Recently Answered Questions
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I am experiencing sexual problems. Please help.
Query: Hi doctor, I have no sugar and BP. I am living a healthy lifestyle. I am suffering severely from ED and PE since last 10 to 12 years (it lasts for two to three minutes only). Please advise proper medicine which is not harmful to my health. Read Full »
Answer: Hi, Welcome to icliniq.com. There are many reasons for this condition, so you need to be evaluated and physical examination is required. For managing ED (erectile dysfunction), a drug like Sildenafil or Tadalafil are the first-line treatment. Sildenafil can be started from 50 mg for almost half a... Read Full »
Can Loratadine help to resolve delayed ejaculation caused due to SSRI?
Query: Hi doctor, I am a 28-year-old male. I read an article in which Loratadine has been used to treat delayed ejaculation caused by SSRI. I have delayed ejaculation caused due to Escitalopram 20 mg (taken for Obsessive-compulsive disorder). I would like to know the mechanism of action of Loratadine in im... Read Full »
Answer: Hi, Welcome to icliniq.com. You can continue taking SSRI (selective serotonin reuptake inhibitor) as prescribed by your doctor. I understand your situation that it is not pleasant to have delayed or no ejaculation due to SSRI. But on the other hand, imagine all the paralyzed men or those men who d... Read Full »
I have intrusive thoughts after porn withdrawal. Why?
Query: Hello doctor, I have intrusive thoughts, blasphemous thoughts that keeps returning to my head. In the past I had porn addiction, and the day I forced myself to stop, I began having those thoughts. I already had OCD symptoms when younger but more subtle. I suspect I have some low serotonine so I am ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your query with interest. As you had OCD in childhood and anxiety disorder and taking St John's wort, Omega 3 , Magnesium and Vitamins (attachment removed to protect patient identity). You need to start SSRI group of drug (Fluvoxamine or Fluoxetine or ... Read Full »
My uncle has schizophrenia. Will I get the same genetically?
Query: Hello doctor, These past few days I have been bad as I have focused back on my schizophrenia obsession. It mainly focuses on times I have been paranoid, or times I have visualized things as something else. Examples: when slacking off at work thinking, what if there are cameras in the office or inte... Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for such a detailed history. It makes things very clear. I will sum up the main clinching reason why you do not have schizophrenia. You have insight. Means you know what is wrong with you and you can attribute a reasonable logical cause to this and know wh... Read Full »
What is the treatment for my short penis and nightfall?
Query: Hello, I am a 25 year old person. I have a short penis. It is only 2-2.5 inches long in flaccid state, but the length and diameter is 4 inches in erect state. I want to increase the size of my penis. Apart from this, I also have nightfall problem which lasts for less than 2 minutes. It will occur ... Read Full »
Answer: Hello, Welcome to icliniq.com. First of all I would like to do psycho education for you, regarding some psycho sexual issues. Size of penis varies between races, individuals to individuals and it will also depend upon genetics. Normal length of vagina in an average female is about 3-4... Read Full »
My mother has trigeminal neuralgia. Please help.
Query: Hello doctor, My 58 year old mother has a history of trigeminal neuralgia from the past four years. She was initially treated with Carbamazepine, but she had a severe allergic reaction, due to which it was stopped. Oxcarbazepine was tried, and it caused allergy too. Pregabalin, phenytoin, and sodium... Read Full »
Answer: Hello, Welcome to icliniq.com. You seem to have tried all the possible treatments. I would suggest trying a medicine known as Tapentadol at doses of 50 mg twice daily, along with Gabapentin 600 mg per day. Consider radiofrequency ablation or alcohol injection into the nerve again, if no relief is o... Read Full »
My fantasy game has affected my perception. Please help
Query: Hello doctor, I am suffering from a strange problem. I have played an imaginary game. In the imagination, I had created a parallel universe. I was the head of my country and made the rules. I added the experiences of real life in that game. When I was alone, I played the role of different people lik... Read Full »
Answer: Hi, Welcome to icliniq.com. Most probably you are suffering because in your imaginary world, you enjoy the things and in the real world you have to adjust yourself according to the situation. This is causing anxiety symptoms and headache leading to poor academic performance. Secondly, the situation ... Read Full »
I have spastic paraplegia.Will dopamine help me?
Query: Hello doctor, I have spastic paraplegia. Everything I have tried has not worked. I was told to try a medication called L-Dopa. Will this medication help me? Read Full »
Answer: Hi,Welcome to icliniq.com.L- Dopa is Levodopa and is a drug for parkinson's disease. It will help you in spastic paraplegia in case there is a deficiency of dopamine in substantia niagra of your brain. It is definitely going to help you if there is any deficiency. But if there is no deficiency, it w... Read Full »
I feel dizzy and a fading consciousness. Please help.
Query: Hello doctor, I am a professor and I teach daily for six to seven hours in standing position. Two years ago suddenly I felt a loss of consciousness and restlessness. This increases when I speak on an elevated platform. I have a high fear to get down and there is an appearance of loss of control in ... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post. Clinically, your symptoms are suggestive of a postural related drop in blood pressure. However, that will not respond to Paxidep (Paroxetine) which is an SSRI (selective serotonin reuptake inhibitor) and an antidepressant. I believe the sympt... Read Full »
I am unable to maintain my erection for a long time. Why?
Query: Hello doctor, I am unable to keep the erection for more than five minutes. Whenever I try to do intercourse I lose my erection and it gets really hard to penetrate.Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your problem and understand your concern. As you are currently taking Tadalafil and still have the erectile dysfunction, then most probably you need to get the problem investigated, and also do you have any other medical conditions? You can give a... Read Full »