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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I am having a big lipoma removed from my shoulder, but Lidocaine is making me worried. Please help.
Query: Hi doctor, I am having a big lipoma removed from my shoulder, but my fear is that Lidocaine is making my heart race. The doctor trying to tell me that it is only in the skin, not like in my mouth, so it will not. Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Lipoma is the nodular collection of body fat only. It can be removed under local anesthesia, depending on size. If it is very big, then I would suggest it be removed under general anesthesia. This thing I would suggest you better if you could... 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 »
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 c... Read Full »
I have pain in my anal region. Can hemorrhoid ointments help to relieve the pain?
Query: Hello doctor, A few days back, I had to push too hard to pass stools. I started experiencing pain and felt better after using over-the-counter hemorrhoid ointment. Last night I was sitting for too long at a banquet. When I woke up this morning, it was extremely painful and hard to walk. Should I con... Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. I understand your concern. Is the pain at the anal verge (the part that connects your bowels to the outside skin at the anus)? If you have continuous pain and burning sensation at the anal verge without any swelling or lump making you scare... Read Full »
How can I mange pain in uvula and soft palate due to laryngeal mask?
Query: Hello doctor, I had laryngeal mask during IVF egg collection, and when I woke up, I could not bear the pain in the uvula and soft palate. Now its day four and I am crying. I had an embryo transfer, but I cannot take antibiotics now as it hurts and burns during swallowing. I am worried that my immune... Read Full »
Answer: Hello, Welcome to icliniq.com. I saw the picture (attachment removed to protect patient identity). The tonsils, uvula, soft palate and posterior pharyngeal wall look congested. To relieve the pain you may take Paracetamol 650 mg 1 tablet SOS. If you cannot take that you can chew Lidocam (Benzo... Read Full »
I have applied more Lignocaine gel than advised on my kid. Please help.
Query: Hello doctor, My 2-year-old son has hard motions. He has just had his circumcision surgery. My friends advised me to apply Lignocaine Hydrochloride gel between his buttocks. By mistake, I applied more. I am very much worried. I hope it is not harmful. Please advice. Read Full »
Answer: Hello, Welcome to icliniq.com. Lignocaine (Lidocaine Topical) gel is a local anesthetic so even if you have applied more there is nothing to worry. If he is having constipation, I suggest you give him syrup Looz (Lactulose) 10 mL twice daily. This is a stool softener and you can give him until h... Read Full »
What are these orange and red lumps above the top teeth of my 10-month-old?
Query: Hello doctor, My 10-month-old baby is cutting her top tooth and there are orange and red lumps above where the tooth has started to come. What are these lumps? I have attached few pictures for your reference. Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen the photos (attachment removed to protect patient identity). As your child is 10 months old, the upper teeth should have been erupted by this time. But three to six months delay is normal and it looks like your child is putting teether in his mouth and b... Read Full »
I have an ulcer in my mouth that did not go away after antibiotics. What is it?
Query: Hello doctor, I am a 24-year-old female. I visited a dentist a week back for pain and swelling at the back of the throat at the retromolar region. The dentist took an X-ray, but no wisdom tooth was present. The dentist prescribed antibiotic Metronidazole and I completed the course. The problem is my... Read Full »
Answer: Hello, Welcome to icliniq.com. I have just gone through your complaint. It could be due to some vitamin deficiency since you have already taken Metronidazole, which has not helped you. So, it may not be a bacterial infection. I would suggest you use a mouthwash containing Chlorhexidine gluconate, ... Read Full »
Is the painful swelling near anus a hemorrhoid?
Query: Hello doctor, I was suffering a lot with pain, discomfort and not concentrating on my studies, a small pimple like structure raised at my anal section. I think it is haemorrhoid. When I am making bowel movement, I was suffering a lot. Please help in solving this issue. Read Full »
Answer: Hello, Welcome to icliniq.com. Based on your description, it might be haemorrhoid or perianal abscess. If it is in a lower grade, some medical therapy may be proven to ease the pain and inflammation. But a medical consultation would be neccessary to determine that condition. Anyway, you can try a... 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 »
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 ge... Read Full »
Are there any home remedies for the small lump in my anus?
Query: Hi doctor, I am a 24 year old female. Last week, I suddenly saw blood in my stool, and I have a small lump in my anus. I consulted a doctor, and she gave me Dulcoflex and an ointment. It was fine for 10 days, but now again I feel that lump and saw blood in the stool. What could be the reason? Ar... Read Full »
Answer: Hi, Welcome to icliniq.com. This is anal fissure, and that lump is an anal tag. I suggest you try doing the following: Drink plenty of fluids. Consume lots of green leafy vegetables. Sit in warm water three times a day for fifteen days. Apply Lox 2 % gel (Lidocaine) after sitting in warm w... Read Full »