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Q&A

Answered by Dr. Hitesh Sharma

How can someone at 62 manage severe tardive dyskinesia?

Hello, Welcome to icliniq.com. I have gone through your query and understand your concern. Tardive dyskinesia is a difficult-to-treat and often irreversible condition involving involuntary movements that can occur after prolonged use of antipsychotic medications, especially high-potency ones. It commonly causes involuntary mouth movements, tongue movements, facial twitching, lip smacking, chewing motions, and jerky limb movements, which can significantly affect confidence, emotional well-being, and social interactions, as in your father’s case. Management of tardive dyskinesia usually involves changing from high-potency to low-potency antipsychotics, adjusting medication doses, or adding certain medications such as Clonazepam.

May 18, 2026

Why do I have impulsive spending and reduced sleep?

Hello, Welcome to icliniq.com. I understand your concern and would like to help you with your problem. Based on your explanation, it seems you may be experiencing symptoms of bipolar disorder, but to be certain, you should consult a psychiatrist. Bipolar disorder (formerly manic-depression) is a chronic mental health condition characterized by extreme mood swings, including emotional highs (mania or hypomania) and lows (depression). It affects energy, sleep, judgment, and daily functioning.

May 9, 2026

How to overcome guilt due to multiple affairs?

Hello, Welcome to icliniq.com. I have gone through the description of your problem in detail. Your friend is facing a lot of stress as he is secretly into high degree of emotional relationship with you. My suggestion would be to confront him openly. Then you both should meet a counselor and follow what the counselor might suggest.

May 8, 2026

Does anal sex increase HIV transmission risk at 27?

Hello, Welcome to icliniq.com. I have read your query and understand your concern. Now, coming to your questions in detail: regarding whether anal sex makes HIV (human immunodeficiency virus) transmission much easier compared to other sexual activities, even when protection is used inconsistently, the answer is yes. Receptive anal intercourse carries a higher risk because the rectal lining is thin and more prone to microscopic tears, which can allow the virus easier entry into the bloodstream. As for your concern about mild hemorrhoids that sometimes bleed, this may further increase the risk due to the potential for direct blood exposure between partners, especially if there is active bleeding during intercourse.

May 6, 2026

What are safe treatment options for tardive dyskinesia?

Hi, Welcome to icliniq.com. From the description you provided, a 31-year-old female undergoing medical treatment for anxiety and mood problems, who recently developed involuntary oral and jaw movements such as lip-smacking or twitching, does sound like you may be experiencing tardive dyskinesia (TD). Tardive dyskinesia, in its most basic description, is a condition characterized by repetitive, involuntary movements that affect the lips, face, or limbs. These are movements that are outside one's control and often repeat themselves. One thing to consider is that TD is more often related to antipsychotic medication than to antidepressants; the latter address anxiety and mood disorders, so this aspect might need revision for you.

January 28, 2026

Is HIV testing required even after using condoms during sex?

Hello, Welcome to icliniq.com. I will try to solve your query so that all your doubts are cleared. First, to get infected with HIV first your partner needs to be HIV positive. The chances of your partner being HIV positive depends on the type of partner. If your partner is a commercial sex worker the chances are increased as compared to others.

December 18, 2025

How to cure premature ejaculation?

Hi, Welcome to icliniq.com. As you know that the first thing in medicine is establishing a diagnosis which is correct. So, I would like to ask you a few questions. Did you consult a psychiatrist before this consultation for your problem? Since when have you been married? Was this problem since marriage? Or there was a time of normality between marriage and start of this problem? If there was a time of normality then what was its duration? Is erection proper? What is the frequency of intercourse? Do you have this problem of premature ejaculation every time you do sexual intercourse? Do you suffer from any medical or psychiatric problem? If yes then what and since when? Are there any medications which you are taking? If yes what and since when? What is the approximate time you take to ejaculate after penetration? Do you feel tense or anxious during sexual intercourse? How is your general health and nutritional status? Are you addicted to any substances? Do you have any family history of medical or psychiatric problem? Revert back with the answers for the above questions to a sexologist online..

April 17, 2025

Does reduced pupillary response indicate depression?

Hello, Welcome to icliniq.com. I can understand your concern. From the description of the problem, it seems that you are more concerned with the signs and symptoms of depression rather than the problem you are facing. I would genuinely suggest you go for the treatment of the problem rather than go into medical literature concerned with the signs and symptoms of depression. But I am still informing you briefly about this sign and its relation to depression, as you have mentioned in your query.

July 16, 2024

How to manage stutter while speaking?

Hello, Welcome to icliniq.com. I can understand your concern. Stuttering can be developmental (in most cases) as a child grows and learns to speak he or she stutters or acquires (in your case as inferred by the description provided by you). After severe emotional distress, stuttering can occur as in your case. Now coming to the second part of your question.

May 9, 2024

What are the early warning signs of genital health issues?

Hello, Welcome to icliniq.com. I can understand your concern. Doxycycline is an antibiotic known for its efficacy against bacterial infections, particularly syphilis and chlamydia. However, it is essential to note that there are various types of sexually transmitted infections (STIs) that may not be treated with doxycycline. Symptoms of STIs can vary widely, ranging from fever and rash to ulcers in the infected area.

May 1, 2024

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