medical Free Medical Advice

[bher2]

cold compress first 24 hours then warm compress after 24 hours, splint to stabilize the joint and take some pain reliever, but it would be better to consult an orthopedic surgeon just to be sure.

 

thank you po.. nagpunta ako the following day sa hospital para magpacheckup. the doctor ask me to have a xray. mabuti naman walang fracture, kaso may mga napansin sila sa heel ko na parang tumutulis.. sign daw yun ng pagkaathlete, i told them yes, ive been into sports up to now and i do run. the doctor told me to buy heel pads ba un.. kse makakaramdam ng sakit.

[ativan]

"tulo"

 

nagtatake ako ng antibiotic - amoxcillin 500mg once a day - treatment ko for 10 days, ok na ba antibiotic for "tulo"

[scalpelsexpert]

Ang taas ng SGPT ko.........

 

 

80 IU/L

 

helllllllllpppppppp!

 

 

complete ang vaccination ko sa hep b.....with booster pa!

 

hindi ako umiinum ng alcoholic drinks...

 

mataba ako.....

[miggyE]

"tulo"

 

nagtatake ako ng antibiotic - amoxcillin 500mg once a day - treatment ko for 10 days, ok na ba antibiotic for "tulo"

 

 

for one thing amoxicillin is not as effective as before, because too many people...like yourself...use it and abuse it, ergo maraming bacteria ang may resistance sa gamot. secondly, amoxicillin is a drug used mainly to treat RESPIRATORY infections, not URINARY ones. in other words, HINDI siya OK para sa problema mo.

 

go to a clinic and get yourself checked PROPERLY, so you can also be given the proper medications. remember, tulo could be any of a number of STDs.

[miggyE]

Ang taas ng SGPT ko.........

 

 

80 IU/L

 

helllllllllpppppppp!

 

 

complete ang vaccination ko sa hep b.....with booster pa!

 

hindi ako umiinum ng alcoholic drinks...

 

mataba ako.....

 

I suggest you go see your friendly neighborhood Internist for a thorough work-up

[rcko21]

Ang taas ng SGPT ko.........

 

 

80 IU/L

 

helllllllllpppppppp!

 

 

complete ang vaccination ko sa hep b.....with booster pa!

 

hindi ako umiinum ng alcoholic drinks...

 

mataba ako.....

 

A high SGPT doesn't literally mean you have a liver disease especillay if the SPGT are below 4 times the upper limit of normal. Always correlate this with a complete clinical history for any liver disease,medical intake, muscle d/o, thyroid d/o.. and the list goes on. If you dont feel anything unusual then most probably its nothing to worry about. Why did you take this test in the first place?

 

"tulo"

 

nagtatake ako ng antibiotic - amoxcillin 500mg once a day - treatment ko for 10 days, ok na ba antibiotic for "tulo"

Do a little homework.

google up "urethritis" , "chlamydia", and "gonnorhea"

[Kurtsky Keigee]

hi do you guys know a good gastro doctor in makati med?

i happen to have frequent stomach problems lately.

 

dunno the cause.

ive been eating the same/mostly the same food daily.

[Jabroni_MD]

What's the character of your abdominal discomfort?

[evilson]

Mga doc,

 

Question lang, me kakilala akong kabarkada na according sa kanya high blood sugar sya at me symtoms na sya ng obesity, me alam ba kayo kung papanu pa mapapaputi yung nangitim nyang balat lalo na sa batok, singit and underarms? according sa kanya ginagamitan nya ng exfolient at kalamansi but di pa rin natatanggal yung pangigitim

[rcko21]

Mga doc,

 

Question lang, me kakilala akong kabarkada na according sa kanya high blood sugar sya at me symtoms na sya ng obesity, me alam ba kayo kung papanu pa mapapaputi yung nangitim nyang balat lalo na sa batok, singit and underarms? according sa kanya ginagamitan nya ng exfolient at kalamansi but di pa rin natatanggal yung pangigitim

 

http://en.wikipedia.org/wiki/Acanthosis_nigricans

Tell him its time to shape up.

[wizard23]

hi mtc docs. pa advise naman. i took up a blood test the other day and here are the results (i'm interested to know whether

i'm officially a diabetic)

 

glucose FBS * - 69 MG/DL REF VALUE 75-115

 

2 hours OGTT - 4.11 mmol/L REF VALUE less than 8.30

 

HBAIC * - 7.8% REF VALUE 4.20 - 6.20%

 

Does this make me a diabetic or is there a way to lower my HBAIC? Will see a family med and an internist but I

would like to know your inputs as well.

 

Thanks for the advice.

[rcko21]

You are most probably diabetic. You can lower your A1C by lifestyle modification and DM drugs.

 

Criteria given by the American diabetes association

1. Symptoms of diabetes and a casual plasma glucose 200 mg/dl (11.1 mmol/l). Casual is defined as any time of day without regard to time since last meal. The classic symptoms of diabetes include polyuria, polydipsia, and unexplained weight loss.

 

or

 

2. FPG 126 mg/dl (7.0 mmol/l). Fasting is defined as no caloric intake for at least 8 hours.

 

or

 

3. 2-h plasma glucose 200mg/dl (11.1 mmol/l) during an OGTT. The test should be performed as described by the World Health Organization, using a glucose load containing the equivalent of 75 g anhydrous glucose dissolved in water

 

or

 

The section “Diagnosis of diabetes” hasbeen revised to include the use of A1C to diagnose diabetes, with a cut point of 6.5%.

 

ADA 2010 revision

 

the last requirement is not yet a standard but many clinicians have started using it. Please approach an endocrinologist to diagnose you properly

Edited May 29, 2010 by rcko21

[wizard23]

tnx doc rcko21

[mwah]

^^^^

 

Just a note about using HBA1c as one of the criteria in the diagnosis of Diabetes: the test should be performed using a method that conforms to the NGSP and standardized to the DCCT assay. At present, there are only 2 machines that conforms to that standard: one is in PGH and the other one is in Manila Doctors, if I remember correctly.

 

In the absence of classic symptoms of hyperglycemia or high blood sugar such as weight loss, increased thirst, appetite or frequent urination, or if you don't have any family history of diabetes, then you just have to do your yearly screening for diabetes. You can also start on a diet that's low carbohydrate, go easy on the simple sugars and start on a regular exercise regimen. Hope this helps.

[herkzkimmie]

ask ko lang what is pseudomonas aeruginosa and haemophilus aegpticus?

related ba yan sa sor eyes?

[HardOn]

Hi Mtc doctors,

 

Pa-advise naman. un brother ko may nararamdaman na nakirot sa tagiliran ng katawan nya. sa bandang baba. sometimes sa left and sometimes sa right daw. WHen he checked with his doctor, pina-urine test sya at ang findings is kidney stone. binigyan sya ng atibiotic for a week and then pina ultrasound ang kidney nya.

 

Sa ultrasound walang nakitang kidney stone. pero ng pina urine test uli sya, may mga crystal na nakita. Sabi ng doctor nya lumalabas na raw un mga bato so he still needs to take up allopurinol llanol and sodium ascorbate for 3 months.

 

But according to him, up to now, may nararamdaman pa rin syang nakirot. although hindi naman daw masakit na masakit. possible kaya na meron ibang problem aside sa kidney stone? And lagi ring nangangalay ang mga hita nya. related kaya yun dun sa nakirot sa kanya?

 

2 years ago, he took up boxing classes. at the end of every class, may cool down activity sila wherein binabaksakan daw ng bola yung gailiran ng katawan nya. Is it possible that that activity might have caused damage inside his body?

 

Please advice.

 

Thanks so much

[mwah]

ask ko lang what is pseudomonas aeruginosa and haemophilus aegpticus?

related ba yan sa sor eyes?

 

Haeomphilus aegypticus may cause bacterial conjunctivitis or sore eyes. Pseudomonas aeruginosa is more related to eye infections from using contact lens.

[mwah]

Hi Mtc doctors,

 

Pa-advise naman. un brother ko may nararamdaman na nakirot sa tagiliran ng katawan nya. sa bandang baba. sometimes sa left and sometimes sa right daw. WHen he checked with his doctor, pina-urine test sya at ang findings is kidney stone. binigyan sya ng atibiotic for a week and then pina ultrasound ang kidney nya.

 

Sa ultrasound walang nakitang kidney stone. pero ng pina urine test uli sya, may mga crystal na nakita. Sabi ng doctor nya lumalabas na raw un mga bato so he still needs to take up allopurinol llanol and sodium ascorbate for 3 months.

 

But according to him, up to now, may nararamdaman pa rin syang nakirot. although hindi naman daw masakit na masakit. possible kaya na meron ibang problem aside sa kidney stone? And lagi ring nangangalay ang mga hita nya. related kaya yun dun sa nakirot sa kanya?

 

2 years ago, he took up boxing classes. at the end of every class, may cool down activity sila wherein binabaksakan daw ng bola yung gailiran ng katawan nya. Is it possible that that activity might have caused damage inside his body?

 

Please advice.

 

Thanks so much

 

There were findings in his urinalysis that needed to be treated. Possible na may ibang problema kanya na hindi related sa findings sa kanya earlier. Please advise him to have a follow-up with his doctor para ma-assess yung nararamdaman nya.

[internist]

hi do you guys know a good gastro doctor in makati med?

i happen to have frequent stomach problems lately.

 

dunno the cause.

ive been eating the same/mostly the same food daily.

 

 

Look for Dra. Prodigalidad.

The other gastros there will suck you dry

[kanski]

^

 

that is not such a bad thing if the other gastros are good looking women. wink2 sorry, couldn't help it.

 

@herkzkimmie: could i ask why did you bring up those 2 pathogens in particular?

[ativan]

kapag may mild gonorrhea ano pupuntahan ko? internal med? meron kasi ako maxicare merob ba kayo alam na malapit sa pasay?

[scalpelsexpert]

Doc help me!

 

Nag seizure ang nanay ko habang nag dialysis. Kasi ito po ang nanyari, nagka problema ang machine so ginawa ng mga nurse ay binukasan nila ang dialyser dahila maraming clot. Mga 3 min nila na repair at tapos nag resume ng dialysis. Wala pang isang miunto i nag seizure na ang nanay ko.

 

Ang tanong ko is....di ba dahil sa clot? kasi 3 min nila na repair at ang dugo sa tubo i clotted na at pinasok pa nila ulit sa nanay ko. Please help me kasi magfifile ako ng kaso.

 

Please reply ASAP.

 

Thanks.

[miggyE]

kapag may mild gonorrhea ano pupuntahan ko? internal med? meron kasi ako maxicare merob ba kayo alam na malapit sa pasay?

 

 

as i said previously, it can be any of several different infections/STDs.... go to an Internal Med specialist. call your card's customer support and ask them who in the area you are in is affiliated with you card.

[miggyE]

Doc help me!

 

Nag seizure ang nanay ko habang nag dialysis. Kasi ito po ang nanyari, nagka problema ang machine so ginawa ng mga nurse ay binukasan nila ang dialyser dahila maraming clot. Mga 3 min nila na repair at tapos nag resume ng dialysis. Wala pang isang miunto i nag seizure na ang nanay ko.

 

Ang tanong ko is....di ba dahil sa clot? kasi 3 min nila na repair at ang dugo sa tubo i clotted na at pinasok pa nila ulit sa nanay ko. Please help me kasi magfifile ako ng kaso.

 

Please reply ASAP.

 

Thanks.

 

 

i think this should be a question you should raise with your mother's doctors. its easy to jump and point fingers when we were not there and don't have a complete history and labs to go by. please consult them, get your mother's files and also seek other, expert opinions.....

[rcko21]

Doc help me!

 

Nag seizure ang nanay ko habang nag dialysis. Kasi ito po ang nanyari, nagka problema ang machine so ginawa ng mga nurse ay binukasan nila ang dialyser dahila maraming clot. Mga 3 min nila na repair at tapos nag resume ng dialysis. Wala pang isang miunto i nag seizure na ang nanay ko.

 

Ang tanong ko is....di ba dahil sa clot? kasi 3 min nila na repair at ang dugo sa tubo i clotted na at pinasok pa nila ulit sa nanay ko. Please help me kasi magfifile ako ng kaso.

 

Please reply ASAP.

 

Thanks.

 

We can't answer your question if nag-clot or hindi. If it really did then the patient probably had a pulmonary embolism that cause a decrease in oxygenation that caused her seizure.

 

It's also good to note that hypotension is the MOST common complication in dialysis. This can cause decrease oxygenation that may lead to seizures.

There are many factors that can contribute hypotension. These include:

 

A rapid reduction in plasma osmolality, which causes extracellular water to move into the cells

Rapid fluid removal in an attempt to attain "dry weight".

Inaccurate determination of true "dry weight"

Diminished cardiac reserve.

Use of acetate rather than bicarbonate as a dialysate buffer. (

Intake of antihypertensive medications that can impair cardiovascular stability.

Use of a lower sodium concentration in the dialysate

Sudden release of adenosine during organ ischemia

Ingestion of a meal immediately before or during dialysis

Arrhythmias or pericardial effusion with tamponade, which are volume-unresponsive causes of hypotension.

Reactions to the dialyzer membrane, which may cause wheezing and dyspnea as well as hypotension.

Increased synthesis of endogenous vasodilators, such as nitric oxide

High magnesium concentrations in the dialysate

Failure to increase plasma vasopressin levels

 

You may not understand several terms here but I would just like to point out that at this point we can't just point at CLOT as the only probable cause of the seizure.

Edited June 4, 2010 by rcko21