medical Free Medical Advice

[RoelTolentinoSURGLonco]

the girl should have a regular period for this to work. the safest days are the 7 days before and the 7 days after the first day of menstruation

 

 

i think it is WITHIN 7 days before mens (pero delikado ito lalo na kung irregular yong babae) and within 7 days after first day of mens.

 

example: Oct 1 ang first day of mens, safest is oct 4-7, and oct 22-28 kung regular 28 day cycle yong babae. pero ingat talaga doon sa dates before mens.

 

tandaan nyo lang na di 100 % effective ang rhythm.

[RoelTolentinoSURGLonco]

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

 

makakabawas ang swimming. you told us about your height but you did not mention your weight.

 

dr roel tolentino

surgical oncologist

[RoelTolentinoSURGLonco]

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

 

If you have a hernia, you need an operation, sooner the better. you can go to a surgeon or a urologist.

i advice that your doctor be a fellow of the philippine college of surgeon. they will be safer.

there is no way that it will heal by itself.

there is no other cure aside from surgery.

 

if you are pertaining to an inguinal hernia, it may endanger you life if a segment of the intestine will be trapped and be strangulated (loss of blood supply).

 

save for the surgery.

 

Roel Tolentino, MD,FPCS

Genral Surgeon-Surgical Oncologist

St. Luke's Medical Center

Medical Center Manila

[Wyld]

What does an inflammed rotator cuff mean?

 

Is a steroid pack + pain reliever the usual treatment for it?

 

Thank you.

[wizard23]

hi mtc docs! ano ba ang cause ng pigsa? i had it a month ago. and now i have it again. nag self medicate ako since last tuesday, taking cloxacillin 500mg 3 x a day every meal. matigas pa rin, di ko pa mapiga. i'm thinking of seeing my ent doctor who is also a skin/head specialist. the 1st pigsa grew on my left shoulder near the neck. this time, it's in my neck below my right ear.

 

is it due to stress or too much intake of sugar ie sweet foods, softdrinks etc. please advise. tnx

[otitismedia]

hi mtc docs! ano ba ang cause ng pigsa? i had it a month ago. and now i have it again. nag self medicate ako since last tuesday, taking cloxacillin 500mg 3 x a day every meal. matigas pa rin, di ko pa mapiga. i'm thinking of seeing my ent doctor who is also a skin/head specialist. the 1st pigsa grew on my left shoulder near the neck. this time, it's in my neck below my right ear.

 

is it due to stress or too much intake of sugar ie sweet foods, softdrinks etc. please advise. tnx

 

better have it checked specially if it is recurrent

[orthodoc]

What does an inflammed rotator cuff mean?

 

Is a steroid pack + pain reliever the usual treatment for it?

 

Thank you.

The rotator cuff is a group of strong, rope-like tendons and muscles in the shoulder. Rotator cuff disorders occur when the tissues in the shoulder get irritated or damaged. If you overuse or injure your rotator cuff, you may develop lesions (changes in the tissue). There are many degrees of rotator cuff lesions. You may have a minor lesion, such as inflammation or tendinitis (inflammation of the tendons), or you may have a more severe injury, such as a partial tear of the muscle and tendon fibers or a complete tear of the tendon that causes the muscle to pull away from the bone. In general, rotator cuff disorders include:

 

* Inflammation of the tendons (tendinitis) or of a bursa (bursitis). In the shoulder, a bursa is a small, fluid-filled sac that serves as a cushion between the tendons and the bones.

* Impingement, in which a tendon is squeezed and rubs against bone.

* Calcium buildup in the tendons, which causes a painful condition called calcific tendinitis.

* And a partial or complete tear

 

Symptoms associated with a rotator cuff tear are often mild at first and worsen overtime. Common symptoms include night pains and pain that worsens with activities, particularly when using your arm over your head. In addition to pain, your arm and shoulder may feel weak when you use your arm over your head or when you raise your arm out to the side of your body. Occasionally, a trivial activity, like lifting a bag of groceries, may cause acute pain in the shoulder. This pain may indicate that your partially torn rotator cuff is now completely torn.

RESTING the affected shoulder is the most common treatment that your doctor will ask you to try to relieve the inflammation and irritation of the rotator cuff. Your orthopod may also give some anti-inflammatory medications. In some cases, the doctor may inject steroids in the bursa to decrease inflammation and pain. When the inflammation is under control or has decreased significantly, you can do exercises that will help strengthen the muscles around the shoulder joint.

 

Consulting an orthopod and/or a rehab med specialist at this early stage would be the most prudent thing to do so as to avoid further problems in your shoulder.

 

hth

[mwah]

hi mtc docs! ano ba ang cause ng pigsa? i had it a month ago. and now i have it again. nag self medicate ako since last tuesday, taking cloxacillin 500mg 3 x a day every meal. matigas pa rin, di ko pa mapiga. i'm thinking of seeing my ent doctor who is also a skin/head specialist. the 1st pigsa grew on my left shoulder near the neck. this time, it's in my neck below my right ear.

 

is it due to stress or too much intake of sugar ie sweet foods, softdrinks etc. please advise. tnx

 

I would agree with doc otitismedia. Your haven't been taking the right dose of Cloxacillin too.

[kanski]

hi mtc docs! ano ba ang cause ng pigsa? i had it a month ago. and now i have it again. nag self medicate ako since last tuesday, taking cloxacillin 500mg 3 x a day every meal. matigas pa rin, di ko pa mapiga. i'm thinking of seeing my ent doctor who is also a skin/head specialist. the 1st pigsa grew on my left shoulder near the neck. this time, it's in my neck below my right ear.

 

is it due to stress or too much intake of sugar ie sweet foods, softdrinks etc. please advise. tnx

 

 

bro, pigsa is due to an staph infection of the skin. if it is recurrent, one consideration is that you might be a carrier of this bacteria, typically in your nasal cavity. visit a derma.

[otitismedia]

hi mtc docs! ano ba ang cause ng pigsa? i had it a month ago. and now i have it again. nag self medicate ako since last tuesday, taking cloxacillin 500mg 3 x a day every meal. matigas pa rin, di ko pa mapiga. i'm thinking of seeing my ent doctor who is also a skin/head specialist. the 1st pigsa grew on my left shoulder near the neck. this time, it's in my neck below my right ear.

 

is it due to stress or too much intake of sugar ie sweet foods, softdrinks etc. please advise. tnx

 

di ko napansin ang location (hehehe) ng pigsa mo, the first one on your shoulder near your neck and now in your neck below your right ear. If it is immediately below your right ear it maybe a parotid mass or just bacterial parotitis . chronic "pigsa" along the neck can be due to tuberculosis or what we called tb adenitis. majority of patient who have tb adenitis have a negative chest x-ray. "Pigsa" along the neck can be due to various causes and needs to be explore to rule out any serious ailments. Go ahead with your plan to consult an ENT-HNS.

Edited November 10, 2008 by otitismedia

[RoelTolentinoSURGLonco]

see your doctor

[player61014]

sir pano kng may nakita na bacteria sa urine test? ano kya ito? uti?

[otitismedia]

sir pano kng may nakita na bacteria sa urine test? ano kya ito? uti?

 

if the urine sample was not tested immediately then you will see plenty of bacteria, still have to see the entire pic like the presence of WBC, etc...

[wizard23]

^^^ thanks for all the sound advices - to doc otitismedia, mwah, kanski, i'll see my ent today to be sure.

[xwhiteshadowz]

sir pano kng may nakita na bacteria sa urine test? ano kya ito? uti?

 

uti is not diagnosed by the mere presence of bacteria in the urine seen in routine urinalysis..like what sir otitis said it may be improper handling or more often than not..improper method of collection...time delays also contribute to erroneous presence of microbes in the urine sample...this may be clinically corrected by correlation with the other parameters in the urinalysis test result together with symptomatology or physical examination...hth

[chiii]

sabi ng doctor ko, mag stop ako mag pills kasi pwede daw mag ka lump sa breast tas pwede mag ka varicose.. etc.. pero sabi naman ng ob ko before okay lang mag pills.. so ano ba tlga?? na coconfuse tuloy ako... help naman.. thanx!

[angel_by_day]

does anyone know a good peripheral vascular disease specialist?

kindly pm me.

 

thanks.

[angel_by_day]

does anyone know a good peripheral vascular disease specialist?

kindly pm me.

 

thanks.

[otitismedia]

sabi ng doctor ko, mag stop ako mag pills kasi pwede daw mag ka lump sa breast tas pwede mag ka varicose.. etc.. pero sabi naman ng ob ko before okay lang mag pills.. so ano ba tlga?? na coconfuse tuloy ako... help naman.. thanx!

 

All Drugs or Medications have side effects, you have to weigh the benefits against the risk in taking the said meds (in this case Contraceptive Pills) The final decision is still yours to make.

 

from this site: http://www.healthywomen.org/healthtopics/birthcontrolpills

 

Health benefits, risks and other medical issues about birth control pills

 

Birth control pills provide certain health benefits in addition to preventing pregnancy. Before you start taking oral contraceptives, discuss the health benefits and risks associated with them with a health care professional. Like any other medication, birth control pills can also cause side effects; they may interact with other medications you may take; or they may not be a good choice for you because of your personal health history. Benefits and risks associated with birth control pills are listed below:

 

Benefits

 

*

 

Prevent pregnancy. First and foremost, birth control pills are one of the most effective forms of reversible birth control. If used correctly, the odds are that only five in 1,000 women is likely to get pregnant in the first year of use.

*

 

Improve your menstrual cycle. Birth control pills can improve your menstrual cycle in at least for ways, including:

o

 

less bleeding during periods; one product is designed to eliminate your periods entirely

o

 

more regular and consistent menstrual cycle patterns

o

 

relief from pelvic pain during menstruation

o

 

relief from primarily mood-related symptoms of premenstrual dysphoric disorder (PMDD), a condition that causes many of the same symptoms as PMS, but with more intensity. A combination oral contraceptive containing drospirenone, a progestin, and ethinyl estradiol, a form of estrogen, was recently approved by the FDA. Known as "YAZ," this OC was shown to be clinically effective both for the prevention of pregnancy and for the emotional and physical symptoms of PMDD.

*

 

Prevent cancer. Birth control pills have been shown to protect women from ovarian and uterine cancer, and possibly from colorectal cancer.

*

 

Improve bone density. Some studies have shown that it's possible that bone density improves while taking birth control pills. However, it has not been shown that BCPs make a difference in reducing bone fractures.

*

 

Protect you from ovarian cysts. If you take BCPs, you may have about one-fifth less risk for developing ovarian cysts than women using nonhormonal methods of contraception, such as diaphragms or condoms. Women using low-dose pills (20 mcg of estrogen) or multiphasic pills may not get the same benefit.

 

Risks

 

*

 

Heart attack. The chances of BCPs contributing to a heart attack are small (less than three additional heart attacks per million American women per year) unless you smoke. Studies have shown that smoking dramatically increases the risk of heart attack in women age 35 years or older, which is why BCPs are generally not prescribed to women in this age group who smoke. The American College of Obstetricians and Gynecologists (ACOG) notes that POPs may be appropriate for women with coronary artery disease, congestive heart failure or cerebrovascular disease. However, combined pills are not recommended for these women.

*

 

Ischemic stroke. There is a small, but significant increase in ischemic stroke risk when using birth control pills. This was a particular concern with early oral contraceptives that contained higher doses of estrogen, but newer preparations containing less estrogen are associated with a lower risk of stroke. In otherwise healthy young women (non-smokers without persistent high blood pressure), the risk is low.

*

 

Migraines and stroke. Women who take oral contraceptive and have a history of migraines have an increased risk of stroke compared to nonusers with a history of migraine. Your risk is greatest if you have migraines with "aura"--neurologic symptoms related to vision, such as blurred vision, temporary loss of vision or seeing flashing lights or zigzag lines. As a result, both the American College of Obstetricians and Gynecologists (ACOG) and the World Health Organization (WHO) have concluded that for women over age 35 who get migraines, the risks of BCPs use usually outweigh the benefits.

*

 

Venous thromboembolism (VTE). This rare condition causes clots to form in your blood vessels and can cause symptoms including pain, swelling, and varicose veins, and may block the flow of blood. The risk may vary with the type of progestin used in the pill.

*

 

Worsen severe diabetes. The estrogen in birth control pills may increase glucose levels while decreasing the body's insulin response, while the progestin in the pills may encourage overproduction of insulin. Use of birth control pills by diabetic women should be limited to those who do not smoke, are younger than 35 and are otherwise healthy with no evidence of persistent high blood pressure, kidney disease, vision problems or other vascular disease.

*

 

Possible acceleration of gallbladder disease. Estrogen may cause bile to become oversaturated with cholesterol, which can lead to gallstones.

*

 

No decreased risk of sexually transmitted infections. Birth control pills do not protect against sexually transmitted infections (STIs). But women who use birth control pills are less likely to develop symptomatic pelvic inflammatory disease (PID), which is an infection of the uterus, fallopian tubes or other reproductive organs. PID is a complication of STIs, especially chlamydia or gonorrhea, and may make you to infertile or cause chronic pain. If you are at risk for contracting an STI, you should consider also using condoms.

*

 

Lupus/sickle cell anemia. The American College of Obstetricians and Gynecologists notes that birth control injections or implants are safer alternatives than birth control pills in women with these health conditions.

 

Possible drug interactions

 

Some drugs can reduce the effectiveness of oral contraceptives. Likewise, oral contraceptives can interfere with the effects of some drugs.

 

These include:

 

*

 

Seizure medications: phenytoin, carbamazepine, primidone, ethosuximide, methylphenobarbital, paramethadione, phenobarbital, topiramate

*

 

Tuberculosis medication rifampin

*

 

Antifungal drug griseofulvin

*

 

Anti-anxiety drugs containing benzodiazepine

*

 

Corticosteroids

*

 

Bronchodilators such as theophylline

*

 

St. John's wort

 

If you take any medication either on a short- or long-term basis, be sure to ask your health care professional or pharmacist about possible interactions with birth control pills, and how you should avoid or manage them.

 

For example, you may need to use an additional contraceptive (such as condoms) as a backup contraceptive method, or take a higher or lower-dose pill formulation.

[culpritmooncake]

wud der b a conflict if im taking pentheramine and contraceptive pills?

shud i stop 1 of which if im taking both of em ryt now?

[mwah]

wud der b a conflict if im taking pentheramine and contraceptive pills?

shud i stop 1 of which if im taking both of em ryt now?

 

Are you referring to phentermine? The appetite suppressant?

 

If you are, I hope you are under the supervision of a physician while you're taking that drug since it's centrally-acting (it acts on your brain) and has numerous side effects - ranging from insomnia, high blood pressure to decreased libido, psychosis and depression.

 

I am not aware of any drug interaction between the two but I strongly suggest discontinuing phentermine because of the reasons that I stated.

[wizard23]

hi mtc docs. my brother has vitiligo. now a pedia observed some white spot in my brother's daughter. to be sure, the pedia asked my brother to bring his daughter to the lab to have KOH test? to rule out vitiligo. results of the test was negative for any fungal infection. so it's being considered to refer my niece to a derma.

 

at a tender age of 9, can vitiligo be prevented? all i know is that vitiligo, once you have it, is incurable. any tips/advice how to prevent it from spreading or at least contain it? my mother is applying VCO to the affected parts.btw my niece used to have an-an. dunno if this has anything to do with vitiligo. tnx for any inputs docs.

[otitismedia]

hi mtc docs. my brother has vitiligo. now a pedia observed some white spot in my brother's daughter. to be sure, the pedia asked my brother to bring his daughter to the lab to have KOH test? to rule out vitiligo. results of the test was negative for any fungal infection. so it's being considered to refer my niece to a derma.

 

at a tender age of 9, can vitiligo be prevented? all i know is that vitiligo, once you have it, is incurable. any tips/advice how to prevent it from spreading or at least contain it? my mother is applying VCO to the affected parts.btw my niece used to have an-an. dunno if this has anything to do with vitiligo. tnx for any inputs docs.

 

is it really vitiligo ? or just whitish spots from previous fungal "an-an" infection ? sometimes fungal or an-an causes the discoloration of the affected skin and may take some time to regain its true color. if it is really vitiligo then you are right, it is for life. all you can do is prevent it from spreading too fast by limiting the exposure to sun and by applying sunscreen lotion to the exposed area. you can also camouflage it by applying certain cosmetics or tanning lotion. the only way to really diagnose vitiligo is to biopsy the affected area and find out if there's no melanocyte or pigment producing cell in the skin. you can read more from this site

[wizard23]

tnx for the quick reply doc otitismedia. as for my brother, he really has vitiligo. as for my niece, we will still have to find out after consultation with a derma. tnx again.

[culpritmooncake]

@ MWAH, yeah, im being supervised by my physician. and im even getting my phen through her. but i havent talked to her bout my plans w/ d ader 1. actually,dami ako sakit keia dami ako minementain,hehe. beter yet,il talk 2 my docs muna... tnx mwah for s sound advice