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I am 35 years old and it scan shows risk of down syndrome what is the accuracy of it scan | hi your report in the link is not readable however the values that you have written in the query seem to be all within range for t21 cut off is in 250 and it 3 my is also fine may be you are 35 and doctor wants to be doubly sure for your safety | hi doctor I am 35 years old right now I am14 weeks pregnant my doctor found out that my baby has a risk of down syndrome in it scan at weeks days the cry was 48 my and it was 32 my the double marker test report is showing background risk 21 369 and adjusted risk 911 18 background risk is 4357 and adjusted risk is 238 t13 background risk is 10257 and adjusted risk is 3524 doctor did nip after this report can you tell me how accurate the results are and why nip was done | medium severity |
my months old grandson has developed red spots in body after eating egg yolk please help | hi as you have mentioned he is allergic to egg you need to stop giving egg being allergic to one food he might be allergic to other food or articles common food which are considered to be notorious are fish peanuts egg and also take care of dust and pollen of flowers currently just give those food which you have already introduced do not add any new food for at least two weeks introduce new food in a very small quantity one at a time and watch for any reaction presently as he is having rashes give syearup zyeartec cetirizine 5 my once daily for five days | hello doctor after introduction of solid foods to my months old grandson he was doing well we introduced rice dal pumpkin apple and beans urine stool and the body temperature was normal and baby is also active next we introduced egg yolk within 24 hours three rashes red spot appeared on his left hand palm within 48 hours another three red spots appeared in the mouth within 72 hours another two similar red spots appear on the left ear and it was there until today urine stool and body temperature is normal and the baby is a bit less active we have stopped egg yolk but continue rice dal apple puree banana baby is taking formula stage at a normal rate please suggest what care we should take is there any suspected food allergy for him | medium severity |
please suggest tablets to prolong the duration of intercourse | hi according to your statement you want to increase sexual intercourse by sex tablets you should provide detailed history of your sex related problems then it will be easy for us to solve the problems you can take tablet viagra half an hour before sexual activity I want to add some medications that are given below emma cream apply a small amount to the head of the penis and wash off before starting sexual intercourse tablet priligy 30 my one tablet one hour before sexual activity you can continue these medications along with tablet viagra to improve your sexual performance | hello doctor I want sex tablets that work for longer hours please suggest | low severity |
how can parasitic infection of git be treated | hello yes it looks like some parasite kind of thing but difficult to say from picture it is better to get proper stool test with special stains that will tell kind of parasite other thing I want to know is what kind of gi issues you have exact nature duration and also pain is there or not constipation or diarrhea for parasite I recommend tablet nitazoxanide 500 my two times a day for days will climate most of parasite from your body gi issue related to parasite is not so common so I think it is better you describe your exact history of gi issue and what medications they had given to you | hello doctor I have had gi issues which do not go away there severity is cyclical I have reason to believe that I may have a parasitic infection | low severity |
I have vaginal dryness and itching at night what should I do now | hello first of all I like to inform you that cos polycystic ovary syndrome could be an underlying cause for vaginal dryness due to hormonal imbalance caused by cos itself secondly itching is probably the result of vaginal dryness rather than anything else in case you are sexually active we need to look for sti sexually transmitted infection as they can also present with similar symptoms practically speaking if the vaginal dryness causing significant impairment in your quality of life it is time to see a doctor she may run some tests and do some examination to find out the exact cause of the problem however for time being topical estrogen can be used for symptomatic relief it is available in the form of gel ring or cream as per your convenience you can use either cream or gel and the use of ring requires assistance of a doctor the second thing is stress management stress is one of the common reasons for causing decreased vaginal lubrication thirdly avoid soap based formulations to clean the private area as it increases dryness I hope this helps | hi doctor I have cos and suddenly I am having vaginal dryness and a bit of itching especially at night I have tried all homemade remedies for my periods but I did not get it what should I do now and this vaginal dryness is literally making me feel irritated please help | low severity |
I accidentally took double dose of levothyearoxine and facing some side effect how to proceed further | hello I can understand your concern according to your statement you have been suffering from hypothyearoidism for the last seven years and your current medication is levothyearoxine 75 micrograms daily but last friday you took double dose of levothyearoxine that was 150 micrograms and felt nervous with increased heart beat and joint pain at first let me ensure you that taking an extra dose of levothyearoxine by accident is unlikely to harm you get side effects such as rapid heart beat chest pain sweating nervousness etc they may not develop at once it may be several days before they come on these side effects that are resulted from over dose will be subside over time and basically no treatment is needed normal range for ash level is 4 mu so your recent ash level is within normal limit as your last year ash level was 5 mu and recent result is 6 mu which is within the normal limit so continue your current dose of levothyearoxine no dose adjustment is needed now you are suffering from weight gain puffy eyes hair loss etc if these are resulted from the side effects of levothyearoxine then they will be subsided soon please monitor your blood pressure and do investigations like with abc complete blood count ribs random blood sugar and creatinine level to exclude other causes | hi doctor I have hypothyearoid for many years and I am having daily 75 ug dose levothyearoxine medicine but last friday I took 150 ug dose by mistake and after that I started to have joint and bone pain and my heartbeat becomes higher and I am nervous about what to do now should I continue with 75 daily or any other help or recommendation to proceed | medium severity |
I get movements in feet and tingling before I fall asleep is it parkinson disease | hello I have studied your data 10 months ago I have a sudden onset of tingling on the left side after workout but with normal mri magnetic resonance imaging brain and spine which means the stroke is less likely later you noted random twisting of muscles fasciculations with right hand action tremor occasional movements before sleep hypnogogic periodic limb movements work up showed son but the cause of it not known until now with normal nav egg we need to find out the cause of son like autoimmune disorders etc it is not parkinson syndrome as it is not fitting into it so do not worry about it seems some benign tremor fasciculation syndrome please answer some of my questions any family history of similar tremors any painful or burning sensation in palm and soles I want to know about your blood sugar status thyearoid profile ear erythrocyte sedimentation rate cop reactive protein ana antinuclear antibody alla antiphospholipid syndrome anna anti neutrophil cytoplasmic antibody | hi doctor about 10 months ago after a workout I had pins and needles on the left side of my body after months of iris and eggs I got a skin biopsy that showed you gave small fiber neuropathy before I knew this I got a deep tissue massage and started getting fasciculations they had calmed down much since october but I will notice them here and there I always developed movements before I fall asleep my feet may just move or even my chest it gives me much anxiety to go to bed lately I have been noticing a little tremor in my right hand and tingling in them when I tried to put in fake eyelashes or hold a pen for a little time last week I have noticed my thumb moved twice also I feel sometimes like my teeth are shaking a lot or euros have told me that I am 32 and not to worry about much but they overlooked sfn I am worried all eggs are normal I am concerned now and I have early parkinson s | low severity |
I was diagnosed with peptic ulcer for blood in stool but medication did not help why | hello well the peptic ulcer disease often presents with upper abdominal pain it does not present with per rectal bleeding unless some once has a brisk and huge amount of bleeding ulcers with the stomach or small bowel and the color of stools often appears dark tarry black if the source of bleeding in within the stomach or small bowel I understand you have fresh red color bleeding in stools which comes every day you pass stools plus cramps and pain over the left lower side of the abdomen suggest few possibilities infections with the parasites such as histolytica diverticulosis with diverticular bleeding ulcerative colitis is an autoimmune inflammatory disease causing ulcers in the rectum and large bowel colon I want you to stop caflam diclofenac since this is a painkiller and can cause ulcers within the stomach small bowel and large bowel it can also precipitate your peptic ulcer disease I recommend you to use tablet flagyl 400 my thrice daily for five days plus capsule cefspan cefixime 400 my once daily for five days I ask you to get the following tests and get back to me once they are done I would further guide on you what to do next you should also stop mebever motilium and cirpoxcin they would not be useful in your case rest of your medication can be continued plus take capsule esomeprazole 40 my half an hour before breakfast daily this is for your peptic ulcer disease I hope this helps infection colitis ulcerative colitis diverticulosis and diverticular bleeding solitary rectal ulcer syndrome anal fissure complete blood count stool for detail report stool for ova and parasites stool for diffcile antigen stool for fecal calprotectin ha titers for histolytica serum cop reactive protein level | hello doctor I was diagnosed with peptic ulcers because I was having blood fresh in my stool I am on medication but the medication is not effective because my blood has not stopped for even one day it keeps coming every time I go to pass stool and at times my stool has blood in it too my stomach feels stretchy most of the times and I feel cramps too often a few days back I have started facing left side pain as well I do not really know what is the reason for the blood not stopping and my pains just to add I do not have constipation issues because I am having ispaghol every night before sleeping the medication I am taking are sucralfate enema once daily transamin 500 my twice daily mebever 200 my twice daily motilium 10 my twice daily caflam twice daily ciproxin 500 my twice daily and ispaghol before sleeping | medium severity |
what causes frequent abdominal pain | hello I will help you regarding your problem there are multiple reasons of abdominal pain out of which most common conditions are ulcers and indigestion in both of the condition every investigation will be normal you may have problem of indigestion in which pain came and go away to relieve from it you have to change your daily dietary habits avoid spicy and fatty diet regular walking and exercise is must drink plenty of water you may go through upper gi endoscopy which will tell you about ulcer in stomach start medicines which I am prescribing here they will help you in digestion and to heal ulcers please send me your us report to comment on the finding in liver upper gi endoscopy syearup gelusil top ads for days tablet drotin 80 my be for days | hello doctor I have a problem of abdomen pain since last months which comes and goes away I too have aches and pain in my body which comes and goes away I recently got all my medical tests done but it is normal apart from my ultrasound which reflected strong light spot in my liver whose focus is calcified is there anything to worry | low severity |
I have abscess at the back of the top molar untrained for the past years will antibiotics help | hello I went through your query I am sorry for your inconvenience it is too hard to be in such conditions for a long time but do not worry as an expert I would recommend you to upload an image of the area I strongly needed that to comment on any of it yes there might be any root stump left behind from the missing molar tooth leading to infection and abscess so just taking medications will not help if the abscess is not drained medicines can solidify the abscess to form antibioma what will be a complication as needed surgical assistance you can take betadine gargle in lukewarm water two or three times a day capsule amoxicillin 500 my one capsule thrice daily for five days tablet metrogyl er one tablet be for five days zerodol so aceclofenac paracetamol and serratiopeptidase one tablet twice daily for five days capsule pan pantoprazole before meal for five days periapical abscess due to retained root drainage | hello doctor I have an abscess in my gum for almost two years because I lost my back top molar and it progressed from there I do not have dental insurance so I have never gotten it drained or my missing tooth closed I have taken antibiotics for this abscess twice now when it flares up but now it is having a flare up again and I cannot afford to go to the dentist I have a bottle of amoxicillin from a different injury that I have never used are there any negative effects any antibiotics could have on this abscess if it is not the same antibiotic I have used before for it | medium severity |
I have third degree burns in right hand with heaviness and pain while letting down please help | hello as I saw in the history and clinical photograph attachment removed to protect patient identiy that you had suffered severe almost third or fourth degree burn with a scar and you have a lot of difficulties owing to it is almost six months and I think within a few days once couid infection comes to a standstill you can go ahead with the definite surgery of escher excision and grafting which might decrease your pain and trouble since most of the cases owing to pain and immobility the limb gets into state of contracture so I recommend you to do some kind of physiotherapy and exercise to prevent it you can definitely go and consult a plastic surgeon and go ahead but I recommend you to wait for some months since due to coronavirus there are high chance of hospital acquired infection you may take painkillers like tramadol when pain is intense | hi doctor I am a third degree burns survivor I was three weeks in the hospital before being discharged in the last week of november my right arm is the one badly hit by the fire it was a cooking gas explosion that splashed red oil over my body it is over six months now after my discharge and I have a thick black painful scar from my right arm to my hand I am also fighting contracture my doctors think I should let the healing take its full course before anything can be done the pain is much and the fight against contracture is intense I am no medication only apply honey and dermazin cream on it I have also stopped taking painkillers I have serious itching also and it causes me sleepless nights sometimes I feel slight heaviness when I let the hand down I have to make a fist if the hand has to be downward | medium severity |
I have sore throat for the past six months please help | hello please mention the symptoms what you are feeling any throat pain any cough any sputum production any nose block any chest pain any acid reflux any fever are you diabetic any post nasal drip send me a photograph of the inner side of your mouth showing posterior part of pharynx in open position common causes for chronic pharyngitis is persistent infection in the nose or ear in chronic rhinitis and sinusitis purulent discharge constantly trickles down the pharynx and provides a constant source of infection mouth breathing is seen in nasal polyps or adenoids environmental pollution smoky or dusty environment or irritant industrial fumes may also be responsible for chronic pharyngitis faulty voice production excessive use of voice or vigorous clearing of mouth throat in some professionals acid reflux due to lower esophageal sphincter leads to acid reach the pharynx cause irritation and pharyngitis treatment depends upon the cause use salt water gargling thrice a day for five days | hello doctor I have a sore throat since january at first I thought it was couid 19 and have been self isolating for a month but no other symptoms have occured it is nearly june and my sore throat still has not cleared | medium severity |
my doctor prescribed dogmatic 50 my for ibs should I be taking it | hello I welcome you to icliniq well dogmatic is not otherwise indicated in irritable bowel syndrome it is better given and effective if someone who has upper gastrointestinal tract symptoms such as vomiting nausea or early stomach fullness frequent belching is more a problem with small and large bowel not stomach otherwise so since you do not have any symptoms suggestive of stomach involvement I suggest you to refrain from use of dogmatic duspatalin however can be used and very well tolerated among is patients it is basically an anti spasmodic agent it reduces pain but can cause constipation you should remember this while its use I hope this serve the purpose take care and have a good day | hi do I have mild lower back abdominal pain lower back pain and pressure on the bladder area my local do diagnosed me with is after doing it scan ethnography oral and iv contrast urine stool and blood test the it scan showed everything was normal and urine stool and blood tests also normal he said take these medicines duspatalin 200mg twice daily and dogmatic 50mg twice daily when I read the side affects of dogmatic 50mg it has a lot of side affects for which I am a bit scared of my question is should I be taking dogmatic 50mg | low severity |
I have pain in my second molar with redness in gingiva and it hurts on eating and drinking please help | hello I went through your query I am sorry for your inconvenience with the tooth as an expert in this field I know what is exactly wrong nothing to worry it is your third molar what happens during erupting third molars or partially erupted third molars is the gum between the second and the third molars undergo swelling and pain due to infection it also makes mouth opening difficult in some cases but not to worry kindly upload an image if possible for more help follow these instructions do warm saline gargle two to three times a day take tablet sporidex cephalexin 500 my one tablet be for five days zerodol so aceclofenac serratiopeptidase and paracetamol one tablet be for five days capsule pan pantoprazole one capsule be before meals for five days these medications will help you a lot you will be fine erupting third molar pericoronitis avoid sticky or sweet or cold items not even cold water follow up after seven days | hello doctor I had pain in my second molar I felt the pain in my wisdom tooth last week then the pain fades away after 5 minutes I thought it will not come back but then it happens recently then the gums in my second right molar teeth have the red lining and it always hurts when I eat or drink and even when I do toothbrush please help | medium severity |
I have burning chest pain with acid reflux and hot flushes what should I do | hello welcome to icliniq com with history I come to a diagnosis that you have an acid peptic disease apd it is a common problem people face frequently I would suggest you to take less spicy and peppery food and avoid oily and masala foods kindly take plenty of water vegetables and green leafy vegetables I will give you tablets and take these tablets for 10 days and get back for follow up for further evaluation and management treatment tablet pan pantoprazole 0 before food tablet rantac 300 ranitidine od 1 before food syearup sucrafil suclralfate 10 my before food I hope this helps | hello doctor I have been having chest pain on the left side since a long time it feels like burning sometimes and at other times it feels like pressure I feel really tired most of the time and sometimes I feel a little light headed nauseous irritated and feel like coughing but I cannot I also get tired mostly after eating occasionally I get acid reflux like the food does not digested and I wake up in the middle of the night feeling like I cannot breathe and having heat flashes what should I do | medium severity |
I have itchy bumps and pus filled blisters in breast please help | hello could you attach picture of it are those painful are you sexually active or do have close contacts with other individuals or do you share any clothes if those are multiple small vehicles aligned or grouped together with clear fluid inside rather than pus then those are likely a herpes infection then you would antiviral like acyclovir or valacyclovir now since it is less than 72 hours it is better to get antiviral prescribed which gives better result with early treatment herpes is usually painful to begin with or may get painful later if there is single swollen area with clear pus demonstrable or there is drainage then it is a bacterial infection which would need antibiotics like augmenting this would be associated redness or tenderness so be it either ways you will need medications so get it prescribed after examination | hello doctor I have itchy bumps located on right breast with blisters filled with pus | medium severity |
is it possible to experience urine leakage due to anxiety | hello first thing first you do not need to be concerned about prostate cancer at all it does not occur at this age secondly have you done any investigations yet like uroflowmetry or ultrasound abdomen with peru do you have any urinary complaints like frequency urgency poor stream nocturia dribbling burning micturation are you diabetic or hypertensive or on any medications for this do you have taken any medication for your urinary problem urine leakage do you have urine leakage only after you go to pee or sometimes before going to pee you are not able to control and it leaks and when you cough or sneeze do urine leakage occur married children any history of constipation | hello doctor I am a 36 year old male I have been having a problem with urine leakage for the past few months after I urinate several drops of urine oftentimes leak out it has left a small spot on my jeans a couple of times it happens even if I wait a minute and try to force all of the excess urine out I have also noticed a drop in the tip of my penis occasionally when I am lying in bed I am wondering if this could be caused from anxiety I have had an extreme amount of stress over the past year which I believe has caused me to have some muscle twitching but I am also wondering if all of this could be caused by a pinched nerve also because of the stress I gained approximately 20 pounds a few months ago at 1 I am 182 labs which is just barely overweight could this cause this problem could this be caused by either stress a pinched nerve or weight gain also do I need to be concerned about prostate cancer | low severity |
kindly explain about the usage of lidocaine to numb the pressure due to retainers | hello I should recommend you revisit your dentist to get it adjusted the retainer might be too tight it should not be as tight to take a numbing spray lidocaine for now if you are using a numbing spray there is no way you can stop numbing your tongue in as you cannot manage the aerosol of the spay eventually it is going to spread and numb the entire mouth as you are saying for the time being I might suggest rexidine forte gel numbing gel it contains chlorhexidine metronidazole ligocaine it will help you better but its action might be less than the spray but definitely will help you with the issue of numbing the entire mouth dressing mouthwash relieves a bit pain upon using these two things will help you a lot pressure from a tight retainer | hello doctor I am trying to use lidocaine spray to numb the pressure sensation I get from wearing my retainer could you please tell me how to properly use lidocaine spray without numbing my whole mouth and tongue I just want to target the lower jaw | low severity |
can I get pregnant naturally after tubectomy | hi the method of tubectecomy can be identified only after opening during caesarian section or through laparocsopy if tubal ligation is done you cannot conceive naturally if you try there are chances of ectopic pregnancy you can go for if for another baby course of the pregnancy through if and natural pregnancy will be same in case of delivery if normal delivery you do not have to go through tubes if going for caesarean section you can identify it was previous surgery | hello doctor my age is 36 and I had tubectomy done 18 years back after second delivery cesarean like my first delivery I do not know whether the fallopian tubes were tied cut clamped burnt or banded is there any scanning or some other method to identify the process of tubectomy done to me is there any chance of getting pregnant naturally after tubectomy done by whichever method mentioned above to have a child now can we go for if so at the time of delivery will gynecologist come to know that I underwent if process for pregnancy because she has to do tubectomy again she will go through with these tubes at delivery time | low severity |
is it possible for skin tags developed from healed fissures to recur after surgery | hello I will definitely help you regarding your query skin tags are formed in long standing anal fissure these are nothing but accumulated skin due to fissure usually nothing to do that but if you do not like them you can opt for surgery it is a very minor surgery no side effects or any problem after removing them by experienced hands a raw area will form that will heal by its own it can reappear if you have another formation of anal fissure so avoid the conditions that will cause it again so do not worry just go through the surgery if you do not want them | hello doctor I have two small anal skin tags developed from healed fissures physically they do not bother me much but mentally I do not like to have them I consulted a doctor he said he can only remove 90 of skin tags as removing completely will affect the sphincter muscles he also said skin tags might grow back in future as skin looses as you age is there any side effects of the surgery or should I go ahead with surgery do the skin tags reappear after surgery | low severity |
I am suffering from anal fissure and warts with hiv please suggest solution | hello welcome to cliniq com I see you have taken all the necessary medications for the fissure in anus what I would like to tell you is you need to do two more important things firstly since you have fissure and piles I can guess you might have constipation quite commonly hence you must be straining to pass the stools so I suggest you stop straining while passing stools next add fiber to your diet consuming one cumber and carrot a day will help you a lot to avoid constipation also drink plenty of water throughout the day secondly how you use the medication is also important I advise you to do a sit bath twice a day add betadine my in lukewarm water in a tub and sit on it for to 10 minutes next apply the lox lignocaine hydrochloride cream opaque and not gel as gel does not get absorbed and the cream crosses the skin apply it before passing stools and immediately after cleaning yourself after passing the stools you can apply it whenever you have severe pain also you can also take syearup lactulose 15 my at night time after food for 10 days for the piles if you have third or fourth degree piles then surgery is the only choice for first and second degrees you can treat by tablet daflon 500 my one tablet a day for 14 days apply pile ointment or hemoproct ointment before sleep in the anal region avoid anal sex if any until the fissure heals lastly all acute fissure can be treated by the methods I have mentioned here and more than any medication follow the dietary advice and you can keep the fissure occurrence under control however if the fissure is persistent for more than two to three months it is better to get operated suggested operations are lateral internal sphincterotomy for the fissure and hemorrhoidectomy for piles also keep a check on your viral load and cd4 counts I hope this helps | hello doctor I am 25 years old I am suffering from fissure for the past one year but it is not healing properly I am using lox oil and stool softener softovac now regularly last time when I consulted a doctor he told me that I am having piles too with warts are now disappearing as I used imiquimod for more than a month but it caused the skin around my anus red little itchy and inflamed please help I am an hiv positive person can I use candid around the anus | medium severity |
my bilirubin level is with no symptoms of jaundice please help | hello well there are certain medications that can bring bilirubin down but your bilirubin is 7 which is within normal limits it does not require any treatment the possible cause of asymptomatic small raised bilirubin is gilbert syndrome which is completely harmless in case you suppose that I should diagnose your problem then please share the complete report of liver function tests follow up with complete liver function tests | hello doctor my bilirubin level is 7 but I do not have any symptoms of jaundice how can I bring the bilirubin level to normal | low severity |
I have a painful ball attached to the testicle please suggest medication | hi medium sized painful ball attached to your tests can be inflammatory and painful I understand the situation and hope to work up towards the right diagnosis and treatment the different masses can be inflammation of epididymis which is above the tests or spermatocele which is a cyst containing sperms and it can be painful if infected abscess also can be near the tests and can cause pain hematoma blood collection beside tests results from trauma or injury other thing like torsion of tests means twist of tests and blockage of its blood supply is considered an emergency and needs an immediate operation ultrasound is diagnostic to confirm the mass and its type then we can decide about the treatment I prefer you to go to a clinic near you to check preferably if they have ultrasound there then can be diagnosed properly you can take painkillers like brufen tablets 400 my thrice daily with omeprazole 20 my at night to prevent gastric ulcer and in addition augmenting amoxicillin and clavulanic acid tablet 625 my thrice daily for a week ultrasound scrotum | hello doctor I have a painful medium size ball that I think is attached to my left testicle it hurts too much to check but it will not move away from my testicle so I assume it is attached I am not on any medications | medium severity |
I have heavy feeling in ankle and feet while at rest and it subsides on walking please help | hello so there are two possibilities one is peripheral neuropathy and the second is restless leg syndrome now do you have access to any of those tests or atleast knows what all tests were performed are you having any medications for that I guess you do not have any hormonal issues or did not receive any medications recently there are certain causes we need to rule out besides diabetes like anemia or iron deficiency thyearoid problem vitamin b12 or folic acid deficiency and liver or kidney disease vitamin deficiency and hypocalcemia you may have some multivitamin supplements containing vitamin b12 like me12od or neurobion forte etc which may resolve this issue as vitamin deficiencies are quite common cause for the same meanwhile try to have a diet rich in green leafy vegetables fruits and calcium so you should discuss with your doctor regarding tests performed and request for remaining tests I hope this helps | hello doctor I am a 34 year old woman I am healthy and never had any serious medical problems before last ten days I have a weird heavy feeling in my ankles and sometimes it goes to the top of both feet it started in my calves and a couple of nights it went to my thighs and it felt like both my legs are on fire the feeling is more like tingly sometimes burning sensation and sometimes cold after this I started to have a singing in my fingers face and the occasional feeling of something is crawling on the body however this is not major symptom the most annoying thing is the heavy feeling in my feet which is there constantly it is more annoying when I am still but as soon as I start walking it feels like the feeling is not there I went to my go and they did blood tests and lyme disease and did not find anything please can you explain what may be causing this | low severity |
my period has got delayed could it be due to unprotected sex before few months | hi welcome to icliniq com have you been gaining weight also | hello doctor I am 20 years old I had unprotected sex before six months and I got regular periods for two months and then for the next four months I got period four days period and now at the seventh month I do not get period even after 39 days can you please tell me about this | low severity |
I have small white bumps in my testicle what are they | hi welcome to icliniq com from the pictures I saw those are called sebaceous cysts the small ones can disappear with time keep in mind you should keep the area clean and dry in summer like you can use powder to keep it dry but the bigger ones need to be removed do not worry removal does not need admission you just need to undergo small operation will numb the area with injection and remove the cyst putting one stitch then you can go home same day with antibiotic and paracetamol follow up after removal is recommended just to make sure there is no infection on the wound I hope this helps | hello doctor I have small white bumps in my testicles skin like pimples one or two looks nearly am size I am worried about this issue usually it will appear and disappear but this time it is not going please help | medium severity |
please suggest vegetarian diet plan for weight loss | hi as per your height your weight should be 68 keg here is a meal plan which you can follow for a month and contact back for follow up early morning one tablespoon apple cider vinegar in warm water then you can work out for 35 to 40 minutes after half an hour you can do breakfast one plate poca one cup green tea or one bowl oats porridge with fresh fruits or one multigrain parathas with curd raita mid morning one fruit five almonds or two whole walnuts after one and a half an hour lunch two whole wheat roti vegetable gravy fresh salad a bowl a bowl of yogurt or thin dal afternoon a bowl of sprout bhel or corn chaat or popcorn or china chaat late evening a cup of green tea a small fruit dinner a bowl of soup one roti veg gravy half plate rice a bowl of thin dal few slices of cumber and tomato bedtime a cup of low fat milk tips avoid fried foods and outside eating should be restricted to once a week avoid pickles and pads try to finish your last meal 40 minutes before sleep I hope this helps | hello doctor I want to lose weight I do not eat much and I have been working out regularly still I am not losing any weight I want a good vegetarian diet plan and some tips please suggest | low severity |
why do my year old daughter gets frequent nose bleeding only from her left nostril | hi the most common reason for nose bleeds in children of this age group is frequent nose picking we need to ascertain the cause of the nasal bleeds as the most common cause is secondary to dry nose and crusting which in turn causes irritation dry nose can be treated by using saline nasal drops four drops six times a day to ensure that the child nasal mucosa is kept moist and does not dry up in addition I would also recommend the child not to get directly exposed to ac fan as it can also dry up the nasal mucosa often adenoids hypertrophy usually the adenoids increase in size and they can also be a reason for recurrent nasal bleeds the child can be put on mometasone nasal spray two puffs two times a day for the next coming three weeks infection in the nose this can also be another cause of recurrent crusting and inflammation in the nose which results in nasal bleeds you can give her syearup augmenting amoxicillin and clavulanic acid 28 my 4ml three times a day after food for the next one week it is better to treat all three possibilities for long term relief from the symptoms all three aspects are extremely common and there is nothing that you need to worry about as it is very common for children to present with such a problem I hope this helps | hi doctor my daughter who is years old had a frequent nosebleed in her left nose first was last thursday then the second was three days later and today also on her left nostril I do not know if she pricked her nose but when I asked her she said yes I am a bit worried since it has been three times already but she gets bleeding only on her left nostril please advise me on whether I really need to have it check physically by an ent because I am afraid of the couid 19 situation | low severity |
I am having lower abdominal pain and unable to expel gas for the past days please help | hello well it seems that you have intestinal colic spasm of intestine the entamizole diloxanide furoate and metronidazole can work well if you have an infection otherwise not it may be because of you had something unusual with food that probably has caused increased gas production and or pain sometime excessive spices in food can cause this pain you should start taking syearup gaviscon 15 my thrice daily I suggest you to use syearup cremaffin if you have constipation at the moment take plenty of water you can use home remedy for now such as pippermint this works very well for colic I do not think that you should continue with entamizole unless you have blood in stools I hope this helps intestinal colic food poisoning infection colitis follow up if symptoms do not improve in two days | hello doctor I am not feeling well in my large intestine for the past three days I have abdominal pain in my lower part and it is effecting my bladder too I feel a bunch of gas in my colon but I am unable to expel it please advise I just used entamizole tablet yesterday night and today morning but still I am feeling discomfort | medium severity |
my year old kid is having high fever for the past days can high abc be the cause | hi whenever we suffer an infection our body immune mechanism comes into action those immune cells are nothing but wbcs white blood corpuscles so if the wbcs are high then either there is an infection or the body is trying to fight bad cells in the body wbcs are not the cause of infection but it can cause fever by its actions so whenever someone has a fever it is very likely that they also have a high abc count there are different types of wbcs which increase decrease in different situations so the aim of doing blood tests is to see if only one type of wbcs are involved or there are multiple increased cell lines our diagnosis depends heavily on which type of wbcs are increased so please put up the babys blood sample reports | hello doctor my baby is years old she is having a high fever for two days now last month when she had a fever we found out that her abc is so high we tested her twice and the second test shows lower results but it is still not normal so her pediatrician advised me to have a third test but due to pandemic I did not do it and my baby was doing well now I think the problem is still with her abc what do you think please advise | medium severity |
is it normal to get sharp shooting chest pain with increased heart rate in a patient with ar | hello firstly it is a moderate to severe ar aortic regurgitation with normal heart function and normal la dimension so there is no significant damage to the heart and also since you do not have symptoms of aortic regurgitation like palpitations or shortness of breath with exertion serial monitoring with echo would be enough now regarding chest pain it is unlikely to be cardiac it is likely related to acid reflux which is diluted by drinking water so you may have some antacid medications like rabeprazole domperidone or pantoprazole and domperidone combination before breakfast for few days you should also avoid spicy oily and hot foods as much as possible have light meals and walk for sometime after meals rather than resting immediately avoid too much tea or avoid caffeinated drinks now regarding heart rate it is unusual for heart rate to go up this much with simple walking however with running it is expected also one would certainly feel palpitations at this high heart rate and arrhythmic tachycardia would have other associated symptoms like dizziness shortness of breath chest pain etc so it is probably an artefact which is read as heartbeat by watch it is better if you can wear a watch which also shows egg tracings to confirm it or have 24 hour hotter monitoring to confirm it amtas is for blood pressure not to control heartbeat so if your blood pressure is elevated then you may have it so in a nutshell it is probably artefactual rather true tachycardia as it is unlikely for the heart rate to go above 150 with just walking however if one is too breathless during walking or has severe low hemoglobin or hyperthyearoidism with baseline elevated heart rate of more than 100 bum then it may or otherwise not I hope this helps | hi doctor my history I am a patient of aortic regurgitation moderate severe with a bicuspid valve so I as per my last checkup my question is many times I feel a sudden sharp shooting pain in the middle and slight left of the chest which shortens the breath and gets normal within a few seconds drinking water helps in to be able to breathe at this time also I wear a mi fit to track the heart rate while walking even when not walking too fast my heart rate touches 165 bpm is this normal I am suggested to take amtas 5 but I have not too it so far please help | medium severity |
what can be done to treat stomach pain gas bloating with indigestion | hello I can imagine the level of your frustration for your chronic unresolving symptoms and I really feel sorry to hear that you been back and forth around doctors for solution of your symptoms well I can very well understand your problem I will explain to you point by point lax les lower esophageal sphincter is not a uncommon findings on endoscopy it reflects that the valve which controls reflux from stomach to lower part of food pipe is little bit open however your endoscopy did not show any ulcer formation in the food pipe which suggest you do not have gastroesophageal reflux herd again your symptoms are not related to herd it is something else I tell in a moment so you see the fungal gastritis inflammation of the funds a part of stomach usually inflammation of stomach confines to the other parts of stomach like tantrum and stomach body but not to the funds the one cause of inflammation predominantly to the funds suggest pyloric infection this bug initially infect tantrum of the stomach then it moves to funds if chronic infection that has not been treated I will suggest you investigation before I suggest you an antibiotic course of this pyloric and remember this pyloric can cause stomach slowing leading to your symptoms of gas the condition is called gastroparesis below I explain to you in more detail the reasons of your symptoms of gas to simplify the constellation of your symptoms we doctors classify in to two the predominant gaseous symptoms or predominantly pain symptoms you have predominantly gaseous symptoms including bloating sounds burping fullness early satiety after meals and some gas in stools as well so it is important you should understand why these gases production is in excess in you the one such reason is I dysbiosis which is alteration of human gut bacteria more gas producing species these bacteria or harmlessly present in the human gut however at times the environmental factors food water other dietary habits change the composition of these bacteria and turn them in to gas producing bacteria I will give you an antibiotic for a week duration this will correct your dysbiosis I the other reason is excessive of food intake that produces gases these foods are collectively called as fodmaps these foods to be avoided as possible as you can I will share with you a link where you will find the list of such foods which should be avoided I less common mechanism is feeling of normal amount of gases this condition is called hypersensitive gut for this I would suggest you behavioral therapy called diaphragmatic breathing I will share you the link how you can exercise it at your home I really hope now you would the some idea of mechanism causing your chronic unresolving symptoms I would just correct your above mentioned mechanism and you would see the things get improved for you please find below treatment plan and I want you should update me about your symptoms in coming weeks time secondly I also want to suggest you some investigations as we can exclude any other possibility and treat the things accordingly dysbiosis functional bloating and gas pyloric infection overweight complete blood count ash ft3 ft4 liver function tests anti tag ga and egg fasting sugar level fasting lipid profile stool for pyloric antigen stool for giardiasis antigen stool for fecal calprotectin stool for ova and parasites stool for fat globules and reducing substance capsule rifaximin 200 my thrice daily for weeks this is for dysbiosis avoid fodmaps diet diaphragmatic breathing tab digestive metoclopramide 40 my half hour before meals you can stop the motilitum you can continue with pantodac you should stop peg 4k you can continue with librax but increase the dose to one tablet twice daily after meals avoid fodmaps I really hope that your symptoms will improve in coming weeks times till then you get some tests and revert back to me in the end of treatment course I would consider giving you another class of medication that you take for life long | hello doctor I have been suffering from stomach pain gas bloating strange sounds in stomach burping indigestion watery stools always floating stools on the toilet commode since last year took several medications for it and of no use finally I underwent endoscopy and colonoscopy last year and the doctor informed me that I have got fungal gastritis and lax less the doctor asked me to take months of medication for it for the first months motilium 0 1before food pantodac 40 0 before food librax 1 after food 4k peg hours after food it is completed | low severity |
can levetiracetam cause disturbance in sleeping | hello I would like to know some details of your symptoms since when you started to have epilepsy when you started to take anti epileptic medicines seizure details what happens during a seizure to you do you get aware of seizure just before it starts how frequent are seizures how many times in a month or year before starting anti epileptics while taking phenytoin while taking phenytoin levetiracetam since when you started to feel lack of sleep weird sensations lack of energy what other symptoms you feel these days how is your mood in day today activities appetite do you have ever undergone mri brain and eg and other blood tests if yes please send the reports and mri films through dicom software from mri cd how many times in a day you taking tablet levetiracetam 500 my phenytoin 100 my | hello doctor since after the holidays last year I have had a hard time sleeping due to some external factors light noise etc as well as marital problems eventually it got to the point where my hands started shaking again I stated feeling numbness in my feet my eyes move very fast sometimes these are all symptoms I experienced when I was taking phenobarbital and phenytoin four years back my neurologist changed the phenobarbital with levetiracetam and together with phenytoin the combination worked very well until I started experiencing these symptoms due to the lack of sleep also a weird sensation that I had at one point I felt as if my brain was growing bigger and bigger inside the skull and it got to the point where I was experiencing pressure and eventually headache after almost six months of lacking sleep I feel as when I was taking phenobarbital and phenytoin I have problems getting an erection I lack the energy I feel sleepy throughout the day and I experience all the symptoms which I only experienced with phenobarbital I really want to get back to how I felt when I started the treatment with levetiracetam are there medications that could replace both levetiracetam and phenytoin or maybe just the phenytoin could the phenytoin be taken out of the treatment completely please help me | low severity |
what causes presence of hav virus after complete treatment | hi I understand your anxiety the fortune thing is that even if last year hav was present the treatment has been done in the form of hysterectomy in fact it is over treated I do not think it is a matter of concern for your vaginal hav low risk types are rarely responsible for any cancer also if one is sexually active hav infection keeps coming and body deals with it by its own immunity what should concern us is a persistent hav infection in your vaginal smears so right now just use barrier contraception like condoms and repeat vaginal smear at months that is all follow up is what is needed as you are a very low risk case | hi doctor I was hav 16 positivethree years back follow up pap a year later showed positive for hav 16 again last year pap was normal but my gyno doctor notes stated pap normal but hav still present I was told today that I had cleared the virus last year but why would he write hav still present if I cleared it hysterectomy with removal of my cervix and uterus was done last year pathology of cervix and uterus were fine and normal last pap was weeks ago it showed abnormal cells in my vaginal cuff and hav positive but it is not 16 or 18 the nurse told me it is a low risk type | low severity |
kindly explain about dry socket | hello as a specialist in third molar extraction I will guide you through see what happens not only third molar any tooth extraction carry the risk of a dry socket it is nothing serious just unhealed extraction site upon extraction healing takes places by the blood cloth that stays in the socket post extraction that cloth dislodged if rinsed vigorously by the patient so as a precautionary measure I make sure to advice each of my patients not to rinse forcefully for atleast 24 hours and after that warm saline gargle gently just to remove if any food lodgement to the socket symptoms of dry socket is very painful area of extraction pain similar to the day after it was done and no such relief upon medication bone is visible at the extraction socket with no signs of healing this was all about the dry socket it is not like it a sureshot or rare thing its totally based upon how a patient manages himself 2 days prior extraction now coming to the management it is simple too nothing to be worried about you will have to visit your dentist he she will clean the socket to remove if any food particle and then place a gauze mixed with medication and pack the area of the socket due to placement of the gauze the area gets secures from further food lodgement and heals itself in 2 weeks to be maximum to ckeck it is better you send me an image of the extraction site I will have a look and let you know it is better this way to avoid any confusion I will be waiting for your response so kindly upload as soon as possible medications that you got along with warm saline gargle 3 times a day to wash off if any food lodgement at the site but do it gently and not forcefully | hello doctor I got my back right wisdom tooth removed today how often do people get dry socket how long until I will know I have it is there any way to check if the blood clot is missing | low severity |
my daughter has pinhole on nasal bridge with swelling and discharge at present please help | hi this is definitely a dermoid cyst sinus this lesion typically presents as a small opening sinus at birth and as the child grows the wall lining in the cyst accumulates sebaceous material which can get secondarily infected resulting in swelling and then a discharge in very few cases the sinus disappears as age progresses the infection has to be treated with antibiotics and once the infection subsides this cyst along with the enter sinus tract has to be excised under general anesthesia for now you can give her an antibiotic containing amoxicillin with potassium clavulanate 475 my three times a day for one week in addition syearup ibugesic plus or its equivalent my two times a day for one week to reduce the inflammation and pain I think for now this should be sufficient please do not go to puncture or do anything to the swelling as it can flare up the infection and inflammation I hope this helps | hello doctor my daughter has had a pin hole from birth on the bridge of her nose we asked her pediatrician and she said with time it will fade away but I have been researching because white stuff comes out from the tiny hole now she is years and it starts to swell up and it is red and tender her nose also sweats a lot is it a nasal dermoid cyst please help also what can I do to bring the swelling down | medium severity |
I have severe lower abdominal pain with an urge to urinate and diarrhea why do I get this | hello welcome to icliniq com well I understand you have pain with diarrhea and pain that lasts a few hours before it goes away listening to your history it seems a few possibilities the pain of intestinal loops affecting the cecum a part of large bowel or terminal ileum which is small bowel the causes are many but given your age there are possibilities of crohn yersinia infection or whipple and lastly uncommon is intestinal tuberculosis the other possibility is renal stones it is not necessary to have stones in urine in person with renal stones thirdly functional abdominal pain syndrome which is basically hypersensitivity of the intestine to food stools water etc this pain cannot cause weight loss however the causes mentioned above can cause fever and weight loss the third often overlooked cause of pain is nerve entrapment pain this is because of the compression of the nerve in between the muscles you see the list of differentials can be shrunken after a good history I want you to tell me more about your symptoms in context to the above mentioned conditions as we then target the one or two and investigate specifically and then can suggest treatment for the underlying cause do not get afraid it is completely possible that you may not have any of those but this has to be excluded from close questioning particular to these conditions I hope this helps intestinal inflammation functional hypersensitivity nerve entrapment pain renal stones follow up to discuss in detail and formulate a plan of action for management of the problem | hello doctor I am a 31 year old male for the past four months I have periodically experienced severe pain in my lower right abdomen and lower right back regions the pain comes quickly and can last for a few hours and is so severe that all I can do is lay down and writhe I have never passed any stones that I am aware of the pain is usually accompanied by the feeling of needing to urinate as well as some diarrhea when the pain begins to set in I make a point to drink lots of water I do not have health insurance so I have not had any imaging done I would greatly appreciate any input or recommendations | medium severity |
I have decay in the front tooth with gingival recession and bleeding please help | hello I went through your query as an endodontist I would like to assure you there is no major issue with your gums and teeth just minor cares in upper left lateral incisor and bit of inflamed gums due to deposition of tar and improper brushing techniques first try to brush in a proper technique that is in soft vertical strokes from gums to teeth edge and not a forceful horizontal motion improving these habits will solve your issue 30 rest you need scaling to remove the already accumulated tar and also the issue of bleeding gums betadine mouthwash gargle in lukewarm water two to three times a day you have a very minor cares please do not call it a decay it will need a small restoration and you are good to do gingivitis gum bleeding and recession cares in upper left lateral incisor gingivitis and irreversible pulpits improve the brushing technique get a scaling avoid sticky or sweet or cold food items until then let me know if any further query just post it and I will take care of it | hello doctor for the past one month I am facing a frontal tooth decay with receding gum sometimes I have bleeding gums please help | medium severity |
I have difficulty to concentrate with excessive mood swings and voluntary leg shaking please help | hello how long have you been having trouble with concentration mood swings and restless legs there are several different possible reasons that can cause these symptoms for example if these symptoms were present since childhood we may need to consider add attention deficit hyperactivity disorder if these symptoms started only recently mood disorder anxiety may be a possibility you will need a comprehensive assessment to determine the cause so that appropriate treatment can be suggested you can either consult a specialist in your city or contact us online for an assessment I hope this helps | hello doctor I have trouble concentrating it feels like my mind is always in a thousand different places at once and it is hard to keep in it one place or thought I have excessive moods and sway from one thing to next all the time I also have a constant voluntary shaking of my leg I need something to help concentrate | medium severity |
what is causing raised blood pressure on going to hospital | hello I have gone through your query and can understand your concern I would like to know some more details about your present problem how many times have you checked your blood pressure in clinic and what was the range of be I mean how much it rises do you have any cardiac symptoms like chest pain breathing difficulty on exertion or walking palpitations fatigue giddiness family history of hypertension I would suggest you to get a digital be apparatus at home and monitor your be at home if it is high at home also then you may definitely have hypertension and will have to be treated decision to work in couid 19 pandemic depends on the place you stay the number of cases you have around the safety environment of your office and so on but definitely has to be very careful and follow all safety measures kindly get back with above details for further discussion and management | hi doctor I would like to consult regarding my situation my blood pressure is normal but everytime I go to clinic or hospital I feel nervous so my blood pressure becomes high any recommendations or medication on this is it safe to go back to work while the couid 19 pandemic is still on going | low severity |
my face looks old because of acne and acne scars please help | hey acne are common in teen ages in most if the people they should not be much disturbed they appear and slowly disappear with age they are due to excessive serum production from the oil gland in your face along with blockade of this oil tract into the surface of skin aggravated by oily cosmetics and bactetia the treatment depends upon the grade of acne for mild ones we use simple creams and gels made up if vitamin a derivatives and few antibiotics whereas in higher grade you need total education plus those topical ones but in severe grade we use oral vitamin za derivative like isotretinoin it seems you have dark spot die to acne is it only pigmentation or you do have scars as well whatever it be protect the skin from sunlight as much as possible can use sunscreen gel spy 30 the medicine you have been using contains alpha hydroxy acid which coul be anyacid they must be applied in low quantity I prefer to use retenoic acid along with aha at bedtime you cab use koji acid and glycolic avid combination at night which vould ve available in cream please send me your photo and solve my prior query | hello due to the pandemic I am not allowed to visit a dermatologist in person but my skin has changed for the worse drastically im a 16 year old student but my face now looks old because of the following so I had some dark spots cause from acne scaring and I decided to use the ambi skincare fade cream which I thought would work wonders but it left a red darker larger spot on my forehead chin and sides of cheeks so I let it be for a few days and it was still the same so then I decided to look you some home remedies and I found that garlic not only fights acne which I have on top of the scaring which looks horrible but it also fights dark patches so I applied that on my face and it burnt a lot but I thought that the burning sensation must mean that its working its magic but noo the next day my skin was irritated and red now fast forward to today almost a month and a half before the incident my forehead is wrinkly but it could also be thin forehead hairs oh also my forehead was affected the most because I put the majority of garlic on that area of my face I have huge drak yellowish brownish patches all over my skin plus some acne ive tried homemade recipes to lighten your face but they have not been working then I tried boosting my melanin and collagen but still nothing and now I am using anti wrinkle cream but from doing all of these things I do not see any results heck I actually see it getting worse my mom told me to give it time but I am not sure that would be the best approach please help me | low severity |
what causes reddish flap in the tonsil area | hello the picture you have attached does not show any lesion it is a normal looking tonsil showing tonsillar crypt crypta magna which is normal as of now the tonsils are normal looking they are hypertrophied nor is there any membrane or pus filled cleft or crypts there is nothing to worry however it is at times possible that one may be able to express purulent discharge from tonsillar surface even if it is normal looking even then there is no need to worry all you need is a course of antibiotics which you have completed you only require topical antiseptic mouth gargles like betadine or chlorhexidine they are not even that hypertrophic to merit tonsillectomy however if there are recurrent attacks of tonsillitis or peritonsillitis with bad breath or halitosis tonsillectomy may be considered at a later date | hello doctor I had been having slight trouble with left tonsil I suffer with tonsil stones and started to get yellow green semi solid fluid forming bottom of tonsil this was easy to get out with cotton bud it smelt so knew it was tonsil fluid stone I have always had lots of bouts of tonsillitis and suffered more that side the fluid stop but a reddish patch come where the fluid come out of flap it goes up and down as blood vessels in that area the tonsil same size no pain all other issues with it just this little irritated patch that does look a little couple bumps but flat and hardly noticable I suffer from lichen plans and geographic tongue I have been to go and he put me in ten days penicillin but that did not make the patch go it is reddish in morning and fades as day goes on but not disappear I have been referred to ent | low severity |
why do I keep going to the toilet and fart so many times a day | hello I welcome you to icliniq I am sorry to hear that you have been such distressful times I really hope with the following advise your problem solve for rest of your life well you it is not uncommon to have fart and burping since these are the normal process of body of emitting gases which are produced in the small bowel however excessive gases are produced in someone who have problem with two things carbohydrate maldigestion the corbohydtates are the major component of our diet approx 70 of diet we take it is carbohydrates this carbohydrates are fermented by small bowel bacteria and produces excessive gases one such example is milk and wheat grains and barley rye etc you have to cut them to half before excessive production of gases can be prevented at least you should try avoiding milk and milk based dairy production such as coffee tea icecream and sweets you can learn more about the foods who are carbohydrates and who frequently cause excessive gas production on the internet dysbiosis excessive of gas producing bacteria and lack of lactobacillus which help digest corbohydrats this altered composition of bacteria is due to many factors namely last use of antibiotic use enviormental influence sorts of diet one take and water one take the one way is to treat this dysbiosis with a 10 day antibiotic course tab rifaximin 500 my twice daily for 10 days followed by use of probiotic which are healthy bacteria reguraly for months at least with the above explanation and advise you would be in good position to treat your condition lastly only food modification can improve your symptoms by 50 so I suggest you to start with that there are formal testing for dysbiosis by giving stool sample for microbiota spectrum analysis but this is not currently performed in many countries you can check at your end if it being done over there I hope this will help you good day corbohydtates malabsoption dysbiosis carbohydrates malabsoption lactose intolerance follow up if want to discuss in more detail | hey doctor how do you do to be honest am not fine when we come to ma point I have a symptoms like going to toilet many times in a day and also farting much times in a day over 100 times am from poor family once I tried in hospital but because of money I can continued it took many years and influenced me for isolation of social lifes even if from school now I am a and year university student and I have many ideas what I want to do but I cannot please help me | low severity |
I have pins and needles sensation in heart with anxiety please interpret my ecg | hello I checked your egg electrocardiography all is normal without no sign of any abnormality the sensation you feel does it come with shortness of breath or chest pain do you have a history of stomach ulcer or trauma to the chest region have you taken any medications so far | hello doctor I am having a feeling pin and needles like sensations near my heart for the past two weeks I do not know if my egg is normal I wanted to get it checked by you I have no cholesterol issues no blood pressure issues no diabetes I have low blood platelets count from years and recently my abdomen ultrasound showed mild spleen enlargement and prostate enlargement I am 31 years old I have anxiety issues for years I also feel the warmth on my face after evenings until the time I sleep but no fever weakness is there with pain in the left leg chest ray is normal | medium severity |
can ear drops cure an infection in the inner ear wall | hi there is a possibility that there is a chronic infection in the middle ear which is located beyond your ear drum in such a situation plain ear drops will not treat the infection completely you will require oral antibiotics to completely treat the infection failing which the ear discharge will keep recurring again I recommend you to start the following treatment make sure you keep you ear dry and do not let any water to enter place a sterile cotton in the ear entrance of the ear canal and change the cotton every his make sure you do not clean the ear using ear buds or any foreign object as it can introduce infection into the ear I hope I have answered your query if there is anything you need to know or want to enquire please do let us know and we will get back to you asap warm regards | hi my query is I suffer from chronic ear infection this time when ear infection started I started taking ear drops preemptively which worked for me but the problem is infection is in the inner walls which keeps coming back after out walls are healed and I stop taking drops for weeks now I want to ask can ear drops cure inner infection too if I keep taking my drops dexatob clotrim | low severity |
I have a lump in the outer anal area that keeps increasing and decreasing in size please help | hello I welcome you to icliniq well the symptom you mention suggest a possibility of peri anal sinus or abscess this is pus collection around the anus in your age with history of problem for months one of few possible underlying causes are infection with secondary abscess pus formation the other possibility is that you have underlying inflammation of the bowel in the form of inflammatory bowel disease i'd if it is simple infection the treatment is straightforward however in the later a longer and specialized treatment is provided to control the underlying disease for now I suggest you to get following stools tests and some blood tests and take a picture of the area and upload it as I can see it and can be in better position to tell what to do now and I also would like to hear in more detail about your problem like any change in bowel habits weight loss bleeding in stools abdominal pain history of smoking or alcohol intake any family history of similar illness and personal history of exposure to patients and lastly any travel history this all above information would help us to diagnose your problem and then implement the treatment accordingly good day and take care your self ischiorectal abscess perianal abscess crowns disease with perianal disease complete blood count serum cop stool for fecal calprotectin stool for ova and parasites stool detail report for now apply xylocain gel at the perianal and anal area follow up to provide more information and discuss investigations | i am suffering from pain in outer anal area there is also a lump with white top which keeps on increasing and decreasing also a sticky liquid comes and my anus is most of the times wet its about months I am suffering from this I am a year male | medium severity |
inserting an earbud resulted in a tear and ringing sound in my ear what should I do | hi there is a high probability that you would have accidentally injured the ear drum while cleaning this is a very common thing to happen and you do not have worry too much the defect in the ear drum interferes with optimum sound transmission to the middle and inner ear and thereby you will have symptoms such as continuous ringing sensations muffled sounds echoing of your own voice or any loud sound intolerance to high frequency sounds decreased hearing etc usually over to weeks this traumatic perforation heals and you will be completely fine however you should not let it get infected as it can interfere with the healing process and if proper hygiene is not maintained the perforation might never close my advice for you would be to there is no medication required here as such unless your having an infection associated with copies amount of discharge I hope I have answered your query in detail if there is anything you want to enquire please do let us know and I will revert back to you asap take care and have a wonderful day warm regards | in my left ear a thin hole in the membrane because of the putting ear bud in the ear it has been teared now I am getting a ringing sound in my ear what shall I do stop the sound in my ear | low severity |
is colposcopy used to diagnose hav | hello welcome to icliniq there is a difference between all the tests you underwent to make it clear for you I will explain one at a time pap smear it is a test used to screen if a women can be harbouring cancerous or precancerous cells over the mouth of the uterus I cervix so basically a screening test for cervical cancer and it is pre cancerous changes and as it is just a screening tests it can not always diagnose if you have any foi of cancer over the cervix it just give characteristics of the cells which were studied on the smears so unless they are overtly cancerous looking we always try to rule that out by doing other tests so next comes the hav human papilloma virus testing hav testing it a test to detect the causative agent of the cervical cancer that is human papilloma virus it is spread through sexual contact based on their genomic sequence they can be categorised into various types so warts are caused by the low risk type that is where as there some 12 high risk types which can cause cervical cancer so these are detected in the hav testing depending on your test done as various tests have different sensitivity specificity of these high risk majority are caused by type 16 18 so once a women starts her sexual activity almost 70 80 women may have hav infection but it gets cleared over 2years so that is why we do not test it for women less than 30years I see you have not mentioned your age so as the hav is a virus and it coming positive indicates higher risk of having precancerous changes or may be risk of cervical cancer in future we need to see if any changes have already happened to substantiate the previous tests so then comes the role of colposcopy colposcopy it is basically a test to visualise the cervix under huge magnification and to see for any deviation from normal and to look for any changes over the cervix which can hint on being abnormal or precancerous so that from that particular abnormal sites biopsies cane taken and subjected to histopathological examination where a pathologist sees the tissue under microscope to look for any cancerous cell so as your colposcopy finding are normal your gynaec may call you repeat testing after 12months for repeat cytology hav testing if the repeat screening are negative twice then you can just follow the screening protocols routinely as other women please share the reports of your hav pap smear so that I can go through guide you through in case you any further doubts hope the information helps you have a nice day | about a month ago I had a pap smear that came back abnormal and was told I have hav my do then did a colposcopy two weeks ago I got a call today saying that it came back normal what does this mean do I still have hav do I just have low risk hav I have never experienced warts | low severity |
my wife gets acute abdominal pain for the past three years please help | hi if it is due to gastritis you should go for endoscopy until that time you can start tablet pantakind der pantoprazole | hello doctor for the last three years my wife had an acute abdominal pain due to gastritis all the blood reports sonography reports ray are normal please help | medium severity |
how can hip pain be managed in a diabetic and hypertensive patient | hi looking into mother problem you have got both hypertension and diabetic under insulin with hip pain first of all we need to understand what is the association between the current problem and existing diseases once we understand why it is happening and try to find its link then it is easy to understand the diseases to diagnosis and help long term treatment preparation uncontrolled diabetes can affect the muscles and skeleton leading to joint pain nerve damage there is a link between diabetes arthritis and joint pain both rheumatoid arthritis ra and type diabetes are autoimmune disorders in both cases the immune system is attacking an otherwise healthy part of the body according to arthritis foundation guidelines losing 15 pounds can significantly improve the level of hip pain in a person with osteoarthritis so I would recommend to do radiography of hip joint ap lateral view to assess oa changes ra rheumatoid factor cop to assess condition of active joint inflammation and destruction I will follow up with the report | hello doctor my mother is having lower hip side pain for almost a week now she is taking maintenance medicines for high blood pressure approvel and 24 units of insulin everyday what could be causing the pain and can I give her pain reliever | medium severity |
I get widespread muscle twitching with anxiety and ocd should I worry about als | hi I would like to know how it started and progressed in detail how it was with the said medicine please answer a few more questions is there any weakness of hands or leg or anywhere is there any abnormal sensation or loss of sensation is there any loss of muscle mass is there difficulty in swallowing chewing in which part of the body fasciculations started and then migrated to which part or it started all over the body simultaneously do you take any cos stimulants such as coffee or any addiction or abuse of substance what were the components of blood work what is the content of medicine lexapro and how you were with lexapro in terms of fasciculations | hi doctor I am a 20 year old male for the past seven months I have had widespread muscle twitching the most annoying ones occur in my eyelids I am diagnosed with anxiety and ocd and I took lexapro for 90 days a couple of days ago I was instructed by my doctor to stop the lexapro due to the feeling of being off balance and some minor changes to my vision I am terrified of having als amyotrophic lateral sclerosis within the past few days I have had the urge to clear my throat every few minutes I do suffer from health anxiety please help | medium severity |
I have a circular black patch on the back with severe itching please help | hi can you attach the picture of the lesion for an accurate diagnosis and treatment plan please attach a picture of it | hello doctor I have a black patch on my back which is almost circular and is itching constantly it has become quite big in the last three to four months can you please suggest what it could be and what I can do it feels good when I put hot water on it and it becomes very dry it has a small line on its edges the itching is happening continuously it subsides a bit when I apply moisturizer but the black patch seems to become darker | medium severity |
I am having cough for the past months with persistent mucus production please help | hello the problem you are suffering is a viral illness that is temporary you also need to check for any triggers that cause the mucus to increase if you started with a dry cough there should be no mucus build up anymore the feeling in your throat may possibly be due to dryness of your membranes please double your water intake and you should notice a considerable change you can also take a tablet neksium 40 esomeprazole on empty stomach in the morning so that any gastric irritation can be prevented by this | hello doctor for the past three months I was having a dry cough I consulted a doctor who advised me augmenting 625 my grilinctus betadine gargle and steam for five days that gave me a lot but not full relief I continued gargle and steam for some more time since then the cough is reducing but some amount of mucus remains in my throat nothing comes out but keeps giving me a feeling of something there | medium severity |
my year old son gets chest pain for the past six months please interpret his it scan | hello I have gone through the it report there are variations in the branching pattern but this is fine to have many individuals have such a branching pattern without any consequences slight bulging was mentioned at ramification but they also commented that it appears to be within normal limits and such slight bulging would not cause pain or would not have any consequences unless there is any obstruction within it important is that there is no obstruction or abnormal course of left coronary artery they have mentioned that the left coronary has a slightly high take off which is fine and unlikely to be responsible for symptoms or complications so as far as coronaries are concerned they are unlikely to be responsible for his symptoms and unlikely to end up in any adverse consequences now I guess he must have had an egg and echo which would give additional assurance to this now if according to symptoms they are again not classical of heart if they were cardiac then they would have certainly aggravated by activities so unlikely to be a cardiac issue now considering his reflux issue the first possibility should be considered of acid reflux and secondly of musculoskeletal even if there is no definitive demonstrable tenderness omeprazole may not be able to counteract reflux totally so it is worthwhile to try locally acting agents like syearup sucralfate and see if it helps light meals and some walking after meals locally acting agent diclofenac gel may also be tried I hope this helps | hello doctor my year old son has been having chest pains since six months he takes medication for acid reflux anxiety and asthma currently we had a it scan done but the doctor says it should nothing to be concerned about however some of the stuff in the report I feel is of concern and I am looking for clarification on some things he is currently on omeprazole levabuterol atomoxetine flovent and guanfacine | medium severity |
my period delayed for days this month with a history ocp before months what is the chance of pregnancy | hello firstly as you had three episodes of menstrual bleed including the withdrawal bleed post emergency contraceptive after you had intercourse in march so it is unlikely that you would be pregnant due to your sexual encounter in march as you have missed your menses now by four days and if you have been sexually active during this cycle as well then you must rule out pregnancy first with a home urine pregnancy test kit if negative then the delay is most likely stress induced and you should wait for at least five days to allow menses to start naturally if not then you would need an ultrasound pelvis to check for endometrial thickness which if more than my you can be offered a withdrawal bleed with progesterone to resume your menses | hello doctor I had unprotected sex last march but took emergency contraceptive afterward six days after I had the bleeding associated with the emergency contraceptive two weeks after that in the first week of april I had my period for six days my usual period lasts five to seven days in may I had five days of the period although the last two days were only very light bleeding now I was due for my period four days ago but I still have not got it what are the chances that I am pregnant and if not should I be worried about my late period | medium severity |
is it possible to get anaphylaxis if stung by bee frequently | hello yes that is correct it seems you are allergic to bee sting for an allergic reaction to develop initial exposure must occur in order for your body to create an immune response to it this might have happened a few months ago when you were stung before since there was already an exposure and established immune response subsequent exposure may result in allergic reaction severe allergic reaction resulting in anaphylaxis may occur but most of the time allergic reaction is mild and not life threatening symptoms such as excessive skin reactions including hives and itching and flushed or pale skin low blood pressure constriction of your airways and a swollen tongue or throat difficulty breathing weak and rapid pulse nausea vomiting or diarrhea and dizziness or fainting warrants immediate consult I hope I was able to answer your concern is there anything else I can help you with | hello doctor few months ago I got stung by a bee in arm it is not the first time I was stung by a bee but this time 30 minutes after it happened I got swelling under my eyes on my cheeks and it was getting bigger as time passed I went to er and they gave me corticosteroids iv now I was wondering if this means I am allergic to bee stings and if in future I get stung by a bee again does it mean anaphylactic attack can develop | low severity |
my side facial profile is more forward and thick is there any surgery to correct it | hello I am sorry for your suffering but the picture you sent me is not clear please send close up pictures of your front face and side face with the mouth in resting position there is a surgical treatment for this problem it is called orthognathic surgery in this procedure both the maxilla and mandible can be brought forward or pushed backward but it is important to decide which procedure is suitable for you please send me the pictures and let me help further | hello doctor from my late teens to now I am thirty I started becoming very insecure about my face especially my side profile it is heavy thick and my mouth is more forward I was prettier as a child I want to inquire about surgeries that can be done to adjust my jaw also I seem to have some degree of overbite I do not know if it is more about the overbite or that either my maxilla or mandible are too big or forward I hate taking pictures because I always look ugly and I also have had people make comments about my forward looking mouth please help | low severity |
why am I having toothache after biting ice | hello actually ice leads to transient sensitivity but actually has zero role upon your infection it might be a gum problem periodontitis let me know if you notice visible stain and tar on your tooth or it might be cares that leads to infection and sensitivity from the ice triggered the pain but infection was already there upload an image of the area for better perception applying clove is a good idea but chronic clove oil acts as irritant and lead to burning sensation ulceration it might add to the pain too if used for a long time please do not worry kindly answer my questions meanwhile as we all are in a lockdown state I can suggest you medication to ease your pain and manage the infection so do not worry betadine mouthwash gargle in lukewarm water 3 times a day capsule sporidex 500 my one capsule be for days tablet metrogyl 400 my tablet be for days tablet zerodol so tablet be for days capsule pan capsule be before meal for days these medication are the safest and will work like miracle but upload the image for confirming the diagnosis to prevent any future pain or discomfort cares or tar depending upon the image periodontitis irreversible pulpits cares avoid sweet or sticky or cold food items stop the application of clove maintain oral hygiene | hello doctor I crunched a hard piece of ice a week ago and those few teeth left corner teeth were a bit sore since but starting sunday the pain became increasingly intense I put a solid clove in my teeth for about 30 minutes and it helped the pain but as soon as I took the clove out the pain returned this has caused disturbance in my sleep for the past few days monday majority of the tooth pain went away a few teeth still slightly hurt but not bad at all but now my entire left side of the face is swollen and it became worse overnight under the eye nose and top lip something in my gum hurts but there is no pimple or bubble there I have a slight fever but it is not bad and my left ear hurts sometimes sounds like an infection but I do not know why I want to blame this on the ice but it is odd that the prominent pain started so long after the incident how long will this continue and what is the best at home treatment should I see a dentist I have been trying to avoid it because of couid 19 is this a serious issue or did crunching the hard ice just trigger an infection somehow | low severity |
what causes severe pain in the lower chest while coughing | hello have you undergone any chest ray while coughing is there any sputum have you feeling any pain in the abdomen is there any blood in urine did you land on head or abdomen during fall if possible answer above questions please | hello doctor I recently fell off a roof after er visit it scans and rays I received staples in my head and was discharged prescribed cephalexin and percocets I went home for recovery two days ago while coughing I felt an excruciating pain what seemed to be under and behind my lowest rib on my right side this pain continued only when I strain myself such as with a cough or sneeze etc since beginning this pain has gotten more intense with each involuntary strain | medium severity |
I am diagnosed with genital molluscum is it related to hiv | hello genital molluscum is a viral infection but not caused by hiv virus it is a sexually transmitted diseases and therefore usually spread from sexual route genital molluscum is considered to be a marker of hiv infection therefore it is usually advised to rule out hiv infection in patients of genital molluscum as you are having genital molluscum does not mean that you are having hiv infection if you are practicing safe sexual practices then chances of hiv infection is minimal at least not because of sexual route but to be in safe side I will advise you to rule out hiv infection by doing hiv testing as it is considered in protocol to test for it incase of genital molluscum | hi doctor I was diagnosed with genital molluscum contagiosum about a month and a half ago I am being treated now and there are few number of bumps left less than when it first appeared there were 9 bumps I wanted to ask if this had anything to do with the hiv virus I have almost never been in a relationship without protection but that still made me worry for a while please let me know if I should panic | medium severity |
I saw two white worms while cleaning my month old baby umbilical cord what should I do | hi you will need to address this issue as soon as possible because it might worsen and the child may develop new symptoms first please tell me if you have ever noticed urine stools pus or blood ozing out of the umbilicus any time for the worm infestation please ensure that pets and domestic animals are separated from the babys surroundings the baby will require an ultrasound examination of the abdomen to see if there is any infestations of the internal organs watch out for fits blank staring and unresponsive ness in the baby it will be advisable to take the baby to the pediatrician for a thorough evaluation please revert back to inform the progress of the babys condition | hi I am worried about my child yesterday I clean his umbilical cord and I got two white worms there is no wound in his umbilical cord he is months old what should I do please response thank you | low severity |
how to start teaching a nonverbal child with down syndrome through online sessions | null | hi I am a sped teacher and currently I am about to teach a non verbal child with down syndrome I would like to ask where to start I do not know where and how to start teaching the child most especially that today we do online sessions also it is my first time to handle a non verbal child hoping that you can answer my query thank you | low severity |
I have muscle spasms in my cheeks due to paroxetine how long will it last | null | when I started paroxetine paxil 20 my for gad I had three side effects two of which were common difficulty sleeping and a lack of appetite the two were manageable as for the third which was a mild muscle spasms in my cheeks feeling like muscle cheeks are sometimes tight then relaxes this side effect lasted years then disappeared I think when I started exercising it helped disappearing that last year as per my do instructions I switched to paroxetine or 25mg cause the paroxetine 20 my was out of stock for months everything was perfect after which I started to take my pill at night by end of the month suddenly I started feeling as if the medicine had went out of my body and taking it again the old side effects of the cheeks muscles spasm are back stronger adding to it the neck back and front muscle contractions non stop and stiffness sometimes due to the continuous contractions next month only cheek spasms continuous disappeared completely throughout this period the muscle spasms contractions continuous were covering all the back and front neck muscles at the same time since months ago I began to feel the muscles of the back neck muscles getting smooth and slight improvement in the contractions they are getting mild and slow also feeling like cracking sound in my back neck muscles maybe due to stifness moreover the spasms in the muscles is now getting isolated sometimes back sometimes front neck not anymore all area at the same time I would like to clarify to you that there are no defects or abnormal movements such as tics or jerking movements in my neck muscle spasms or contractions are not visual only me who can feel them things are improving slowly it is annoying but I do not want to change meds cause I had very disaster experience with the previous ones from your experience how long will those spasms lasts in case I do not want to change meds what to do to reduce more and more any meds or supplements could be taken with the seroxat | low severity |
I had three anxiety attacks last night because of ringing sound in my ears please help | hello first of all please know that ringing sensation is very common and prevalent there are many suspected causes for ringing sensation in the ear the most common ones being wax impinging on the ear drum sudden loud noise moving into a quiet room from a noisy environment and so on you say it started after a bath even water soap hair follicles within your ear when come in contact with the ear drum can cause such ringing sensation although for a short duration this might have even attracted your attention to a symptom which might have been there even before but was not noticeable sometimes the medications you are on also can cause this ringing sensation to be honest there are lots of causes but no sure way of evaluating it so my suggestion try diverting your thoughts away from this and try concentrating on some other work when your thoughts are deeply immersed in something else you will realise that you can hear the ringing sensation only if you think about it you can also listen to music with ear phones with the volume of your device between 30 60 to get your mind off it but please do not do this all day give a gap of atleast an hour after listening for about 30 minutes also it will probably not bother you when you are involved in a conversation with somebody keeping your mind off it all said there are certain rare causes also which require systematic treatment but I would not want you to worry about them right away this symptom of yours has started all of a sudden and in all probability might disappear spontaneously as well do not get anxious reading about all the causes of ringing sensation on the internet as it is bound to frighten you try the above methods and tell me after 24 hours if there was any improvement at all | good day my situation started yesterday after taking a shower yesterday I climbed out of the shower and noticed I had this high pitched ringing sound in my ears this sound is really causing me to panic last night I has anxiety attacks because of it and I took 50mg sressam tablet but it did not work I still have the ringing in my ears today and I have taken another stressam about and a half hours ago but it is not seeming to work I am afraid I might have an anxiety attack again tonight because of it I have recently been placed on acnetret for my once days ago but my do told me to stop it for a few days because I have been experiencing extreme back pain which I am still experiencing right now I have been off the tablets for about or days and I dont know if this could be causing the high pitch silence sort of noise in my ears its causing extreme anxiety and unfortunately all do rooms are closed right now age 15 male 176 am 164 8 | medium severity |
I have heel pain if I walk without shoes why | dear sending love and healing energy from here looking into your problem one of the reason you have yourself mention that weight increased and had heel pain you have said you were having hyperthyearoidism and after medication you got recovered those patient having hyper also tend to go into hypo too since you were hyper and after medication your level decreased might be normal and with meditation it must have gone below the normal in hypothyearoidism you may be gaining weight you may fail to lose weight despite ramping up exercise and reducing calories neuropathy low levels of thyearoid hormone can result in nerve damage called neuropathy characterized by tingling and numbness in the extremities a painful foot condition known as plantar fasciitis may also develop in your feet caused by edema fluid buildup around the nerves so I recommend you to do ray of foot to see any bony spur check thyroid level tit precursor use silicon heel pad in your shoe to support your heel it helps reduces friction I will follow up and plan treatment after those reports thank you | hi I am patient of hyperthyearoid my weight was 52kg cause of hyperthyearoism but I start my medicine from and half years before and recovering from thyearoid and now my weight is increased to 73kg and that why I am facing heel pain but with sport shoe I can walking exercises but without shoe I feel heel pain and I feel difficulties for walk and in the morning when I wake up its very difficult for heel to walk so help me for my heel pain and is it ok to walking exercise | low severity |
why am I having body pain and muscle weakness after delivery | hello I read carefully your question and reviewed your ray report your ray shows a normal vertebral column just muscle spasm coming to this point I would recommend performing regular physical activity to help reinforce your back muscles and help relieve the muscle spasm I would also recommend taking a muscle relaxant flexeril to help reduce the muscle spasm if this does not help I would suggest considering also fibromyalgia as a possible cause underlying the muscle pain it is also necessary checking vitamin plasma levels and magnesium plasma levels for possible deficiency another treatment option to consider would be gabapentine or doluxetine | hello doctor pain started in my back after months of delivery but now it is all over the body majorly at right side currently having depression medication for the past six months and my doctor advice me to consult a neurologist as physical pain and muscle weakness is not going away | low severity |
which medication can be taken to cure the white spot on tonsil | hi it is common to have white spots over the enlarged tonsils unless the tonsil is inflamed or it is troubling you it is not required for you to take any antibiotics or painkillers you can follow the advice given below salt water gargles atleast to 10 times a day for month avoid oily spicy and cold food beverages keep sipping on boiled warm water every hours tonsils have some crevices on it what we call as crypts food particles can often get lodged in those crypts which often appear to be white spots if there is excessive accumulation over time they can get calcified to form stones what we call as tonsilloliths all precautionary measures have to be followed as much as possible to prevent infection of the tonsils | hello doctor I have white spot on my right tonsil I do not have any fever what medicine can I take | low severity |
what causes redness in the eyes | hello kindly attach the image of your eye for further diagnosis | hello doctor I have redness in the eyes for days already after moving the eyes very quickly from side to side for a long period of time the eyes are sore to move please tell me what it is | low severity |
my mother gets chest pain that vanishes on medication what is her problem | hi you need to understand first of all that every chest pain should be taken as heart problems until proved otherwise so if previously egg electrocardiography has been done you should get it done again if the cardiac part is clear I would say that she probably has perimenopausal symptoms at her age hormone changes occur so chest heaviness feeling of nervousness and hot flushes can happen I have treated my patients with such symptoms with the help of anxiolytic drugs get her cardiac evaluation if normal discuss with your doctor to prescribe this medicine to her for a few weeks and see the results I am very hopeful that it would work | hello doctor my mother is having severe chest pain and this has been the case every year during this period she has consulted a lot many doctors and she took all the prescriptions as per them every year then it goes away only to reappear again during the next year she is also being upset due to this pain all antibiotics were given for gastric problems as said by various doctors all the testing reports seem to be normal but the root cause of the problem is not identified all doctors are just saying this to be some gastric problem she is currently pantoprazole dsr ferhub xt and clonamelt 5 my | medium severity |
how bad will kidney get affected due to chronic alcoholism | hi reviewing your presentation and details of your test attached history of hypertension and diabetes are important factors for chronic kidney disease which if not properly controlled can affect your kidney function in the long term the be and sugar levels are well controlled with your medications so it is really important to keep on regular medications the second point of course the diet which adversely affects your kidney function are maintaining a healthy diet low fat low carb and high fiber diet and a good state of hydration taking about 5 liters of water is must to keep your kidneys healthy reduce caffeinated and fizzy drinks drinking alcohol can badly affect your liver and kidney functions I recommend you to reduce your intake of alcohol to occasionally and better to avoid it regular check on blood pressure and sugar on a weekly basis and give your feedback to your following doctor and you can do a kidney function test to see creatinine level every six months if you do regular exercise it will add benefit generally and to your kidneys so far as you are doing well and keep the follow up there should be no issues I hope this helps | hello doctor my serum creatinine is 17 and I am taking blood pressure and diabetes tablets do I need to worry about my kidneys as I drink alcohol on a daily basis | medium severity |
I have loss of smell for the past years with frequent cold and sneezing please help | hello the possible causes for loss of smell are rhinitis sinusitis ethmoidal polyps neurodegenerative diseases vitamin b12 and folic acid deficiency tumor of the cos central nervous system trauma but in your case possible the cause is sinusitis with or without polyp rhinitis and sinusitis may lead to congestion and edema of mucosa and also nerve endings may give rise to anosmia so use salt water gargling thrice a day for five days use water vapor inhalation thrice a day for five days use decongestant like phenylephrine tablet lecope ad and anti histamines to decrease congestion avoid cool drinks and ice creams use otrivin nasal spray twice a day for five days use tablet amoxicillin and clavulanic acid 625 my twice a day for five days if symptoms are not improved please get done ray paranasal sinuses and nasal endoscopy then we come to know the cause so review with above reports or consult with your ent specialist he will examine and treat you accordingly | hello doctor I have lost my smell I have consulted many ent doctors for the past two years but could not resolve the problem I also have a frequent cold with sneezing particularly in the morning severe sneezing occurs please help | medium severity |
I have bad herd with epigastric pain erythema and atrophy of antrum please suggest solution | hello your symptoms likely from your stomach atrophy and erythema mean there is inflammation might be from a bacterial infection helicobacter which we have to wait for the biopsy result then to be treated with triple therapy hyoscyamine drug for intestinal cramps help alleviating pain from cramps also decrease the acidity in the stomach to be honest we rarely use it for stomach pi proton pump inhibitors like pantoprazole usually are better with stomach inflammation and decreasing its acidity for now we have to avoid smoking drinking and spicy food the could irritate the stomach more avoid eating before sleep at least three to four hours wait for the biopsy another thing if pain persists I recommend to repeat the ultrasound we need to see what is going on with your gallbladder | hello doctor I am a 27 year old female I had a history of on and off acid reflux for a few years last month I had a bad episode of herd and was prescribed pantoprazole for a month it got better and I stopped taking pantoprazole but I still have epigastric pain on and off I had an upper endoscopy last week where the findings were all normal except for erythema atrophy of tantrum no more obvious acid reflux signs though but epigastric pain still comes and goes I was prescribed hyoscyamine but not sure why what does erythema atrophy of tantrum mean and why do you think I was prescribed hyoscyamine I have not had biopsy results from endoscopy yet but I am hoping and praying for the best | medium severity |
few days after breakage of condoms I have sticky penis and inflammation of foreskin why | hi I understand your worry about the swelling of the foreskin you covered with antibiotics with a single dose of azithromycin and later with one week of amoxicillin if there is sexually transmitted disease it might come back for mainly two reasons firstly incomplete treatment and insensitive antibiotics as you did not have a culture result and secondly not treating the sexual partner therefore after completing the amoxicillin no need for more antibiotics hopefully the foreskin swelling resolves you will need sad sexually transmitted disease screening for you and your partner needs a vaginal swab if you got pain like burning sensation while passing urine or swelling or urethral discharge then you will need to do urethral swab culture as well the swelling of the foreskin and sticky discharge might have been caused by sexually transmitted disease as the condom was torn we do not have culture results as you started antibiotics before a culture of your urethra was sent it is great that with amoxicillin you are getting better my suggestion is to complete the amoxicillin course then to do the sexually transmitted diseases tests sad screening which is chlamydia testing by swab taken from urethra gonorrhea testing syphilis tests trichomonas tests human papillomavirus hav herpes test hepatitis surface antigen test hepatitis test hiv antibody and hiv antigen blood test for you and your partner those investigations will help diagnose and prevent future recurrence no need for any more medications for now apart from the amoxicillin you are currently on I would be pleased to follow you after tests result to inform for further treatment if required urethral swab for partner and sad screen for both and urethral swab of the patient in case symptomatic sad sexually transmitted disease | hello doctor I had a condom tear while having sex two weeks later I developed symptoms of pain and slight swelling in my right testicle lower abdominal pain and foreskin inflammation thinking it to be chlamydia I took og single dose of azithromycin it provided me some relief but two weeks later the same symptoms arose further my foreskin and penile glans have now become sticky to touch like a stick note although it is not moist I had also developed rashes on my inner thigh I consulted a doctor who prescribed me back for my sticky and slightly swollen foreskin betnovate for my rashes in my inner thighs and put me on a seven day course of amoxicillin 500 my for three days I am on day of this course and my symptoms seem to have eased up significantly but I fear a relapse could occur like last time I have minimal abdominal pain now and my testicles only feel a little uncomfortable from time to time further the stickiness of my penile glans and foreskin has not subsided much which worries me a lot I would like to know what is causing this stickiness of foreskin and penis the swelling of foreskin seems to have reduced somewhat I am sending you the latest photos as well please advise me on what should be my next step | medium severity |
I am unable to conceive with normal cycle please prescribe fertility medication | hello fertility medications cannot be prescribed without a thorough evaluation this involves finding the exact cause of not being able to conceive whether it is female factors or the male factor among the female factor ovulatory dysfunction is the most common cause also tubal factors like tubal block can also cause difficulty in conceiving and thus need evaluation I see that your previous cycles have been regular but this time you had a delayed cycle which is the first time you observed this delayed cycles indicate ovulatory dysfunction which could be due to hormonal disturbance of thyearoid or prolactin hormone or due to a lifestyle condition like cos polycystic ovary syndrome also I see you are overweight for your height I would like to know many more details about your issues like if you have any acne issues or any unwanted facial hair growth was there any recent weight gain what is the average coital frequency in a week do you have any vaginal discharge and frequent lower abdominal pain have you had tuberculosis or any other chronic medical conditions in the past have your husband got a semen analysis done what is his age and what does he do as it is the third day of your periods today you can get the below mentioned medical tests done and consult a fertility expert with reports for further evaluation and management treatment would depend on the underlying causes in 10 20 of cases there may not be any attributable causes it is called unexplained infertility in such cases also your fertility expert may suggest assisted reproductive techniques to increase the chances of pregnancy I hope this helps hemogram lipid profile let liver function test rat renal function test 75 glucose tolerance test fasting hour hba1c glycated hemoglobin levels serum calcium vitamin and b12 levels serum fasting and post prandial insulin levels serum fish follicle stimulating hormone oh leutinizing hormone free testosterone estradiol prolactin levels thyearoid profile to ash anti tpo on second and third day of the next menstrual period ultrasound abdomen and pelvis husband semen analysis endometrial sampling and tubal evaluation by hug hysterosalpingography tablet folic acid my daily once until you conceive reduce weight maintain menstrual cycles diary regular exercises at least hour daily dietary modifications | hi doctor I have been trying for the last one year to conceive baby but no result I would like to take medication to boost my fertility need a doctor prescription for the fertility medication there are no other issues regarding the period cycle or health | medium severity |
I have a painful boil in my inner thigh with discharge and leaving a hole behind what should I do | hi I can understand your concern according to your statement you have been suffering from a boil in the inner thigh for a week it was started as a pimple then progressed to a painful bump according to your picture your boil may become infected so for your boil you can take cefixime 400 my twice daily with clindamycin 300 my twice daily and apply locally topical mupirocin or bacitracin ointment on your affected area you can take vitamin supplements for quick healing and you should undergo some investigations like abc complete blood count ribs random blood sugar etc | hello doctor I had a boil in my inner thigh for a week now it started as a pimple then progressed to a painful bump two days ago it started to drain I have been applying warm compression and betadine on it the swelling and pain decreased however the wound worries me as it now looks like I have got a hole in my thigh what will I do | medium severity |
my breast milk is not ample which milk shall I feed my newborn cow milk or formula | hello please know that until the baby is months of age there is nothing better than mothers milk if you feel mothers milk is not enough there are medications to increase mothers milk has it been tried how frequent are you breastfeeding what exactly is the mothers psychological status I mean willingness to breastfeed notions about mothers physique deteriorating by breastfeeding not actually able to feed because of other medical conditions mother being tensed about the happenings in the family or anything that she is really concerned with also know that the amount of milk secreted depends on how frequently the baby is offered breastfeed how well the baby is sucking the milk secretion increases according to the babys demand more sucking more milk mothers diet the medications that the mother and baby are at present kindly give me the above details before you decide to stop breastfeeding completely if you still want to know the best formula milk there are many in the market like cerelac lactogen nan etc any of them will do you should know the correct dilution before feeding please know that if a baby is given breast milk for months he she will have better immunity better mental abilities and psychological strength compared to babies fed on formula milk please do not start cows milk or buffalo milk or pasteurized milk so early | hello doctor my child is one and a half month old which milk is better for him cow milk or artificial milk as breast milk is not enough | low severity |
please give some advise to improve my hemoglobin level | hi based on your query and reports my opinion is as follows repeat hemoglobin after three months add more iron vitamin b12 and folic acid in your diet revert back after three months to a hematologist online | hi doctor recently I had rare surgery for prostate cancer my he level post surgery fell to 10 and I was advised to stay on iron supplement dexorange syearup one teaspoon thrice daily after meals in view of ongoing treatment for erosive gastritis which is now under control the iron supplement was started three months ago then my he level has improved to 12 I had a abc folic acid and iron study and I have enclosed the reports for your reference I am a vegetarian please advise further course of action as I have been advised to stop the dexorange syearup after three weeks and continue with iron rich diet my gastroenterologist is not in favor of long term usage of iron supplements the stomach ulcers due to pyloric have been treated and stomach lining restored currently I am taking nexpro 40 my in the empty stomach and librax once at night my abc report issued an alert for anisocytosis my amylase level is around 174 l but pancreatitis and bile duct obstruction have been ruled out I am taking unienzyme tablet in the morning and night along with one probiotic capsule vizylac please advise if any attention or investigation or treatment required further thank you | low severity |
do I need to take medicine for high cholesterol | hi revert back with the answers to the above questions to an internal medicine physician online | hi doctor I do not have any health issues but my cholesterol level is high at 20 do I need to take any medicine please let me know I have attached my laboratory reports for your reference | low severity |
do I need to get fob or biopsy to check lymph node enlargement | hi based on your query and attached images my opinion is as follows fnb for further information consult a hematologist online | hi doctor I am a 32 year old male my height is feet and weight is 145 labs I am facing a significant unexplained weight loss of more than 45 labs in four months my normal weight since high school is 185 to 180 labs I am having episodes of significant and frequent drenching night sweats also I have chronic persistent fatigue and occasional non specific itching I have a family history of lymphoma with my paternal uncle and maternal cousin my ultrasound of lymph nodes has two different impressions the first one was clear bilateral lad suspicion of neoplastic etiology seen at level and the second opinion was clearly reactive bilateral nodes seen at level and in your opinion what would be the appropriate course of action either fob or excisional biopsy due to the symptoms and history also if you can interpret films then I would appreciate your additional opinion from a differential diagnosis standpoint what is at the top | medium severity |
my dad feet are so puffy why | hello for further information consult an internal medicine physician online | hi doctor my dad is 83 years old he keeps coughing up phlegm and sleeping all the time he is cold and his feet are very swollen his feet are so puffy and he feels difficult to wear shoes or walk he weighs about 300 labs he is suffering from congestive heart failure currently he is on lisinopril for blood pressure potassium supplement and furosemide for water retention and cetirizine for allergy symptoms | low severity |
how to find out the reason for extreme sweating muscle stiffness and cramp | hello for better understanding I need more details from you revert back with the answers to the above questions to an endocrinologist online | hi doctor I am a 50 year old male I am living in a harsh hot climate from my childhood for the past three years I have noticed that I get extremely exhausted with sweating during the said period I get muscle stiffness cramps and depression my condition improves a little in days after drinking lots of water to the extent I have to keep my stomach bloating with water what could be the possible causes for this condition what medical tests should I get to know the cause kindly reply | medium severity |
what are the next treatment options for my brother condition | hello I understand your plight for further information consult a medical oncologist online | hi doctor my brother was diagnosed to have alk positive before two years he had brain and bone metastasis he got a brain surgery war and spine radiation he was on crizotinib for 10 months and after brain and bone metastasis progression he was on ceritinib for months in the latest scan the disease progression was seen again in bone and also there was a new brain metastasis unfortunately in my country there is no next generation inhibitor of ceritinib what are the options now is there any chance to use crizotinib again he has some bone fractures also we are feeling helpless he is just 35 only already he had war twice what are the next treatment options when he was on crizotinib he felt very active but while on ceritinib he mostly used to stay on the bed kindly suggest some option | medium severity |
does my mom need a surgery for mitral valve leak | hi revert back with the reports to a cardiologist online | hi doctor my mom is 46 years old she recently had her routine physical examinations and they found out her mitral valve could not close fully but very light degree the doctor there thinks that she does not need a surgery and he did not mention anything else so I really want a second opinion on this does she need a surgery what should she do now to improve her health | medium severity |
how to reduce the pain due to ankle sprain | hi hope this message finds you in good health I have gone through your complaints and understand your concern for further information consult an orthopaedician and traumatologist online | hi doctor I have chronic ankle sprains in both the ankles I have this for maybe a year now I went to it and have been doing exercises but about a week ago my ankle began to pop it is happening once in a while it really hurts and I have to pause for a couple minutes for the pain to settle is this normal is there a way for me to prevent or calm this pain I am taking zoloft and ibuprofen when needed please help | low severity |
having cos since I was young will I be able to conceive naturally | hello it is good that you continued dinette 35 cyproterone acetate and ethinyl estradiol till date your menses would have been regular after being placed on dinette 35 till date as I presume if you wish to conceive then you must stop the pills after completing this pack and wait for the withdrawal bleed or menses from the next cycle you may try naturally and also follow up ovulation with ultrasound guided follicular monitoring sometimes initial or cycles remain annular after prolonged usage of dinette 35 and resumes by third cycle but that varies from woman to woman so you may try conception from next cycle and do follow ovulation a fresh hormonal profile would be mandatory after a month along with serum fasting insulin levels to check for the insulin resistance as well and present hormonal status for further information consult a childbirth educator online | hi doctor I am 27 years old I got married before 5 years I have cos since I was young I remember that I had various types of medication as I did not get my periods regularly in the initial stages my mother had taken me to many doctors including ayurveda homeopathy and allopathy before years my gynecologist prescribed me dinette 35 and since then I have been taking this pill I am now planning for pregnancy and I want to know whether I can just stop taking dinette 35 will I be able to conceive naturally I am also overweight for my height my height is 3 and my weight is 75 keg I want to have a baby now and want to conceive naturally without any medical treatment is that possible | medium severity |
had outside food and suffering from vomiting and diarrhea please help | hi I have gone through your query with diligence and would like you to know that I am here to help you for further information consult an internal medicine physician online | hi doctor I am suffering from severe vomiting and diarrhea I vomited times in the last hours and visited the toilet for about 30 to 35 times yesterday I had outside food such as burger pizza chips bread etc please help | medium severity |
why is my hug value too low | hi for further information consult an obstetrician and gynaecologist online | hi doctor my last lap was 17th as my periods delayed seven days I had a pregnancy test the beta hug value was 355 30 miu my why the value is too low than the normal range is this something to worry | low severity |
what is delaying my pregnancy | hi revert back with the report to an obstetrician and gynaecologist online | hi doctor I am trying to get conceive we have tried two times but no positive result I have thyearoid but it is normal now my age is 26 and weight is 78 keg I am a little overweight for my height what is the problem please help me | medium severity |
how to know the reason for spotting and painful bleeding | hi I hope you are feeling better now with regard to the pain for further information consult an obstetrician and gynaecologist online | hi doctor last week I had bleeding and pain because of the cyst on my ovary now the pain started to ease and I have been spotting and bleeding for one week I just want to know if this is normal if so then how long will it bleed | medium severity |
after taking I pill my period is irregular why | hello after taking the second I pill the withdrawal bleed started on 5th which again marked the onset of a fresh cycle so the next bleeding could have been due to an early ovulation and possibly an ovulation bleed also sometimes intermenstrual bleeding is common to experience if I pill is frequently used please do not use I pill often as it has progesterone side effects presently if the bleeding has stopped then nothing to worry and just observe your cycle your next cycle may be delayed by a week or so you need to stay informed for further information consult an obstetrician and gynaecologist online | hi doctor my regular period comes 24th of every month I had taken I pill on the 15 of last month and after that my period came on 24th again I took I pill on 28th and got period on ith of this month now again I am bleeding in a gap of 10 days please advise whether it is normal or something serious please help me | medium severity |
us at 16 weeks showed separation of amnio and chorion what to do | hi first let me say that I am sorry for your wife trouble in this pregnancy for further information consult an obstetrician and gynaecologist online | hi doctor my wife is pregnant now her first pregnancy was completely normal now at 13 weeks she had major bleeding and that took us to the er us showed movement and heartbeat since then she has continued to bleed with dark brown clots and occasional red blood she had 16 week us and it showed that there is a separation of amnio and chorion also there is a large floating pocket probable hematoma this is worrying me now she has fever and severe lower back pain what to do | medium severity |
does high cholesterol medicine have any side effects | hi your vitamin levels thyearoid levels and hba1c are quite good regarding your high cholesterol it may be due to hereditary and food related you have a high risk of coronary artery disease as you have a positive family history and high cholesterol if you have any severe muscle pain report to a physician it is a rare side effect theoretically consult your doctor discuss with him or her and take the medicine with consent for further information consult a general medicine physician online | hi doctor my cholesterol and triglyceride levels are elevated but they were the same in my previous checkup reports too I am a bit reluctant to take medication because of the side effects my father has both cardiac and diabetic issues I am doing exercise regularly and my intake of sugar is also under control I do not smoke but drink pegs only on saturdays can you please let me know why my cholesterol levels are still high is it too high to take medicines is there any side effect with the medicines what precaution do I need to take in my lifestyle I know that the long term elevated levels of cholesterol is risky please help me | low severity |
how to control continuous abnormal vaginal bleeding | hi I totally understand your situation for further information consult an obstetrician and gynaecologist online | hi doctor my wife is 45 years old since last month she has had continuous abnormal vaginal bleeding she has been prescribed by doctor devilry 10 my twice a day even after one week of medication no improvement has been seen please help | medium severity |
what causes dark and foul smelling urine | hello foul smelling and dark urine is indicative of cystitis with highly concentrated urine if there is no blood or hematuria then renal pathology is unlikely or calculus you need to take at least to liters of water daily and foul smell is often vaginal and not in urine you may be suffering from bacterial vaginosis causing a foul smell avoid using soaps in the genital region while bathing use vaginal alkaline washes | hello doctor I have had every sad screen known to man and kidney function tests my urine is foul smelling and dark this has been an ongoing issue for a year and it has started to affect my life I have tried everything antibiotics hydration douche apple cider vinegar ago pills yeast infection drugs ti drugs | low severity |
other than chest ray what test should be done for cough | hello I understand your concern mantoux test complete blood count gastric aspirate for aft acid fast bacilli an antibiotic should be given for seven days revert back with the answers to the above questions to a paediatrician online | hi doctor I have attached an ray report of my year old baby girl the report was ill defined laziness seen in the right perhilar and para cardiac regions pneumonitis what does it mean she has cough since last five days my mom is suffering from active tuberculosis so ray was suggested and the consulting doctor is out of town for the next two days what should be done next | low severity |
please give some advise to regain the strength of my knees | hello strenuous activities ray would be helpful if not improved with conservative management infrapatellar bursitis avoid jumping and running when acute pain is present revert back after two weeks to an orthopaedician and traumatologist online | hi doctor I am 18 years old I have a little problem that effects my daily hobbies I play basketball and play in such a way that I am constantly running and jumping at maximum effort each time when I was a little bit younger I had a pretty bad case of osgood schlatter disease it was from constant running and jumping because I have always wanted to jump high ever since I was like now the problem is I cannot jump and run without starting to hurt or mainly feeling very low on explosiveness I stretch very well and I exercise my legs very often I just wanted to know if there was any advice to regaining the strength back in my knees | medium severity |
is cab the only solution for coronary artery disease | hi I have carefully reviewed your health query and feel sorry for your father health issues it is a concerning disease process I never recommend to leave it as such and do nothing much for an advanced coronary artery disease he has got triple vessel involvement and in such circumstances the best next step is to go for cab surgery coronary bypass graft especially if there is no obvious contraindication no partial angioplasty is not a solution to the problem although he has no obvious signs or symptoms but you should know well that the disease inside has progressed much and anytime with or without strenuous physical activity he may get a severe heart attack that can be really dangerous and lethal I would go with the suggestion of cab right away for further information consult a cardiologist online | hi doctor my father is diagnosed with coronary artery disease and triple vessel disease with lm I have attached the angiogram report for your reference is the cab only solution or partial tenting may work or is it fine to give only the medication as there are not much clinical symptoms his tit was strongly positive he is a smoker and also takes alcohol he is a blood pressure patient and takes amlopress thelma and ecosprin | medium severity |
I am feeling dizzy and extremely hot what to do | hi I think the main thing to consider is whether this is something significant related to any cardiac or circulatory problems or whether this is something relatively minor I would certainly suggest you visit your go or family doctor you will need to undergo an egg electrocardiogram of your heart to determine its underlying rhythm you will need your blood pressure and heart rate checkup along with your blood sugar level given that it has happened recurrently now your doctor may want to send off some blood tests such as your blood count to check your hemoglobin level to make sure you are not anemic along with your electrolyte levels to ensure that there are no endocrine abnormalities egg observations heart rate and be and blood glucose cardiogenic arrhythmia presyncope endocrine dysfunction cardiac presyncope or faint keep well hydrated eat safely to maintain blood sugar and avoid alcohol smoking and drugs for further information consult a general practitioner online | hello doctor the following event has happened twice I start feeling dizzy and extremely hot I can feel my body heat through my shirt I feel nauseated and was about to faint oddly today when I went to the kitchen to check my food in the microwave I opened the fridge instead when I tried to cut lettuce I grabbed a spoon I am not sure if that was a coincidence I got anxiety after these incidents after lying down in front of the air conditioner I feel better also cigarettes seem to intensify my feeling please help | medium severity |
what treatment would you suggest for my father shoulder condition | hello I have gone through the mri report enclosed by you degenerative condition or post injury as per clinical examination for further information consult an orthopaedician and traumatologist online | hi doctor I am enclosing an mri report of my father who is 70 years old I want to know whether an operation is the only available option for his shoulder condition according to the report if we go for the operation then what is the success rate without an operation how long will it take to get cure he takes thelma 40 and ecosprin 150 regularly because four years back he had a paralysis attack | medium severity |
can you suggest a cream or an ointment for dark circles | hello I can understand your concern revert back with the answers to the above question to an eye care ophthalmologist online | hi doctor I am a 24 year old male I have severe hyperpigmentation around eyes my eyes always feel tired also I have this white mucus in my eyes daily when I wake up please help | low severity |