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hi doctor I am just wondering what is abutting and abutment of the nerve root means in a back issue please explain what treatment is required for annular bulging and tear | hi I have gone through your query with diligence and would like you to know that I am here to help you for further information consult a neurologist online |
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hi doctor I am a 26 year old male I am feet and inches tall and weigh 255 pounds when I eat spicy food I poop blood sometimes when I have constipation as well I poop a little bit of blood I am really scared that I have colon cancer I do have diarrhea often I do not have a family history of colon cancer I got blood tests done last night please find my reports attached | hello I have gone through your information and test reports 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 |
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hello doctor I am 48 years old I am experiencing weak erection and difficulty in sustaining the same this condition was observed 10 years back also there is premature ejaculation other physical ailments that I have are I am suffering from hypertension and taking amlopres amlodipine and lisinopril for the last 10 years high cholesterol and triglycerides my cholesterol level is 25 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 my or my 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 module my for 10 days I wish to have your second opinion on this please guide | hi for further doubts consult a sexologist online |
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hello doctor I have multiple small cysts in both ovaries cos our family friend suggested me to consume kalarchikai medicine powdered mixed with pepper and honey to have it for one mandala 48 days I have completed nearly 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 follicles have been seen in it with both ovaries enlarged kindly suggest me what I can do further I got married before one and a half years and I am much worried about my pregnancy I have gallstones as well | hello I just read your query see kalarachi kai choornam is helpful in amenorrhea as far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously as a result they got collected in the ovary and they will remain in the ovary now you have got your periods you can start trying for conception but I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study ovulation study is performed under the supervision of a gynecologist for gall stones surgical intervention is required generally medicine is not of much help |
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hi doctor during masturbation I just rub the tip of the penis and not the entire penis is it a wrong way of doing I do not get excited during sex and unable to ejaculate only rubbing the tip of the penis gives me excitement also two weeks ago I have undergone circumcision as my foreskin did not retract before circumcision too I have the same problem please help | hi for further doubts consult a sexologist online |
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hi doctor I am a year old female who often suffers constipation to the point where I feel like I get minor external hemorrhoids that often bleed again I have not got doctor verification for this but that is what I think recently I have been experiencing pain around the left side of my stomach I cannot localize it sometimes I feel like it is on my back sometimes the lateral side and sometimes the front it usually happens after I eat or pass a stool but I have a minor sensation of discomfort even when I am just sitting all of this has been getting a lot worse the past couple of days I often feel nauseated too I think I may have diverticulitis however I am not sure how common it is for my age I also feel like I have a small localized swelling on the lug that hurts when I press on it I am not sure what is wrong and I really want to go get some tests done but I do not feel safe going to a hospital with certain circumstances | hello I think you are overthinking about your symptoms to be conscious is good but to be over conscious may fall in the category of anxiety and is not good I will advise you to be relaxed based on your symptoms I do not feel anything to be worried of considering your age and symptoms of constipation and feeling something more probably pointing towards hemorrhoids or some local pathology but physical examination and maybe flexible sigmoidoscopy would be appropriate to confirm underlying pathology or maybe online video consultation with gastroenterologist if you are worried about going to the hospital I will advise you following general measures to follow that will help you try to relax do not overthink there is nothing serious we are thinking of take fibers increase it in the diet in the form of vegetables add ispagol in your diet avoid constipation take plenty of water do regular walk exercise inside your home if you can not go outside do not strain in the restroom take a sit bath daily follow me in case you got further queries |
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hi doctor I am 27 years old my weight is 48 keg and height is 8 feet I am a pure vegetarian I need to increase my body weight I am suffering from psychological problems like anxiety I am not diabetic be is normal I do not smoke and drink please suggest foods to increase weight immunity and fertility kindly advise | hi how is your eating habits your total calorie intake should be around 200 cal day this will include all three meals with a snack in the evening you can drink any protein supplements at that time include ghee two to three teaspoons a day cheese or paneer weekly thrice exercise every day for 45 minutes to hour simplest is brisk walking your appetite will increase with exercises all fruits and vegetables are allowed take milkshakes lassi protein supplements after your exercise all kinds of days and whole pulses are allowed whenever you are eating high protein diet follow that by light food for example if you are eating canna for breakfast eat a light lunch gradually increase your intake if you follow my diet definitely your immune system will become good weight gain will happen slowly meditation is good for psychological problems concentrate on positive things in life do not worry too much about your weight if your overall health is good it is a very positive sign for you follow up after two weeks |
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hello doctor I am a 39 year old woman I have mild pain in the left side of the chest below the neck and above the breast and then sensation in the upper back from four days it comes and goes sometimes it goes to the right side of the chest also I have done my egg and blood test months ago egg and blood sugar were normal no hypertension but hemoglobin was 10 and vitamin 12 was below average what can I do as in lockdown it is not possible to see the doctor as a person please help | hello I would like to ask you some more questions do you have symptoms of acid peptic disease or herd or any burning sensation in the epigastric region the center of your chest heartburn if you do it could also present as chest pain so I will guide you accordingly I would also like to rule out any muscular pain for which I will encourage you to take a muscle relaxant and see if it helps take tablet muscoril thiocholchicoside my one tablet once a day when you experience pain and let me know in the follow up in a couple of days to see if it relieves the pain like you said your vitamin b12 levels are below normal it could also be neuropathic pain for which I will only advise vitamin b12 supplements tablet methycolbalmine once a day for three months or complex supplements you can also improve these levels with diet take diet enriched with beef liver and chicken fish and shellfish such as trout salmon tuna fish and clams fortified breakfast cereal low fat milk yogurt cheese and eggs since your he is also below the ideal levels take iron rich foods which are usually vitamin b12 rich as well so I will advise diet modification to incorporate these in your everyday routine or take supplements with iron and vitamin b12 as well because anemia can also present with the said symptoms lastly I will encourage you to reduce weight with exercise and changing your diet and switching to a low fat diet with the addition of more fruits and vegetables to your diet try to start with atleast 30 40 minutes of cardio workout every day and work it up from there according to your stamina and you will see the visible change that you feel you will feel more active and fresh try to bring your mi body mass index as close to the normal range as you can because obesity itself can cause countless problems as well I hope this helps egg electrocardiography do not lift heavyweights take low fat high fiber diet after two days |
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hello doctor I am a 39 year old male I am 168 am in height and 68 keg in weight since last one month I have been suffering from intermittent loose motions yellow colored there is no vomiting no fever or major abdominal pain except for occasional cramps initially I took a combination of norfloxacin and tinidazole for four days but things did not improve thereafter on the prescription of my doctor I took metronidazole 400 and dicyclomine 20 my for a period of 14 days I also took lactobacillus tablets for the entire period during these times I only ate poha rice curd and banana also I took boiled water it is the fifth day now and I have discontinued the medicines despite on such a bland diet no wheat I still have at least one to two loose motions in a day my routine medical tests were done in january this year which was normal my wife and son also developed loose motion in between for a very brief period however they recovered fully within three days please advice | hello I cannot see any red flags in your symptoms more likely nothing to worry it is the function of your intestines that is triggered by some infection and you are facing overactive intestine more likely it is a functional problem unless proven otherwise I will advise you to keep things simple quit all medications you already took a few antibiotics please follow these general guidelines add fibers in your diet like vegetables and ispagol husk two spoons daily keep yourself well hydrated add yogurt in your diet eat less more important is to keep yourself relaxed the best way of doing is by doing a walk exercise please start tablet mebeverin 135 my before breakfast and dinner for eight days tablet rifaxamine 200 my after breakfast and dinner continue probiotics please follow me after one week I hope you should be fine otherwise I will advise you on some tests |
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hi doctor I am a year old female who was diagnosed with hypothyearoidism 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 hypothyearoidism 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 levothyearoxine buspar and benedryl | hi you have really done well with the hypothyearoidism 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 ash thyearoid 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 hypothyearoidism even though your weight has not reduced be very careful in not putting on weight here afterward everyday brisk walking for 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 5 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 antioxidants 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 |
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hi doctor I am a 13 year old male and I have had semen leakage for about three months I think it is from weak nerves because last year I would masturbate a lot but then I stopped because it was becoming painful and I was embarrassed then about three months ago I watched something inappropriate and I ejaculated without doing anything then a week later I started to have semen leakage every day about three to four times a day I am just very worried and I just want this to be cured and go away also could this affect my eyes in any way please help | hi let me tell you that the symptoms described by you suggest that you have a nightfall problem the high quality way to deal with dusk is the use of herbal or selfmade remedies there are no aspect outcomes for such remedy methods you ought to have yogurt at least two or three bowls a day avoid looking at porn as plenty of porn arouses you sexually so it is recommended now not to watch porn sage tea having two cups of sage tea a day will limit the probabilities of nocturnal emission gooseberry popularly recognized as alma acts as an anti oxidant and helps in lowering the nightfall gradually the moist goals trouble will be solved bathing it is a recommendation to take bathtub earlier than you go to bed it helps you have a sound sleep a sound sleep is very vital for averting nightfall I hope this helps |
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hello doctor I was diagnosed with cos in january so my gynecologist prescribed me dinette 35 for six months and bonemac do for one month but from march my periods are regular without taking medicines but there is sometimes slight pain in my lower abdomen and side abdomen should I continue medicines despite having normal and regular periods | hello if you are having regular periods in terms of flow duration and regularities and if you have already stopped taking dinette since march there is no need to resume its intake immediately unless you need contraception also at the same time or not wanting a pregnancy now in that case you need to use an alternative mode of contraception to avoid your pregnancy please attach your previous prescriptions blood test and ultrasound scan reports based upon which cos was diagnosed also inform your height weight and whether there is excessive hair in the chin upper lip chest and abdomen follow up with reports again also follow the lifestyle modifications described below blood for serum fasting insulin levels blood for serum vitamin do levels us ultrasound tis transvaginal scan if not done in the past three months continue vitamin avoid junk food spicy and dip fried foods low carbohydrates fat restricted gluten free diet is recommended regular brisk cardio exercise like walking jogging cycling swimming for at least 30 minutes a day is a must take frequent small meals |
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hi doctor I am 16 years old I just recently discovered that I have scoliosis I do not know much about it but I will tell you what I know my scoliosis currently has only a degree curve and I am pretty confident it is a shaped curve although I am not sure what do you think are the chances that my scoliosis will develop into adulthood do you think it will stop progressing once I am fully grown | hello before going into the progress of scoliosis I would like to make you some clarity about the facts on it the cobb angle is a measure of the curvature of the spine in degrees this helps to determine what type of treatment is necessary a cobb angle of 10 degrees is regarded as a minimum angulation to define scoliosis a scoliosis curve of 10 to 15 degrees normally does not require any treatment except for regular check ups if the scoliosis curve is 20 to 40 degrees the orthopedic doctor will prescribe a back brace help to keep the spine from developing more of a curve more than 45 degrees need correction surgery keeping many pedicle screw and osteotomy to correct the curve I hope you go for ray done of your spine and it will be easy to measure properly about the curvature |
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hello doctor I have a 5 month old who I recently noticed developed a tongue tremor I looked up online for the causes and found them as sma she has great motor control we were not doing tummy time as often because she did not like it but have increased it and have seen a big improvement my doctor believes it is benign tongue tremor unfortunately we had a telehealth appointment due to couid so he was unable to see her but he told me not to worry and to keep an eye if things get worse I am so scared it is sma what else should I be looking for | hello welcome to icliniq com history noted as above your 5 month old has developed tongue tremors please provide me more detailed history such as preterm or full term birth weight normal delivery or lscs how is her weight is she gaining weight and let me know more about family history or any other in the family suffering from sma spinal muscular atrophy sma is confirmed only by genetic testing or by muscle study there are many types of sma some of them develop symptoms later in life and a few develop in early life keep a watch on her development like head holds muscle tone and power and let me know me know if tongue fasciculation increases and the child becomes more hypotonic |
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hello doctor why my ortho does not put brackets in power chains while missing one or two spots I have straight teeth and I am in the sixth year with braces I think instead of closing gaps this is creating gaps please help | hello there are different types of power chains that are available for the treatment depending on the interlink space short connects every alternate bracket long connects every third bracket closed connects each bracket so depending on the stage of your treatment either of the types can be used which may or may not connect individual brackets also we would require the history of the type of malocclusion you had in the first place as the duration of the treatment varies with the complexity of the malocclusion complex malocclusion which require a lot of rotations and closure of gaps may take longer than usual also the density of your alveolar bone and your body bone remodeling rate affects the duration of final results so in order to give a definitive diagnosis we would require your treatment history which includes preoperative and post operative clinic photographs intraoral and extraoral both preoperative dental rays op and lateral cephalogram treatment history including the types of malocclusion brackets used wires used and the movements caused oral hygiene maintenance routine that you follow during the braces treatment waiting for your reply brush twice daily with fluoride containing paste use of salt water gargles everyday especially after meals tongue cleaning on regular basis a periodic check up with your dentist once every months a visit to the dentist for oral prophylaxis teeth cleaning and polishing once every six months after providing the required information |
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hello doctor I am a 60 year old male who just received the results of a 24 hour hotter monitor key findings include sinus rhythm with frequent supraventricular ectopy 2559 which included couplets and one seven beat she multiplet no complex forms no significant pauses or periods of heart block noted constant feeling of missed beats coincides with frequent supraventricular ectopy very infrequent ventricular ectopy that was isolated and univocal cardiologists not concerned with findings and recommended positive affirmation distraction and cognitive behavioral strategies he was very reluctant to recommend anti arrhythmic treatment seeing this as overkill other matters of interest recent stress echo march indicated above average fitness for age 14 mets and reached a maximum heart rate of 160 bpm moderate aortic regurgitation grade 4 normal ejection fraction 60 lvedv 138 mls no demonstrable ischemia or arrhythmia the recent pacs are very noticeable and I feel every one of them I would appreciate a second opinion or advice on whether there is anything else I can do to stop them I am currently on atenolol 100 my creator 40 my effexor 74 my and valium my | hello premature atrial contractions or supraventricular ectopic are not harmful per se other than giving you symptoms so antiarrhythmics are not usually recommended so I do not disagree with your treating cardiologist beta blocker is the safest option available although not the most effective one and other options are ablation or antiarrhrythmics so trying behavioral techniques is a good option but if it troubles you a lot then you may request low dose antiarrhythmics like amiodarone for a short period of time but they may again come back after the drug is stopped since there is no atrial fibrillation or set supraventricular tachycardia antiarrhythmics are absolutely necessary but the benefit would be in you is just symptomatic which comes with the risk of side effects however you should have hotter at regular intervals like yearly with echo for aortic regurgitation or if you notice sustained ectopic or irregular rhythm implying development of fibrillation you may discuss changing atenolol to others like metoprolol and see if its help you should try to identify triggers like sleep or gastric disturbances alcohol or smoking if any particular medications which you are on stress etc also if not had recently thyearoid should be tested so in a nutshell antiarrhythmics may be avoided but if not tolerable symptomatically then may be tried I hope this helps |
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hello doctor this is about my 69 years old mother non obese nonhypertensive nondrinker smoker she is not on any medication she is unable to move her left arm for the past three days and also has shoulder pain especially when not sitting there was no injury to the arm and the trouble moving her arms is such that she cannot even braid her hair does this indicate heart disease can a finger pulse oximeter reading of the affected arm be of any relevance in ruling out a cardiac issue what about egg reading please reply | hello welcome to ilciniq com please attach the egg report it is not attached please clarify whether the pain is prominent feature or inability to move the arm or is it like that she is not able to move arm because of pain or fear of pain now this is not indicative of heart disease left arm pain without chest pain is unlikely to be related to the heart also there would not be any difficulty in moving the arm with a heart attack so it is unlikely to be related to the heart the possibilities are one is cervical and second is shoulder problems like frozen shoulder or arm dislocation even if there is no history of obvious trauma frozen shoulder is more lifely so she will need egg electrocardiography to be sure x ray of shoulder ap lateral view and maybe cervical spine if having symptoms next the pulse oximeter will not helpful in ruling out heart disease however if she has severe shortness of breath and low oxygen reading then this may indicate heart failure so indirectly we may infer however if the pain is mild and weakness is prominent then it is probably either cervical issue or neurological issue so get her examined by local doctor and ray done you may use volini spray or diclofenac spray I hope this helps |
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hi doctor I am 24 years old three months ago I got viral conjunctivitis after two weeks everything was fine but eyes got blurred then my doctor recommended me tobramycin fluorometholone acetate suspension and tear natural forte then after using it for one month my vision was clear but then doctor changed eye drops to tobarest and tear natural forte now my vision is getting blurred again what should I do now I have no other problem such as redness itching etc just blurry vision is there please help | hello I have seen the picture you are having post viral spy superficial punctuate keratitis in your eyes it is a very common condition after viral conjunctivitis it is that small whitish scar marks on the cornea which leads to blurred vision it will take time to resolve you have to continue drops which have been prescribed by your doctor that is perfect drops only so no need to worry it can take three to six months or sometimes one year to resolve just continue drops which you are using right now both you should use it daily for at least a month then you can taper the frequency of it and slowly you can stop it slowly your vision will improve as lesions on the cornea will get resolved |
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hello doctor my father is 71 years old he having abdominal pain in the middle for the past four to five days pain is constant and mild to moderate in intensity he is not having any issue in passing stools or urine but sometimes complains of burning sensation while passing stools his appetite is good no vomiting or diarrhea no fever his current medial history includes diabetes and hypertension he is an alzheimer patient can you please prescribe some medication for his abdominal pain | hello I can understand you must be very upset about your father health well you see the abdominal pain in such age is often an alarming finding and I urge you to get him some investigations before giving any blanket cover of medicines common possibilities in his age are mesenteric ischemia which is the narrowing of the blood vessel supplying the blood to abdominal organs this can frequently occur in old age with diabetes and hypertension the pain arises because of lack of blood supply to organs like small bowel large bowel and others the second possibility is pain due to any organ within the abdomen which is inflamed commonly the pancreas a gland over the back of the tummy and large bowel and lastly since he has a problem with constipation the gas accumulation can also be the reason of his abdominal pain but remember we cannot say that it is because of gas distension unless we exclude all other possibilities which are more concerning I suggest you to get investigations which I write below only after the investigation we can be able to diagnose the problem and treat it appropriately I really hope this set of investigations will help us to approach the problem correctly mesenteric ischemia pancreatitis gall bladder or common bile duct stones colitis colonic neoplasia gas constipation related compete blood count serum amylase and lipase liver function tests serum lactate level and serum cop reactive protein hba1c glycated hemoglobin lipid profile stool for detailed report stool for occult blood on consecutive three days stool for fecal calprotectin capsule esomeprazole 40 my half an hour before meals ispagol husk two tablespoons full with water daily follow up after investigation |
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hello doctor my symptoms are watery eyes blocked nose sneezing and runny nose with transparent fluid coming out of my nose it gets worse when I have something from the refrigerator but I am sure it is not common cold what other doctors diagnosed was that I have got allergic rhinitis I feel fine sometimes when I take montelukast fix but sometimes even montelukast does not help this allergy starts from starting june to about september but it is hard to live with a runny nose and sneezing | hi welcome to icliniq com the symptoms you have mentioned are of allergic rhinitis but it is just not sneezing and watering of eyes it causes major complications in your body starting from sinusitis to asthma which becomes permanent to your life we have to curb it in its initial stages first complete cleaning of fans in your room and also the pillow covers and bed sheet use the mask as much as possible to prevent yourself from dust exposure monte fix montelukast and fexofenadine just gives you symptomatic relief on that day you have to advance to nasal sprays and nasal washes as a permanent solution advance anti allergic drugs have to be started I need to know the details of allergies possible and have to remove the source |
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hi doctor I am in week of my pregnancy and I am worried about some things that happened very early in the pregnancy before I knew I was pregnant I had a few glasses of wine from day to day 20 a total of six maybe and one glass and a half on day 20 I also took corticosteroids betamethasone a single dose of my due to an allergic reaction on day 20 and as if this was not enough I was also on antibiotics flucloxacillin which I finished on day 24 of pregnancy I am so afraid all of this might have had an impact on the baby is there a risk my baby might have been affected | hello as you have not mentioned the date of your last menstrual period I am assuming by day you mean the starting date of last menstrual cycle because we calculate the pregnancy age from that date so yes the early pregnancy time is very important because the embryo is developing in that time period so as per your query as you mentioned the consumption of wine in the early three weeks I do not think it is going to have any effect on the embryo because it is in the preovulatory phase when even the egg is being formed and released and yes corticosteroids in high doses when used for chronic medical conditions can have a risk of cleft lip and palate but a single shot taken for an allergic reaction should not be affecting the baby also the flucloxacillin is a penicillin group of drug which is usually safe in pregnancy so be calm and stop worrying about the risks it will just increase your stress levels moreover in early pregnancy if any embryo is grossly affected by any insult it either usually abort early if the exposure has been hazardous but if the exposure is nonhazardous it makes through and the baby will be fine this is called all or none phenomenon in pregnancy so your exposure to the medications was not that is something very dangerous so rest assured and more over your pregnancy has reached until weeks that is a good sign that the embryo has not been affected by the exposure to the drugs you have been worrying about please consult your gynecologist for your antenatal checkup and investigations required to be taken as per your local protocols us ultrasound for dating and viability it nuchal scan with dual marker test between 13 weeks routine antenatal investigations as per your local protocols tablet folic acid my daily once after food until 13 14 weeks avoid sexual intercourse until 14 weeks consult your gynecologist before any medications intake or to review the medications already taking for chronic medical conditions |
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hello doctor I have an oily skin type recently I am experiencing pimples white bumps red dots on my cheeks close to my ears sometimes I feel very itchy near the pimples I have developed one or two new big pimples on my forehead also when the pimple subsides after a week or two it leaves a reddish brown mark on that area I feel the need to wash my face very often as it starts feeling very heavy and sticky from all the oil on my face I used clear gel for some time but it is not working on my skin not using any other medication at the moment kindly help me with the same | hello attach a picture of the lesion for details use ahaglow face wash twice daily for 15 days are there pustules inflammatory red lesions photosensitivity |
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hi doctor I am 23 years old it has been more than a year my liver function test result remains high I have been tested for hepatitis a c and autoimmune hepatitis but the result all came out negative my doctor told to take blood test regularly but it has been almost a year now the result still remains high the lowest result so far I get is ast 90 but my latest liver function test result shows my ast alp and get all 200 may I get any advice on this I did not take any medication consume any alcohol but the result still came out high I am so worried about that please help | hello I can imagine that you must be very concerned about your persistent elevation of the liver enzymes as you already have viral etiologies excluded this is time to look for other things which could lead to persistent elevation of the liver enzymes notably the wilson alpha antitrypsin deficiency hemochromatosis autoimmune hepatitis type I i want you to upload all your previous investigations ultrasound reports if done and any other testing that you have been performed in the past two years I also suggest you to get following blood tests which would help us excluding the above possibilities it is possible that you have some testing already and I do not want that you should repeat it but do upload the reports as I can see those secondly despite you had a viral screening that showed nothing abnormal but there are certain other tests like he core total which can tell occult or latent infection and cause of your raised enzyme levels since the investigation may cause you significant cost it is possible alternative that you can discuss with me in detail as we can shrink some of those testing by closely inquiring about those causes in history before getting tested I am sure we would reach a conclusive diagnosis by relevant information you provide and after investigations wilson hemochromatosis autoimmune hepatitis type I alpha antitrypsin deficiency chronic viral hepatitis complete blood count liver function test fresh and all previous as I can see the trend he core total hbsab hbsag serum ceruloplasmin serum copper ferritin and transferring saturation anti lam antibody serum alpha antitrypsin level autoimmune or other metabolic diseases follow up after investigations and all previous reports or earlier if want to discuss before getting tested |
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hello doctor I am 30 years old and I am a type diabetic right now I take lantus 30 unit at night in the morning I take gamer is and after breakfast I take 12 my jardiance now my sugar is under control but because of jardiance I usually have penile infection and balantitis I have googled that jardiance have side effects of these types because it flush out sugar from urine can I take any other medicine like voglibose or other which has good efficacy or should I take novorapid along with lantus at morning meal | hi welcome to icliniq com urinary infection is the most common side effects of the empagliflozin jardiance maintaining thorough hygiene and plenty of water I can advice you for a change in medication but you need to be very vigilant initially for any fluctuations your exact blood sugar values might have given a better understanding though below I am modifying your medication of gamer and adding voglibose stop using jardiance be very strict to yourself in having controlled diet with more of fruit and salads regular yoga and exercise tablet gamer is glimpiride my in the morning 15 minutes before breakfast tablet voglio voglibose 2 my just before first bite of your breakfast rest continue with the same medication at night you may have some stomach disturbances initially but may settle down eventually have good enough amount of curd in your diet measure your values especially after four to five days and get back to me for advice so that depending on how you are managing can decide for any modifications or continuation of the same treatment |
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hello doctor I have two missing teeth in the left and right side of my lower jaw so I have now 16 teeth upper jaw because I have the wisdom there as well and 12 teeth in lower jaw no wisdom can I get the invaslign or just braces will be good and do I have to extract teeth from my upper jaw | hello I went through your query and the attached image you have two lower second premolars extracted with no third molars in the lower jaw little bit crowding is seen in both upper lateral incisors that might be the reason for you opting for braces well as a specialist upper tooth have a little bit of space in between the central incisors upper front teeth need proximal slicing to facilitate space that space will be enough to realign your both upper lateral to the arch although it is just a front profile if possible upload a side profile of your face to evaluate the overjet but I can say just marginal and proximal slicing of the upper front teeth will be enough and no further extraction needed meanwhile you have missing both lower second premolars get a fixed bridge to cover the gaps or else they will shift and get malaligned upper third molar are also fine and does not need extraction in the near future go for normal braces instead of invisalign normal braces work much better in these cases I hope this helps |
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hi doctor my last period was on april 28 it has been almost seven weeks and I still have not had my period yet I had unprotected sex on may 24 thinking my ovulation day is over but I started getting very paranoid last week so I took a pregnancy test on june 10th and it was negative then I took one more yesterday on june 14th and it was negative but if I squinted hard enough it could have been positive I am very paranoid right now because I do not have a supportive family and I do not have health insurance to go to the doctor to get this checked out and I am not ready to have a child I am 21 years old living with my very conservative religious immigrant parents and I do not know if I should take the second pregnancy test seriously I have been stressed out for the past one month which makes me think I am skipping a month but I am still very afraid that there is a chance I may be pregnant I have no symptoms of pregnancy is it likely that I am pregnant | hello welcome to iclinq com it is unlikely to be a pregnancy however get a serum beta hug human chorionic gonadotropin blood test to rule out pregnancy as it has some chances of false positivity and false negativity as it is weakly positive the likely cause of the delay could be hormonal anemia weight gain hypothyearoidism stress or change in food and exercise pattern can affect the cycle length and pattern hormonal serum beta hug pregnancy delayed cycle probably hormonal if beta hug is negative then take tablet medroxy progesterone acetate 10 my at bedtime for five days menses occur one week after the last dose of progesterone weight reduction if mi 25 |
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hello doctor I am getting increasing acne day by day how to prevent them from coming on my face | hi acne is very common in one teens and twenties some continue to have breakouts even later in their life especially if there are some underlying hormonal issues or genetic predisposition pimples develop because of increased serum secretion inflammation and bacteria residing on the skin called acres has an important role to play treatment requires knowing your detailed history any hormonal issues any treatments you have taken in the past products you use on your face etc oral medicines and creams gels are used for the treatment of acne for mild eruptions creams containing clindamycin and nicotinamide may be used benzoyl peroxide and adapalene are other commonly prescribed anti acne applications but it is important to discuss with a dermatologist to decide on the correct line of treatment meanwhile eat healthily avoid excess milk and dairy chocolates and junk food exercise regularly and sleep well also avoid using oil or greasy applications on the scalp and face and keep cosmetic use to a minimum I hope this helps |
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i am 53 years old male I am a diabetic and have ed problem for the last months I loose my erection very soon I even tried taking exact on two occassions but it didn't work but do I have to take it continuosly please let me know as to what steps I need to take to improve my erections terry | hello dear do you feeling difficult to get erections or difficulty to maintain erection for a long time and premature ejaculation diabetic patients with uncontrolled diabetes may lead to erectile dysfunction so please maintain good diabetic control eat green leafy vegetables and fruits avoid smoking and alcohol consumption do regular exercise and yoga use tablet nano leo twice a day for three weeks if you suffering from premature ejaculation intermittent squeezing and interruption may help need partner co operation phosphodiesterase inhibitors may be useful for ed but do not use your taking cardiac drugs for anxiety and premature ejaculation tablet dopaxetine 30 my one hour before bed may useful please get it serum testosterone ultrasound and doppler of penis nocturnal tumnesense test may useful to diagnose the problem if no improvement with medication need prosthetic device insertion or local injection may useful take care |
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i gave birth a year ago I have had problems with diarrhea ever since periodically I did tests for candida helicobacter pyloric bleeding parasites all negative I have a slightly weaker blood count I did a stomach ultrasound and everything is fine I suffer from post traumatic stress and the doctors told me I had diarrhea because of it I have been taking post traumatic stress therapy and I have been feeling slightly better but the diarrhea has not stopped in the last month I go to the toilet 5 times a day in the morning as soon as I wake up I have to go to the toilet and a few more times during the day I am currently taking the following therapy orvagyl 400 daily probiotic forte daily heferol daily vitamin daily seroxat 20mg daily eglonil 100 my daily prazepam 10mg daily | hello I welcome you to icliniq I can understand you must be upset about your symptoms well the part of problem is explained by certain drugs you are taking like heferol which is iron and usually causes gastrointestinal upset some feel constipation and some feel diarrhea but drug side effects usually settle once culprit medication is stopped I do not whether you taking heferol since last year or started recently and whether you gave a drug free trial to see if it improve your symptoms of diarrhea there is long list of conditions which can cause intermittent diarrhea the few such example is giardiasis food allergies and allergic gastroenteritis I want you to upload all previous testing that you have done and provide me more details about your diarrhea before I can be able to suggest you something below I write down some investigations that you should get before we meet again or if already these tests are available kindly share with me the reports I will help you to settle your problem good day giardiasis food allergies celiac small intestinal bacterial overgrowth functional diarrhea irritable bowel syndrome complete blood count ash ft3 ft4 serum ferrtin level stool detail report stool for ova and parasites stool for fecal calprotectin stool for difficile antigen stool for giardiasis antigen stool for fat globules and reducing substance stool for spot na and spot serum or serum na and serum see me after investigations will decide treatment plan afterwards see me after investigations will decide treatment plan |
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hi this is regarding my husband who is 35 years of age four years back after a nasal septoplasty surgery the doctors realized that his blood pressure was very high after doing all the tests he was diagnosed with moderate concentric lvy my husband who is feet and inches was 98 kegs then he was put on hypertension medicines and was on diet and exercise and he visits his cardiologist every months he has now reduced his weight to 79 kegs in the egg report taken last year the diagnosis is sinus arrhythmia prolonged wave and complete right bundle branch block the echo report at the same time says concentric lvy no rwm normal valves normal la systolic function 62 doctor had advised him to continue with his medicines diet and exercise what do you make of the egg and echo test is it fine to continue with the hypertension medicines diet and exercise his blood pressure is under control now could the lvy be reversed | hello I have gone through his reports so he has hypertension and he needs to be on medication for long term however in future with weight loss and healthy lifestyle like avoiding fatty oily and high calorie food plenty of green vegetables and fruits etc his requirement for antihypertensive may go down so his future be readings would guide regarding that but as of now he should be on regular be medications with regular be monitoring best be readings would be 10 to 130 systolic and less than 90 diastolic now regarding egg and echo firstly they are all hypertensive changes and not worrisome concentric lvy would be there even if be is under control and it is not going to cause any problems egg does not show complete rbb however there are early rbb changes which are again likely related to hypertension and not worrisome sinus arrhythmia is normal finding and nothing to worry to about prolonged wave so there are changes which are not very significant and alarming so in a nutshell he should focus on be control healthy lifestyle get his lipid profile tested and he should be subjected to treadmill test after age of 40 years hope this helps you and get back if you have any doubts |
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hi I might need a general surgeon for a consult regarding my mother wound she is 81 years old she is had it since end of last year she has seen doctors and has gone lab tests based on her lab results the first doctor up to the third has prescribed mupirocin ointment antibiotic which lasted to 20 days and mefanamic acid only if she feels pain unfortunately it has not gotten any better I hope someone can help thank you she used to have a wound on the same area when she was young between years old to 10 years old but it got better but now it is back | hello I will definitely help you regarding your mother problem I have seen the image and lab report of your mother there is a ulcer in her leg medial aspect as I can see it is a chronic non healing ulcer because the margins are sharp and base is filled by yellow debris in healing ulcer ulcers are sloppy and base is filled by healthy and red granulation tissue but in your mother case it is of non healing type there are many reasons for non healing ulcer like old age diabetes hypertension and immunodeficiency as your mother age is 81 year than it may be a probable cause because blood investigation seems to be normal one more thing I want to tell you that varicose veins are one cause that may present with this type of ulcer in medial side of leg exactly where this ulcer is located to confirm the diagnosis of varicose veins I need image of whole leg to see the dilated veins you may go through color doppler venous both leg to rule out varicose veins now the treatment part no role of antibiotics now as there is no active pus discharge one thing that can be done is scraping of the dead floor and margins of ulcer so healing will fasten it can be done by local surgeon also you can apply mupirocin ointment start vitamin tablet gram daily it enhances immunity and help in healing of ulcer hope it helps get back to me anytime |
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hello doctor I am 19 years old I am almost three months late for my period and do not know what to do I read some articles and found out that weight loss triggers periods and I have lost around 50 pounds in the last year bringing my weight down to 122 pounds I am super scared about my periods also this morning I had white discharge can that be a sign of my period may be coming | hello yes excess weight does cause a hormonal disturbance that can lead to delayed periods but there can be other hormonal changes like thyearoid and prolactin that need to be evaluated to look for the cause of the delayed periods sometimes stress also can cause a delay and yes the consistency of the discharge can be a little thicker during the premenstrual phase if ovulation happens but we cannot predict just based on that if you would be getting your periods or not if already three months have lapsed and if there is no chance for a pregnancy then it would be advisable to take medication for withdrawal and get yourself evaluated for the irregular menstrual cycle issues I hope this helps |
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hello doctor I have chest pain for more than one month on and off radiating to neck and jaw sometimes I also get pain in both shoulders sometimes I am diabetic and hypertensive please explain my egg reading I am currently on irbesartan and metformin | hello welcome to icliniq com your egg is fine there are no significant abnormalities seen in egg electrocardiogram machine generated report mentioned at the top is frequently inaccurate so not to get panic with it now in cardiac pain the pain usually occurs on exertion and relieves with rest this is very classical of cardiac pain if it persists for a few minutes and does not last round the clock more than 2 days now if the pain does not have such characteristic then it may either be related to cervical spondylosis or gastric reflux if you have any bloating burping heartburn or upper abdominal pain then it may be related to gastric reflux or if this pain increases on neck movements associated with tingling numbness sensation in arms then it may be related to cervical pain however considering the risk factors like do diabetes mellitus hen hypertension it is better to rule out the possibility of cardiac pain so you should undergo echo and if normal then treadmill test |
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hello doctor two weeks back I suffered from loose motion after injection and saline I was well but after three days I felt pain in the anus portion because of hard stools it is very painful and I started talking taxi and sit bath and cream that I got from the medical shop I started applying it after a few days itching started and the pain was gone in between these days I just took no masala food like dal curd green and veggies yesterday morning I had hard stool and stomach pain and anal pain also started I have pain on touching while applying the medicine | hello well it is uncommon to have burning in the anus when someone has altered bowel habits your symptoms might be occurring secondary to anal fissure for which you rightly took dietary precaution and local cream and sit bath now you just need to keep taking fiber in diet or for temporary use can start syearup lactulose 15 my at night time only thing you just need to do is avoid constipation you can continue xylocaine four to six hourly for a few more days and then stop anal fissure follow up if symptoms do not get better in the next three days |
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hello doctor I am a type diabetic and I suffered chronic diarrhea for the past 10 years finally the doctor found tape worms and eggs in the stool I had several rounds of praziquantel last round was weeks ago with 650 my per day with a break in between I took supplements of all kinds and now colonics I am still passing worms I have improvements in health pain and girth around my stomach also improved but I am frustrated I cannot seem to get rid of it please help | hello I suppose you must give a brief history of the nature of your diarrhea like mostly it is oily and malodorous watery or gassy does it have any relation to meals do you feel any abdominal pain fever or itching at the anal area do you ever have a low he any loss of weight what type of worms did you notice on the stool e report and most importantly is your diabetes controlled worm infestation complete blood count stool routine examination diabetic diarrhea drink boiled water after cooling personal hand hygiene sugar control tablet albendazole 200 my two tablets now personal hygiene |
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hi doctor I have been dealing with a recurring sore throat for the past couple of months my tonsils get sore and swollen with pus and usually I have a canker sore like lesion on them as well I get fatigued with body aches I took tests for mono and streptococcus but I had neither I am currently taking escitalopram and generic ya birth control | hello now if you are having symptoms at present then you will need an antibiotic course for it and treatment of choice is amoxicillin clavulanate combination for five days you should also have betadine gargles four times a day for five days presence of pus does mean it is likely a bacterial infection may not be strep but other bacterias now regarding the preventive aspect firstly there is no reliable way of preventing it other than tonsillectomy so you should consider this option if this is becoming troublesome for you now some points which would help to catch the infection are maintaining hand and oral hygiene avoiding too cold foods which usually precipitated the infection you should try to identify the triggers which have precipitated the infection last time like cold foods street foods or other triggers you should consider the use of chlorhexidine mouth wash on a regular basis next thing you should have betadine gargles with you with the earliest symptoms of sore throat you should start gargling four times a day which would prevent the progression to frank infection if your diet is not good then you may consider having a course of multivitamin for two weeks otherwise not necessary I hope this helps |
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hello doctor I am a 32 year old male I weigh about 80 keg with a height of 9 I am facing erection issues since last week though there is no change in my sex drive also I feel reduced morning erections too I feel aroused but the erection does not come as it used to before a week healthwise I have sound health and have a moderately active lifestyle and pretty normal sleep pattern anxiety level is suboptimal due to covid19 situation I was using a semen volumizer herbal supplement intermittently I am not sure if this plays any role in it too I drink occasionally in limits and I am a vegetarian my food habits are healthy and I avoid junk food as such these erection problems started just a few days ago and now they are troubling me to a bigger extent please help | hi I can understand your concern according to your statement you have been suffering from erectile dysfunction for the last few days erectile dysfunction is usually caused by low blood flow to the penis or problems of nerve of penis which control erections most common cause of erectile dysfunction is psychological reasons such as stress or depression it may have resulted from the hardening of arteries high blood pressure high blood glucose high cholesterol medications bph prostatitis hormonal disturbances etc usually erectile dysfunction is common in everyone is life due to many causes in most cases it goes away over time and no treatment is needed you can do some investments like abc complete blood count urine m ribs random blood sugar lipid profile us of a spa etc and hormonal tests such as testosterone oh prolactin thyearoid function test etc to find out the underlying the causes which are responsible for your present sufferings and then treat them accordingly |
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hello doctor my 59 year old husband has had a fever for about 10 days the first two days it varied between 37 and 38 maximum and small diarrhea without any other symptoms we thought it was the couid at the beginning but it cannot be because he had no other symptoms and me and my children have been in contact with him and we have no symptoms knowing that I have health problems and have asthma so we went to a doctor who prescribed diarrhea medication since the fever has dropped and it does not exceed 37 so he continues to take paracetamol but for the past week he has been suffering from abdominal pain more precisely below the navel so we went back to see the same doctor two days ago who gave him an ultrasound that showed nothing abnormal he diagnosed a colopathy but I have the impression that this diagnosis is wrong he started this treatment that same day but until today there is no improvement he still suffers from abdominal pain especially after going to the bathroom and fever although low maximum 37 got as high as 38 tonight no more diarrhea but little constipation what do you recommend that I do could it be something serious knowing that the ultrasound showed nothing abnormal please help | hello I feel very sorry to hear about your husband and very rightly understand your concern and temptation for his unresolving symptoms you are perfectly right that if treatment were given rightly he should have shown some improvement but unfortunately he did until now so considering all the information you provided to me there are few possibilities first of all is typhoid fever which is a bacterial infection the second is intestinal amebiasis which is a parasitic infection typhoid seems to be likely possibly given his almost 10 days of fever and in second week he started to develop abdominal pain which is suggestive of typhoid ulcers in small bowel I would suggest him an antibiotic course for at least 10 days and a maximum of 14 days which would cover both potential bugs I also want that you get him some blood and stool tests before starting antibiotic course the antibiotic course is relatively safe I also want that you closely examine his chest for the development of rose spots they are very small pinkish marks which develop among patient over the chest in the second week of the illness do not worry they are harmless it is just a manifestation I really hope his symptoms will improve like a fever would start settle and abdominal pain should resolve in the next 48 to 72 hours of the start of the antibiotic regimen I would also want to know the assessment prescription of a previous doctor who said about colopathy the colopathy is a very broad and vague term which means colon large bowel inflammation it has a number of causes the one is painkillers nsaids and recently couid 19 has shows some case reports with colopathy but if your family and he himself does not have any contact history to couid 19 positive or suspected case then the possibility is very rare ultrasound is not a sensitive investigation for the disease which involves the bowel lumen such as in your husband case ultrasound is more helpful in disease involving liver spleen or gall bladder so it is not uncommon to have a normal ultrasound with conditions like typhoid fever or intestinal amebiasis so I am writing him antibiotics for 10 days now if the improvement is shown we would increase up to 14 days I really hope with this course his symptoms will start settling in the next 48 to 72 hours and lastly get some blood and stool tests as I suggest her and discuss the reports once they are available typhoid fever intestinal amebiasis difficile infection colopathy complete blood count blood culture and sensitivity before starting antibiotic course ha titer for histolytica stool detail report and ova parasites stool for fecal calprotectin stool for difficile infection and stool for culture and sensitivity before starting antibiotic course you can ask him to give sample today and start antibiotics just after giving the sample capsule cefixime 400 my twice daily for 10 days tablet flagyl 400 my thrice daily for seven days this antibiotic can cause metallic taste in mouth and or decreased appetite for that you can give him tablet levosulpiride 25 my thrice daily half hour before meals for nausea appetite take home cooked meals take good amount of water mineral water if possible both infections are acquired after a contaminated food or water see me after labs and earlier if any further concern |
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hello doctor my brother has swelling on his left foot he has a boil on his left inner leg inches above his left ankle inner bone the doctor he visited gave him medicines for his boil and said the boil will come out in some days the swelling in his foot has increased and so he visited the same doctor the next day and was advised to see an orthopedic the orthopedic doctor did not diagnose it but referred him to a general doctor who again did not diagnose it but said there is pus buildup inside the foot and it needs surgery my father who accompanied my brother asked the doctor whether it will subside with medicines or if surgery is needed the doctor simply said you can use the medicine or you can do the surgery I am out of the country and feel the doctor may have not specified the situation correctly to my father and also may have not clearly explained why he suggested the surgery I needed a second opinion as I want my brother to receive proper treatment and identify if it is a serious condition and I need to know the best solution I also want to know why the doctor mentioned surgery for a pus buildup and what is the diagnosis of the foot condition I can provide pictures of my brother foot if needed | hello he is having diabetes if yes what is the sugar level if yes first you have to control the sugar level he is having a deep infected ulcer with cellulitis what medications he is on since it is a deep and swelling extended up to the foot better open the wound and drain pus and send it for pus culture and sensitivity meantime start tablet pan 40 pantoprazole one two times daily before food tablet ciprofloxacin 500 my two times daily tablet combiflam ibuprofen one tablet twice daily and tablet chymorol forte one tablet thrice times daily for five days after food and wound dressing with back ointment |
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hello doctor I have my renal calculi in the right upper ureter please help | hi it rub kidneys ureter and bladder is 95 accurate to diagnose urinary stones usually stones form in the kidney and drop down the ureter causing extreme pain due to stretch of the renal capsule since your right kidney is blocked I need to check on your kidney functions by doing a blood test called creatinine level especially if you have other medical problems like diabetes or hypertension I also want to make sure you do not have urinary infections after this if kidney functions are normal and no infection then we can try medical therapy for 6 weeks with capsule tamsulosin contiflo 4 my at night daily for six weeks the possibility of passing the stone is 25 if you need more urgent treatment with a 70 stone clearance rate will be shock wave lithotripsy if you got pain again in spite of medication or you got high creatinine level then endoscopic ureteroscopy do stent will be the best first line option on follow up after treatment you need needs calcium level phosphate and uric acid I hope this helps creatinine urine analysis and culture hydration lemon and orange fresh juices needs calcium level phosphate and uric acid |
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hello doctor I am a 25 year old male I am 210 labs and it 10 in lately I have been having really bad upper abdominal pain and tenderness I get really sharp pains in the same area when I lift heavy things it is so uncomfortable at all times I have a history of peptic ulcers from the time I was 16 but this pain is different and constant | hello well the pain which comes in or worsen after doing physical movements is highly likely secondary to muscle and bone related the pain of peptic ulcer however can be knowing and usually worsens after meals but given the fact that you have been using omeprazole which is a strong acid suppressant is helpful in healing peptic ulcer the presence of peptic ulcers in your stomach seems to be a rare possibility I suggest you to take tablet orphanderine plus paracetamol combination one tablet three times daily for a few days and avoid doing heavy lifting or any thing that you think will worsen the pain and see how does it go if your pain does not solve then I suggest you to increase the omeprazole dose to 40 my twice daily half an hour before meals this would certainly improve the pain if it secondary to peptic ulcer disease lastly there are other conditions which tend to cause pain which worsen with exercise and bearing weight and one such condition is called nerve entrapment pain but I want you to start with step and let me know how things go musculoskeletal pain functional abdominal pain or nerve entrapment pain musculoskeletal pain follow in a few days and update if pain settles if not then I will recommend some testing |
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pain during intercourse spotting after burning urine chronic pain and it is getting worse I am birth control pills went to the doctor about it they said I did not have any sits or studs | hello welcome to icliniq if the infection are ruled out then the chronic pain could be due to a condition called endometriosis where there can be severe pain during periods and in worse cases it can be a while passing motion or while having sexual intercourse please get an ultrasound done to look out for any endometriotic cysts also get an examination done with your gynaecologist for looking up at your cervix to find out the cause for post coital spotting as for the burning during urine it could be due to urinary infection please get a urine culture sensitivity testing and drink plenty of water you need to start the appropriate antibiotics after collecting the sensitivity test result hope this information help you please feel free to consult me anytime with any further queries or for any further information would be happy to help you out have a nice day ultrasound abdomen and pelvis urine routine and microscope urine culture and sensitivity ti with endometriosis after thorough evaluation and diagnosis of the condition drink plenty of water at least 4litres a day |
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hello good day I have been having difficulty breathing almost everyday and I have a headache along with this problem | hi I have gone through your medical history and your abc report your abc report does not contain any significant abnormal values to be worried off slight deviations which they have mentioned as or are insignificant so dont worry about your report coming to your breathing difficulty it being present for a very long time and at this younger age it is most probably bronchial asthma apart from this we need to rule out any cardiac ailments I would suggest you to visit a doctor to get yourself examined clinically for presence of asthma signs in your chest of any meanwhile also do the advice investigations amd get back to me and answer me few questions car pa view echo bronchial asthma congenital heart disease deriphyllin retard 150mg stab twice daily to continue avoid dust exposure |
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hi a pleasant day I have a problem with my liver I just have an ultrasound last month to found out I have a moderate fatty lever grade my problems is sometimes I feel some soreness in my stomach if I to rate the pain 10 being the highest around 4 may I ask for sum advice or medication for | hi I went through your us report and I see that you are worried about your fatty liver need not worry about it fatty liver is something very common in most of the population in the current era all because of our present food habits and less physical work due to digitalization in every industry fatty liver is nothing but excess cholesterol deposition in the liver it is still correctable you need have some diet modifications reduce oily and high fatty and carbohydrate foods and increase your physical exercise engage yourself in regular exercise that will do and do check your serum cholesterol levels and revert back to me we may start medicines if levels are very high see you take care fasting lipid profile fbi pubs fatty liver diet modification as advice regular exercise avoid alcohol |
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hello doctor I have recurring ti last time a few months back after taking medicines for the recurring ti results were normal I took vital syearup and antibiotics after experiencing pain recently I again went for urine test and it shows rbc epithelial cells and bacteria I have attached the reports I was consulting a gynecologist prior to this but she told me to consult a urologist I have attached my last ultrasound and kidney function test along with today urine test | hi after reviewing your complains and your blood and urine test with ultrasound reports kidney functions are normal your ultrasound is normal your urine analysis showed pus cells and few red cells and white blood cells my question is do you have symptoms like difficulty in passing urine or pain while passing urine if not then did you have urine culture result before your antibiotics treatment if you have documented ti before and you got treated then you have pus cells and white cells in urine your test might have been performed soon after antibiotics the possibilities are incomplete treatment or chronic inflammation of the urinary bladder as sending infections are also common in postmenopausal period you will need to follow up with urine culture test if it is negative and you have no symptoms then no need to treat if it is negative and you are still having symptoms pain while passing urine we need to do more tests I hope to follow up you after urine culture results as preventive measure you need proper hydration cranberry juice yogurt and proper hygiene cystitis incomplete treatment urine culture cystitis bacterial to cystitis observation and hydration cranberry juice yogurt days after urine culture |
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hi doctor I am having abdominal pain on my lower right stomach since yesterday and my parents thought it is just the only bloated stomach I cannot also urinate well and pass stools whenever I pass stools my lower right abdominal get hurt so badly is this appendicitis or other stomach disease | hello I can imagine you must be very upset about your pain well the pain of appendicitis should be continues and not intermittent pain starts at the center of the abdomen around umbilicus and travel to the right lower part of the abdomen pain of appendicitis is often unbearable accompany with vomiting or severe constipation and sometimes diarrhea now I think you can better figure out what sort of pain is this gas bloating can cause pain but not often severe and usually occur when one have a meal not otherwise the pain improves with fasting or taking a certain diet which does not produce excessive gases pain of gas often worsens after milk and dairy products intake if you feel a strong suspicion for appendicitis an ultrasound abdomen targeted for appendicitis would be the first best investigation to do I hope this helps abdominal pain complete blood count serum amylase liver function tests ultrasound abdomen for liver gall bladder and appendix functional gas and bloating capsule tramadol 100 my for pain until definite treatment is given |
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hello doctor I am currently diagnosed with chronic hepatitis viral load is million iu my sept is 85 and others are in range and hbeag is 06 should I start medication am I in danger I am a 30 year old male I also have a loss of appetite gastritis and bloated stomach please help | hello yes you should definitely start the treatment but I want you to get a baseline renal function tests and fibroscan of the liver if renal functions are normal then we can start and continue the treatment at the maximum dose you can use tablet tenofovir 300 my once daily if the renal function tests are normal I would urge you to get a fibroscan and alpha fetoprotein app if you are married then please get your wife and children tested I want to know about your rest or family like your sibling mother and father is any family history of hepatitis it is important because screening has to be performed in case there is suspicion of vertical transmission from mother to fetus you can get the tests and see me afteward to discuss the reports of tests and provide other information related to your family I may then suggest testing for them lastly I remember that hepatitis cannot be completely cured but can be substantially controlled with antiviral medicines it requires follow up and guidance chronic hepatitis hbeag positive disease app alpha fetoprotein fibroscan of liver follow up to discuss the relevant family history and to discuss the lab reports |
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hi doctor I am a 17 year old male since I started to grow my hair I began to realize how thin it is naturally is there any way to thicken it up but the main concern is that since I have grown it I started to experience excessive shedding by only passing my hand on my head I would get on average 15 hairs the pattern stopped for a while but my hair is thinning a lot on the sides I can see across my scalp easily by lifting the hairs on the side of my head lateral sides on top of ears and the regular pattern baldness zones it has become excessively thin please help | hi from the information given it seems you are experiencing the early signs of male pattern hair loss this is a very common condition and there are many factors responsible one of them being genetic if you have other family members with similar patterned hair loss the chances for you to develop it increase too due to the effect of the male hormone on the hair cycle over a period of time the hair follicle starts shrinking and so the hair which comes out is thinner and more fragile and breaks easily also the growing phase of the hair is shortened so your hair does not grow as long it used to and becomes shorter and wispier being just 17 years old I am sure it must be worrying you a lot but do not be disheartened there are several treatment options available and the sooner we start the treatment the better the chances of reducing further hair loss thinning and increasing regrowth a combination of oral supplements to boost hair growth along with application of lotions containing minoxidil to begin with will be the best course of action in my opinion oral finasteride which is the male hormone blocker is used frequently applications with finasteride are available too this will be prescribed by your treating doctor after assessing the extent of thinning and discussing the side effects etc several preparations of bio peptides and other natural ingredients like saw palmetto extract melatonin etc are also available to boost the hair growth pop platelet rich plasma is a popular procedure which is often used in combination with medical treatment to stimulate hair growth further usually a combination of treatments is suggested after the clinical evaluation but using the applications regularly is the key to good results hair regrowth takes a few months to show and you will have to be patient to see the benefit of the treatment I hope this helps |
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hi im a 13 year old boy I have recently noticed a small lump beneath my nipple and was wondering if this is normal the lump is not too hard but not soft and the same time kind of rubbery I have not noticed any other changes so far | good day I am do david since when did you exactly notice the lump did it grow in size since then any change of color on the skin over the lump did you notice dumpling of the skin over it and is it painful when you touch it I would also like to know if you have relatives that also had this if most of your answers are yes I suggest to say to your parents that you have to see a surgeon right away to be evaluated if not I will still suggest you to see a surgeon but you can take your time lumps should be evaluated properly and will be treated accordingly depending on the physical findings base on your findings it might be a lump of fat cells that formed but still a good evaluation would tell us more thank you if you have further questions you may message me here suggest to do a breast ultrasound suggest to suggest to undergo a surgery consult |
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hello doctor I am tired of being fat and I am tired of diets after a diet I gain double and every time it is harder to lose I am desperate lonely and depressed I do not want to be fat for my entire life I am only 26 and have always struggled with my weight please help | hello I can imagine the level of your frustration regarding your weight yes it is nearly impossible to keep reduce weight and maintain diet and exercise I may not be able to give you a composite plan of action for your weight reduction since it is not basically a one day consultation task in fact it is a long term commitment towards yourself and towards a multidisciplinary team inclusive of a dietician bariatric endoscopist gastroenterologist behavioral therapist and lastly a bariatric surgeon so I would give you facts and figures for the existing evidence of weight reduction therapies remember your current body mass index mi is 34 the goal of any weight reduction treatment is to reduce weight to optimal ranges where the physical and psychological well being of a person is maintained now anybody whose body mass index mi is more than 40 should straight away consider bariatric intervention in the form of endoscopic or surgical morality and anybody whose mi is 35 but having other conditions such as uncontrolled diabetes coronary artery disease heart disease or lung dysfunction lung hypertension and sleep disorders should undergo interventions but you see not all person fit into above category many have mi less than 35 such as in your case and having very troubling symptoms among such people individualized approach is employed whether medicinal use or endoscopic or surgical intervention diets and regular weight reduction exercises do help to reduce weight by to 10 all medicines which are currently in use help reduce weight by 10 to 20 certain endoscopic bariatric procedures such as balloon placement in stomach and sleeve gastrectomy does help reduce weight around 25 and lastly surgical procedures such as metallic rings around the stomach via laparoscopy and surgical sleeve gastrectomy and surgical roux bypass help to reduce weight by 30 to 35 the figures are ranges they vary significantly in individual cases I also want you to understand that these interventions should be accompanied with optimal dieting and exercise even after surgery or medicinal therapy otherwise the weight can frequently recur to original ones this above description is only to make you understand and figure out things I can recommend you to start with dieting keeping your calories well below 1500 cal daily running swimming and weight lifting on a regular basis I also suggest you to meet a dietician on icliniq or otherwise in person to get a diet plan with respect to your calorie requirement I can suggest you some medicinal treatment but they are prescription medicine may not be ot and the course has to be taken for at least six months to see the effect naltrexone bupropion contrave is proven and fda approved and can be started in your case but I want you to provide more information about your health as I can assess your condition first and treat aimfully rather adding more harm to your health because these medications have some side effects and they should be kept in mind before giving it therapeutically I also want to know about family support any occupational therapist available near your vicinity your current job status and medical health insurance and also information whether the cost of these medicines is covered or not until that time you follow up I want you to get the following blood tests to better know the impact of your obesity on bodily systems I hope this helps obesity complete blood count ash thyearoid stimulating hormone ft3 ft4 liver function test fasting lipid profile serum cop reactive protein albumin total protein and ag ratio arterial blood gases urine detail report and urine for albumin will decide after further information is provided and after investigation thoroughly for any underlying metabolic complications |
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i have granular pharyngitis problems 60 days ply help me medicine name | hi I had a look at the picture you have sent this looks like more of a chronic pharyngitis the red spot you have pointed out is more of a lymphoid follicle which has slightly increased in size and is present in almost all of us there is nothing that you need to worry about as this is a very common entity we come across and is treatable you can consider following the advice mentioned below drugs mentioned in point 2 and can be taken only if there is an acute infection associated with pain while swallowing if there is no pain or infection the medication mentioned in 2 and are not required make sure you follow points in and as long as possible as this prevents the possibility of developing a throat infection there is absolutely nothing to worry about the red spot over there as it doesn't indicate any cancer or malignancy and is only a lymphoid follicle which has increased in size due to possible previous throat infections I hope I have answered your query in detail if there is anything more you want to know or enquire please let us know and we will get back to you asap please take care warm regards |
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hello doctor I have clogged ears and pain from ears to the throat vertigo and always feeling confused I had a sinus nasal drip which I thought that is why my ears where clogged it has been six weeks and it is still clogged popping and painful I saw an ent and he said I had no fluid and there be any underline issues causing my ears to stay with pressure and fullness like hsv and hsv can cause me to lose my hearing I am 40 years old and never experienced this before my doctor prescribed me antibiotics and they are not working I already took acyclovir and he prescribed it again I just need to know if herpes causes hearing loss | hi I can understand your concern according to your statement you have been suffering from clogged earache with painful jaw joints and sore throat with vertigo and all these sufferings may result from herpes infection according to your assumption when herpes affects the nerve in the face that spreads to ear known as herpes foster oticus its clinical features are severe earache swelling of vestibular nerve fluid filled vehicles on outside of ear and inside ear canal permanent or temporary paralysis of the face with hearing loss again herpes esophagitis can attack the mouth sores may develop in the mouth and make swelling difficult due to inflammation of the throat this pain can radiate to mouth and jaws sudden hearing loss can result commonly from viral infections other than herpes are measles mumps rubella viral meningitis syphilis aids etc which can cause sudden loss of hearing again bacterial meningitis lyme any tumors in the ear can also be hearing loss any type of hearing loss steroid should be applied immediately it helps in reducing the inflammation and decrease the swelling and increasing hearing ability so along with your current medications you should use steroids immediately to prevent further hearing loss in case of any other query knock me and I will try to help you further |
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hello doctor my eyes are swollen especially in the morning I find it hard to open my eyes after a nap or when I wake up in the morning after that I am fine during the day with watery eyes sometimes no itching but it is little reddish when it is hot around the first week of march I went to see an ophthalmologist who told me I had a bacterial infection of both eyes I was prescribed vigamox and after seven days my eyes were fine due to quarantine I was not able to go back to my doctor around the last week of april I had the same symptoms and since I cannot go out I treated my eyes with vigamox again and was healed after seven days after that from time to time I have swelling not much but mostly in the morning I am a 68 year old female I have allergies seafood pollen and dust I take allerta or claritin from time to time to relieve my allergies I smoke but I am trying to quit before to 10 sticks now reduced to four or five | hello as you have described in your history it is looking like an infection in your eyes can you please send your eye image to me so that I can get an exact idea about your condition and depend upon that we can plan further it is better if I can see your eye condition and then prescribe you drops so my advice is to please attach your eye image as soon as possible so that we can start your treatment as early as possible and you will feel better after treatment |
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hello doctor I have read that melatonin could possibly lessen the effectiveness of birth control pills my understanding is that there is little to no peer reviewed scientific studies to support this claim but I am still worried as I am sexually active and take my of melatonin each night and I am on the progestin only pill I am looking for a doctor to weigh in on this issue | hello I understand your concern here and you are right that there are not many or in fact hardly any articles or peer reviewed papers on melatonin and birth control interactions but I would like to keep it simple for you to understand melatonin is produced during the night to ease the sleep pattern in humans post sunset with maximum levels at am and by morning am the levels found are almost negligible so it is produced by the pineal gland in the dark cycle and metabolized at night by the liver now liver also is known to metabolize the birth control pills be it progesterone only or combinations pills hence if taken together then there is a likelihood of slower metabolism of either compound and thereby prolonged residual effect may be seen on concurrent use of pills and melatonin together the effects could be prolonged sleepiness and also melatonin induced increased progesterone levels in the body causing bloating and noticeable progestogenic side effects however the efficacy or effectiveness of the pill is not compromised but metabolism is delayed as melatonin competes with the pill with the liver so ideally the better way would be to switch the pop in the morning hours and the melatonin pill at night 12 hours apart this would prevent any interference with either action on the body or cause any interaction |
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hello doctor I only have one sexual partner for almost a year however during intercourse I feel that I am having a pain in my pelvic area and it is a sudden sharp pain sometimes it is random or happens during deeper penetration it feels like pressure and almost seems like it is gas but I am not sure what it is that I am experiencing a while back I had a ti and since then I have been experiencing this at times sometimes it does not bother me I just want to make sure I am fine or see if this is a concern that I need to come in yesterday I experienced the pressure pain on my left side more and it drew enough for concern I do not know if it is gas or something else | hello it is important in your case to rule out the possibility of pelvic inflammatory disease now points in favor are history of chlamydia and ti in the past pain on deep penetration and tenderness on the left side of abdomen these are the sufficient point to evaluate for the possibility of pid pelvic inflammatory disease I guess you do not have any discharge per vaginum may be scanty one more thing is just try to see if you are having this pain from the beginning from the intercourse or started after some time because if it is from the beginning then this may be dyspareunia and not related to pid but if it has developed later then it becomes important that you undergo evaluation for pid you will need an ultrasound of pelvis cop reactive protein or ear erythrocyte sedimentation rate vaginal fluid smear however the vaginal examination will also be helpful to see whether there is any cervical motion tenderness which would give a fair idea about the possibility it is important to rule out pid because it can have consequences later like fertility issues so if we get any clues regarding it then you will need a course of antibiotic treatment I hope this helps |
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hello my father who is 62years old has diabetes type recently he started not feeling well he has stopped eating basically does not want to eat or drink anything he been like this refusing food for about days now his blood sugar is anywhere around 250 380 even though he is not eating anything we took him to the hospital and they said it was neuropathy because he is also experiencing body aches my father is extremely fatigued all he wants to do is lay down and sleep any help on what could be happening or what should we do to help him get his appetite back | hi the mentioned sugar levels are too high the medication dosage is not mentioned only metformin does not work for such high levels he might need insulin too initially to control the levels and then eventually can be on pills depending upon the condition and thorough follow up please do not ignore the condition he must be going into diabetic ketoacidosis need to go through immediate blood sugar levels blood oh serum and urine ketone levels I will recommend you to please immediately visit a doctor physically for through examination and complete detailed history until then just follow some preventive measures blood sugar levels including hba1c blood oh serum and urine ketone levels serum bicarbonate uncontrolled diabetes diabetic ketoacidosis neuropathy excess intake of water to stay hydrated conut water less calorie diet |
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my boyfriend has extreme pain when he breathes in his upper right abdominal area this is the third time this month and it started at around am last night and he went to the hospital last night at 1am they told him they could not find anything on the rays or blood work he woke up this morning and his pain is still extreme can you offer any insight please | hello dear I welcome you to icliniq I feel very sorry for his pain the causes of severe pain in upper part of the abdomen are gall bladder stones common bile duct stones within the bile duct which drain bile a yellow secretion from gall bladder to small bowel peptic ulcers within stomach and or small bowel pancreatitis inflammation of the pancreas a gland over the back of our abdomen I think he already been advised some medications for that but I just write here in case they are not given cap esomprazole 40 my now and half hour before meals cap tramodol 100 my now it may or may not be ot in case not available give him cap celecoxib 100 my now do not give any other painkillers because they may worsen pain of peptic ulcers if present spy gaviscon 15 my now and half hour after meals for times in a day if you want to provide more information about his pain I may suggest some investigations to rule out above possibilites I hope the medicines will help him to control his pain take care and have a good day peptic ulcer disease gall stones cod stones pancreatitis intusscception volvulus serum amylase ultrasound abdomen follow to discuss and provide more information |
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my father is diabetic and have kidney stones recently he saw blood in his urine after walk exercise what is the reason behind it | hi thank you for consulting me kidney stones can have different presentations it also can cause blood in urine after exercise and stones should be evaluated properly and treatment your father have diabetes and might have other medical issues so proper evaluation before intervention is required I need more follow up with you to get more detailed history from you about your dad then I will order ultrasound blood tests to check on his kidneys as for now then will proceed further hematuria due to stones fbi creat urine analysis and culture ultrasound rub renal stones urothelial kidney tumor urolithiasis to be decided after investigations hydration and observation if persistent gross hematuria admission and evaluation as inpatient after days with requested investigations |
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hi sir I am an 18 year old boy I have an inborn inguinal hernia but till now it has not given me that much pain as it is giving right now if I lay down for more than hours then it starts hurting and I cannot sleep anymore the pain extends from lower abdomen pelvic region to some upper portion of fimer I cannot take surgery now as I have an entrance exam within a month and also there is corona outbreak outside so I have a fear to go to hospital so sir can you please tell me how can I reduce my pain at least for this month and also should I take surgery immediately or can I wait for this month | hello your complaints of pain related to the hernia needs to be examined if there is no complications within the hernia in normal circumstances I would suggest all hernia should be operated but since you are having exams you can delay the surgery given that on physical examination and ultrasound you do not have any complications for the time being as a temporary measure you can use what is called as a trust available in the market even online but it is temporary and once you are free fork your exams I suggest you to get operated there after as trust or any other treatment is just temporary and has its own pro and cons but if on ultrasound it shows you have any complication the you need immediate surgery avoid lifting heavy weights add fiber rich food to your diet and avoid constipation to prevent exacerbation of your hernia hope this helps |
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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 milk but it has been since I stopped and they would still not go away I also noticed that I get deep acne whenever I am 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 am not sure if it works I hope you can help me because it has been affecting my mental state lately | hi there acne has multifactorial etiology only acne soap does not improve if ypu have grade 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 acid derivative would suffice whereas for higher grade acne you need oral medicines alike doxycycline azithromycin or isotretinoin acne vulgaris cleansing face with antiacne face wash |
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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 hypothyearoidism 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 to thyearoid 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 mug cabergoline 25 my once a week and folic acid 450 my daily | hello I have gone through all your reports and your prolactin and thyearoid levels are well in control what is missing in the follicular monitoring profile of the dummy cycle and also your husband semen analysis test you have been following the correct protocol using oh kits for ovulation and post oh surge if a natural trial or timed intercourse did not work then husband 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 |
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my father male years old with swollen ankle redness of the swollen area has turn into dark red not diabetic since last check up last year he had a stroke before and has undergone liver operation due to cancer years back he has no fever chills or dizziness just pain in the affected area he just informed me this morning I tried getting in touch with his doctor but was not able to talk to him today I scheduled an appointment tom 10am but I am not sure if it is safe to bring him to a hospital for a check up | ||
hello doctor I am a 34 year old male I am experiencing pain in my right side of the stomach about 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 | hello are you diabetic do you feel any pain after food intake I have seen the images that you attached with your query possible causes are this is the area for gallbladder possibility of cholecystitis right ureteric stone may present pain in this right para umbilical right hypochondrium area fatty liver colon infection ascending colon 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 |
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hello doctor I woke up with a throbbing headache previously I was alright before going to sleep which was around am lately I have been sleeping very late due to working at home for long hours please help | 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 arthritis occurs as throbbing headache in temples hemicrania continue occurs as throbbing headache on one side treatment depends on the causes you should undergo some investigations like abc complete blood count ray pins 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 pronolol 40mg 1 for 15 days naprosyn naproxen 500 my 0 for 10 days prevacid lansoprazole 30 my 0 for 15 days in case of allergy or cold take tablet allegra fexofenadine 120 my 1 for 10 days in case of any other query knock me |
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hello doctor I am a 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 20 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 | 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 tes 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 spa blood test and mri scans of prostate are the screening tests in general but not something I would recommend if tes 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 tes ideally an examination of genitals including prostate by a clinician semen culture idiopathic hematospermia with reports |
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hello doctor I am a 24 year old female I received a second round of a cortisone shot in my wrist on 18th may for wrist tendinitis during the injection it hurt much worse than the first shot I have been told to keep my wrist in a splint at all times my wrist is still bruised where the injection was given there is now a bump as well where I have injected hurts when touched before the first shot I had a ganglion on my wrist that popped I cannot say for certain if the bump is from the injection or the ganglion is back because of the shot I need to know if this is normal or if I should go to a clinic over the weekend I am currently on autumn wills seroquel 400 my lithium 300 my and ativan my when needed and not often | hello from the brief history you have given it seems like there is not much to worry about first of all I need to know some more detailed points where exactly in the wrist the shot was given I mean is it the extensor of the thumb de quervain or is it for any other finger also do you have thyearoid issues sometimes when the large volume of fluid is injected into the tendon sheath and surrounding area due to distension it can cause severe pain and patients do complain of exaggerated symptoms prior to injection small vessels must have been punctured quite normal which lead to extravasation of blood hence the bruise it will take a few more days but both the bruise and the bump should go away do apply ice packs there you will get you the necessary relief ganglion cysts are notorious for recurrence but highly unlikely to be associated or related to the injection if you can send me a clinical picture that would be better splint is fine but you do need to mobilize your wrist for a very long time otherwise you might end up having stiff wrist 3 weeks should not cause any stiffness understanding tendinitis is important you need a very specific rehab protocol and few medications and you should feel much better in few weeks time did you get your vitamin levels tested kindly revert with the info |
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hello doctor my father is 86 years old he is a hypertension patient and on metosartan 25 my ecospirin 75 and nexpro for prostrate he is on maxvoid my for the past 10 days he is complaining that while passing urine there is an urge and sometimes he passes stool on medical advice he took imodium four tablets for two days and ofloxin 200 my for five days but still the problem continues please advice | hello welcome you to icliniq com I can understand you must be very concerned about your father health well I have reviewed his medical history which he has been taking for hypertension prostate and recent use of antibiotics and imodium so typical symptom you mention that whenever he urges to pass urine stools passes by itself which is suggestive of stool incontinence means loss of control stools with his age it is possible that he has weak anal sphincter the anal sphincter is a muscle around the anus which contracts and control the stool output in older age it become weak and lack sustained contraction hence get loosened with every attempt to pass urine which increases abdominal pressure would also lead to evacuation of stools this stool incontinence because of loose sphincter at times perceived as diarrhea however it is not actual diarrhea for diarrhea once has to have stool volume more than 200 my 24 hour and significant change in consistency of stools like watery stools or greenish unformed stools containing food particles if none of these signs which are suggestive of diarrhea I suggest you to stop ofloxacin if given for perceived diarrhea the drug he has been taking for prostate also causes external anal sphincter and hence partly contribute to his stool incontinence I want to know if he is feeling mucus thick jelly like material in stools blood in stools or rectal pain or repeated visits to toilet when nothing comes out this information is important to rule out any inflammatory process beside loose anal sphincter I suggest you few investigation for stool studies which will tell if he has active infection of bowel and if present can be treated with antibiotics then for treatment he can take imodium two tablets thrice daily for two more days excessive use of this medication would cause constipation and can worsen patient discomfort I want you to help him learn pelvic muscle strengthening exercises there are many youtube videos available to learn how to do pelvic floor strengthening exercises while sitting on a common chair lastly biofeedback therapy which is a computerized software which help him to control his anal sphincter while passing urine or otherwise this treatment is offered at physiotherapy department of a hospital avoid excessive fibers and modify liquids to 5 liter maximum intake in a day this would reduce the overall bulk of stools formation in the bowel and hence decreased stool output stop or reduce alcohol intake if taking this also causes diarrhea and loose sphincter controls I hope this helps stool incontinence secondary to age with loose sphincter plus drug side effect digital rectal examination performed by gastroenterologist in person norectal manometry not usually required if digital rectal examination is suggestive of the diagnosis stool detail report stool fecal calprotecin and stool for occult blood stool for ova and parasites stool for fat globules and reducing substance complete blood count stool incontinence secondary to older age and drug related follow up to disclose other parts of history as mentioned above otherwise follow above regimen and see me in one week time after investigation |
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hello doctor I think I have something along the lines of a bipolar hypertension situation I wake up in the morning my blood pressure is prehypertension to around hypertension stage not that bad but in the evening to later in the night my be is through the roof in the midnight my be is measured to be 176 126 on standing when I lay down on my left side and it is down to 10 60 after a few minutes I could use some help in figuring this out I am 20 old | hello I understand your concern do not be bothered you will be fine I advise you to get a pen and paper write down your blood pressure measurement for three days make sure to measure immediately you wake up from sleep in the morning before any activity get back to me with the readings it will help understand what is happening |
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lower back pain unable to put pressure on legs to walk weeks ago I was lifting my dog into the car I got a sharp pain in my lower back went away in about two days today I was lifting my two year old into an inflatable tube while setting her down I had the same pain but on the mid right side of my back this pain continued all day then while bending down to get a dish out of the dishwasher I got a horrible pain in my lower back the pain knocked me to the ground my husband had to help me off the ground to the bed since then I have not been able to put pressure on my legs to walk without horrible pain | hello you need to be examined to determine if this is a back strain or a sciatica from a pinched nerve is there any numbness in the leg does the leg feel weak apart from the pain you feel while trying to walk can you control your bladder well does the pain worsen upon straining if the answer to the questions is yes then you have a disc prolapse and you will need to see a doctor and perhaps a mri too in three mentioned to need to take anti inflammatory tablets and muscle relaxant top help with the muscle spasm and apply ice to the sore area on the back rest in bed but not absolute such that you walk as much as to feel comfortable |
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hi doctor hiv tridot antibody test done at weeks and 10 weeks all negative are there chances it will turn positive at 12 weeks now test done with blood taken from vein | hi following is my opinion for your asked question hiv tri dot antibody test is having good sensitivity and specificity in ruling out hiv as like that of fourth generation elisa usually tri dot hiv test is able to rule out hiv after six weeks of exposure however hiv test can be considered conclusive in ruling out hiv after three month of exposure so I suggest you investigate with hiv rapid test after 12 week again you can revert back with hiv report after 12 week of exposure to check it |
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hello doctor my daughter has acne on her face for the past one month I think that is hormonal acne because it is in her chin and jawline as per my knowledge she is taking cabergoline 25 my per week for an increased level of prolactin as prescribed by an endocrinologist for the past three years there is no acne on her face for the last three years but now suddenly it appears on the face sometimes it is white and small and it often occurs on a daily basis kindly suggest | hello I have gone through the history and prescription you have attached honestly speaking I cannot understand what is written in the prescription can you send me a picture of individual medication so that I can get an idea of what is she taking it will be of great help to guide you further with new medicines and creams |
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hello doctor I have blood flowing from my left ear without pain please help | hi most common reason for bleeding from the ear is due to trauma there is nothing that you need to worry about as this is extremely common make sure you do not use earbuds as they often traumatize the ear canal or eardrum and introduce infections please do not use headphones or earphones as well until it heals make sure you keep the ear dry make sure no water enters the ear at any cost for now you can apply ciplox ciprofloxacin ear drops three drops thrice a day and take tablet liz levocetirizine 10 my one tablet at night after meals for the next one week this will reduce any itching make sure that there is no pus like discharge from the ear because in such a situation the infection of the eardrum is more likely and will require systemic oral antibiotics I hope this helps |
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hello doctor I am a 43 year old male I have spots and discomfort on the penis head it has been coming and going for a while now some of the spots are more visible if I squeeze the head and it looks like dark specks under the skin I am using butenafine hydrochloride and cortisone 1 | hi reviewing your history and pictures showed there might be skin irritation which can be from repeated friction like masturbation or reaction to the substance used it also can be due to vitamin deficiency or a skin condition like psoriasis etc fungal infection is rare and it does not present as a spot usually it is whitish material and happens in people who are immune compromised like diabetics or people who have hiv infections since it is not itchy or painful you should not worry about it and you should not use cortisone cream as it makes things worse keep good hygiene area should be dry and clean use nonchemical lubricant like olive oil if you masturbate if you have changed your soap or shower gel it might be the cause take vitamin and vitamin a to replace your vitamin deficiency if you are known to have psoriasis then treatment can be by methoteraxate cream but only for people who are known to have psoriasis follow up is important and please keep me updated for any further queries |
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hello doctor I am in the 13th week of my first pregnancy I had two episodes of postcoital bleeding after which us was done and showed low lying placenta lower placenta is covering the os I had been on bed rest and pelvic rest for the past one week and taking austen 200 be apart from folvite is it fine for me to go to my work place I am a pathologist have to sit for three to four hours only any other precaution | hi if there is no active bleeding you can safely go to work provided the roads and all are smooth and if it is not a very long drive please avoid intercourse and vaginal douching repeat us after six weeks for a level scan and look for placental migration continue austen progesterone tablet |
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hello doctor what can be done for low calcium in a thyearoid patient | hello is it possible you can do histopathology of thyearoid gland to rule out you have many metabolic disorders that you need correction relative hypocalcemia thyroid disorder histopatholgy of thyearoid and parathyearoid gland mri thyearoid gland color doppler thyearoid gland relative hypocalcemia thyearoid carcinomatous change thyearoiditis tab fecal max tab po od month |
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hello doctor I am a 26 year old female I have joint pain in widespread bilaterally in elbows knees and ankles I also have muscle tenderness on my neck and shoulders and back pain from a herniated disc I take diclofenac 75 my pin for pain I have had laboratory work done and I have seen a rheumatologist my initial labs ana positive 160 speckled cop was elevated my anti is dna cop and ra factor were all negative secondary lab work through elisa showed negative ana and all other autoimmune laboratories were negative except for positive anti phosphatidylserine prothrombim a at units slightly low vitamin but I take supplements I eat a plant based diet and exercise twice a week my other medical history includes depression and anxiety for which I take medication my question is despite my labs being negative why do I still have joint pain and muscles aches | hi I would like to ask you a few more queries is your sleep pattern fine morning fatigue how frequently are you taking diclofenac any hair fall oral ulcers dry eyes dry mouth any recent irritability or forgetfulness how much was the level of cop you had mentioned a personal question but is there a particular reason for the depression any family history for endogenous depression there can be many reasons of pain we need to distinguish if it is inflammatory or non inflammatory alone ana positive may not imply much here we have to see if it is impacting your system as well |
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hi doctor I am 21 years old and having regular single heart palpations I have an apple watch which provides an egg and this shows my heart is beating at regular intervals but there is fairly regularly a single beat which is much larger I can feel this in my stomach chest area and feels like a heavy beat or a missed beat I will upload a couple of edf results to show you can quite clearly see when these large beats take place I sometimes get chest pain but I usually attribute this to my stomach or anxiety and the chest pain does not tend to accompany the heart palpitation my main worry is it is quite regularly happening and it is one singular beat which is off I have bad bloating which has been for the last month or two which comes and goes but am unsure if this is related | hello I have gone through the results you attached you are experiencing missed beats also known as premature ventricular contractions they are usually benign harmless your symptoms can be worsened by drinking caffeine smoking or some medications I usually do not prescribe my patients medication at first except it affects your daily activity firstly avoid trigerrs like alcohol drugs sleeplessness etc try to exercise regularly atleast or times a week for a duration of 30 minutes make sure to sleep to hours daily at night if your symptoms persist you will need a beta blocker medication it acts by regulating how your heart beats ablation is the definite treatment of choice if all measures fail but am hopeful it will not get to that I wish you good health best regards |
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hello doctor I am going to the dentist soon and I know I have a cavity and I think it is pretty big it is easily noticeable and I am just nervous because it is probably obvious that I do not brush the bristles are always a really weird texture for me and I just do not want anyone to be mad at me because I have known about it for a while now I feel bad for saying this but I think it has been around six months and never mentioned it to anyone because I am little scared of going to the dentist I do not like anyone feeling around in my mouth and knowing about this cavity is making me even more nervous for going there today I have had teeth pulled in the past and I hate everything about it but I am not sure they could just fill in this cavity | hello as a human we all carry some kinds of secrets or fear back in our head I felt glad as you have the courage to admit that most people cannot so be proud of that I think you need a scaling too as you have not brushed for a long time its leads to swollen gingiva that might be the reason of uncomfortable using a brush as you have cares and sensitivity associated you might not necessarily need an extraction if the cares has progressed alot root canal can be done to save your tooth betadine mouthwash gargle in lukewarm water 3 times a day do not worry use it if any foul breath that will be covered and your secret will be safe as you feel uncomfortable using a brush you can brush using your finger and toothpaste that way your mouth will also be clean and issue with bristle will also be resolved you can also take capsule sporidex 500 my one capsule be for days tablet zerodol so tablet be for days capsule pan one capsule be before meal for days you will be needing a scaling to remove any tar once done you can start practising brushing using a soft bristle brush even a baby brush will do for a start I am confident you will succeed but you have to start the habit and you will get used to it trust me you can train and motivate yourself by rewarding a candy or anything special by that way you can overcome your fear and gain comfidence I am glad that I could be someone whom you can share a secret I wish you good luck you can trust me and ask if any further query I will be happy to help further hope your treatment goes fine do as I asked you to do you are brave you will be fine I am confident about that |
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hello doctor I am currently 25 years old and this the first time that my period is late and it has been over 35 days I am not married I do not have cos it is just that my period was never late and now I am worried sick please I need your advice | hello do not worry about the periods as you are aware that delay in periods can be due to obesity as you had suffered last time however my compliments to you for reducing 14 keg of weight so we can conclude that delay is not due to being overweight then delay can be due to hormonal changes due to various medications specially birth control pills etc which you are not taking stress is also one of the major reasons these days due to corona and associated problems pregnancy can be a reason but only if one is sexually active and you are out of that risk as well may be the cramps you had are signs of periods onset we can wait for 3 days and may be then start with medication |
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hello doctor age of the child 20 months gender male weight 12 kilograms height 30 inches started walking 15 months started sitting months started crawling 12 months problem my baby has started walking at the age of 15 months and is very active he runs jumps rolls and can climb stairs with the help of an adult and can speak words sentences the problem we are facing is a balance issue he is an active child but has an issue in maintaining good posture and is easy to fall when standing straight and static an observer can feel that he is dizzy and swings slightly left and right to maintain the balance he also has lazy neck control at months of age he suffered from torticollis which we have managed to minimize by exercises recommended by other pediatrics he also has digestion problems since birth and has loose motion after week he has also slight drooling my question is this balance problem common in this age group or should we choose to consult an in person doctor which I am avoiding due to couid 19 crisis as the hospitals are crowded | hello first let me appreciate you for describing whatever your child has appropriately as you have said that the baby has just started walking about months ago the problem with balance could be just his learning curve kids normally do fall while learning to walk am sure even you will be aware of that he is able to walk rule and climb stairs only means he is growing normally now to say if the balancing issue is normal or not you can make a small video of it and show me it is difficult to say without seeing the baby let us assume that it is a part of normal development then you do not have to go to a doctor and you do not have to worry about it now if we assume that it could be because of a physical problem the child will have to be examined my advise is to wait till he completes years if the problem still persists then you have to go to a doctor |
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hello doctor I am a singer but in recent times I have not been able to sing high pitch I develop pain in my throat while singing high notes I want to show you what happens when I sing using a sample song can you diagnose and give treatment after listening to my song | hi I treat a lot of singers so I totally understand what you are going through to answer your first question yes it is totally possible to diagnose based on an audio clip of you singing though a better method would be a copy of your voice box however I am guessing there are breaks or voice gaps in certain parts when you hit a high note this is common among male singers the issue here is that your voice box has vocal cords that vibrate when you sing the slightest inflammation or irregularity in these vocal cords can produce noticeable changes in a singers voice the problem here is that the slightest change in the singing voice makes the singer more anxious and he tends to practice harder doctors typically prescribe steroids but that will not help unless you give your voice a rest give the vocal cords enough time to heal there is a lot more I would like to say but I will try and summarize my advice for you total voice rest for days no speaking no whispering daily concentrated salt water gargles steroids betnesol 5 my times a day for days pantoprazole 40 every morning for days after days try afresh and record the audio I would love to hear the before and after hope you become a star singer one day |
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i am 30 years old missed period for days now since my 24 day of menstrual cycle was starting using duphaston drug once daily and finish the prescribed dose yesterday and my menstrual cycle is between 26 28 days this month on the days of my periods I got cramps but nothing come out could this be side effects of duphaston or | hello welcome to icliniq I would like to know the reason why you had been taking duphaston if you have been planning for a pregnancy then it would be advisable to check your urine pregnancy test once if negative you can wait unto two week for your periods to come as you just finished your course of duphaston yesterday it may take maximum unto two weeks for the withdrawal bleed to happen once the duphaston is stopped if you got pregnant this cycle then you may not have periods even after weeks so check accordingly please feel free to revert back anytime with any further queries have a nice day |
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hi I am having pain in my eyes it is like some kind of stretch secondly the taste of my mouth is very irritating and I am not having any urge to eat anything I thinking my body is heating but I am not having any fever | ||
no current medications female age 21 height 2 159 am weight 15 labs last known why do I always have recurring knee pain sometimes alternates from left and right it hurts so much and it keeps coming back even though im not exerting stress on them such as from running | dear sending love and peace to you my dear there are some condition which causes knee pain I would also suggest to do some test where we can get knee pain on and off these are few condition where there can be like your symptom my dear I am waiting for your reports to come and I will manage to prescribe drug for you thank you have a good day |
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hello doctor I am a 53 year old male I have been experiencing panics especially when I do not feel better like having acid reflux now the gastrointestinal issue becomes regular the only means to stop it is by drinking alcohol during night time and I feel better and get a good sleep please advice | hello I suggest you to take once a day pill for controlling your acid reflux capsule esomeprazole 40 my half an hour before meals you can take it in the morning time before breakfast or before dinner if you have predominant night symptoms this acid suppressant will control the symptoms of acid reflux and acidic related stomach pain you can take it regularly for two weeks then take it intermittently whenever you need this medications does not have significant long terms adverse effects well I also want that you should know that moderate alcohol intake is fine which means maximum of three drinks per day the alcohol can help to make someone sleep but it is something which is beneficial for gastrointestinal gi tract excessive alcohol has to do with a lot many things in gi than even we doctors know so just an advise to moderate the intake |
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gender female age 19 weight 320 problem gum mouth problems symptoms numbness behind my two front teeth aches receding I had this problem for or days my gums are numb and I am not sure what I am supposed to do I have tried using hydrogen peroxide and mouthwash and scrubbed inside my teeth I think this mostly has to do with my poor dental hygiene I have not brushed my teeth enough as I should have and I am starting to feel the effects of it but I not sure how else I should treat the problem at home and I am worried to go to the doctor due to the current outbreak is there anything I could do | hello welcome to icliniq this is your dentist I went through your query as a specialist I would like to help but for that reason I would like to see whats actually causing you the inconvenience I can understand how painful and uncomfortable its been donot worry I will help it ease for now rest when I see the image so kindly upload I will be waiting so kindly upload the image back portion of lower tooth as soon as convenient tar and stain gingivitis with localised periodontitis with respect to lower tooth first I would need tea confirmation first avoid sticky or sweet or chilled food items feel free let me know if any further query follow up after days but first upload the image to confirm the diagnosis |
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please need guidance actually my mother is blind and my family is partially blind I have weak eyesight by birth and by birth glocoma which was operated also I have nystagmus my wife and I are planning to have our first child we do not want our child to suffer as well now please recommend me something to pervert this transmission also something for me as well regards | ||
hello doctor I have severe weakness in the muscles of the hips and butt but no real pain I stopped taking rosuvastatin ezetimibe and paroxetine but I still use enalapril 15 my daily to lower my blood pressure blood tests for muscle rheumatism are negative vitamin is 95 nmol and I use a magnesium supplement to enhance my muscles what is wrong with me | hello since when are you having this problem any history of trauma or lifting heavyweight any perianal sensory loss or difficulty in holding urine what symptoms do you have like difficulty in walking climbing stairs etc |
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hello doctor I am a 58 year old male I am 180 am in height and weigh about 85 keg I have frequent constipation issues I am currently on obimet so 500 glimisave m1 pinot 40 my pivasta my and clopilet 75 my | hello would you please answer few of my following questions how frequently do you pass stools per week have you felt any blood in stools do you feel pain in the anal area while passing stools have you noticed anything coming out from the anal area while passing stools have you noticed any loss of weight if yes then how much any abdominal pain do you strain while defecating any feeling of incomplete evacuation after passing stools have you used any medication for constipation any change in drugs for diabetes and hypertension in the past six months do you have alternating diarrhea with constipation do you feel bloated I will start symptomatic treatment and some workup for constipation please feel free to ask anything and answer my questions abc complete blood count hba1c glycated hemoglobin ash thyearoid stimulating hormone serum calcium digital rectal examination ispaghol husk two teaspoons in a glass of water every night polyethylene glycol sachet in a glass of water every night for two weeks take plenty of water do 20 30 minutes walk daily |
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hello doctor we noticed our year old daughter has a visible blood vessel on one of her tonsils she feels fine and says her throat feels fine is this a cause of concern we have never noticed it before it has been three months since she was at the dentist and I know they check her tonsils this is very weird please advise if this is very serious | hi I have had a look at the pictures you have sent the tonsils are definitely enlarged in this case there is no doubt about it the tonsils have a very rich blood supply and are relatively vascular structure it is normal to encounter leash of blood vessels over the tonsil or its adjacent areas like the anterior and posterior pillars these are two walls in between which the tonsils reside unless and until the tonsils are inflamed and the child is symptomatic we do not need to give any sort of antibiotics as it is not indicated at the same point of time enlarged tonsil indicates possible previous episodes of recurrent tonsillitis as a result of which the tonsillar tissues get hypertrophied and attains a larger size it is always better to maintain strict oral hygiene do saltwater gargles five to six times a day at regular intervals avoid anything cold spicy and oily food beverages maintaining precautionary measures definitely goes a long way in preventing recurrent sore throats or streptococcal infections however in a situation where the child is having recurrent sore throats with associated fever significant leaves from school it is always better to get the tonsils removed there are criteria given by ao hns american association of otorhinolaryngologists and head and neck surgeons who have laid down criteria for a patient to undergo tonsillectomy in nutshell visible blood vessels over the tonsils or related adjacent structures is not a worry as it is very common and seen in health and have not pathology related to it sticking of the uvula to the right tonsil is due to surface tension of the saliva and enlarged size of the tonsil this again has no clinical significance there is absolutely nothing that you need to worry or get stressed about make sure you advise the child to follow the instructions that I have given above to prevent recurrent sore throats in addition she can also use crushed ginger with masuka honey you can add crushed ginger and honey in a cup and give it together one tablespoon three times a day honey has excellent antioxidants antiviral antibacterial properties and so does ginger I hope this helps |
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hello doctor I have three medical concerns that I think might be related one is that I have soreness in my left armpit another is that my left ankle has been swollen lately and finally I have a one in circle ark that looks like a faded bruise in my left groin there is no swelling associated with this and no pain the last one has been persistent for a few months and the circle got darker when I went on bactrim for a ti but then got lighter again could these three things be related is there any cause for concern | hello since when are you suffering from this condition it may be reactive arthritis reiter syndrome in which urethritis or ti urinary tract infection followed by joint swelling and rash it may be associated with dry mouth and dry eyes it may be a different entity like groin rash which may be a fungal infection joint swelling may be due to arthritis or gout or crystal induced inflammation left axillary pain may be due to herpes foster or boils or shoulder joint arthritis or rotator cuff problem or hypothyearoidism until examination is done it is difficult to say what it is get it done urine culture and sensitivity cop reactive protein ear erythrocyte sedimentation rate and ray of left ankle joint use tablet naproxen 250 my twice a day for five days keep limb on elevation mode while sleeping please review with reports or consult with your physician he will examine and treat you accordingly |
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hello doctor my sept test result is 49 is it dangerous for the liver | hello well you did not share your body weight do you feel any symptoms like fatigue weakness or loss of energy this information is important because only sept which is just nearly one and a half times raised cannot tell a diagnosis on its own to answer your concern that it is harmful yes it is but whether it is less harmful or highly harmful that depends upon the underlying condition the causes of such raised sept are many folds but of note viral hepatitis obesity alcohol and autoimmune hepatitis are the top most reasons for asymptomatic elevation some drugs have a tendency to cause raised sept commonly paracetamol your rest of the urine report is completely normal I want you to tell me about your symptoms and current body weight before I can suggest a target set of investigations let me know about yourself in detail like prior history of hepatitis family history of hepatitis prior blood transfusion any travel history I also want to know some personal information like alcohol consumption marital status and sexual history recommending your investigation without any information regarding the case is not a cost effective option I hope you understand my point raised sept serum glutamic pyearuvate transaminase viral hepatitis alcohol hepatitis nafld non alcoholic fatty liver disease autoimmune hepatitis follow up to provide more information as I can be in better position to suggest you investigation and treatment plan |
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hello doctor I have been experiencing acid problems I keep burping after eating I started to take 20 my omeprazole I have been taking it for three days once daily but I experience side effects such as muscle weakness headache and shortness of breath how long should I take the medicine and can I switch to esomeprazole | hello I will definitely help you with your problem burping after eating is a very common problem it is known as gastroesophageal reflux disease I will suggest you some precautions to prevent it eat less quantity of food every time than before you may eat five to six times a day but with lesser quantity there should be a gap of two hours in the night after eating and go to bed walking for sometimes is a must after every eating avoid spicy and fatty foods as much as possible you may switch to esomeprazole it is more effective also add one more drug levosulpiride for 15 days you should take syearup sucralfate two tablespoons three times a day it will help to heal ulcers and for fast recovery I hope this helps |
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hello doctor I have been on a foley catheter since two couid prohibited the procedure at that time I am having a cystoscopy on the 18th of this month if all is well will my bladder be too weak since it has been on the foley for so long foley has been a pain and I am on xarelto and plavix which causes intermittent bleeding during the day but I do not have any infection I am also a diabetic and I cannot self cath what do you think they will recommend I am currently on flomax and finesteride | hello coming back to your query you need to answer some of my questions first when the catheter was put how much urine came in the first 15 minutes did your bag get filled fully half or what were you on a floral finastride combination before you were put on a catheter for what reason you were catheterized was it retention of urine any abdominal ultrasound done till date which mentions prostate size do you have any urinary complaints like frequency urgency poor stream nocturia dribbling burning or micturition before catheter was placed and how long you were having them if any is your diabetic status under control any hba1c report |
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hello doctor my sister is having severe stomach ache and yellow vomiting and the pain goes around her abdomen to the back she is suffering from this pain for the past one week please help | hello I can imagine you must be very upset about your sister and I really feel sorry that she is in pain for a week time well the pain you mention that is severe and radiating to back is suggestive of pancreatitis however the possibility of peptic ulcers cannot be completely ruled out ideally the pancreatitis that is inflammation of the pancreas a gland at the back of tummy should be managed in the hospital however the pain of ulcers peptic ulcers in the stomach and small bowel can be managed at home but before making a diagnosis it is required that you provide further history about her pain did she have this before and if yes how long it last did she frequently have heartburn or acidity issues is she on some medications right now you mentioned her age what is her marital status did she have fever or yellowish eyes or dark yellow eyes you mention she has yellowish vomiting but is she able to take orally or she is throwing up everything like water or food that you give to her you see all this information can help us to decide the most probable cause of the underlying pain and consider some treatment to see the response for time being you can give her capsule esomeprazole to my now and half hour before meals expect the reduction in pain if it is due to peptic ulcer disease the pain of pancreatitis will not settle with this capsule if she is unable to take orally then you can visit a nearby nursing clinic and get iv omeprazole 40 my pancreatitis peptic ulcer disease complete blood count serum amylase and lipase liver function tests urine detailed report ultrasound abdomen follow up to discuss after investigation or earlier before getting tested if you have more concerns |
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hello doctor I found a very small dark spot on my thigh today to the best of my recollection I have never seen it before now of course I am thinking the worse and believe I have melanoma I am olive skinned I have never had an issue with moles or dark spots before my mom had a pre cancerous growth removed from her face years ago and she is fine she goes to her check ups and applies sunscreen all the time when I was a kid I never saw my mom applying sunscreen it was the 70 and it was just something we did not do she just turned 76 I attached a photo I am sure you will think it is something that should be looked at and so do I am going to make an appointment with a dermatologist but I also suffer from health anxiety depression and ocd so I am convinced it is melanoma and I am feeling very depressed right now | hello I have seen the pictures no it is not melanoma it is a normal nexus benign for your confirmation you can go for an excisional biopsy of the lesion histopathology reports will confirm that the lesion is benign or malignant do not worry it is normal nexus due to melanosis increase in melanin pigment |
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hello doctor I have been hearing a wind like rhythmic noise in my right ear it also makes my ears feel full when breathing forcefully it might go away for some time but it comes back again | hello a ringing sound or wind like sound in the ear lasting for more than five minutes is called tinnitus if less than five minutes it is not significant this particular sound you are describing can be caused due to dysfunctional eustachian tube I the tube connecting the ear and the nose usually it is more in quiet environments and more noticeable when you are attempting to fall asleep crowded and noisy places serve as a distraction and do not let you notice the sound medicines do work but it takes at least a month for them to act that too the sound does not vanish until two to three months have gone by I understand the trouble it is causing you so what is to be done keep a table fan for white noise when you are trying to fall asleep try and distract yourself when you hear the sound get a hearing test done you can use an audiometry app and send me the result follow the prescription saline nasal drops and steam inhalation three times a day for seven days fluticasone nasal spray two times a day for seven days |
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hello doctor my left testicle has a dull ache when I stand for a period of time I can also see an enlarged vein on my testicle it goes away when I sit or lay down for a little bit I will attach a picture of the vein | hello I think it is a hernia kindly give some other details do it have cough impulse it means the swelling expands upon coughing it is said to have a cough impulse can you get over the swelling this means when swelling is there are you able to pinch your spermatic cord ignore if you are not able to understand do you do weight lifting diabetes or hypertension any medication |
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does using pills like patrol htp mood stress enhancer have more benefits or risks to taking them I have a bottle of 200mg of this product and also want to know if respiratory diseases specifically ems are likely to happen and why | ||
hello doctor my mother is 43 years old and was diagnosed with rheumatoid arthritis months back her lab reports are as follows serum uric acid 3 my dl of i'm antibody 132 units my her treatment was initiated with defcort 6mg for a week methotrexate 15mg weekly for months hcqs 200 daily post dinner for months it b12 shots weekly for a month followed by b12 shots monthly once even after taking medication for almost months her symptoms of keen pain ankle pain radiating from hip to toe has not seen significant improvement she also took a painkiller named setolacer 300mg which was not useful either I request you to suggest the needful |
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