Tablets, capsules, syrup, or liquid that are taken orally to prevent or treat various infections caused by bacteria are called oral antibiotics. Penicillins, Cephalosporins, Tetracyclines, Quinolones, and Sulfonamides are the most commonly used oral antibiotics classes. The indiscriminate use of oral antibiotics makes bacteria resistant, so avoid self-medication.
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Can unremoved files during RCT procedure cause severe tooth pain?
Query: Hello doctor,I had an RCT done on the lower molar (number 6) two months ago. The file was left inside the canal, which I did not know. It was a mild sensation for a month or so. Then I went for fixing the crown. The dentist asked to cut the gums because enough space was not there for fixing the crow... Read Full »
Answer: Hello, Welcome to icliniq.com. It may cause pain if the file is protruding out of the canal, but is not usually the cause. There may be a hidden canal infection. Usually, such pain is caused when more disinfectant liquid is injected into the bone beyond the canal. It should clear up when the liquid... Read Full »
Would you do a peg tube replacement on an elderly patient with fever and infection?
Query: Hello doctor,Would you do a peg tube replacement on an elderly patient with a 100-degree temperature and an infection coming from the peg site? If not, what would you do to take care of the infection? And since it is an elderly patient, would you admit the patient to a hospital for the infection? If... Read Full »
Answer: Hello, Welcome to icliniq.com. We prefer not to change the peg tube until the tube site is Infected. For infection control, we need to give antibiotics. Depending on the severity of the infection, we decide about oral or IV antibiotics. Most of the infections can be taken care of without problems. ... Read Full »
What is the reason for very little semen ejaculation?
Query: Hello doctor, I am a 58-year-old man. It has been six months I did not notice any semen after I had sex. If I have sex after 10 or 15 days, then I get two to three drops of semen. On the other hand, if I have sex every day, then there is no semen ejaculation at all. I am taking medications for hepat... Read Full »
Answer: Hello, Welcome to iclinq.com. I have gone through your query and understand your concern. I would like to know a few more details to answer your query better. Do you have any difficulty in erections or any difficulty in attaining orgasm? Have you noticed any cloudiness in the urine after you h... Read Full »
I was diagnosed with small intestinal bacterial overgrowth based on a hydrogen breath test. Please guide me with the dose and duration of Xifaxan I need to take.
Query: Hello doctor, I was diagnosed with small intestinal bacterial overgrowth (SIBO) four years before based on a hydrogen breath test and was treated with Xifaxan 550 mg three times a day for two weeks. The treatment seemed to help. However, my SIBO symptoms seemed to have returned around three month ba... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. My advise: Consult your specialist doctor, talk to them, and take medications with their consent. Tablet Rixmin 550 mg (Rifaximine) twice daily or 400 mg three times a day for two weeks. No need to take it for prolonged periods. Inclu... Read Full »
Can gonorrhea or chlamydia spread through a small wound in the body?
Query: Hi doctor,Can a person get gonorrhea or chlamydia from a small wound and someones semen touches the wound? I heard that disseminated gonococcal infection can occur when it spreads into the bloodstream and it can be dangerous. Is this the way by which gonorrhea gets into the bloodstream? Best wishes.... Read Full »
Answer: Hi, Welcome to icliniq.com. Yes, there are high chances of having sexually transmitted infection transmission when semen of infected individual comes in contact with open wounds and dissemination. We can never tell that it will always happen but the chances are very high. It depends upon the heali... Read Full »
Are there any side effects of Levofloxacin and Azithromycin?
Query: Hi doctor, I am a 19 year old male and I weigh 46 kg. Over the last seven months, I am suffering from fever along with chest and back pain. I also have body ache and little blocked nose but not runny nose. The mucus keeps coming out from my mouth. I have headache and I feel very tired. My stool is ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read through your query in detail. Please find my observations below. It is right that tablet Azithromycin might cause heart disorder like increased abnormal rhythm and this is seen usually in the elderly age group. At 19 years of age and if you have no known cardi... Read Full »
I have been prescribed antibiotics for sexually transmitted diseases. Can I take them all together or separately?
Query: Hello doctor, I want an opinion on the antibiotics that I have been prescribed for sexually transmitted infections. The lab results revealed that I am suffering from sexually transmitted infections caused by five different organisms. So, the doctor prescribed me three different antibiotics to treat.... Read Full »
Answer: Hello, Welcome to icliniq.com. Your diagnostic tests are positive for Mycoplasma Hominis, Trichomonas Vaginalis, Gardenella Vaginalis, and Ureoplasma Ureolyticum. What is AZT according to your prescription? Azithromycin or Zidovudine? If it is Azithromycin, then a bolus dose is required. If it is ... Read Full »
Could I have STD as my wife got a bladder infection after sex?
Query: Hi doctor, I want to check whether I have an STD. I have had a sexual encounter with a massage therapist. She performed unprotected oral sex with me. I have done some tests for chlamydia and gonorrhea. Both of the results came back negative. After that, I did a urine analysis, and it was negative. ... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. Hi, and thank you very much for consulting icliniq. I think your wife might have a fungal infection which is common between wife and husband. It cannot be detected by STD (sexually transmitted diseases) screening symptoms like discomfort, cheesy white discharge like tof... Read Full »
I have pain in the right side testicle and scrotal area for the past three months. What should I do?
Query: Hello doctor, I am a 37-year-old male. Three months ago, a pain started in my right side testicle area, scrotum, groin, and right side upper thigh near the scrotum, after masturbation. There is no fever associated. I took the prescribed tablet Levofloxacin 250 mg and tablet Nimesulide 100 mg for ten... Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. I understand your concern. Your sonography report (attachment removed to protect the patient’s identity) shows mild swelling in the left epididymis (starting part of sperm tube). There may also be swelling in the prostate, which would exp... Read Full »
I have dark black spots throughout my back. Kindly suggest a treatment.
Query: Hello doctor, I have dark black spots throughout my back. Is it any disease? It has been there for years. Whenever I get a small pimple, it becomes puss forming that bursts and turns into dark black spots. I am attaching pictures of my acne. Kindly suggest a treatment to cure this. Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your query and understand your concern. From the description and the picture provided (attachment removed to protect the patient's identity), it seems you have trunk acne. Other tips for reducing the risk of back acne breakouts are washing after sweating,... Read Full »