medical Free Medical Advice

[romeo]

I recently had my blood tested and the results came out that my TRIGLYCERIDES are way high. What medication should i take?

 

thanks in advance

[peterparker]

I recently had my blood tested and the results came out that my TRIGLYCERIDES are way high. What medication should i take?

 

thanks in advance

 

 

there are several different types of medications that are currently used for lowering triglyceride levels :

 

1) Statins - e.g. Lipitor, Zocor, etc.

 

2) Fibrates - e.g. Gemfibrozil

 

3) Nicotinic Acid Derivatives - e.g. Niacor, Niaspan

 

4) Omega-3-Acid Ethyl Esters - e.g. Lovaza

 

 

you should first consult with a cardiologist so that you could be properly evaluated, then the cardiologist will prescribe the right medication or combination of meds for you.. plus he will give you non-medical advice on how to lower your blood lipids in general..

 

 

 

 

:mtc:

[romeo]

there are several different types of medications that are currently used for lowering triglyceride levels :

 

1) Statins - e.g. Lipitor, Zocor, etc.

 

2) Fibrates - e.g. Gemfibrozil

 

3) Nicotinic Acid Derivatives - e.g. Niacor, Niaspan

 

4) Omega-3-Acid Ethyl Esters - e.g. Lovaza

 

 

you should first consult with a cardiologist so that you could be properly evaluated, then the cardiologist will prescribe the right medication or combination of meds for you.. plus he will give you non-medical advice on how to lower your blood lipids in general..

 

 

 

 

:mtc:

 

ok thanks for the advice

[Mr. Clean]

doc peter,

 

can you refer a good doctor who can treat diabetes. bast ung murang maningil at hindi after sa pera. thnks.

[peterparker]

doc peter,

 

can you refer a good doctor who can treat diabetes. bast ung murang maningil at hindi after sa pera. thnks.

 

 

what is your location ba bro? i`m from southern metro manila area kasi kaya mga endocrinologist na kilala ko same area din...

 

 

 

 

 

:mtc:

[conway44]

let me try to answer your queries :

 

1) i`m not a radiologist, but i believe presence of infiltrates anywhere in the lung parenchyma may suggest an active TB infection..

 

2) Before you take any medications, it is best that you should first undergo evaluation for presence of active TB...

 

3) For more definitive determination of TB activity, you would have to undergo sputum acid-fast bacilli (AFB) test and/or MTB culture to determine the presence of mycobacterium tubercle bacilli..

 

i suggest that you consult a pulmonologist for proper work-up and para mabigyan ka ng work clearance...

 

 

 

 

:mtc:

 

Thanks!

 

The sputum AFB is negative - all three of them. What does it mean?

[peterparker]

Thanks!

 

The sputum AFB is negative - all three of them. What does it mean?

 

 

the problem with Sputum AFB stain is that sometimes when the number of mycobacteria is so low, the organisms don`t show up with staining, meaning hindi siya nakikita upon examination of the smear..

 

the next step then should be a sputum AFB culture exam, especially if your doctor is still harboring suspicions that you have active TB.. medyo matagal nga lang ang resulta, the routine turn-around time is usually 8 weeks kasi...

 

 

 

 

:mtc:

[eirom]

hi doc peter! ive read your past assistance to us member here and it has been really hepful for me. i just would like to know if anong possible std ang may symptom na pain in butt lower back? ang tagal na kasing masakit nito. nasa isip ko eh dahil sa prostatitis (because nakapagpacheck up na ako). hanggnag ngayon parang medyo namamaga pa rin ata yung prostate gland ko kasi randma ko eh. plus, madalas makati yung paa ko at kamay. could it be any possiblity na symptom din ng isang std? thanks so much doc for listening.

 

 

EDIT: additional lang..yung pain pala umaabot hanggang knee ko. im really scared right now and hope these things will be clear to me now.

Edited May 24, 2009 by eirom

[peterparker]

hi doc peter! ive read your past assistance to us member here and it has been really hepful for me. i just would like to know if anong possible std ang may symptom na pain in butt lower back? ang tagal na kasing masakit nito. nasa isip ko eh dahil sa prostatitis (because nakapagpacheck up na ako). hanggnag ngayon parang medyo namamaga pa rin ata yung prostate gland ko kasi randma ko eh. plus, madalas makati yung paa ko at kamay. could it be any possiblity na symptom din ng isang std? thanks so much doc for listening.

 

 

EDIT: additional lang..yung pain pala umaabot hanggang knee ko. im really scared right now and hope these things will be clear to me now.

 

 

if you are currently suffering from prostatitis nga bro, what is possibly happening is that your swollen prostate is stimulating several nerves that pass through the area of the prostate, one of which leads to your lower back area kaya siya sumasakit, and this is termed medically as referred pain..

 

other areas of your body and activities that can generate referred pain are :

 

centered in the perineum (the area between the anus and the base of the penis)

in the penis

in one or both testicles (with or without swelling)

in the scrotum

in the lower stomach

just above the anus

when sitting

during bowel movements

when walking

when riding a bike

 

 

if you have a urologist, i strongly suggest that you should consult him if you are greatly bothered by this condition and if your quality of life is affected na..

 

 

 

:mtc:

[eirom]

thanks so much doc peter. will definitely do that. i had off-beat for 6 weeks na pero its seems hindi pa naging maayos. its definitely bothering me kasi the pain never went away. lalo na sa lower back and thighs to my knees. sometimes i feel wobbly when i walk.

 

i was also told to get a scrotal and poppeler flow. i cant seem to get someone to do that to me. ewan ko nga kung bakit eh. to test daw for varicocoele.

 

EDIT. can i have biogesic or something similar to ease the pain? thanks again doc peter!

Edited May 24, 2009 by eirom

[peterparker]

thanks so much doc peter. will definitely do that. i had off-beat for 6 weeks na pero its seems hindi pa naging maayos. its definitely bothering me kasi the pain never went away. lalo na sa lower back and thighs to my knees. sometimes i feel wobbly when i walk.

 

i was also told to get a scrotal and poppeler flow. i cant seem to get someone to do that to me. ewan ko nga kung bakit eh. to test daw for varicocoele.

 

EDIT. can i have biogesic or something similar to ease the pain? thanks again doc peter!

 

 

i believe you are referring to a scrotal ultrasound that is used to corroborate the clinical diagnosis of a varicocoele..

 

if your urologist examines you and suspects that you might have a varicocoele, this can be a valuable diagnostic aid..

 

it`s ok lang for you to take ordinary pain meds, it might help lessen your discomfort..

 

 

 

 

:mtc:

[lickerman]

Docs, ask ko lang po kung ano mas maganda procedure para maalis kidney stones? Thanks.

[peterparker]

Docs, ask ko lang po kung ano mas maganda procedure para maalis kidney stones? Thanks.

 

 

it depends on your symptoms and the characteristics of the kidney stones bro..

 

About 90% of stones 4 mm or less in size usually will pass spontaneously, however 99% of stones larger than 6 mm will require some form of intervention. There are various measures that can be used to encourage the passage of a stone. These can include increased hydration, medication for treating infection and reducing pain, and diuretics to encourage urine flow and prevent further stone formation.

 

In most cases, a smaller stone that is not symptomatic is often given up to four weeks to move or pass before consideration is given to any surgical intervention as it has been found that waiting longer tends to lead to additional complications. Immediate surgery may be required in certain situations such as in people with only one working kidney, intractable pain or in the presence of an infected kidney blocked by a stone which can rapidly cause severe sepsis and toxic shock.

 

Analgesics such as opioids and NSAIDS can be given for acute and severe pain and facilitates passage of the stones/s..

 

Patients who are to be treated non-surgically, may also be started on an alpha adrenergic blocking agent (such as Flomax, Uroxatral, terazosin or doxazosin), which acts to reduce the muscle tone of the ureter and facilitate stone passage. For smaller stones near the bladder, this type of medical treatment can increase the spontaneous stone passage rate by about 30%.

 

Most kidney stones do not require surgery and will pass on their own. Surgery is necessary when the pain is persistent and severe, in renal failure and when there is a kidney infection. It may also be advisable if the stone fails to pass or move after 30 days. Finding a significant stone before it passes into the ureter allows physicians to fragment it surgically before it causes any severe problems.

 

Urologic interventions include :

1) Ureteroscopic fragmentation (or simple basket extraction if feasible) using laser, ultrasonic or mechanical (pneumatic, shock-wave) forms of energy to fragment the larger stones.

2) Extracorporeal shock wave lithotripsy (ESWL) - most commonly used procedure

3) Percutaneous nephrolithotomy - for large and complicated stones

4) Open surgery - for large and complicated stones

5) Ureteral stent - provides immediate relief of a blocked kidney and especially useful in saving a failing kidney due to swelling and infection from the stone.

 

As with all medical procedures, each one has it`s own pros and cons, and your urologist will determine which modality will be the best option for you...

 

 

 

:mtc:

Edited May 26, 2009 by peterparker

[Mr. Clean]

what is your location ba bro? i`m from southern metro manila area kasi kaya mga endocrinologist na kilala ko same area din...

 

 

 

 

 

:mtc:

 

doc northern part po ako.. sa malabon eh.

[peterparker]

doc northern part po ako.. sa malabon eh.

 

 

hmm.. medyo malayo ka pla bro..

 

i would suggest na punta ka na lang sa USTH, MCU Hospital or sa Chinese General Hospital, whichever ang mas convenient for you...

 

 

 

 

:mtc:

Edited May 27, 2009 by peterparker