medical Free Medical Advice

[conway44]

let me try to answer your queries :

 

1) i`m not a radiologist, but i believe presence of infiltrates anywhere in the lung parenchyma may suggest an active TB infection..

 

2) Before you take any medications, it is best that you should first undergo evaluation for presence of active TB...

 

3) For more definitive determination of TB activity, you would have to undergo sputum acid-fast bacilli (AFB) test and/or MTB culture to determine the presence of mycobacterium tubercle bacilli..

 

i suggest that you consult a pulmonologist for proper work-up and para mabigyan ka ng work clearance...

 

 

 

 

:mtc:

 

Thanks!

 

The sputum AFB is negative - all three of them. What does it mean?

[peterparker]

Thanks!

 

The sputum AFB is negative - all three of them. What does it mean?

 

 

the problem with Sputum AFB stain is that sometimes when the number of mycobacteria is so low, the organisms don`t show up with staining, meaning hindi siya nakikita upon examination of the smear..

 

the next step then should be a sputum AFB culture exam, especially if your doctor is still harboring suspicions that you have active TB.. medyo matagal nga lang ang resulta, the routine turn-around time is usually 8 weeks kasi...

 

 

 

 

:mtc:

[eirom]

hi doc peter! ive read your past assistance to us member here and it has been really hepful for me. i just would like to know if anong possible std ang may symptom na pain in butt lower back? ang tagal na kasing masakit nito. nasa isip ko eh dahil sa prostatitis (because nakapagpacheck up na ako). hanggnag ngayon parang medyo namamaga pa rin ata yung prostate gland ko kasi randma ko eh. plus, madalas makati yung paa ko at kamay. could it be any possiblity na symptom din ng isang std? thanks so much doc for listening.

 

 

EDIT: additional lang..yung pain pala umaabot hanggang knee ko. im really scared right now and hope these things will be clear to me now.

Edited May 24, 2009 by eirom

[peterparker]

hi doc peter! ive read your past assistance to us member here and it has been really hepful for me. i just would like to know if anong possible std ang may symptom na pain in butt lower back? ang tagal na kasing masakit nito. nasa isip ko eh dahil sa prostatitis (because nakapagpacheck up na ako). hanggnag ngayon parang medyo namamaga pa rin ata yung prostate gland ko kasi randma ko eh. plus, madalas makati yung paa ko at kamay. could it be any possiblity na symptom din ng isang std? thanks so much doc for listening.

 

 

EDIT: additional lang..yung pain pala umaabot hanggang knee ko. im really scared right now and hope these things will be clear to me now.

 

 

if you are currently suffering from prostatitis nga bro, what is possibly happening is that your swollen prostate is stimulating several nerves that pass through the area of the prostate, one of which leads to your lower back area kaya siya sumasakit, and this is termed medically as referred pain..

 

other areas of your body and activities that can generate referred pain are :

 

centered in the perineum (the area between the anus and the base of the penis)

in the penis

in one or both testicles (with or without swelling)

in the scrotum

in the lower stomach

just above the anus

when sitting

during bowel movements

when walking

when riding a bike

 

 

if you have a urologist, i strongly suggest that you should consult him if you are greatly bothered by this condition and if your quality of life is affected na..

 

 

 

:mtc:

[eirom]

thanks so much doc peter. will definitely do that. i had off-beat for 6 weeks na pero its seems hindi pa naging maayos. its definitely bothering me kasi the pain never went away. lalo na sa lower back and thighs to my knees. sometimes i feel wobbly when i walk.

 

i was also told to get a scrotal and poppeler flow. i cant seem to get someone to do that to me. ewan ko nga kung bakit eh. to test daw for varicocoele.

 

EDIT. can i have biogesic or something similar to ease the pain? thanks again doc peter!

Edited May 24, 2009 by eirom

[peterparker]

thanks so much doc peter. will definitely do that. i had off-beat for 6 weeks na pero its seems hindi pa naging maayos. its definitely bothering me kasi the pain never went away. lalo na sa lower back and thighs to my knees. sometimes i feel wobbly when i walk.

 

i was also told to get a scrotal and poppeler flow. i cant seem to get someone to do that to me. ewan ko nga kung bakit eh. to test daw for varicocoele.

 

EDIT. can i have biogesic or something similar to ease the pain? thanks again doc peter!

 

 

i believe you are referring to a scrotal ultrasound that is used to corroborate the clinical diagnosis of a varicocoele..

 

if your urologist examines you and suspects that you might have a varicocoele, this can be a valuable diagnostic aid..

 

it`s ok lang for you to take ordinary pain meds, it might help lessen your discomfort..

 

 

 

 

:mtc:

[lickerman]

Docs, ask ko lang po kung ano mas maganda procedure para maalis kidney stones? Thanks.

[peterparker]

Docs, ask ko lang po kung ano mas maganda procedure para maalis kidney stones? Thanks.

 

 

it depends on your symptoms and the characteristics of the kidney stones bro..

 

About 90% of stones 4 mm or less in size usually will pass spontaneously, however 99% of stones larger than 6 mm will require some form of intervention. There are various measures that can be used to encourage the passage of a stone. These can include increased hydration, medication for treating infection and reducing pain, and diuretics to encourage urine flow and prevent further stone formation.

 

In most cases, a smaller stone that is not symptomatic is often given up to four weeks to move or pass before consideration is given to any surgical intervention as it has been found that waiting longer tends to lead to additional complications. Immediate surgery may be required in certain situations such as in people with only one working kidney, intractable pain or in the presence of an infected kidney blocked by a stone which can rapidly cause severe sepsis and toxic shock.

 

Analgesics such as opioids and NSAIDS can be given for acute and severe pain and facilitates passage of the stones/s..

 

Patients who are to be treated non-surgically, may also be started on an alpha adrenergic blocking agent (such as Flomax, Uroxatral, terazosin or doxazosin), which acts to reduce the muscle tone of the ureter and facilitate stone passage. For smaller stones near the bladder, this type of medical treatment can increase the spontaneous stone passage rate by about 30%.

 

Most kidney stones do not require surgery and will pass on their own. Surgery is necessary when the pain is persistent and severe, in renal failure and when there is a kidney infection. It may also be advisable if the stone fails to pass or move after 30 days. Finding a significant stone before it passes into the ureter allows physicians to fragment it surgically before it causes any severe problems.

 

Urologic interventions include :

1) Ureteroscopic fragmentation (or simple basket extraction if feasible) using laser, ultrasonic or mechanical (pneumatic, shock-wave) forms of energy to fragment the larger stones.

2) Extracorporeal shock wave lithotripsy (ESWL) - most commonly used procedure

3) Percutaneous nephrolithotomy - for large and complicated stones

4) Open surgery - for large and complicated stones

5) Ureteral stent - provides immediate relief of a blocked kidney and especially useful in saving a failing kidney due to swelling and infection from the stone.

 

As with all medical procedures, each one has it`s own pros and cons, and your urologist will determine which modality will be the best option for you...

 

 

 

:mtc:

Edited May 26, 2009 by peterparker

[Mr. Clean]

what is your location ba bro? i`m from southern metro manila area kasi kaya mga endocrinologist na kilala ko same area din...

 

 

 

 

 

:mtc:

 

doc northern part po ako.. sa malabon eh.

[peterparker]

doc northern part po ako.. sa malabon eh.

 

 

hmm.. medyo malayo ka pla bro..

 

i would suggest na punta ka na lang sa USTH, MCU Hospital or sa Chinese General Hospital, whichever ang mas convenient for you...

 

 

 

 

:mtc:

Edited May 27, 2009 by peterparker

[icymyk]

guys we need second opinions

can you recommend someone

to check about my wife's condition:

 

my wife was diagnosed with a

retroverted ovary. then she prescribed

to take (metformin ata) para daw

sa ovary nya.

 

then she took another drug

(pampalaki naman daw ng egg cells)

pero last check up nya ganun pa rin

hindi daw mahulog yung egg cells sa

kaya hindi nag memeet yung sperm

at egg cells kaya hindi makabuo

 

we need sana second opiions about

sa condition nya,

 

meron po kaya kayo marerecommend

sa amen, yung hindi naman ganun

ka mahal maningil?

 

thank you very much po

[peterparker]

guys we need second opinions

can you recommend someone

to check about my wife's condition:

 

my wife was diagnosed with a

retroverted ovary. then she prescribed

to take (metformin ata) para daw

sa ovary nya.

 

then she took another drug

(pampalaki naman daw ng egg cells)

pero last check up nya ganun pa rin

hindi daw mahulog yung egg cells sa

kaya hindi nag memeet yung sperm

at egg cells kaya hindi makabuo

 

we need sana second opiions about

sa condition nya,

 

meron po kaya kayo marerecommend

sa amen, yung hindi naman ganun

ka mahal maningil?

 

thank you very much po

 

 

hmm.. you need the services of a fertility specialist bro..

 

you got PM...

 

 

 

 

 

 

:mtc:

[icymyk]

ty sir peterparker

[subsistence]

Sir peter nagpa check up ako at sabi may tonsilitis nga daw po ako. Kissing tonsils daw? parang yun yung narinig ko sa kanya.. nagkaka fever ako tuwing gabi pero sa umaga hanggang hapon ok naman pakiramdam ko pero shempre may sakit pa din akong nararamdaman tapos may impeksyon din sa ihi ko..

 

tapos may mga prescribed na gamot sakin iniinom ko naman on time.

 

kanina tiningnan ko yung tonsil ko sa salamin... tanong ko lang po.. OK lang po ba yung ganitong ichura ng tonsil pag parang papagaling na ako?

 

pm ko na lang po sa inyo. kakahiya kasi dito.. hope you dont mind po doc... maraming maraming salamat po.

[peterparker]

a little public service message for all MTC peeps..

 

 

Too Much Cola Can Cause Muscle Problems By HealthDay - Wed May 27, 8:49 PM PDT- WEDNESDAY, May 27 (HealthDay News) -- Drinking too much cola can increase the risk of a muscle problem called hypokalemia, experts warn.

 

 

In people with hypokalemia, a drop in blood potassium levels results in problems with vital muscle functions. Symptoms can range from mild weakness to serious paralysis, say Greek researchers who conducted a review of people who drank between two to nine liters of cola a day.

 

Two of the patients were pregnant women who were admitted to hospital with low potassium levels. One was a 21-year-old woman who drank up to three liters of cola a day and complained of fatigue, appetite loss and persistent vomiting. An electrocardiogram revealed she had a heart blockage, and blood tests showed she had low potassium levels, the researchers explained in a news release.

 

The second pregnant patient, who'd consumed up to seven liters of cola a day for 10 months, had low potassium levels and was suffering from increasing muscular weakness, the researchers noted.

 

Both patients made a rapid and full recovery after they stopped drinking cola and took oral or intravenous potassium. The case studies are described in the June issue of the International Journal of Clinical Practice.

 

"We are consuming more soft drinks than ever before, and a number of health issues have already been identified including tooth problems, bone demineralization and the development of metabolic syndrome and diabetes," and there's increasing evidence that excessive cola consumption leads to hypokalemia, Dr. Moses Elisaf, of the University of Ioannina, said in the news release.

 

Elisaf said the three most common ingredients in cola -- glucose, fructose and caffeine -- can contribute to hypokalemia.

 

"The individual role of each of these ingredients in the pathophysiology of cola-induced hypokalemia has not been determined and may vary in different patients," Elisaf said. "However, in most of the cases we looked at for our review, caffeine intoxication was thought to play the most important role. This has been borne out by case studies that focus on other products that contain high levels of caffeine but no glucose or fructose."

 

However, "caffeine-free cola products can also cause hypokalemia because the fructose they contain can cause diarrhea," Elisaf said.

 

 

 

 

:mtc:

[ode2myself0710]

Can anyone refer a urologist? Preferably female

[angel_by_day]

if you dont have any genuine medical concerns, then refrain from posting here.

[ZaJVtrinity]

masama ba ang masturbation haang nag weight training ka? hnd ba may epekto un sa paglaki ng katawan mo?

[kanski]

if you dont have any genuine medical concerns, then refrain from posting here.

 

 

just as this...

 

to the person looking for a uro referral, i recently went to a former med school classmate who practices in makati med., male nga lang. but if you are intersted pm me and i will gladly refer you.

[peterparker]

masama ba ang masturbation haang nag weight training ka? hnd ba may epekto un sa paglaki ng katawan mo?

 

 

as far as i can tell bro, masturbation will not cause any untoward effects on your weight training..

 

in fact, it might help in developing muscles..

 

during masturbation kasi, the testes are stimulated to produce more testosterone, which helps promote muscle build-up and enlargement..

 

 

 

 

:mtc:

[xonrox]

Hi Doc,

 

Ask ko lang kung magkano po magpa-HPV vaccine?

[mwah]

Hi Doc,

Ask ko lang kung magkano po magpa-HPV vaccine?

 

The price varies from clinic to clinic and the total course (3 doses) would cost you anywhere from 5 to 15k.

[cheff]

ask ko lang kun meron na ba dito saten sa manila ang over the counter viagra? i have heard na meron na daw. inadvertise pa daw sa tabloid.. sana may makapagverify.. mas safer daw ito kesa sa mga nabibiling galing china.. at pede din daw to para sa mga babae, they'll feel wet daw if girl took it.. thanks..

[peterparker]

ask ko lang kun meron na ba dito saten sa manila ang over the counter viagra? i have heard na meron na daw. inadvertise pa daw sa tabloid.. sana may makapagverify.. mas safer daw ito kesa sa mga nabibiling galing china.. at pede din daw to para sa mga babae, they'll feel wet daw if girl took it.. thanks..

 

 

i`ve heard about this program in the UK, where drug companies bypass doctors and sell over-the-counter Viagra to customers after consultation with the in-house pharmacist..

 

i`m not sure if meron nang ganito sa `pinas bro, but i have to tell you, if you have plans of taking Viagra dapat magkonsulta ka muna sa cardiologist.. you should know that Sildenafil (Viagra) and other meds for ED can cause very serious side-effects if you have not been properly examined and evaluated by a cardiologist..

 

 

 

 

:mtc:

[Kurtsky Keigee]

mahal ba ang std checkup? i know its a must for everone who has been sexually active.

magkano usually?