Lidocaine

Lidocaine is an amide group anesthetic that provides local or regional anesthesia by infiltration, central and peripheral nerve block techniques. It starts acting within a few minutes by hindering nerve impulses' induction and conduction, and the effect stays for about three to four hours. In addition, it is used medically in the treatment of cardiac arrhythmia, epilepsy. Furthermore, inhaled form is used to relieve cough, infusions are given to subside chronic pain, and lidocaine formulation reduces gastritis pain.

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How to get rid of pain, infection, and fever caused by piles?

Query: Hi doctor,I am suffering from piles from nearly about a year. Suddenly yesterday, I felt pain around my anus, and I had 101 F fever. I saw that there is an infection around my anus.  Read Full »


Dr. Arvind Guru

Answer: Hi, Welcome back to icliniq.com. What do you mean to say by piles? Is it painless bright red blood in stools? How do you know it is an infection? Do you have constipation? For an advice specific to your problem, please upload the past medical records and a detailed evolution of your sympto...  Read Full »

Do hemorrhoids indicate cancer?

Query: Hello doctor, I am a 35-year-old female. I had one pregnancy. I have had hemorrhoids for two years. It does not bother me with any symptoms till now. And it does not increase in size also. I fear that it could be cancer. Kindly help.   Read Full »


Dr. Zubayeralam

Answer: Hi, Welcome to icliniq.com. Thank you for the query. I can understand your concern. According to your statement, you have been suffering from hemorrhoids. According to the picture provided here (attachments removed to protect the patient’s identity), you may suffer from external ...  Read Full »

How to manage sagging upper lip after frenectomy?

Query: Hi doctor, I have a gap in between my incisors. When I approached a dentist, he advised to go with frenectomy and then braces treatment. I had upper lip frenectomy three days back. Now, when I smile, I can notice the middle portion of my upper lip is sagging a little, and my incisors are not comple...  Read Full »


Dr. Paras Angrish

Answer: Hi, Welcome to icliniq.com. It happens after frenectomy. A little sagging is normal as frenum pulls the lip upwards. The second thing is after minor surgery one has swelling and body reacts towards the trauma that is created by instrument or laser. To get rid of the problem you can put gels with as...  Read Full »

Why do my gums hurt in one specific region?

Query: Hi doctor, I am a 69-year-old male. I am 6'0" and weigh 211 lbs. A couple of days ago, I began having a dull pain in my upper gum above one of my two front teeth. I was surprised because I take good care of my teeth, brushing twice a day and flossing once a day. Anyway, as I said, the pain is dull,...  Read Full »


Dr. Bharat Joshi

Answer: Hi, Welcome to icliniq.com. I hope I can lessen your discomfort. I think this pain could be due to trauma from a foreign object during eating or during brushing (quite possible). I suggest you some medications. Please take them and then update me if no relief is there.  Read Full »

Kindly suggest some methods to anesthetize lower molar teeth other than inferior alveolar block.

Query: Hi doctor, I started to have pain in the left top part of the jaw for two days. I took Azithromycin for it and the pain went away. After that, I started to have pain on the right top part with swelling. The doctor worked on the right upper part with topical Articaine and I do not had pain. He worke...  Read Full »


Dr. Naveen Thomas

Answer: Hi, Welcome to icliniq.com. In the lower molar extraction, inferior alveolar nerve block has to be given properly and it has to be given very close to the bone at the correct point. For root stumps, an infiltration of Lidocaine can be given directly to the roots after inserting the needle along th...  Read Full »

Is there any medication to increase my ejection duration?

Query: Hello doctor, I think it is pretty clear that I have PE. I do not usually last more than 30 seconds after penetration, sometimes 45 seconds. Is there a pill I can take? I am married for two years now, and it is frustrating for both of us. Please help.  Read Full »


Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. PE (premature ejaculation) is a frustrating issue with about 49-50% of people. There are a few ways to treat it. 1. Behavioral. 2. Medical therapy. Behavioral therapy is by coitus interruptus means when you start intercourse, you can stop before you ejaculate until ...  Read Full »

What causes fleshy growth outside anus?

Query: Hello doctor, I am a 19 year old female with no past medical history. I experienced constipation for some days, and I saw blood in my stools. I found this small fleshy growth on the anus, which hurts after passing motion. The pain ceases after a few hours. This fleshy growth retracts inside when I ...  Read Full »


Dr. Arvind Guru

Answer: Hi, Welcome to icliniq.com. I have seen your attached picture (attachment removed to protect patient identity). It shows old hemorrhoids called as skin tags. This picture, along with the pain that you are describing is suggestive of anal fissure. This is a tear in the wall of the anus, at the bas...  Read Full »

Why dentists do not use Bupivacaine for nerve block?

Query: Hi doctor, Is there a reason why dentists typically do not use Bupivacaine for nerve block for dental procedures? So far, only one dentist used it for me. While it had a slow onset, I was pain free for almost 8 hours. I did not need to take as many narcotic analgesics afterwards. I have really sever...  Read Full »


Dr. Nupur Prashant Shah

Answer: Hi, Welcome to icliniq.com. I have gone through your query and understand it. As you are working in pharmacy, I would like to inform you that Bupivacaine is a long acting, local amide and local anesthetic agent. It is a chemical analogue of Mepivacaine with high lipid solubility and protein binding ...  Read Full »

Please advise regarding my wife's inflation and painful defecation.

Query: Hi doctor, Three months back, my wife had some small wounds inside the anal area. For bleeding, she got Shield ointment from general physician. Lately, a small inflation is seen in anal tract and it is painful while defecating. It has been there for the past three months. Please advise.  Read Full »


Dr. Aman Gupta

Answer: Hello, Welcome to icliniq.com. Looks like anal fissure, which means cuts in the skin lining of the anus. It generally happens due to constipation. This leads to pain while passing stools. Many times piles are associated with this condition and it leads to bleeding and swelling in the perianal area....  Read Full »

How can you get a mole removed?

Query: Hi doctor, I have a small, flat mole on my nose bridge. How can I remove it? Please recommend the best method with your professional advice.  Read Full »


Dr. Suvash Sahu

Answer: Hi, Welcome to icliniq.com. I have seen your query and concern. With your descriptions, since mole is flat means you have a superficial melanocytic nevus. If you want to get it removed, then I would recommend you shave excision under local anesthesia by a dermatologist. This procedure has very goo...  Read Full »

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