medical Free Medical Advice

[Warthog]

I recently join a fun run. I ran for 10KM last Sunday. I don't usually run. After the run, I know, common muscle pains might occur. Areas in the calves or hamstring. But what I encounter is a pain in my left knee, just above the right side of the knee cap. The very first time it happened to me.

 

Its a little stingy while walking (para na ko si Dr. House maglakad) and it is very excruciating going down the stairs. Also, there is a slight swelling.

 

Did I just tore a ligament? will the pain will go away with cold or hot compress? Should I get an x-ray?

 

Thanks

[peterparker]

I recently join a fun run. I ran for 10KM last Sunday. I don't usually run. After the run, I know, common muscle pains might occur. Areas in the calves or hamstring. But what I encounter is a pain in my left knee, just above the right side of the knee cap. The very first time it happened to me.

 

Its a little stingy while walking (para na ko si Dr. House maglakad) and it is very excruciating going down the stairs. Also, there is a slight swelling.

 

Did I just tore a ligament? will the pain will go away with cold or hot compress? Should I get an x-ray?

 

Thanks

 

 

did you hit your knee or suffer any kind of trauma during the run bro..?

 

it could be just a knee sprain or you tore a ligament nga... since you said that you don`t usually run either for exercise or recreation...?

 

i would suggest that you consult an orthopedic surgeon for proper examination of your knee...

 

 

 

:mtc:

 

I recently join a fun run. I ran for 10KM last Sunday. I don't usually run. After the run, I know, common muscle pains might occur. Areas in the calves or hamstring. But what I encounter is a pain in my left knee, just above the right side of the knee cap. The very first time it happened to me.

 

Its a little stingy while walking (para na ko si Dr. House maglakad) and it is very excruciating going down the stairs. Also, there is a slight swelling.

 

Did I just tore a ligament? will the pain will go away with cold or hot compress? Should I get an x-ray?

 

Thanks

 

 

did you hit your knee or suffer any kind of trauma during the run bro..?

 

it could be just a knee sprain or you tore a ligament nga... since you said that you don`t usually run either for exercise or recreation...?

 

i would suggest that you consult an orthopedic surgeon for proper examination of your knee...

 

 

 

:mtc:

[hiironechs]

Tanong lng po Doc.

 

Bkt po ang aking balat sa itlog eh minsan malaki sya at minsan naman eh maliit sya.

saan po ba pwde magpa check up.

 

maraming salamat po...

[peterparker]

Tanong lng po Doc.

 

Bkt po ang aking balat sa itlog eh minsan malaki sya at minsan naman eh maliit sya.

saan po ba pwde magpa check up.

 

maraming salamat po...

 

 

maybe ang ibig mong sabihin bro e yung laki ng balls ay mukhang pabago-bago..?

 

madalas depende sa gaano kainit o kalamig ang kapaligiran kasi.. pag malamig, umuurong ang balls to conserve heat loss... kapag mainit parang nababanat siya para hindi mag-overheat...

 

kung may mga gusto kang i-konsulta, suggestion ko pumunta ka sa isang urologist...

 

 

:mtc:

[boner51873]

did you hit your knee or suffer any kind of trauma during the run bro..?

 

it could be just a knee sprain or you tore a ligament nga... since you said that you don`t usually run either for exercise or recreation...?

 

i would suggest that you consult an orthopedic surgeon for proper examination of your knee...

 

good day peeps!

 

let me clarify some things about your consultation.

 

1. how old are you? some injuries to the knee or some sports injuries are more common in some age groups

2. is there swelling and a presence of a hematoma?

 

with the limited data you have given, what i could surmise is that you've injured your quads...most probably you have a quads tendinitis or a simple inflammation of your quadriceps tendon. you said that you don't normally do running activities... you probably didn't do enough stretching before your 10K run. Anyways, just to be sure, an orthopedic consult would be enough to tell you what kind of injury you sustained. Other differentials would be a tear of the quadriceps tendon or muscle, a stress fracture of the distal part of your femur (thigh bone) or proximal part of your patella (knee cap). A simple physical exam would be enough to tell the orthopedic surgeon if an xray would be needed or not. The best thing for now is not to put weight on your injured extremity , immobilize it in a splint, apply cold compress and elevate it. This would lessen the swelling and pain...but, as was said earlier, you better see an orthopedic surgeon right away.

 

hope this helps.

[Warthog]

good day peeps!

 

let me clarify some things about your consultation.

 

1. how old are you? some injuries to the knee or some sports injuries are more common in some age groups

2. is there swelling and a presence of a hematoma?

 

with the limited data you have given, what i could surmise is that you've injured your quads...most probably you have a quads tendinitis or a simple inflammation of your quadriceps tendon. you said that you don't normally do running activities... you probably didn't do enough stretching before your 10K run. Anyways, just to be sure, an orthopedic consult would be enough to tell you what kind of injury you sustained. Other differentials would be a tear of the quadriceps tendon or muscle, a stress fracture of the distal part of your femur (thigh bone) or proximal part of your patella (knee cap). A simple physical exam would be enough to tell the orthopedic surgeon if an xray would be needed or not. The best thing for now is not to put weight on your injured extremity , immobilize it in a splint, apply cold compress and elevate it. This would lessen the swelling and pain...but, as was said earlier, you better see an orthopedic surgeon right away.

 

hope this helps.

 

Hi doc,

 

1. Im 29, 5' 10". 180 lbs. a little bit overweight from the height weight ratio.

2. No hematoma, just a slight swelling on the right side of the left knee (my right side).

 

Actually, im guilty of not enough stretching. When I reached the 7km mark. Dun na nag simula sumakit. I lowered my pace kasi sumasakit na. I'm not sure if there was a popping sound. tumutunog din kasi yun shoes ko while running. Today medyo nawawala na gano ang sakit while walking. But still going down the stairs is torture. Im scheduled tom to meet a ortho.

 

Thanks

[erick_dcruz]

Hello po MTC Doctor's

 

May question lang po ako ulet..ito nman ay regarding sa Hepatitis B

 

Question's:

1. San ba usually nakukuha ito?

2. Meron bang solution kapg ang tao eh merong Hepa B. ? Ano yung Solution for this case?

3. Totoo bang after 10years eh yung Hepa B. eh magiging Cancer? or Cancerous?

 

Maraming salamat MTC Doctor's :)

[peterparker]

Hello po MTC Doctor's

 

May question lang po ako ulet..ito nman ay regarding sa Hepatitis B

 

Question's:

1. San ba usually nakukuha ito?

2. Meron bang solution kapg ang tao eh merong Hepa B. ? Ano yung Solution for this case?

3. Totoo bang after 10years eh yung Hepa B. eh magiging Cancer? or Cancerous?

 

Maraming salamat MTC Doctor's :)

 

Hepatitis B is a serious disease caused by the hepatitis B virus (HBV). Infection with this virus can cause scarring of the liver, liver failure, liver cancer and even death.

 

Hepatitis B is spread by infected blood and other bodily fluids such as semen, vaginal secretions, saliva, open sores, and breast milk

 

 

In most cases, hepatitis B causes limited infection. Usually people manage to fight off the infection successfully within a few months, developing an immunity that lasts a lifetime. (This means you won't get the infection again.) Blood tests show evidence of this immunity, but no signs of active infection.

 

However, some people don't get rid of the infection. If you are infected with hepatitis B for more than 6 months, you are considered a carrier, even if you have no symptoms. This means that you can transmit the disease to others by having unprotected sex, deep kissing or sharing food or drinks. Being a carrier also means that your liver may be more prone to injury.

 

For unknown reasons, the infection eventually goes away in a very small percentage of carriers. For others, the infection becomes chronic. Chronic hepatitis is an ongoing infection of the liver that can lead to liver cancer and cirrhosis. Cirrhosis, or hardening of the liver, causes liver tissue to scar and stop working.

 

If you are carrying the virus you should not donate blood, plasma, body organs, tissue or sperm. Tell your doctor, dentist, and sex partner that you are a hepatitis B carrier.

 

 

If you get to a doctor within 2 weeks of exposure, you'll receive immediate immunization with the hepatitis B vaccination and a shot of hepatitis immune globulin to boost the immune system to fight off the infection.

 

But if you get sick, bed rest is usually necessary to speed recovery. Some doctors recommend a high-calorie, high-fat diet and suggest that sufferers try to eat as much as possible despite the nausea.

 

Also, if you are infected with hepatitis B, take extra care of your liver. Do not drink alcohol, or take Tylenol (acetaminophen) as they can harm the liver. Check with your doctor before taking any other medications, herbal remedies, or supplements as some of them can worsen liver damage.

 

If your hepatitis persists beyond 6 months and is in an active state (chronic active hepatitis , your doctor may prescribe much more aggressive treatment. If it is not active (inactive carrier state), your doctor may just watch you closely.

 

People with chronic hepatitis are treated with a combination of drugs. These include:

 

Interferon. The immune system-boosting medicine interferon alpha is injected for at least 6 months. This drug does not cure the disease, but improves liver inflammation. Long-acting interferon (peginterferon) has also been shown to be useful. Interferon does have some undesirable side effects, including: malaise, depression, and loss of appetite, and it can lower the number of white blood cells.

Epivir. This drug is taken orally once a day. Usually, the drug is well tolerated. Viral mutations often arise after prolonged use.

Hepsera. This drug works well in people whose disease doesn't respond to Epivir but, in high doses it can cause kidney problems.

Baraclude. This is the newest drug for hepatitis B

 

Currently, there is no cure for hepatitis B. Luckily, the disease is limited in most acute cases and occasionally disappears in those with chronic disease.

 

 

 

:mtc:

Edited April 3, 2009 by peterparker

[erick_dcruz]

thanks for the reply MTC Doctor's

 

 

 

 

 

Hepatitis B is a serious disease caused by the hepatitis B virus (HBV). Infection with this virus can cause scarring of the liver, liver failure, liver cancer and even death.

 

Hepatitis B is spread by infected blood and other bodily fluids such as semen, vaginal secretions, saliva, open sores, and breast milk

 

 

In most cases, hepatitis B causes limited infection. Usually people manage to fight off the infection successfully within a few months, developing an immunity that lasts a lifetime. (This means you won't get the infection again.) Blood tests show evidence of this immunity, but no signs of active infection.

 

However, some people don't get rid of the infection. If you are infected with hepatitis B for more than 6 months, you are considered a carrier, even if you have no symptoms. This means that you can transmit the disease to others by having unprotected sex, deep kissing or sharing food or drinks. Being a carrier also means that your liver may be more prone to injury.

 

For unknown reasons, the infection eventually goes away in a very small percentage of carriers. For others, the infection becomes chronic. Chronic hepatitis is an ongoing infection of the liver that can lead to liver cancer and cirrhosis. Cirrhosis, or hardening of the liver, causes liver tissue to scar and stop working.

 

If you are carrying the virus you should not donate blood, plasma, body organs, tissue or sperm. Tell your doctor, dentist, and sex partner that you are a hepatitis B carrier.

 

 

If you get to a doctor within 2 weeks of exposure, you'll receive immediate immunization with the hepatitis B vaccination and a shot of hepatitis immune globulin to boost the immune system to fight off the infection.

 

But if you get sick, bed rest is usually necessary to speed recovery. Some doctors recommend a high-calorie, high-fat diet and suggest that sufferers try to eat as much as possible despite the nausea.

 

Also, if you are infected with hepatitis B, take extra care of your liver. Do not drink alcohol, or take Tylenol (acetaminophen) as they can harm the liver. Check with your doctor before taking any other medications, herbal remedies, or supplements as some of them can worsen liver damage.

 

If your hepatitis persists beyond 6 months and is in an active state (chronic active hepatitis , your doctor may prescribe much more aggressive treatment. If it is not active (inactive carrier state), your doctor may just watch you closely.

 

People with chronic hepatitis are treated with a combination of drugs. These include:

 

Interferon. The immune system-boosting medicine interferon alpha is injected for at least 6 months. This drug does not cure the disease, but improves liver inflammation. Long-acting interferon (peginterferon) has also been shown to be useful. Interferon does have some undesirable side effects, including: malaise, depression, and loss of appetite, and it can lower the number of white blood cells.

Epivir. This drug is taken orally once a day. Usually, the drug is well tolerated. Viral mutations often arise after prolonged use.

Hepsera. This drug works well in people whose disease doesn't respond to Epivir but, in high doses it can cause kidney problems.

Baraclude. This is the newest drug for hepatitis B

 

Currently, there is no cure for hepatitis B. Luckily, the disease is limited in most acute cases and occasionally disappears in those with chronic disease.

 

 

 

:mtc:

[angel_by_day]

Hello po MTC Doctor's

 

May question lang po ako ulet..ito nman ay regarding sa Hepatitis B

 

Question's:

1. San ba usually nakukuha ito?

2. Meron bang solution kapg ang tao eh merong Hepa B. ? Ano yung Solution for this case?

3. Totoo bang after 10years eh yung Hepa B. eh magiging Cancer? or Cancerous?

 

Maraming salamat MTC Doctor's :)

 

 

you might also want to check our hepatitis B thread.

or get in touch with Johardue, our G.I. specialist.

[vagabond]

saan hospital ba di ganon ka mahal ang platelets transfusion?

 

pag may bone marrow tb ka, gaano katagal magrecover ang bone marrow? pls help...

[peterparker]

saan hospital ba di ganon ka mahal ang platelets transfusion?

 

pag may bone marrow tb ka, gaano katagal magrecover ang bone marrow? pls help...

 

 

as far as i can tell, one unit of platelet concentrate costs around Php 700-1,500... you should inquire primarily at the PNRC as they usually have more reasonable rates for blood products than the hospital-based blood centers...

 

what you can also do is donate blood and have your blood processed for platelet concentrate, i believe the rate will be lower than buying a prepared unit...

 

bone marrow tuberculosis can be a sign of disseminated tb, which means that the tb bacteria has spread to different parts of the body... similar to other infections of bone, treatment would consist of IV antibiotics followed by oral treatment...

 

patients with bone marrow tb will need, at the least several months of treatment...

 

 

 

:mtc:

[vagabond]

as far as i can tell, one unit of platelet concentrate costs around Php 700-1,500... you should inquire primarily at the PNRC as they usually have more reasonable rates for blood products than the hospital-based blood centers...

 

what you can also do is donate blood and have your blood processed for platelet concentrate, i believe the rate will be lower than buying a prepared unit...

 

bone marrow tuberculosis can be a sign of disseminated tb, which means that the tb bacteria has spread to different parts of the body... similar to other infections of bone, treatment would consist of IV antibiotics followed by oral treatment...

 

patients with bone marrow tb will need, at the least several months of treatment...

 

 

 

:mtc:

muchas gracias!

[vagabond]

i think my mom's vomiting is caused by her tb oral medicines. will this pass in 2-3 weeks? or we have to see the doctor?

[peterparker]

i think my mom's vomiting is caused by her tb oral medicines. will this pass in 2-3 weeks? or we have to see the doctor?

 

 

i`m assuming that your mother is taking the combination therapy for TB...

 

among the meds for TB, rifampicin and pyrazinamide may cause adverse GI reactions including nausea, anorexia, vomiting, diarrhea and abdominal pain...

 

i think it would be wise on your part to consult your physician, maybe he can do something for the vomiting... as well as monitoring your mom`s tolerance for the medications, as other, more serious complications may arise...

 

 

:mtc:

[vagabond]

i`m assuming that your mother is taking the combination therapy for TB...

 

among the meds for TB, rifampicin and pyrazinamide may cause adverse GI reactions including nausea, anorexia, vomiting, diarrhea and abdominal pain...

 

i think it would be wise on your part to consult your physician, maybe he can do something for the vomiting... as well as monitoring your mom`s tolerance for the medications, as other, more serious complications may arise...

 

 

:mtc:

she is taking quadtab... she is feeling unwell but what bothers me is that she seems weak... her hematologist told us that that just an initial reaction to the meds...

 

is it?

[angel_by_day]

it is sir. weakness and anorexia and vomiting are the most common.

but as far as they can tolerate, we let them be.

provided they get supportive management for the side effects - anti emetics, nutritional supplements and so forth.

 

her liver enzymes need to be monitored, too.

including the presence of jaundice and ictresia (yellowing of the skin/eyes).

but these do not happen all the time.

 

please inform your md of any side effect.

Edited April 11, 2009 by angel_by_day

[vagabond]

i`m assuming that your mother is taking the combination therapy for TB...

 

among the meds for TB, rifampicin and pyrazinamide may cause adverse GI reactions including nausea, anorexia, vomiting, diarrhea and abdominal pain...

 

i think it would be wise on your part to consult your physician, maybe he can do something for the vomiting... as well as monitoring your mom`s tolerance for the medications, as other, more serious complications may arise...

 

 

:mtc:

 

 

it is sir. weakness and anorexia and vomiting are the most common.

but as far as they can tolerate, we let them be.

provided they get supportive management for the side effects - anti emetics, nutritional supplements and so forth.

 

her liver enzymes need to be monitored, too.

including the presence of jaundice and ictresia (yellowing of the skin/eyes).

but these do not happen all the time.

 

please inform your md of any side effect.

tnx to both of you!

 

muchas gracias!

[resident_big_evil]

what's the permanent, if there is any, OTC medication i can take for calcifide tendinitis(calcium deposit) aside from pain killers...

[peterparker]

what's the permanent, if there is any, OTC medication i can take for calcifide tendinitis(calcium deposit) aside from pain killers...

 

 

You did not mention it, but is it your shoulder that has calcific tendonitis..? in most cases the pain will resolve in two to four weeks, otherwise other treatment options should be considered...

 

Unlike other forms of tendonitis, calcific tendonitis must be treated by a professional. In most cases it's just a matter of dealing with the pain and waiting for the condition to resolve, however some cases require further attention. Here are some of the treatments that may be administered by a doctor:

 

1.Painkillers and anti-inflammatory medications.

2.Physiotherapy. This helps to keep the shoulder strong and reduces pain and irritation.

3.Ultrasound guided Lavage - under ultrasound guidance the calcium deposit is injected with a salt water solution and the calcium is also sucked out into a syringe.

4.Cortisone is sometimes given to control the pain.

 

If any of the above treatments fail to remove the calcium deposit and relieve pain the doctor may recommend you have surgery on the rotator cuff. During the surgery two events will take place. First, the calcium deposit is removed from the rotator cuff tendon. Second, the doctor will increase the amount of space between the rotator cuff tendons allowing more movement and less inflammation.

 

have you consulted with an orthopedic surgeon na ba..? i think it would be wise on your part to do so...

 

 

:mtc:

Edited April 12, 2009 by peterparker

[wizard23]

my bp is 120/90. is this pre-hyper level already? i'm early 40s and 210 lbs. 5'9.

 

problem is my diet and i'm overweight. i'm thinking of buying red juice. is this really effective to lose weight and clean the colon? is this ok to drink for my mother who's a diabetic? lately i'm watching what i eat. more of balanced diet. protein the breakfast, fish and veggies lunch and a repeat of what i had for lunch minus the veggies (i only eat veggies every lunch hehe). been doing regular exercise through stationary bike and brisk walking, 3 to 4x a week.

 

bottomline, i don't want to be living on a maintenance medicines for high blood, diabetes, etc. since it's costly. so i'm doing preventive action.

 

my last a.p.e. suggest that i'm still healthy, all within normal levels. no need to maintain anything.

 

appreciate your advice. tnx mtc docs.

[peterparker]

my bp is 120/90. is this pre-hyper level already? i'm early 40s and 210 lbs. 5'9.

 

problem is my diet and i'm overweight. i'm thinking of buying red juice. is this really effective to lose weight and clean the colon? is this ok to drink for my mother who's a diabetic? lately i'm watching what i eat. more of balanced diet. protein the breakfast, fish and veggies lunch and a repeat of what i had for lunch minus the veggies (i only eat veggies every lunch hehe). been doing regular exercise through stationary bike and brisk walking, 3 to 4x a week.

 

bottomline, i don't want to be living on a maintenance medicines for high blood, diabetes, etc. since it's costly. so i'm doing preventive action.

 

my last a.p.e. suggest that i'm still healthy, all within normal levels. no need to maintain anything.

 

appreciate your advice. tnx mtc docs.

 

 

since you`re already in your 40`s na, there is increased risk of developing chronic diseases...

 

it`s good that you realize that you are overweight, and you are trying to follow a healthy and balanced diet, plus doing regular exercise...

 

only your diastolic pressure is up, but you can control this nga with proper diet and exercise... at 5`9" you should weight only around 160-170 lbs. or so, depending on your body frame also...

 

the problem with Redjuice is that it is not a drug or medicine but a simple beverage made from a blend of fruit juices and herbal extracts designed to help balance and harmonize the body. Results of studies involving Redjuice, benefits and testimonials on it`s behalf have not been verified either by the FDA or BFAD. So i`m inclined to say that your mom should follow your lead, eat a healthy and balanced diet and exercise, which should o a long way in controlling her blood sugar... i would advise her to eat lots of ampalaya, which is endorsed by the DOH as beneficial to diabetics...

 

 

 

:mtc:

Edited April 13, 2009 by peterparker

[vagabond]

it is sir. weakness and anorexia and vomiting are the most common.

but as far as they can tolerate, we let them be.

provided they get supportive management for the side effects - anti emetics, nutritional supplements and so forth.

 

her liver enzymes need to be monitored, too.

including the presence of jaundice and ictresia (yellowing of the skin/eyes).

but these do not happen all the time.

 

please inform your md of any side effect.

it is said that

The side effects listed below are serious. If you have any of these symptoms, call your doctor or nurse immediately:

 

* no appetite

* nausea

* vomiting

* yellowish skin or eyes

* fever for 3 or more days

* abdominal pain

* tingling fingers or toes

* skin rash

* easy bleeding

* aching joints

* dizziness

* tingling or numbness around the mouth

* easy bruising

* blurred or changed vision

* ringing in the ears

 

she has the first 4. if the first three can be tolerated how about the yellowish skin and eyes?

[angel_by_day]

depends on her liver function and enzyme levels, and if she develops overt drug-induced hepatitis.

not all patients develop these side effects, though.

[vagabond]

depends on her liver function and enzyme levels, and if she develops overt drug-induced hepatitis.

not all patients develop these side effects, though.

tnx.

 

what are the external physical signs of brain hemorrhage if person has less than 10,000 platelets? does petrechia occurs first before brain hemorrhage?