Question 1

So, my wife was supposed to have her period about two weeks ago, but it never showed up. We tried using a pregnancy test a couple of times, but it keeps saying negative. But now she tells me she actually got her period yesterday. We've been married for a year, and this is the first time she's ever missed her period. We're a bit confused right now. Do you have any idea why this might be happening?

Accepted Answer

some times it is physiological

Question 2

Can being bitten or scratched by an Indian bat give someone rabies? Should I get a post-exposure prophylaxis if I've been near bats? I'm really worried about this whole bat thing and would love some advice.

Accepted Answer

Possible Causes*

1. *Cervical or vaginal injury*: The sensation of hitting something during fingering could indicate a cervical or vaginal injury, leading to pain and discomfort.
2. *Cervicitis*: Inflammation of the cervix can cause pain, especially during or after intercourse.
3. *Vaginal infections*: Bacterial vaginosis, yeast infections, or other vaginal infections can cause pain, discomfort, and irregular discharge.

*Recommendations*

1. *Consult a gynecologist*: Your girlfriend should schedule an appointment with a gynecologist to determine the cause of the pain and receive proper treatment.
2. *Abstain from intercourse*: Avoid any form of intercourse until the gynecologist has evaluated and treated the underlying condition.
3. *Practice safe sex*: In the future, use protection and practice gentle, consensual sex to minimize the risk of injury or infection.

Question 3

I've been taking Hetrazan 100 for three days and noticed that my lymph nodes are swollen. Could this be a side effect of the medication, like maybe the diethylcarbamazine in it is causing this? I'm a bit worried about this reaction. What should I do?

Accepted Answer

Summary:
 
 1. Enlarged liver (18.6cm) with:
 - Diffuse increase in echo texture
 - Fatty infiltration (fatty liver disease)
 - Hepatomegaly (liver enlargement)
 
 2. Bilateral Polycystic Ovarian Morphology (PCOM):
 - Multiple small cysts on ovaries
 - Suggestive of Polycystic Ovary Syndrome (PCOS)
 
 Recommendations:
 
 *Liver:*
 
 1. Lifestyle modifications:
 - Weight loss (if overweight)
 - Healthy diet
 - Regular exercise
 - Limit alcohol intake
 2. Medications:
 - Vitamin E
 - Pioglitazone (if insulin resistant)
 3. Regular monitoring:
 - Liver function tests (LFTs)
 - Ultrasound
 
 *PCOSPCOM:*
 
 1. Hormonal evaluation:
 - Testosterone levels
 - Thyroid function tests
 2. Menstrual regulation:
 - Birth control pills
 - Hormonal therapies
 3. Fertility considerations:
 - Consult a reproductive endocrinologist

Question 4

I'm curious about mixing certain foods and I'm wondering if it's okay to drink milk after eating onions. Are there any side effects I should be aware of from doing this?

Accepted Answer

Drinking milk after consuming onions is generally safe,

Question 5

Will masturbating 10 hours before a blood test and urine test affect my results for kidney, liver panel, sugar, or urine RM? Or should I just abstain? I'm a bit worried about how accurate the results will be.

Accepted Answer

Masturbation 10 hours before a blood test or urine test is unlikely to significantly affect the results of a kidney liver panel, sugar fasting, or urine routine microscopy (RM) tests;

Question 6

I've had a small fish bone stuck in my throat since yesterday afternoon, and it's been causing some irritation, especially when I try to sleep. I've been coughing and doing everything I can think of to get it out, but it's just not budging. Any ideas...

Accepted Answer

If you have a fish bone stuck in your throat:

Immediate Actions

1. Remain calm.
2. Avoid swallowing.
3. Try to cough gently to dislodge the bone.

Home Remedies

1. Sip warm water or tea to soothe the throat.
2. Gargle with salt water (12 teaspoon salt in 8 ounces water).
3. Use throat lozenges or sprays for relief.
4. Apply heat to the throat with a warm compress.

Medical Attention

1. Consult a doctor if:
- Irritation persists or worsens.
- Swallowing becomes difficult.
- Fever or pain develops.
- Bone remains stuck after 24 hours.
1. Visit an emergency room if:
- Severe difficulty breathing.
- Bone causes severe pain.

Professional Removal

1. If the bone doesn't dislodge, consider:
- Endoscopy (medical procedure to visualize the throat).
- Professional removal by an ear, nose, and throat (ENT) specialist.

Prevention

1. Avoid eating fish with sharp bones.
2. Cut fish into small pieces before eating.

Related Questions

Can being bitten or scratched by an Indian bat give someone rabies? Should I get a post-exposure prophylaxis if I've been near bats? I'm really worried about this whole bat thing and would love some advice.

I've been taking Hetrazan 100 for three days and noticed that my lymph nodes are swollen. Could this be a side effect of the medication, like maybe the diethylcarbamazine in it is causing this? I'm a bit worried about this reaction. What should I do?

I'm curious about mixing certain foods and I'm wondering if it's okay to drink milk after eating onions. Are there any side effects I should be aware of from doing this?

Will masturbating 10 hours before a blood test and urine test affect my results for kidney, liver panel, sugar, or urine RM? Or should I just abstain? I'm a bit worried about how accurate the results will be.

I've had a small fish bone stuck in my throat since yesterday afternoon, and it's been causing some irritation, especially when I try to sleep. I've been coughing and doing everything I can think of to get it out, but it's just not budging. Any ideas...

General Physician/ Internal Medicine

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