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I have high triglyceride and low hdl what medication do I need to start | hello I can understand your concern according to your statement you have increased triglyceride levels and low hel high dentisity lipoprotein levels your hel has been varying from 24 to 38 for the last three years and your current medication is colored powder which is a nutritional supplement used for dyslipidemia for your high to triglycerides level you can start fenofibrate trade names finate fenofibrate 200 my at night you can also take omega fatty acid trade name beneficial bree carmax for increasing your hel you should avoid oily and fatty foods continue your current medication with fenofibrate and omega fatty acid after three months repeat your fasting lipid profile | hi doctor I am 34 years old and weigh about 96 keg my latest lipid profile shows triglycerides 398 my dl hel 27 my dl lil 96 my dl total 175 my dl please advise what to do any immediate medication I need to start which doctor to consult any other tests to be done | medium severity |
my estradiol level is low will taking dea help in increasing the same | hello welcome to iclinq com I saw your concern the normal levels of estradiol in early pregnancy can vary from 188 to 2400 pmol similarly progesterone can vary from 12 to 90 nmol hug human chorionic gonadotropin has doubled which happens only in a healthy growing fetus with good trophoblastic activity do not worry much about estradiol it has no big significance in treating previous early miscarriages everything looks normal continue progesterone for gluteal support and prenatal vitamins as prescribed above all stay positive and confident | hello doctor I had a miscarriage two months ago resulting in a dand at 10 weeks I am now pregnant weeks and days and taking 400 my progesterone suppositories once per day due to low progesterone levels both in the last pregnancy and in the weeks leading up to the confirmation of this pregnancy however my doctor has told me that my estradiol is very low and that is concerning me my results so far 14 do hug 69 l progesterone nmol estradiol 20 pmol two days later 16dpo yesterday hug 129 l progesterone 75 nmol estradiol 239 pmol is my pregnancy doomed because of my very low estradiol I was hoping my doctor would prescribe estrogen medication but he does not seem to think that would be an option why would he decide that do you think estrogen supplementation would help instead he is having me take 25 my daily of dhea do you think this will help and is it safe to take in pregnancy will eating foods high in phytoestrogens g soy help increase my estradiol also do you think my low hug levels are a bad sign at 12dpo they were 15u so they increased rapidly to 69u on day 14 but then slowed a bit to get to 129u on day 16 I am due for another blood test tomorrow I really do not want to lose this pregnancy but these low numbers are making me worry | medium severity |
I have tightness and pain in both calves how to get rid of this pain | hi I see you are suffering from calf tightness and pain for the past two weeks one reason could be due to your overweight other could be blood clot formation in the veins as you are at high risk for it or it could be because of salt imbalance in your body if you are not taking adequate nutrition and water I would like to know do you exercise regularly or go to the gym for weight reduction do you take any medicines as a part of weight reduction plan are you in any regular medicines for any issues like high cholesterol diabetes or thyearoid problems what is your job do you stand for long hours in a day abc complete blood count free to ash thyearoid stimulating hormone ribs random blood sugar serum lipid profile serum potassium both lower limb venous doppler tablet aceclofenac and tizanidine tablet twice daily after food for five days electoral powder one sachet mixed with liter of water to be taken frequently adequately hydrate yourself avoid long time standing | hi doctor for the past two weeks I have been having calf tightness in both legs I am years old and I weigh around 230 pounds nothing I do seems to make it go away three weeks ago I went to the hospital for chest pain and they did a dime and it came back negative I feel the tightness in my lower calf and upper back of the thigh it is in both legs but I mainly feel it in the left it is not unbearable more of an annoyance I have tried epsom salt baths ibuprofen etc | medium severity |
I have severe abdominal pain with my gallstones what should I do now | hello I have to have more information about this pain before I can tell you what is the cause of this pain usually the gall bladder stone of such size less than 10 my in size does not cause pain and if it does then the pain has to be characteristic one like pain starts within half hour of meals and gradually increases in intensity within next hour and then start declining for the next three to six hours vomiting can occur with increased severity of the pain if you have any of symptoms as mentioned then it is possible that pain is coming from gall bladder stones and the definitive treatment is cholecystectomy I removal of the gall bladder again I want to emphasize that most of the stones of such size usually do not cause pain and remain asymptomatic doing no harm to the patient throughout their life the other cause of sudden and severe abdominal pain are ulcers within the stomach food pipe or small bowel inflammation of the pancreas called pancreatitis diabetes and its complications lead poisoning drugs such as pain killers and few other causes your lipid profile is normal and ultrasound is otherwise normal except that stones which are clearly visible you can start capsule esomeprazole 40 my half an hour before meals it will resolve the pain if coming from ulcers in the stomach however I highly recommend you to provide more information regarding your problem as I can be in a good position to diagnose and tell you what to do peptic ulcer disease symptomatic gall bladder stone pancreatitis drug related functional pain complete blood count serum amylase lipase calcium bun creatinine and electrolytes stool for pyloric antigen pancreatitis drug related lead poisoing peptic ulcer disease asymptomatic gallstones capsule esomeprazole 40 my half an hour before meals once daily follow up to provide more information about the pain | hello doctor I am 62 years old a week back I had severe abdomen pain so I took an ultrasound the report says I have my size gallstone I have also checked my lipid profile which are normal I request you kindly suggest further action required I am currently taking lipicard | high severity |
I am years old and not able to achieve full erection why | hello I would like to know a few information about your general health is ed present all the time or noticing association with anything particular do you take any medications in general or anything for ed the most common cause for ed in your age is psychological any undue stress in life any family history of medical problems diabetes cholesterol etc do you have a partner any change in partner recently any relevance you notice either this also I am not very sure what blue balls exactly describe but seeing that you have had an ultrasound of scrotum I think it is unrelated to ed scrotal scans are not relevant for ed so need more information on how and why you had this stress psychological check fasting lipids glucose thyearoid and testosterone levels also need the reports of scans consultation reports already done varicocele incidental not a cause for present complaint anorgasmia dysejaculation all these are far less likely ed erectile dysfunction ensure no stress take help if needed reassure that ed due to pathological cause at this age is unheard of try a dose of drugs like viagra purely to see responset it is not recommended as long term until we have further information relaxation techniques avoid stress reassure positively highly recommend to take proper urological consultation to work up properly either locally or online | hello doctor I have ed problems for about a year I am years old healthy active no other physical health problems a possible reason for this is I had a bad case of blue balls on a night and was not resolved until the next morning I believe this may have affected my veins in my testicles my ed may be mentally too like libido but I do not think that as much as a physical problem with blood flow please help I did a test with that gel stuff on testicles and ray type thing and they said nothing wrong | medium severity |
I have problem with pe where I ejaculate within 20 seconds of arousal is it a serious issue | hi let me tell you that the symptoms described by you suggest that you have erectile dysfunction in this situation I suggest you avanafil medication moreover counseling also helpful for premature ejaculation I recommend you do testosterone therapy trt avoid alcohol and smoking avoid stress and anxiety some exercises also helps like kegel exercise and aerobic exercise more details you may consult with me I hope this helps | hello doctor I am 25 years old I suffer from premature ejaculation I have always had it in the sense if I am aroused I ejaculate within the first 20 to 30 seconds and if I am not aroused it can take longer but still less than two minutes it feels like I am always forcing myself to ejaculate and perhaps this started with me masturbating in my early teens would counseling solve this issue or is it more serious than that | medium severity |
what are some common causes of one sided si joint pain | there are various causes of si joint pain which range from considering your history it appears more likely due to pregnancy and incorrect posture it is imperative to know if you are able to fold your legs any pain in bending forward or backward any issue in walking mild si joint pains can get relieved with exercises severe may require si joint injections please let me know if something else is required with regards | what are some common causes of one sided si joint pain that comes and goes I am 25 and just had a baby naturally 10 months ago back pain started at months postpartum | medium severity |
skin tag post healing of anal fissure appears as wound near my anus please help | hello I will definitely help you with your query skin tags are formed in long standing anal fissure these are nothing but accumulated skin due to fissure usually nothing to do for that but if you have any problem because of it like pain bleeding or pus discharge you can opt for surgery it is a very minor surgery no side effects or any problem after removing them by an experienced surgeon a raw area will form that will heal on its own it can reappear if you have another formation of anal fissure so avoid the conditions that will cause it again like spicy food and constipation I will advise you to start a sit bath in which you have to sit in lukewarm water for 15 minutes twice a day 10 my betadine can be added to it you will get a better result in some time I hope this helps | hello doctor I am 32 years old and weigh about 65 keg with a height of feet I have a problem in my anus actually I had anal fissure before and when it is gone there is a skin tag and warts develop but the crucial thing is an unexplained thing that looks like a wound near in my anus I hope someone could tell me and answer my problem | medium severity |
what causes delayed period with pelvic pain | hi please mention how your menstrual cycles are regarding regularity duration of bleeding etc your symptoms might be due to premenstrual syndrome with urinary tract infection if periods are delayed for days and pregnancy test is negative wait another days for your periods if not repeat a prep colour test again and inform take the tablet below for pain and if pain increases or there is dizziness nausea vomiting or fainting do an us tis and inform urine for re me and culture sensitivity test urine for pregnancy test and us tis if no periods in days prep colour test and us tis if periods dont occur in days urinary tract infection with delayed periods with premenstrual syndrome tablet urispas flavoxate tablet twice daily for days tablet drotin is tablet sos on pain abdomen drink plenty of water avoid salt sugar and caffeine intake days | hello doctor I am experiencing pelvic pain for the last few days everytime and my period is late for week as of now I confirmed that I am not pregnant I have an urge to urinate more than normal I also have small nipple pain on both the sides please clarify my doubt | medium severity |
how can severe shoulder pain be treated | hi it seems to be frozen shoulder as told by orthopaedic earlier primary treatment of frozen shoulder is physiotherapy pain killer and muscle relaxants are given temporarily start on tablet neorelax my aceclofenace thiocolchicoside two times a day for days along with anti acid tablet pantoprazole 40 my before breakfast for days stop remaining medicines after to days start physiotherapy of shoulder you may consult physiotherapist he may suggest better physiotherapy exercise diabetes has to be ruled out please check fbi and pubs for sugar if not relieved with above then get an ultrasound of that shoulder done | hello doctor approximately months ago some mild pain started in my right shoulder joint but I have not taken it seriously it started bothering me since end of february and it was slowly worsening I daily travel by crowded trains approximately 25 am to my workplace and back by middle of march while travelling by standing in train holding overhead handles my shoulder was hurting with every push from the crowds at various stations during day time there was not much pain I felt but in the night my sleep was disrupted frequently with pain like pulling with a hook on the shoulder I applied dynapar qps diclofenac diethylamine and absolute alcohol non aqueous topical solution my mother was using it for joint pains and she asked me to try it but I got no relief with it then my cousin practicing home medicine advised me some home medicines and it provided only a slight relief in the est week of april I consulted an orthopedic joint pain bone specialist and had taken ray of my right hand in different positions he suggested it is due to frozen shoulder problem and advised rotation of hands shoulders neck etc along with some medicines mainly pain killers and anti acidity medicine even after taking it for 25 days still I am having pain mainly in the inside bend of the right elbow if I raise my hands straight it hurts very little but if I bend it to comb my hair or putting my hands through the sleeve of my shirt it hurts very badly during day time the pain is very minor but in the night after the sleep of an hour it starts paining badly what I assessed is while the weight of the upper body rests on the shoulder or around the area including back side while lying down the pain radiates from this region and it hurts mainly the shoulder joint forearm muscles elbow joint and the wrist after trying various positions to rest the hand and shoulder with pillows soft towels the pain eases little and I fall asleep again this repeats throughout the night I use laptop extensively at work and at home also sometimes I feel a pulling pain in the wrist when I use the mouse more but no problem with key board now I am working from home due to covid19 lockdown but afterwards I may have to travel again by train and I am scared of the pain I will have to suffer | high severity |
is it possible for a hypothyearoid patient to develop diabetes | hi from your history it is evident that you are on replacement therapy for hypothyearoidism post radioactive iodine and also known diabetic since months from your history age and other parameters it is type diabetes mellitus it is not only carbohydrates which contributes to the same insulin resistance is the main culprit from the details above it is clear your blood sugars are not under good control hba1c I would recommend to monitor your blood sugars at different point of time to know at which time it is increasing that is monitoring before and hours after breakfast lunch and dinner using a glucometer and want to adjust your diabetic medications accordingly lifestyle modification diabetic diet regular aerobic exercises for about 30min a day avoid simple sugars juices fruit with high glycemic index modify oral antihypoglycemic agents according to blood sugars | hello doctor I am hypothyearoid thyearoid gland destroyed by radioactive iodine 14 years ago my fasting blood sugar level is always in the range of 1 to 5 I have tried intermittent fasting even after hours it does not drop below 0 postprandial is in the range of 5 10 I do not have any sugar or rice or bread in my diet only carbohydrates is brown chapatis am I type diabetic I take 200 mug levothyearoxine everyday | medium severity |
I am having burning sensation while urination is it due to fungal infection | hi please tell me that do you have any discharge through vagina sometimes urinary tract infection along with vaginal infection causes this pain please do get back to me for the follow up once the urine and blood reports are available if sex hurts now refrain from sex till the infection is cleared and use the following medication ti with fungal infection urinary tract infection and fungal infection clotrimazole vaginal pessary 100 my insert into the vagina at bed time for consecutive nights maintain hygiene drink plenty of water and oral fluids | hello doctor I went to my doctor in february complaining of burning pee and discomfort they tested me for a ti and yeast infection and said there was nothing then I went to my gynecologist two months after that still having the symptoms she swabbed me and I had a yeast infection sex really hurts and I am scared that it is not just the yeast infection what if sex hurts | medium severity |
what causes burning sensation in lower abdomen with nausea | hello well to be very honest I am not convinced with the diagnosis of is does cause a significant pain which is obvious in nature and show characteristic spasm like pain not the burning you described pain of is however do occur over lower part of the abdomen the burning nature of the pain suggest may be ongoing urinary tract infection or a nerve pain within the wall of abdomen not necessarily within the bowel itself this may be the reason pain is not responding to colofac which is an effective medication to control pain of is in among every patient I suggest you test urine detail report and ultrasound abdomen with kidney ureter and bladder to exclude if there is underling kidney or ureter stone or infections involving these organs take plenty of water making sure you have adequate amount of urine daily you can continue with omeprazole if you think this helps in this condition otherwise you can stop these medications for now first confirm then I can suggest you some treatment meanwhile for burning you can take capsule pregablin 75 my at night it causes increased sleep that why suggested to take at night this will help nerve and muscle pain nerve entrapment pain rub stones infections urine detail report and ultrasound abdomen with kidney ureter and bladder cap pregablin 75 my at night it causes increased sleep that why suggested to take at night this will help nerve and muscle pain you can follow up after investigations | hello doctor I have a burning sensation in the left side lower abdomen a bit underneath the navel and nausea for weeks | medium severity |
I am having low libido after taking medications for ocd kindly advise | hello I am sorry to hear about your situation I can imagine how hard it must be for you I would put forward a few things you need to consider right now first of all clonazepam at a dose of my if used for long duration can be addictive this medication should be used only for initial few weeks or months to stabilize the anxiety symptoms escitalopram unfortunately can cause sexual side effects what you can do is if medication is working for you ask your doctor to add something for sexual side effects or you can ask for changing the medication please do not worry as this is a common side effect and only stays till the medication is going on and it gets normal after a few days of stopping the medication please do not stop medications suddenly you need to taper them off and also take an alternative medicine otherwise your ocd symptoms can come back you can start therapy cognitive behavioral therapy will help you with ocd symptoms and this will help you getting off of medications soon | hello doctor I had a bad complaints of ocd years ago then I met with a psychiatrist he advised me clonazepam 5 at night alongwith escitalopram 10 my in the morning I felt a little comfort but for getting more effectiveness I increased myself the dose of clonazepam unto my for anxiety panic attacks etc now I am quite well using the above mentioned medicines and I do not miss my dose escitalopam 10 and at night my clonazepam now I am facing serious problems of sexual erection due to which my marriage life is disturbing because my libido is too much low it is requested to kindly help me or advise me in the matter | medium severity |
what causes fluid in abdomen with back pain and low be in a hepatitis patient | hello I can understand you must be very upset about your father health form history and medication history it seems he has liver cirrhosis in other words it is called scarring of liver shrunken liver or chronic liver disease well the medications he is on and recent history of tapping of abdominal water suggest he has advanced disease which require a close follow up and listing such patient on liver transplantation the liver transplantation is the only definite therapy for advanced liver scarring such as in your father case but it is required to assign liver transplantation not too early and neither too late there are some scoring that should be performed before recommending liver transplant the one such score require blood investigations radiological test such as contrast enhanced it scan the reason why you do not see any improvement even after months of treatment is that all treatment is just supportive and does not correct underlying problem within liver except entaliv which is used for suppression of hepatitis infection to correct underlying liver it is liver transplantation which could help the survival are good after liver transplantation such as on average 70 individuals survive at years after successful transplant I want you to share me the complete blood investigations and tests that have been done as I can be able to stage his disease and give you reasonable approach to the problem chronic liver disease hepatitis related follow up to provide more information and investigations | hi doctor my father is suffering from hepatitis and currently his medication is going on medicines are entaliv 5 my reheptin pantodac livoluk 15 a day ulysses 300 norflox 400 lasilactone once a day let trice a day also tapping is doing condition fluid in abdomen back pain low be 90 60 no improvement even after two months of treatment | high severity |
I am feeling tired with mild headache can this be due to frequent head showers | hello with the history you have given the problem you have can because of the frequent showers kindly avoid going out and take bath frequently I would suggest a short course of antibiotics with supportive measures take tablet augmenting amoxicillin and clavulanic acid 625 0 monte la montelukast and levocetirizine 1 zencold plus paracetamol phenylephrine and chlorpheniramine maleate and pantocid pantoprazole 0 all these for three days take hot water and avoid frequent showers kindly get back for follow up after three days | hi doctor I have been feeling a little tired and only right or center part of my forehead hurts no fever but sometimes I get mucus from the throat this is happening form yesterday can this because of frequent showers each time I go outside the house to buy something I get paranoid and take complete head to toe shower this happens 4 times a day can you suggest how to go about it | low severity |
I have bowel pain with negative calprotectin and lactoferrin tests why | hello I can understand you must be very upset about your ill health so the comprehensive stool analysis is well within normal limits particularly calprotectin and lactoferrin which are inflammatory markers their absence theoretically excludes any inflammation within the bowel hence a good finding the me examination and its reporting is a subjective findings means it is interpreted by a radiologist and may sometime have an error in reporting because of differential enhancement pattern within bowel and bowel movements at the time of scan plus given your colonoscopy report afterward also showed no pathology suggest it was possibly an error in interpretation the colonoscopy is however the best morality to explain the me magnetic resonance electrography reported findings given normal colonoscopy suggest that the possibility of inflammation is unlikely now coming to your symptoms and use of medication that you believe helped for some time from your history I understand you have been given mesalamine for the duration of seven months after a colonoscopy that showed colitis and biopsy showed non specific inflammation so first of all mesalamine is an anti inflammatory drug which is commonly being given among patient suffering from inflammatory bowel disease i'd the i'd is further classified into ulcerative colitis uc which is a superficial inflammation usually of large bowel starting down from rectum and goes above to involve large bowel the other one is crohn disease cd which is somewhat deeper inflammation of the gut wall having a tendency to involve almost every part of the gut starting from the mouth toward the anus given your symptoms of mucus or pus discharge and presence of pancolitis on one of your colonoscopy make me think that there is a possibility of ulcerative colitis plus the response you observed to mesalamine is also favoring this diagnosis your second colonoscopy did not show any inflammation possibly because of the remission of the disease the uc tend to have an intermittent course with flares and intervening remissions possibly at the time of second colonoscopy the disease was in remission given your recent stool test and recent normal colonoscopy make me think that you do not have active disease at the moment your disease seems to be controlled with budesonide or previous mesalamine you took the mucus pus discharge suggests that there may be some other problem such as anal fissure anal fistula or anal sinus which may accompany the ulcerative colitis in its course for this I want you to examine your perianal bottom area and see from where exactly the mucus is coming the abdominal pain may be just because of stress and anxiety accompanying the current situation and not necessarily the active disease for such pain sari selective serotonin reuptake inhibitors are helpful for treatment I need to have the biopsy report of your colon both the previous one and recent one as I can see there is ongoing microscopic inflammation budesonide is an expensive drug and it is recommended in uc where the inflammation does not go beyond the left side of the colon you had pan colitis inflammation involving the whole colon and that is why oral steroids such as tablet prednisolone is more effective than budesonide the physician prescribes budesonide over oral prednisolone if the patient is unable to tolerate the systemic side effects which accompany oral prednisolone or patient has diabetes and bone mineral deficiency your physician probably kept this thing in mind so to summarize you likely have ulcerative colitis because I did not see biopsy of your bowel and as you said it was nonspecific the uc is in remission the pus and mucus have to be closely examined by you or by a physician by doing a digital rectal examination the uc can frequently accompany depression and anxiety and that should be taken care of abdominal pain possibly related to stress and you consider taking sari at minimum dose like tablet escitalopram 10 my daily discuss with your primary gastroenterologist regarding oral prednisolone if he is convinced enough you may share your biopsy reports I can advise you on this as well one more thing since you do not have any sign suggestive of active disease the steroid are not required at the moment you need to be given some immunosuppressive medications to control and prevent relapse flare the one more reason for your doctor prescribed budesonide is he might have considered microscopic colitis which is entirely a different diagnosis and requires entirely a different management approach you share me the biopsy and colonoscopy reports that will make me in a good position to tell you what to do now and sorry for such a huge description and lengthy message but I am sure this will really help you to understand your condition I hope this helps ulcerative colitis in remission done already need biopsy reports of both colonoscopies also images of both colonoscopies crohn colitis ulcerative colitis follow up with biopsy report | hello doctor I have pain in my bowel I have had an mri and the doctor noted that I have bowel wall thickening in my distal colon before that I did a stool test that was negative in calprotectin and I had a casa it showed no inflammation negative for lactoferrin no bacterial infection I also had a colonoscopy and it showed clear why there are pain and bowel wall thickening | medium severity |
I get anal pain due to a flap in anal region why do I get this pain | hi the picture and the symptoms suggest you have an external pile mass the pain is due to an underlying fissure or simply a crack at the anal opening these usually result from hard stools or constipation you need to start on dietary measures aimed at making stools soft as well as stool softening medicines also topical medicines to apply at the anal orifice will also help in relieving the acute pain I hope this helps | hi doctor for the past one month I am having pain in my anus it pains while throwing waste and even while sitting there is a skin flap that has appeared at the end of the anus towards the outer side there are two flaps one is more white in color and the other is reddish it is not bleeding however I am having pain I am not taking any medication for that as I could not go and see a doctor and thought that it will be cured on its own it actually started at the time of my period when my stomach got disturbed with hard stools please help | medium severity |
why do I have consistent bleeding during bowel movements | hello I welcome you to icliniq I can understand you might have terrible time because of your condition the quantity of blood is very important to understand before a list of diagnosis can be made since you said it is heavier and that all started days back it seem most commonly due to acute large bowel infection some parasites and some bacterial can causes inflammation of the large bowel and bleeding I suggest you some treatment at the moment and want that you should get following blood and stool tests and inform me in days about your condition the investigation will give us clue and we can better narrow down list of differentials meanwhile make sure you take only home cooked meals take plenty of boiled or mineral water stomach tightness are rather non specific symptoms can occur if large bowel is inflamed I hope this will help gi bleeding complete blood count bun creatinine lytes ha titer for histolytica urine detail report for ova and parasites stool detail report stool culture and sensitivity fecal calprotectin acute hemorrhagic colitis diverticulitis rectal ulcers inflammatory bowel disease acute infectious colitis tab flagyl 400 my tablets three times daily tablets daily for days it may cause metallic taste in mouth tab cefspan 400 my once daily for days follow up in days with investigations | having blood with bowel movements this has been occurring for the last days with a consistent bleed some bowel movements have a heavier bleed and I have a wipe there is an excessive amount of blood the bleeding only occurs during my bowel movements I am not feeling lightheaded dizzy nauseous or vomiting no rectal pain but having lower quadrant tightness no history hemorrhoids | medium severity |
I have chest tightness throat itchiness and feel like something is stuck at my throat please help | hello welcome to icliniq as you have mentioned you are worried about your symptoms considering your history and previous symptoms you may be having asthma as well as pharyngitis at present I would still advise you some investigations to confirm the diagnosis and if you are suffering from asthma I would have prescribed you inhalational medication because they are the best possible medication available for the treatment of asthma also I would like to know if there are any factors resulting in increase in your symptoms I hope this helps take care ray chest pa view spirometry with bronchodilator reversibility testing bronchial asthma formoterol mug budesonide 200 mug inhaler with spacer puffs twice daily and can be taken up to times daily if required continue zycast avoid exposure to allergens and smoking take nutritious diet and adequate rest | i am a 23 years old female for almost a month I ve been experiencing tightness of chest itchiness of throat and I feel there is something stuck at my throat I am currently taking zykast for the itchiness of the throat I also have a health history of asthma and allergies | high severity |
my diabetic father gets threatening hiccups while eating and drinking water please suggest a solution | hello I understand from your query that your father who is diabetic and hypertensive suffers from hiccups problem since eight months he has hiccups while taking food or water can I get more details does he have hiccups or cough both are different is his sugar and pressure in control does he eat very spicy is there any lump sensation in the throat did he smoke or drink when he takes nukast 10 does his hiccups completely disappear does he have any other symptoms of allergy like runny nose headache nose block or scratchy throat please revert back to me with these details | hello doctor my father is 68 years old he takes novorapid times 12 and lantus at night 18 unit above that taking olmesor 40 rozucor asp 10 cilacar 10 for the past 9 months new problem of hiccups arises while taking food and drinking water and about to stop his breath if he takes nukast 10 then it is fine allergy test for ice is 29 and full panel are also done what is the solution for this | medium severity |
what causes sweet taste after recovering from couid 19 | hi it is a great news that you recovered and doing well after couid 19 infection considering the current medical reports your hba1c is suggestive that you are in pre diabetic stage and your fasting sugar is absolutely normal you do not need to start any medicine for diabetes sometimes recent infection may also lead to high sugar levels repeat tests after month and from now on I would suggest you adapt more healthier lifestyle choices good nutrition diet regular exercises quit smoking if doing are the basic ways take care of yourself fbi ps hba1c lipid profile vitamin levels pre diabetes healthy life style modifications achieve weight loss from current status and maintain after month with reports | hello doctor I was couid 19 positive on 25th april 20 while on 1th may 20 my repeated test of covid19 was negative after that I feel all the time sweetness taste in my mouth upon that I myself went for blood sugar random and hba1c today on 15th may 20 I received the results of my blood sugar random which is 92 while hba1c is please do advise any medication for it my age is 45 years and weight 73 keg | low severity |
what causes pain in back and legs | hello looking at your problem from very near it would be sudden bending causing pressure on disc and protrusion to lumbar nerve causing shooting like pain on leg the cold and even cough increase the inner disc pressure and causing nerve to more pressure which causes symptom worst so I would recommend you to use lumbosacral belt on lumbar spine at lower back I would also recommend some medicine to take for this problem and follow up with mri for further improvement zanaflex tizanidine my po bid for week capsule neurontin gapapentin 100 my po bid for one week capsule pantoprazole 40 my once daily for one week | hello doctor around am today I had really bad back pain all of a sudden I have a cold so I have been texting so I thought it was just that but around 10 or am the pain started to shoot down my leg as well it hurts when I sit and walk and lift my leg | medium severity |
kindly explain about the symptoms of autism | hello firstly please do not feel sorry about the long list please relax this does not sound like autism to me in autism there are issues with social communication verbal communication repeated stereotypic behaviours which I do not see in your description what it looks like is that you have issues in managing your emotions and possibly relationships I suggest you to maintain a journal where you document about the events which have been troubling you and then you can discuss with me about specific events so that psychotherapy can be started to help you | hello doctor I have been to a counsellor before at my high school about symptoms of anxiety and she told my mother that I may have symptoms of an autism disorder I do not really know what to look for symptom wise but I have done a little research and so far this is what I experience almost daily being easily irritated I do not like doing things spontaneously I need to plan it out beforehand I much prefer to work alone than in groups I fidget a lot I have always been overly emotional being extremely sensitive to criticism daydreaming zoning out especially in school and excessive talking I am 18 and female also sorry about the long list | medium severity |
kindly advise the treatment for leg pain and soft tissue injury | hi I understand your pain and concern for further information consult a general practitioner online | hi doctor before 20 days I went to a party got drunk and met with a fall my leg started paining from the next day I could not walk without it hurting I went to a and they said it was just a soft tissue injury still now I am having pain and not able to bend it properly or fully extend it without being uncomfortable I am also struggling to walk anywhere far it got seized up today whilst in the shower and I could barely move my leg it just clamped up please help | medium severity |
based on fetal echo please explain the health condition of baby and mother | hello welcome to iclinq com basically report is normal and there is no evidence of any heart disease in the baby however since it is difficult to completely visualize the baby heart as it is small and deeply seated some diseases may be missed especially minors but at present there is no evidence of any disease and usually major diseases are not missed on fetal echo so nothing to worry at present about the report now I do not know why you mentioned down syndrome as there is no evidence of it in echo but routine ultrasound of the baby rather than echo is an investigation of choice for down syndrome so routine ultrasound of the baby called as malformation scan is necessary to rule out down syndrome also in down syndrome there are abnormalities in the heart as well but echo is fine so it is a negative factor for down syndrome but still ultrasound would be more reliable down syndrome has severe consequences on the baby rather than mother firstly because of various structural abnormalities which may be seen in various body parts requiring surgeries and baby will have developmental delays some mental retardation if it is detected earlier in the pregnancy then abortion may be done I hope this helps | hello doctor I need an explanatory view for layman understanding in respect of the conclusion drawn in the report attached herewith I would also need to know the effect on the health of baby and mother including down syndrome and also other points mentioned in the report | high severity |
my wife has rheumatoid arthritis with high ear ra factor and swollen fingers please suggest a solution | hi I have gone through the reports there is a high ear erythrocyte sedimentation rate ra factor I would like to take a few more details on the history part but it would be better if someone can examine the joints as it is a long treatment which patient will need so she should be examined properly before commencing the drugs for it does she have early morning stiffness any dry eyes or dry mouth any oral ulcers any hair fall any other medications for diabetes or thyearoid is she taking | hello doctor I want a good rheumatologist for my wife who has been diagnosed with rheumatoid arthritis she has got ra factor 150 and no other problem in blood reports anti cop is negative she has swollen fingers both in hands and legs she is currently on shellcal 500 and joint capsules | medium severity |
lost weight with some muscle mass but chest ray and us are normal am I having cancer | hello welcome to icliniq com how much weight exactly did you lose since when you are having symptoms if we consider there is significant weight loss then other specific symptoms are expected with malignancies like constipation or diarrhea malena or symptoms pertaining to other systems if we consider issues elsewhere in the body also ultrasound would have shown some mass although ultrasound may miss the tumor in early stages since you are having significant weight loss and long duration of symptoms tumor would be beyond the early stage and the probability of malignancy is less at this age group but we are not comfortable unless we find some alternative causes like gastric issues like chronic gastritis diet changes frequent indigestion or any other changes or factors which could explain weight loss if it is significant if there is any addiction like smoking alcohol or drugs it should be reduced you may have antacids like capsule cyeara or pan der pantoprazole for a few days if you have any gastric symptoms like bloating burping upper abdominal pain or heartburn I guess the doctor must have examined you for lymph nodes in the neck and femoral region I hope this helps | hello doctor I lost a lot of weight fat and a bit of muscle loss with abdominal pain and bluntness I also am stressed and anxious about it I had blood work done with ultrasound and chest ray also I had urine examined for blood and everything came back great no problems in those areas because of the coronavirus colonoscopies and gastroenterology are not available if I had colon cancer or tumor or something serious will the blood and ultrasound show that something is not right I am currently on cirpaex 10 my | medium severity |
when the milk teeth are shaky the permanent teeth are erupting slightly inward please help | hello welcome to iclinq com I went through your query and also seen the image attached as a specialist it is quite fine she is on the safer side as no such visible misalignment once the permanent tooth erupts fully as you mentioned and also visible from the image upper left central incisor baby tooth looks totally mobile it is better to pull it out you can get a numbing gel like rexidine forte chlorhexidine metronidazole and lignocaine gel apply over the gums on the mobile tooth hold the mobile tooth with a piece of cotton and pull it out if possible hold the area with a new cotton gauze to arrest the bleeding if not possible let it be as placed it might fall off itself seeing the condition she will be fine it was better if the tooth was extracted earlier then there would not be any chances of malalignment but it very minute and would not be visible as such try feeding hard food small pieces of hard fruits they might help I hopethis helps palatial eruption of left upper incisor due to delayed shedding of the primary tooth seven days or anytime if you need any more help | hello doctor my daughter is 5 years old two of her front teeth are shaky but not falling off but I see the new is growing because of space the old one occupying new one growing is not aligned it looks like it is growing little inward and cross | low severity |
is it necessary to get mobile teeth removed | hello I went through your query I would like to see an image of the area myself kindly upload let me know if there is any history of diabetes mostly seems to be a periodontal problem | hello doctor I think I have gum disease my teeth are starting to move will my teeth have to be removed I have no bleeding gums there not red | medium severity |
I have unilateral ptosis is there any cream or non surgical way to cure it | hello as you have send me images of your both eye I can see there is ptosis in your eyes right eye it is looking more compare to left eye as you told it started a year ago and not from birth so it can be apponeurotic ptosis but we have to take exact measurements for ptosis and we have to compare both eyes for your query as you have asked if your eye lid is dropping day by day and it is getting worst then only way to treat is surgery there is no medical treatment for any kind of ptosis lips weakness ptosis measurements ice pack test achr ab thyearoid profile med apponeurotic ptosis myasthenia graves ptosis depending upon ptosis measurements and lab test days | hi I have gradually developed unilateral ptosis is there any cream or non surgical way to cure it my eyes were fine till about a year ago gradually my right eyelid started to droop and is getting worse day by day | medium severity |
can a sinus ray show if your eustachian tube are closed or not | hi before I explain and answer your questions I will take a little of your time to explain what has probably happened in your case the eustachian tube basically ventilate the nose and the ear in a situation where it does not function a negative pressure develops in the side of the ear leading to feeling of vaccum ringing sounds feeling of fluid in the ear and sometimes decreased hearing as well most common causes out there would be allergy or underlying sinusitis which can block up the tubes and there by cause its effects now getting to your question a sinus ray cannot show if the eustachian tubes are closed or not a sinus ray just gives information about the status of the sinuses septum and other bony prominence yes we do a nasal endoscopy to see what is the status of the nasal mucosa sinus drainage pathway details of the nasopharyngeal area and definitely see if the tubal opening is anatomically patent or not in most circumstances we can pick up any functional eustachian tube block by methods you mentioned about the confusion regarding fluid accumulation in the ear if you feel that your ears are still clogged then you can consider the treatment mentioned below this might take around 15 to 20 days for things to completely come down but chiefly depends on how manage to follow the precautionary advice mentioned above I hope I have answered your query in detail warm regards | hello I have a couple of questions first can a sinus ray show if your eustachian tube are closed or not or do the ent have to go up your nose to find out I had a sinus infection and nasal drip my ears are clogged I went to my doctor he said I had fluid and an ear infection and sent me to a ent and he said I did not have fluid then why is my ears still clogged after a month and have pressure I have a septal deviations on my right side umm can that be the reason | low severity |
what causes deep breath once in a while | hi it is an interesting question your observation that sometimes you can take a deep breath that is a bit more satisfying than other times makes me a bit more curious as to whether you are in the same posture every time you try it the diaphragm is a muscle that divides everything in chest from everything in the belly with a few orifices that help get certain things like your food pipe through it helps to expand the lungs by moving towards the belly while to take a breath in thereby creating more space for the lungs since there is a finite potential space I wonder if you feel the difference based on how much food you have had or what time of day is it I suggest a more detailed discussion if you can provide some more information | hi doctor I am trying to find out a specific function of the diaphragm when it comes to taking a deep breath there seems to be a deep breath one takes similar to when one is at the doctor and they say take a deep breath and then there is a much more satisfying deep breath one can take which seems to fill the upper lungs with much more air it looks like the diaphragm upper belly moves out a little bit when this deep breath happens can anyone explain the mechanics of this why can this deep breath happen sometimes and not other times it is as if I could hold a musical note for minutes because their is so much of in my lungs | low severity |
after how many days of withdrawal bleeding does periods occur | hello as she had a withdrawal bleed post unwanted 72 intake and also the urine pregnancy test has been negative till date so pregnancy is ruled out however the conclusive test for ruling out pregnancy remains serum beta hug test which is a blood test if hug levels are less than mlu then she is surely not pregnant also now she should be expecting her menses only after 10 more days as she had her bleed marking the start of her fresh cycle just get the serum beta hug test done to get conclusive results she can wait for her menses | hello doctor I and my friend involved in physical intimacy a few days back and there was no ejaculation and penetration was only for minutes after that considering precum she took unwanted 72 within hours she had bleeding after six days she has regular cycle of 28 to 30 days and her last period was 30 days back she did not have period till now we performed urine pregnancy test at home all are negative is it confirmed that she is not pregnant if yes how long ideally she should wait for period after bleeding is there any medicine required | low severity |
is it normal to have a high pitched sound when you move the jaw up and down | hi yes your symptoms of taj clicking will disappear with a proper treatment plan so do not worry its great that you have seen stomatologist and got advised for night guard go for it or I will suggest for acrylic repositioning splint and after this if you do not get relief go for orthodontic treatment for a precise treatment plan investigation required pictures of the upper arch lower arch front rt and lt view while teeth in occlusion op take medicine for days twice a day tab flexor my premature occlusal contact investigation required pictures of the upper arch lower arch front rt and lt view while teeth in occlusion op | i have symptoms of a high pitched sound when I move my jaw up and down while eating yawning and even when I turn my head sideways to the affected side as well as grinding the teeth I also have fullness pressure in the ear when the jaw is motionless I have now had these symptoms for more than months I went to see the doctor last week who thought it was due to the jaw joint although there is no pain or soreness and recommended that I see a stomatologist but she did not think it was because the eustachian tube is blocked I also had an ray performed on the jaw a few months ago and it said that the left mandibular condole is positioned very slightly in front of the most pronounced point of the temporal condole I went to see the stomatologist a couple of days ago who said that I have costed syndrome he said the two sides of the mouth were uneven when I bite and therefore he chipped at three teeth on the right hand side to balance it since the sounds were coming from the left ear I will see him again in weeks time to see if the mouth is even and the symptoms from the ear have disappeared he also mentioned that I would need a night guard temporarily will the symptoms of the high pitched sound when I move the jaw up and down and the fullness pressure in the ear eventually disappear | low severity |
is there a way to get my periods earlier | hi for further information consult an obstetrician and gynaecologist online | hi doctor my actual due date of period will be tomorrow but I did not see any signs of the period I did not even have sex I have to travel in five days and I wish to have period by tomorrow or day after tomorrow can you suggest anything to get my period early | low severity |
with respiratory problem is it wise to plan gallbladder operation | hi for further information consult an internal medicine physician online | hi doctor my mother was diagnosed to have acute cholecystitis she is 65 years old and is suffering from respiratory and heart problem one mild stroke also happened around two years back she had recently failed pulmonary function test will it be wise to plan gallbladder operation please reply | high severity |
I have aneurysm is it safe to take viagra for erectile dysfunction | hi for further information consult to a sexologist online | hi doctor I am a 54 year old male with complex medical histories including a current splenic artery aneurysm an occluded right vertebral artery historical major spinal cord trauma from intramural schwannomas removed twice and multiple liver hemangiomas I have had occasional erectile dysfunction my testosterone level is low and I am on trt is it safe for me to use viagra or similar drugs for ed | medium severity |
why do I have some difficulty in removing the denture | hi I can understand your concern regarding your dental health for further information consult a dentist online | hi doctor I am new to dentures I am wearing it for approximately two months when I take my dentures off the fixodent makes it difficult to remove and it tears my gums I wanted to know if there is anything I can use to aid in the removal so that it is not so difficult time consuming or painful to my gums | low severity |
what is retinal detachment | hi for further information consult an eye care ophthalmologist online | hi doctor while blinking my eyes some round shaped image is appearing in my left eyelid I seek doctors advice and he said that I have a retinal detachment please help | high severity |
does biopsy on a pregnant woman result in any complication | hi I can understand your situation and concern for further doubts consult an obstetrician and gynaecologist online | hi doctor I am 30 years old and 20 weeks pregnant I got an abnormal pap result with asc I had another pap two years ago and it was normal my doctor wants to do a colposcopy and biopsy however I read that it does result in complication when biopsy is performed on a pregnant woman can I do biopsy later will colposcopy show how bad the lesions are please explain | medium severity |
can glue cause black spots on the whitish part of the eye | hi the cause of black spots may since childhood just like moles on the skin most probably they are not related to glue need an eye checkup once please do safety measure while dealing any such thing or any chemical use protective glasses if any accident happens then first of all wash your eyes with water as early and as much as you can and go to doctor revert back with the photos to an eye care ophthalmologist online | hi doctor when I was opening a powerful glue bottle two small drops of glue went into my left eye after two months I observed black spots on the whitish part of my eye please help | low severity |
what to do for puffy nipples after liposuction | hi for further doubts consult a plastic surgeon online | hi doctor I am an 18 year old male I had liposuction a year before for gynecomastia I have been in perfect shape for a while I have gained a bit of weight recently and noticed the development of puffy nipples this is bothering me very much I need some guidance please help | low severity |
what are the reasons for hypoglycemia | hi revert back with the reports to a diabetologist online | hi doctor my mother has been suffering from diabetes for three years she is 61 years old and weighs 40 keg she was on gamer early morning around am she often complains of excessive sweating and weakness sweating stops after taking tea biscuit or sugar she has stopped taking medication for the last 15 days due to personal loss she has been undergoing stress and tension please suggest the required medical tests that she should undergo thank you | medium severity |
what is the recommended diet for jaundice | hi alcoholism let and upper gi endoscopy alcohol induced chronic liver disease with portal hypertension continue medical treatment as suggested by doctor for further information consult a medical gastroenterologist online | hi doctor I have been suffering from jaundice for the past three months I am feeling fatigued I have been drinking about 150 my whisky every day for the past years but I did not drink anything in the last three months I tested for bilirubin serum hemoglobin my liver shrank in size and the spleen is enlarged my bilirubin 20 albumin 81 ast 49 alt 12 and hemoglobin 30 both hepatitis and are non reactive kidney and pancreas are normal in size the doctor suggested for endoscopy please suggest the diet and precautions is the liver condition reversible | medium severity |
would you recommend pranayama for a 90 year old | hi thanks for posing this question please find my suggestions below at age 90 it becomes very important to keep the things simple for the patient your effort to teach pranayama is appreciable I would advise you not to go for any difficult pranayama which is tedious to understand nazi suddhi and anuloma viloma or alternate nostril breathing is sometimes confusing for elderly people if the above option is also found to be difficult then just ask him to follow breath awareness where one just needs to focus on breath without any active effort for its manipulation either sitting or lying exhaling through the mouth is perfectly fine as far as the patient is comfortable but there is nothing wrong in exhaling through the nose also let it be decided by the patient whether he wants to exhale through the mouth or through the nose both ways of exhaling seems to be equally good with a bit extra priority to exhaling through the mouth let us not trouble him by putting any unnecessary rules I will consider bhramari pranayama chanting of while exhaling to be best for him if any religious concerns are there about any of the chanting then these can be replaced with either only bhramari pranayama or instead of om some other words like swim can be followed with emphasis on my sound and very minimal swi sound any other similar words or chants can be chosen treatment proposed here is to be followed under supervision and several modifications or omissions and replacements may be needed for different individuals with same ailment or same individual at different stages of ailment for further information consult a yoga specialist online | hi doctor my father is 90 years old he has congestive heart failure and chronic obstructive pulmonary disease he is generally in good spirits and is well taken care of he uses oxygen and his doctors have told him that when his oxygen count goes down to breathe in and exhale through mouth since his breathing is generally weak after every time he walks or climbs stairs he sits down with this oxygen tank and breathes in slightly and then exhales usually with more force than he inhaled I am trying to teach my mother about pranayama and the importance of exhaling through the nose her concern is that the doctors have taught them the breath in through nose technique and exhale through the mouth given that he is 90 with those conditions on oxygen is there a reason that he should use the technique the doctors are recommending would it be more beneficial to breath in through the nose and exhales slowing through the nose even with the tubes in his nose the latter makes more sense to me but since my mother only trusts her doctors she asked to get more information about this thank you so much for your time | low severity |
got pregnant while on copper shall I continue the pregnancy | hi for further information consult an obstetrician and gynaecologist online | hi doctor I got pregnant with an i'd copper it was confirmed after blood test and the copper was removed my last menstruation was 40 days before shall I continue the pregnancy how will be the growth of the baby do I need any precaution this is my second pregnancy I delivered my first child before six years through section and he is healthy please advice | medium severity |
please suggest what to do for worms in stomach | hello for further information consult a child health specialist online | hello doctor my child is 5 years old recently a worm came out of her mouth alive of about to am long without vomit doctor gave her bandy plus and told to repeat the dosage after 14 days please suggest whether it is a tapeworm what are the investigations you would like to suggest for her please advice would there be more larvae or eggs of this kind of worms in her intestines she reports pain in her abdomen and throat often she has problem of constipation as well and because of that she lacks concentration in work or study please suggest what to do | medium severity |
can you suggest a good lubricant for near vision | hello dry eyes blepharitis use lubricant eye drops for at least three times a day avoid prolonged continuous use of gadgets revert back with the investigation reports to an eye care ophthalmologist online | hi doctor I used to spend a lot of time before laptop and tablet now my vision became blurred when I see a computer I had a headache in exactly one part or one side of the brain then I had a check up and everything was found normal the doctor suggested me to take capsule eyetamin for 20 days then I was fine without any problem for approximately a month but again developed the same problem now they prescribed me with a glass spherical arc and 25 along with oxycool eye drop and some medicines it was good till now some 15 days back my vision became blurred and I had a headache though I had my eyeglasses both were gone after I had some sleep I had the problem while I was studying I used to study continuously for hours to hours approximately a day I again had a check up and they did not find any problem eyeglass specifications did not change they prescribed me with zoline plus eye drop even after 10 days of use I do not feel any significant difference after application of the eye drop I could not see properly for some time after some time it was clear now I could watch television continuously I am having problems while studying and I could not study continuously even for half an hour either from a textbook or on laptop I am having eye strain I fear my vision will become blurred again so have stopped reading since last 15 days please suggest what I should do now I will be grateful for your advice thank you | low severity |
is hair fall common after a surgery | hi for further information consult a dermatologist online | hi doctor last year I noticed hair fall then I had a surgery for appendix and post surgery my hair fall increased severely I have checked vitamin b12 and ferritin levels everything is normal since I am a vegetarian my doctor put me on some multivitamin tablets I am also taking biotin tablets for two months it has been a year but nothing helped my hair has reduced to a sleek pony my family history does not have any hair fall issues three weeks back I started taking minoxidil on a dermatologist recommendation till now I did not observe any change also it has started making my hair dry and brittle please tell me what to do further | low severity |
please suggest some siddha medicine for pod and hirsutism | hi first of all you must take purgation for pod polycystic ovarian disease and hirsutism after that you should start with medication all siddha medications are not practically available some medicines are mixed in combination and are prepared by ourselves for better efficacy I suggest tablet abhyathimotak two tablets for one day only for purgation then continue kumar legiyam twice daily I also suggest syearup meryton 10 my twice daily and tablet meryton two tablets thrice a day for 15 days consult your specialist doctor discuss with him or her and take the medicine with consent for further information consult a siddha medicine specialist online | hi doctor I have symptoms of pod I have excess facial and body hair along with acne and irregular menstrual cycle it takes two to three months between a cycle when menstruation occurs it will last for up to two weeks please suggest me some siddha medicine and diet to cure the pod problem and hirsutism thank you | medium severity |
why do I get pain in the kidney region | hi I have gone through the reports for further doubts consult a radiologist online | hi doctor I wake up with pain in the kidney region every morning after approximately three to four hours of lying in the supine position or on my left side the pain localized beneath the left and right kidneys more on the left and down toward the pelvis on the left side it hurts the most when inhaling my body wakes me up in a 10 pain every morning as a survival necessity if I elevate my mattress by 15 degrees with my head higher than my feet I do not wake up with the pain or it is suppressed approximately 90 when I get up and walk around for several minutes the pain goes away I never experience the pain when I am not lying down there also seems to be hyperintensities in both the cecum region and renal pelvises I found the intensifies in the cecum region to be upwards of 3071 compared to my bone intensity measurements averaging around 1200 I have testicular pain following urination sometimes cloudy or semen like urine following the pain I am unable to completely trace both the ureters without their disappearance and they both seem to be compressed in various regions I can however find them again around the bladder I understand that dilation is absent on the it scan however the pain only arises after hours of laying down so it would seem to make sense that dilation is not visible on the scan also there seems to be an intense vascular network posterior or underneath the kidneys that I have been unable to identify the duodenum appears to be compressed by the sma and the right testicular vein appears to be compressed by the duodenum I need your help to review these issues I feel like I am dying I am 25 years old this has been occurring for more than two years I have extremely itchy skin all the time probably due to urinary leakage or fistula or vascular issue my identical twin brother does not have any of these issues I do not think that I can go much longer I have attached the reports for your reference please help | medium severity |
how to cure the acne breakouts | hi for further information consult a dermatologist online | hi doctor I have had good skin for all my life people would even compliment me on it at times this changed a while ago I have been involved in bodybuilding for the last year and decided to start taking creatine roughly three months ago before that I did not notice any effect of exercise on my skin except some small pimples on my chin area after a month of creatine usage I realized that my skin was getting worse with some breakouts all over my face forehead and temples and especially chin and low jawline area I first removed the protein supplement from my diet thinking it was the cause and only 2 weeks later realized upon the research that creatine was the real culprit I instantly stopped taking it and the only supplement I take now is natural dairy free protein powder along with the skin care regimen I follow this every day I am using a cleanser along with moisturizer twice a day and it has helped almost to clear my forehead and temples I assumed my breakouts were due to dehydration in the period I was taking creatine but only noticed slight progress in my chin area although the bumps on my skin now do not feel as tough and dry as they did and do not itch anymore unless I forget to moisturize I drink lots of water and have just bought a 97 pure aloe vera gel tube that I am going to apply twice a day I am afraid whether this condition could last a long time after quitting creatine I am really worried as it is seriously damaging my confidence and overall wellbeing is there anything I need to know or anything I can do on my own to help the healing process two weeks ago I decided to take a break from working out and thought that I noticed some improvement as in decreased redness but I do not feel too sure about it but I would really hate to quit work out | low severity |
are there remedies to stop early maturity | hello ultrasonography of neck anti tpo antibody anti thyearoid peroxidase check levels of to and ash thyearoid stimulating hormone revert back with the answers to the above questions to a child health specialist online | hi doctor my granddaughter became obese last year the doctors detected some thyearoid problem after taking the pills she became normal now she is expected to have early maturity she is years now before three years she had a head injury but she was normal and it was ignored what treatment she should take now | low severity |
how to get relief from heel spurs | hi revert back with the test reports to an orthopaedician and traumatologist online | hello doctor my mom who is 52 years old has developed a heel spur on both legs which was discovered months ago sometimes it pains a lot she is currently on proxy 200 pantosec and zelac I have attached her ray for your reference please advise how to get relief and if any treatment needed | medium severity |
could you please interpret my friend breast cancer report | hi for further information consult a surgical oncologist online | hi doctor I am writing this question on behalf of a friend of mine she had breast cancer and was operated on for it before four months she had her tests done again a few weeks ago but she does not seem to believe the results and wants a second opinion could you please interpret the reports of her current situation thank you | medium severity |
do people using tanning beds end up with melanoma | hi for further information consult a dermatologist online | hi doctor from when I was 17 years old I have used tanning beds on and off up until I was I was not aware of the risks through the internet I learnt about the risks I got to know that it is inevitable and that will develop melanoma at some point do most people who use tanning beds end up with melanoma my skin looks and feels healthy and I only have about four to five moles on my body and a few freckles melanoma does not run in my family I have green eyes but tan very easily I rarely ever burn are my risks still very high from my tanning bed use I did not notice any change in my moles at all and I now use sunscreen every day | high severity |
how long should I avoid pregnancy after rubella vaccination | hello for further information consult an obstetrician and gynaecologist online | hi doctor I am a 30 year old female and planning for a first pregnancy thereby across I came to know about rubella test I have gone through this test recently and it came out to be non reactive egg less than iu my and i'm is less than 10 iu my should I go for its vaccination if yes then how long should I avoid conceiving | low severity |
could stomach bug cause frequent bowel movements | hi we are here to help you revert back with the answers to the above questions to a medical gastroenterologist online | hi doctor for the past 10 days I have been having frequent bowel movements at first it started with lots of pain but the pain got subside after relieving my bowels the stools were softer and of large quantity no blood in stool but a little bit of red color on my toilet paper I have hemorrhoids which I know and I have been impacted by all of this I went to my regular doctor and had an abdominal it scan last week I have not received my results yet I am getting pain to the right of my belly button a few times after about five or six days when the frequency of going to the bathroom slowed down I seemed to strain a bit more to go and the stools were coated in white this would only occur with the harder stools the other stools seem to be softer and more yellowish in color after the it scan I am of course going to the bathroom frequently but no white in stool at that time so my concern is the mucus which I have never had before what is causing the diarrhea ironically I had seen my gastro doctor when all of this began so I have scheduled another appointment I had a colonoscopy two years back all normal except for hemorrhoids and an upper gi at the same time gastritis was the only thing found since then I had an abdominal ultrasound and pelvic ultrasound in which all were fine could colon cancer develop quickly I am a worrying and I am driving everyone around me nuts my current medication includes effexor allegra probiotics and xanax for anxiety thanks for your help in advance | low severity |
why am I having itchy and dry eyes with eye pain | hello what you are suffering from is computer vision syndrome modify your computer working habits work in a well lit room always even if using laptop try to work on a table and chair and chair should be good ergonomic supporting your spine main light should come from behind your back remove your eyes from screen every 20 minutes and look at distant object for 20 seconds work on a he screen or retina display screen take minutes break every 45 minutes make a rule whenever you press a common key like enter or space or even when touch track pad you will blink your eye because that is essential to blink eyes 15 times a minute discontinue betonosol eye drop please use refresh tears eye drop times a day regularly if any discharge or redness develops please let me know these are not signs of glaucouma see in glaucoma there is no pain so early then too after situation of lockdown improves then please get top checked to rule out glaucoma | hello doctor I am having itchy and dry eyes for the past one week and recently experiencing some eye pain also for the past two days my eyes are getting tired fast and I cannot look at a laptop screen for long periods there is a constant irritation near both the eye corners but the itching occurs sometimes it is not constant I am taking refresh tears eye drops for times for the past two days and warm compresses and it is feeling better after that in the past one month I had severe tonsillitis for which I took some medications it had some side effects that led to a thyearoid disorder which is getting better now I wanted to know if this condition is serious and whether I should continue taking the drops also my father has glaucoma so is my vision in any kind of danger there is no redness as if now I am a 20 year old female thank you | low severity |
is it possible to get sinus infection due to aspiration of soup | hi it is very unlikely that you develop a sinus infection following consumption of any food however if your prone for a post nasal drip after consuming anything for that matter it could be related to a food allergy what we categorise as nina non infectious non allergic rhinitis post nasal drip occurs due to accumulation of mucus in the nose which has no place to go other than being blown out or pushed into the throat which often causes irritation and frequent throat clearing I do not really suggest any treatment for this you take steam have warm water and do saline gargles to get rid of the irritation temporarily ultimately it is always best to avoid consuming anything which can trigger such a response | hello doctor is it possible to get some sort of sinus infection from accidentally aspirating soup when you are eating I always make the mistake of choking on ramen and it has been happening a lot lately I noticed in the last two months that every time I have ramen and choke on the soup I get a sinus infection or something that feels like uncomfortable post nasal drip could it be because of choking on the ramen | medium severity |
I vomit after eating and passing black stool with upset stomach kindly help | hello this seems to be peptic ulcer within stomach the pain of stomach ulcer worsen after taking meals do you have a previous history of peptic ulcers the black stools are suggestive of ongoing bleeding from peptic ulcer the bleeding may be small to cause change in the color of stools however a large ongoing bleeding can not be ruled unless I know your blood pressure and heart rate plus do you have vomiting of similar black color in these days I suggest you to start capsule esmoperazole 40 my twice daily before meals take this medication regularly in case if you are feeling fainting or dizziness blurring of vision when you stand from sitting position or your upper level of the blood pressure systolic blood presure is less than 90 or your heart rate above 90 beats per minute I recommend you to visit near by emergency department for treatment and possible need of endoscopy otherwise if you do not have any alarming signs as I mentioned I suggest you can start medications and see if it helps you this medication will suppress the acid production in the stomach and will help heal the ulcers in stomach let me know if I can provide more information about your condition take care peptic ulcer disease complete blood count prothrombin time and in gastroscopy provide more information as I can be able to solve your problem at moment | hello doctor I vomit after eating and have an upset stomach too I also have a black stool what could be the causes of these | high severity |
there is some redness along with ulceration near vagina in a baby kindly advise | hello I need more detail history from you whether there is fever or burning micturation or itching around vagina or any discharge from it how is her behavior after these symptoms as you have mentioned that there is cut on vagina how did this cut happen pain burning or stinging when passing urine suspect pain if a young child starts to cry while passing urine the feeling of cannot wait to pass urine may occur this is called urgency passing small amounts of urine at a time often this is called frequency new onset of day or night time wetting pain in the lower tummy may also occur if the kidney is infected the pain is in the flank the flank is the side right below the ribs unis are a common cause of fevers without other symptoms in young children the urine may be cloudy and have a bad odor sometimes there is some blood in the urine ti on top of the list interstitial cystitis vulvovaginitis trauma or injury child abuse the vulva is the area outside the vagina soaps can cause this area to be red sore and itchy this can lead to unis stool that gets on the vulva is another big factor this can happen with careless wiping it can also happen with constipation a rare cause is if the bladder is not emptied all the way reason urine that stays in the bladder too long can become infected cystitis is more common in girls than boys this is due to the much shorter length of the urethra in girls needs urine re a clean catch urine sample needs to be tested a ti is confirmed by finding white blood cells in the urine a positive culture for bacteria is also needed repeat urine s us abdomen ti on top of the list interstitial cystitis vulvovaginitis trauma or injury child abuse ti on top of the list vascicuuretric reflux or obstruction in urinary tract interstitial cystitis vulvovaginitis trauma or injury o child abuse after proper examination and history education clean from front to back after defecation plenty of oral fluids cranberries drinks education clean from front to back after defecation plenty of oral fluids follow up after reports urine and us pelvis and abdomen | hello doctor my years old daughter has redness around her vaginal wall it looks as if it is an ulcer type or something it hurts her a lot and frequent urination was there we took her to pediatrician he recommended us ti course zocan and trojan 5 my was given and candid gel is given it has been 10 days but still she complains of leg pain and pain near urethra should we go fo sonography please let me know | medium severity |
I have uterine fibroid and gets abdominal pain with fever after periods can I take combiflam | hello you can take combiflam ibuprofen tablets after food maximum up to three times a day but however I would like to point out that the fever and pain may not be because of your fibroid problem because you have been diagnosed with the problem long back we have to find the cause for the same without knowing the cause for fever it is not advisable to take combiflam preferably please take paracetamol or doll 650 my for fever one possibility is degenerative changes in the fibroids which can get secondarily infected and cause pain and fever or sometimes a reproductive tract infection or most commonly it can be even because of urinary tract infection so I would like to know if you are experiencing any pain or burning while passing urine or if there is any increased frequency of passing urine if yes please get a urine test for routine microscope and culture sensitivity to look for the infection we may have to start antibiotics because you are having a fever too please revert back to me with the necessary details to look for the cause of the fever urine routine and microscope urine culture and sensitivity ultrasound abdomen and pelvis fever evaluation recommended drink plenty of water and fluids at least three to four liters per day syearup citralka two tablespoons thrice daily in half glass water for three days in case of any burning while passing urine | hello doctor I am 50 years old I have a fibroid problem for the last two years this month after periods I have severe abdominal pain and fever also I am suffering for the past two days and I manage the pain with combiflam please tell me how much doses I want to take a day and how long can I take it | medium severity |
I feel like something is stuck in my throat and I get a metallic taste what to do | hello dear I welcome you to icliniq it seems there is problem within your food pipe acid reflux regurgitation of food choking and freqenut salvation and sometime vomiting are all symptoms related to food pipe esophagus metallic taste of tongue food stuck and difficulty in swallowing are just part of armentarium of symptoms of any disease affecting food pipe there are many disorders which could cause such symptoms namely esophageal diverticulum motility disorders eosinohilic esophagitis or some anatomical variations of food pipe these all disorders can reasonably be excluded on basis of good history and some common investugation rarely an endoscopy is required to confirm the diagnosis since with limited history I am unable to make any diagnosis at momemt but I tried to provide you the possibilities I recommend you some testing just get it done and come back to discuss I hope this will be helpful good day esophageal diverticulum motility disorders eosinohilic esophagitis or some anatomical variations of food pipe complete blood count serum ig thyearoid function tests ana profile cpu timed barium swallow tabs motility disorders follow up after investigation or can discuss now before getting tested | good afternoon I have few symptoms for a month like sour or metallic tongue usually when I eat some food I feel like I have something stack in my throat and I do not feel like eating anything I feel short of breath however some relief if I burp I also have to clear phlegm from my throat all the time thank you | medium severity |
I feel slight pain when a part of my leg skin is lightly touched by clothes or hand is it allodynia | hello the hypersensitivity is caused by effect on the nerve due to any reason it may be from spinal cord to the region in leg problem anywhere can cause this kind of an issue you need to get yourself evaluated clinically by a neurologist as the mri is quite old you can not rely on that further evaluation with mri only if required and nerve conduction study might be required as a symptomatic treatment pregabalin or gabapentin can be used but only after clinical evaluation and if considered by the treating doctor thank you | hi a portion of my skin in my right leg feels sensitive or I feel a little pain when it is lightly touch by clothes or hand I have started to feel the pain I think 5days now and it does not go away I searched online to find what it is and I think it is similar to allodynia btw I am not sure if my previous condition was related to my current condition I have always an issue with my right shoulder and right arm and the doctor said it is a muscle spasm at first my right shoulder hurt then the pain expand up to my right arm I have experiencing this concern for I think 3years now the pain goes on and off also I had an eardrum reconstruction surgery last year in my right ear I am not sure if it is related | low severity |
my mom has liver disease with nausea vomiting and oversleeping could it be hepatic encephalopathy | hello I can understand you must be very upset about your mother health the answer to your query is you are 100 right it can be hepatic encephalopathy he it often presents as altered sleep patterns which means day time sleeping and nighttime awakening tremors are characteristically called flapping tremors and sometimes overt neuropsychiatric manifestations such as elevated mood hallucinations and illusions the treatment of he is simple I to avoid constipation and use of lactulose a special laxative agent that help to decrease ammonia gas that causes he plus she should be given tablet rifxamin 50 my twice daily to prevent her from recurrent episodes of he the recent use of painkillers could have caused kidney damage which got recovered and may be a precipitating factor for the underlying development of hepatic encephalopathy I hope this will help you in understanding her problem I want that you should discuss this information with her treating physician can follow up to discuss more about the long term management of chronic liver disease | hello doctor this is regarding my mother she is years old last year she was diagnosed with chronic liver disease she had ascites which was cured she has taken proper medication since then but recently since the last three weeks to be precised she was having tremors and difficulty in sleeping we consulted gastroenterologist here who gave medicines but did not help much with these symptoms she also has hypothyearoid and type diabetes since the last two days she suddenly developed nausea and vomiting and we had to hospitalize her for now vomiting and nausea have stopped but she is oversleeping and she still has tremors her sodium potassium and creatinine levels are normal and looking at her liver function test the doctor said she has swelling on her liver and nothing more but I read somewhere about the symptoms of hepatic encephalopathy like oversleeping drowsiness flapping tremors etc and she has all those at present am I right regarding this please help me | high severity |
I am diabetic and hypertensive and on medication can I go for fasting along with medication | hi you have diabetes mellitus and your weight is high as well if you do not have symptoms you can go for fasting you need to do hba1c glycated hemoglobin which will show your average sugar over two to three months previously check your eyes for retinopathy kidney function test with urine albumin creatinine ratio check your feet and blood sugar frequently when fasting lifestyle modifications are the best treatment of diabetes low carbohydrates diet and no added sugar no sugary juices no bread rice pasta and potatoes if you cannot stop at least take as little as possible take more vegetable salads and consume fruits only as a sweet dish do not take mango grapes and banana apple not more than one piece strawberries and other berries are fine fasting will also help you to control your diabetes drink more water at night sleep well do regular exercise at least walk 30 40 minutes daily the more you practice these things the better will be your control you may not need medication even but if you cannot take glucophage metformin 500 my in the morning and evening check your sugar frequently your fasting target should be 90 130 my dl and two hours after eating should be 150 160 my dl | hi doctor I am a 45 year old female I have hypertension for four years and I take co diovan 80 12 in the past days I performed blood sugar tests on accu check device and got the following results respectively in four days after eight to ten fasting hours 283 364 420 483 after the lock down I will go to a doctor my question is can I go on fasting and taking the same medicine what can I do these days to lower the sugar levels | medium severity |
I am trying to conceive with cos but fertisure and ovabless are not helping why | hello cos polycystic ovary syndrome and also hyperthyearoidism can cause infertility I saw your examination the ash thyearoid stimulating hormone levels is normal the medication you have taken are only supplements if you have menstrual irregular bleeding you can correct it with contraception pills for two to three months and then try to conceive again first I would recommend you to evaluate the ovulatory process with ultrasound examination at 12 15 days or measurement of progesterone at 21 days and after that take some medication that induces your ovulation but you have to be in a close follow up with a doctor | hello doctor I am trying to conceive for the last 5 years but not successful I was on fertisure and ovabless for six months and discontinued because I did not see any results and I am diagnosed with cos I am now on carbimazole my for hyperthyearoidism | medium severity |
I experience slight ear pain and tinnitus for the past one week is it due to wax formation | hi I could not understand what is the point of removing wax here without observing the ear canal please get it very clear your eustachian tube connecting the backside of the nose and middle ear is blocked and some maneuver valsalva maneuver under supervision will surely help what you can try at home is take steam inhalation chew food or chewing gum in an exaggerated way as it may open the tube stretch your ear a bit and you can try putting your little finger inside your ear and move it 10 15 times tinnitus may go away once the tube gets back to its normal position avoid caffeinated drinks tea coffee alcohol if you have it even after that follow up with me | hello doctor I have been experiencing ongoing war popping sensations as if I have gotten off a plane for the last two months for the last few weeks I have experienced slight ear pain and symptoms of tinnitus I have tried an ear wax removal kit but still have underlying symptoms | low severity |
I have breathing difficulty with constant burping and dizziness why | hello you might be suffering from low hemoglobin the causes are many but to start I want you to get some tests to help diagnose the problem the possibilities are celiac disease pyloric infections food allergies giardiasis and autoimmune enteropathy you also look low for your body weight in this age I want to know how much blood you lose on monthly cycles if it is a large amount then it is one of the possibilities of you having low hemoglobin please check yourself anemia with anemic symptoms complete blood count iron profile vitamin b12 and folate anti tag ga egg stools for pyloric ash ft4 ft3 excessive menstrual loss pyloric giardiasis malnutrition follow up to discuss the management plan | hello doctor I cannot breathe properly and I burp every few minutes and I am always dizzy and pale please help | high severity |
what are the ways to get rid of acne | hi skin in adolescent and young adult are covered with serum secreting glands mostly over face and trunk they increase during the summer and varies according to menstrual cycle besides oily cosmetics can hamper the acne formation process and aggravate the problems you can regularly cleanse the skin using facewash containing salicylic acid and or glycolic acid or mandelic acid to improve the acne and facial skin we frequently use gel containing retinoic acids specially at night but if you have bigger acne lesions sometimes we need to have some laboratory investigation to start oral retinoic acid could you please send me your picture so that I can discuss with you in detail | hi doctor I an 28 years old and I have a skin problem on my face such as acne blackheads big pores etc it is usually not that bad but once my spot is gone I have a red mark that could stay on my skin very long as a result all my skin looks a bit reddish due to spots marks I would say my skin type is combination since it is dry after I wash my face and then it gets oily especially on my zone I am currently using la noche effaclar duo to get rid of my acne and especially my spot marks but it does not seem to help a lot that is why I was just wondering if you could recommend any skin routine that would help me to get rid of my acne and make my skin look better and healthier thank you very much | low severity |
I feel breathless and dizzy with heavy bleeding please help | hello following is my opinion about your asked question your main complaint is breathing difficulty and dizziness for that you need to investigate further with complete abc complete blood count to check hemoglobin level your hemoglobin report is not attached herewith if your hemoglobin level is below the normal range then iron tablet can be prescribed for your dizziness ear examination also should be done to check the ontological cause for your breathing difficulty problem chest ray ekg and spirometry like investigation planned according to the need and after discussion with your doctor your attached reports show no specific abnormalities and liver kidney are functioning well if all comes clear then history about anxiety should be taken to rule out anxiety induced panic attacks I hope this helps | hello doctor I am 42 years old I have heavy periods I have my regular blood tests as I can feel so unwell with breathlessness and dizzy I have low blood pressure and doctor never seems concerned as she says my results are around 5 but my systems really affect day to day life should I have further tests | high severity |
I have burning sensation in legs with numbness and sweating while sleeping please help | hello I have read through the description you mentioned there are multiple issues I will tackle one at a time I would like to know if your ovaries were preserved when you underwent hysterectomy eight years back and if yes probably the symptoms of sweating all over for few minutes could be a sign of hot flushes which is a post menopausal symptom and the numbness and pain could be due to some nutritional deficiencies which need to be evaluated your gastric symptoms of burping and pain and the gurgling sounds are suggestive that you may be having gastritis or acidity issues try eating small meals at frequent intervals and avoid prolonged gap between meals avoid spicy foods totally sometimes antibiotics also can cause too much acidity and also the analgesic nsaids aceclofenac etc may also precipitate gastritis pain while passing urine can be a sign of urinary tract infection try to get the urine routine microscope and culture sensitivity testing to look for the invective agent so that antibiotics could be given accordingly please drink plenty of water at least 4 liters a day urine routine and microscope urine culture and sensitivity tablet panto pantoprazole 40 my daily once in empty stomach 30 minutes before breakfast for seven days try eating small meals at frequent intervals and avoid prolonged gap between meals avoid spicy foods totally please drink plenty of water at least 4 liters a day | hello doctor while sleeping at night I having burning sensation on legs and sweating all over the body and having numbness all over the shoulder and head ache it lasts for to 10 minutes I have a feeling of pain while passing urine I am 48 years old and I have removed my uterus eight years back please help I am currently taking diacardus cifran 500 raceclo xykaa and telvas 20 | medium severity |
my height is 168 cm will oxandrolone help in increasing my height | hi your height is almost the average of your parents at 15 17 years in males growth plates close and then there is no increase in height possible after that you are almost in that age do you have any other symptoms of impaired secondary sexual characteristics you can have bone age checked if you want to confirm it oxandarolone is an anabolic steroid it increases weight an not height you should not use oxandrolone if you have prostate cancer advanced kidney disease high levels of calcium in your blood breast cancer or if you are pregnant some people using oxandrolone have developed life threatening side effects on the liver spleen and blood vessels these conditions can occur without warning or symptoms and can lead to liver failure internal bleeding cancer stroke heart attack or death I do not think it will have more benefits than risks it poses | hello doctor I am a 16 year old guy my height is 168 am my weight is 65kg my father height is 178 am and my mother height is 164 am I wanted to ask to can I consume oxandrolone is it safe for me also how can I increase my height in this stage | low severity |
my ith week ultrasound shows irregular gestational sac please explain my condition | hi if fetal cardiac activity is present and pregnancy is weeks on ultrasound if you do not have any pain or bleeding per vaginal than there is more chance that with medicines pregnancy has more chance for growth irregular gestational sac sometimes can be due to uterine contraction which can be present throughout pregnancy if this is the case then there is more chance that pregnancy is good and there is more chance for growth one more reason of irregular sac is also a sign of early abortion but we can do only these things do take complete bed rest do minimum activity take small frequent meals take micronized progesterone for to times a day 200 my folic acid tablet and thiamine or multivitamin tablet all these will be helpful for growing pregnancy and repeat ultrasound after 10 to 15 days do drink more water | hello doctor my weeks ultrasound showed an irregular gestational sack it is mostly round but sort of pointed in one location what does this mean fetal pole 158 measuring weeks and day gestational age please explain | medium severity |
due to abfraction my upper front teeth are discolored are my teeth dead | hello I went through your query and seen the attached image the image is not clear to determine any specific concerns of yours as color was not visible properly but as an expert your teeth looked fine you need scaling do betadine gargle in lukewarm water take tablet metrogyl er tablet be for five days your left lateral looked short it might be due to the quality of the image if it is like that I doubt it to be deciduous can be sure the image was hazy anyways no worry nothing is dead so please do not freak out stains and calculus intraoral ray of the upper left lateral incisor scaling and medications avoid sticky or sweet food follow up after days | hello doctor I am seeing by my top gumline of my teeth have mild abfractions and are changing color from the gumline down I do not know what to do and I am freaking out are my teeth all dead my last visits to the dentist office is in november of last year and I noticed some color change in february but I did not know it was severe what are my options | low severity |
I have gastritis and herd please advise proper food management | hi for how long have you been suffering from this problem are you taking any medications for herd is your weight is too low for your height do you smoke if yes please stop immediately what about consumption of coffee tea it should not be more than cups daily 120 my each with a half teaspoon sugar please get back with all details to give proper diet advice small frequent meals are advisable in between snacks you can take buttermilk which is not sour all fruits and vegetables are allowed if you are sensitive to citrus fruits avoid it do not eat any kind of fermented foods if idly and dosa are sour avoid it better if the batter is made at home first day of both are allowed avoid all kinds of junk stuff processed bakery products rich sweets fatty foods etc have light dinner by 30 am so that you have ample time before bed whenever you are eating high protein foods followed by a light meal later include ghee two to three tablespoons daily in your diet I hope this helps follow up with all the details for better understanding | hello doctor I have herd and gastritis I eat three times daily and timely but I am not able to meet enough nutrition gain I want you to help me in the proper management of food | low severity |
I am getting excruciating pain on right shoulder due to sports activity is it dead arm syndrome | hello as mentioned by you that you might be suffering from dead arm syndrome at present I would suggest you to follow price protocol that is protection rest ice compression and elevation I would suggest you to stop doing any sports activities which aggravate your pain once pain subsides you need to strengthen the shoulder muscles as this condition develops due to weak shoulder muscles I would suggest consulting any physiotherapist to learn how to strengthen your muscles it is very important before you proceed to play otherwise you might get reinjury if your condition does not improves within a week consult any physiotherapist I hope this helps | hello doctor my right shoulder is excruciatingly painful I play quarterback in football and I am 16 years old since I participate in a throwing sport dead arm syndrome is something that I suspect may be the cause of my pain I have also noticed that my upper right trapezius if lower than my left one please help | medium severity |
doppler scan shows mid left hydrocele with loose scrotum is this normal | hi I went through your detailed medical history and the reports you have mentioned here to tell you the fact a small hydrocele is usually harmless but it has the tendency to increase in size gradually over a period of time at which point you might need surgery to help you if the doppler scans are not showing the varicocele it might be at an initial stage it is a good option to get your semen analysis done this will help you to find out if there is any problem with your sperms but will not rule out the cause that is a varicocele it is advisable to get follow up doppler at three months interval but I would not recommend surgery just yet especially if you have completed a family and you already have children surgery is a necessity if your hydrocele increases in size and causes discomfort or a varicocele is found on the doppler scan of the scrotum or immediate surgery is advisable if your sperm count is low after ruling out other causes for a lower sperm count in the meantime what you can do at home is to provide scrotal support you can buy it at any pharmacy or if it is not available then you can wear tight underwear these are just temporary measures until you can get all the tests done I hope this helps | hello doctor I went for doppler scan because I feel a small tiny seed inside my scrotum sack the scan says everything is normal nothing is found testicles are fine but it says mid left hydrocoele found doctor said no need to worry and it is no cause for alarm and that I can drain it if it got bigger I went home after five days I notice a swelling that is not round in shape and close to the left testicles the urologist did another scan for scrotal doppler the report is the same as the first one only a left mid hydrocoele was found the doctor said he is surprised that the scan has not picked up varicoceles because he noticed left varicoceles when he feels it I can feel the right varicocele is small than the left varicocele he asked me to go to another hospital for a scan and mostly they should check for varicoceles surprisingly the third doppler scan for scrotal in another hospital seen nothing wrong and the investigation was normal the urologist says since the three reports have picked up nothing and no varicoceles are found he could not operate on it that this is because the varicocele is not large enough to cause problem for the doppler to see I asked the doctor whether I should go for a semen analysis to see if the semen is normal he says that is a good suggestion to rule out every suspicious of varicocele and my sperm count is normal I ask him about the swelling close to the testicles he said that is normal and I should relax and it will not affect my testicles do you think I should be relaxed about this is the doctor right I have a very loose scrotum sack is this normal the scrotum sack reduces in size only when I feel like using the toilet to pass out stools is this normal | low severity |
what is my doppler test taken for erectile dysfunction showing | hi coming back to your query I had seen your doppler report your peak systolic velocity on right side is below normal have you tried any drugs medicines before for how long you are having ed diabetic or hypertensive morning or nocturnal erections | hello doctor I have ed and I have taken penile doppler test as per my urologist advice but he did not confirm any physical problem with me but the doppler test result says there is artery insufficiency below is the impression from the doppler test hypoplastic right cavernosal artery with penile erectile dysfunction please help me understand this report | medium severity |
root canal treated tooth has broken please advise the treatment | hello welcome to iclinq com I have gone through your query and understood your concern when a tooth decays and when the nerve layer of the tooth is affected it starts to give out pain and it loses its vitality becoming more brittle hence it could have fractured also to save such tooth root canal treatment will be performed mild pain discomfort after act is quite normal for the next to days for which you would have been put under pain killers this period is for tooth healing and it is essential that you do not disturb or bite food on that tooth once it completely heals crown procedure is generally performed placing a crown over the root canal treated tooth is mandatory to protect the tooth and to prevent further fracture of the tooth do visit your dentist for the crown procedure and till that do not eat hard chewy foods and avoid chewing food on the involved side | hello doctor I did not use left side for eating prior to act little pain was there but not sensitivity after one corner broke then I went to the doctor and they suggested me for act as it happened because of cavity one of my tooth second last from the end of lower jaw one day it broke down and I went to doctor then they said you should go for act and I took act treatment prior to this I did not use that side for chewing as sometimes it hurts suddenly so before act one of the corner was broken down already after act again one corner broke down again and now when I close my jaws it hurts also when I rub my finger slightly it hurts sometimes a little pain no sensitivity is there with cold water but hurts little when I close my jaws or I rub my fingers on it | medium severity |
individual has genital herpes and performed oral sex is transmission of infection possible | hi I read your query and understand your concerns first of all I would like to inform you that there is definite risk of transmission of hav if there was direct skin to skin contact such as sex oral sex passionate kissing among others however the risk is low provided there was no active lesions at the area of contact but practically speaking people with active genital lesions can have active lesions over the oral mucosa which can shed the virus which can be transmitted to their partner I also like to make it clear that itching and burning sensation are very rare before appearance of lesions it is good idea to get tested for herpes antibodies | hello doctor if an individual has genital herpes and performs oral sex on a non infected person is it possible for it to still be transmitted | medium severity |
how can painful swollen gums be treated in a baby | hi kindly answer the following questions for a better understanding is she having fever as well if yes how severe because it may probably be infected and may need an antibiotic course this usually happens in children during tooth eruption you can continue with pum drops every hourly for pain and swelling if severe pain in gums you can use a pinch of mucopain gel for local application also start a calcium syearup if giving syearup calcimax my twice a day it would help in tooth eruption | hello doctor my baby daughter is years months old weight is 12 keg her molar teeth is coming on both left and right side she is have swollen gum she is suffering from pain she always show her finger towards teeth also her mouth is also giving very bad smell please suggest some medicine doctor | low severity |
I get itchy dry eyes after prolonged screentime with occasional vision loss why | hello you must get your be and blood sugar levels done monitor if normal or abnormal and consult a physician also get ad echo done as soon as possible and seek a cardiologist opinion the condition that you lost vision suddenly for some time is known as amaurosis fugax I am telling you this first because this is serious also it is a must to get your refraction done and also consult a retina specialist and get the detailed retinal examination done as well coming to your eye symptoms it would have been better if you share a picture of eyes but it seems like you have allergic symptoms I hope there is no discharge or stickiness of eyes you can use bepotastine 5 eye drop ads one drop in both eyes for two weeks soft drops 5 sodium carboxymethylcellulose eye drop six times a day one drop in both eyes for one month avoid any rubbing of eyes use goggles | hello doctor my eyes hurt for about a week now I feel like resting for a long period of time they are itchy and dry there is a foreign object sensation sometimes I feel like I am losing my vision or it is getting weaker sometimes I do the 20 rule lately I have been spending a lot of time in front of the screen what could be the reason my eyes hurt currently I am taking isotretinoin 20 my twice a day and topical benzoyl peroxide and topical retinoid and clindamycin for chronic acne | low severity |
I have dark underarms with bad odor due to sweating please help to get rid of it | hi it would be great if you could send pictures of your face and maxilla to assess the severity anyway start on tablet azithral 250 twice a day for three days a week for three weeks apply clindoxyl gel to the acne spots once a day for three hours only for two weeks for the next two weeks apply derive cos adapalene gel to the acne spots for three hours for black spots please apply melaglow rich cream at night for maxilla apply candid gold powder in the morning hole cream in the night take tablet alaskan loratadine once a day in the night for itching for 10 days drink lots of water remove your hair dermal roller cannot be advised for self use please do not use it | hello doctor my problem is both my underarms are black in color and has a bad smell when it sweats I did not use any medicine for underarm before my face is in oily type with acne spots marks I have consulted you and you suggested me to use yaclin facewash benzoyl peroxide ac for acne and exazel for spots marks I am using these for the past six months but not much results and acne spots are not faded I am 21 years old can I use dermal roller for face can I shave my underarm hair | low severity |
what are the best ways to lower blood pressure at home | null | hi my dad who is 61 years old has been experiencing hypertension and I would like to ask what are the best ways to ease lower the blood pressure at home hypertension runs in his family he has pain in the nape area and his be is 150 100 same issue happened last month his be was 160 100 and he felt dizzy and no energy he is taking losartan 50mg half thank you so much | low severity |
can you get infected by coming in contact with someone with leprosy | hello it is very commendable of you to find out more about this disease a lot of stigma is associated with the disease and its sufferers common public just sees those people as untouchables or a taboo it is a bacterial infection caused by mycobacterium leprae the organism is similar to bacteria and so their treatments are also similar and run for months together but the treatment and drugs are not the same the leprosy bacteria produces lesions in skin mucous membranes eyes nerves and tissues gradually untreated lesions spread inside and affect nerves causing their swelling and loss of sensation slowly the body resorts the extremities and thats why you see a lot of untreated patients having loss of digits and toes you might have found a lot of people with saddle nose deformity also the transmission of leprosy with what is known occurs after prolonged and close contact with untreated leprosy patients over months it does not spread that easily or fast you dont contract it from ground or soil you dont get it if you touch an object touched by a leper nor would you get the disease if you hug the patient there is very minimal to no risk in contracting the disease from patients who are outside however avoid prolonged contact with the patients wear a mask always when you are outside considering the current situation recently there is some evidence suggesting the disease may be spread by droplets like sneezes or coughs or bodily fluids but nothing has been concluded it is best to avoid close personal contact with a patient and wear a mask to prevent droplet infection treatment of the disease involved multidrug therapy for long durations with adequate therapy the disease is curable is there anything else that you would like to know | dear do I want some information about the leprosy disease when I go out I often see beggars who are suffering from leprosy skin lesions or deformed fingers and toes I am concerned whether there is any risk of contracting the disease from them please give me detailed information about what is the risk of getting this disease also can this disease be contracted by touching object which could have been contaminated like door handles etc can it be contracted from the ground or soil | low severity |
why do I have a sensation of a lump in the throat with some swallowing problems | null | i have a sensation of a lump in the throat occasional nausea and some challenges swallowing this has gone on for close to months | low severity |
I am on levetiracetam for epilepsy and experiencing mood changes is it the side effect of that drug | hi your assumption is right levetiracetam causes behavioral disturbance as a side effect there are two options now to taper off the levetiracetam if you have not experienced any seizure or aura in the last four years then we can go straight away with gradual tapering of the medicine for that we need to know the last seizure aura episode but with this there is a risk of recurrence you need to be cautious and under the watch of someone for few months substitute levetiracetam with sodium valproate in this risk of seizure is less but still it is there on the fact the sodium valproate is a mood stabilizer please do not do any of the above by self you can consult a neurologist locally let him manage or get a telephonic consultation | hello doctor I was diagnosed with epilepsy in late 2016 and have been taking levetiracetam since then 500 my twice a day I have been concerned that it is affecting my mental health I have been experiencing anxiety depression irritability and anger which is very out of character for me it has taken some time to pinpoint but it seems like these behavioral changes may correlate with when I began taking the medication prior to starting levetiracetam I had two grand mal seizures about 12 15 months apart I frequently had what were diagnoses as epilepsy related auras since I have been taking levetiracetam I have not had any more seizures or auras I am happy the medication is working but I am interested in advice about other possible medications or non prescription treatments | medium severity |
I have pain in both tes with left tests longer than the other what should I do now | hello I have gone through your queries you have bilateral testicular pain discomfort and heaviness and all investigations are within the normal limits it would have been great if you had uploaded those reports however do not worry if us tests with doppler study is within normal limits then there should not be any major concern I would like to advise you to wear tight underwear it will reduce your discomfort whenever there is pain or discomfort in the tests you should elevate it pain will be reduced you can take paracetamol 650 my sos also I would like to undergo the following investigations after one month if symptoms persist us ultrasound l inguinoscrotal region with doppler study urinalysis urine culture us rub kidney ureter and bladder and per postvoid residual urine | hello doctor I have pain on both of my testicles but the pain is more focused on the left I did blood and urinary tests ultrasound and it scan but all were negative I do not have the pain in the same way it was but then I feel like it is a little longer than my right and also heavy what can I do | medium severity |
I get electric shock like sensation in neck due to prolonged use of tab please help | hi as you described using the tab for 5 hours a day will make your neck bent forward to see the tab continuously for long hours that might be the reason for your neck pain as all elders advice sit straight keep your books or tab at an elevated location while reading so that you need not bend your neck much and do some exercises for your neck daily while sitting free move your head up and down sideways and slow rotator movements clockwise and anti clockwise neck sprain neck exercises as advised | hello doctor I am a 16 year old male for the past few months I have been getting sudden electric shocks a little bit more than calm in my neck when I move it these are not at all frequent I get them once in a while I am not that fit and I use my tab for studies while sleeping a bit relaxing almost 5 hours a day please help | medium severity |
my anus is red with unpleasant odor and I have a history of pilonidal sinus and abscess please help | hi if possible provide me photographs of affected areas that will help me for a better understanding of your skin problem and proper treatment plan photographs required for more accurate diagnosis purpose because treatment given without proper diagnosis can be less helpful | hello doctor I have had an issue with my anus area for a while now the area is always red and there is always an unpleasant smell fish I do not notice any drainage I have a history of pilonidal sinus and abscess I was tested for a few sad but not all I think it may have something to do with the pilonidal sinus as the two issues were consecutive I will attach an image that will hopefully help | medium severity |
I get cold in the morning with pruritic rashes nasal congestion and eye itchiness please help | hello regarding the treatment I suggest you continue the medicines as they are I would like to know how much of prednisolone did you start with nextly you must start on intranasal steroids to help relieve the nasal symptoms use fluticasone furoate twice daily two puffs in each nostril twice daily the brands available in the philippines are avamys flutiair nasoflo flusort if you feel the antihistaminics are making you drowsy then you may keep the cetirizine for the evening and take loratidine in the morning apply a mild steroid cream like betamethasone valerate 1 topical cream over the affected skin the brands available in your country are diprolene diprosone and betnovate long term solution you must do a skin prick testing to check what you are allergic to skin prick testing is better than blood allergy testing both the methods check for food and aeroallergens remember that before the testing you should stop the antihistaminics for five days with such a test we will come to know the offending agent and give you the right advice to prevent that particular allergen do revert back for more details apply mild soap and wear loose fitting clothes to avoid friction over the affected area on the skin | hello doctor I would like to consult for my disturbing allergic flares I am a year old female I am not known hypertensive diabetic or asthmatic within these three months I have history of morning colds nasal congestion pruritic rashes and eye itchiness I have no fever no cough shortness of breath headache and sore throat I took monetlukast cetirizine once a day and applied olopatadine optic drops four times a day which did not relieve my symptoms therefore I added loratadine 10 my tablet at bedtime I tried a hypoallergenic diet as well after two weeks still without relief I added prednisone my tablet with a tapering dose for two weeks there was no significant relief of symptoms now I am still on montelukast cetirizine once tablet once a day and loratadine 10 my one tablet once a day at bedtime my rashes are getting worse and my sneezing as well please help | low severity |
I have infection with pus and redness in the genital area with positive hav please help | hi first understand the situation i'm indicates recent infection and egg indicate chronic infection since you have both the i'm negative it means that there is no recent infection secondly about 70 80 of us population is hav herpes simplex virus positive it means they are infected once in a life time and antibodies will remain for throughout life but it does not mean that 80 of us population should start taking acyclovir there are no guidelines for taking acyclovir until you are symptomatic so do not think too much about this figure if you had any other problems you can revert back to me | hello doctor I am a 35 year old male no episodes of helps except chickenpox in childhood no infection of hiv clinically tested every six months for the last seven years my partner and I both are not having hiv clinically tested I had a bacterial or fungal infection with pus and redness in the genital area so I have done the blood test hiv is negative hsv egg 5 positive hsv i'm 29 negative hsv egg 45 negative hsv i'm 69 negative as hsv is mostly non genital infection I did not have any episodes of hsv type helps in my life I never had hsv type herpes anywhere in the body I am straight and have a relationship only with my spouse how can blood show hsv egg positive without any symptoms dermatologist says it is due to past infection and not about present infection doctor told I should take antiviral dose acyclovir for 20 days for hsv egg past infection is it useful to take antiviral dose for the past hsv type infection will it reduces egg level in the blood is hsv egg is false positive | high severity |
I have brown patches at the back of the neck with no harm for the past few years please help | hi it is pigmented hairy epidermal nexus becker nexus or backers melanosis the first appearance of this nexus is in adolescence it presents as an irregular hyperpigmented patch once present these neve stabilize after several months or years becker nexus is a benign condition and malignant transformation is rare no treatment is required although lasers have been used for cosmetic benefits its cause is familial and occurs due to mutation genetic counseling should be tried | hello doctor I am a 26 year old male I have black brown patches on my back below the neck the whole of my upper back portion has turned black brown it has been around 10 years this discoloration started but is now constant not spreading for the past 5 years | low severity |
I masturbate regularly and found my erections less hard nowadays what to do | hi welcome to iclinq com I can understand your concern as such nothing much to worry about erections may not be the same every time these would settle down as you enter your sexual life again generally the following hysterotomy sex life can be started after six months but here the main thing is the psychological part the women is going through spend value time with your wife which would help her get back to her old sex life if you are worried about your fertility profile get a semen analysis done and look for the concentration and motility of sperms and also get a random blood sugar done the very fact that your wife has conceived spontaneously rules out both male and female factors of infertility so just relax the possibility of erectile dysfunction with your complaints is less considering past history have a trying time for to months if pregnancy is delayed then consult a fertility specialist I hope this helps psychological semen analysis ribs random blood sugar psychological reassurance increase the value time for each other | hello doctor I am 40 years old my sexual life was good but due to hysterotomy performed on my wife due to fetus complication I am not able to have sex with her till date in the event of this I have been masturbating three to four times a week to relieve my urge for sexual excitement however lately I have noticed that while masturbating my erections are not that rock hard like a couple of months back and even the force by which I used to ejaculate has drastically reduced and my sperm does not come out in force but just dribbles out of my penis on orgasm I have no sort of medical problem or diseases and lead a normal diet without any medicines my wife gynecologist had once prescribed coq la and fertisure medicines for me however I need your advice as to which medicines I should take and the dosage to overcome my problem and even get ready to make my wife conceive naturally | low severity |
I accidentally drank some phenyl last night will I face any problem in the future | hi I see that your worried about phenyl consumption if it is small quantity and accidental you need not worry but do not induce vomiting on your own as it is not good phenyl is corrosive if you repeatedly induce vomiting it will cause damage your food pipe you need to visit a doctor if you experience any difficulty or pain while swallowing unable to swallow if any giddiness sweating breathing difficulty or persistent abdominal pain as it may require an endoscopy to visualise the inside part of the food pipe and the stomach abc rat let egg accidental phenyl consumption rabeprazole 20mg twice daily half an before food for month spy sucralfate oxetacaine 10ml hour before food thrice daily for month avoid hot and spicy foods take only cold liquid or semisolids for to days review back with investigations | i have accidentally drank some amount of green phynel yesterday night I have vomited many times it is 24 his over I did not see any doctor if I do not go to doctor shall I face any problem in future all I will be ok I am really worried and didnot tell anybody about this | high severity |
why is my left eyelid swollen itchy and painful | hello according to picture you have send its likely to be invective in origin so you have to take antibiotics for the treatment all these you have to take for weeks then you will be fine infection as per now nothing sty infected lid swelling as mention above do not rub your eye do not touch your eye after week | left eyelid very swollen and itchy with pain it is also very itchy and painful and also having a white discharge from eye I have been having the issue for a week and it is not getting any better | medium severity |
yesterday I noticed two abnormal clots on my pad are they something I should worry about | hello welcome to icliniq based on your description I understand that you skin using the pills in early last month in the beginning of your menstrual cycles and later took it continuously to avoid the placebo pills see first thing you have to understand is that if you did not start the birth control in the first week of your menstrual cycles it is not effective as a birth control at all as the follicular development already sets in which contains the ovum egg so there is a high chance of pregnancy in such cases even if you start it in the following week the clots that you described could be possibly products of conception only a possibility if you had gotten pregnant and had a spontaneous miscarriage so to confirm if this is the situation or not please check your home pregnancy test if that is positive then this confirms the likely possibility of a pregnancy also if you could share a picture of the clot that you have I can have a look to check the other possibilities of your problem please feel free to revert back to me anytime with any further queries or doubts also please check your home pregnancy test once and get back to me with the result have a nice day home pregnancy test ultrasound abdomen and pelvis | hello I am currently in my withdrawal bleeding week placebo pill days I am on birth control yesterday I noticed two abnormal clots on my pad I have experienced blood clots but these were different a little difficult to explain I have a picture but they were large and white with visible blood vessels on the surface and a blood string at the end again a little hard to explain in words because of my current circumstances I have not taken birth control the normal way in the last two months early last month I did not have more birth control at the end of my placebo week and was only able to start a new cycle of it the following week I did not know I should only start the pill at the beginning of my cycle once I found out I skipped the placebo week the following month in order to reset the ovulation placebo timings I am sexually active and knowing I had not used the pill correctly I mostly used condoms as backup I was wondering if these clots could be a result of messing up the pill or if they are something I should worry about thank you for your help | medium severity |