Question 1

Ive been experiencing this strange sensation like needles poking my heart. Can you help me understand what might be going on?

Accepted Answer

_iPill and Vaginal Bleeding: Precautions and Expected Duration_

The iPill (emergency contraceptive pill) can cause changes in your menstrual cycle, including vaginal bleeding.

_Causes of Bleeding:_

1. _Hormonal changes_: The iPill contains levonorgestrel, which can disrupt hormonal balances, leading to bleeding.
2. _Delayed ovulation_: The iPill can delay ovulation, causing irregular bleeding.

_Precautions:_

1. _Monitor bleeding_: Keep track of the bleeding's duration, heaviness, and any accompanying symptoms like pain or clots.
2. _Sanitary hygiene_: Use sanitary pads or tampons to manage bleeding, and change them regularly to prevent infection.
3. _Avoid strenuous activities_: Refrain from heavy exercise, bending, or lifting to minimize bleeding.

_Expected Duration:_

1. _Bleeding duration_: Vaginal bleeding after taking the iPill can last anywhere from a few days to 2-3 weeks.
2. _Menstrual cycle resumption_: Your menstrual cycle may resume within 2-4 weeks after taking the iPill.

_When to Seek Medical Attention:_

1. _Heavy bleeding_: If you experience heavy bleeding, soaking more than 2-3 pads or tampons per hour.
2. _Severe pain_: If you have severe abdominal pain, cramping, or discomfort.
3. _Fever_: If you have a fever over 101.5F (38.6C).
4. _Prolonged bleeding_: If bleeding persists for more than 3 weeks.

Consult your healthcare provider or a gynecologist if you experience any of these symptoms or have concerns about your bleeding.

Question 2

I'm experiencing these weird full-body muscle vibrations, almost like internal waves, whenever I move. It's been going on for about 2.5 years now, and it happens in my neck, shoulders, arms, legspretty much everywhere. Whenever I bend down, I feel th...

Accepted Answer

Gout arthritis management:
 
 _Current situation:_
 
 1. High uric acid levels
 2. Recurring gout attacks (right knee, now left knee)
 3. Febuxostat (Febustat) 40mg daily provides relief
 
 _Concerns:_
 
 1. Dependence on medication for pain management
 2. Intermittent dosing (2 timesday) may not be optimal
 3. Potential kidney stone risk with high uric acid
 
 _Recommended adjustments:_
 
 1. Consult rheumatologist or primary care physician.
 2. Consider:
 - Increasing Febuxostat to 80mg daily (if tolerated).
 - Allopurinol (alternative uric acid reducer).
 - Probenecid (uricosuric agent).
 3. Lifestyle modifications:
 - Hydrate adequately (2-3 litersday).
 - Low-purine diet (limit organ meats, seafood).
 - Maintain healthy weight.
 - Exercise regularly.
 - Limit alcohol intake.
 
 _Additional considerations:_
 
 1. Colchicine for acute gout attacks.
 2. Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain.
 3. Corticosteroids (oral or injected) for severe inflammation.
 
 _Monitoring:_
 
 1. Regular uric acid level checks.
 2. Kidney function tests.
 3. Liver function tests.

Question 3

I'm really confused and worried about what's happening with me. Not too long ago, I had typhoid and after the 10-day treatment, the tests said I'm clear. But soon after getting back to my routine, I started driving for a long time, like 9 hours, and ...

Accepted Answer

The recurring coldness in hands and feet, along with weakness and inability to stand, could be due to post-typhoid complications, anemia, vitamin deficiencies, or neurological issues, so consult your doctor immediately for a thorough evaluation, including blood tests and physical examination, to determine the underlying cause and guide appropriate treatment.

Question 4

I tested positive for Covid 19 back on May 11th, and my CT value was 23 at that time. I've been feeling completely fine and symptom-free for the past 9 days, and my sense of smell is back. When would be the right time for me to get tested again?

Accepted Answer

Since you've fully recovered and have no symptoms for the last 9 days, you generally don't need to get retested unless required for specific reasons, such as travel or a medical procedure. If you're feeling fine and not in a high-risk situation, you can safely move forward without further testing.

Question 5

I'm kind of worried because my wife's pregnancy test at home came back positive, and when we got a urine HCG test done at the lab, it was positive too. The thing is, she's about 5 weeks along, but the ultrasound didn't show a gestational sac. Does th...

Accepted Answer

Repeat the scan at 7 weeks of gestation and observe,follow your Obstetricians advice.

Question 6

I'm really worried because my COVID-19 test came back positive and my CT score is 27.82. I'm not showing any signs of high fever though, so I'm a bit confused about what steps I should take next. Can you give me some guidance?

Accepted Answer

Home isolate your self and keep your self hydrated
Take Tab zincovit once a day

Ive been experiencing this strange sensation like needles poking my heart. Can you help me understand what might be going on?

Ive been experiencing this strange sensation like needles poking my heart. Can you help me understand what might be going on?

Related Questions

I'm experiencing these weird full-body muscle vibrations, almost like internal waves, whenever I move. It's been going on for about 2.5 years now, and it happens in my neck, shoulders, arms, legspretty much everywhere. Whenever I bend down, I feel th...

I'm really confused and worried about what's happening with me. Not too long ago, I had typhoid and after the 10-day treatment, the tests said I'm clear. But soon after getting back to my routine, I started driving for a long time, like 9 hours, and ...

I tested positive for Covid 19 back on May 11th, and my CT value was 23 at that time. I've been feeling completely fine and symptom-free for the past 9 days, and my sense of smell is back. When would be the right time for me to get tested again?

I'm kind of worried because my wife's pregnancy test at home came back positive, and when we got a urine HCG test done at the lab, it was positive too. The thing is, she's about 5 weeks along, but the ultrasound didn't show a gestational sac. Does th...

I'm really worried because my COVID-19 test came back positive and my CT score is 27.82. I'm not showing any signs of high fever though, so I'm a bit confused about what steps I should take next. Can you give me some guidance?

General Physician/ Internal Medicine

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