelets 402. Everything else was in normal range. I have had it done twice and it stayed about the same. I recently did an abdominal CT scan and it was normal. My doctor is going to do another CBC and if it is still elevated, she is going to send me to a specialist. I am extremely upset and worried. I have no symptoms. Does this mean I more than likely to have leukemia? I am a single mother and I am terrified. Could I please get a response?; Answer: Hello. Your platelet count is within normal limit. So do not worry about that. Your total count and neutrophils count is high. But your total count is not high enough to be labelled as leukemia. Usually such high count up to 20000 can be due to infection or any inflammation. So in such case, antibiotic course can be prescribed and repeated CBC after 10 days. However, if you can attach your reports then further comment can be given. Do not directly think about leukemia.In leukemia, total count is very high up to 1 lakh.

Question: Q. I experience on and off acid reflux as well as mild dysphagia. Does it indicate esophageal cancer?; Patient: Hello doctor,I am a 26-year-old male. I have been experiencing on and off acid reflux for a few weeks as well as mild dysphagia (strangely only at breakfast). I am afraid of esophageal cancer. I do not smoke and drink. I exercise regularly, and I am not overweight. I have no family history of any cancer. I do suffer from anxiety issues, though, and I have pollen allergies.; Answer: Hello. First, I would like to reassure you that dysphagia and reflux symptoms are very common and more common than esophageal cancer. I want to reassure you that this is very unlikely to be esophageal cancer. Esophageal cancer is more common in older patients who have a history of smoking and or alcohol abuse. In patients with reflux symptoms, those symptoms are usually longstanding, and progress to Barrett's esophagus before any cancer develops. I think that you have gastroesophageal reflux and I think your symptoms can be easily managed. 1. Start an over-the-counter reflux medication. I recommend Ranitidine 150 mg every 12 hours. It takes about 30 minutes to start working, and you can take this as soon as you get up in the morning. 2. Make sure to not eat for two to three hours before going to bed. 3. Avoid spicy or acidic foods, especially for breakfast when you complain you have the most symptoms. This would include avoiding ketchup, citric fruit juices, coffee, and tea. Try to eat a very bland diet for the next two to four weeks and see if that improves. Eggs and toast, for example, caffeine can cause acid, and so I recommend avoiding coffee and tea. If you must have it (as I can understand), try to wait until later in the morning and make sure that you have any coffee or tea with food (even just a dry piece of toast). If your symptoms have not improved in one month, you may need to see a gastroenterologist to be evaluated for esophagitis or an ulcer.

Question: Q. I have a short penis and nightfall problem too. Is it normal?; Patient: Hello, I am a 25 year old person. I have a short penis. It is only 2-2.5 inches long in flaccid state, but the length and diameter is 4 inches in erect state. I want to increase the size of my penis. Apart from this, I also have nightfall problem which lasts for less than 2 minutes. It will occur 4 to 5 times in a month. I had masturbated a lot during my early ages. I am an unmarried person, going to get married soon. So, will the penis size affect my marriage life? If so, I need a permanent solution for this. Kindly suggest me medications with no side effects to solve this problem.; Answer: Hello. I hope, this will help you. Kindly follow up with a sexologist online -->

Question: Q. Does premature ejaculation occur due to masturbation habit?; Patient: Hello doctor, I have a premature ejaculation problem. When I am doing foreplay with my girlfriend, it automatically gets ejaculated after four to five minutes. Is it due to my masturbation habit?; Answer: Hello. I can understand your concern. I have worked through your attached query in detail. Masturbation is not responsible for your symptoms. Masturbation has no evil effects on your sex life. Premature ejaculation will gradually subside in due course of time. In case if symptoms persist, few medications like Dapoxetine will help. Practicing sex regularly will help to overcome premature ejaculation. Anxiety. Performance anxiety. Premature ejaculation. Tablet Dapoxetine. Increasing foreplay.

Question: Q. Why am I unable to protest verbally though I can?; Patient: Hi doctor, My writing skill is very strong but verbally I cannot protest at all against difficult people. My verbal communication skill is proper and organized if and only if I am focused and conscious at that moment. Otherwise, I tend to be unprofessional and non-intelligent in speaking. Even when a friend illogically shouts over me, I cry over phone and still keep talking in gentle manner. My logic remains in my mind, but I just cannot speak out, which in turn disturbs me later. Sometimes, I get angry by thinking I could not stand verbally for myself at the right time. In the past I was taking Trinicalm plus. What is the problem? I have a feeling that either I am too gentle, less courageous, lack confidence or definitely soft natured and lack mental strength. Please help me.; Answer: Hi. Sometimes, it happens because of low self-esteem. Hence, you need to work on it. You need aversion therapy. You do not have to interfere in other's rights but, other side you have to stand for your rights. Do not be very cruel or too innocent, and then people will start teasing you. Remain in between. For some people who are having predicted behavior, you can prepare answer beforehand. So, you will get some self-confidence. Also, do not think too much about others. Forget everybody. Focus on yourself. Remain happy and tension free.

Question: Q. What is the cause for toothache after eating?; Patient: Hi doctor, I am a 23 year old female. Few weeks earlier, I had tooth pain after eating. Yesterday, I had acute pain in the tooth. I have attached the OPG scan for your reference. I would like to know, from the OPG, what is your opinion about the extent of decay? And also I would like to know about the possible diagnosis. Thank you.; Answer: Hi. Before I answer, I would like to point out a few issues here. You have not mentioned the location of your tooth pain, whether it is on the right or left side. The right and left indicator on the orthopantomograph (OPG) are not visible on the scanned image. So, I am going to describe the findings as I see it. To my right and left, I can see there is decay in two upper molar teeth. Upper third tooth from my right and the upper third tooth from my left.The decay in the upper right first molar appears to be deep. Depending on the symptoms, if you have acute pain that is unchanged, persistent and disturbs your sleep, then the tooth will require root canal treatment (RCT). This is because the nerve of the tooth (pulp) has been involved by the decay. If the RCT is started right away, the tooth can be saved. The decay in the upper left molar tooth is moderately deep and can be filled, if you get it done right away. If delayed, then the decay is likely to progress and involve the nerve of the tooth (pulp), then root canal treatment would be the only option to save the tooth.

Question: Q. My left hip is completely fused. Can we have a healthy baby?; Patient: Hi doctor, I have severe ankylosing spondylitis since 19 years. I am a 28 year old male, married and would like to have a baby now. I am taking Indomethacin 75 mg and Omeprazole twice a day. My left hip is completely fused, but I have no pain. There is pain in right hip and lower back. Please let me know, can I have a healthy baby. What should we do to get healthy, fit and fine baby? I do not want baby to be defective. Kindly give me suggestions to improve my health. My wife is completely fine and healthy. I have attached my Hb, CRP and ESR reports. Please guide me.; Answer: Hi. Do not worry about your condition and your future baby. You are fine and your baby will also be fine, as genetic transmission is rare in this case. Again you should change the painkiller if you are not responding to it. You can start tablet Rofecoxib 50 mg daily for five days and let me know the condition of your pain. Apply Dolopar gel (Diclofenac) topically. Go for active physiotherapy exercises. Take a capsule Nutrolin B plus (multivitamin) daily for 15 days.

Question: Q. Which tests should I do to check adrenal gland functions?; Patient: Hi doctor, I am a 27 year old man and a student of ecological solution. I do a little bit of sport. I eat a balanced diet. I have fatigue and headache when I do anaerobic exercise, and when I read a book. According to my doctor, my average blood pressure is 12.8 or 12.7. All my family members are in good health. My mother's sister has osteoporosis. Reading a book or something else gives me headache and fatigue, so I need to rest after reading something. When I need to read something I must drink a lot of water to be less tired, because if I do not drink a lot of water before reading I need to rest five times more than the usual. Because of this reason, I have stopped my schooling. I got my standard blood test, TSH and lipid test done, I used to do running of one hour by weekend. I want to do home body building like push-up, but I cannot do it like I used to do before. I do not know why my anaerobic capacity has decreased a lot in the last three years. When I do some push-ups or another anaerobic exercise like 100 m speed running, I have really bad results; I take too much time to do this kind of exercise. I am abnormally getting breathless and my heart beats fast. I was not like that before six years, but my physical appearance has not changed. I must drink 1 liter of water 35 minutes before running, if I do not then I cannot even stand for ten minutes. If I drink a lot of water like 1 liter, 40 minutes before, I can do 70 push-ups at the first series, but If I drink only one or two glasses of water 10 minutes before, I cannot do 45 push-ups and my heart begin to beat hard and I am completely breathless and tired. After a running session of 40 minutes to one hour, immediately when I begin to do my legs muscles stretching even if I am completely relaxed and feel good, without any breathlessness also. When I do my stretching my heart begins to beat very fast and hard and I begin to be breathless. Then I must wait and drink water and do my stretching very slowly. I have never felt this before, and I used to work at school with pleasure, read some books and do sport more easily. My wear has a strange smell after sport. It smells something like a rotten wood plank. It is a smooth bad odor not too much aggressive but really unusual. The few doctors I have seen do not know what the source of the problem is, but we found that I do not have a good thermoregulation because I am cold and need a lot of clothes. It seems like I feel better when I am in vasodilation period like under the sun or in a hot place. So, I tried a supplement called Citrulline six months ago, to have more arginine in the body to have a better vasodilation. Indeed, I feel really less tired since I take the Citrulline. I feel like my muscle cells and other tissue are more supplied in something that I need in these cells. Citrulline helped a bit, but it did not resolve the problem. Hope you could help me. Thank you.; Answer: Hi. All your clinical problems appear to be related to anaerobic respiration. Based on your query, my opinion is as follows: For respiration, oxygen is most important - Anaerobic respiration mainly occurs because of reduced oxygen. You might require a lung function tests to evaluate for adequate oxygenation. If you are a smoker or exposed to pollution, dust or industrial exposure, it can get affected. Anemia requires evaluation. Hope your hemoglobin level is within normal limits. Get a hemogram done. Anaerobic respiration leads on to lactic acid production. This lactic acid accumulation causes muscle pain and tiredness. Do get your lactic acid accumulation level in blood evaluated before and after the exercise. Lactic acid level requires correlation with possible muscle storage disorders or dystrophies compared to exercise; there may be increased lactic acid production. Hydration would be washing of this lactic acid, which is possibly making you feel better. Meet a biochemist to get yourself tested for lactic acid increase and possible causes. Sweat glands can produce abnormal smell depending on diet. Look into your diet closely. Citrulline produces nitric oxide leading on to vasodilatation. It could be removing some amount of lactic acid or increasing oxygenation, but overall the main cause from lungs to blood and blood to muscle requires identification. Get the tests for hemoglobin level, lung function tests along with oxygen saturation and serum lactic acid. If all are normal, then muscle glycogen storage disorders or muscle biopsy for any pathology maybe necessary.

Question: Q. I am having itching in the penis area. What should I do?; Patient: Hello doctor, I have itching in the penis area. Kindly advice.; Answer: Hello. Please wash the area with lukewarm water regularly. Use a mild soap. Do not use the same towel in pubic area that which you use elsewhere on the body. Observe clearly if there is any change in color, foul smell, lesions over the penis. Maintain good hygiene down there. Remove pubic hair and keep the area dry. If you are the type who sweats a lot, then use mild antiperspirant talc over the groin area. If the climate where you live is very sultry, and you may need to bath many times daily. Use a different set of clothes every day. Do not use the same clothes again.

Question: Q. Why do I get bleeding from the nose frequently?; Patient: Hello doctor, I frequently get bleeding from the nose, but it does not create pain. But some times it flows from my nose automatically. What could it be?; Answer: Hello. Do you have any medical problems that we should know about? How old are you? Are you exposed to any environmental stimulants (irritating chemicals, etc.)? Most often, a bloody nose is not concerning, but it should be evaluated if it is happening regularly. How much blood is coming out? A teaspoon? Is it always one nostril? You can certainly start using a saline nasal spray three to four times a day in each nostril. You can also put some Vaseline in each nose before you go to sleep at night. However, if there are any other medical problems or anything concerning in your history, as I mentioned above, then you should be evaluated in person. You may need to see an ear, nose, and throat (E.N.T) doctor who can take a look in your nose and see if any blood vessels are prominent and can be treated with cautery. Or you may need to see your general medical doctor and have some blood work done, including a full blood count and platelet levels. Please let me know your answers to my questions, and hopefully, I can direct you further.

Question: Q. I am worried and emotional most of the time. Kindly advice.; Patient: Hello doctor, I am constantly worrying about little things and I am emotional most of the time. I feel tired all day. Please advice.; Answer: Hello. Generalized anxiety, social anxiety, and related low mood symptoms are quite common in adolescents. It is positive that you are insightful about your symptoms and seeking help. Have an open talk with your parents and trusted family members about your worries and difficulties. It is important not to isolate yourself as it will worsen things. You can practice some self-help interventions to manage your anxiety like, 1) Try progressive muscle relaxation exercises. 2) Deep breathing techniques. 3) Exercise regularly for at least 15-20 minutes daily. 4) Eat healthily and sleep regularly for at least eight hours. 5) Develop some relaxing hobbies like listening to music and watching exciting programs on TV can help to provide a useful distraction. If anxiety is persistent, you can consult a doctor locally and have some counseling or talking therapy to manage your anxious thoughts and develop positive coping strategies.

Question: Q. What is the treatment when TSH is normal but T3 and T4 level are high?; Patient: Hello doctor, According to the lab report which was taken a week before TSH level is normal but T3 and T4 level is mildly increased. Please suggest will I be cured with medicine or without medicine. Currently, I am under medication for a chocolate cyst (Dienogest 2 mg).; Answer: Hello. I have just read your query, and from what you have mentioned, it appears that you have a normal thyroid function test results. The slightly high T3 and T4 are not a thing to worry because they can be caused by other hormonal medicine that you are taking for your chocolate cyst.You can keep checking your thyroid function test every three months. I hope you find my advice beneficial.

Question: Q. I have Braxton Hicks at 27 weeks. Could I be in preterm?; Patient: Hello doctor, I am 27 weeks pregnant and have had Braxton Hicks steady for two days with my back cramping and pressure in my bum and vagina. Could I be in preterm?; Answer: Hello. You have not mentioned your gynecological, obstetrics, menstrual and drug history. Have you previously had a normal delivery? If no, then the body prepares itself for normal vaginal delivery in the third trimester. In the first time mother, this process is long as it is happening for the first time. So, it takes more time than mothers who already had labor and normal delivery. Everyone's threshold for pain and body's reaction to late perineal changes in the third trimester and labor are different. Only mild cramps without severe contractions episodic going towards lower pelvis from the back are Braxton Hicks and it does not show labor changes in the cervix. Pressure symptoms, bladder heaviness, and recurrent urine are usual symptoms in the third trimester as the baby is mostly in cephalic presentation and growing size creates pressure in neighboring organs naturally. But precautions are necessary. It is better to differentiate between just Braxton Hicks and labor pains with cervical changes. Preterm delivery having lots of factors like infection, fetal, and maternal anomalies and diseases, rupture membranes, etc. Pain threshold relation to cervical changes is different for everyone. I cannot rule out that back cramping, the pressure in bum and vagina cannot lead to preterm delivery but there are factors behind that also that need to sort out. Otherwise, backache, pressure symptoms, mild labor like pains are normal symptoms in most of the women in late pregnancy. I hope you get my point. If there is a pain in the third trimester, we need to check with baby monitoring and mother's cervical changes with the strength of contractions. I hope u get my point. In case of labor-like frequent contractions, rupture of membranes and reduced fetal movements, you need to report to the hospital for monitoring and examination. For more information consult an obstetrician and gynaecologist online -->

Question: Q. Why does my vaginal opening feel lumpy and a bit swollen?; Patient: Hi doctor, I am an 18 year old female. I have noticed that my vaginal opening feels lumpy and possibly a bit swollen, and I am panicking. It does not hurt, and it is not raw or itchy either. Please help me put my mind at ease.; Answer: Hi. How are you doing? At this young age of 18 years, I do not see any reason for you to get tensed. Hope I have clarified your query, do write back. All the best. For more information consult an obstetrician and gynaecologist online -->

Question: Q. I have a 4th nerve palsy issue and it scares me. Please help.; Patient: Hello doctor, I am a 58-year-old cyclist. I recently started having a strange problem with my vision that started almost a month ago. It was also around the same time I was getting new glasses, but my optometrist said that he does not think the two are related. He referred me to see a neuro-ophthalmologist, and it looks like I have a 4th nerve palsy issue. After reading about it, it is familiar to my recent experiences. No accidents, history of diabetes or other issues. It seems to be my right eye. Looking straight, left and up is fine. The problem comes when looking down (bifocals) or looking right. I also read that blood flow could be an issue. I have been using my inversion table lately more often. I do feel obvious pressure in my eyes using this. Is that an issue? It scares me now, so I put it in the garage. I read this can be idiopathic and can even go away in a few months. Is it true?; Answer: Hello. The symptoms you are experiencing can all be in 4th nerve or superior oblique muscle palsy. This muscle acts to stabilize the eye when looking down and is the primary muscle acting while looking down and outwards. Since you mentioned that you do not have diabetes or other systemic illnesses, the cause could be idiopathic. Such idiopathic nerve palsies do have a good chance of improving on their own. The best sign to look for improvement is to see the double images moving closer to each other, and eventually disappear, on the complete resolution. In case you have any further questions or want any additional information, please let me know.

Question: Q. What should I do to treat the constipation in a 2 year old child?; Patient: Hello doctor, My baby is 2 years old. For the past four months, she gets constipated. She has to move her bowels daily because if she does not have it more than 24 hours, she will get constipated. We tried changing her milk, but it only made her stools harder. She is currently on similac go and grow. We add water on her milk because she hates drinking water and she is a very picky eater. I use pedia lax to help move her bowels. What should I do?; Answer: Hello. Instead of using 30 ml water with each scoop, please add 45 ml water to each scoop for making the formula. Also, reduce the consumption of milk and simultaneously increase the consumption of fruits, vegetables, chicken, etc., whatever the child likes. As of now, you can use laxatives as and when required. However, as soon as a week or two after the above diet changes are made, the need for a laxative should be much lesser than what it is now.

Question: Q. I had frenuloplasty a few days back and my erections are painful. When will it be rectified?; Patient: Hello doctor,I am 28 years and 6'1" tall with weight 85 kg. I had frenuloplasty a few days back and feeling normal about it. Sometimes I get erections, and it hurts a lot as the stitches may be the reason. I want to admit that I had a premature ejaculation issue as well before the surgery. Was it because of this short frenulum, and will it be better now? Also, I was unable to penetrate the vagina easily. Will it be rectified? If no what else should I do?Please suggest.; Answer: Hello. I can understand your concern about your symptoms. Yes, for a few weeks you will be having pain. The premature ejaculation could be because of the short frenulum, now after the procedure we will know it for sure. If your premature ejaculation persists, we can think of the other causes. Yes, you will be better after surgery with proper foreplay and appropriate lubrication you can easily penetrate since you just had the procedure. We need to wait for the recovery to to think about other cause of your issue and work on it. I hope I have answered your query. If you have further doubts, I would be happy to help you.

Question: Q. I am suffering from stomach cramps and diarrhea. What should I do?; Patient: Hello doctor, I am having bad stomach cramps that I can feel through my throat and diarrhea for the past one week. Kindly advice.; Answer: Hello, Welcome to ilciniq.com. Please follow the following prescription. Kindly consult your doctor to discuss the suggestions and take the treatment with consent. IBS (irritable bowel syndrome), abdominal flatulence, and diarrhea. Buscopan (Hyoscine ButylBromide) one tablet three times a day. Eucarbon (Charcoal) two tablets three times a day after meals.

Question: Q. Can I have Estrogen tablets for not being lustful and not getting lubricated easily?; Patient: Hello doctor,I am 26 years old. I am not being lustful lately and not getting lubricated easily. So I want to ask that is it fine to have Estrogen tablets. Are there any adverse side effects of it?; Answer: Hello. I can understand your concern about your symptoms. No, you should not use estrogen tablets without an endocrinologist or a gynecologist review. Decreased lust or libido can be due to, 1.	Infections. 2.	Diabetes and hypertension. 3.	Hormonal disturbances like low testosterone, low levels of thyroid, and high levels of prolactin. 4.	Obesity, high cholesterol 5.	Chronic disease. 6.	Drugs and anxiety. You have to do vaginal examination by a gynecologist to rule out local infection. USG (ultrasound) pelvis to rule out pelvis infection and ovaries and uterus abnormalities. Thyroid check-up Free T3, T4, TSH (thyroid stimulating hormone), and lipid profile to know the cholesterol level. Also check blood pressure, and RBS (random blood sugar). Kindly share more details regarding above reason so that we can work on cause and treatment.

Question: Q. I think the CT abdomen shows some liver problem. Kindly suggest solution.; Patient: Hello doctor, I may have a liver problem and would like to get advice. I had done some medical tests recently and the liver turned out to be a bit problematic for me. Hence, thought of consulting a specialist. I am currently blood pressure, blood thinner, cholesterol-reducing drugs, and medicine for thyroid.; Answer: Hello. I have gone through your query. Your BP and cholesterol levels seem to be fairly well under control of treatment. Kindly share all your available reports, liver function tests, and details of the symptoms and problem that you are facing at present. Kindly get back with the above details and any other questions if you have further discussion and management.

Question: Q. What is the treatment for dandruff, and hairfall associated with tiny itchy balls on my scalp?; Patient: Hello doctor,I have dandruff, hair fall, and lately, I saw tiny white balls on my scalp after which my scalp became very itchy. Please tell me how to treat this condition.; Answer: Hello. You have seborrheic dermatitis probably. Use the following medications. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. 1. Zydip-C lotion (Clotrimazole, Beclomethasone) apply once at night on the scalp. 2. Protar K shampoo (Ketoconazole, Coal tar) three days per week. 3 Tablet Desloratadine 5 mg once at night. Do this for 20 days and avoid hair oil.

Question: Q. My face is swollen. Shall I visit ER or a doctor?; Patient: Hello doctor,In the left side of my face right in front of the ear and around the lower back of my ear is swollen. I had a sore throat a few days before, and I have been coughing hard with lots of mucus. I had also swollen a teary, red, and slightly painful left eye, which started, a week before. What is this? Shall I go to the ER or doctor for my swollen face? I already consulted a doctor two days before the swelling and under antibiotics.; Answer: Hello. There are multiple reasons for what you suffer from, and your case could be one of them. First, that could be part of the illness, which is acute upper respiratory tract Infection (viral or bacterial, usually viral comes with such symptoms). The swelling could be as part of the disease as well which is swollen lymph nodes located around the ear and nothing to worry about as it is part of the infection that can be confirmed by neck ultrasound scan in all circumstances. I suggest you move to the emergency room for further evaluation and clinical examination. Acute URTI (urinary tract infection), reactionary lymphadenitis. Consult the emergency room for further evaluation.

Question: Q. What should I do for facial warts?; Patient: Hi doctor, I am getting facial warts again and again at the same place. I go for swimming every day. Is it because of that? I have undergone laser treatment twice and it went away with it. Now, again I have the same problem. What should I do? Is there anything that I can apply as I do not want to get laser treatment again and again? I have enclosed my picture. Please help me.; Answer: Hi. Facial warts occur due to HPV (human papilloma virus) and some people are more susceptible to it due to some complex immunological parameters. They are too notorious to recur and avoid shaving for some time. Also, the probable treatment is electrocautery. Going to the swimming pool will not affect their behavior as you are already infected. But, you should use separate towels to prevent other susceptible person getting infected. For further information consult a dermatologist online -->

Question: Q. What can I do when my penis discharge some fluid when my partner touch or hug me?; Patient: Hello doctor,I am 21 years old with weight 58 kg, and height 5'7". My penis size is 6 cm in normal, in erect it is 12 cm. Is this normal? What are the normal sex and ejaculation time? I feel very uncomfortable when I meet my girlfriend or talk with her in the phone about some hot topic because my penis becomes erect when she touch or hug me, and there is a seminal fluid is a discharge. What can I do for these problems?; Answer: Hello. I can understand your concern about your symptoms. Many research says the average length of a flaccid penis is 3.61 inches, while the average length of an erect penis is 5.16 inches. Few studies recommended flaccid penis length of less than 1.6 inches or an erect penis of less than three inches should be considered for treatment. Pre-ejaculatory fluid when you are with your partner is normal. Considering your age, you will be fine in a few days. Normal sex time can be from 3 to 20 minutes, depending on the experience and stamina.

Question: Q. Why is there pain in heart in a hypotensive patient?; Patient: Hi doctor, I have low blood pressure and am suffering with low pain in the heart for the past two days.; Answer: Hi. We define low blood pressure if the reading is lower than 90 mm Hg systolic or 60 mm Hg diastolic or if the patient has symptoms which are lightheadedness, dizziness, fainting, blurred vision or lack of concentration. These symptoms are most prominent when individuals go from the lying or sitting position to the standing position. The causes of low blood pressure could be endocrine problems, dehydration, blood loss, severe infection (septicemia), severe allergic reaction (anaphylaxis), or lack of nutrients in your diet. My advice to you is to eat a diet higher in salt, drink a lot of fluid especially in hot weather and while sick with a viral illness. And for your case, try to measure your blood pressure before and after taking normal saline. If there is no change, you can talk to an endocrine specialist. For more information consult an endocrinologist online -->

Question: Q. I have itchy rashes at the bottom of the ears with negative HIV tests. Do I need another HIV test?; Patient: Hello doctor, I had protected sex with a woman. After a few days, I had an itch at the bottom of one of my ears. After 12 days, I done an HIV RNA PCR test and it was negative. After a few days, I had a wart-like bump in the shaft of my penis and body itching. Then after 60 days, I have done HIV duo combo test and it was negative. In these days, I had intense itching with rash similiar at the bottom of both of my ears. After 90 days, I have done the ELISA test, test for hepatitis A and B, herpes, syphilis, chlamydia, and they were negatives. After a few days, I had small itchy red bumps in the body. After 225 days, I done HIV tridot test and it was negative. But the itching in the body with bumps continues. Now I am 314th day after sex. What should I do? Should I go for another HIV test or other STD tests?; Answer: Hi,  Welcome to icliniq.com. I have gone through the case. In my opinion, if you have no contact history for almost a year then there is no need to repeat all the tests. But first, you need detailed physical examination because there are different types of itchy red bumps and some of these are linked to sex and some are not. So do not go for all tests at once.

Question: Q. Why do I feel weak with low BP and inability to stand properly?; Patient: Hello doctor, I am a 27-year-old man. Sometimes, I feel very weak. My BP goes down and I am unable to stand properly. Also, there is a pain in my foot. Please tell me the treatment to cover this type of problem.; Answer: Hello. You have two main concerns. The weakness is not due to low blood pressure. The low blood pressure can lead to dizziness and inability to stand as described by you. For that try to maintain hydration with lots of water and whenever you feel dizziness take salted food and fruit juices. You can check your blood sugar level as well. For tiredness, I suggest you investigate with serum potassium, serum sodium estimation, serum TSH (thyroid stimulating hormone) estimation, CBC (complete blood count), liver profile, and kidney profile. You can revert back with reports. For pain in the foot, avoid prolonged standing or walking. It is advisable to investigate with X-ray foot for further work up. You should get checked your serum calcium and vitamin D level as well.

Question: Q. Sometimes, I get palpitations, low BP and low sugar blackouts. Please advise.; Patient: Dear doctor, Sometimes I get low BP, low sugar blackouts and palpitations. Please advise.; Answer: Hi. Low blood pressure may be due to genetic factors. Do you have a family history of low blood pressure? Hydration and correction of electrolytes might help you. Mix one teaspoon of Electral powder (essential electrolytes) in a glass of water and drink thrice a day for a month. Low blood sugar and blackouts can occur if you do not eat your meals on time. Make sure you eat more frequent smaller meals, once in two hours. Alternatively, you can carry Hypotab tablets that contain a fixed dose of glucose. Pop it in when you feel a blackout coming. Palpitation can occur if your hemoglobin level is low. Include green leafy vegetables in your diet. If your blood counts are not good, you might need a supplement. Get a complete blood count done and get back with the results to a general medicine physician online -->

Question: Q. Can long term usage of Ismo trigger low blood pressure and vertigo?; Patient: Hello doctor, I am a 75-year-old male. I had IHD 40 years back. 23 years back, my doctor asked me to add Ismo 10 mg twice a day. Since then, I am taking it twice a day uninterruptedly. Then I was 54 years old. My BP has always been normal in all these years. Maybe 150/80 or 140/90 till a few years back. Now it is in normal level say 120/80, 120/73, 115/70, etc. Since a year, I am experiencing low blood pressure at times, giving me vertigo-like dizziness for 1 hour or 2 only in the early mornings and when I take Vertin, it subsides after 1 or 2 hours. Recently, I went to a well-known cardiologist in my area. He checked me and said that I have systemic hypertension and I need not take Ismo any longer as I do not need it. The BP at that time was 130/70. Before my going to the above cardiologist also I have experienced these levels like 120/70, 110/69, 125/75 likewise. He further said after stoppage of Ismo, the BP levels come to normal levels and I will not experience dizziness anymore. But, I am afraid of stopping the Ismo abruptly for fear of getting an anginal attack, which I have never experienced. I am afraid whether to ask my doctor about this. So, I have stopped taking one dose of Ismo 10 mg during the night. Slowly I shall stop the other doses also in due course. Kindly give me your valuable advice about Ismo, about stopping Ismo and dizziness. Is there any harm if I stop one dose? Does long usage of Ismo trigger low blood pressure and vertigo? Please enlighten me on this subject.; Answer: Hello. Firstly, Ismo (Isosorbide Mononitrate) is given for angina or chest pain. If one is not having it without Ismo then it may be stopped. So it is not an absolutely necessary medicine in absence of angina. Next thing, it can cause low BP, and low bp can cause dizziness. But, you mentioned, the lowest BP recorded was 110 systolic, and it is not too low to cause dizziness usually. Have you checked your BP while you being dizzy? So this BP can cause dizziness but not usually. Next thing, you said the response to Vertin (Betahistine), which is not likely in Ismo or hypotension induced dizziness. Vertin is for vertigo induced from the internal ear which is a very common problem. Also, importantly. dizziness induced by hypotension or Ismo will occur on standing or walking, but not while lying down or resting. So if it occurs on lying down as well or on neck movements then it is likely from the internal ear. Next, you should get one echo done to rule out the decrease in heart function as BP is remaining on the lower side. So overall, just go through the above description, and try to decide whether it is Ismo induced or from the internal ear, and you may stop Ismo as advised by the local cardiologist. Also, echo is necessary.

Question: Q. I have low blood pressure. Kindly advise.; Patient: Hello doctor, Is low blood pressure of 102/72 anything to worry about?; Answer: Hello. No, low blood pressure is not to be worried much but you should take little high protein diet and sodium diet. Keep an active lifestyle and eat lots of fruits and vegetables to maintain good blood pressure and keep away the weakness. Keep getting your blood parameters checked as it is beneficial for one to stay updated with your vital parameters.

Question: Q. My mother has a lump in her breast. Kindly guide.; Patient: Hello doctor, My mother found a lump in her breast, which is movable and mildly painful. Then she was suggested for a mammogram, and it resulted as a mass lesion with an irregular margin of 8*10 cm birads v category. We are waiting for the biopsy result. She does not have any symptoms other than a lump, and she is very worried about the issue. Please help.; Answer: Hello. Mass of 8*10 cm will most likely be cancerous. If I were your treating doctor, I would first evaluate in detail the extent of the disease, with the help of examination, chest X-ray, ultrasound of the abdomen. Once confirmed that the condition is limited to the breast, her treatment options will involve surgery, chemotherapy, and radiation. These days with advanced techniques, we have high cure rates for breast cancer with minimum side effects.

Question: Q. Will foreign bodies cause redness in eyes?; Patient: Hello doctor, My eye has become red and is watering, I think a foreign object has entered but I am not able to find it. What should I do? It happened yesterday and icing did not help. Currently, I am under medication for high blood pressure.; Answer: Hi. First this to rule out is a foreign body in the eye. For that ask someone to examine your eye with a torchlight and also check the upper lid by everting it because that is the common site for foreign body. Sometimes a very small foreign body cannot be seen with the naked eye and need an eye exam by a doctor. Wash your eye with clean water. If there is no foreign body seen then it is most probably conjunctivitis (that presents with the same symptoms) usually viral conjunctivitis. It usually takes 7-10 days to complete recovery but during this period protect your other eye and other family members because it spreads from one person to another through contact. For symptomatic relief, keep washing your eyes with cold water and do icepacks. That helps to relieve discomfort. Start antibiotic (Moxifloxacin 0.5%) eye drops four times a day to avoid secondary infection. If pain and discomfort are severe consult your nearby eye doctor for a complete eye exam.

Question: Q. What can be done for tender and itchy red spots on hands?; Patient: Hello doctor, I have red spots on my hands that started about 10 days ago. I also have a couple of spots on my foot. They are mildly tender and itchy. They have gotten worse but not more that 8 to 10. I have no medical history and do not take any medications daily. I had a cut on my finger from opening a metal box a few days before onset.; Answer: Hi. I saw your pictures (attachment removed to protect patient identity). There are multiple erythematous (red) plaques and papules (bumps) on palms, sole, and wrist. Few lesions do look like target lesions. With these features, I can list a few possibilities as follows: May I know your age? Is there any similar rash inside the mouth? Did you have a fever before this rash or in the past one month? Have you used any topical cream? Is it the first episode? Did you take any painkillers, Ibuprofen, Diclofenac in the recent past? Do you have any history of eczema? For more information consult a dermatologist online -->

Question: Q. Kindly tell me the reason for child's skin rashes.; Patient: Hello doctor, My son is 5 years old and has developed rashes on face and few on his hands. He has no fever and is fresh playing around. He went out to farm with family and zoo last week, and since yesterday he started developing few rashes. He was having very low fever a couple days back but recovered without medication. My concern is these rashes could be due to any viral or the possibility of allergy? Please suggest any test or treatment.; Answer: Hi. Probably may be a viral infection like hand foot and mouth disease. Do not worry. Please give syrup Crocin (250 mg/5 ml), 3 ml SOS, if the temperature is above 100 F. As for the rash, please apply Calamine lotion. It should be better in a few days time.

Question: Q. What causes palpitations and episodes of passing out for a few years?; Patient: Hello doctor, I had palpitations and episodes of passing out on and off for a few years. I had blood, ultrasound, and ECG (electrocardiogram) tests done, and so far, I have no answers as what is causing it. Is there anything they can do to help the symptoms at this point or do I have to put up with it and hope they find a cause and treat.; Answer: Hello. The probable cause in you is a cardiac arrhythmia. Firstly, were these episodes witnessed by others? And I guess there are tonic clonic movements as seen in seizures. Also, any precipitating events like stress, urination or passing stool, etc., this is to rule out the possibility of vasovagal syncopes. So, considering the likely possibility of cardiac arrhythmia and recurrent syncopes, there is an option of electrophysiological studies which can answer the cause. Otherwise, we will have to wait and watch until the episode of arrhythmia recurs and captured on ILR (implantable loop recorder). But, if you are having symptoms at present and there is nothing on ILR, then it cannot be a cardiac arrhythmia. So, if you are symptoms at present, then ILR should be interrogated, and if asymptomatic, then electrophysiological studies is an option. Otherwise, wait and watch. I hope this helps you and get back if you have any doubts.

Question: Q. Why am I having small red bumps on both sides of the bottom corners of my mouth?; Patient: Hello doctor, I have small red bumps on both sides of the bottom corners of my mouth. They look like small pimples, but they are not very bumpy. It seems like it is more just redness in little pimple areas rather than actual bumps like pimples would be. I was given Metronidazole and I used it twice a day for 30 days and it seemed to get a little better at the start, but the problem still persists. I have had this problem for six months and I have scheduled a visit with a dermatologist, but it will not be for a few months. I am not sure if this is relevant, but I work with pig guts, so, maybe I got something from them, but I am not sure since I have been working for almost five months before I got these symptoms. One thing I have noticed is that in the morning it looks like it has improved, but then by the end of the day it looks like it is back to normal. I am not sure what the problem is and am not sure if it can be treated without a prescription, but I am willing to try various things.; Answer: Hello. I understand your concern. It seems superficial folliculitis (attachment removed to protect patient identity). In this condition you get small red lesions with yellowish pustules. Use the following medications: Cream T-Bact (Mupirocin). Apply twice a day on the affected areas as well as the nasal vestibules which harbor the bacteria responsible for the recurrence. Do this for 10 days. Take care.

Question: Q. Followed by PMS, my period lasted for only two days. Is it worrisome?; Patient: Hi doctor, I am sexually active. But always use protection and double check after to see if the condom broke or not in case we need to take a pill. My period is fairly regular and lasts for 7 days. This time I did experience mild PMS symptoms and stomach cramps prior to onset. My period was five days earlier. And this time, period lasted for only two days but the flow was proper as always. Is there something I need to worry about?; Answer: Hello. Firstly, a single episode of early menstruation with normal flow does not qualify for being labeled as a case of polymenorrhea. Secondly, as you have been protected during intercourse, an implantation lasting for two complete days is also unlikely. So, you are pregnancy safe. Thirdly, the early withdrawal is likely to be stress induced hormonal imbalance especially progesterone level during this cycle which caused PMS (premenstrual syndrome) and menstrual cramps in this cycle. So, there is no actual need to be worried. Just maintain a menstrual calendar for next three months to understand the pattern of bleed. If the pattern continues then a hormonal profile and an ultrasound pelvis shall be required. But as of now, no intervention or investigation advised. Just increase your water intake and if not then try yoga and meditation which are great stress busters.

Question: Q. Would vagina close due to psychological reason?; Patient: Hi doctor, I noticed that for the past three months, I have had vaginal infection. But, all the tests were negative including vaginal swab and urine, which was done last month. I would like to know whether the vagina closes due to psychological reason. For example, when one do not want to have sex with someone. Please explain.; Answer: Hello. It is called as vaginismus. It is muscle spasm causing contraction of vagina. It happens due to various psychological issues. It could be due to guilt of sexual activity and some unconscious unresolved issues. It could also be due to dislike of partner. It needs counseling and medicines.

Question: Q. I have lower back pain. What does my MRI indicate?; Patient: Hi doctor, I have lower back pain and right buttock pain. I have consulted a doctor for this, but I am not satisfied with the explanations. I have undergone MRI as per advice and here is the result. Posterior disc bulge with annular tear, moderate to severe stenosis of both neural foramina and mild stenosis of both lateral recesses at L3-L4. Disc desiccation and posterior disc bulge with moderate to severe stenosis of both neural foramina at L4-L5. Posterior disc bulge with mild to moderate stenosis of the left neural foramen, moderate stenosis of the right neural foramen and mild stenosis of the right lateral recess at L5-S1. Straightening of the lumbar lordosis most likely due to muscle spasm. Apparent posterior convexities are noted at C3-C4, C4-C5, C5-C6 and C6-C7. Disc desiccation is seen at C4-C5, C5-C6, and C6-C7. Please guide.; Answer: Hello. You have mentioned that you have pain in lower back region with radiation of pain to right buttock region. Along with this, you have also mentioned about your MRI reports (attachments removed to protect patient identity) which show degenerative disc disease at multiple levels. Actually, I need your clinical details after which it can be correlated with MRI images and then I can advise you accordingly. Please tell me in detail the intensity of your back pain on a scale of 1-10. I would like to see your detailed neurological examination if possible that includes assessment of motor power, sensory examination and evaluation of deep tendon reflexes. This can be done either by a qualified physical therapist or an orthopedic or spine surgeon. That will give me an insight on whether there is any compression of nerves, etc. I also want to see your MRI scan and dynamic x-ray anteroposterior and lateral - flexion and extension views of the involved region of spine. This can tell us, whether there is any dynamic instability at the involved region or not. Kindly also enclose any recent blood tests if you have done, your past significant medical history, etc. Once I have this information, I can clinically correlate and let you know the treatment plan. 1. Clinical examination findings. 2. MRI image. 3. Dynamic x-ray.

Question: Q. What can cause weakness in postmenopausal period?; Patient: Hi doctor, I have been in menopause for 6 years now. Over three months I have been having bouts of weakness in shoulders, arms and sides of stomach. I feel very weak and strange. I do not feel dizzy. Sometimes it starts with a hot flash. Or else I will stay awake with this terrible feeling and will have hot flash at the end of it. I had CBC. As my symptoms become worse I went to an urgent care and the doctor took 6 vials of blood. He checked many things including EKG, which is normal. My fasting finger prick was 74 and HbA1c 5.6. I have attached the rest of the blood reports.; Answer: Hi. I have gone through the details provided by you. All investigations are normal (attachment removed to protect patient identity) such as hemoglobin levels, non-diabetic, with normal resting EKG. So, these are not issue in your case. However, the following are the possibilities. Post menopausal hormone imbalances - You might have increased spurts of estrogen production which are causing the hot flashes. This is common in such menopausal age and requires only mild treatment if there is evidence of the increase. For this, get the following tests done - FSH (follicle stimulating hormone), LH (luteinizing hormone), estradiol and progesterone levels in blood. Hypertension - Get your BP monitored on daily basis at different times of the day and see if there is increase in levels at any point of time. This is again a reason for hot flashes, anger and weakness. It can be cured with mild medicine if found to be present. Check for your thyroid levels. Since you are overweight, there might be a possibility that you are suffering from hypothyroidism. Vitamin D3 levels - this is another reason for general weakness. Now if we go to further serious reasons, then one probability can be TIA (transient ischemic attack), there can be slight loss of blood supply to the brain which might be causing weakness in limbs. I am not sure if this would fit into you as coming to a conclusion requires medical examination which we cannot do online. I would suggest that you send us all reports as mentioned above and also go to a doctor to get full examination done. Only then we can comment on what is the right treatment in your case.

Question: Q. Does the CBC test results of 2 years and 6 months old indicate something serious?; Patient: Hello doctor, 2 years and 6 months old with abnormal CBC test results (two tests seven weeks apart). First tested because of enlarged lymph node (only one side) in neck. Node has reduced in size to what appears normal. Low MCHC (just barely outside range of 32.0 to 36.0) 31.3. Low NE % of 26.1 Auto diff with range 43.0 to 65.0, high LY % 62.7 with range 20.5 to 45.5, high EO % 3.9 with range .9 to 2.9. Highly # 6.2 with range of 1.0 to 5.5. What does this indicate? I have read all the horrible possibilities. Is it possible these are indicative of something not serious?; Answer: Hello. Your CBC report is suggestive of lymphocytosis (attachment removed to protect patient identity). The common cause for lymphocytosis is viral infection. The enlarged lymph node could be due to that. Now, your enlarged node return to normal size as per history, so suggestive of infective etiology. You might be feared about leukemia like condition. But in blood cancer, total count is very much high like more than 50000. So, it is not suggestive of blood cancer. However, if you have persistent lymphocytosis, then it is advisable to investigate with peripheral smear examination report for further work up. It will be able to help in identifying any abnormal cells, if present like atypical lymphocytes, blast, etc. You can consult your pediatrician for detailed physical examination.

Question: Q. Can ALS cause muscle twitching?; Patient: Hello doctor, My bicep muscle has been twitching and my leg and arms muscles twitch occasionally. I am super anxious about ALS. I am 36 and postpartum six weeks but I cannot stop obsessing about ALS. Please help.; Answer: Hello. I understand your concern and would explain that there are a lot of other benign causes that may lead to fasciculations like anxiety and insomnia, benign fasciculation syndrome, vitamin D and vitamin B12 deficiency, an electrolyte imbalance or thyroid gland dysfunction. For this reason, I would recommend performing some tests: Complete blood count, blood electrolytes, thyroid hormone levels, vitamin D and vitamin B12 plasma levels. Nerve conduction studies would help to definitely exclude ALS and put your mind to peace. You should discuss with your doctor on the above tests.

Question: Q. I have diabetes with vertigo, RBBB, and constipation. Please help.; Patient: Hello doctor, Taking CTD-L 6.25/25 for hypertension and Amaryl MV-1 for diabetes for more than five years. My fasting sugar level is always above 200 on average. Besides this, I have vertigo syndrome, RBBB, severe constipation, and for the last three years itching in lower legs (right leg in winter and left leg in summer). Most of the time I am sitting for my job. My height is 181 cm and weight 110 kg (no change for the last five years).; Answer: Hello. After going through short the medical history I want to address some points for you. First important aspect of management of diabetes is diet. That will remain the primary objective for the management of type 2 diabetes across the globe. Please elaborate a little about your basic diet pattern. Second important aspect of management of diabetes is exercise. As you have mentioned your are an accountant and that will make you a less active person during a major time of the day. While on the job and presently in lockdown at home, take small 5-10 minutes of time and walk across the corridor. Start with little things. Then on the third part comes the medicines. You have not mentioned how many times a day you are taking Amaryl MV 1. Please do mention that. Your weight is also more compared to your height, Amaryl can cause a little weight gain also. You should opt for tablets that will not gain weight. There are certain medicines available now which controls blood sugars and also help in weight loss. Apart from this, I would like to know about your family history of diabetes and the stress levels you are facing on the scale of 1-10. Are you getting enough sleep? How many times you have to go for urine at night? Any pain, or burning sensation in legs? Obesity. Uncontrolled sugar levels. FBS (fasting blood sugar). PPBS (post prandial blood sugar). HbA1c (glycated hemoglobin). Lipid profile. Serum creatinine. Type 2 DM. Continue the same medicines until we work on detailed diabetic history. Take six to seven small frequent meals a day. More leafy vegetables, fruits, pulses. Take less grains, maida, and processed food. Once detailed history available and reports done.

Question: Q. What causes upper stomach pain, nausea, loose stools, fatigue, and gas with vomiting?; Patient: Hello doctor, I am having upper stomach pain, nausea, loose stools, fatigue, gas. I had one episode of vomiting (regurgitation) about five days ago, and the symptoms all went downhill from there. I am taking Aspirin, Zoloft, Prednisolone, Cellcept, Hydroxychloroquine, Amlodipine and Clonidine. I have lupus (SLE), anxiety, and GERD. I am also 18 years old and 200+ lbs.; Answer: Hi. The symptoms that you mentioned are consistent with acute gastroenteritis. Please follow the following diet, take the following medicines and do the following investigation. Diet: BRAT diet which is short for banana, white rice, apple sauce and white toast (bread). Stop eating all vegetables and fruits except bananas and potatoes. Drink ample fluid. Avoid dairy products, caffeine drinks, spicy food, food from outside, fried food, sweets. You can eat poultry or meat but cooked blandly. When you start to get better, introduce normal diet bit by bit. Feco-oral. Stool analysis, stool C and S. Acute gastroenteritis. 1. ORS one sachet in 1/2 cup water every four hours for four days. 2. Metoclopramide (Primperan) tablets one tablet two times a day for three days. 3. Eucarbon (Carbon) tablet two tablets three times a day after food for five days.

Question: Q. My lax les is 38 cm with inflamed gastric folds and severe antral gastritis. What does it indicate?; Patient: Hello doctor, My lax les is 38 cm with inflamed gastric folds and severe antral gastritis. Presence of diverticulum and ulcer near the pyloric ring. I have constant nausea, bloating, and throat tightness.; Answer: Hello. Gastritis is an inflammation of stomach mucosa. It happens due to Helicobacter pylori a bacterial infection, smoking, alcohol and also certain medicines like Aspirin. Presence of diverticulum also causes gastritis. You are taking good medicines to your concern, continue them. You can add Panchsakar Churna 3 gm twice a day with warm water after meals and Arogyavardhini Vati 1tab twice a day after meals. Avoid spicy and fried junk foods, quit smoking and drinking if you have these habits. There may be need of surgical removal of diverticulum.

Question: Q. I am suffering from mood swings. Kindly advice is this due to bipolar disorder.; Patient: Hello doctor,I want to get some information regarding bipolar disorder because I think I have it. I had horrible mood swings, one moment I am overly happy, and the next moment I feel depressed. My sleeping schedule is also different than usual.; Answer: Hello. Let me answer your questions via some bullets some points to make things easier to understand. 1. You are only 14 years old, and it is very unusual for a significant mood disorder like bipolar mood disorder to manifest at such a young age. However, this does not mean it is impossible but just far less likely. 2. As a young woman at 14 years of age, it can be considered completely to have mood swings and sleep disruption due to premenstrual hormonal changes. Puberty, overall, is a time of huge biological and psychological change and is not uncommon for a person to experience broad mood changes within one day. 3. I feel your mood swings and general well being should have a keen eye kept on them. If you have a severe mental health disorder, it will become clear fairly soon. 4. From your point of view, as long as you are still able to function normally at school and keep up with your academics as well as maintain relatively good social interactions you are very likely not suffering from a severe mental illness like bipolar. Also, consider the extent of your inner sense of personal distress. Sometimes things can seem like the end of the world in puberty but are much less severe when viewed from a different perspective. 5. I think it would be wise if your parents could allow you to see a psychotherapist or counselor regularly going forward for you to unload your feelings in a safe and confidential environment. Also, such a person could keep an experienced eye on you, and if any severe psychiatric symptoms appear, they can be recognized and acted on it correctly. 6. So my final suggestion is to ask your parents if they are willing to help you find a suitably qualified psychologist and counselor that you can see regularly and feel you can trust them with your feelings. Remember if you are unsure about how you feel and if it is reasonable and not something to worry about, it is always better to speak up about how you think, just as you have done here. Should see a clinical psychologist or counsellor regularly.

Question: Q. I am having swollen lymph node in my neck. Will it be painful after adjusting my neck?; Patient: Hello doctor, I went to the chiropractor and got my neck adjusted. I had sore on my neck more in the back left corner then the pain passed down to my left arm. After checking, they said it was a flare-up and to ice it. The next day I had it adjusted again, and he pointed out that I had a swollen lymph node on the left side. I still had sore in the same spot and was worried about my artery and my lymph node. Could my lymph node be painful because they adjusted my neck or because my muscle was sore and irritated?; Answer: Hello. I do not think that because of chiropractor there will be any trouble to the lymph node. If the pain is radiating in nature, then it can be related to intervertebral disc injury which can be a past injury and due to which you had a sore neck. As the intervertebral discs are located in between the two vertebral bodies and the muscles are the supporting structures any trouble to the disc can first make the muscle sore and change the normal curvature of the cervical spine. The radiating symptoms can arise due to nerve root entrapment by the muscle as well as the intervertebral disc. Having an MRI scan of the cervical spine will be useful to avoid further injuries. Also, doing hot water fermentation will help to reduce the muscle spasm of the cervical spine region and the trapezius muscle by which the normal alignment of the cervical spine is achieved. Using cervical soft collar will help to reduce the mobility of the cervical spine leading to stabilization of the joints and less nerve root entrapment. Exercises like static neck exercises, shoulder stabilization exercises, interscapular muscle strengthening exercises will help to regain the muscle strength and correct the cervical spine alignment. If you have any more questions, you can ask me anytime.

Question: Q. How good is Albenza for a raccoon roundworm exposure?; Patient: Hello doctor,I am concerned about a possible raccoon roundworm exposure. I have read that I can take a prophylactic 10-day course of Albenza to keep any eggs from entering my CNS. I might have type 2 diabetes for a while and have put off bloodwork to find out. I am a glaucoma suspect based on the last eye exam. How hard is Albenza on the body? Is it generally well tolerated for many days? Do immediate side effects get better after a few days?; Answer: Hello. Albendazole 400 mg single star dose is enough for prophylactic deworming. 10 days course is not required. Usually, it is very safe and is well tolerated. A rare side effect is a seizure, that can happen if the worm is already lying dormant in your CNS. I generally prefer a three-day course of Mebendazole 100 mg twice daily as it does not enter CNS and so there are no changes of seizures. I hope it helps. If you have any further queries, please ask me.