medical Free Medical Advice

[aspirecaptured]

By the looks of it, you may be suffering from suprapatellar bursitis. It is an inflammation of the bursa overlying the patella, and is a common condition for people in professions which entails a lot of kneeling such as house keepers, gardeners, carpenters and also in your case wherein you have frequent knee contact against the ground. The suprapatellar bursa is a fluid-filled sac that functions as a gliding surface to reduce friction between moving tissues of your knee. However, once irritated it can accumulate a large volume of fluid which may cause you to experience swelling over the kneecap, accompanied by pain which worsens through kneeling. You have to seek Orthopaedic consult for this ailment. Your orthopaedist may aspirate the knee for diagnostic and curative purposes.

 

 

Thanks Orthodoc!! Hmm.. I wear knee pads for the time being and it really help a lot..

[deep_penetration_agent]

Hi All,

 

I just thought someone on the forum can point me on the right direction (perhaps give some insights).

 

I'm on my mid 30s and currently have a fused hip, been like this for 20 years (long story) now and I'm thinking of having it converted to a "ball and socket" - i.e have a Total Hip Replacement. I'm still on early stages of planning and was just wondering if anybody here could give a "ball park" figure of the cost. I understand every case is different and ofcourse, doctor's fee varies... but I would be happy for a "range" value.

 

Honestly, I've been wondering if this sort of operation would be on the "300K range" or "500K and above" range or somewhere in between...

 

Any orthopedic surgeons out there? please?

 

Many thanks

Edited October 3, 2008 by deep_penetration_agent

[silverapollo]

get a bottle(any bottle)

 

ung empty na ah, tapos isentro mo ung head ng pigsa sa butas nung bottle sabay palo sa pwet nung bote!

 

ayun puputok un na parang bulkan! hahahahaha

 

just kidding. eventually mawawala din yan, sakin pagnagkakaroon ako ganun lang eh, antay lang mahinog den parang tigyawat na titirisin.

 

 

doc i just want to comment... funny talaga......yung bulkan.... it made my day.....hahahahaha

[hint-of-lime]

Hi All,

 

I just thought someone on the forum can point me on the right direction (perhaps give some insights).

 

I'm on my mid 30s and currently have a fused hip, been like this for 20 years (long story) now and I'm thinking of having it converted to a "ball and socket" - i.e have a Total Hip Replacement. I'm still on early stages of planning and was just wondering if anybody here could give a "ball park" figure of the cost. I understand every case is different and ofcourse, doctor's fee varies... but I would be happy for a "range" value.

 

Honestly, I've been wondering if this sort of operation would be on the "300K range" or "500K and above" range or somewhere in between...

 

Any orthopedic surgeons out there? please?

 

Many thanks

 

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.

[dark_cloud]

much better patingnan mo nga sa derma, professional naman un mga un. kailangan ma-test un skin for fungal infection or other type of skin problem. pag fungal infection at least 4 weeks ang treatment nito, sometimes longer depends on the situation or response sa medication.

 

Thank you doc....

[wolverine78]

Hello to our medical doctors..

 

I would just like to ask if there is a way to "lighten up" your genital area? second is it medically true to have your manhood increased?

 

Thanks

[complicated8]

need your input again mga docs, i injured my knee back in july and 2 orthos said it's 80-90% ACL tear. It was at the back of my knee. Since it required surgery though still need MRI verification, I pursued therapy instead.

 

However, after healing/therapy for two months. I reinjured the knee again. However this time it's the front right side of my left knee (same knee). Hope it's clear what I'm trying to describe.

 

I somehow feel that the back of my knee seems to have healed. It's the front of my knee that is very prone to injury. Just trying to crossover or twisting the knee is hurting it.

 

Any ideas? Should I pursue an MRI now or later if and when I do decide to go for surgery? Or is it possible for my knee to heal if I will rest it for a long time....

 

This is actually the 2nd time that this particular area has been hurt. After a week, it seems to be ok (bearable) to play.

 

Should I really stop playing?

[otitismedia]

Hello to our medical doctors..

 

I would just like to ask if there is a way to "lighten up" your genital area? second is it medically true to have your manhood increased?

 

Thanks

 

i don't know if i get it right, how to make the skin of your genital area fairer ? if it is so, then you may try bleaching lotion, skin peeling and moisturizing cream. but you must be patient enough coz if will take you a long period of time before you see any result. skin peeling will lighten the skin but you have to apply bleaching lotion to "maintain" the effect.

 

how to increased the size of you penis: the length - i don't really know if the procedure is effective ; the girth - either by injection of aquamid/hydrogel/fillers or by silicon implant,diamonds, rubys,etc. just a note, injection or implants will make your penis "bumpy" or "ugly" and about the side effects? plenty like infections, swelling,rashes,implant migration to name a few and of course ugly looking manhood. (remember Dr.Calayan and his botched penile job ? i think he forgot to inform the patient that his penis will look "ugly"or "bumpy")

[xwhiteshadowz]

need your input again mga docs, i injured my knee back in july and 2 orthos said it's 80-90% ACL tear. It was at the back of my knee. Since it required surgery though still need MRI verification, I pursued therapy instead.

 

However, after healing/therapy for two months. I reinjured the knee again. However this time it's the front right side of my left knee (same knee). Hope it's clear what I'm trying to describe.

 

I somehow feel that the back of my knee seems to have healed. It's the front of my knee that is very prone to injury. Just trying to crossover or twisting the knee is hurting it.

 

Any ideas? Should I pursue an MRI now or later if and when I do decide to go for surgery? Or is it possible for my knee to heal if I will rest it for a long time....

 

This is actually the 2nd time that this particular area has been hurt. After a week, it seems to be ok (bearable) to play.

 

Should I really stop playing?

Good day sir, im no ortho doc but ill just say what i think. An ortho is the best specialist to consult in youre case which you did...and their findings show acl injury...as for what i think..the ortho can not guarantee 100% on how serious your injury is...though they have the idea basing clinically and thru physical exam.. the fact that they ordered for an mri is to further see how aggressive should the treatment be..they can always give you different options and also state roughly on your chances of cure... its really helpful to have these test to confirm their diagnosis not to defeat their diagnosis but to have a picture the gravity of your injury and its prognosis ... though having an mri will be quite expensive it will be justifyable to have it done.. In case you have acl tear, the surgery will not be that long and will just take about a an hour depending on the expertise of your surgeon..afterwhich they can evaluate you if you can still play after healing...it would be helpful to google the anterior cruciate ligament to have an idea on how they look like and able to relate on what the doctor will be explaining to you < i guess you already done that hehe>

[lipgloss]

good day doctors! i have a persistent migraine, any prescription for a quick fix? tia.

[vagabond]

my mother has chronic lymphocytic leukemia. she will undergo chemo? what are her chances?

[hint-of-lime]

need your input again mga docs, i injured my knee back in july and 2 orthos said it's 80-90% ACL tear. It was at the back of my knee. Since it required surgery though still need MRI verification, I pursued therapy instead.

 

However, after healing/therapy for two months. I reinjured the knee again. However this time it's the front right side of my left knee (same knee). Hope it's clear what I'm trying to describe.

 

I somehow feel that the back of my knee seems to have healed. It's the front of my knee that is very prone to injury. Just trying to crossover or twisting the knee is hurting it.

 

Any ideas? Should I pursue an MRI now or later if and when I do decide to go for surgery? Or is it possible for my knee to heal if I will rest it for a long time....

 

This is actually the 2nd time that this particular area has been hurt. After a week, it seems to be ok (bearable) to play.

 

Should I really stop playing?

 

A well trained and experienced orthopedic surgeon should be able to tell from a good medical history and physical examination whether or not you really have a ligamentous injury in your knee. If the history and PE point to a possible ligament injury then an MRI may be warranted. I would suggest that you stop playing until the diagnostics are complete and you and your doctor know what exactly is happening in your knee because if you do have an injury in any of the ligaments, playing on an injured knee may aggravate it further.

 

Assuming you really have an ACL tear, after reconstruction, you can return to play after about 6 months of the ACL PT protocol (this is true for the bone-patellar tendon-bone type of ACL reconstruction even for professional athletes; hamstring-type ACL recon has about 8 months of PT before return to play).

[wolverine78]

i don't know if i get it right, how to make the skin of your genital area fairer ? if it is so, then you may try bleaching lotion, skin peeling and moisturizing cream. but you must be patient enough coz if will take you a long period of time before you see any result. skin peeling will lighten the skin but you have to apply bleaching lotion to "maintain" the effect.

 

how to increased the size of you penis: the length - i don't really know if the procedure is effective ; the girth - either by injection of aquamid/hydrogel/fillers or by silicon implant,diamonds, rubys,etc. just a note, injection or implants will make your penis "bumpy" or "ugly" and about the side effects? plenty like infections, swelling,rashes,implant migration to name a few and of course ugly looking manhood. (remember Dr.Calayan and his botched penile job ? i think he forgot to inform the patient that his penis will look "ugly"or "bumpy")

 

How many treatments of skin peeling will it take to see the result and how much will that cost doc? About i guess there is really no safe and effective treatment for penis enlargement huh?

 

thanks a bunch doc!

[icemanph23]

mga doc ng mtc,

 

i was diagnosed to have gallstone (2cm) thru ultrasound.... the doctor advise me to undergo laparoscopic surgery removal of gallbladder.

 

questions:

1. What if I did not undergo the surgery removal of gallbladder, may possible complication po ba ito sa ibang digestive organs?

 

2. Is there a medicine / food to eat to dissolve the gallstone? I've read green apple juice will help dissolving the gallstone, is this true?

 

3. Food that I should refrain from eating to avoid gallstone?

 

thank you po

 

to moderator: sorry po kung may topic na ito b4, i dont have time to backread po.... again sorry and thank you po sa mga doctor na magrreply...

[otitismedia]

How many treatments of skin peeling will it take to see the result and how much will that cost doc? About i guess there is really no safe and effective treatment for penis enlargement huh?

 

thanks a bunch doc!

 

usually 2-3 treatment, but as i have said it is not permanent. have to maintain it with bleaching and moisturizer and regular peel. price depends on your doctor/location/others....

 

penile enlargement - only if you are really desperate !

[easyhard]

mga doc ng mtc,

 

i was diagnosed to have gallstone (2cm) thru ultrasound.... the doctor advise me to undergo laparoscopic surgery removal of gallbladder.

 

questions:

1. What if I did not undergo the surgery removal of gallbladder, may possible complication po ba ito sa ibang digestive organs?

 

2. Is there a medicine / food to eat to dissolve the gallstone? I've read green apple juice will help dissolving the gallstone, is this true?

 

3. Food that I should refrain from eating to avoid gallstone?

 

thank you po

 

to moderator: sorry po kung may topic na ito b4, i dont have time to backread po.... again sorry and thank you po sa mga doctor na magrreply...

 

Sent you a PM

[lipgloss]

gud day to you. I am a migraine sufferer like you. i have tried almost all meds available and i guess you have to find out what works best. I the headache doesnt get relieved that easily i suggest you see a neurologist. i dont intend to put fear on your thoughts , its just that headache especially migraine is their forte. If you wann try meds first then you have a lot to choose from like over the counter ones like Ibuprofen + Paracetalmol combinations, Mefenamic acid, tramadol. mefenamic acid doesnt work well if you have a full blown headache. You have to take it at the start of the headache, which means when the pain is still bearable. and rest is very important. tramadol is ok but it really makes you sleepy. The other ones i have tried like mesulid(this works great), etc were brought out of the market coz of the heart complications.

 

thanx eyedoc for your reply. i had 2 mri already with negative results. guess i just have to remain loyal to ponstan 500mg caplet. thats the only med that works for me.

[wizard23]

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.

[MuyAkYak]

My wife & I are both 39 y/o, married for 16 years with 3 kids. 10 years ago after the birth of our youngest child my wife underwent tubal ligation. Since then she was complaining that she cannot "finished" everytime we make love. At first i thought there must be something wrong with me. Maybe bcoz of work & family stress our sex life became routinary & infrequent. This went on for quite sometime and also led mo to some extra-marital affairs. Lately we had a serious talk about whats happening to our sex life. And lately also we came accross the topic of female orgasm and ejaculation. My wife tells me that she can achieve both before her ligation. She feels that she squirts inside. But now although she gets to have an orgasm, she cannot ejaculate. She feels there's something blocking the way. This made her lose interest to sex. We did try many things- from oral to fingers to both. Position is limited to missionary though bcoz she had a slipped disc 3 years ago. The past few weeks we have an unsually active sex life. But its all orgasm and no ejaculation for her. I really want her to enjoy sex.

 

My questions are: - is failure to ejaculate a result of the tubal ligation?

- is the problem psychological?

- do we need to seek medical help? (i go for this)

- what doctor can help us with this?

Thanks!

Edited October 11, 2008 by MuyAkYak

[otitismedia]

My wife & I are both 39 y/o, married for 16 years with 3 kids. 10 years ago after the birth of our youngest child my wife underwent tubal ligation. Since then she was complaining that she cannot "finished" everytime we make love. At first i thought there must be something wrong with me. Maybe bcoz of work & family stress our sex life became routinary & infrequent. This went on for quite sometime and also led mo to some extra-marital affairs. Lately we had a serious talk about whats happening to our sex life. And lately also we came accross the topic of female orgasm and ejaculation. My wife tells me that she can achieve both before her ligation. She feels that she squirts inside. But now although she gets to have an orgasm, she cannot ejaculate. She feels there's something blocking the way. This made her lose interest to sex. We did try many things- from oral to fingers to both. Position is limited to missionary though bcoz she had a slipped disc 3 years ago. The past few weeks we have an unsually active sex life. But its all orgasm and no ejaculation for her. I really want her to enjoy sex.

 

My questions are: - is failure to ejaculate a result of the tubal ligation?

- is the problem psychological?

- do we need to seek medical help? (i go for this)

- what doctor can help us with this?

Thanks!

 

i am not an expert in this field, IMHO, there is no relation between her tubal ligation and her lack of "ejaculation".

 

 

Signs confirming orgasm (http://www.whitelotuseast.com/FemaleOrgasm.htm)

 

Rhythmic muscle contractions occur in the outer third of the vagina, the uterus and anus. The first muscle contractions are the most intense, and occur at a rate of about 1 per second. As the orgasm continues, the contractions become less intense and occur at a more random rate.

 

*

 

A mild orgasm may have 3 -5 contractions, an intense orgasm 10 -15.

*

 

The "sex flush" (redness) becomes even more pronounced and may cover a greater percentage of the body.

*

 

Muscles throughout the body may contract during orgasm, not just those in the pelvic area.

*

 

Some women will emit or spray some fluid from their urethra during orgasm. This is often called female ejaculation.

*

 

A woman's facial expression may indicate that she is in pain when she is having a pleasurable orgasm.

*

 

At the peak of orgasm the entire body may become momentarily rigid.

 

better seek medical help, ob-gyn or psychiatrist specializing in sexual dysfunction.

[otitismedia]

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.

[overdrive2506]

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

[easyhard]

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

 

I suggest you consult with a board certified surgeon. Inquire if he is a fellow of the Philippine College of Surgeons.

 

The treatment of hernia is not an exclusive domain of a urologist. Most hernias are seen by a general surgeon since it involves abdominal contents escaping through an abdominal wall defect. However, you may also consult a urologist if you are more comfortable with it.

 

With regards to other cure aside from surgery, there is none. The problem with hernia is an anatomical defect which should be surgically repaired.

 

You may send me a PM if you need help with your condition.

[wizard23]

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 take my annual p.e. and it is advisable na once a year ka lang mag pa x-ray or every six months if necessary to avoid overexposure to radiation. tama ba mga mtc docs?

[gift_of_game]

technically, medyo overrated yung prevailing notion natin regarding exposure.

 

for one, all facilities which have and operate a machine must have a subscription with the National Institute of Physics' badge service which is renewed on a yearly basis.

the badge is both to assure the quality of images and monitor exposure, particularly for the radiation technologists.

in other words, mapapansin na rin naman agad yung "leak" or "fallout" kung nagloloko na talaga yung machine.

 

for another, granted that the machine is working well, the exposure to radiation is really very small.

to put it in perspective, it would take around 300,000 chest x-rays over a really short period for someone to suffer the deleterious effects of radiation exposure.

 

yung guideline na 6 months, it's reasonable but it's not really a hard and fast rule.

 

we want to avoid exposure, that's still true.

but if a patient's condition warrants the procedure, we can always go right ahead and have it done anyway.

 

 

i take my annual p.e. and it is advisable na once a year ka lang mag pa x-ray or every six months if necessary to avoid overexposure to radiation. tama ba mga mtc docs?

Edited October 14, 2008 by gift_of_game