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question:Hello doctor, I am not currently taking any medication. I am a female, 18, of a healthy weight as I am very sporty. I woke up at 3 this morning due to discomfort in my throat, yet no actual pain. I also had a headache. Upon waking up again for the second time, I realized that on the right-hand side of my throat, my gland was very swollen, yet still feel no pain. I am not aware that whether I have an infection with no cold and due to feeling no pain, no sore throat. My neck, however, is tender when touched or turning my head or facing upwards. My cheeks have been very red and I have had very short breath all day. The gland is noticeably bigger than the left, and when I look in my mouth it almost looks like there are two glands there, instead of one, on the right-hand side. The gland is noticeable and visible when just looking at my neck also, despite not being too skinny and having quite a chubby neck and face. There is only pain when touched, and only slight discomfort when swallowing food or water. My voice sounds a bit hoarse sometimes.
answer:Hi. Lymph nodes (glands) are located in many areas all around the body, including numerous nodes in the neck and jaw area. Lymph nodes typically swell or enlarge when there is an infection close by to their drainage area as they form an important part of the bodies immune response by storing immune cells. Enlarged or painful nodes are thus often a sign that one has an infection in the area. From the symptoms, you describe some of the most likely possibilities are: 1. Tonsilitis (infection of the tonsillar glands at the back of the throat). Tonsillitis is quite common and often requires treatment with antibiotics so that the infection does not spread down the airway causing pneumonia. 2. Mumps (viral infection of the parotid gland). Mumps is most commonly caused by a virus and is treated symptomatically and monitored for complications. 3. Other bacterial or viral infection, most likely of your upper airway that might be spreading down your airway. I would strongly advise that you consult with a trusted physician so that he or she can examine you clinically and confirm or exclude any of the above and treat accordingly to prevent complications. Once treated, the glands typically return to normal within a few days.
question:Hello doctor, I have a best friend who suffers from anxiety and I saw her almost dying today because of a panic attack she had. All her life she thought she had a problem with her heart but she went to see a doctor and he said she is in perfect health. She starts shaking and cannot breathe and I am really scared and try to calm her down but she cannot breathe. She cannot stop shaking for at least half an hour. I do not know what to do and I hope you can tell me.
answer:Hello. Panic attacks related to anxiety can be a scary experience. But remember it is not a life-threatening experience. You can encourage your friend to seek professional support to manage her panic attacks and anxiety. She will need a complete assessment following which talking therapy and medication can be prescribed. Meanwhile, she can try progressive muscle relaxation exercises and deep breathing techniques to help reduce her stress levels. You can contact us again if further advice is needed.
question:Hello doctor, At night time while sleeping, the nasal passage of mine gets blocked. This results in the stuffy nose in the morning once I get up in the morning and I had to continuously sneeze for a long time in the morning hours. Whenever I take Cetrizine, or Levocetirizine, or L-Montas tablets at night time I get relief from this problem. But consumption of this tablet makes me feel sleepy, and drowsy throughout the day time. Please help. I am currently on Glycomet-HS 1000 and Nexpro-40.
answer:Hello, Welcome to icliniq.com. As per your symptoms of nasal congestion and sneezing you are likely to be suffering from allergic rhinitis. One thing that is prime importance is avoidance of allergens. Then there is also the role of steroids. Since you are diabetic, systemic steroids are better avoided. However topical steroid sprays can be used safely. Are you using any steroid nasal sprays?
question:Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
answer:Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
question:Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
answer:Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
question:Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
answer:Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->