medical Free Medical Advice

[xwhiteshadowz]

i agree with sir otitismedia.. better consult a specialist..urologist in his case..advise him to bring his latest lab results and list of medicines he already took... a consult will be best to further evaluate his status as for was it a new or recurrent infection? untreated infection? probable stones? etc... hth

[player61014]

ah ok... tnx sir oti and white..

[Leira]

my BP usually reads at 90/60 or 80/50 swerte na pag nag 100/70, is this still normal?

[otitismedia]

my BP usually reads at 90/60 or 80/50 swerte na pag nag 100/70, is this still normal?

 

Normal

[barokfarmer]

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

Hi DP, I agree with H-O-L, you have to give serious thoughts on what you are planning. First of all your case is not the run of the mill THR but rather a conversion from a 20 years hip fusion to a mobile THR hip. You have a lot of factors that may become a reason for you not to achieve what you are hoping for a THR. Your rehabilitation after THR would really be quite intensive, considering that many of your hip muscles are already atrophied your THR would be in a condition of less stability which would mean you would be more prone to incidences of dislocations and the demands on your THR system would be greater during the period of intensive PT, which may make your THR system lifespan shorter and you would need a revision or replacement in less than 5 years.

[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