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

Hello. I have gone through all your reports (attachment removed to protect patient identity) and your prolactin and thyroid levels are well in control. What is missing in the follicular monitoring profile of the dummy cycle and also your husband's semen analysis test? You have been following the correct protocol using LH kits for ovulation and post LH surge if a natural trial or timed intercourse did not work then husband's semen analysis becomes mandatory. Then when both male and female infertility causes are ruled out then comes mechanical causes where positions and version of uterus need to be considered and measures implemented. Anyways please send these two remaining reports before we can proceed further.

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

My father, Male, 77 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 8 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.

Q. Why has my father's swollen ankle turned dark red?

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

Hello. Are you diabetic? Do you feel any pain after food intake? I have seen the images that you attached with your query (attachment removed to protect patient identity). Possible causes are: 1. This is the area for gallbladder possibility of cholecystitis. 2. Right ureteric stone may present pain in this right para umbilical/ right hypochondrium area. 3. Fatty liver. 4. Colon infection (ascending colon). 5. Gall stones may also present like pain in this region. So use the tablet Cyclopam (Dicyclomine and Paracetamol) twice a day for five days, Ofloxacin and Ornidazole twice a day for five days after food, tablet Pantoprazole before breakfast for one week. Drink plenty of liquids. Avoid fatty foods. If symptoms not improved please get it done ultrasound abdomen and post me.

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

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

Hello. I can understand your concern. According to your statement, you have been suffering from throbbing headaches during waking up. Headache which is throbbing in nature may result from the dilation of blood vessels from increased blood flow. Headache is very common in everyone life. Strenuous work, stressful life, dehydration, anxieties, tension, common cold, allergies, low glucose sugar level, etc., can cause headaches. Throbbing headaches may result from some health conditions such as migraines. Throbbing headache occurs at the top of head, Cluster headache occurs as throbbing headache behind the eyes, Occipital neuralgia presents as throbbing headache at the back of headache, Temporal arteritis occurs as throbbing headache in temples, Hemicrania continua occurs as throbbing headache on one side. Treatment depends on the causes. You should undergo some investigations like CBC (complete blood count), x-ray PNS (paranasal sinus) can detect the cause which is responsible for your sufferings and then treat them accordingly. You can take for your headache as follows. Tablet Inderal (Propronolol) (40mg) 0+0+1 for 15 days, Naprosyn (Naproxen) (500 mg) 1+0+1 for 10 days, Prevacid (Lansoprazole) (30 mg) 1+0+0 for 15 days. In case of allergy or cold take tablet Allegra (Fexofenadine) (120 mg) 0+0+1 for 10 days. In case of any other query knock me.

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

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

Hello. Hematospermia (blood in semen), is fairly common. Generally it is not considered as a sinister sign. There are whole list of possibilities for this theoretically, but once we ensure it is not due to sinister cause and rule out treatable causes say like infections we do not beyond that as it will not affect the management. Sinister causes mainly prostate and testicular cancers. At your age prostate cancer is extremely unlikely but need to ensure no testicular problem. With your symptoms with testes, you need another scan to be on safe side as the scope for examination to be conclusive. I suspect you have epidydimal cysts which are very common and can cause pain, etc. So if the scan does not show anything other than this, I would not worry about it at all. I think the rash is completely unrelated to this or any of your urological problems. Nor the rash or hematospermia is related to old history of chlamydia. Since you have not had any other urinary symptom, I would not worry much about other tests related to urinary tract. However, I would also recommend sending semen for culture to see any infection in it. Lastly about prostate cancer virtually unheard in your age. Finger examination of prostate, PSA blood test and MRI scans of prostate are the screening tests in general. But not something I would recommend if testes scan comes back normal and if you are still worried an MRI then will be helpful as last resort. Idiopathic. Testicular pathology. Ultrasound scan of testes. Ideally an examination of genitals including prostate by a clinician. Semen culture. Idiopathic. Hematospermia. With reports.

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

Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?

Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist

Q. What does abutment of the nerve root mean?

Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.

Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon

Q. Every time I eat spicy food, I poop blood. Why?

Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.

Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist

Q. Will Nano-Leo give permanent solution for erection problem?

Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.

Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.

Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?

Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.

Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist

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

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 mg, Lithium 300 mg, and Ativan 1 mg 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 extensors of the thumb (de quervain) or is it for any other finger? Also, do you have thyroid 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 (2-3 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 D levels tested? Kindly revert with the info.

Q. Cortisone injection for tendinitis is hurting more. Why?

Hello doctor, My father is 86 years old. He is a hypertension patient and on Metosartan 25 mg, Ecospirin 75, and Nexpro. For prostrate, he is on Maxvoid 4 mg 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 mg 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's 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 ml/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 (1 to 1.5 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.

Q. My father passes stools whenever he gets an urge to pass urine and antibiotics did not help. Why?

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 1. Not that bad. But In the evening, to later in the night my BP is through the roof. In the midnight, my BP is measured to be 176/126 on standing. When I lay down on my left side and it is down to 110/60 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.

Q. My blood pressure is fluctuating with time and high during night. Why?

Lower back pain unable to put pressure on legs to walk. 3 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

Q. I have lower back pain, and I am unable to put pressure on my legs to walk. What to do?

Hi doctor, HIV tridot antibody test done at 6 weeks, 8 weeks and 10.5 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.

Q. HIV tridot antibody test negative till 10 weeks. Are there chances of turning into positive at 12 weeks?

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 mg 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 (attachment removed to protect patient identity). 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.

Q. My daughter has acne in chin and jawline with intake of Cabergoline for high prolactin. Please help.

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 LCZ (Levocetirizine) 10 mg 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.

Q. I get bleeding from my left ear with no pain. Why?

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 (attachment removed to protect patient identity), there might be skin irritation which can be from repeated frictions 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 E 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.

Q. I get recurrent spots on the penile head with some discomfort. Please help.

Hello doctor, I am in the 13th week of my first pregnancy. I had two episodes of postcoital bleeding after which USG 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 Susten 200 BD 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 USG after six weeks for a level 2 scan and look for placental migration. Continue Susten (Progesterone tablet).

Q. I am in 13th week of pregnancy and experienced postcoital bleeding twice. Is there any problem?

Hello doctor, What can be done for low calcium in a thyroid patient?

Hello. Is it possible you can do histopathology of thyroid gland to rule out? You have many metabolic disorders that you need correction (attachment removed to protect patient identity). Relative hypocalcemia Thyoid Disorder Histopatholgy of thyroid and parathyroid Gland MRI Thyroid Gland Collor Dopller Thyroid Gland Relative Hypocalcemia Thyroid Carcinomatous change Thyroiditis Tab Zecal MAX 1 Tab po od 1 month

Q. Kindly explain the management for low calcium in a thyroid patient?

Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?

Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist

Q. What does abutment of the nerve root mean?

Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.

Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon

Q. Every time I eat spicy food, I poop blood. Why?

Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.

Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist

Q. Will Nano-Leo give permanent solution for erection problem?

Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.

Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.

Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?

Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.

Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist

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

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 mg PRN for pain. I have had laboratory work done and I have seen a rheumatologist. My initial labs: ANA positive 1:160 speckled. CRP was elevated. My anti-DS DNA, CCP 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 44 units. Slightly low vitamin D 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: 1. Is your sleep pattern fine? Morning fatigue? 2. How frequently are you taking Diclofenac? 3. Any hair fall/oral ulcers/dry eyes/dry mouth? 4. Any recent irritability or forgetfulness? 5. How much was the level of CRP you had mentioned? 6. 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.

Q. What can be done to cure joint pain with muscle tenderness?

Hi doctor, I am 21 years old and having regular single heart palpations. I have an Apple Watch which provides an ECG 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 PDF results to show you. 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 (attachment removed to protect patient identity). You are experiencing missed beats aslo known as premature ventricular contractions. They are 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 3 or 4 times a week. For a duration of 30 minutes. Make sure to sleep 6 to 7 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.

Q. What causes single heart palpitations?

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 caries and sensitivity associated, you might not necessarily need an extraction. If the caries has progressed alot, root canal can be done to save your tooth. Betadine Mouthwash, Gargle in lukewarm water 2-3 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 mg one apsule BD for 5 days, tablet Zerodol SP 1 tablet BD for 5 days, capsule Pan D one capsule BD before meal for 5 days. You will be needing a scaling to remove any tartar. 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.

Q. How can large tooth cavity be treated?

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 PCOS. 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 kg of weight (attachment removed to protect patient identity), 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 2-3 days and may be then start with medication.

Q. Kindly explain the reasons for missed period.

Hello doctor, Age of the child: 20 Months Gender: Male Weight: 12 Kilograms Height: 30 inches Started Walking: 15 Months Started Sitting: 5 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 2 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 2 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 1 week. He has also slight drooling. My question: Is this balance probelm common in this age group or should we choose to consult an in-person doctor which I am avoiding due to COVID-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 5 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 2 years. If the problem still persists, then you have to go to a doctor.

Q. What causes balancing problems in a baby?

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 (attachment removed to protect patient identity), though a better method would be a scopy 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 2 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. 1. Total voice rest for 7 days. No speaking, no whispering. 2. Daily concentrated salt water gargles. 3. Steroids (Betnesol) 0.5 mg 2 times a day for 5 days. 4. Pantoprazole 40 every morning for 7 days. 5. After 7 days, try afresh and record the audio, I would love to hear the before and after. Hope you become a star singer one day.

Q. What causes pain in throat while singing high notes?

I am 30 Years old, Missed period for 8 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 upto two week for your Periods to come as you just finished your course of Duphaston yesterday. It may Take maximum upto 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 2 weeks. So check.accordingly. please feel free to revert back anytime with any further queries. Have a nice day.

Q. Does Duphaston delay periods?

Hi...i am having pain in my eyes it's 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

Q. I have pain in my eyes and a bad taste in my mouth. Please help.

No current medications Female Age: 21 Height: 5'2/159 cm Weight: 115 lbs (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

Q. Why do I always have recurring knee pain?

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 mg 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. 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.

Q. I have acid reflux problem which is causing panic attack. Please advise.

Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?

Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist

Q. What does abutment of the nerve root mean?

Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.

Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon

Q. Every time I eat spicy food, I poop blood. Why?

Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.

Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist

Q. Will Nano-Leo give permanent solution for erection problem?

Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.

Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.

Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?

Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.

Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist

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

Gender: Female Age: 19 Weight: 320 Problem: Gum/Mouth problems Symptoms: Numbness behind my two front teeth, aches, receding. I had this problem for 2 or 3 days. my gums are numb and I'm not sure what I'm 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 haven't brushed my teeth enough as I should have and I'm starting to feel the effects of it but i'm not sure how else I should treat the problem at home and I'm 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. Tartar and stain Gingivitis with localised periodontitis with respect to lower tooth. First I would need tla confirmation first . Avoid sticky or sweet or chilled food items. Feel free, let me know if any further query . Follow up after 3 days . But first - Upload the image to confirm the diagnosis.

Q. My gums are numb and are receding behind the two front teeth. Why?

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 don't want our child to suffer as well. Now please recommend me something to pervert this transmission. Also something for me as well. Regards

Q. Can the transmission of congenital glaucoma be prevented?

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 mg daily) to lower my blood pressure. Blood tests for muscle rheumatism are negative. Vitamin D is 95 nmol/l 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 senory loss or difficulty in holding urine? What symptoms do you have like difficulty in walking, climbing stairs, etc?

Q. I have severe weakness in butt and hips muscles with negative rheumatism. What is my problem?

Hello doctor, I am a 58-year-old male. I am 180 cm in height and weigh about 85 kg. I have frequent constipation issues. I am currently on Obimet SR 500, Glimisave M1, Pinom 40 mg, Pivasta 2 mg, and Clopilet 75 mg.

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. CBC (complete blood count). HbA1C (glycated hemoglobin). TSH (thyroid-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.

Q. I have frequent constipation issues. Please help.

Hello doctor, We noticed our 6-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 (attachment removed to protect patient identity). 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 avascular 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 aao-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 manuka honey (you can add crushed ginger and honey in a cup and give it together one tablespoon three times a day). Honey has excellent antioxidant, antiviral, antibacterial properties and so does ginger. I hope this helps.

Q. My 6-year-old daughter has visible blood vessels on tonsils with no symptoms. Is it a matter of concern?

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 UTI 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's syndrome) in which urethritis or UTI (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 zoster or boils or shoulder joint arthritis or rotator cuff problem or hypothyroidism. Until examination is done it is difficult to say what it is. Get it done urine culture and sensitivity, CRP (C-reactive protein), ESR (erythrocyte sedimentation rate), and x-ray of left ankle joint. Use tablet Naproxen 250 mg 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.

Q. My left armpit is sore with swollen left ankle and bruise in left groin. Please help.

Hello doctor, My SGPT 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 SGPT 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 SGPT 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 SGPT commonly Paracetamol. Your rest of the urine report is completely normal (attachment removed to protect patient identity). 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 SGPT (serum glutamic pyruvate 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.

Q. My SGPT is 49. Is it dangerous to liver?

Hello doctor, I have been experiencing acid problems. I keep burping after eating. I started to take 20 mg 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 syrup Sucralfate two tablespoons three times a day. It will help to heal ulcers and for fast recovery. I hope this helps.

Q. Omeprazole taken for burping is causing muscle weakness, headache and shortness of breath. Why?

Hello doctor, I have been on a foley catheter since two. COVID 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?

Q. Will prolong usage of foley catheter for urinary retention cause bladder weakness?

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's 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 4o mg 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 mg. 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.

Q. My stomach pain is radiating to my back and vomitus is yellow in color. Please help.

Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?

Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist

Q. What does abutment of the nerve root mean?

Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.

Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon

Q. Every time I eat spicy food, I poop blood. Why?

Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.

Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist

Q. Will Nano-Leo give permanent solution for erection problem?

Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.

Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.

Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?

Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.

Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist

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

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's 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. 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 (attachment removed to protect patient identity). No, it is not melanoma. It is a normal nevus (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 nevus due to melanosis (increase in melanin pigment).

Q. I have a small dark spot on my thigh with anxiety and OCD. Is it melanoma?

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.e. 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? 1. Keep a table fan for white noise when you are trying to fall asleep. 2. Try and distract yourself when you hear the sound. 3. Get a hearing test done. You can use an audiometry app and send me the result. 4. 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.

Q. I am hearing wind like rhythm in my ears with fullness. What is that?

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?

Q. I have dull testicular pain on standing with enlarged veins. Please help.

Does using pills like Natrol 5-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?

Q. Does using pills like Natrol 5-HTP have more benefits or risks to taking them?

Hello doctor, My mother is 43 years old and was diagnosed with rheumatoid arthritis 3 months back. Her lab reports are as follows: Serum uric acid : 4.3 mg/dl RF igM antibody : 132.1 Units/ml Her treatment was initiated with defcort 6mg for a week, methotrexate 15mg weekly for 3 months, HCQS 200 daily post dinner for 3 months, vit b12 shots weekly for a month followed by b12 shots monthly once, even after taking medication for almost 3 months her symptoms of keen pain , ankle pain, pain radiating from hip to toe hasn't seen significant improvement. She also took a painliller named setolacER 300mg which wasn't usefull either. I request you to suggest the needful.

Q. Even after taking medicines, there is no improvement in pain radiating from hip to toe. Why?

Hello sir... My son is 8and half years old.. from his birth he has cold cough problem that we took cbc in that it came normal but wbc use to have 22300 from birth till 3 months back, and after that he s unable to walk and got severe fever and cold and shiverish and he cant able to walk and i consult with doctor who s a child specialist he said me to take a cbc and i gone through cbc test. In that wbc shows 58000 Doctor said me to take scan and i done scan in that it shows he has a plural effusion fluids in that they send for fluid test but the trst reports are not yet came but the doctor started treatment for chemotherapy by saying he has a blood cancer ... They took bone marrow biopsy in that it shows negative... My doubt is to ask u about sir s...... doing chemotherapy done before fluid report came s right or not... Report not yet came but cbc everyday took is rapidly increasing... And still fluid test not yet came.. now doctor sayin that they have to do bone marrow transplant i have a younger kids age under 3 doctor saying that siblings match in blood test will have to be a donor for the oerson affected... U pls give me a suggestion and help me from this ols sir or madam

Dear, Your son may have leukemia and there are so many types of lukemia. Just with CBC leukemia cannot be confirmed. And there are multiple tests that has to be done. Fluid tests may not show positive results in a single test. It may be repeated. They must have done flow cytometry and thta will give you better idea regarding the condition. Is he having fever or any other complaints? sore those? Bone marrow transplantation will be done only after subtyping leukemia. Chemotherapy will be usually started after knowing diagnosis but if child is sick enough or if it is not going to affect the test result, they may start chemo early and wait for the test results. Hope it's useful. let me know with some more details. I would like to give my opinion.

Q. How to proceed with the blood cancer treatment for my 8-year-old son?

My mother's age is 58, height is 5 feet, weight around 50 kg. She suffered a stomach tumour more than 20 years back, which was to be operated upon. 13 years back, she suffered a brain stroke because of the clotting of a vein inside the brain. She is diabetic and has hypertension too. Since then she is on continuous medications. Her prescription includes : Tab Ecosprin 150 mg Cap Gemcol DS Tab Glide 5 mg Tab Volix 0.3 mg Tab Cobadex CZS Tab Storvas 10 mg Tab Covance 50 mg Tab Eslo 2.5 mg Nowadays she is suffering from some problems. Sometimes she has a mild fever, which usually comes in the evening. She is suffering from pain in waist where the pain originates from the back side of the waist and then come in the front part. She is suffering from pain on the right side of her face specially the right side of the forehead. She has this feeling of heaviness inside the stomach which is very uneasy. She sometimes suffers from pain in the stomach near the navel. Her stomach does not get clear in the morning. Pain in the bone of the right side of forehead, light headache. So, what should we do?

Q. My mother feels heaviness in the stomach and has a mild fever. What should we do?

I got a severe toothache which I was already done a root canal treatment I couldn't found any dental care due to corona virus can you please suggest some prescription to get a relief from the pain

Q. Please suggest some medicines to get relief from severe toothache.

Hello doctor, I have recurring anemia for years now. I do not know how to manage it via diet.

Hi. I will give you a few food lists and guidelines to incorporate in your daily diet schedule. Include iron rich foods. If you are non-vegetarian then you can also include egg yolk, chicken liver, fish along with other veg foods. If you are a vegetarian then you can include soybean, sprouts, garden cress seeds, oats, couscous, broken wheat, pomegranate, apple, banana, green leafy vegetables. Squeeze lemon on your veggies, meat, and salad as vitamin C helps in absorption of iron. You can also take fresh lime juice or orange juice with your meals. Avoid taking any caffeine with or immediately after meals, caffeine hinder iron absorption. You can cook your meals on iron tawa or iron pots. Also avoid taking calcium and iron together, as calcium also hinders in iron absorption. For example, if you are taking calcium and iron supplements, do not take it together, keep duration in between two supplementations. I hope this helps.

Q. How to manage my recurrent anemia with diet?

Hello doctor, My granddaughter was normally born on 11 April 20. Her birth weight was 2.6 kg, currently weighing 3 kg with persistent jaundice. Her total bilirubin is 3.47 and direct is 3.19. She is breastfeeding along with formula as per pediatrician suggestion with couple of blood tests and ultrasound. The ultrasound was tested for biliary atresia and was negative. I am recently seeing oil in her stools. Pediatrician has evaluated it as conjugated hyperbiliruminemia. It would be nice if you could review and let me know your opinions. Is this could be the reason for not gaining weight?

Hi. Persistence of direct bilirubin at two months of age needs to be evaluated properly. Most importantly, what is the color of her stool? Is your doctor told you anything about the liver whether it is big or normal? There are so many causes, but most important and serious and need timely intervention is extrahepatic biliary atresia which as per information has been ruled out. Other common causes can be neonatal hepatitis or some metabolic disorder. The list of causes is long so better if you can share all the reports (blood, urine, sonography, Torch titer, TFT, enzymes, alpha 1 anti-trypsin, etc), I can advise you on how to proceed further and whether it needs further investigations.

Q. My granddaughter is 2 months old with persistent jaundice. Please review her reports.

Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?

Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist

Q. What does abutment of the nerve root mean?

Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.

Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon

Q. Every time I eat spicy food, I poop blood. Why?

Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.

Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist

Q. Will Nano-Leo give permanent solution for erection problem?

Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.

Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.

Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?

Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.

Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist

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

Hi doctor, I am having pain in my right testicle but it is a dull pain and it is hard to pinpoint exactly which side but I would like to say it is my right testicle that gets swollen and also has that fullness feeling in the entire sac. It normally flairs up every single morning for the past four months and I seem to have an increase in sexual dreams since it has been happening. It is not the worst pain in the world but it is discomforting. I really do not want to see a doctor as it is very embarrassing for me. Throughout the day, it will become swollen and sometimes not. Hot baths and masturbation are the only things that help with the pain. I normally have to masturbate every single morning to take the pain away. I do feel like I can feel something down there on my right side behind my testicle that feels like a smooth tube (not sure if this is normal as I also feel it on my left side, but it is not as big on my left side). A few other symptoms I have experienced with this are lower back pain and nausea. But once again, this has been ongoing for four months now. Can you help me? I am currently on Melatonin and Allegra.

Hi. I appreciate your detailed description. Testicular pain can be apparent and have a cause or can be idiopathic (unknown) also. Testicular pain can be secondary to the inflammation of testis epididymis or both it can be associated with a hernia which not necessarily appears to you if it is small. It can as well be due to hydrocele (fluid collection around the testis) moreover varicocele (dilated veins around the testis). Testicular tumor can also cause pain testicular hematoma blood collection beside the testis or epididymal cyst, referred pain from lower ureteric stone lastly idiopathic. The accuracy of diagnosis depends on history and examination ultrasound of scrotum and ultrasound KUB (to role out any abnormality in your urinary system). Moreover urine tests to rule out urine infection. From your presentation, I doubt varicocele or hernia but cannot exclude other causes. Regarding your back pain it might be a referred type of pain from testis so I hope treating the testis pain relief it. You will need an ultrasound of your scrotum and urine analysis post ejaculation urine for culture. Then to follow up with results. At the moment for the pain, you are advised to take Naproxen sodium 500 mg twice daily for 30 days. Do not worry about it. I hope I can find the cause and give you the proper treatment after investigations further. You can follow up with me at your convenience. Scrotal support, wearing fit underwear will reduce your discomfort. I hope this helps. Ultrasound scrotum. Ultrasound KUB (kidney, ureter, and bladder). Urine analysis. Post ejaculatory urine culture. Naproxen sodium 500 twice daily for one month. Fit underwear. After investigations.

Q. I have testicular pain and swelling and it subsides only with hot baths and masturbation. Please help.

Hello doctor, My mother-in-law is a 55 years old diabetic patient. She is suffering from a problem that whenever she eats anything she has feelings to use the washroom. Please help.

Hello. Your mother-in-law problem could be because of certain diabetic drugs also. I will be able to help you better if you can upload the list of medications she is on. And since how many days is she having this problem? What is the stool consistency, watery, or semisolid, or solid? Does she have any abdominal pain? Has she lost weight? Awaiting your reply, depending on that I will be able to help you better with appropriate treatment. ? IBS (irritable bowel syndrome). DM (diabetic mellitus).

Q. What could cause immediate sensation of passing stools post meals in a diabetic?

Hello doctor, I just noticed a white spot on my gum, not anywhere near my teeth. I am scared of it.

Hello. Thank you for sharing the image (attachment removed to protect patient identity). Based on the information you have provided, it looks like an ulcer. It is a common ailment found in most people. For a definitive diagnosis, I will need some more information. Since when did you notice this? Any history of trauma due to accidental lip biting or injury while brushing? Nature of the white spot, does it pain, burn on touching, and movement of the lip? Any allergies to any medication? Your diet? Nutritional deficiencies? Autoimmune disorders and blood disorders (rare)? Your water intake per day? Generally, oral ulcers tend to heal by themselves within 7-10 days. If there is pain or discomfort hampering routine activities like chewing or talking, a topical formulation like an antiseptic coupled with an analgesic gel can be applied to the ulcer directly for symptomatic relief. Also, a nutritional supplement rich in B-complex vitamins is prescribed to promote healing. I hope this helps. Trauma due to lip biting, or during brushing. Nutritional deficiencies. Autoimmune or blood disorders (rare). Blood investigations (if symptoms do not resolve after 15 days). Aphthous ulcers. Stomatitis. Aphthous ulcers. Antiseptic and analgesic topical gel to be applied on the ulcer. Advise use of nutritional supplements rich in B-complex vitamins. Daily intake of at least three to four liters of water. Maintain a healthy diet and exercise routine. Careful brushing technique without hurting adjacent soft tissue. Brush twice daily with a flouride containing paste. Use of interdental floss to clean the surfaces, spaces and contacts between the teeth. Use of salt water gargles every day especially after meals. Tongue cleaning on regular basis. A periodic check up with your dentist once every six months. A visit to the dentist for oral prophylaxis (teeth cleaning and polishing) once every six months. As soon as further details are provided.

Q. I have a white spot on the gum. Whtat could it be?

Hello doctor, I am a 17-year-old female. I was diagnosed with Carpal Tunnel syndrome last year but the pain started before that. At that time my hand only hurt when it was bent to a certain position, and it hurts when I am on my fours or when push-up position. It did not hurt when my hand was squeezed or doing hand exercises. The doctor prescribed me with Etoricoxib (Arcoxia) 60 m which I took twice a day for a week and told me not to move my right hand. I tried not to use it as much as possible but since it was school time, it required me to use my hand. After the medication was over, I was not able to come back to the hospital (even though I was told to if the pain did not go away) and talk to my doctor about the condition of my hand. Now, my hand, specifically the palm of the thumb, started to hurt even if it was not bent or I am in a push-up position. It is more painful when it is squeezed. Our place is quarantined and I am sure getting appointments will be hard during this time, so I am trying to relieve the pain at home. But still, I want to have some instructions from the professional. I have 10 Arcoxia pills here at home, should I take it to relieve the pain? Should I follow the initial instructions of my doctor and take it twice every day or just take it whenever I feel pain? What should I do?

Hello. Please take the pain killer Etoricoxib only if you feel pain. Try to apply a wrist support belt. It will help your wrist to keep in position. Carpel tunnel syndrome. MRI (magnetic resonance imaging) of the wrist. Nerve compression. Carpel tunnel syndrome. Tablet Etoricoxib 120 mg 1 tablet for 10 days, GABA 200 mg one tablet for one month, Rabiprazole 20 mg one tablet for 10 days, Meco OD 1500 microgram one tablet for one month. Do not lift heavy weight. With MRI report.

Q. I have Carpal Tunnel syndrome with pain in my hands. Please help.

Hello doctor, I am a 14-year-old male and I got these lines between my eyes and cheeks, it is saggy but it does not hurt and I do not know why I got it. I have been doing some excercises to help reduce the line and I also put Aloe vera gel. I sleep eight hours and I start sleeping at 10 or 11 PM but it does not fade and I sleep on my right side (is this one of the reasons?). Sometimes my eyes feel tired. What is the cause of this and how do I get rid of them or reduce them without surgery? I do not have money to go to surgery. I hope I could get an answer.

Hello. Sagging is due to loss of elasticity of the skin. Do you go out in the sun? UV rays exposure? Is your nutrition proper? Is your water intake adequate? Is there any environmental dust exposure? Stress? Poor nutrition? Non-surgical therapy such as face massage, face packs, masks, and anti gravity exercises can help. Protection from extrinsic factor (ultraviolet rays) with proper sunscreen, caps, umbrella, and clothing. Use photostable sunscreen 20 minutes before going outdoors for 20 days. Do daily skincare cleansing and moisturizing. Do you have adequate sleep and fluid intake? Avoid smoking and alcohol. Increase protein intake in your diet like nuts, milk, almonds, pulses, lentils, eggs, and dates. Maintain iron levels. Increase citrus fruits also. Vitamin C, A, E, and minerals are antioxidants which help in skin rejuvenation. I hope this helps.

Q. I have lines between my eyes and cheeks. Is there any way to reduce it without surgery?

Hello doctor, I am a sinusitis patient. But I do not face any breathing problems. And I am just 21 year old. Is Corona dangerous for sinusitis patients? Please tell me I really want to know.

Hi. Corona is dangerous for each and everyone one of us. However, there are few conditions where the patient's body immunity is on the lower side. One such condition is recurrent allergy associated sinusitis. You may be completely asymptomatic, but in general patients probe for allergy and associated sinusitis do have a slightly higher risk for acquiring any infection for that matter. It is always better to take adequate care and precautionary measures must be followed at all costs failing which you not only expose yourself but expose others as well. Make sure that the sinusitis and related symptoms are treated in an effective manner. I have not gone into the treatment for sinusitis as your question was very specific regarding the lethality of Coronavirus in patients with sinusitis. I hope this helps.

Q. I have sinusitis. Am I at high risk of getting Coronavirus infection?

Hello doctor, I am a 28-year-old male. I am tested COVID positive on 13th May. After 20 days, I go through all blood tests in which I found serum bilirubin total is 2.8, direct-0.8 and indirect-2.0 are elevated. I am always getting a fever around 99.0 and pulse rate around 95 on resting. I also have nausea, dizziness, fatigue, and weakness. I am currently on Ursocol 300 twice daily, Pantocid 40, and Dolo 650 sos. No relief yet. Please guide me.

Hello. I went through your records (attachment removed to protect patient identity). I see that you were tested COVID positive on 13th May and your investigation was done on 30th May. It has been a month from the COVID test and two weeks passed after your LFT (liver function test). This result could be per se because of COVID itself as any viral infection is more likely to involve the liver during the course of illness and take some time for it to recover. Second possibility, all viral infections will suppress your immune system that makes you more prone for secondary infections which may lead to persistence of low-grade fever. I will suggest you to get investigated for other organ involvement also especially the kidneys and also to repeat the LFT to see what is the current status as two weeks are already passed by. CBC (complete blood count) with peripheral smear. LFT. RFT (renal function test). Malaria antigen test. ? Viral fever induced hepatitis. Continue the current medications at present.

Q. I am tested positive for COVID-19 with raised bilirubin levels, nausea, and fatigue. Please help.

Hi doctor, My husband had a deep filling in his upper second to last molar (left side). About several hours later, he started having discomfort and taking Tylenol and Ibuprofen interchangeably. Now, it has been the second day with severe pain and his cheek is swollen. And the gum over the tooth is in pain but not swollen, and it is a throbbing type of pain. We have no access to the dentist. Please help.

Hello. In this condition the tooth should not be filled and instead, root canal should be done. As the filling was near the pulp, pulpal irritation is causing the pain. Take tablet Amoxiclav (Amoxicillin and Clavulanic acid) 625 mg one tablet twice daily for five days, Zerodol SP (Aceclofenac, Paracetamol, and Serratiopeptidase) one tablet twice daily for five days, capsule Pan D (Pantoprazole) twice daily before meals for five days, Betadine mouthwash gargle in lukewarm water. If nothing is available right now warm saline gargle will also help for the time being. Take the medication, your husband would be relieved. Do not worry, but I will advise to get the filling out by your local dentist. And your husband needs a root canal. Kindly upload an image of the tooth along with the affected area. Treatment was not done properly. Should have gone with a root canal. Removal of filling and root canal procedure. Upload an image and x-ray available. Your husband will be fine once he gets the medication. But as you both are travelling even warm saline gargle two or three times will help.

Q. After a deep filling in upper molar, my husband has got swelling and pain in gums. Please help.

Hello doctor, I am a singer and I have a big problem with my voice, I really hope you can help. My voice is fine for the 10 months of the year, but right when summer starts, I completely lose my voice. This started last year, when I started getting uncomfortable when singing. At first just the higher notes (that are not even that high for me) but by the middle of July, my voice was completely gone. I went to many doctors, but nobody could help me. My voice started getting better in September and was completely fine in November. Now it is, again, very uncomfortable to sing. I suddenly have breathiness, where it should not be. My voice is not consistent nor reliable. I am concidering voice therapy but do not want to spend so much money again and not getting help. I also struggle a lot with very bad anxiety but I do not feel it getting so much worse in the summer, maybe just a little.

Hi. I feel you are having seasonal acute laryngitis. First and foremost acute inflammation of the vocal cords what we call as acute laryngitis requires proper precautionary measures for a certain amount of time with proper treatment failing which the problems will recur again after a short span of relief. My advice to you would be to give "absolute voice rest" during that period. Now absolute voice rest means you should not even be saying yes/no during the day. The vocal cords require time to heal completely and this takes usually 10 to 14 days for things to completely settle down. Make sure you do not strain your voice during that season. You can also follow the advice given and can be considered during the episodes of laryngitis. Tablet Wysolone 20 mg once a day after bfast for 2 days followed by 10 mg for 2 days and finally followed by 5 mg for next 2 days. This is a steroid and to be taken only when is voice is completely gone and not otherwise. Drink lots of boiled warm water every 2 hours. Steam inhalations will also be useful. Salt gargles 4 to 5 times a day will also bring a lot of benefit. Absolute voice rest.

Q. What causes sudden breathlessness with inconsistent voice?

Hi doctor, The patient met with an accident. She is 47 years old. In the accident, she had a collar bone fracture and a hit in the back of the brain. The back of the head is bulging and some spots are observed in the brain CT scan. I have attached the head CT scan report for your reference. Please help.

Hi.  I have gone through your query with diligence and would like you to know that I am here to help you. Revert back with the answer to the above question to a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon

Q. Is there any emergency observed in this head CT scan report?

Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?

Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist

Q. What does abutment of the nerve root mean?

Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.

Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon

Q. Every time I eat spicy food, I poop blood. Why?

Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.

Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist

Q. Will Nano-Leo give permanent solution for erection problem?

Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.

Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.

Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?

Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.

Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist

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

Hi doctor, I had my lower right side first molar extraction about a month ago. My dentist prescribed a course of antibiotics. The pain persisted after I finished the course of antibiotics and so the dentist again prescribed a five day antibiotic course. A week went by with no pain and then the pain re-occurred. My medical doctor prescribed a third course of antibiotics now. I fear that there is an infection under the gum line that is not being addressed by the antibiotics. Since I started the latest course of antibiotics, the pain is on and off. When I have the pain, it bounces around even to the head. I feel there may be some nerve damage when the tooth was pulled. I am taking Clindamycin for this issue. Also, I am on Insulin for type 1 diabetes, Cyclobenzaprine, Levothyroxine and Lisinopril. My regular dentist wants me to see an endodontist, on the theory that one of the neighboring teeth is infected and their solution is to do a root canal. I hear that the root canals are a bad idea as a dead tooth is left in place to seep bacteria into the body. If possible, Can I get an antibiotic injection at the site of the infection? Please give me your thoughts. Thank you.

Hi. I can understand your concern regarding to dental health. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist

Q. For infected tooth, is root canal a right solution?

Hi doctor, I caught Lyme disease two months ago. I had a 7 hour long vomiting session with it. Since then, I have had tingling in my arms, legs, hands and feet. A month ago, I started having kaleidoscope vision, followed by a medium headache. This is now happening three or more times a week and lasts for about 20 minutes. It starts as a small circle or a line, like a cut diamond first and then it goes colored, which expands until it takes most of the vision. I cannot really see anything at this point. I feel as if the esophagus is blocked when I swallow food. I have never had migraines in my life. My mother has MS. What could cause these visual disturbances and tingling? I am on Sulfasalazine, Melperon, Leflunomide, Pantoprazole, Thyronajod, Vitamin D, B12 and Shilajit. I have Chiari malformation of about 12.78 mm at last measure, psoriatic arthritis, lupus, gluten sensitivity, herniated cervical disc, fibromyalgia, bone cysts and spurs, restless leg syndrome, wrist degeneration and cartilage too.

Hi. I understand your symptoms well. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist

Q. Please help with my visual disturbance and tingling.

Hi doctor, I am a 25 year old married female. My weight is 66 kg and height is 161 cm. I am suffering from nausea, dizziness and light headache mainly around the eyes for nearly three weeks. I am a dentist. For the last one month, I am preparing for other exams. As I have a son of 2.5 years old, I used to study in dim light at night to avoid disturbance. I am on a diet for the past one month to reduce weight. Sometimes, I am on stress and depression to manage time at workplace, home and study. I doubt whether I have developed any eyesight issue. I feel more dizzy and nauseous in the evening and when I see a computer, laptop or mobile. I am not trying for pregnancy. I need your guidance. Thanks in advance.

Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician

Q. Kindly comment on my nausea, dizziness and headache.

Hello doctor, Is red warm patches on both legs, with tingling early stages of DVT? I went to the ER and they sent me home. I am currently on L-carnitine, L-Argentine, Suboxone, Aspirin, Fluoxetine, and Buspirone.

Hello. No, it is not an indication of DVT (deep vein thrombosis). The earliest symptom of DVT would be swelling, which is usually unilateral associated with pain. Rash may occur but in later stages and associated with swelling/pain, which may occur due to venous congestion. Also, I guess there are no risk factors for DVT like bedridden state, lower limb surgery, long haul flight, etc. So I do not think this is DVT. Now, why are you on Aspirin and other medications? Do you have any systemic disease which could explain these symptoms? Regarding possible causes, these are inflammatory skin rashes, which may be due to due to allergies, insect bites, viral infections, skin irritation due to clothes and more likely possibility is of drug-induced as you are on medications like Aspirin, etc. So try to correlate with the above-mentioned factors. I hope this helps.

Q. I have red patches on both legs with tingling. Are these early signs of DVT?

Hi doctor, I am getting anxiety and panic attacks when I am worried or overthink. I had pounding and palpitation at that time. But, I am not feeling anything in specific. I am going 20 minutes walk daily about 6.5 km per hour and burning 200 calories. I lost around 5 kg in the past three months. I have stopped taking chocolates, coke, red bull, etc., as well to help with weight loss. I have attached my CBC report here for your reference.

Hi. Based on your query and attached report (attachment removed to protect patient identity), my opinion is as follows: 1. Iron deficiency. 2. Eosinophilia. Iron supplements and iron-rich diet,. Also Albendazole, if worm infection is suspected. For further doubts consult a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist

Q. Why does my heart pound when I am worried?

Hi doctor, I feel some tissue or bump on the soft palate. It is soft without pain. I have been having it for many months. The doctors said that it is due to brush injury and will heal, but it did not. What is it?

Hi. I understand your concern. For further doubts consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist

Q. There is a painless bump on the soft palate. What could it be?

Hi doctor, I got a swelling in the left lower eyelid as can be seen in the picture before four days. It is painful and the eye turned red. Since yesterday, I have been using Ciprofloxacin eye drops, but there is no relief. I got similar problem in my right lower eyelid a year back. Since, two months I am staying in hot climate. Also, I have mild dandruff. What is the diagnosis and treatment?

Hi. I have gone through the pictures of your eyes (attachment removed to protect patient identity). Revert back after a week to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist

Q. Please suggest a treatment for the swelling in my lower eyelid.

Hi doctor, I am a 20 year old female. My weight is 48 kg and height is 5'2". I have a fair skin. I had nodular acne on face, back and shoulder. I was on Isotretinoin for 5 months and I have got over my acne. But, my skin looks lifeless, unmoisturized and dull in the face, hands and shoulder, even after applying moisturizer. What should I do now to get a healthy and glowing skin all over my body?

Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist

Q. What should I do for healthy and glowing skin?

Hi doctor, I am suffering from throbbing, dull pain in my left eye, which is shooting down to the left nostril. I feel pressure when I bend forward and also some discharge from the nose with a salty taste. I am getting the pain while watching television and when working in the computer. I am having a good sleep and my vision is also normal. But, when I press my forehead just above my left eye, I feel throbbing pain. I have consulted two neurologists. They did not recommend for any scan. One suggested Gabapentin and another Sibelium 10 mg once a day at night for a month. Both asked me to do some physical works like closing eyes, stretching hands, walk and step one foot after another. What is my problem? Please explain.

Hello. I had gone through all the details that you have posted. The differential diagnosis for your problem would be as follows. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician

Q. I have normal vision and good sleep. Why do I have headache?

Hi doctor, My mom is extremely depressed and showing the anger towards my dad with the wrong assumptions. She is not at all listening to our words. Whenever we advise on this, she is showing abnormal anger, which is unusual. I tried to take her to a psychiatrist, but she is not ready to come. She had the same issue before four years and was rectified after consulting with a psychiatrist. Can you please suggest or guide to deal this.

Hi. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor

Q. My mom is extremely depressed and angry. How to deal with her?

Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?

Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist

Q. What does abutment of the nerve root mean?

Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.

Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon

Q. Every time I eat spicy food, I poop blood. Why?

Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.

Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist

Q. Will Nano-Leo give permanent solution for erection problem?

Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.

Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.

Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?

Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.

Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist

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