medical Free Medical Advice

[ermita rojo]

Hi, I just want to ask about what may be the condition of my friend. Ayaw niya kasing magpa-check up. Matigas ang ulo. Ito po yung description niya.

 

"Hindi ko alam kung anong nag ttrigger nito e. Bigla bigla lang aatake."

"Sa upper part ng ng tiyan."

"Yung parang kabag ang style. Parang bloated. Parang ganon. Pero di naman ako busog, di rin ako natatae, di rin ako nauutot."

"Minsan natotolerate ko. Pero may timez na yun nga, di ako makatayo sa sakit. Nari-relieve lang sya ng pag higa. Pag nakahiga ako di ko mafifeel ang pain. Pag babangon ako mafifeel ko na naman. Pag matagal akong hihiga nawawala rin ang pain eventually."

 

Thanks po sa mga makakapag-reply.

 

 

Hi there.

 

First and foremost, your friend has epigastric pain.

 

Now there are many causes for this.

 

One of the most common is dyspepsia -- which may be ulcer or non-ulcer type.

 

For us to definitely say that it is caused by an ulcer , it has to be seen endoscopically (upper gastrointestinal endoscopy or gastroscopy). It is done by gastroenterologists. The procedure is minor, and can be done on an outpatient basis.

 

Another work-up that can be done is whole abdominal ultrasound.

 

 

I would suggest both.

 

 

From the way you describe it, it doesn't sound like GERD or gastro-esophageal reflux disease. GERD is aggravated by lying down right after eating, and is usually burning pain which starts from the upper part of the stomach going up the chest.

 

 

Please ask your friend to see a GI specialist soon.

[basikmasiklab]

 

 

Hi there.

 

First and foremost, your friend has epigastric pain.

 

Now there are many causes for this.

 

One of the most common is dyspepsia -- which may be ulcer or non-ulcer type.

 

For us to definitely say that it is caused by an ulcer , it has to be seen endoscopically (upper gastrointestinal endoscopy or gastroscopy). It is done by gastroenterologists. The procedure is minor, and can be done on an outpatient basis.

 

Another work-up that can be done is whole abdominal ultrasound.

 

 

I would suggest both.

 

 

From the way you describe it, it doesn't sound like GERD or gastro-esophageal reflux disease. GERD is aggravated by lying down right after eating, and is usually burning pain which starts from the upper part of the stomach going up the chest.

 

 

Please ask your friend to see a GI specialist soon.

 

Thanks po, Sir Ermita Rojo.

 

I'll inform and convince her to see a specialist as soon as possible... Salamat po

[ermita rojo]

Ermita is a she.

 

 

Thanks.

[SakuraSan]

I woke up the other day with an excruciating pain in my right ankle. I'm having a hard time walking, can't put pressure on my right leg when i walk. What could have caused this?

[kowalski]

I woke up the other day with an excruciating pain in my right ankle. I'm having a hard time walking, can't put pressure on my right leg when i walk. What could have caused this?

gout attack? is your uric acid level elevated?

[BLACK&WHITE]

anyone may alam kung saan pwedeng mgpacheck ng Male's organ

na medyo privacy type? ang real doctor yung mgchecheck? along Manila or metro manila sana

[ermita rojo]

anyone may alam kung saan pwedeng mgpacheck ng Male's organ

na medyo privacy type? ang real doctor yung mgchecheck? along Manila or metro manila sana

 

 

there is a thread in the male section by Cutyouup. He is a urologist i think. PM him. Thanks.

[Cap™]

good morning Doc Ermi

 

seems that I've piled up more gastro problems just before the year ends I was diagnosed by an Itermed Doctor last Saturday of AGE but was fit to work today only to have the same pains I get when I have gastritis (or worse, pancreatitis). Would go to Makati Med and I was just wondering why AGE sounds worse than gastritis when the latter had me confined for at least three days.

[Rainman2015]

Hi...i know im not supposed to answer your query but in my assessment gastritis would cause more problems if left unattended as compared to acute gastroenteritis or AGE.gastritis if left unattended can lead to ulcers and in some cases stomach cancer. AGE denotes an infection which can easily be treated with antibiotics. Hope this helps.

[azraelmd]

Hi...i know im not supposed to answer your query but in my assessment gastritis would cause more problems if left unattended as compared to acute gastroenteritis or AGE.gastritis if left unattended can lead to ulcers and in some cases stomach cancer. AGE denotes an infection which can easily be treated with antibiotics. Hope this helps.

Wrong...gastritis can also be caused by infection...only difference between the two...is the location or oragans involved..gastritis vs gastroenteritis

While your reasoning is very sensible..gastritis however can easily be treated with antacids or H2 blockers..if it is frequent and with other accompanying symptoms...there are other laboratory test and procedures to be done first...

AGE usual presents with diarrhea....and if left untreated will lead to dehydration....which will have a more profound immediate effect on the patient...

[ermita rojo]

good morning Doc Ermi

 

seems that I've piled up more gastro problems just before the year ends I was diagnosed by an Itermed Doctor last Saturday of AGE but was fit to work today only to have the same pains I get when I have gastritis (or worse, pancreatitis). Would go to Makati Med and I was just wondering why AGE sounds worse than gastritis when the latter had me confined for at least three days.

 

AGE may "sound worse" but it may not necessarily be worse than gastritis. It actually depends on the severity.

 

AGE is acute gastroenteritis. Usually we make this diagnosis when the patient presents with either diarrhea or vomiting, and can be caused by either a virus or bacteria. Treated with antibiotics as mentioned by mr. rainman below (if cause is bacteria)

 

If it is not severe, then 1 or 2 days would do.

 

Acute gastritis is different. This is often accompanied by epigastric pain, and again, should be diagnosed endoscopically, where there are small "gasgas" seen, but no visible ulcers. The gastric mucosa or lining is not entirely smooth, and small mucosal interruptions are seen.

 

Number of days of confinement will depend on severity of course.

 

 

 

 

Hi...i know im not supposed to answer your query but in my assessment gastritis would cause more problems if left unattended as compared to acute gastroenteritis or AGE.gastritis if left unattended can lead to ulcers and in some cases stomach cancer. AGE denotes an infection which can easily be treated with antibiotics. Hope this helps.

 

 

Correct. Thanks.

if you are an MD, then you are welcome to provide answers anytime

Edited December 2, 2015 by ermita rojo

[azraelmd]

And we dont treat AGE immediately with antibiotics...it is usually treated symptomatically...e.g..treat the dehydration brought by frequent diarhea and vomitting...most usual cause of AGE is viral...unless the MD has a reason to suspect a different cause...no antibitics are necessary...

[Cap™]

hi guys,

 

thanks for the heads up. Been tracking my own medical history since I've been hospitalized twice this year due to pancreatitis and gastritis, so here are my questions:

 

1) my current episode started with severe diarrhea that provided the AGE diagnosis but it developed to my usual gastritis. A doctor friend says this is normal but it was the first time I experienced this combination. Question is whether this really occurs regularly or not?

 

2) my bloodworks had always shown high levels of lipase. Is it possible that this becomes "normal" for me or should I always lower it to normal levels?

 

3) are there studies wherein repeated bouts with pancreatitis resulted to pancreatic cancer? Like, how likely would a few bouts result to cancer and what would be the number that constitute these few bouts?

 

I'm a little paranoid so please do help me out lol thanks

[ermita rojo]

i'll let azraelmd answer.

[Cap™]

And can I add that I'm kinda getting too dependent with Tramadol to ease the pain

[azraelmd]

hi guys,

 

thanks for the heads up. Been tracking my own medical history since I've been hospitalized twice this year due to pancreatitis and gastritis, so here are my questions:

 

1) my current episode started with severe diarrhea that provided the AGE diagnosis but it developed to my usual gastritis. A doctor friend says this is normal but it was the first time I experienced this combination. Question is whether this really occurs regularly or not?

 

2) my bloodworks had always shown high levels of lipase. Is it possible that this becomes "normal" for me or should I always lower it to normal levels?

 

3) are there studies wherein repeated bouts with pancreatitis resulted to pancreatic cancer? Like, how likely would a few bouts result to cancer and what would be the number that constitute these few bouts?

 

I'm a little paranoid so please do help me out lol thanks

1) yes...severe AGE may be accompanied by gastritis..due to " no/limit food intake to rest the enteric motility principle..hence yun paniniwala ng mga matatanda na wag kumain pag nagtatae" belief...also dehydration will lead to an increase in stomach acidity...resulting to gastritis...however if AGE/ gastritis becomes frequent or regular...it is not NORMAL...

2) lipase is an enzyme...meaning it breaksdown materials...in this case lipids...so abnormally high lipase is not NORMAL...the surrounding organs might get affected...

3)..this is very debatable between MDs...since any inflamation destroys cells but it is followed by healing process too...however repeated healing and destruction will lead to metastatic growth...just like in repeated liver destruction and healing will lead to liver death and or liver cancer...

4) why tramadol? Try antacids first or H2 blockers...maybe the pain is just a result of hyperacidity

 

And for your peace of mind...i would suggest you seek consult with a specialist...gastroenterologist to be precise...if youll be needing added exams or procedures..i.e colonoscopy etc...theyre be the ones to request it...

[azraelmd]

i'll let azraelmd answer.

Thanks miss rojo...but you helping and giving advices are very commendable for a non-MD point of view...they are very well thought of and very knowledgeable..

 

[ermita rojo]

Thanks miss rojo...but you helping and giving advices are very commendable for a non-MD point of view...they are very well thought of and very knowledgeable..

 

 

dear, i am an internist and a sub-specialist.

 

i'd rather not specify which subspecialty. That's too much info already

 

 

but yes, in all likelihood i've done more endoscopies than you.

 

 

 

but this is not a matter of who is better than whom.

 

as i've said, every MD is welcome to give advice.

Edited December 3, 2015 by ermita rojo

[Cap™]

4) why tramadol? Try antacids first or H2 blockers...maybe the pain is just a result of hyperacidity

And for your peace of mind...i would suggest you seek consult with a specialist...gastroenterologist to be precise...if youll be needing added exams or procedures..i.e colonoscopy etc...theyre be the ones to request it...

Because the usual H2 blockers I'm taking aren't really helping out with pain management (taking Nexium and Pantoloc).

 

Miss Ermi, I've told you who my gastro was at MMC and I was told at the ER that he's on indefinite leave. You know other gastros who are really well-versed with what I'm struggling with atm? Thanks

[azraelmd]

dear, i am an internist and a sub-specialist.

 

i'd rather not specify which subspecialty. That's too much info already

 

 

but yes, in all likelihood i've done more endoscopies than you.

 

 

 

but this is not a matter of who is better than whom.

 

as i've said, every MD is welcome to give advice.

Agree...everyone is welcome to give advice...

[miggyE]

was going to jump in, but seems Ermita Rojo already answered azraelmd. suffice to say, ermita has fellow attached in front of her Society/College, and has been posting here for quite some time.

 

truth do tell, she posts more often here than most of us old hands

[rifs2k]

 

how old are you and what physical activities do you do? in all likelihood that is just musculoskeletal strain.

im 31 yrs old po and wala ako masyado physical activities, upo lng po maghapon sa work for 12hours of duty.

[happybloke]

im 31 yrs old po and wala ako masyado physical activities, upo lng po maghapon sa work for 12hours of duty.

you need to start doing more physical activities... wag biglaan, but gradual increase in physical activity ie. exercise

[rifs2k]

you need to start doing more physical activities... wag biglaan, but gradual increase in physical activity ie. exercise

thanks po sa advice.

[happybloke]

thanks po sa advice.

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