medical Free Medical Advice

[gift_of_game]

foamy urine?

some have said that this could be one of the earliest and most subtle signs of impaired renal function BUT really, for the vast majority of instances, it's pretty nonspecific.

 

any number of not-too-serious things could cause urine to foam or bubble more than it should from mild dehydration (urine is more concentrated) to peeing way too fast.

 

if it persists though, don't think twice about seeing your physician as a simple urinalysis can say a lot.

 

 

 

(wizard23 @ Oct 11 2008, 05:57 AM) *

hi mtc docs. just would like to seek advice on how to lessen "yung madaming bula" everytime i urinate? what is the implication if "madaming bula ang ihi mo" thanks in advance.

 

di ko lang alam kung may research na tungkol sa bula ng ihi, i don't even know the significance of it (maybe my other colleague can enlighten us) para di mabula-damihan mo inom ng tubig (parang sabon din yan! hehehe! joke lang) , wag ipunin ang ihi-ihi ka kahit di ka pa na-iihi para konti lang ang ihi at higit sa lahat HUWAG mo targetin un tubig sa inodoro, sa walang tubig mo target (un pa-slide) un ihi mo o kaya umupo ka pag-umiihi ka.

[xwhiteshadowz]

mga doods, ilan beses ba ideal na puede ka magpa x ray sa isang taon or ano ang tamang interval sa pagpapa xray paki post or beter yet pm pls -----salamat po

i agree with sir gift of game...it should not bother you to have a few xrays if warranted..sum patients have xrays daily in some institutions..if it outweighs the condition of the patient and if xrays is really needed.. more concern in individuals who work on radiolabs that are exposed daily and even if they have badges that measures the amount of radiation they still have to wear protective gears such as lead vest and the like..if the levels are high enough then they are obliged to have a short vacation...and other thing..as compared to xrays.. if you have/had ct scanning you are exposed to higher levels or radiation..a hundred fold if my memory serves me right.. hth

 

@wizard - imho yung bula ng ihi is not that credible in diagnosing any ailments may it be urological or systemic.. but i remembered that theres this instance that if ever you noted that your urine is kinda frothy or if you notice that the bubble is kinda yellowish it may suggest a biochemical imbalance in your system more related to your hepatobiliary system < liver and gallbladder > but this is very rare that is more noted in the childhood or adolescence...also note for any color changes in the color of your urine...unless youre dehydrated like what sir gift of game stated which may give you more concentrated/colored urine... check mo din baka kakalinis ng takubets nyo at may naiwan na sabon hehehe kidding! :upside: hth

[angel_by_day]

hi mtc docs. just would like to seek advice on how to lessen "yung madaming bula" everytime i urinate? what is the implication if "madaming bula ang ihi mo" thanks in advance.

 

aside from the ones mentioned above, frothy urine could mean proteinuria, which represents an underlying kidney dysfunction (the details of which, di ko muna i-d-discuss at mahaba). Proteinuria means nagtatapon ka ng protein sa ihi, and is definitely not a good sign since your kidneys should be able to filter them properly.

 

have you BUN, creatinine checked too. blood exam yan.

[wizard23]

foamy urine?

some have said that this could be one of the earliest and most subtle signs of impaired renal function BUT really, for the vast majority of instances, it's pretty nonspecific.

 

any number of not-too-serious things could cause urine to foam or bubble more than it should from mild dehydration (urine is more concentrated) to peeing way too fast.

 

if it persists though, don't think twice about seeing your physician as a simple urinalysis can say a lot.

 

 

@wizard - imho yung bula ng ihi is not that credible in diagnosing any ailments may it be urological or systemic.. but i remembered that theres this instance that if ever you noted that your urine is kinda frothy or if you notice that the bubble is kinda yellowish it may suggest a biochemical imbalance in your system more related to your hepatobiliary system < liver and gallbladder > but this is very rare that is more noted in the childhood or adolescence...also note for any color changes in the color of your urine...unless youre dehydrated like what sir gift of game stated which may give you more concentrated/colored urine... check mo din baka kakalinis ng takubets nyo at may naiwan na sabon hehehe kidding! :upside: hth

 

 

aside from the ones mentioned above, frothy urine could mean proteinuria, which represents an underlying kidney dysfunction (the details of which, di ko muna i-d-discuss at mahaba). Proteinuria means nagtatapon ka ng protein sa ihi, and is definitely not a good sign since your kidneys should be able to filter them properly.

 

have you BUN, creatinine checked too. blood exam yan.

 

 

thanks mtc docs for all your inputs. i showed my initial blood exam results to my internist. he had me take BUN (1st time) and creatinine exam again. so i drank lots of buko juice and even took food supplements CRANUTI for uti (cranberry extract). so far, bumaba yung creatinine ko, and yung ultrasound ng kidneys ko, ok naman. normal to date. however, he requested another blood exam/uninalysis included at the end of the month. pansin nya mataas pa din daw ang protein ko. so right now, i'm watching my diet.

Edited October 16, 2008 by wizard23

[SpecNyt]

Doctors of MTC, i have a question about gastro, nutrition, and weightloss..

 

Un bestfriend ko na girl has had a this problem since we were back in college, she sometimes can't eat, and her upper abdomen hurts. I can't really describe this situation but it just happened suddenly to her long way back. And after awhile she got used to it, and gave up on getting a cure. She went to around more than 10 different doctors in different fields already, from gastro, to internal med and such. She even got this tube put down her throath.. Can't remember the proccess's name.. And everything the doctors were speculating turned out wrong. Like its a new condition or something. In the end we gave up on diagnosing it.

 

Anyway, I'm really worried about her health.. Its been almost 10 years already since she's been having this..

 

My question would be that my friend eats a lot everyday, she eats breakfast with 2 cups of rice, lunch with 3, and dinner with 3 i think. She's also a monster when it comes to buffets.. But this past 2 years, she's been steadily loosing weight even though she eats like that everyday. Back then when we were in college she still had meat, and now she's thin as a bone. And she's still getting thinner.. Is this weigthloss related with her diet? She doesnt' eat fatty and overly oily foods naman, though a lot of sweets (ie. cakes, cookies, etc). How about worms? Possible kaya? But her stomach doesn't get big naman (I heard this happens when the worm grows right?).

 

I've been asking her if she would want to visit a Nutrisionist, maybe this would help.. Any recommendations?

 

Thanks mga docs!

[deep_penetration_agent]

I think you need to give this a lot of thought. Is your fused hip giving you any significant problem that you are entertaining the thought of having it converted to a THR because if you are very functional already as it is, you may want to delay the procedure for as long as possible. This is because if you undergo a THR now, the clock will start ticking for the implant (because it will eventually wear out and fail) and you WILL BE NEEDING REVISION SURGERY in around 15 to 20 years perhaps entailing replacement of the entire implant. Thus we advise our patients to have this type of surgery done at the latest possible time without significantly sacrificing the patient's comfort and function.

 

That being said, you will probably be needing what arthroplasty surgeons call a FULLY UNCEMENTED SYSTEM OF IMPLANT which, depending on the brand will cost between Php100,000 to 150,000 at its base cost without hospital surcharges. The professional fees, hospital expenses, surcharges and other costs will depend on the orthopedic surgeon and the hospital where you decide to be admitted. In the charity setting in a hospital like PGH, you will only be spending for the implant and the needs for the surgery (implant cost + around Php10 to 15,000). In the private setting, depending on the hospital, you'll be in the 300k to 500k price range. You'll also need to set aside some money for postoperative physical therapy which will be quite intensive considering you've lived on a fused hip for around 20 years and it's going to be a while before you build up enough muscle and retrain yourself to live with a new mobile hip.

 

Hi hint-of-lime,

 

Thank you very for taking time to reply, I really-really do appreciate it. Sorry it took me a while to reply back.

 

The main reason I have decided to consider THR is my 11 month old son. At my current fused hip, it's difficult to take care of a baby this small and there are things that we can't do as a family that would be possible given more flexibility on my legs. There's also work opportunities, discrmination is illegal anywhere, but it's inevitable that a person with walking impairment like myself to miss the short-list due to my "imperfection".

 

Yes I've done some research before and I'm aware that THR components has a shorten life span, but I think in my personal circustance, the risk outweighs the benefit.

 

Thanks again.

[xwhiteshadowz]

Doctors of MTC, i have a question about gastro, nutrition, and weightloss..

 

Un bestfriend ko na girl has had a this problem since we were back in college, she sometimes can't eat, and her upper abdomen hurts. I can't really describe this situation but it just happened suddenly to her long way back. And after awhile she got used to it, and gave up on getting a cure. She went to around more than 10 different doctors in different fields already, from gastro, to internal med and such. She even got this tube put down her throath.. Can't remember the proccess's name.. And everything the doctors were speculating turned out wrong. Like its a new condition or something. In the end we gave up on diagnosing it.

 

Anyway, I'm really worried about her health.. Its been almost 10 years already since she's been having this..

 

My question would be that my friend eats a lot everyday, she eats breakfast with 2 cups of rice, lunch with 3, and dinner with 3 i think. She's also a monster when it comes to buffets.. But this past 2 years, she's been steadily loosing weight even though she eats like that everyday. Back then when we were in college she still had meat, and now she's thin as a bone. And she's still getting thinner.. Is this weigthloss related with her diet? She doesnt' eat fatty and overly oily foods naman, though a lot of sweets (ie. cakes, cookies, etc). How about worms? Possible kaya? But her stomach doesn't get big naman (I heard this happens when the worm grows right?).

 

I've been asking her if she would want to visit a Nutrisionist, maybe this would help.. Any recommendations?

 

Thanks mga docs!

i understand your friend's dillemma in having a lot of check ups and even visiting some especialists...just my opinion...as for the weight loss...this may be caused by a lot of factors..so narrowing down to those that may pertain to your friend is that i may be considering an endocrine problem...this is just my opinion basing on what you just said...it may suggest problems regarding her metabolism..like if she is hypermetabolic in case she had hyperactive thyroid or type 2 diabetes that progressed to type 1...since in ten years time there's a great chance for the body to loose weight amidst the proper diet since the pancreas will initially be resistant more resistant to insulin that helps in utilizing the food taken by the body..progressing to non production of insulin which may warrant induction of insulin for therapy...and also im not disregarding malignancy in the case though i may not have a focus as of yet but the weight change may be a sign of possible malignancy...though this is very unreliable as of now since a lot of work ups should be done to rule malignancy out and also basing clinically to her symptoms...as for the worm infestation/infection youre thinking of...it is possible..but in such it wont cause much weight loss as i see it..it may be more important to check the patients blood for any possible anemia that may be caused by massive infestation...the symptoms will be more obvious if ever the parasites increases much in numbers or even migrating to different parts of the body..hth

 

again .this is just my opinion..our seniors/specialists in the room may suggest better that what i said...

[angel_by_day]

natawa naman ako dun sa "seniors"....

 

yoko nga sumagot hehe......ill let the gastro in the house, johardue, answer it.

 

two questions: ano nakita sa upper g.i. endoscopy and was a colonoscopy ever requested?

[angel_by_day]

natawa naman ako dun sa "seniors"....

 

yoko nga sumagot hehe......ill let the gastro in the house, johardue, answer it.

 

two questions: ano nakita sa upper g.i. endoscopy and was a colonoscopy ever requested?

[xwhiteshadowz]

natawa naman ako dun sa "seniors"....

 

yoko nga sumagot hehe......ill let the gastro in the house, johardue, answer it.

 

two questions: ano nakita sa upper g.i. endoscopy and was a colonoscopy ever requested?

nyahay baka mas mis quote ako hehe superiors pala hahaha :upside:

 

sir johaydue...kailangan help mo hehehe..might as well learn na din hehe :thumbsupsmiley:

[boygenpact]

whats the best morning-after pill?

 

can we get one without prescription?

[boygenpact]

whats the best morning-after pill?

 

can we get one without prescription?

 

I heard my Nordette sa mercury. Kailangan pa ba ng subscription to have one?

 

Nordette is intended to prevent pregnancy when you have experienced known or suspected contraceptive failure (e.g., broken condom) or have not used contraception. The first dose of Nordette should be taken as soon as possible but within 72 hours of unprotected sex. Nordette is meant for emergency use only and not as a regular method of birth control. Like all oral contraceptives, Nordette does not protect against infection with HIV (the virus which causes AIDS) and other sexually transmitted diseases.

[thanbinh]

i have hernia...

 

problem is... who do i go to for it? which urologist should i trust?

 

and for the mean time... what can i do to prevent surgery?

 

is there any other cure aside from surgery?

 

thanks people

 

PM mo si Sanlucas he might be able to help you out...

[mwah]

Wrote something about that in another thread. I'll just repost it here.

 

The "morning after pill/s" are just your OCPs with a bigger dose. Just remember that when a woman takes the morning after, she's taking more than the usual amount of estrogen that her body needs. The thing is, she's wrecking havoc on her hormones (plus she might regret later on when she decides to have kids) and there are a number of expected side effects and risks involved like nausea, abdominal pain or excessive vaginal bleeding (could be an ectopic pregnancy or a miscarriage too).

 

Just be aware of the things that you need to watch out for when taking the morning after so you'll know when to consult your MD. The morning after pill is not intended to be used as a regular method of contraception - I usually suggest taking regular OCPs once the next menstrual period starts.

[otitismedia]

I heard my Nordette sa mercury. Kailangan pa ba ng subscription to have one?

 

Nordette is intended to prevent pregnancy when you have experienced known or suspected contraceptive failure (e.g., broken condom) or have not used contraception. The first dose of Nordette should be taken as soon as possible but within 72 hours of unprotected sex. Nordette is meant for emergency use only and not as a regular method of birth control. Like all oral contraceptives, Nordette does not protect against infection with HIV (the virus which causes AIDS) and other sexually transmitted diseases.

 

 

Nordette to the best of my knowledge and according to MIMS is NOT a morning after pill. It is not for emergency use only and should be taken on the first day of menstruation like any ordinary contraceptive pills. Then again maybe the MIMS that i'm using is outdated.

[orthodoc]

Hi hint-of-lime,

 

Thank you very for taking time to reply, I really-really do appreciate it. Sorry it took me a while to reply back.

 

The main reason I have decided to consider THR is my 11 month old son. At my current fused hip, it's difficult to take care of a baby this small and there are things that we can't do as a family that would be possible given more flexibility on my legs. There's also work opportunities, discrmination is illegal anywhere, but it's inevitable that a person with walking impairment like myself to miss the short-list due to my "imperfection".

 

Yes I've done some research before and I'm aware that THR components has a shorten life span, but I think in my personal circustance, the risk outweighs the benefit.

 

Thanks again.

You may be taking a lot of risk than the intended benefits. The 15 to 20 year THR survivorship mentioned by HOL is the reported longest survival if a primary THR is done on an appropriate patient, done by very experienced surgeons. Based on anecdotal reports, the average survival done in our country is around 10 years. As HOL, has previously mentioned you will also have to undergo intensive postop PT to "re-train" your previously fused hip. There are also several limitations of a THR hip:

 

* You cannot cross your legs

* You cannot bend your legs up beyond 90 degrees

* You have to be very careful when sitting on sofas or in low chairs as this may cause dislocations

* In some instances, you cannot sleep on your operative side

 

Most orthopods ease these precautions after rehabilitation, but total hip replacements are less stable than normal hips even years after surgery.

I call the Total Joint Replacement Surgery-- the point of no return because once you underwent the procedure, you cannot avoid the possibility of revision. The revision procedure becomes a problem if the primary surgery was done on a relatively young patient as this may entail a LOT of subsequent revisions thereon. The irreversible problem will then have to be expected-- when there wont be adequate remaining bone that will hold the prosthesis in place.--- An orthopod's nightmare! Well, there are options of allograft but the results are not really encouraging.

And hey. I havent yet discussed the possibility of infection---another orthopod's nightmare. Once infection sets in deep, the only option would be a series of debridement, removal of implant and very expensive antibiotics.

 

And so, I echo HOL's suggestion, as much as possible delay the primary THR for as long as you can tolerate it. For once you take the road to THR, you are burning the bridges behind you.

[boygenpact]

Nordette to the best of my knowledge and according to MIMS is NOT a morning after pill. It is not for emergency use only and should be taken on the first day of menstruation like any ordinary contraceptive pills. Then again maybe the MIMS that i'm using is outdated.

 

ah ok...

 

anyways, the mod deleted my topic "the morning-after pill" I don't know why. All i know is that its a medical topic and we are entitled know more about contraceptions and one of them is "morning-after" pills (because most topics here in MTC are related to sex that lead the members to sex).

 

 

The condom broke while having sex... And i wanna make sure that my girl don't get pregnant... Instead in trusting the "coke and medicol" thing...

 

According to the internet, "morning-after" pills must be taken with 72 hours of sex... i hope someone here knows or is using one will help in sharing...

[mwah]

^^^

PM sent. Please check your inbox.

[johardue]

Doctors of MTC, i have a question about gastro, nutrition, and weightloss..

 

Un bestfriend ko na girl has had a this problem since we were back in college, she sometimes can't eat, and her upper abdomen hurts. I can't really describe this situation but it just happened suddenly to her long way back. And after awhile she got used to it, and gave up on getting a cure. She went to around more than 10 different doctors in different fields already, from gastro, to internal med and such. She even got this tube put down her throath.. Can't remember the proccess's name.. And everything the doctors were speculating turned out wrong. Like its a new condition or something. In the end we gave up on diagnosing it.

 

Anyway, I'm really worried about her health.. Its been almost 10 years already since she's been having this..

 

My question would be that my friend eats a lot everyday, she eats breakfast with 2 cups of rice, lunch with 3, and dinner with 3 i think. She's also a monster when it comes to buffets.. But this past 2 years, she's been steadily loosing weight even though she eats like that everyday. Back then when we were in college she still had meat, and now she's thin as a bone. And she's still getting thinner.. Is this weigthloss related with her diet? She doesnt' eat fatty and overly oily foods naman, though a lot of sweets (ie. cakes, cookies, etc). How about worms? Possible kaya? But her stomach doesn't get big naman (I heard this happens when the worm grows right?).

 

I've been asking her if she would want to visit a Nutrisionist, maybe this would help.. Any recommendations?

 

Thanks mga docs!

 

First, flattered namn ako sa term na "house gastro". (nye!)

 

But please, I'm just another respondent/poster in these fora.

 

Well anyways, SpecNyt, your friend's case is not an ordinary one and madami pa kailangan info na hindi na-provide. For example, pano yung bowel movement nya - nag diarrhea ba sya or normal lang ang stool. May vomiting ba? These two questions provides a whole lot of answers.

 

I can cite some possibilities from a gastro's perspective. Specially kung nag diarrhea sya she might be suffering from any of the malabsorption syndromes. Pwedeng pancreatic insufficiency (lack of pancreatic enzymes) or even chronic pancreatitis. Pwede ding problem sa lining ng small or large intestines (any of the rare or not so rare enteritides or colitides e.g. eosinophilic enteritis or colitis; inflammatory bowel disease e.g. Crohn's or ulcerative colitis among others. But I'm quite sure napick-up namn tong mga to kung nag-consult sya sa gastro. Would you remember the endoscopy results?

 

Other conditions come to mind like endocrine disorders - diabetes, hyperthyroidism (specially kung namamayat kahit malakas kumain. Di ba lumaki or lumuwa ng konti ang mata?); Tuberculosis, di lang sa lungs kundi sa ibang bahagi ng katawan (stomach, intestines, etc).

 

Other possibilities that are worth considering are Psychiatric conditions particularly Bulimia. Di kaya kain sya ng kain tapos i-vomit nya lang secretly? Kasi the way you describe her, she seems to be eating a lot yet pumapayat sya.

 

And how about recreational drug use?

 

These are just but opinions. Iba pa rin yung makita at mainterview and ma-physical exam and patient.

 

I hope di ako lalo nakagulo.

[xwhiteshadowz]

^^ salute

[angel_by_day]

cancer is a possibility too for unexplained weight loss....no matter how grim and remote.

[Palakol]

sirs, can anyone PM me any DOH accredited clinics where i can get a drug testing, hepa B (elisa method), ECG, and X-ray near San Juan / New Manila? thanks in advance.

[naddz]

hi. can i donate blood even though i have a high blood pressure but regularly take maintenance drugs to keep it low? thanks.

[BigJ]

mga guys tanong lang, papaano ba macheck kung ilan percent ang fats sa katawan? kasi mukhang overweight ata ako, 5'6 167lbs. di ako mataba, malaki lang ang shoulder ko, nagswimming ako 3x a week, 600 to 700m ang swimming ko every time.gusto ko lang malaman kung nakakatulong ba sa pagbawas ng fats ko ang swimming. tnk you

[aswang]

I have a friend who has insomnia and is taking sleeping pills prescribed by the doctor. However, she was taken to the hospital because she hasn't waked up for 4 days now. We are not sure if she has taken more than what is prescribed. How serious is this? Anyone knows similar incident and how long we are going to wait?