Question 1

Could you let me know how I should be taking Gutsium tablets along with LesurideMPS? Should I use them before or after food? I'm really curious to get this right.

Accepted Answer

_Broken Condom and Plan B: Assessing Pregnancy Risk and Next Steps_

Given the situation, here's a summary of the risks and recommendations:

_Pregnancy Risk_

1. _Low risk_: Although the condom broke, your partner had not ejaculated, and he had urinated multiple times after his last ejaculation, reducing the likelihood of sperm being present.
2. _Pre-cum risk_: Pre-ejaculatory fluid can contain sperm, but the risk of pregnancy from pre-cum is relatively low.

_Plan B Effectiveness_

1. _High effectiveness_: Plan B (levonorgestrel) is highly effective in preventing pregnancy when taken within 72 hours of unprotected sex.
2. _Repeated use_: Although you've taken Plan B multiple times, its effectiveness remains high. However, it's essential to consider alternative birth control methods to avoid frequent emergency contraception use.

_Next Steps_

1. _Wait for your period_: Monitor your menstrual cycle and wait for your period to confirm that you're not pregnant.
2. _Consider alternative birth control_: Discuss alternative birth control methods with your partner, such as hormonal contraceptives, IUDs, or condoms with a higher failure rate.
3. _Consult a healthcare provider_: Schedule an appointment with a healthcare provider to discuss your birth control options and any concerns you may have.

_Important Notes_

1. _STI risk_: Although you used protection, it's essential to consider the risk of sexually transmitted infections (STIs). Discuss STI testing with your healthcare provider.
2. _Regular check-ups_: Regular health check-ups and open communication with your partner are crucial for maintaining a healthy relationship and addressing any concerns that may arise.

Question 2

I'm not sure what's going on, but I've been having these weird internal vibrations, mostly in my legs. It's almost like there's electricity running through them. I took PPIs for about 46 days, but they didn't help at all. I'm also noticing my muscle mass is just wasting away; my legs, chest, stomach, hands, everything feels soft and kinda loose. I can literally pull at the skin. Besides the vibrations, I'm dealing with weakness, some vision loss, numbness, and difficulty breathing, especially when I'm reading or working. With the lockdowns happening, it's been tough to get help. Can you please help me figure out what this might be and suggest any medications or treatments?

Accepted Answer

Possible Causes:

1. *Vitamin deficiencies*: Lack of vitamins like B12, magnesium, or potassium can cause muscle weakness, numbness, and internal vibrations.
2. *Neurological issues*: Conditions like peripheral neuropathy, multiple sclerosis, or Parkinson's disease can cause muscle weakness, numbness, and vibrations.
3. *Hormonal imbalances*: Thyroid disorders, adrenal insufficiency, or hormonal changes can cause muscle weakness, fatigue, and other symptoms.
4. *Medication side effects*: Certain medications, such as those used to treat depression, anxiety, or high blood pressure, can cause muscle weakness, numbness, and vibrations.

General Advice:

1. *Consult a doctor*: Schedule an appointment with your primary care physician or a specialist (e.g., neurologist, endocrinologist) to discuss your symptoms.
2. *Blood tests*: Get blood tests to check for vitamin deficiencies, hormonal imbalances, and other potential underlying conditions.
3. *Neurological examination*: A doctor may perform a neurological examination to assess your muscle strength, reflexes, and sensation.
4. *Medication review*: Inform your doctor about any medications you're taking, as they may be contributing to your symptoms.

1. *Stay hydrated*: Drink plenty of water to help your body function properly.
2. *Rest*: Get plenty of rest to help your body recover.
3. *Balanced diet*: Eat a balanced diet rich in fruits, vegetables, whole grains, and lean protein sources.

Question 3

I've been dealing with some serious low back pain for the past eight months, and I'm really getting concerned. I'm 24 years old, 6 feet tall, and weigh 80 kg, and I'm experiencing pain that radiates into my legs, thighs, hips, and even affects my walking and standing. I already tried lots of allopathy medications, but I still haven't found any relief. An X-ray scan showed that there's a diffuse bulge at disc L5S1. It even hurts when I cough or sneeze. Can you suggest something that might actually help?

Accepted Answer

For a diffuse bulge disc L5-S1, consider the following diagnostic steps and treatment options:

Diagnostic Steps

1. MRI or CT scan: Confirm the diagnosis and assess the extent of the disc bulge.  Treatment Options

1. Physical therapy: Strengthen back muscles, improve flexibility, and alleviate pain.
2. Pain management: Explore medication options, such as pain relievers, muscle relaxants, or oral steroids.
3. Epidural injections: Administer corticosteroids or pain relievers directly into the affected area.
4. Chiropractic care: Spinal manipulation and adjustments to relieve pressure on the affected disc.
5. Surgery: Consider discectomy, microdiscectomy, or spinal fusion surgery if conservative treatments fail.Lifestyle Modifications

1. Maintain a healthy weight: Reduce pressure on the spine.
2. Exercise regularly: Engage in low-impact exercises, such as yoga, swimming, or cycling.
3. Improve posture: Practice good posture to reduce strain on the back.
4. Lift properly: Use proper lifting techniques to avoid putting unnecessary strain on the back.

My vision has been blurry and I've had this terrible headache that won't go away. Sometimes my speech slurs and I feel a bit out of it like I might pass out. Could this be because blood flow to the nerves in my brain is blocked? Would I need surgery for this?

Common causes of blurry vision and headaches are migraines, eyestrain, and other correctable vision issues. Examples of emergency causes include a stroke, dangerously low blood sugar, traumatic brain injury, and carbon monoxide poisoning

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