Question 1

My wife's in her 6th month of pregnancy and she's been having some issues like vomiting, a cold, runny nose, and headaches. We went to a gynecologist who prescribed some meds like azithromycin, Sinarest, and Ascoril D Plus syrup. We even did a COVID test and it was negative. I'm just really concerned if these tablets are safe during pregnancy, especially since she's at 24 weeks now. Are there any possible side effects on the baby from these medications?

Accepted Answer

Possible HIV Exposure and Post-Exposure Prophylaxis (PEP)

*Assessment of Risk*

1. *Condom use*: You used a condom, which significantly reduces the risk of HIV transmission.
2. *Condom breakage*: Although the condom remained inside, the risk of transmission is still relatively low.

*Laboratory Test Results*

1. *Negative result*: Your HIV test result is negative, which is reassuring.

*Post-Exposure Prophylaxis (PEP)*

1. *PEP eligibility*: PEP is typically recommended within 72 hours of potential exposure.
2. *PEP effectiveness*: PEP can reduce the risk of HIV infection if started promptly.
3. *Consult a healthcare professional*: Discuss your situation with a healthcare provider to determine if PEP is necessary.

*Next Steps*

1. *Schedule a follow-up test*: Repeat the HIV test after the window period (typically 3-6 months) to confirm the negative result.
2. *Practice safe sex*: Continue using condoms correctly to minimize the risk of future exposures.
3. *Seek counseling*: Consider counseling to address any emotional concerns or questions you may have.

Question 2

I've been dealing with mucus in my stool for the past six months, and it's getting worse. Sometimes it clears up, but other times it gets quite excessive. I'm also constantly experiencing stomach pain. I've already had a blood test, and everything ca...

Accepted Answer

The symptoms you are experiencing, such as mucus in stool and stomach pain, could be indicative of a gastrointestinal issue. One possible cause for these symptoms is inflammatory bowel disease (IBD). I recommend you to consult a gastroenterologist for further evaluation and diagnosis. In the meantime, you can try taking a probiotic supplement like "Align" once daily to help support your gut health. Additionally, you can take an over-the-counter antispasmodic medication like "Buscopan" as needed for stomach pain relief. Make sure to stay hydrated and follow a healthy, balanced diet rich in fiber.

Question 3

I'm having trouble with regular bowel movements. It's only happening about once a week. I'd love some advice on how to have them more regularly in the mornings. Also, I'm dealing with some pain on the right side of my stomach. Could you suggest what ...

Accepted Answer

Moving to a new country can be challenging, especially when managing a medical condition like ADHD.

In India, you'll find several medications available for ADHD treatment. *Commonly prescribed medications* include:

- __Methylphenidate__ (MPH): Available in immediate-release (IR), extended-release (ER), and long-acting (LA) formulations.
- __Atomoxetine__ (ATX): A non-stimulant medication.
- __Lisdexamfetamine__ (LDX): A stimulant medication, although its availability might be limited in India.
- __Clonidine__: Sometimes prescribed off-label for ADHD treatment.

To find a doctor in Kanchipuram, you can:

1. *Ask for referrals*: Reach out to friends, family, or colleagues who live in Kanchipuram for recommendations.
2. *Online directories*: Utilize online directories like Practo or Lybrate to find psychiatrists or neurologists in Kanchipuram.
3. *Contact your embassy*: Reach out to the U.S. Embassy in India for guidance on finding medical care in Kanchipuram.

Regarding the cost of medication and appointments, it's difficult to provide an exact estimate without knowing the specific doctor or hospital you'll be visiting. However, you can expect the cost of ADHD medications in India to be lower compared to the U.S.

Before your move, consider:

1. *Carrying a sufficient supply*: Bring a sufficient supply of your current medication, Vyvanse, to last you a few months.
2. *Obtaining a prescription*: Get a prescription from your current doctor that you can use in India.
3. *Researching Indian pharmacies*: Look into pharmacies in Kanchipuram that can provide you with the necessary medication.

Question 4

I'm having a bit of a worrying situation here. I had some serious gas troubles yesterday and took a Rantac 300mg tablet last night and again this morning. The gas issue seems sorted, but now I'm feeling a sharp pain under my right ribs whenever I tak...

Accepted Answer

It sounds like you may have irritation or inflammation in the area under your right ribs, possibly from acid reflux or a muscular issue. Since the pain worsens with breathing and movement, consider seeing a doctor to rule out any serious conditions like gallbladder or liver problems. Meanwhile, continue avoiding heavy meals, and take Rantac as prescribed.

Question 5

I'm looking at my blood report, and I see that my hemoglobin is at 11.4, and my ESR levels are elevated. I'm a bit concerned and wondering what this might mean. Could this be a sign of an infection or something else?

Accepted Answer

a haemoglobin level of 11.4 is nothing to worry about. It is common for Indian women to have low haemoglobin. You can take tablet prosfer plus for 1 month, daily one tablet after food. Also raised esr can be seen even in normal individuals. It is better you are clinically examined once for signs of any anemia or other diseases. So kindly consult ageneral physician for further evaluation.

Question 6

I've been having a problem with loose stools for the past couple of days, and I'm wondering if it's okay to take Metrogyl 200 and Ellopar to help with this. What do you think?

Accepted Answer

Beta hCG Value_

1. _Normal range_: 6 weeks 6 days: 27,300 - 233,000 mIUmL.
2. _Your value_: 149,449 mIUmL, which is within the normal range.

_Possible Implications of High hCG Values_

1. _Miscalculated gestational age_: High hCG values might indicate a miscalculated gestational age.
2. _Multiple pregnancy_: High hCG values can be associated with multiple pregnancies (twins, triplets, etc.).
3. _Molar pregnancy_: In rare cases, high hCG values can indicate a molar pregnancy.

_Ultrasound Scan_

1. _Gestational sac and yolk sac_: Presence of these structures indicates a normal pregnancy.
2. _Heartbeat check_: Scheduled for the 20th, this will confirm fetal viability.

_Next Steps_

1. _Attend the scheduled ultrasound_: Confirm fetal heartbeat and assess fetal development.
2. _Discuss hCG values with your doctor_: Clarify any concerns regarding your hCG levels.
3. _Follow-up appointments_: Regular prenatal check-ups will monitor your pregnancy's progress.

Related Questions

I've been dealing with mucus in my stool for the past six months, and it's getting worse. Sometimes it clears up, but other times it gets quite excessive. I'm also constantly experiencing stomach pain. I've already had a blood test, and everything ca...

I'm having trouble with regular bowel movements. It's only happening about once a week. I'd love some advice on how to have them more regularly in the mornings. Also, I'm dealing with some pain on the right side of my stomach. Could you suggest what ...

I'm having a bit of a worrying situation here. I had some serious gas troubles yesterday and took a Rantac 300mg tablet last night and again this morning. The gas issue seems sorted, but now I'm feeling a sharp pain under my right ribs whenever I tak...

I'm looking at my blood report, and I see that my hemoglobin is at 11.4, and my ESR levels are elevated. I'm a bit concerned and wondering what this might mean. Could this be a sign of an infection or something else?

I've been having a problem with loose stools for the past couple of days, and I'm wondering if it's okay to take Metrogyl 200 and Ellopar to help with this. What do you think?

General Physician/ Internal Medicine

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