medical Free Medical Advice

[juniperxxx]

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.

Thanks for the reply,Doc. Stool exam reveals no ova/parasites seen; meron bang tests for specific amoebas?. Further,assuming typhidot is negative, what could be the cause/cure?

[mwah]

ok doc..if ever po na positive baka meron naman kayong pwede maisuggest na specialist...thanks po doc...

 

Well, it's best to seek consult with a specialist within your area of residence. Our doctors here might suggest someone who's based in the South, tapos yun pala sa kabilang dulo ka ng Maynila nakatira.

 

Like what doc otitismedia said, try doing your home pregnancy test first. It might alleviate your fears and may actually save you money too.

[peterparker]

Thanks for the reply,Doc. Stool exam reveals no ova/parasites seen; meron bang tests for specific amoebas?. Further,assuming typhidot is negative, what could be the cause/cure?

 

 

there are several specific tests for amoeba identification that are presently being utilized..

 

besides the usual morphologic identification in fecal specimens, serologic testing using antigens and antibodies to different amoeba species are now widely used.. also the polymerase chain reaction (PCR) method which can identify amoebic DNA which has become the gold standard, replacing traditional identification by culture and isoenzyme analysis..

 

as stated before, there can be many causes of diarrhea, which can bacterial, viral, parasitic, or it can be inflammatory in nature, functional, malabsorption, misuse of medication or an endocrine problem..

 

i suggest that you undergo a more thorough work-up with your physician to determine the cause and get proper management..

 

 

:mtc:

[Kurtsky Keigee]

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.

[otitismedia]

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.

[miggyE]

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.

 

 

i agree with sir otitismedia. ear infections usually take some time to clear up, 10-14 days, but we advise 14 days of antibiotics when we are the ER, then follow-up. speaking of which, have you gone back to the doctor for follow-up? does he know the treatment failed? one of the things he needs to know, and you need to do, is a follow-up. so both of you could rest easy.....

[ayatolah]

Well, it's best to seek consult with a specialist within your area of residence. Our doctors here might suggest someone who's based in the South, tapos yun pala sa kabilang dulo ka ng Maynila nakatira.

 

Like what doc otitismedia said, try doing your home pregnancy test first. It might alleviate your fears and may actually save you money too.

 

ok po...thanks so much... :goatee:

[ChiliMac]

Good pm po Doc,

 

Just this morning I was ask to donate blood for a friends brother in Makati Med. I have done this 3 times already the 1st one was with RedCross the 2nd one was in PGH the very recent one was in UST 1st of March this year. I was deferred kasi raw mattas ang red blood levels ko? Tinanong ko yung attendant sabi nya normal lang raw yun pero meron silang standard na sinusunod. I ask for advice sabi niya pwedeng sa diet ko raw yun and stay away from meat. My question po is how can I surely reduce my red blood count para makapag-donate ako ulit.

[vagabond]

my friend suffered seizure. besides unable to go the hospital yet, it there any seizure precaution one should observe?

[peterparker]

Good pm po Doc,

 

Just this morning I was ask to donate blood for a friends brother in Makati Med. I have done this 3 times already the 1st one was with RedCross the 2nd one was in PGH the very recent one was in UST 1st of March this year. I was deferred kasi raw mattas ang red blood levels ko? Tinanong ko yung attendant sabi nya normal lang raw yun pero meron silang standard na sinusunod. I ask for advice sabi niya pwedeng sa diet ko raw yun and stay away from meat. My question po is how can I surely reduce my red blood count para makapag-donate ako ulit.

 

 

 

 

hmm.. i`m thinking that your blood may be thicker than normal, and the medical term for this is hypercoagulability..

 

there are standards that are being used for screening of potential blood donors, and among these are your hemoglobin and hematocrit levels which should be within the normal range in order for you to qualify for blood donation..

 

the normal values for hemoglobin and hematocrit vary with each laboratory, but in general the normal value for hemoglobin in males is 14-18 gm/dl and hematocrit is 42%-54%.. the med tech who informed you na mataas ang red blood levels mo is telling you na lumampas sa normal values ang mga test na ginawa sa iyo, that`s why you are deferred from donating..

 

blood which is too thick kasi can cause complications for the recipient as well as the donor.. regarding your query on how to minimize or reduce the coagulability of your blood, i would suggest that you consult a cardiologist so that you could be properly evaluated and worked-up for any possible cardiovascular problems that you may have...

 

 

:mtc:

Edited July 13, 2009 by peterparker

[peterparker]

my friend suffered seizure. besides unable to go the hospital yet, it there any seizure precaution one should observe?

 

 

here are some seizure precautions that your friend can follow :

 

Staying Safe in Daily Life

 

Sometimes we don’t pay much attention to the things we do every day. But common daily activities could pose a threat to people with epilepsy. In general, it’s a good idea to have medical information available in case you have a seizure when you’re not with someone who knows you have epilepsy. You can also wear a medical alert bracelet to let people know about your epilepsy in case you have a seizure.

 

Home Safety:

 

Seizure independence in the home starts with your kitchen and your bathrooms. These are the places where, during and after any seizure, you can become confused and risk injury. Take these seizure precautions to decrease the chance of accidents.

 

In the Kitchen:

 

* Use oven mitts and cook only on rear burners.

* If possible, use an electric stove, so there is no open flame.

* Cooking in a microwave is the safest option.

* Ask your plumber to install a heat-control device in your faucet so the water doesn't become too hot.

* Carpet the kitchen floor. This can provide cushioning if you fall.

* Use plastic containers rather than glass when possible.

 

In the Bathroom:

 

* Install a device in your tub and shower head that controls temperature. This keeps you from burning yourself if a seizure occurs.

* Carpet the floor—it’s softer and less slippery than tile.

* Do not put a lock on the bathroom door. If you have one, never use it. Someone should always be able to get in if you need help.

* Learn to bathe with only a few inches of water in the tub, or use a handheld shower head.

 

Driving:

 

For many people with seizures, the risk of attacks restricts their independence, in particular the ability to drive. Follow safety regulations with regards to drivers with history of seizures.

 

Staying Active:

 

Generally, having epilepsy doesn’t mean you can’t take part in sports and activities. Remember, everyone is different. So, be sure to talk to your neurologist or epileptologist about your seizure control and how it might affect your ability to participate in sports and other activities.

 

Getting Your Sleep:

 

Lack of sleep is one of the most common causes of seizures. Make sure that you get the sleep you need to maintain seizure control. If you don’t feel rested after a full night in bed, ask your doctor about whether you should be tested for a sleep disturbance like sleep apnea.

 

Drinking Alcohol:

 

For some people with epilepsy, the occasional alcoholic drink poses no problem. For others, alcohol can change the electrical activity in the brain and affect how epilepsy medicines work. Everyone’s different, so talk to your doctor about how drinking alcohol may affect you. And remember, heavy drinking can cause a seizure and should be avoided.

 

 

 

i would also suggest that your friend should consult a neurologist ASAP, especially if he suffers another seizure episode..

 

 

 

:mtc:

[Alphamale-X]

Hi Doc,

 

Can you give me an idea how much a colonoscopy would cost? kc my Mom always complains of stomach pain special before bowel and after mejo matagal na rin, but I find it awkward na di pa rin sya ni rerefer nang Gen. doctor nya sa Gastro specialist. I fear baka may something na sa colon nya..what do you suggest?

[vagabond]

here are some seizure precautions that your friend can follow :

 

Staying Safe in Daily Life

 

Sometimes we don’t pay much attention to the things we do every day. But common daily activities could pose a threat to people with epilepsy. In general, it’s a good idea to have medical information available in case you have a seizure when you’re not with someone who knows you have epilepsy. You can also wear a medical alert bracelet to let people know about your epilepsy in case you have a seizure.

 

Home Safety:

 

Seizure independence in the home starts with your kitchen and your bathrooms. These are the places where, during and after any seizure, you can become confused and risk injury. Take these seizure precautions to decrease the chance of accidents.

 

In the Kitchen:

 

* Use oven mitts and cook only on rear burners.

* If possible, use an electric stove, so there is no open flame.

* Cooking in a microwave is the safest option.

* Ask your plumber to install a heat-control device in your faucet so the water doesn't become too hot.

* Carpet the kitchen floor. This can provide cushioning if you fall.

* Use plastic containers rather than glass when possible.

 

In the Bathroom:

 

* Install a device in your tub and shower head that controls temperature. This keeps you from burning yourself if a seizure occurs.

* Carpet the floor—it’s softer and less slippery than tile.

* Do not put a lock on the bathroom door. If you have one, never use it. Someone should always be able to get in if you need help.

* Learn to bathe with only a few inches of water in the tub, or use a handheld shower head.

 

Driving:

 

For many people with seizures, the risk of attacks restricts their independence, in particular the ability to drive. Follow safety regulations with regards to drivers with history of seizures.

 

Staying Active:

 

Generally, having epilepsy doesn’t mean you can’t take part in sports and activities. Remember, everyone is different. So, be sure to talk to your neurologist or epileptologist about your seizure control and how it might affect your ability to participate in sports and other activities.

 

Getting Your Sleep:

 

Lack of sleep is one of the most common causes of seizures. Make sure that you get the sleep you need to maintain seizure control. If you don’t feel rested after a full night in bed, ask your doctor about whether you should be tested for a sleep disturbance like sleep apnea.

 

Drinking Alcohol:

 

For some people with epilepsy, the occasional alcoholic drink poses no problem. For others, alcohol can change the electrical activity in the brain and affect how epilepsy medicines work. Everyone’s different, so talk to your doctor about how drinking alcohol may affect you. And remember, heavy drinking can cause a seizure and should be avoided.

 

 

 

i would also suggest that your friend should consult a neurologist ASAP, especially if he suffers another seizure episode..

 

 

 

:mtc:

muchas gracias!

[peterparker]

Hi Doc,

 

Can you give me an idea how much a colonoscopy would cost? kc my Mom always complains of stomach pain special before bowel and after mejo matagal na rin, but I find it awkward na di pa rin sya ni rerefer nang Gen. doctor nya sa Gastro specialist. I fear baka may something na sa colon nya..what do you suggest?

 

 

Abdominal pain (a.k.a. stomachache) can be one of the symptoms associated with transient disorders or serious disease. Making a definitive diagnosis of the cause of abdominal pain can be difficult, because many diseases can result in this symptom. Abdominal pain is a common problem. Most frequently the cause is benign and/or self-limited, but more serious causes may require urgent intervention.

 

there are many possible causes of abdominal pain.. it can be gastrointestinal in origin, biliary, hepatic (liver), pancreatic, renal or urological, gynecologic, referred pain, metabolic disturbance, vascular, or it can even be idiopathic..

 

to answer your query, in the hospital where i practice, if i`m not mistaken a colonoscopy would usually set you back around 15-20k..

 

i think it`s best that your mom should consult a gastroenterologist if she continues to experience persistent abdominal pain..

 

 

:mtc:

Edited July 14, 2009 by peterparker

[Kurtsky Keigee]

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