medical Free Medical Advice

[miggyE]

help naman bakit laging nangangati after shower? then after awhile mawawala

 

 

have you tried using a different soap? or a different soap on your towels? it could be na allergic ka with your soap or the detergents you use on your towels....

[jbcty]

good morning doctors, can you give me your most probable diagnosis of a person with two folds increase in AST and ALT serum levels, patient is not an alcoholic, all chemistry lab tests are normal. HBSAg,HAVIGM,HCVAb were tested and found to be OK.

thanks in advance.

[incognitocosplayer]

mga doc,

 

1.which is the infertiledays, 7days before or 7days after menstration? mejo naguguluhan ako sa calendar method eh pakiéxplain as simple as possible.. . ilan po ang success rate nito with perfect use.. .

 

2.also were planning using an injectables? san po ba descreet magpaconsult para dito, is there an over the counter or do we need a prescription to avail it.. . ano maganda i heard depotrust, and how much naman po ang ganito.. . thx

[kanski]

help naman bakit laging nangangati after shower? then after awhile mawawala

 

have you tried using a different soap?....

 

a potential problem is using a soap that dries the skin. try one that moisturizes.

Edited August 20, 2009 by kanski

[kanski]

mga doc,

 

1.which is the infertiledays, 7days before or 7days after menstration? mejo naguguluhan ako sa calendar method eh pakiéxplain as simple as possible.. . ilan po ang success rate nito with perfect use.. .

 

2.also were planning using an injectables? san po ba descreet magpaconsult para dito, is there an over the counter or do we need a prescription to avail it.. . ano maganda i heard depotrust, and how much naman po ang ganito.. . thx

 

 

a woman is fertile only on the day that she ovulates (the egg survives for 24 hrs). thus you can deduce that she is infertile on the days other than this. the problem lies on when exactly does a woman ovulate. those with a regular menstrual cycle are said to be 'safe' on the weeks immediately before and after the first day of menstruation. but this isn't entirely reliable. i know of a doctor couple who, due to their religious beliefs, use the rhytm method for birth control. now, the woman is pregnant (unscheduled) with another child.

 

i've heard that injectables are very effective. just haven't read up on it that's why can't say much about it. i believe a consult with an ob-gyn is in order if you are considering this. he/she will fill you in on the questions you might have and administer it just in case you go this route. why not google this before you go in for a consult so that you are informed and you can formulate better questions to ask. imo, this a safer bet than the calendar method.

[peterparker]

good morning doctors, can you give me your most probable diagnosis of a person with two folds increase in AST and ALT serum levels, patient is not an alcoholic, all chemistry lab tests are normal. HBSAg,HAVIGM,HCVAb were tested and found to be OK.

thanks in advance.

 

 

ALT and AST are two of the most reliable markers of hepatocellular injury or necrosis. Their levels can be elevated in a variety of hepatic disorders. Of the two, ALT is thought to be more specific for hepatic (liver) injury because it is present mainly in the cytosol of the liver and in low concentrations elsewhere.

 

elevations in liver chemistry tests such as alanine transaminase and aspartate transaminase can reveal serious underlying conditions or have transient and benign etiologies. Potential causes of liver transaminase elevations include viral hepatitis, alcohol use, medication use, steatosis or steatohepatitis, and cirrhosis. The history should be thorough, with special attention given to the use of medications, vitamins, herbs, drugs, and alcohol; family history; and any history of blood-product transfusions. Other common health conditions, such as diabetes, heart disease, and thyroid disease, can cause or augment liver transaminase elevations. The recent American Gastroenterological Association guideline regarding the evaluation and management of abnormal liver chemistry tests proposes a practical, algorithmic approach when the history and physical examination do not reveal the cause. In addition to liver chemistries, an initial serologic evaluation includes a prothrombin time; albumin; complete blood count with platelets; hepatitis A, B, and C serologies; and iron studies. Depending on the etiology, management strategies may include cessation of alcohol use, attention to medications, control of diabetes, and modification of lifestyle factors such as obesity. If elevations persist after an appropriate period of observation, further testing may include ultrasonography and other serum studies. In some cases, biopsy may be indicated.

 

 

:mtc:

[peterparker]

docs, I would like to ask what proper diet is good for patients having prostatomegaly? TIA

 

 

To reduce symptoms of benign prostatic hyperplasia (BPH), these factors should be incorporated in the daily diet:

 

Increase intake of fruits, vegetables and whole grains, soy, and green tea, foods rich in omega-3 oils (cold-water fish - salmon, sardines, mackerel) and in zinc (raw pumpkin seeds for omega-3 and zinc)

Reduce foods high in fat and cholesterol (butter and margarine, beef and whole milk), sweet foods, and refined carbohydrates (white bread and white-flour pasta)

Avoid or decrease intake of alcohol, coffee, and beer, particularly after dinner, and tobacco

Eat fewer spicy and acidic foods, such as salsa and chili

Eat less refined sugar Eating less refined sugar may help the body's healing ability

Eat more soy-based foods, such as tofu, miso soup, soy milk, soy beans, and vegetarian burgers

Soy-based foods, which are thought to be particularly valuable for hormone-dependent conditions such as BPH and prostate and breast cancers, provide phytoestrogens that help keep hormones balanced. Soy protein also may be heart healthy.

Eat fewer fried foods, high-fat salad dressings and sauces, and red meat

foods with fiber, such as high-fiber cereals and grains, fruits, and vegetables

Fiber helps improve regularity by decreasing pressure on the prostate from the lower bowel area, and helps prevent colorectal cancer.

 

 

:mtc:

[Kurtsky Keigee]

hi mga doc.

 

effect ba ng insomnia ung nangangati pag gabi?

[powerpuffgirls]

To reduce symptoms of benign prostatic hyperplasia (BPH), these factors should be incorporated in the daily diet:

 

Increase intake of fruits, vegetables and whole grains, soy, and green tea, foods rich in omega-3 oils (cold-water fish - salmon, sardines, mackerel) and in zinc (raw pumpkin seeds for omega-3 and zinc)

Reduce foods high in fat and cholesterol (butter and margarine, beef and whole milk), sweet foods, and refined carbohydrates (white bread and white-flour pasta)

Avoid or decrease intake of alcohol, coffee, and beer, particularly after dinner, and tobacco

Eat fewer spicy and acidic foods, such as salsa and chili

Eat less refined sugar Eating less refined sugar may help the body's healing ability

Eat more soy-based foods, such as tofu, miso soup, soy milk, soy beans, and vegetarian burgers

Soy-based foods, which are thought to be particularly valuable for hormone-dependent conditions such as BPH and prostate and breast cancers, provide phytoestrogens that help keep hormones balanced. Soy protein also may be heart healthy.

Eat fewer fried foods, high-fat salad dressings and sauces, and red meat

foods with fiber, such as high-fiber cereals and grains, fruits, and vegetables

Fiber helps improve regularity by decreasing pressure on the prostate from the lower bowel area, and helps prevent colorectal cancer.

 

 

:mtc:

thanks so much. doc peterparker

[miggyE]

hi mga doc.

 

effect ba ng insomnia ung nangangati pag gabi?

 

 

i think it should e the other way around. nangangati ka, thats why hindi ka makakatulog ng maayos....

[miggyE]

mga doc,

 

1.which is the infertiledays, 7days before or 7days after menstration? mejo naguguluhan ako sa calendar method eh pakiéxplain as simple as possible.. . ilan po ang success rate nito with perfect use.. .

 

2.also were planning using an injectables? san po ba descreet magpaconsult para dito, is there an over the counter or do we need a prescription to avail it.. . ano maganda i heard depotrust, and how much naman po ang ganito.. . thx

 

 

actually, infertile days are supposed to be 7 days before AND 7 days after menstruation. but, as my collegue pointed out, mahirap ito kung erratic ang schedule ng menstruation. also sperm could last up to 48 hours sa loob ng vagina. better to make it 5 days before and after.

 

injectibles are always from the counter, so you'll need a prescription. you'll need an OB-Gyne, some one you trust....

[miggyE]

good morning doctors, can you give me your most probable diagnosis of a person with two folds increase in AST and ALT serum levels, patient is not an alcoholic, all chemistry lab tests are normal. HBSAg,HAVIGM,HCVAb were tested and found to be OK.

thanks in advance.

 

 

sir peterparker is right, next step you should ask for is an ultrasound

[cimaron]

good morning doctors, can you give me your most probable diagnosis of a person with two folds increase in AST and ALT serum levels, patient is not an alcoholic, all chemistry lab tests are normal. HBSAg,HAVIGM,HCVAb were tested and found to be OK.

thanks in advance.

[/quote

any history of drug intake? some drugs increase thelevel of AST and ALT

[jbcty]

ALT and AST are two of the most reliable markers of hepatocellular injury or necrosis. Their levels can be elevated in a variety of hepatic disorders. Of the two, ALT is thought to be more specific for hepatic (liver) injury because it is present mainly in the cytosol of the liver and in low concentrations elsewhere.

 

elevations in liver chemistry tests such as alanine transaminase and aspartate transaminase can reveal serious underlying conditions or have transient and benign etiologies. Potential causes of liver transaminase elevations include viral hepatitis, alcohol use, medication use, steatosis or steatohepatitis, and cirrhosis. The history should be thorough, with special attention given to the use of medications, vitamins, herbs, drugs, and alcohol; family history; and any history of blood-product transfusions. Other common health conditions, such as diabetes, heart disease, and thyroid disease, can cause or augment liver transaminase elevations. The recent American Gastroenterological Association guideline regarding the evaluation and management of abnormal liver chemistry tests proposes a practical, algorithmic approach when the history and physical examination do not reveal the cause. In addition to liver chemistries, an initial serologic evaluation includes a prothrombin time; albumin; complete blood count with platelets; hepatitis A, B, and C serologies; and iron studies. Depending on the etiology, management strategies may include cessation of alcohol use, attention to medications, control of diabetes, and modification of lifestyle factors such as obesity. If elevations persist after an appropriate period of observation, further testing may include ultrasonography and other serum studies. In some cases, biopsy may be indicated.

 

 

:mtc:

 

 

doc we have run hepatitis ABC and its ok, never drinks alcohol, do you think the patient's history of being yellowish in his early life has something to do with this? you said sir that even the medications should be given an attention? the patient has no medications so far and is just taking his daily vitamins of revicon. we consulted an internist and he said he's ok but im not convinced. thanks sir.

[jbcty]

sir peterparker is right, next step you should ask for is an ultrasound

 

 

what particular utz sir? thanks