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should I take prevacid in the night for herd | hello abc complete blood count let liver function tests upper gastrointestinal endoscopy dyspepsia indigestion herd gastroesophageal reflux disease revert back after 15 days to a medical gastroenterologist online | hi doctor I was diagnosed with herd six years ago I have gained 10 pounds of weight and I started having phlegm in my throat I am coughing more to get the phlegm out of my throat I am currently taking prevacid over the counter once a day in the morning the phlegm and coughing does not seem to be going away and it is affecting my daily life should I take prevacid at night too is there any medication that I can change to or add to prevacid daily | medium severity |
my eldest son had pet and it scans will the radiation affect my other son | hi I have read through your query in detail please find my observations below for further doubts consult a radiologist online | hello doctor over two years ago my eldest son was diagnosed with lymphoma he had pet scans and it scans these started at the end of my last pregnancy and went on while my son was a newborn and infant I do not remember him holding the baby but he came home from scans and was around him they never said this was dangerous or told him to stay away from anyone for any length of time I would like to know whether my baby has been exposed to radiation | medium severity |
can sleeping on hard side of the bed cause pins and needles sensation | hi for further information consult an internal medicine physician online | hello doctor I have been sleeping on a bed that has hard side on the upper torso and soft side below it is giving me pins and needles sensation and it has been there for a while now please advise | low severity |
how to ignore the smoking habit of my husband | hi for further information consult a psychiatrist online | hi doctor my husband smokes a lot I am quarreling with him often regarding this issue I feel so sad and depressed when I see him smoking my husband gives me assurance that he will quit but he is doing the same again please help me with this problem and save my family everybody says to ignore it but I could not please tell me how to make up my mind to ignore his smoking | low severity |
had 12 I pills in eight months what will be the side effect | hi an I pill contains high amount of hormone for contraceptive purpose I pill designated as emergency contraception which means only to be used after an unaccustomed exposure then definitely there will be problem if you take so much high hormonal pills in such a small period just like in our day to day life our inner body also feels distressed if she has to face emergency regularly surely you have already faced irregular cycles spotting as well as absent cycles just stop it now and switch over to regular pills as you need protection against pregnancy try combined oral contraceptive pills like novelon and femilon combination of desogestrel and ethinyl estradiol for further doubts consult an obstetrician and gynaecologist online | hi doctor I would like to ask you a few things related to I pill two years I have taken around 10 to 12 I pill tablets in eight months again I had two tablets last year what will be the side effect in future I do not have any complaints rather than weight gain I was 53 keg before and now I am 63 keg please guide me | medium severity |
what causes dull cramping discontinuous chest pain | hi we are here to help you revert back after the tests to a cardiologist online | hi doctor I am 37 years old and normally take hydrochlorothiazide for diastolic blood pressure and zebeta for node dysfunction I am also on metformin my arc is 1 two days ago I started experiencing dull cramping chest pain that was not continuous I went to the er and all the tests came back fine chest ray ekg and blood work he did not know what was the cause for my pain they gave me nitro pill and nitro paste on my chest which decreased the amount of pain up on release my blood pressure was 101 mhg and pulse 61 I had not taken my pills on the day this occurred or the last two days it has been running around 104 63 mhg and pulse 69 my diastolic be without medicine usually runs around 95 and my resting heart rate was 140 before I started medicine so this is a huge change for me these are not new medicines either I have attached all my test reports for your reference | medium severity |
why do I have impaired balance when I shake my head | hi your problem seems to be due to inner ear infection leading to impairment of balance on head movements and ringing sensation in ear known as tinnitus you need ear examination and complete vestibular functions assessment and evaluation by an ent ear nose and throat specialist this is to sort out other differentials like meniere disease inner ear disorder gives feeling of spinning benign paroxysmal positional vertigo bppv low blood pressure anxiety many medications migraine overheating or dehydration poor blood circulation take betahistine an anti vertigo and benadryl for the relief after consultation with an ent specialist revert back after the tests to an internal medicine physician online | hello doctor I am a 51 year old male I have never had any medical condition prior I spent a very cold day outside and woke up the next day with a feel of dizzy like I am drunk queasy and tired there is no pain cough or discharge when I move my head from side to side my balance gets impaired I also have constant ringing in my left ear it has been more than a week with no improvement please help | medium severity |
why do I hear my heartbeat only in right ear while bending down | hi we are here to help you most commonly such feeling of heartbeat known as palpitations is absolutely normal however this could be due to anxiety issues I would recommend you to get your electrocardiogram egg and thyearoid profile done and write back to me with reports revert back with the reports to a cardiologist online | hello doctor I am a 35 year old male I can hear my heartbeat in my right ear when I bend towards my knee in any other position like standing or lying down I do not hear this heartbeat sound my hearing test is normal is it normal to hear this heartbeat sound when a person bends his head towards his knee also I am hearing it only in my right ear is it normal | low severity |
I have a bite wound inside the cheek for a month what to do | hi revert back for further doubts to an internal medicine physician online | hi doctor about a month ago I bit my cheeks while eating I still have a small gray circular spot inside the cheek it has lessened in color and size but is still there it does not hurt and is not a lump what is it should I be worried it feels like the rest of my cheek except it has a faint gray color | low severity |
I have a surgical site infection can I travel | hi for further doubts consult a general surgeon online | hello doctor two and a half weeks ago I underwent an exploratory laparotomy that resulted in an appendectomy yesterday I went to see my primary care physician who diagnosed a surgical site infection I was given cephalex three times per day for ten days my question is about traveling with my current condition in a few days I am scheduled to chaperone high school students in a four day trip we are traveling by charter bus which will take eight hours there will be considerable walking due to my current condition would you recommend me to attend this trip do you think it will not cause more harm and be reasonably safe your response is greatly appreciated | medium severity |
please explain what is really wrong with my son | hi the medications seem to be for add attention deficit hyperactivity disorder and bipolar disorder with psychotic features he should be managed only by a psychiatrist aggression is a part of add the ritalin methylphenidate hydrochloride can cause sleep difficulties and lithium levels should be monitored very closely I am not sure if all of these steps are being taken please refer to our psychiatrist at icliniq for further recommendations do not discontinue any of these medications abruptly add and bipolar disorder with psychotic features hyperthyearoidism liver function test and blood counts abc should be done when on lithium levels should be monitored for at least every three months continue these medicines for now do not abruptly discontinue them for further doubts consult an internal medicine physician online | hi doctor my son is 13 years old he is on ritalin la oleanz muzak and lithium I think the doctors do not know what is really wrong and are experimenting on him recently he is telling lies stealing and defiant he does get agitated at times and shows aggression and has become very impatient also he struggles to sleep he was much better before he was put on all these medications what could be wrong | low severity |
I have been thinking about death quite often please help | hi firstly I reckon that you are going through a very difficult time right now however you are dealing with it courageously and I commend your effort to reach out for help here depression anxiety for further information consult a psychologist counsellor online | hello doctor I am currently going through depression I have been having suicidal thoughts I have been thinking about death quite often last time when I felt depressed I tried to cut my veins but got caught for example the other day at school I imagined a way of killing a girl I do not know what to think I just hope I am not crazy please help | high severity |
will diabetes during pregnancy affect the baby | hi we are here to help you for further doubts consult an internal medicine physician online | hi doctor my sister is 21 years old with type diabetes when she was 35 weeks pregnant she had a cesarean section delivery the baby heartbeat stopped and they could not get it started the doctors are blaming it to be due to diabetes they said that the baby blood acid was 25 which is five times higher than normal her blood sugar was 25 at the time of delivery because they gave her a glass of orange juice this does not sound right please explain her condition to me | high severity |
should I be concerned about pain and diarrhea post surgery | hi for further information consult a paediatric surgeon online | hi doctor my 10 year old daughter had an appendectomy two days back she was in horrible pain after that they wished to send her home but since the pain could not be controlled with tylenol or ibuprofen they decided to keep her in hospital then the next morning she had bad diarrhea she went around 10 times in two hours it concerned me but they informed me that the diarrhea is normal her pain was still pretty bad so they finally decided to try something stronger that we could take her home it did work for three hours and they sent her home by the time we got home she was in horrible pain she was crying most of the night until falling asleep yesterday I noticed a lump on her back that was warm to touch and when I touched it she said that lump is the reason for her pain and it hurts her really bad as I was concerned I called her doctor but they said that they have no idea what I was talking about and they would like to check her in er the next day I know as a parent we over analyze everything I did not to take her to the er because of a muscle strain also I do not want to over look something that could make her worse what could the lump be should I be concerned she still has fever and pain please help | medium severity |
can I have some information about clozapine | hi firstly clozapine is an atypical antipsychotic drug it means that it is one of the relatively newer drugs discovered to be helpful in paranoid schizophrenia clozapine also has lesser side effects and is considered more effective than the typical or older antipsychotic drugs in schizophrenia since your partner is still having anxiety in presence of others clozapine will be helpful however clozapine still has a few side effects to be watched out for some of them are reduction in the number of the white blood cells cardiac toxicity drowsiness dizziness headache drooling of saliva when sleeping and weight gain these side effects last only as long as one is taking clozapine since you are planning for a child it is important to know that many male patients taking clozapine have experienced cessation of ejaculation during orgasm but it has not been documented in drug guides having written all that your partner may have more or less of the side effects mentioned above thus I would say that he may start taking clozapine and see how he reacts to it for some time please consult with his doctor to know any other alternatives will be very helpful for further information consult a psychologist counsellor online | hi doctor my partner is diagnosed with paranoid schizophrenia he has been taking olanzapine and depakote for the past eight years which has stabled him a lot but he suffers from panic attack when he stays with a group of people his key worker and psychiatrist are recommending him to start using clozapine I am really concerned as I have been told that clozapine should be prescribed only when no other drug has worked my doubt is why cannot he have anxiety tablets can I have some information about this drug as we are planning for a family life I am quite worried about the side effects I am looking for some advice thanks | low severity |
experiencing numbness and pain after elbow fracture treatment why | hi revert back with detailed history to an orthopaedician and traumatologist online | hi doctor I had elbow fracture four years ago following which I have limited rom and stiffness now I am also experiencing numbness tingling and pain in palm and fingers why | medium severity |
I am getting distracted during sleep what should I do | hi I read your query and understand your concerns for further information consult a neurologist online | hi doctor when I sleep at night under ac or fan around midnight I feel as if my whole digestive system is moving upwards toward brain and my ears starts ringing I am feeling that my back side of my brain and my eye nerve are also getting stretched I am getting such feeling mostly when I am sleeping for the past six months during daytime I feel some pinches in my body I think food is also getting digested quickly if somebody checks my nerve condition they will come to know about my condition as this is new to me and my family I require support quickly what should I do I started taking loser 25 my four months back and I am taking vitamin b12 supplement and due to this condition my be is fluctuating please help | medium severity |
can I get my wife pregnant with only 25 of glans penis visible | hi for further clarification consult a sexologist online | hello doctor I can retract my foreskin of penis in flaccid state but when erect I cannot pull it back only 25 of glans will be seen when I pull it in erect state what is the treatment for this will surgery or medicine or stretching exercises be effective also can I make my wife pregnant with this condition I do not have problem in urination and also ejaculation but when I ejaculate it does not go far as foreskin is above glans I lose erection while intercourse as foreskin is forced to slide down while having sex please help | medium severity |
is it safe to assume that I am hiv negative following a negative hiv test | hi for further clarification consult a hiv aids specialist online | hi doctor I took my fourth generation elisa antibody and p24 test at 38 days and it was negative I also did my ran per test at 35 days and it is undetectable at 20 copies 100 my am I conclusively hiv negative because I continue to have a pimple or rash breakout on my face and chest also I have diarrhea and feel generally weak with degrees temperature could this be due to some other disease or still I have chance of having hiv | low severity |
can I do anything to increase my penis size | hi I have read and understood your problem for further information consult a sexologist online | hi doctor my penis is small in both length and girth it not even measures inches I just need to know is there anything I can do to make it normal | low severity |
I am having trigger issue in middle finger of both hands what to do | hi rheumatoid arthritis could be of positive or negative psoriatic arthritis may occur before the rash gout pseudogout form of arthritis swelling of joints last for some days or weeks osteopenia or osteoporosis causing atypical fractures less likely metastatic disease ray of hands vitamin levels ana anti cop anti cyclic citrullinated peptide antibody rheumatoid factor and abc complete blood count rheumatoid arthritis and psoriatic arthritis it will depend upon the results I would suggest using 200 iu of vitamin and calcium 800 1200 my per day take ibuprofen 400 600 my twice daily for pain with food if possible get a splint to minimize active movement revert back after a month or sooner once the information available to an internal medicine physician online | hi doctor I am having trigger problem in the middle finger of my left hand over a year but the same finger of my right hand has now developed the same problem they are especially bad in the morning and it is difficult to straighten them I can feel a very heavy click when I do it I had blood tests to test for arthritis and they came back clear I was diagnosed with breast cancer last year and treated with chemotherapy mastectomy and radiotherapy I have mentioned the problem about my fingers to each of these specialists and none of them had an answer everyone said that it is not a side effect of any of the treatments currently I am taking aromasin inhibitors and triptorelin I am very much worried and confused at the moment I cannot seem to find any answer as to know what it is please help | medium severity |
can taking I pill on alternate days cause vomiting | hello you have not mentioned after how many hours of intercourse your friend has taken I pill and secondly she had bleeding after 10 days of I pill to come to a conclusion we should know on what date of her cycle she had sex and when I pill was taken revert back with the asked details to an obstetrician and gynaecologist online | hello doctor my friend had an intercourse and after which she took an I pill after 10 days she had her period it started yesterday and stopped now again it started and she is vomiting whatever she eats she is feeling dizzy and weak please suggest some way to overcome this thank you | medium severity |
can you explain what do my reports actually mean | hi revert back after a week to a general practitioner online | hi doctor I am a 25 years old female I am suffering from breathing problem cough and dizziness since several months I get tired very easily I went to a doctor and she suggested for some tests like abc ash to ribs vitamin and b12 level bun creatinine got sept etc I got my test results and found that some values are varying from the normal ranges I am not able to meet the doctor as I am out of station and will take some time to get back I am really concerned about the test results I am attaching herewith the test result reports can you please suggest me what my reports actually mean | low severity |
noticed a pink bump in penis could it be a wart | hi it is unlikely to get wart at the root of penis if you can attach a photo of the lesion then it would be helpful to make a diagnosis revert back with the photos to a urologist online | hi doctor I am a 26 year old male four months ago I noticed strange pink bump of size around my on the base of my penis it does not hurt could it be wart | medium severity |
after quitting antianxiety drugs my partner experience skipped heartbeat on bending why | hello welcome to icliniq com generally any type of activity could present with a skipped heartbeat it is just a coincidence that he has heart skips when he bends over there is no correlation between bending over and heart skip I advise him to continue exercising and adopt a healthy lifestyle it will go a long way in helping him beta blockers are also a good option if he is not getting better I hope this helps | hello doctor my partner recently stopped taking antianxiety medications he is a severe hypochondriac specifically a cardiophobe he has experienced palpitations of various intensifies for years he has had multiple echocardiograms the most recent one being less than two years ago all of which cleared him of all and any conditions but after going off the medicines he has had a resurgence in the intensity of skipped heartbeats particularly when bending over they also sometimes happen when he is climbing stairs but when he is exercising they do not happen is there a connection between bending over and skipped heartbeats that can occur in people who have no medical condition | medium severity |
how to treat a lupus butterfly rash | hello welcome to icliniq com I have gone through your history and images your rash seems still very florid and the alopecia is setting in I am not sure about the medications you are taking as it does not show up on the phone app but you need to increase your medicines oral steroids are needed in your case it will stop the hair fall and improve the rash although they do come with side effects of weight gain and increased hair over the face it will help to stop the disease process I am sure you are already on hydroxychloroquine that would continue for a long time topical steroids are not recommended for the face as they can cause scarring topical tacrolimus creams are helpful lastly I would like to know if there are any major organs involved in your case from the history it looks like minor organ lupus only but remaining workup is essential to be sure | hello doctor last summer I sat in the sun for a few hours tanning nothing to drink and I used two oils on me my face and chest have been red ever since after then I donated my blood and they sent a letter saying about some blood cells I had my appointment with a rheumatologist and got blood work done and I guess it had come back stating I had lupus everything has cleared up on me with the redness except my so called bufferfly rash what do I do I am starting to get annoying also this week I have also started to notice my hair has been thinning and I have a weird bald spot on top of my head which in fact I have not had my hair cut trimmed in over a year or two so what would you think about that also last year I had pain in my knuckles in the winter every morning I would wake up but not come back that is the confusing part I am starting prednisone tonight to see if that helps and I am on topamax and adipex right now those are it | medium severity |
I do not have occlusion in one side of my crown with eating difficulty how to manage | hi I have read through your complaint and the relevant details firstly I would like to ask you for what reason was the crown was placed for tooth and usually when there is no occlusion on one side you will get pain and soreness on the opposite side if the occlusion is high I too high crown the pain and soreness will be on the same side repairing the crown with extra material would not be ideal if the occlusion is not there the dentist must have given you a new crown in place were there any rays taken for the same tooth in that case any nerve problem can be easily identified please do not worry that you got a jaw problem it is with the construction of the occlusion which helps you to do normal function ibuprofen 400 my thrice daily should work well for this kind of pain heavy doses are not advisable I reckon you check with the ray for that tooth if you have not had any before and forward it to me I also request you to send the picture of the teeth so that I could arrive at a better diagnosis | hello doctor I am 71 years old and I am in the process of getting major work done throughout my mouth at the moment I have only three grinding teeth on my upper two on the left and one on the right numbers 12 and 13 days ago the dentist reinstalled the crown on number four but when I left his office there was no contact in number there was only contact occlusion on 12 and 13 of course it was very difficult eating with only two teeth that had full contact after a few days I started to get a lot of pain in my neck and behind my ear and up almost to the top of my head on the side of number right side and there was numbness in the area of my jaw joint in front of my ear I saw the dentist again four days ago and he added some type of material on top of number to achieve occlusion there I still have the pain constantly and it is pretty unbearable 800 my of ibuprofen and aspercreme on the area help me somewhat I called the dentist and he said that the pain was related to some nerve problems inside the number tooth I have been thinking maybe there was some damage in my jaw or something because of my jaw having had overwork trying to make on the right side while eating what do you think | medium severity |
I recently gained some weight even with regular workouts how to maintain fitness | hi welcome to icliniq com I have understood your concern about losing weight and you are working hard also for that your protocol for doing exercise workout is quite satisfactory but you can add 20 more minutes of aerobic exercise and resistance exercise combined see weight reduction and gaining both depends upon your metabolism and energy intake and expense even though you work out well but not maintaining the diet then you may not get the results that you need proper vegetable diet is compulsory avoid non vegetarian diet bakery items and outside junk foods which will reduce unwanted calories take homemade food whatever and how much ever you want just do daily exercise and add yogasanas for 10 minutes pranayama practice 10minutes at the end of each exercise sessions so collectively I prefer you need to do daily exercise and pranayama practice | hello doctor I have been having trouble with my weight recently I am a female with a height of 7 hoping to be 125 labs the lowest I have hit was 126 labs but that was about a month ago now it ranges from 127 128 labs I am eating 1800 calories a day on days I do not workout intentionally three days a week and 1900 on days I do my workout routine is quite different I do two workouts a day four days a week my first workout consists of 70 minutes of brisk walking and 20 minutes of abdomen exercises afterward my second workout which is about six hours later is 10 minutes of squats lunges sit ups etc and 20 minutes of brisk walking all in all that is eight hours of exercise a week not including unintended exercise like skating shopping being on my feet all day etc I would love to be 125 labs my waist ranges from 26 inches to 26 inches but I would love to get it to a steady 26 inches I have toned my abs but again I would love to lose these last few pounds what do I do | low severity |
after chiropractic treatment for hiatal hernia I experience abdominal discomfort why | hello welcome to icliniq com well the symptoms do sound a bit different and something we need to look into as per the issues I hope they have looked into any form of venous obstruction I super vein obstruction any compression on that vein can cause the face to turn red and a bit of low blood pressure but it is a very rare thing to happen a it computed tomography of the chest would be advisable to rule out this compression causing the symptoms but yes it does not explain what is happening in your legs the symptoms do see to be of hypersensitivity do these symptoms happen after a hot water bath as well do you feel any shock like sensation from the neck below for the popliteal cyst it is a bakers cyst it is totally different from aneurysm as aneurysm will be pulsating and moreover it is a very unusual site for it to happen normally it does respond to injection cortisone but sometimes if the injection does not go in the right place it can persist you may need to repeat the injection after a month or so incase it is persisting as for localized scleroderma it is a benign form and ana can go negative at times we can either call it a lab error or at times the body does act through to make it negative how much has been the skin extent in your scleroderma though to summarize we need to figure out a cause for your symptoms scleroderma does not explain it we need to see if it is an sec superior vena cava obstruction of the rarest cause with the spasticity happening in your legs on touching I would like to rule out any brain condition as well these sound like paroxysmal dyskinesia I hope this helps | hello doctor two months ago I was diagnosed with a very tiny hiatal hernia my chiropractor found my stomach is pushed up very high next to my esophagus he was able to push it back down but with a lot of painful force and manipulation ever since I have been getting sicker and sicker with episodes that are so debilitating that I can no longer work they happened occasionally at first but now three to four times each day always upon weakening and last for hours at a time it begins in my mid abdomen I feel and see pulsating in my abdomen and get a wet sensation as though the fluid is leaking out of my chest or belly if I push on that area or usually all by itself I get an instant rush of blood to my head and start to feel fuzzy my face turns bright red and becomes so hot that I get nauseous the redness sometimes stays sometimes goes away but what always follows immediately is intense heat throughout my whole body like my spine muscles and nerves are on fire everywhere from my head to my palms to my mouth to the soles of my feet then I start to shake uncontrollably with the shakes progressing into worse tremors in my left thigh and right biceps the shaking definitely seems to start from the abdomen or groin area if I press my thighs or groin or even touch them lightly my legs increase in spasticity when these episodes end I feel completely wiped out blurry vision and hard tired muscles but I never return to normal I always feel shaky and not myself I have been at the doctor twice when these episodes were happening the first time my be was a bit high at 130 mhg usually I am spot on at 120 80 mhg and the other time my vitals did not change at all during the episode other information possibly related my left thigh and knee are filled with fluid but my orthopedist attributes that to a popliteal cyst is that the same as an aneurysm he found behind my knee he gave me a cortisone injection four days ago but so far the swelling in the front of my thigh my knee and my calf have not gone down I was also told that I have an umbilical hernia and two inguinal hernias I also have a history of localized scleroderma which I understand can weaken the connective tissues and blood vessels recent blood tests for ana and rheumatoid factor both came back negative not sure how that is possible when I was diagnosed with a positive ana and localized scleroderma morphea 25 years ago I am very scared do you have any idea of what is happening to me or what tests I should have done not sure if this is gi related vascular rheumatology etc but I need to find a way to calm these spells so I can go back to work | medium severity |
is it possible to replace sensitive dental bridge with an implant | hello welcome to icliniq com I have gone through your query and understand your concern yes it is possible to replace your faulty bridge with an inbuilt type of replacement implants the nearby tooth which was reduced for support needs root canal treatment during bridge replacement the nearby tooth is reduced or shaped to some extent for supporting the missing tooth crown while shaping most of the tooth enamel goes away and this causes tooth sensitivity ideally a root canal treatment should be done prior to bridge placement to avoid such sensitivity issues underlying bone availability and quality should be studied prior to implant placement to avoid sagging issues you will require a full mouth ray op for this please visit an implantologist with your ray and get to know which implant type best suits your bone quality I hope this helps | hi doctor I had a tooth extraction in the past to replace that I had opted for a bridge as a result the tooth beside my missing tooth was drilled to some extent after having that just in a span of one month a part of the bridge is chipped out I could not chew hard food from that canine and also if I eat some sweet that bridge part gives me sensitivity and there is also one thing which I feel is the side of my face right profile where my bridge is present is saggy there have been so many problems because of the bridge now when I look back I wish I had opted for the inbuilt one so my question is it possible to replace the bridge by an inbuilt I am wondering how would the side teeth which have been carved be fixed please let me know | medium severity |
can hair loss in a particular area be reversed | hello I have seen the pictures this is frontal hair loss it will be of great help if you can send me a picture taking from above this kind of hair loss is commonly due to pollution dust exposure and wrong combing methods it is also seen if the patient is excessively using cosmetic products on face and hair please let me know if any of the above is present or not or do you have any medical disease | hello doctor I am a 25 year old female I experience hair loss in a particular area the rest of the hair is fine and fairly thick I just want to know what type of hair loss is this considered to be what stage is it at if untreated how bad can it get what can we expect it to look like or become is there an easy fix for this is this normal please reply | medium severity |
I have bilateral monocular diplopia with rapidly deteriorating eyesight kindly suggest solution | hello welcome to icliniq com there is no need to panic about your brain the double vision is not related to any neurological disorder anyway I would recommend checking the thyearoid hormone levels regarding the tinnitus it seems to be related to an inner ear infection as there is a presence of inflammation in the left mastoid sinus right next to the left ear for this reason I recommend consulting with an ent specialist regarding the double vision I would also recommend performing repetitive nerve stimulation in order to investigate for possible myasthenia graves syndrome I hope you will find this information helpful | hello doctor I have bilateral monocular diplopia this began five months ago along with unilateral tinnitus of the left ear tinnitus is constant eyesight is rapidly deteriorating I had several new glasses prescriptions that help slightly with the double vision but are not completely resolved I recently had an mri of the pituitary without contrast in the last year I had to have two colonic polyps removed but I fear that cancer was missed I believe I have secondary metastases in my brain I also performed fbc cop and sea tests | high severity |
what does high level of act and cortisol indicate | hi welcome to icliniq com I have gone through your lab reports I need to know what was the reason and why these tests were done in the first place what were your symptoms and complaints and also why nova ring was started kindly get back with the answers so that I can make the best possible diagnosis for you | hello doctor my act level is 43 and my cortisol level is 23 I am 25 years old and my weight is 237 labs with a height of 4 what could be the problem I am currently under nova ring 3 my and vitamin 50 units once a week | medium severity |
will medicines help in improving major depressive episodes | hello I can imagine how hard it is for you to be in this situation depression takes a toll on us in the worst ways possible you should appreciate yourself to be able to reach out to get help because many people cannot even find the strength or awareness to reach this point you are correct that only medications will not be able to pull you out from this however you need to continue medication atleast for 8 months even after you start feeling better because that is the minimum duration required for medication to balance the neurotransmitters involved and to be able to prevent the relapse secondly I would suggest you to start counseling therapy session what you can do is start therapy online most of my patients who are not yet willing to go out every week and travel to a therapist opt for therapy sessions online psychotherapy and cognitive behavioral therapy will help you with your thoughts and getting a control over the negative thought patterns which are keeping you in the loop of negativity and depression medications when combined with therapy is going to show good and faster results | hello doctor I just went to go today for medication I had to force myself only 30 and suffering major depressive episode had it before I feel I left it too long I have tried some treatment medicines without success I did not really want seroquel but I just got 25 my and 50 my of pristiq my depression is that bad I am basically stuck in my room I know tablets cannot probably get me out of this cause this time it is really bad if they can give me some boost to then be able to do things that could help is that combo possibly effective sometimes they say it might be by adding one I know they have there nasty side effects though would you recommend taking it long term or one month until antidepressant takes effect or what I am so confused | medium severity |
my daughter experience intermittent ear pain with clogged ears please help | hi welcome to icliniq com complete the course of antibiotics take mucinex guaifenesin once or twice a day like how you have been taking for another three to four days if mucinex has an antiallergic component then no need for claritin or allegra otherwise add either of those to be taken once a day this will help to clear out ear secretions let water not enter the ear while bathing let her take rest and refrain from going to school or playing until she is better after the course of antibiotics gets over it will be prudent to show the ent specialist once so that he can look into the ear with an otoscope and check if the problem has resolved or not | hello doctor my daughter is 17 years old she had a cold for about four days when she started complaining of bad ear pain she was seen in urgent care a week ago and was diagnosed with a middle ear infection the apron noted her ear was pretty angry and prescribed amoxicillin 500 my she is supposed to take two pills in the morning and two at night which she has she also suggested to continue mucinex which is how I was treating the cold her severe ear pain did resolve in a day or two but she still complains of ear pain intermittently I am worried about taking mucinex for so long but even if she does not take it she complains of ear pain she is also saying that she cannot hear out of the ear to be fair she says the pain is not as bad initially but I am still worried I gave her a claritin last night thinking it may help but it just made her stuffy I know we still have three days on the antibiotic but should it be completely cleared up by now should I take her back to the doctor or try something else | medium severity |
can anxiety cause panic attacks | hello I understand that high levels of anxiety and panic attacks can be debilitating and needs to be properly managed your doctor is correct in informing you that valium and oxazepam are not appropriate in this situation as they will make the situation worse if anxiety is persistent discuss with your doctor about trying saris or saris type of medication you have mentioned about trying different medication before there are different options like fluoxetine sertraline escitalopram etc based on your assessment and tolerability your doctor can prescribe appropriate medication and dosage try jacobson progressive muscle relaxation exercise atleast once daily to help to manage stress levels avoid caffeinated drinks alcohol and other drugs which can worsen panic symptoms finally consider having cut therapy counselling which is known to be effective in managing anxiety and panic attacks | hello doctor I suffered from a horrible panic attack this morning which lasted over hours and along with it I got painful cramps in my stomach similar to contraction pains and really bad chest pains it felt like someone has physically squeezed my heart and I have seen my doctor about this previously although my anxiety has not been this bad before but I am not sure what to do I have tried so many different medications and none have helped except valium and oxazipam but my doctor does not want to prescribe it because it is addictive and I do not know what to do because as I said my anxiety is debilitating now and I am a young mother of two I need to be able to look after them this morning I had to get my mother over here to look after them because of how bad my anxiety was worst part is I do not know why I had a panic attack in the first place | medium severity |
please explain whether changing formula can cause gas in a baby | hi breast milk is definitely best and first choice but as it is insufficient and you need to supplement with formula feeds all these formula milk are cow milk it is not clear from your query which enfalac formula you are giving as there are so many different types and also in the powder form and in ready to feed one watch it with the same formula milk for next 24 hours feed more on breast feeding and keep a watch on urine output it may settle down slowly if not then get stool test routine analysis give pedialyte 15 20 my after each loose motion give as small sips and better to give a milk formula which is ha hypoallergic like similar or can or any other | hello doctor my baby is weeks old I fed her a combination of breast milk and formula milk I changed her formula to enfalac from friscolac slowly and started solely on enfalac yesterday afternoon I changed the milk upon consulting with the pediatric clinic because she was having constipation and gassy stomach my baby had watery stool once yesterday and today only after being completely on enfalac she also is quite gassy most days than not and gets upset with it cries last about 10 minutes my worry is that if she is okay and does the enfalac formula milk agree with her or she struggling with something else I had to add formula milk due to insufficient supply of breast milk | low severity |
is it advisable to taper medications after recovery from schizophrenia | hello good to know that you have recovered from schizophrenic episode you can gradually improve your functioning by following a bio psycho social rehabilitation model if this is first episode psychosis many guidelines suggest continuing antipsychotics for 2 years after remission of symptoms discuss with your doctor about gradually reducing olanzapine it needs to be done very cautiously under supervision and monitoring to prevent any relapse of psychotic symptoms if you had already had a relapse it is advisable to continue on antipsychotic medication for a longer period at the lowest possible effective dose so there is no straight answer to your question about tapering medication apart from medication try to get some therapy counselling to help you manage with sustained recovery also try to gradually get back into education training or some job to improve your functioning take it easy during the remission period also ensure that you follow a healthy diet sleep adequately and exercise regularly hope this helps take care | hi doctor I am schizophrenic but recovered I would like to know what next after recovering symptomatically functionally and cognitively over years now do I get to gradually taper off my medications do I get back the level of energy I had during my pre psychotic period before my first relapse | medium severity |
what causes headache in an epileptic patient | hi can you describe her headache in details like since how many days she is suffering from headache it started suddenly which part of head is paining what are the triggers what are the deliver factors any history of fever how many attacks of headache in a day week once it starts how long it remains send me radiographic report of mri | hello doctor I have to consult regarding my sister who is an epileptic patient she has been having severe headaches since few days | medium severity |
what causes persistent sore throat with dry mouth | hi the above given complaints suggests that the source of infection is not in the throat do you have excessive belchings is there any history of gastritis do you have history of sneezing watering of eyes nasal discharge do you have headaches with heaviness of head and thick nasal discharge which is sinusitis so the infection to throat can be due to spread of infection from either nose or from acid reflux from the stomach these two things can affect throat even without infections of throat per se answering these questions will help me coming to a conclusion | hello doctor persistent sore throat that feels deep in the back of my throat along with dry mouth for the past two months the pain has gradually worsened my primary doctor indicated there is no sign of an infection or strep | medium severity |
will chondromalacia patella cause any complication during pregnancy and delivery | hi chondromalacia patella is just a softening of knee cartilage it will strengthen with exercises and medication and it will get better chondromalacia itself can take three to six months to get better at earliest if the exercises are strictly done and followed exercises will make your cartilage stronger and it will cure chondromalacia you can take repacoll bioactive collagen peptides till pain reduces and then stop as per your doctor advice best is to do exercises and have an active lifestyle and take medication only when pain is unbearable chondromalacia would not cause any problem with pregnancy however you might have to stop all medication when you conceive | hello doctor I am a year old female I have mild knee pain for the past six months to one year while working for long hours no constant continuous pain but I have discomfort while bending or sitting down for a long time and climbing stairs I am suddenly getting some discomfort like something dislocating while walking for one year I started with a mild cracking sound the clicking and cracking sound is there always while bending or squatting I am taking collagen powder and I took an ray my questions are chondromalacia patella will go away on its own how long it will take to heal or recover fully will stretch exercise and hot bag alone cure this doctor prescribed repacoll bioactive collagen peptides how many months do I need to take it please give your advice to heal completely asap we are planning for a second kid will this create a problem excess knee pain during pregnancy period and during delivery labor or section will it give any complications | medium severity |
I get pain and sensitivity after getting temporary crowns why | hi welcome to icliniq com I have read through your complaint and the relevant details ideally the permanent crowns usually fixed does not come with any cords I assume that those are the temporary ones which you have in the mouth at the moment with a clue that you said it took only 15 minutes to make one of it moreover if that is the case then those cords should the splints which are placed to stabilize the crowns in place for a good reason you have also not mentioned for what reason have you got the crowns for your teeth it would be of much help if you can send a picture of the same so that I can arrive at a better treatment plan coming to the sensitivity you shall use sensodyne rapid relief toothpaste to replace your regular toothpaste at the night and it helps you greatly I hope this helps | hello doctor I got three temporary crowns in the front top teeth in the last week the two middle teeth and one on to the right the one on the left is perfectly fine and only took about 15 minutes to make and put in my mouth the other two had difficulties when being made along with this a couple of cords or what looks like cords are hanging loose on the right middle and the one next to it feels sensitive and hurts this is something that I am worried about and I have read multiple websites stating that my dentist was supposed to take these cords out before cementing the temporary crowns what do I do | medium severity |
what will happen to the focus if correction lens are placed for mixed astigmatism | hello welcome to icliniq com the condition of one focus in front of the retina and another behind arises in mixed astigmatism as you have already mentioned to correct this we prescribe toxic lenses to the patient which as you must already know have spherical and cylindrical components with opposite signs as we are treating mixed astigmatism the process of how a clear image is formed in this case will be illustrated using a strums conoid this image is easy to find online or can be seen in a lot of basic ophthalmology textbooks here the different meridians come to focus on the retina such that they produce a circle of least confusion this makes the image of the object form with any distortion on the retina anywhere in front of or behind the circle of least confusion the image will be defocused I hope this helps | hello doctor please help me with my assignment I am an optometry student my question is what will happen to the foi when correction lenses are placed in the case of mixed astigmatism that has one focal point in the front which is nearsighted and one behind the retina which is farsighted will they merge as one when you give spectacle correction or the focal points will remain at their own places even though there is correction already please reply | medium severity |
I still get some sinusitis after fess and septoplasty why | hello welcome to icliniq com I shall tweak your medicines a bit and let us see if that gets you an improvement change the antihistaminic to one with montelukast say like levocetirizine or fexofenadine plus montelukast 10 my take this once daily take another antihistamine different from above at a different time daily that means you will be getting two antihistamines per day and one with montelukast combination take a short course of deflazacort my twice daily take the same for five days and taper it to once daily for the next five days use the nasonex mometasone furoate spray appropriately twice daily there are particular instructions as to using the spray it has to be held in a particular way and sprayed if you have thick nasal discharge or fever or throat pain it is prudent to add an antibiotic preferably clarithromycin 500 my twice daily for five days let us know the progress with these medicines please upload previous and current it scan films to us when you write to us the next time do provide all previous treatment records and medication details when you get back | hello doctor I have a history of sinusitis last year I had chronic sinus symptoms and got a it scan it showed nasal septum deviation blocked maxillary and frontal sinusitis due to nasal polyps I got a fess and septoplasty done this year the symptoms reappeared strongly I have severe headaches facial pressure nasal discharge and pain in jaws and ears along with that I have a frequent infection in sinuses and have done an antibiotic course four times in three months I got a it scan and it shows complete pacification of maxillary sinus little ethmoid sinus and hypertrophy of nasal turbinates I am using nasonex steroid spray twice a day getting nasal rinse done repeatedly with saline water I am taking steam and anti histamine before sleeping but not getting better please help | medium severity |
will mixture of trisodium phosphate and baking soda with water help in regeneration of teeth | hi welcome to icliniq com I appreciate you for such an interesting question on dental health talking about the two chemical components separately baking soda is found to be a great alternative in whitening the teeth as it has mild abrasive quality it is also found that baking soda has seven on the da scale radioactive denting abrasion compared to the regular toothpaste which ranges 200 300 just a sprinkle of it on the toothpaste in your regular brushing helps in whitening the teeth but this is not proved on the papers by research coming to trisodium phosphate it is one of the ingredients present in less percentage in the toothpaste which is chemically basic and removes stains but it is a commercial agent used as degreaser and stain remover otherwise the problem using these chemicals in dental cleaning is that you will not be sure how much percentage of the active chemical components you expose on the tooth surfaces in the did do it yourself project these might see effective but lack of studies and research making it unsuitable for daily usage no standardization therefore not used as commonly as a toothpaste also continuous and prolonged exposure of these on the teeth might end up in roughness of the enamel and a hence weaker teeth I hope this helps | hello doctor a guy on youtube has videos of how he regenerated his teeth by mixing trisodium phosphate with baking soda and water he says he spits out mixture and not to swallow is this even possible or safe especially since dental work is so expensive | low severity |
is there any ayurvedic medicine to cure heavy bleeding and urinary frequency due to fibroid | hi welcome to icliniq com I have treated many fibroid uterus cases most of them became asymptomatic with a reduction in the size of the fibroid and surgery idea was withdrawn smaller the size faster and complete disappearance of the fibroid medium to large sizes have reduced in size but they would become asymptomatic within one month period they need six months of therapy in your case it is the medium size one please take the following medicines capsule rasaganthi mezhugu one in the morning one and one at night with buttermilk after food tablet chitthira moola kuligai one in the morning and one at night after food van kumar legium buy 200 go take go one spoon in the morning and evening before food these drugs are available in south indian states my tone tablet two in the morning and two at night after food apart from these drugs a few home remedies to be done vaazhai poo banana flower to be fried or any other dishes daily two times uthiya mara patti and naval mara patti buy these barks one keg take 25 grams of each then add eight tumblers of water boil it to reduce to four tumblers this is the kashayam then drink one tumbler kashayam in the morning one in the afternoon and one at night in an empty stomach if not possible in afternoon due to office work then take that dose in evening please buy these drugs and herbal and try them for one month if you do not feel any improvement then continue it for the next three months you may require three to six months of treatment if you do not find any improvement in one month then I advise surgery | hello doctor I am 46 years old I am suffering from heavy bleeding and very frequent urination issues for the last seven months my sister in law who is a gynecologist asked me to take a scan my scan report revealed that I have uterine fibroid she prescribed tragic 650 tablet for excessive bleeding I have been taking this tablet during my periods for the last seven months she suggested going for hysterectomy as there is no other effective cure in allopathy but I am not interested in undergoing surgery while searching for an alternative I stumbled upon a study conducted by an ayurvedic doctor which claims that uterine fibroid got cured or reduced in size by taking certain ayurvedic medicines I got excited and contacted the doctor through email and she prescribed certain medicines the details are at the end of this mail I took those medicines religiously the doctor also told me to take two more scans in the subsequent months I am attaching all the three scan reports but there was no improvement in my heavy bleeding condition and urination issue in the meantime the doctor got transferred to another ayurvedic hospital and now I am unable to reach her right now I am not under any medical treatment except taking tragic 650 tablet during the periods to arrest the excess bleeding after seeing your advice to a woman patient with a similar condition my hope has got rekindled I would like to ask you the following questions are uterine fibroid completely curable under siddha I will be consulting only you as I do not want to mix different streams of medicines I would appreciate it if after seeing my reports you could let me know how long it would take to get relief from excessive bleeding and to get completely cured of fibroid apart from this chat is it also possible to talk to you over the phone details of ayurvedic medicines taken amycordial syearup my for two months varanadi kashaya my one and a half months shigeru guggulu for two months kanchanara gulu tablet for 20 days nityananda rasa tablet for 20 days hingvashtaka churn one teaspoon for 20 days haridra hand two teaspoons for 15 days | medium severity |
can arachnoid cyst cause mood swings depression or panic attacks | hi welcome to icliniq com there are no clear evidence in the literature favoring arachnoid cyst as a primary cause of any psychiatric disturbances having said that its size does affect the lobe functions if it is compressing it so basically if you have symptoms that are not responding to the medical line of treatment then only you should opt for a surgical option | hello doctor I want to know how bad or serious is type I galassi arachnoid cyst located on the left temporal lobe can it be responsible for mood fluctuations depression and or panic attacks there are no clear symptoms but only mild depression also had recent changes in life and my father died and anxiety no strong pain only a minor one when my heart pounds fast but I have to pay attention in order to feel it is very subtle I am currently taking mild anti stress natural medication and a quarter tablet of betaloc zok 50 my in the evening to lower my pulse I have done my mri also | medium severity |
how can brown teeth due to fluoride be treated | hi I have seen the picture attached along with your complaint you have severe dental fluorosis along with severe external stains it is definitely possible to get whiter teeth with the help of dental veneers firstly the procedure includes complete thorough cleaning of the stains secondly the teeth visible in your smile zone will have to be prepared ground slightly on the front surfaces to fix in the dental veneers coming to the cost of the procedure there are two types of veneers one is composite veneers which has to be done in the clinic manually by the dentist but this has short life and a major disadvantage of discoloration two ceramic dental veneers which have to be made in the laboratory and then fixed on the prepared teeth ceramic ones are much suitable for you as it can long last and hide the brownish colour of your present teeth to a greater extent but this is expensive than composite ones ceramic veneers have different price ranges and it depends on your dentist and the laboratory discuss with the your dentist about it and choose your best suited range | hi doctor my problem is my tooth and the color of my tooth is completly brown this happen because of flouride based on this is possible to remove brown colour to white and how much does it cost | medium severity |
why do I experience burning and itching sensation while urinating and ejaculation | hello burning sensation in the urinary tract or urethra can most commonly be due to either infection of bladder or urethra or any stone problem which has either passed in the bladder kidney system causing infection thus burning it can also be due to unprotected sexual intercourse which leads to the infection of the urethra the diagnosis of this condition is important before the treatment is started urine microscope and sonography of abdomen and pelvis are initial urine and scanning modalities which are required for diagnosis physical examination by a urologist is also of paramount importance as something it is the best morality to detect the diagnosis so I would advise you for now you take plenty of fluids as repeated urination can wash out the infection but the above mentioned test and physical examination are mandatory in your case as you have pain in passing semen also it can be a prostate infection which again requires a per rectal examination by a urologist to see for prostate status | hello doctor I am 43 years old I have been experiencing a burning and itching sensation while urinating for about three weeks now I now have the same sensation when I ejaculate after sex also when I squeeze my penis there is pain along the lower part which feels like the pain is along the tract where urine and semen pass through please comment on what can I do about this I think it must be due to unprotected sexual intercourse that I had a couple of times some weeks ago after which I stopped | medium severity |
what causes neck pain with weakness after anterior discectomy of c3 ca and c5 | hi I have gone through your query and medical history along with the attached reports the problem does not seem to be due to the fused ca or c4 levels infact a disc prolapse at c5 ca with nerve compression is causing the present symptoms I would suggest you to go for physiotherapy sessions including cervical traction along with neck strengthening passive and active exercises swd irt it would always be better to avoid going through another surgery considering the post operative complications hence in my personal opinion you should avoid a re surgery and go for conservative line of management analgesic anti inflammatory tablets hot fomentation and use of cervical soft collar will help if the symptoms do not improve you can consult an orthopedist neurosurgeon for further management | hello doctor I am 31 years old before 16 years underwent anterior discectomy of c3c4 c4c5 with fusion even had neck pain and pain got radiated to neck and back while working suffering with pain for 16 years but I got used to it but for past few months neck became very week am not able to bare my head weight and not able to keep neck in straight position now for past 20 25 days having severe neck pain weakness of full both hands and legs sometimes with numbness eye pressure and back head pain I am not able to keep neck at straight position getting breaking sound if I rotate the neck movement is restricted I have attached my recent mri report can you please tell me what is the actual issue with this | medium severity |
what causes brown colored spit after brushing teeth | hi I have read through your complaint and the relevant details firstly the brownish colour every time you spit out after brushing could be the food debris along with some bleeding of gums this is because of the white chalky substance layered on to the tooth surfaces on the gum lines which I had noticed in the picture you sent these are cleanable and needs professional clean up from the dentist just simple brushing will not help get rid of it secondly please do not give excuses for not brushing your teeth it is incredibly as important as you eat food everyday for your little tummy mouth is the starting point for digestion and only when you do not have a clean mouth you automatically flush in all the bacteria into the stomach with every food plus any food debris which are not cleaned up stay in between the teeth and cause tooth decays as well you have mentioned that you had a filling which confirms that you had a decayed tooth so kindly follow your brushing habits as a routine every morning and night with a pea sized neutral toothpaste thirdly coming to the gaps between your front teeth it is just the way your permanent teeth has erupted and nothing to do with the gum bleeding or not brushing etc it can be easily corrected with braces when you are much concerned on the looks otherwise your teeth looks healthy and you are completely alright | hello doctor I have not brushed my teeth in a while due to being incredibly busy I am going to start taking my toothbrush with me but anyways I have some gaps in between my teeth and when I spit out after brushing my teeth there is a bit of brown liquid in there I do not know if that is just food or anything but I have not found anything else unusual | low severity |
the temporary crown is tiny is there any chance that my permanent crown will be in normal size | hello did you have any pain after completion of root canal procedure before permanent crown placement how is the pain is it the same pain which you experienced before root canal if the pain did not stop after completion of root canal and before crown placement then it should be from the tooth you should get back to your endodontist in this case generally a couple of days will be left as healing period before placement of crown if the crown is placed immediately without allowing a period of healing it hurts if the pain started after placement of permanent crown then you should visit your general dentist to check the status and fit of the crown in this case the crown needs some fine adjustments for a perfect fit and bite | hi doctor the dentist thought my tooth had a fracture so he put on a temporary crown that worsened the pain and throbbing exponentially so he sent me to an endodontist that said my tissue was extremely inflamed and needed a root canal asap after the root canal the regular dentist put on the permanent crown I felt the throbbing again after he put the permanent crown on I got a second opinion and the dentist did an ray and noticed the crown did not cover my tooth fully I went back to dentist who had to restart he took the permanent crown off and put a temporary crown on again but he had thrown my original imprint away and waited to take a new imprint until after he removed my permanent crown the temporary crown is on now and is tiny compared to my other teeth it looks like a kernel of corn should he have taken the impression first before taking the permanent crown off I worry my new permanent crown that comes in will be tiny | low severity |
what does my blood report of severe aplastic anemia show | hi I reviewed all the documents you attached attachment removed to protect patient identity I can feel your concern as I have closely followed many aplastic patients before so the fear or concern you have is genuine but I am happy to say that your abc is wonderful I am not bothered at all the slight decline may be due to other reasons sometimes diet nutrition laboratory variation etc I would advise you not to worry and just get a routine laboratory check as per your primary physician like months or so you completely recovered the only advice is to make sure when you start any new drug or take ot drugs herbal medications make sure they do not have side effects of bone marrow suppression so just be cautious rest you are doing good please text me any other concerns if you have | hello doctor I am 40 years old 20 years back I was diagnosed with severe aplastic anemia idiopathic which was treated with at with prednisone cyclosporine it took a good year to have a complete recovery but it came back to 100 I have always lived a bit in the fear of myelodysplasia but 23 years later no issues other than cholesterol and high blood pressure I am being follow by a family doctor and getting blood counts every month but my last hematologist consultation was a very long time ago and while my doctor is fantastic I know that knowledge of hematology is complex I am tracking by blood counts for the last 12 years in the last years I develop my own concerns around some numbers that seems to trend on lower side first is erythrocyte which are 3 now 13 years back I was consistently around 8 but my last blood count was 3 but after years it has never been above 5 I do not know if this is significant or not but I know that our reference is 7 of the lower value average 13 bloods test would be 53 my hemoglobin is at 132 now my average would be 141 so the difference is not high but I still wonder about if it is significant finally hematocrit at 4 right under the low level it would average out a 41 now a new contender appeared in the outside of normal ranges and its the granulocytes immature at 04 reference is 03 10e9 platelet are doing great with 183 so no challenges here so in a way all of these number are very close to the lower normal I guess I am trying to figure out if I should investigate this further I will see my doctor in a few weeks for a follow up but in our last appointment she did not see any issues there in a way I get her point but I am not sure when I should start asking for an hematologist reference as for current medication I am on rosuvastatin 20mg ibersartan 300mg for a few years already but new to me is allopurinol 200mg for now still working on balance my question is really about if the number above can indicate a trend or not I understand the body change as we are getting older but I would like some opinion on this | high severity |
kindly explain whether periodontal ligament removal is important during tooth extraction | hello there is nothing like biological dentists as such but you might be referring to oral and maxillofacial surgeons anyway the removal of root stump of a lateral incisor is a simple procedure and any dentists should do it there is no separate removal of periodontal ligament which usually is resorted by the wound healing itself in any case if you are planning implant you should not be removing any surrounding bone at all to get maximum implant attachment and minimal bone graft | hi doctor my lateral incisor fractured at the gumline and will likely require a surgical extraction also while a temporary filling was provided after removal of pulp pending a root canal the root canal was not done for many months due to an insurance lapse and the tooth became infected as well as surrounding bone I have read that some dental surgeons advocate for the removal of the periodontal ligament during extraction to facilitate healing and the proliferation of new bone cells and that this must be done explicitly with a bone burr I have read that this is common practice for biologic dentists and biologic dental surgeons and uncommon otherwise my med cal denti cal providers are not biologic dentists I have four questions how important do you think the complete removal of the periodontal ligament really is if the extraction is surgical is simple is it likely that the ligament would be removed anyway perhaps because some extra surrounding bone may need to be removed if removal of the tendon is not standard practice by the dental surgeon can I request it and would they know what to do and not be offended and finally if an implant is contemplated would the region of the removed tooth and perhaps some surrounding bone immediately be packed with a bone substitute for socket preservation or would the infection need to clear first | medium severity |
can swimming pool water cause small wounds on foreskin | hi I have gone through the history and description I have seen the image you have attached possibility of infection is more likely so apply betadine cream three times a day please let me know do you have any difficulty in passing urine any pain or burning while passing urine any fever please reply me answers of above asked questions so that I can guide you better I will be happy to help you further | hello doctor I am male 40 years old 187 am and 100 keg I have small wounds in my foreskin and it is red in color looks irritated I am guessing that the cause is our swimming pool party a few days back and I was unable to take a shower afterwards I guess that the dried and concentrated chlorine caused some irritation and wounding in my penis foreskin I am not circumcised it is not really painful unless pulling back the foreskin I have used some aloe vera on it but I was wondering what would help fastest for the irritation to be gone I do not have any pain while urinating | low severity |
what are the ways to manage bleeding gums | hello gum bleeding and gum recession or weakness is a sign of gum condition called gingivitis is the inflammation of the gums caused due to constant irritation by tar calculus hardened yellow deposits on the tooth food deposits or plaque that settles on tooth gets calcified on the long run and becomes hardened calculus deposit constantly irritated gums become weak and starts to bleed when we brush or in the morning time after waking up a professional scaling and polishing procedure is done by an ultrasonic scale instrument to remove that calculus once removed the gums take a day to heal and the gum bleeding will stop the next morning please visit your dentist and get this procedure done this procedure can be done once in months if required although we do a proper brushing every day there are certain spots between teeth where the bristles fail to reach hence a professional tooth cleaning is always advice once in a while there are certain brushing techniques that can be followed to prevent calculus accumulation get to know that from you dentist and please do follow them follow a healthy diet and lifestyle get a dental checkup once in months to diagnose any issues if present at the earliest follow proper oral hygiene by brushing twice daily especially before bed and mouth rinsing after every meal this way you will have a healthy teeth and gums | hello doctor blood comes from my teeth and my teeth are going to loose its grip how can I stop this blood which is coming from my teeth and how can I strengthen them | medium severity |
what causes neck and back pain | hello I just read your query and saw the attached file your cholesterol level uric acid level are increased along with this your ash level is also decreased which is indicative of hyperthyearoidism I am advising you medicine for high cholesterol level and for back and neck pain here take it regularly for two weeks and consult me after two weeks regarding improvement and for further management or you can consult a nearby ayurveda physician as far as hyperthyearoidism is concerned you need hormonal therapy to correct it so for that you should visit a nearby general physician take capsule arjun two capsules two times a day with water after food for two weeks take capsule gilly two capsules two times a day with water after food for two weeks take tablet triphala two tablets at bedtime with lukewarm water do not take anything after taking these tablets capsule shallaki two capsules two times a day with water after food for two weeks take mahanarayan oil and do gentle massage with it of your neck and back two times a day do not sit under fan or ac for sometime after applying the oil two weeks | hello doctor gender male age 51 height 167 weight 74 latest be 140 90 presently no medication slight neck and back pain attached latest report | medium severity |
kindly explain whether fat burner medications interfere with anti rabies vaccine | hi as per your medical history I went through I would suggest that the above mentioned medicine will not interfere with rabies vaccine however keep rabies vaccine as the top priority and if possible stop other medications till the course is done as rabies is a much more serious disease then fat burners | hello doctor I am on an anti rabies vaccination I am very worried as I have been on other medications which I believe may interfere with rabies vaccine modafinil fat burner ingridients yohimbine bioperine guggulsterones synephrine caffeine | medium severity |
what causes jaw pain with swollen face after tooth extraction | hello I have gone through your query and understand your concern pain after an extraction is quite normal for the next to days however the intensity of pain comes down each day please take the prescribed medicines without skipping and follow the instructions given by your dentist if the pain is unbearable even after taking painkillers and it is not fading out each day please visit your dentist and get checked for healing sometimes left out root portions disturbed clots could also cause delayed healing and intense pain and you should talk to your dentist and get the dosage increased if the pain management is not adequate with the prescribed pain killers abscess below the tooth drains immediately followed an extraction of the involved tooth so this could probably not be from the abscess | hello doctor I had my tooth out a few days back because of pain that has been going on since I have had an assess for over a year and not been treated my face is swollen on the one side and my jaw is very painful I have lost so much weight since my tooth has been removed and I am in so much pain I did not have an ray before having my tooth out to see if I still had my assess what should I do | medium severity |
how can spinal compression fracture be cured | hi I have seen your it scan and rays it has been sometime now since you got the injury and I would not expect any more soft tissue or bony healing now suggesting non invasive treatment now would only comprise of daily physiotherapy and extension exercises you need to strengthen your muscles to take the load of the body and reduce load taken by the spine suggesting any invasive stabilization procedure to you would require looking at mri scans rather than it scan but your options unfortunately are limited interns of non invasive management based on physiotherapy only I would not even recommend braces for you mri if ready for invasive stabilisation procedure none as above physiotherapy as of now as wished and required by patient | hi doctor months back had a spinal compression fracture of the t12 vertebrae caused by a large fall into water currently it is stable meaning I can walk and move no gross deformity I have motor and sensory function within normal limit I have aggravated pain when I bend forward or sit or stand for longer than 10 minutes but I can walk around without pain it is basically just a bone in my spine that is squashed to around 70 of its height and is pressing on the spinal nerve most fractures like this heal in a few months but mine never healed I saw a few different doctors which told me a few different things I got rays and a it scan I would like an opinion on the best non invasive treatment | medium severity |
can abnormal edges of liver in ultrasound mean cancer | hello I have gone through your concern from what you have mentioned the doctor has probably identified a hemangioma which is a common finding and benign the confirmation and characterization of a hemangioma of liver is best done with a it scan the chances of it being a liver cancer is extremely low in view of your health status I would advise you to go ahead with the it scan so that we can confirm and also assuage your concerns | hi doctor I am a 45 year old male non smoker and social drinker I am a generally healthy with no underlying medical conditions or family history of severe illness the only thing I have been diagnosed with is idiopathic hematuria which was told to me around two years ago I have no other symptoms appetite is fine and no major weight loss however the last few weeks I was having twinges around different areas of the stomach and aching kidneys I decided to have an ultrasound yesterday all organs were fine however something starting with was seen in the liver the person undertaking the ultrasound says these are normal but mine has a fuzzy edge and to make sure all is okay she has sent me for a cat scan with contrast her opinion was it looks fine but best to check I have health anxiety so my alarm bells are ringing with liver cancer I understand the chances of me having this are low but would like an opinion from an expert | medium severity |
is it normal to have irregular periods after taking spill | hello if you had taken spill within 72 hours of unprotected sex it works well as emergency contraception about 90 since you had a regular periods after taking spill pregnancy is unlikely spill is hormonal pill containing synthetic levonorgestrel which can sometimes disrupt normal menstrual cycle it is possible that your regular menstrual cycle has been affected by taking spill but the side effects are transient and usually menstrual fluctuations disappears by the following cycle since you are reporting persistent delay in having your periods it is advisable to consult an og doctor to have a check up and help to re establish normal periods again it will be reassuring to you as well do not worry there will be no long term side effects due to spill but it should not be taken often | hello doctor me and my fiance had sex and seems out of fear took spill because it was unprotected for sometime so many doubts in mind but no leakage or injection of sperm etc three time up done but all negative after taking spill period comes as per regular cycle for days but next period only one two hours bleeding and then stopped this month period is skipped till date say it late by 25 day including today do I need to visit doctor or wait | low severity |
what causes extreme weakness with low carbon dioxide | hello I went through your reports and labs that you sent you have one report showing slightly low normal potassium level of 8 tac can be because of low potassium level there can be condition called as distal renal tubular acidosis for which check urine sodium potassium and chloride and creatinine and we have to calculate urinary union gap also since how long you are taking methotrexate | hello doctor experience episodes of extreme weakness lethargy tiredness unable to get out of bed going to the bathroom often at night two years back had egg proven tach after an episode went on for several days have had labs done close to two episodes a month back carbon dioxide was slightly low at 19 with trace blood in urine and us 05 and urine oh second one recently again this month had mild low bicarbonate | medium severity |
how can infection spread through sperm in anal sex | hi I have read your query as per your scenario the answer is no semen in itself cannot harm rectal mucosa or oral mucosa or make a new disease only if your partner has a disease that is transmitted via body fluids only then you can get it same scenario with two males their dna will not react together to make a disease but that said anal fissures can result from lack of lubrication improper dilatation and improper penetration however you end your query by saying you and your partner are planning on getting tested and want to know tests for this it is better that you both undergo the full panel of studs and also get tested for hep c etc | hi doctor I am totally new to sexual life and I read a lot about it but have some concerns first of all my questions would be about gay sex male with male secondly in my questions I am assuming that no condoms or so protection used assume that both parties do not have any disease and one of the cum with huge load inside the ass of other person does male semen create or causes any major or minor disease by its own when it is contacting male ass similar to the first question what if the cum load semen was in the mouth does male semen create or causes any major or minor disease by its own when contracting mouth what if male cum at the same time inside the ass of one person does the difference of dna in the two different semen cause create make any diseases why always doctors talk about transmitted diseases but not generated created made diseases when I ask about sex safety I feel like I am getting unrelated answers because I am surely not considering to have sex with someone who is not tested but people always seem to talk about diseases that are transmitted so please help me to answer based on the case scenario give | medium severity |
what causes gas with bloating in a paraplegic patient | hi I have read your query but as you have not mentioned how long ago the injury was sustained I will presume it was not recent but the gas build is recent if both are recent you might want to look into the bowel program for sci first make sure his diet is not very high in sugars vegetables like broccoli cabbage radishes etc to decrease methane production in the gut the gas second introducing suppositories or carminatives will help with passing wind tablet motillium 10 my thrice a day before meals promotes gut motility too if it does not work there are other drugs like erythromycin an antibiotic available to promote gut motility that should help with releasing gas have a look at his gall bladder too sludge or sand and not just gallstones causes bloating indigestion | hello doctor my husband is a complete sci paraplegic he is 28 he has been having severe stomach pains come and go for months and is not receiving any answers we were at the er times in a week no results of infection or constipation or anything seen in rays and cat scans he gets very bloated and wakes up almost every morning with gas pains and has to make himself sick if he cannot burp them out no fever but sometimes he will get the chills and sweats still without fever or temperature drop he needs answers it is very unbearable to him | medium severity |
can molars be pushed in the site of extracted wisdom tooth to create space for braces | hi first of all you have to understand the fact that not all wisdom teeth are functional what I mean is most of the wisdom teeth are removed not to create space but it does not serve the purpose to chew well instead of harm the surrounding gums and in orthodontic treatment the molars cannot be shifted because that will collapse the whole contacts between the teeth there is a rule that the molars have to hit each other at certain points only then it helps you in chewing your food efficiently hence there is no harm in pulling out the premolars in order to gain space because there would not be any gap left behind after the treatment is completed so I advise you not to panic because you are losing your premolar tooth but that is definitely going to help the treatment become a success | hello doctor I had my wisdom teeth pulled out a couple of times back now I am putting on braces my orthodontist said that I have to remove my premolars in order to make room but I feel like you could just push back my molars somewhat where the wisdom teeth used to be is it possible very similar to the bottom except he wants to remove one front tooth to make room but I feel like you could just push back the molars a little bit to make room | medium severity |
what is the right age to plan for a baby | hi we are here to help you for further clarification consult an internal medicine physician online | hi doctor I am a 28 year old woman and I am likely to get married by next year as I will be 29 by the time I get married should I plan to have a baby right after marriage or can I take some time my fiance is not keen to plan a baby right after marriage he is also 28 now and we want to enjoy a bit before planning a baby but I am worried will I have a problem if I delay it by two or three years | low severity |
can taking two I pills within a span of two weeks cause delayed periods | hi I have read and understood your problem for further doubts consult an obstetrician and gynaecologist online | hello doctor I had irregular periods so my family doctor suggested to have femilon I had femilon for over a year and stopped it three months back after that I had two I pills within a span of two weeks and my periods have started two weeks earlier kindly suggest a solution | medium severity |
is it advisable to use tens to improve muscle pain | hello from the history it sounds more of a muscle strain or you can say it as does which is sometimes common as one lands or take a flight for taking up the shot but the pain is not reducing is not making things clear whether it is a does or muscle strain as both of it should resolve within 4 days of time so what I can advice is continue with tens and take proper rest tens will never make the injury worse its a morality for reducing the pain I will advice to take tens for almost 30 40 minutes 4 times a day and allow a complete bed rest without doing much mobility we can expect the pain to come down drastically in case after a day or two of applying tens for 30 40 minutes if the pain still persist we need to look for other factors but rest is what is needed without having much mobility in the muscle | hello doctor I played volleyball on monday night and everything was fine but then I played squash on tuesday night my glutes were really sore on wednesday just deep muscle soreness but I chalked it up to not having played in months then I played volleyball wednesday night too and things were really sore thursday my left glue started hurting around am and by 10 am I could not walk at all so much pain I have been taking hydromorphone and oxycodone and celebrex anti inflammatory pills all night and day friday and today not getting better it is either a really good strain or a tear I have iced it I have got my home tens unit on it right now and often throughout the day night this feels like it is the exact same muscle that I hurt at the rehab center three years back and it really hurts it feels like my glue minimum maybe on thursday I used my massage chair hot tub foam roller trigger point lacrosse ball and my massage gun on it I am thinking that digging into the injury that much probably made it worse or aggravated it sorry so here is my question I have dry needled in the past and it has helped a lot but is it okay to dry needle if it is a torn glue muscle or even a strain the tens machine seems to take some of the pain away but could my tens be making things worse also I have been in bed laid up all day and night yesterday literally only crawling to the bathroom and back I was hoping that staying off of it a few days will make it better but I am not sure what else I can do since it is the weekend and the clinic is closed I was going to look around for a mobile physiotherapist to come to my place and maybe dry needle me or other therapy for some pain relief I honestly do not think I could climb into a car to drive anywhere otherwise I will stay in bed for the weekend and hope that enough of the pain is gone and I can go into the clinic and see someone on monday | low severity |
my hairball stopped when I started mintop and finasteride but it happens again whilst on treatment why | hi I read your query and I saw your pictures the hair problem you are having this problem is called androgenic alopecia it is common in this age group it is due to hormonal changes in the body especially testosterone and dot dihydrotestosterone the medicines you are taking is very good the only side effects of minoxidil are there which is an increase in hair fall initially which eventually will subside in the next 20 to 30days so do not worry continue your treatment it will take two to three months to show a decrease in hair fall and five to six months to show an increase in hair density age hormonal changes stress not required at present androgenic alopecia androgenic alopecia more 10 minoxidil at night tablet final finasteride my at night tablet keraglo men gamma linolenic acid one in the morning and one at night and use anaboom shampoo after one month | hello doctor I was suffering from hair fall my hair is very thin then I used mintop 10 finasteride my tablet for one month after starting this prescription for 20 days hair is not falling but for the last 10 days so much hair is falling can I continue or stop mintop and finax | medium severity |
I get severe pain in the ongoing root canal treated tooth does it imply non removal of nerves | hello I understand your concern the number of sitting in the root canal procedure depends on the amount and extent of infection if the infection is more the tooth is opened up and medicated dressing is given to reduce the infection and to kill the nerves antibiotics and painkillers will be prescribed for the next three days to control the pain and infection after three days the root canal treatment can be done painlessly once the nerve had died from your query and the details provided it seems like you are having a challenging tooth quite a lot of infection curved roots pulp stones etc a clear picture of your tooth ray will help to identify the problem talk to your dentist and get to know what is causing this pain and delay in treatment I hope this helps | hello doctor I have been going to a dentist about a tooth that is sore they started a root canal but then did not finish I have gone back several times and every time they open up the tooth and insert medicine my tooth is in agony right now I am just wondering if this is a standard procedure during a root canal should not the dentist remove the nerves so I am not in so much pain or is it the standard procedure to fight the infection first and then remove the nerves | high severity |
are bulging discs the worst symptom of fibromyalgia | hi I have read through your query in detail please find my observations below fibromyalgia is still a less understood illness with pain and discomfort involving muscles and bones and the main feature includes that it is puzzling or difficult to identify it is elusive and is a diagnosis the diagnosis is made on the elimination of known conditions which might cause similar symptoms after using standard diagnostic tests and investigations therefore if a patient is known to have bulging discs then it has to differ from fibromyalgia in other words you might have had fibromyalgia if there is no particular finding in the mri magnetic resonance imaging scan therefore it is important to document mri scan findings and then the diagnosis of fibromyalgia might be set aside and changed to include degenerative disc disease following the proof of bulging discs the problem is that probably earlier investigations have led your employers to believe that you have fibromyalgia however a single incident has changed things for you and they refuse to accept it the best way out will be to have evidence based medical diagnosis and take suggested treatment I agree that there is a lot of miscommunication about fibromyalgia and people with real problems are often labeled wrongly considering an earlier diagnosis which was made months to years back in conclusion fibromyalgia is not concerned with bulging discs and if your mri scan shows bulging discs which might be related to your pain and discomfort symptoms then you have the option of making a point with the workman comp authority hope this answers your question | hello doctor I just want to confirm with you that fibromyalgia does not cause bulging discs my workman company blamed my fibromyalgia for disc bulging because in the past I have had headaches and neck pain with my fibre the bulging disc pain was within three hours numb hurting tingling arm all the way down after helping a coworker shovel and then running a big vibrating roller it was different than bursitis I have ever experienced I developed a headache after the pain in my arm calmed down the headache was in the front left of my forehead definitely not a tension fibre headache I also have occipital neuralgia that came with the fibre in the back of my scalp after hearing that it can happen while doing anything was when I came to the conclusion that is the only thing I did differently that day I feel like no matter what happens to me the fibromyalgia will get the blame after researching degenerative disc disease almost everyone has it I do not think this is a well known fact it happens as you age and can be as early as your teens and 20 people also want to blame things on that as a pre existing condition yet if they had an mri they would have it too otherwise my spine is beautiful according to my doctor I am 51 years old and was a heavy equipment operator and a pa for my aunt at the same time while having three teenagers at home the fibromyalgia and stress is really getting to me now though and I am having a tough time even working eight hours a week as a pa just so tired and fed up with misconceptions and lack of doctor and public awareness I hope this post and your answer will help other fibromyalgia patients because I know I am not the only one dealing with this | medium severity |
how to treat moderate obstructive lung disease in a diabetic patient | hello I have seen the put pulmonary function test report of your mother let me tell you first that the put test is not done properly as post test is done immediately only after four minutes of the pre test ideally we do it after 15 minutes so we cannot rely on this put report even if we see at the report it shows moderate obstruction and no bronchodilator reversibility so it goes more in favor of cold chronic obstructive pulmonary disease the treatment of cold is mainly bronchodilator drugs by inhaler route so I suggest to stop budamate budate and triohale rotacaps start foracort inhaler 400 with zerostat spacer two puffs twice daily morning and evening and duova inhaler with spacer two puffs only in the morning continue tablet ab phyllis 200 one tablet daily if she feels too breathless after any type of exertion she can take dublin inhaler by spacer two puffs as required strict sugar control is advised I hope this helps | hello doctor my mother is 62 years old she is a diabetic on oh and under good glycemic control she weighs about 56 keg she is suffering from a dry cough for four months now the chest ray is normal and ent consultation also ruled out any local cause she complaints of tickling sensation and coughs following it coughing even wakes her from sleep at night blood investigations done had all findings within normal limits except for high eosinophil count spirometry was done with the following results values pre inhalation are fac 60 47 fev1 63 18 fev1 fac 13 per 68 89 few 25 75 59 25 values after inhalation fac 70 60 fev1 71 72 fev1 fac 10 per 70 few 25 75 54 43 after this the treatment was started with a diagnosis of moderate restrictive and obstructive lung disease she is currently on budamate 200 trans caps one in the morning through lupihaler budate 200 and triohale transcap one cap each through inhaler at night tablet ab phylline one tablet daily at am but her symptoms improve intermittently and again recur spontaneously kindly suggest what to do | medium severity |
will oregano oil used for clogged ears cause permanent damage | hi before I answer your query I would like to give you a brief over view of the anatomy of our ear our ear consists of three main parts namely outer ear middle ear inner ear the outer ear is separated from middle ear by our ear drum that means that there is our ear drum which prevents entry of anything even air from the outer to the middle ear the middle ear is separated from the inner ear by a hard bone so there is no question of passage of anything from the middle ear to inner ear apart from the sound now coming to your query so seek to have had eustachian tube dysfunction eustachian tube is a tube which connects the ear to nose secondary to the common cold and sinus inflammation oregano oil can be an irritant and can cause significant pain when it comes in contact with sensitive structures of the ear such as skin and ear drum but the ear drum is very resistant and would not allow the passage of air inside the middle ear since the doctor has already examined your ear and ruled out any significant injury to the ear drum or any significant infections there is no need for worry there is no possibility of any bacterial meningitis or any harm to your body due to oregano oil probably there is physical injury to the skin of the outer ear and will heal in a few days | hi doctor I had clogged ears from sinus allergy congestion and my mom put a drop of oregano oil in my ear it hurt horribly and was throbbing and burning my ear I got my ear flushed out with water and got antibiotic drops could the oregano oil into my ear have caused permanent damage or caused any bacterial infection the doctor said there was no ear infection but could the oregano oil spread or seep into my ear and cause bacterial meningitis is it dangerous that it went in my ear I am currently taking lexapro 20 my antibiotic ear drops and doctor prescribed doxycycline if it gets infected | medium severity |
I have a small penis of inches will it affect my sexual life | hello I read your query and understand your concerns from the mentioned parameters there is nothing normal other than night fall which is five to seven times per month regarding night falls I like to inform you that this is a natural process our body keeps on producing sperms irrespective of our sexual activity if the sperm get the way of outside by either sexual intercourse or masturbation then the problem is less likely to occur if somebody is not sexually active and not doing masturbation to release these sperm they get discharged automatically this is a kind of overflow this is more likely to occur when we have a lot of sexual fantasies and get dreams of sex or some other activity with beautiful girls the current night fall is may be all these things either you are not sexually active or not doing masturbation or getting dreams of sex or a combination of all these in regard to medical perspective there is nothing abnormal with this but in my view you need to get an appropriate partner for you it happens to almost everybody when they are not sexually active for a couple of days or weeks regarding your small size penis I would like to inform you that the average size of penis across the globe is three to five inches while erect presence of 5 inch size of penis is also absolutely normal and there is nothing to worry about this do not go for porn movies and old stories where a large penis is depicted as manhood capability even in the literature the girth of the penis is given more importance than length I will explain why the size does not matter the normal size of female vagina is about six to seven inches and out of this only outer one third is sensitive so I mean to say that a man who is able to stimulate outer one third of vagina is equal in sexual pleasure to the one who is able to stimulate full length to stimulate one third of female vagina a man need just three inch penis and nothing more fortunately you have much bigger than the minimum size of penis and you can satisfy any women who have normal size vagina other than this the sexual pleasure depends on the other factors like your age lust attraction to the partner your stress level to name a few the most important factor in sexual satisfaction is foreplay which takes place before true intercourse if you can devote sufficient time to it you are a man in true sense I hope this helps | hello doctor I am 25 years old I have a small penis size about 5 inches after erection and night falls five to seven times in a month my height is 168 am and weighs about 59 keg I am unmarried doing shift duty I sleep usually six to eight hours a day I have not taken any medical treatment for this problem | low severity |
what does my mri report for hamstring pain indicate | hi you have findings suggestive of a hamstring injury involving the left side hamstring muscles from the level of the ischial tuberosity attachment in the pelvis area and continuing to the biceps femoris proximal tendon and in to the upper and mid thigh areas and the myotendinous part along the posterior medial part of the thigh I have sent few images please check the first image is the upper part of the left hamstring tendon the second image is in the left mid thigh area there are minimal findings in the right ischial tuberosity area and otherwise the right side is showing signs of likely resolution as you have mri findings showing left hamstring injury you do need to recover and avoid stressful physical activity to your left hamstrings however the exact nature of active lifestyle is best commented upon after a detailed clinical evaluation | hello doctor I have had high hamstring pain a few years ago now it is back again more pronounced on my right side though the left is now starting to match the right I am really active so I want someone to look at my mri and be honest did I tear or strain my hamstring about if I have to stop my active lifestyle if it needs to heal | medium severity |
accidental hit in chin caused hole between chin and gums does it need to be sutured | hi I have read through your complaint and the relevant details but I am not able to see the pictures you have attached the format does not support the files to open only I request you to once again send me the pictures for an accurate answer with the complaint you have given I wonder how there is no pain in spite of you being hurt and there is a tear in the gum you have to visit your nearby dentist if there is bleeding in the hurt area or there are any teeth broken down or if any tooth is loosened and wobbles or if there is a gum tear also you have mentioned that you hit your chin region this part of the jaw is sensitive to fracture in of the cases hence I advise consulting a nearby dentist to eliminate fractures of the jaw firstly meanwhile apply ice packs on the injured region and wash your mouth with lukewarm saltwater which promotes gum healing also avoid hot and spicy or citrus food massage the gums with clean fingers in a circular motion and in case of pain apply ointment orabase benzocaine along with massaging | hello doctor I fell and hit my chin and my teeth tore a hole inside my lower mouth area between chin and gums it does not hurt but was not sure if I needed to have it stitched | high severity |
my hav index value for type is 70 and type is 23 do I want to repeat the test | hello for that above limited information as you have not mentioned your age and sex here which is very important for any clinician and if the question is specific about some sexually transmitted disease because oh of male and female genital organs are different so all bacterial and viral flora growth can be different according to sex as you have told that you have had protected intercourse five months back so it always decreases the chances of studs sexually transmitted disease in any partner and you also mentioned that all reports of your related to sad are negative so I think no need to worry now as you have crossed the incubation period of almost all sexually transmitted diseases five months is a big time for your query about the hav index I think it is negative I could not comment on the specificity of egg however even if it is nonspecific no matters cause your index values are negative so do not worry results are conclusive definitely officially index value greater than is considered positive and index value below 9 indicates a negative result if the egg test is negative and at least six months have passed from the time of possible infection you do not have herpes number between 9 and is equivocal antibody to hav may or may not be present do not worry eat healthy and stay healthy | hello doctor I had protected sexual intercourse five months back now tested for sad and everything came back negative I have a question around hav index value for type is 70 and type is 23 it was a type specific egg antibody test is this result conclusive or do I need to retake at any point of time in the future your response is most appreciated | low severity |
will recurrent prostate infection affect fertility | hello the condition you are having could be chronic prostatitis usually bacterial or any obstructive pathology chronic symptoms suggest that you need complete urological evaluation with urine analysis urine culture ultrasound of prostate etc and treatment accordingly avoid caffeine and alcohol consume a lot of clear fluids empirical treatment with cotrimoxazole or ofloxacin for two weeks can be tried if the appointment with urologist is getting late with proper treatment there should not be any problems with fertility you can normally have kids development of or transformation to cancer is highly unlikely which may occur late after many years late after 50 60 you can try urispas flavoxate 100 my tablet twice daily after doctor prescription to get relief from urinary problems | hi doctor I am a 34 year old male with recurring prostate infections with inflammation which is really painful with kidney stones happening all the time I am feet and about 215 labs weight I am currently on trileptal ranitidine and omeprazole and I have been on them for a long time like 10 years or so my symptoms are extreme pain in the lower back and painful urination and ejaculation and it hurts bad when I poop and I have energy I feel totally drained and I have constant hot and cold sweats my questions are can this lead to permanent damage or cancer and also what to do I am waiting to be scheduled with a urologist I have been battling these symptoms for over three and a half months with a few days of relief and the pain starts again any help you can give me will help out a lot also can this lead to me not being able to have kids | medium severity |
is there any ayurvedic medicine to bring down the level of ash and uric acid | hi I have seen your attachments and read the complaints carefully it is not a big issue and can be managed through ayurvedic medicines and yoga practices hormonal imbalance metabolic disorders ash thyearoid stimulating hormone uric acid blood pressure and blood sugar you should take the following medicines regularly for one month and after one month you may revert back with investigation reports re kanchanar guggulu one tablet gandamala kanan rasa one tablet gilly ghanvati one tablet thrice a day after meals with lukewarm water punarnavasava 15 my with equal amount of water after meal twice a day alma alovera juice 10 my daily in the morning avoid spicy and fried junk foods drink plenty of lukewarm water regularly avoid milk and milk products egg and non vegetarian foods beans and protein rich food do regular kapalbhati and pranayam like anulom vilom nazi shodhana bhramari and specially ujjai do these things and provide your valuable feedback after one month | hello doctor I had been diagnosed with hypothyearoid nearly 10 months ago my ash was over 100 during that time also I had uric acid which was high doctor prescribed me to take thyearoxine tablet 50 my daily and to increase it to 100 my after one month also uric acid medicine was given I took that for a couple of months but slowly stopped both medicines instead I am now taking 750 my ashwagandha and 400 my shilajeet daily I got my ash and uric acid tested recently and ash comes to 12 and uric acid is 47 both results are still higher than normal can you guide me for a suitable ayurveda medicine to bring thyearoid and uric acid to a normal level | low severity |
what causes tremors with pain in arms legs and joint pain | hello I read carefully your question and would explain that your symptoms could be related to chronic lesions of multiple sclerosis is sometimes there is no total improvement after steroid therapy anyway I would recommend starting gabapentin for chronic pain or switch from zoloft to duloxetine which is better for chronic pain I would also recommend performing a new brain and spine mri magnetic resonance imaging in order to exclude possible new lesions it is also necessary to check thyearoid hormone levels for possible hormonal imbalance and vitamin plasma levels for possible deficiency I hope this helps | hi doctor I am a 45 year old female I was treated with intravenous cortisone injection therapy for a week for having acute demyelinating symptoms for almost two months that appeared together with a new lesion at the cerebellum area of my brain there had been three other there supposedly migraine type lumbar showed oligoclonal zones both in the blood and spinal cord my problem is that since then and even if the cerebellum lesion has disappeared I still experience symptoms not as acute as it had been during the episode but quite annoying to disturb my everyday life I have pain in my left arm and joints left leg and joints of both of my legs I also have back pain and tremor but not always I get tired very easily but tired does not mean tired it means that I start having problems with my balance in the left leg tingling eye sight problem cannot cope with too much noise argues and fights with family gets me worse nobody understands there is something going on the last neurologist I saw said that it is a matter of stress so he suggested to consult a psychiatrist my psychiatrist says stress does not cause this sort of pains as I already get a depression treatment for seven years however let me say they are going to get me crazy with all this do you have any idea how I might proceed | medium severity |
I have itchy skin rashes with abdominal cramps and nausea will i'd allergy cause such symptoms | hi I have gone through your query and reviewed the attached photograph it seems to be an eczematous rash also the rest of the symptoms could be a side effect of the i'd intrauterine device you can consider removing it for the rash I would recommend you to apply topical steroid like clobetasol propionate cream on the affected areas twice daily along with antihistaminic like tablet cetrizine 10 my once or twice daily depending on the intensity of itching for two weeks this should help in resolving your problem asteroidal preparations are prescription drugs and you need to see the doctor in person to get them | hello doctor I am very itchy one time my finger itched in the same spot for like two or three days intermittently then it was my foot I have also developed skin rashes that come and go doctors say it is either eczema or some kind of skin condition or bug bite these rashes come and go one doctor even thought I had an sad and so I got tested for every sad out there everything came back negative I even got tested for cancers diabetes lupus hepatitis and a whole bunch of other stuff again everything was normal I am also experiencing dizziness where it feels like the room is spinning off and on and tightness of the skull first it was on the right and left side then it migrated to the back and now it is back and the front sometimes my scalp feels like burning I have got chills on my hands and feet I have abdominal cramps diarrhea and nausea what is going on with me I am on the paragard i'd but no one wants to say I am having an allergic reaction and they are telling me everything is fine I am so scared because I think I am being poisoned do you think this is a reaction or do you think I am a hypochondriac I am currently on psychiatric pills and mood stabilizers | medium severity |
how is ehlers danlos syndrome diagnosed | hi joint hypermobility can be due to ehlers danlos syndrome which is characterized by weakness of the connective tissues of the body it is also seen in down syndrome and in people with marian syndrome I do not find a picture of marian syndrome seeing your images however the fact is that it is very rare to get a classical picture of any syndrome usually we get the mixed picture there is no point in finding your problem this way through photographs and reading about the disease on the internet I would advise you to get the following investigations genetic karyotyping echo thyearoid profile x ray of long bones these investigations will give an idea of what you actually have on the basis of available information and attachments my first diagnosis would be eds I hope this helps | hello doctor so frustrating so a geneticist made a statement that I might have a mild form of hypermobility eds so I went to a rheumy who told me my brighton score was and that he knows I have hypermobility syndrome and would have to see a geneticist to see about the possibility of a mild form of eds it is like I just came from there all I know is I have joint pain clicking and back pain in my white smooth skin you can see most veins I have such bad stretch marks he even questions saying you just had one baby my hair is thin and falls out I have a sensitive tummy and get on and off chest pain I have a skin condition with little red dots everywhere as well as hay fever and cat allergies I know I have not had any dislocation but I have had a couple sprained wrist and ankles as well as a few times my knees gave out it would be lovely if I just got somewhere with my do as my pains get worst with age and I am only 21 this year | high severity |
why do tonsils get hurt while coughing | hi it is surprising that you were not started on medications despite your tonsillitis and throat complaints it may be possible that your symptoms or findings were subclinical when you saw the doctor and it may have worsened further since then it sounds like a throat infection for which you may need a course of antibiotics on an online portal such as this it is not recommended for me to prescribe antibiotics without an in person evaluation however I can recommend the use of antiseptic gargles such as dilute betadine gargling my of betadine in 50 my of lukewarm water do not swallow thrice daily before and after meals for about a week along with over the counter available anti inflammatories such as paracetamol 500 my twice daily for three days if you develop fever or your symptoms worsen it is advised that you show yourself to a doctor or at the er and in such a situation I am certain that you will be treated with medications appropriately | hello doctor I am a 14 year old male last week I had really bad pain under which I realized was my tonsils I went to a doctor to get it checked out he said they were definitely infected but they did not give me any medication he said it would go away by itself now I have a really bad cough when I cough it makes my tonsils hurt like crazy last night I had a really bad coughing fit that I could not breathe so I ran to the bathroom and ended up coughing up blood also when I sleep I feel as if someone was pressing on my chest and it is hard to breathe and it is also hard to swallow currently when I cough it hurts my tonsils my chest and now also my head only when I cough I get a sharp pain on my left temple I feel awful my mom said I also look really pale and my teachers have been asking me if I am fine because I do not look well I do not want to go see a doctor because it is a waste of time if I do not get any medication please tell me what I can do to feel better | low severity |
kindly suggest medicine for burning and itching skin rashes in private area | hi welcome to icliniq com itching over the private area has multiple causes the most common cause is a fungal infection which presents as red annular patches which keep on increasing or as redness with itching and burning with whitish deposition over the glans and foreskin the second most common cause is scabies which presents as red itchy bumps over the penis and scrotum if you would have shared the picture then it might have helped me to correctly diagnose the problem anyway for now I will prescribe you medicines for both fungal or mite infection tina cruris candidiasis scabies tablet levocet levocetirizine 10 my one tablet in the morning and one at night capsule itraconazole 100 my one in the morning and one at night luliconazole cream apply at night over the rashes clotrimazole cream apply in the morning tablet ivermectin 12 my one tablet once a week for two weeks permethrin cream apply all over body except face from neck to toe at night and wash in the morning complete one cream in one application apply once a week for two weeks after one month | hi doctor I am facing skin rashes in private spaces for three days and it is very itching and burning situation kindly advise me medicine I am staying abroad for a project | low severity |
do positive it test confirms the presence of tuberculosis in a kid | hi welcome to icliniq com I have seen the reports the very first thing why you suspected that your child may have to tuberculosis what are the problems he is having like prolonged cough are any swelling in the neck or any contact with a person who is known for lung to looking at his weight he seems to be growing well except for it mantoux tuberculin test which 15 my positive all other tests are normal ray findings are non specific best if you can get his sputum test to isolate germs in this age group it is done by gastric lavage or if he has significantly large glands in his neck then a needle biopsy of the gland which a safe and easy procedure there is a very fast and accurate test known as per polymerase chain reaction to confirm the presence of to germs if there is a contact with a confirmed case of lung to then with this it result you need to start medication I hope this helps | hello doctor I need to know whether my child is affected by to or bronchitis I have attached his ear blood test and chest ray kindly suggest | high severity |
my child is passing mucus stools after taking cold and cough medicine why | hi I have seen her reports your child has a respiratory infection and nothing to do with her potty the mucus you say is due to the swallowed phlegm she needs an antibiotic like moxclav dry syearup my twice a day continue astahlin syearup also and give calpol syearup if there is a fever and get back | hello doctor my child is years old she was suffering from cold and cough and was under medication like mucolite timinic septilin and asthalin 5 my for the last two days she was doing mucus potty now it is getting better today we did a test and attached is the interim report please advise the anal side is a bit red and once when trying to clean it she in not allowing it she has no fever | medium severity |
what causes chondromalacia of knee | hi I understand you have pain in the knee going downstairs it is good that your knee mri magnetic resonance imaging is normal which means you do not have something major to worry about regarding chondromalacia patella as diagnosed it is usually due to just softening of the cartilage I would recommend you not take complete rest in fact you can just do some exercises of the knee to make your muscle strong like quadriceps hamstring exercises static exercises and knee rom exercises movement of the knee makes cartilage more healthy but avoid running jumping or strenuous activities I would suggest you can continue some medications for calcium and glucosamine for healthy bone and cartilage if you do the above exercises and take good care of your joints your condition will improve | hello doctor I feel pain in my knees only when I climb downstairs I feel pain below around knee cap I am 48 years old and was quite active in running and sprints my mri shows nothing and doctors are stating chondro patella I am on rest but no big difference in four months all medical traits like vitamin are great recently I started taking glucosamine I am healthy and quite fit | medium severity |
habit and urge of anal masturbation is affecting my concentration in studies please help | hi welcome to icliniq com I have read your query but it is not very clear you have not mentioned how many times you masturbate or if it is causing problems other than psychological and the exact nature of these psychological issues however I will address the last part directly where you feel the urge or acting on the urge causes you to lose focus you can try the following divide your day into hours given over to all activities and then try to stay within the allotted time for each this includes meal times time allotted for bathroom breaks and masturbation along with different subjects do not forget to allot yourself free time to pursue whatever you want even if it 30 minutes per day if you feel the urge during a time allotted for another activity it means you have lost focus so shift to another activity and then get back to the remaining time for the former try to incorporate exercise in your schedule endorphins are released in both so that might distract you as well last but not least you do need therapy to figure out which issues bother you anal masturbation in any form excessive masturbation or your inability to concentrate this can be provided by a school or college counselor as a start if you cannot contact a psychiatrist or psychologist I hope this helps | hello doctor I have a problem with sex related to long anal masturbation and it is causing my life at risk I cannot concentrate properly on my studies I am feeling constantly with my anus please help | low severity |
I cannot handle my bad mood after exam failure please help | hi welcome to icliniq com failure can make you feel nervous and a little less of ourselves but understand that your self worth does not depend on exam results everyone has their own strength and weaknesses you too are good at something and bad at others clearly you are under a lot of stress I would suggest you talk to someone you can trust and share your feelings also I would recommend talking to a counselor psychologist or therapist they will help you with coping up with stress and anxiety and teach you techniques to have better control on yourself and also you can learn some study techniques which will help you perform better again remember you are not your exam results I am sure you have amazing potential you just need to find out what you are good at and become the best version of yourself | hello doctor I am 19 years old last year I failed in maths exam and now I am trying to pass it my exam is in april my mind is telling me not to study because I already know what is going to happen my father keeps asking me when do I have an exam or do you study my nerves can not handle this anymore after some minutes later I start crying for no reason the same thing is when my father yells at me I fall in a bad mood I start feeling bad when this happens I cannot listen to music I cannot watch to or do anything else it feels like I am dying inside I do not know what to do honestly they would probably think that I am not a grown man but I cannot help myself I really want to know what should I do I am nearly giving up I would be grateful for your help | low severity |
I am diagnosed with bah and cannot empty my bladder even after taking medications why | hi you will need to see your urologist and get a uroflow test done if the flow is fair with current medications and you do not hold much residual urine on sonography you may consider continuing the same medications and add an anticholinergic to reduce the frequency of urination if the flow is poor and or if there is large residual urine or if you are tired of taking medications you can consider surgery prostate surgery is minimally invasive done through urine tube and usually requires one to two day stay in hospital the gold standard is turn transurethral resection of the prostate or hole holmium laser enucleation of the prostate hole is basically prostate surgery done endoscopically with holmium laser this reduces bleeding and gives faster recovery compared to the older turn method thulium laser is equally good other less invasive options are green light laser tum transurethral microwave thermotherapy prostate lift etc which are day care but success rates are lower and generally indicated for smaller prostate or unfit patients alcohol increases urine formation and so temporarily you feel better flow but it only puts more strain on your bladder so avoid binge drinking or holding urine for a long consult your doctor for the best decision I hope this helps | hello doctor I am a 60 year old male diagnosed with bah for three years now I have been taking tamsulosin my and dutasteride my once a day for the entire three years under the supervision of my go for the past three months my symptoms have gotten progressively worse my bladder does not empty completely and I have to urinate every hour the longest I have gone without urinating in the last three months is three hours and it is very rare that I can wait that long I have done some research and see that there are several surgical options I am looking for a recommendation for the least invasive but effective procedure on a side note the only time I can go for hours without having to urinate is if I am drinking alcohol beer after three or four beers I urinate with a very strong stream and for a long time I then do not have the urge to go again for almost three hours I realize that drinking beer is not an effective treatment but thought I would mention it in case it is helpful | high severity |
how to tighten my double chin and sagging jawline | hi I have seen your pictures on the detailed analysis of your face it seems you have a bit of prominence of the jowls there is no double chin it seems to be entirely normal but if it worries you can go ahead with botox for muscle hypertrophy or thread lift I would like you to get examined clinically and judge what is required | hi doctor I am 26 years old I was looking for a professional opinion on treatments to remove a double chin and saggy area around the jawline and if possible some type of restoration to the cheek area I have sent some pictures the first five pictures are recent the other two are taken before few years I am a smoker for eight years could this have contributed to the cause of note I weigh about the same weight as I do before a year over the past year I have lost 25 pounds current weight is 170 labs due to exercise and diet yet double chin persists is sagging around the jaw due to loss of skin quality or would more weight loss solve the problem | low severity |
I experience muscle twitches which increases during anxiety should I worry about als | hello welcome to icliniq com twitches are seen in als amyotrophic lateral sclerosis however they usually start in the hands and are accompanied by the thinking of muscles or atrophy of muscles a much more common cause of twitches is anxiety leading to hyperventilation leading to decreased calcium level in the blood in your case the most likely cause of twitches is anxiety however since I cannot conclusively rule out the possibility of als I suggest you do nerve conduction studies which can diagnose als please feel free to followup with the nerve conduction study report and we can discuss in detail | hello doctor I have been experiencing muscle twitches in several areas of my body for a period of three weeks it stared in a small area in my back then stopped returning in my right hip and since then the twitching has appeared at my right shoulder both thighs both hamstrings both calves forearms and both arms it lasts not more than five seconds and stops when I exercise or contract the muscle the twitching tends to increase when I am anxious which is often at present my left forearm and fingers experienced slight pins and needles I have no obvious signs of muscle wastage and no clinical weakness I have full use of all limbs workout daily with no obvious decrease in intensity should I be worried about als as it is causing me to have anxiety attacks and to question everything | medium severity |
I have sjogren syndrome with shortness of breath and increased heart rate what should I do | hello from your description it is clear that you have confirmed sjogren syndrome unfortunately it is a chronic autoimmune disorder and treatment options are very limited the treatment is only symptomatic and supportive in the sense that whatever symptoms you have we intend to alleviate those symptoms but no definitive treatment is effective in the long run as you said you experience shortness of breath on exertion it suggests that your airways and lungs are probably affected by the disease so it is our first aim to detect up to what extent is the lung involvement by doing various tests the characteristics of the disease is dryness of various mucous membranes and dryness of airways which leads to further symptoms like cough bronchitis or bronchiolitis and bronchial hyperresponsiveness pulmonary hypertension can set in the long run so keep watch on it by regular ad echo test of heart for pah pulmonary hypertension also keep watch on various complications of the disease corticosteroids and immunosuppressive treatment have shown some promise but it is not void of side effects var beclomethasone dipropionate inhaler will alleviate your cough and breathlessness but it is better if you take fluticasone plus formoterol inhaler twice daily along with spacer also taking levosalbutamol and ipratropium inhaler for emergency use is also advised immunosuppressive tablets like cyclosporine can be taken under your physician observation overall total treatment is symptomatic I hope this helps | hello doctor according to my doctor I have sjorgen syndrome my big issue is that at times I have shortness of breath and it comes and goes it used to happen not too often years ago but now it happens every other month last year I had to be hospitalized due to my racing heart which went to the 180 bum and no one knew the cause of it my pulmonologist prescribed me var and I take it daily my symptoms are starting again where I get so tired even to eat while sitting at rest what should I do | high severity |
valsalva method to release the blocked eustachian tube does not work why | hello I have seen the photos attachment removed to protect the patient identity it appears that after the ear infection there is some fluid accumulation inside the middle ear we call it otitis media with effusion this is quite common after an ear infection and usually occurs due to some remnant inflammation inside the eustachian tube that prevents the flow of mucus from the middle ear into the throat through that tube this can be confirmed clinically by otoscopic or endoscopic examination additionally the hearing loss can be quantified by pure tone audiogram pta and the fluid confirmed by the curve in impedance audiometry do you have any pictures of the drum or the tests if so please share it with me usually the effusion takes a couple of weeks to resolve and needs a different type of medicine than the one given for infection you need decongestant oral and local nasal sprays antiallergics and a mild anti inflammatory agent do revert back to me with more details and we shall discuss what has to be done do not do valsalva if there is any nasal block or congestion still as that would push the mucus further into the tubes and increase the block | hi doctor I had an ear infection about two weeks ago and just finished the antibiotic in the past two weeks I have had a fluid stuck in my middle ear with no relief there is a lot of uncomfortable pressure in my ear and my hearing is completely blocked on that side I believe my eustachian tube is blocked I have tried a number of decongestant and also the valsalva method but nothing has worked I have a few very clear photos of my eardrum I could show you if that helps also in the past few days bubbles are present in the fluid behind the eardrum please help | low severity |
I have occasional muscle spasm on the right side of the lips should I consult a doctor | hello welcome to icliniq com I have gone through your history and I want to explain something about lip twitching you told that you have muscle spasm on the right side of the lip this condition is known as lip twitching it is not a serious symptom so do not worry it will happen because of excess stress fatigue excessive intake of caffeine such as cold drinks and coffee the pathological cause is deficiency of potassium ion in the diet it is self limiting it will not cause any residual problems if you have this problem per hour or more than that there will be some underlying pathologies that you have to be investigated but in 90 population lip twitching does not cause any problem it is one type of involuntary contraction of lip muscles it may also be due to the contraction of the muscle fibers as a result of direct stimulation or irritation or injury of the nerve supplying these muscles tics spasms tremors bells palsy and fasciculations general muscle twitching may also cause twitches of the lip but all these disorders have other major symptoms also so there is no need for any treatment and other investigation idiopathic | hello doctor I have had a muscle spasm on the right side of the lip that has been going on for a little over 12 hours and it is a constant muscle spasm it goes on for like a minute or two and then stops for a few seconds and happens again I have had muscle spasms before but never one to last this long I am not sure about what I should do I am unsure if it is a bad thing or what is causing it what would cause something like this is this a bad thing should I go to the doctor | low severity |
will fidel induced hypopigmented patch on face fade on its own | hi if the patch is secondary to the use of elidel pimecrolimus fade cream then it is temporary within two or three months gradually it will subside right now do not use anything else on the face except for sunscreen and moisturizer if it does not subside even after three months then you can go for the treatment in treatment there are medicines available which helps in repigmentation of the skin but right now do not apply any medicines let it heal on its own post inflammatory hypopigmentation sunscreen and moisturizer one month | hello doctor I experienced a rash after an allergic reaction that spans from my chest neck and face I removed the allergen from my diet and was prescribed elidel to help clear the rash however I experienced over the course of two to three days white patches which look as there is absolutely no pigment present in these areas will hypopigmentation from the use of elidel fade I was prescribed elidel for the first time for a rash on my face I am pale but these are extremely white patches reminiscent of acne scars but being completely flat is this likely to be permanent will it likely fade if it may fade how long would this likely take what are my potential treatment options no major injury to the sites was noticed aside from the generalized rash that was being treated | low severity |
will septate uterus show false positive pregnancy | hello the report shows septate uterus but no intrauterine pregnancy as per written reports please share your ultrasound pictures for review of septate uterus as far as pregnancy is concerned get a serum beta hug human chorionic gonadotropin test done first and if positive then repeat scan for ruling out an ectopic pregnancy | hi doctor I recently visited a gynecologist as I missed period I visited for the confirmation of pregnancy she tested my urine sample and confirmed that I am seven weeks pregnant she prescribed some medicine and asked for my symptoms I said there are no symptoms like nausea and I only bared sharp stomach pains sometimes she suggests pelvic ultrasound at that time and I went for a pelvic ultrasound he tested twice and he says he did not find any gestational sac and also he puts a question mark he mentioned septate uterus in the scanning report I was worried and my doctor saw that report and asked to do the test after one week I am really worried do I have septate uterus why he puts a question what is their opinion I do not know what should I do next please suggest | high severity |
what causes high systolic be inspire of normal diastolic reading | hello I understand your concern and would like to explain that those abnormal diastolic be value spikes could be due to erroneous readings of automatic moron be equipment in the settings of episodic cardiac arrhythmia probably extrasystolic arrhythmia atrial fibrillation etc coming to this point probably it would be more appropriate to use a manual sphygmomanometer device several times and get an average value I would also recommend discussing with your attending cardiologist on the possibility of investigating your heart rhythm through an ambulatory egg electrocardiogram monitoring test hotter in addition thyearoid renal and adrenal function tests should be tested to rule out possible organ dysfunction I hope this helps | hi doctor I have been getting unusual readings tracking my blood pressure on my moron 10 series I have been following the instructions to try and ensure accuracy over the past several days I have captured readings with extreme isolated spikes in diastolic pressure that coincide with my machine notifying a detectable irregular heartbeat and my diastolic pressure is normally within a very tight range however I am consistently getting readings that jump dramatically as high as 135 mhg when this occurs my systolic reading is not significantly affected from there I take a follow up measurement a minute later diastolic reading normally is lower but still greatly elevated to my normal range the first few times this has happened I ignored it but it is occurring more frequently over a period of several days otherwise I do not have any noticeable symptoms should I be concerned | medium severity |
what is this condition where I can retract only half of my foreskin | hi revert back with the details to a sexologist online | hello doctor I can retract my foreskin in flaccid state but in erect position I am not able to retract it sometimes I can retract it up to half of glans but then it starts hurting what is this condition called should I go for circumcision or any other surgery or can this be treated by medicines | low severity |