otitismedia

I am a foreigner living in Cavite and have recently been afflicted with pain and lack of movement in my arms. I have been treated by an orthodox doctor for three months with little improvement. I am now investigating the use of a pain healer or blind massage. Any comments?

been treated for 3 months with no improvement? it is about time to give western medicine a chance, see an orthopedic specialist so you'll know what your real problem is.

i have UTI ayon sa doctor na tumingin sa akin dito sa cavite kasi malayo na ako sa dati naming doctor.

 

binigyan nya ako ng cotrimoxaxole as an antibiotic . its been 3 days na ako nainom pero ganun pa rin.

 

panay naman ang inom ko ng tubig and buko juice na rin .

 

masakit parin pag tapos umihi tapos ansakit ng balakang ko. especially early morning yung unang ihi.

 

im taking the med twice a day.

 

tama ba o kulang yung dosage. its 500mg .

 

please help naman. medyo malayo kasi ang doctor clinic from our house.

 

thank you

are you sure it is 500 mg ? you have to wait for the meds to take effect and it won't happen overnight. go back to your doctor after taking the meds for follow up check-up and repeat urinalysis.

Docs, tanong lang ako. Ang general epilepsy po ba hereditary? Ang epileptic bang tao ay "insane"? pareho ba yan ng mga "demented"? Are epileptic people capable of in-depth thinking? Pansin ko mejo mahina ang pick up nila.

Epilepsy ay HINDI hereditary, HINDI insane, HINDI demented , they are capable of in-depth thinking. Bakit mo naman nasabi na mahina ang pick-up nila ? I know a couple of persons who are epileptic and one of them is a doctor too.

from E-medicine

Sinusitis is the inflammation/infection of 1 or more paranasal sinuses and occurs with obstruction of the normal drainage mechanism. It is traditionally subdivided into acute (symptoms lasting <3 wk), subacute (symptoms lasting 3 wk to 3 mo), and chronic (symptoms lasting > 3 mo).

History

* Presentation of sinusitis is often nonspecific.

* Patients may present with a persistent cold.

* Most complaints are related to the involved sinus.

* Common complaints are nasal congestion, purulent drainage, and facial pain with headache.

* Pain is often exacerbated by leaning forward or any head movement.

* Patients may complain of retro-orbital pain if the ethmoid sinus is involved.

* Some patients complain of dental pain or alteration in smell.

* In pediatric patients, most URIs last 5-7 days.

o By 10 days, the URI almost always improves.

o Most rhinoviral infections improve within 7-10 days so the complaint of persistent or worsening symptoms may indicate a developing bacterial sinusitis.

o Pediatric patients may complain of a daytime cough and persistent nasal discharge.

o Complaints of facial pain and headache are rare in children.

Physical

* Purulent secretions in the middle meatus (highly predictive of maxillary sinusitis) may be seen using a nasal speculum and a directed light.

* Fever is seen in fewer than 2% of individuals with sinusitis.

* Facial tenderness to palpation is present.

* Complete opacification of sinus on transillumination is present.

* Partial opacification is a nonspecific finding, and it is not as reliable.

Causes

Acute sinusitis is usually bacterial in origin. A URI or severe allergic rhinitis leading to obstruction of the ostia and stasis of drainage often precedes it.

* Haemophilus influenzae and Streptococcus pneumoniae are the organisms most commonly found in adults. In chronic sinusitis, the infecting organisms are variable, and a higher incidence of anaerobic organisms is seen (eg, Bacteroides, Peptostreptococcus, and Fusobacterium species).

* In children, similar organisms are seen, with the addition of Moraxella catarrhalis. In older children and young adults, Staphylococcus aureus is an occasional finding.

* In systemically impaired hosts, Candida, Aspergillus, and Phycomycetes may be the cause. Risk factors include the following: diabetes mellitus, cancer, hepatic disease, renal failure, burns, extreme malnutrition, and immunosuppressive diseases.

Workup

Imaging Studies

* Sinus radiography: False-negative results occur in 40% of cases; mucosal thickening or air fluid levels may be seen.

* A-mode ultrasonography has very little advantage over plain radiography.

* Computerized tomography (CT): This very expensive imaging study is used extensively by otolaryngology (ENT) specialists and in the evaluation of chronic sinusitis. In some institutions, CT scanning is preferred as the initial study of choice. It is extremely sensitive, although it may tend to overdiagnose the disease. CT scans cannot distinguish between viral and bacterial infections.

* Magnetic resonance imaging (MRI) can be used to demonstrate intracranial spread but is not as good as CT scanning in aiding in the diagnosis of acute sinusitis.

* Radiographs or CT scanning is not mandatory in the diagnosis. Uncomplicated sinusitis is often diagnosed clinically, with studies reserved for complicated cases or patients who are nonresponsive to the usual therapies.

Medication

Nasal decongestants

Antibiotics

Follow-up

Further Inpatient Care

* Any patient showing evidence of extension of infection into the CNS should be admitted and evaluated by an ENT physician.

Further Outpatient Care

* Prescribe antibiotic of choice and nasal decongestant. If an over-the-counter nasal spray (eg, Afrin) is used, warn the patient to use it no longer than 3 days to avoid any rebound phenomenon.

* Instruct patients to drink a lot of fluids. Use of a humidifier or vaporizer helps in keeping secretions moist and loose.

* Warm compresses to the face provide relief of pain. Pain medication may be prescribed, nonnarcotic or narcotic, at the discretion of the emergency physician.

* Instruct patients to return to the ED or see their personal physician if high fever, visual symptoms, vomiting, lethargy, or any symptom indicating possible extension beyond the sinus cavities develops.

Complications

* Chronic sinusitis

* Osteomyelitis

* Orbital cellulitis

* Intracranial extension resulting in septic cavernous thrombosis

Prognosis

* The prognosis is generally good with appropriate treatment.

Good morning docs...

my friend just called me up this morning asking if there's a "morning after pill" that you can recommend?

apparently yung gimik nya last night had an accident coz sabi nya naiwan daw condom nya sa loob (itz my first time to hear about this kind of story)...

please suggest any pill that his girl can take coz it just happened this early morning daw...

thanks guys!

afaik, morning after pill is not available here in the philippines. sorry !

inoflox at triderm

triderm cream ? i don't give cream or ointment for ear infection, try anti-fungal "solution" (NOT cream) together with your antibacterial ear drops. Let the solution stay inside your ears for 10 minutes. treatment duration 4 weeks to 2 months kahit wala ka ng nararamdaman. works wonder i guarantee you. :thumbsupsmiley:

just a note : make sure that your ear canal is free of debris like dead skin cells or discharge, otherwise no amount of medicated ear drops will work.

same question with magikero... how to cure ganital warts... STD ba ito??? dagdag lang

salamat

AFAIK, it is considered STD. cauterization is the fastest and best way to remove warts. you can try chemical or topical solution but it will take days even weeks to take effect. Consult your dermatologist for treatment.

pinacheck ko na ung ears ko sa EENT 2 weeks ago, binigyan ako ng ear drops at anti itch na gamot. Before that pina cleaning ko and ear drops for 2 weeks also.

Ngayon itchy ulit. Bakit ganito

anong ear drops ba binigay sa iyo ? anong anti-itch ang binigay ?

and you are saying because of what evidence? what and how many clinical trials? what is the exact mechanism of action? what are the side effects?

 

look, i am an oncologist.

when my patients ask me if they can take herbal meds, i have this to say: as long as there are no adverse effects on you (which, btw, you cannot guarantee 100%, even with western meds), as long as you dont take them alongside the chemo, then go. Its your decision, not mine. Cancer is cancer, anyway. But i wouldnt exactly encourage it.

 

The problem with us is that sometimes, the advertising and marketing goes into our heads even before we are able to think. Ive had patients who have tried herbal meds and came back having stage 1V, with masses much bigger than what you can imagine. And all we end up with, both the patient and me, are regrets.

 

So make sure you know what you say.

I agree 101 % !

just read the label, NO APPROVED THERAPEUTIC CLAIM ! kailangan pa ba explain yan ?

stock lang

walang pang-modify eh ! sarap sana !

ilang months narin tong kati sa tenga ko i put cream pero it comes back

san ba ang kati, sa loob mismo ng ears ? as in inside the ear canal ? if that is the case then you need a "solution" or ear drops not "cream" for your ear. have to check your ear thoroughly to make a right diagnosis. go back to your ENT or get a 2nd opinion.

doc,

 

pno po kung ginamit ko ung totoy ko pang poke ng pepe nia, para 2migas lng, cgro mga 3 thrust lng.. magkakasakit ba ako kapag may skit ung girl?

 

thanks in advance po..

there is a 50% chance that you will be infected with the disease if she have one but there is also 50% chance that you won't.

AFAIK, all MD members of MTC will be able to treat you and understand your situation.

thanks po. follow up question lang po. Should i still wait for a few days to observe further symptoms? or should i just immediately consult a doctor for this?

 

Does the presence of the spots automatically mean std?

 

thanks.

IMHO, usually it does but not all the time. spot may mean that you have a discharge, discharge may mean that you have an infection but then again you have to have it examine to be sure. like what mwah said, better see you MD for proper diagnosis and management.

Doc, I was backreading when I chanced upon this po. I had my first BBBJ last May 8. Are there any symptoms I need to be experiencing right now na related sa STDs?

 

Right now I have swollen lymph nodes sa neck. I had my doctor check and papa-xray daw nya to rule out infections sa lungs. natatakot at nahihiya kasi ako i-raise ang about STD.

 

Thanks in advance sir. More power.

just in case your x-ray is negative and doesn't improve with broad spectrum antibiotics the next step is to have a fine needle aspiration biopsy.

naka ilang balik nako sa eent ko nung una pina clean lang ung ears tapos binigyan ako nung inoflox para sa sakit sa left ear ko, ung pag hinila ko masakit.

then ung pang anti kati na cream. after a month or two, bumalik nanaman ung sakit sa left and right pag hinili ear lobe sumasakit.

recurrent ear infection ? did you came back for follow-up after a week ? did you finished the treatment ? . it is not unusual to see patient with recurrent ear infection, why because it usually takes 2 or more weeks for the ear infection to get better. i always make sure that the affected ear is dry and clear of infection before i tell the patient to stop the treatment, if you stopped the treatment too early it will just recur after a few weeks or months. why not have a second opinion just to be sure.

Is low grade fever for one week and occasional diarrhea symptoms of typhoid fever?

there are a lot of things that can cause fever and diarrhea.

stool exam is the initial test, typhi dot for typhoid , etc...

better consult your doctor for proper evaluation and management.

Doc,

 

Good day!

 

can you give me a number and clinic of an OB doctor na girl hehe just want to check if my girl is pregnant, mag 2-2weeks na kasi syang walang mens..thanks..

2 weeks ? try pregnancy test first .

any recommended physicians who treat HPV in a discreet manner?

 

thanks!

you can go to any nearest physician/doctor and he/she will treat you discreetly. :thumbsupsmiley:

Hello Doc,

 

tanung ko lang ubo ako ng ubo ilang araw na nakakalipas tapos bumili ako sa generics pharmacy ng carbocistien para to ease the coughing pero mukhang wala pa din ubo pa din ako ng ubo. . . . May history ako ng asthma dati at feeling ko bumabalik. Aminado ako nawala na kasi sa sched ko yung swimming activities that strengthened my lungs kasi busy sa work.

 

So ano po ba ang ma-irerekomenda niyo or i-rereseta ninyong gamot?

 

Salamat po! :thumbsupsmiley:

Increase your fluid intake and rest. Sabi nga, if symptoms persist better consult your friendly neighborhood MD for proper evaluation and management .IMHO, Cough is only a symptom of a disease and you need to treat the disease for you to get well.

actually before di had decreased hearing and discharge on my left ear. cured with ofloxacin. then after a week bumalik.

recently biglang nawala sa right ear naman biglang may unting discharge and masakit siya

ok, left ear then right ear. better see your favorite ENT for evaluation and management.

will do. but i already had ear ddrops for 2 weeks, nawala konte kati at sakit tas bumalik.

now when i pullmy ear lobes it hurts

that's otitis externa , probably a mixture of bacterial and fungal infection based on your history. do you feel any fullness in the affected ear ? any discharge ? decrease hearing ? if yes, then have it examined right away. you'll need an anti-fungal and antibacterial ear drops for your case.

GUYs help.... i always find myself having sore throat, pag kain ako ice cream or inom ako sobra lamig, or even eating sweet foods. I even have phlegm the day after kain ng mga ganun.. is this sign of having allergies from those stuffs?... what should i do? pls help...

i agree with doc peter parker, definitely allergic rxn to cold foods. better consult an ENT-HNS specialist for proper management.

I recently hit a down time in my life. After finishing Clerkship and graduating I lost my drive to pursue internship.

What did you do then?

And I was wondering is there any good hospitals for internship training? I was hoping for something benign, kasi bugbog na ako nung clerkship sa mga public hospitals. Yung may stipend na rin if available. I'm on the QC area by the way.

 

Any advise from you guys will be pretty much appreciated. Thanks!

so you're no longer the lowest form of animal, congrats ! of course bubugbugin ka talga sa clerkship kaya nga clerk ang tawag eh ! so near and yet so far, government hospital is still the best if you want hands on learning experience.internship is a breeze (tama ba spelling?) dami babaeng intern pangtanggal pagod ! dami din sexy na med rep sarap kurut-kurutin ! hehehe !!! after passing the board, take your residency in a gov't hospital laki sweldo pero bugbog sa trabaho. mabilis lang yan ! Mahirap na masarap, after residency training mag sub ka ng NURSING ! hehehehe ! joke lang ! just keep going and going and going !!!!

public service messae to all MTC peeps :

 

 

STROKE IDENTIFICATION:

 

During a BBQ, a friend stumbled and took a little fall - she assured everyone that she was fine (they offered to call paramedics) .she said she had just tripped over a brick because of her new shoes.

 

They got her cleaned up and got her a new plate of food. While she appeared a bit shaken up, Ingrid went about enjoying herself the rest of the evening

 

Ingrid's husband called later telling everyone that his wife had been taken to the hospital - (at 6:00 PM Ingrid passed away.) She had suffered a stroke at the BBQ. Had they known how to identify the signs of a stroke, perhaps Ingrid would be with us today. Some don't die. they end up in a helpless, hopeless condition instead.

 

It only takes a minute to read this...

 

A neurologist says that if he can get to a stroke victim within 3 hours he can totally reverse the effects of a stroke...totally. He said the trick was getting a stroke recognized, diagnosed, and then getting the patient medically cared for within 3 hours, which is tough.

 

RECOGNIZING A STROKE

 

Thank God for the sense to remember the '3' steps, STR . Read and Learn!

 

Sometimes symptoms of a stroke are difficult to identify. Unfortunately, the lack of awareness spells disaster. The stroke victim may suffer severe brain damage when people nearby fail to recognize the symptoms of a stroke.

 

Now doctors say a bystander can recognize a stroke by asking three simple questions:

 

S *Ask the individual to SMILE.

T *Ask the person to TALK and SPEAK A SIMPLE SENTENCE (Coherently)

(i.e. It is sunny out today.)

R *Ask him or her to RAISE BOTH ARMS.

 

If he or she has trouble with ANY ONE of these tasks, call emergency number immediately.

 

New Sign of a Stroke -------- Stick out Your Tongue

 

NOTE: Another 'sign' of a stroke is this: Ask the person to 'stick' out his tongue.. If the tongue is 'crooked', if it goes to one side or the other, that is also an indication of a stroke.

 

 

:mtc:

very nice Doc PeterParker !!!!! :thumbsupsmiley:

anyone have experienceregarding ear problems? recently i had a eent doc "suck" my ears because of earwax.

afterwards I found out there was little dripping fluid,extremely itchy and some pain. she gave me ofloxacin. used for 2 weeks,

ok for days pero bumalik ulit yung sakit. when i pull the lobeof my ear masakit, tas super itchy. she told me not to clean the inner ear;

but its impossible coz makati talaga. any help?

have your ears examine again, itchy ear is a sign of fungal infection. I usually give my patients anti-fungal drops for at least 2-4 weeks.