atunje:
@xiadnat
I will like to gain weight... I want to know if wate-on and complan can do the job.Thank You

cheerios:
Hi doc! it all started as frequent urination,each time I visit d hospital,after test results(urine n blood test) no UTI or excess sugar wud be found..in Feb I noticed I lost my ereection completely&feel a lump-like thing inside my anus.went to d hospital was given drugs to treat hemorriods..it didn't work so I opted for traditional medicine..witin 3days got back my erection&anal pain stoppd.after I finished the drugs,the whole thing came back again..I went for another round,same thing happen after finishing the drugs..so I had no choice than to visit the hospital..I was given Azithromycin,Fluconazole & Secnidazole kit and also Anusol to insert into my anus..I used the drugs but there's still recurrence of both weak ereection& anal lump.so at this point am confused,I browsed the name of the drugs given to me&discovered its used to treat STD but I don't have 1..I am 31yrs never had unprotected sex..please what do I do? Is it that the hospital aren't performing the right test? Cos I have tried 2,they are both HMOs..

freakingout:
Good evening doctor. Please help me with interpretation of my test results.

DId a pelvic scan to check for PID and swab HV/ECS to check for PID also.

PELVIC USS
The uters is normal in size. It measures 4.2cm in its widest Ap diameter. It shows hypoechoric myometrium with intact endometrial plates. Both adnexae and POD are intact.
IMPRESSION:- ? PID

Swab test

Wet preparation (HVS)
Pus cells- moderate
Epithelial cells- numerous
Yeast cells- few
Others- nil

Wet preparation (ECS)
Pus cells- moderate
Epithelial cells- many
Yeast cells- few
Others- nil

1 raised to the power of zero or 1 degree. Gram (HVS)
I couldn't really read what was written but epithelial cells was many while pus cells, yeast cells, gram negative, gram positive had something like h in a circle or + or p. I don't really understand the handwriting while others is nil.

The same result for the 1 raised to the power of zero (ECS)

HVS/ECS culture
Yielded no growth after 48 hours of incubation.

Do the results mean I have PID? If yes, please what's the cure. I also have to do prolactin, progesterone and estradiol on cd21.


Thanks in advance for your response. God bless you.

Xiadnat:


Sounds questionable to not be able to receive your result. One has to wonder why they are not releasing the result to her. Is she part of an experiment or?

Anyway, I would not engage sexually with this individual until you have proven her negative HIV test result.

Regards

freakingout:
Good evening doctor. Please help me with interpretation of my test results.

DId a pelvic scan to check for PID and swab HV/ECS to check for PID also.

PELVIC USS
The uters is normal in size. It measures 4.2cm in its widest Ap diameter. It shows hypoechoric myometrium with intact endometrial plates. Both adnexae and POD are intact.
IMPRESSION:- ? PID

Swab test

Wet preparation (HVS)
Pus cells- moderate
Epithelial cells- numerous
Yeast cells- few
Others- nil

Wet preparation (ECS)
Pus cells- moderate
Epithelial cells- many
Yeast cells- few
Others- nil

1 raised to the power of zero or 1 degree. Gram (HVS)
I couldn't really read what was written but epithelial cells was many while pus cells, yeast cells, gram negative, gram positive had something like h in a circle or + or p. I don't really understand the handwriting while others is nil.

The same result for the 1 raised to the power of zero (ECS)

HVS/ECS culture
Yielded no growth after 48 hours of incubation.

Do the results mean I have PID? If yes, please what's the cure. I also have to do prolactin, progesterone and estradiol on cd21.


Thanks in advance for your response. God bless you.

RuthlessAnalyst:


Hi Dr.
Saw the Post and decided to give My quota.
Some Hospital Really do not give out result of HIV status to patient for some reasons based on experience except if the patient request specially or state the purpose for which the result is been requested.
In practice I have seen a patient that had HIV test done 4 years ago and still rely on the outcome of the test in present day.
Some patient even laminate the result and use it as their CV (if you get what I mean).
HIV status Change every Day Thus Some Dr are careful not to release the result to Patient.

However in most cases it's usually the predominant attitude of most Dr here to hide info from their patient.

Xiadnat:
Thank you for that enlightenment. I suppose practice in Nigeria is a bit different than U.S.

In U.S, if someone allows for STD test, they will generally be given the result whether they want or not. STD is considered a reportable disease in U.S, therefore, if you are positive, your result will be transmitted to the National Board of Health-- a requirement.

The patient most be informed and counseled and all potential contacts informed that they may be exposed, but will not reveal names.

No wonder HIV seems rampant and uncontrollable in Africa, doctors really should give them the report and actively seek to reduce transmission of HIV.

Xiadnat:


Anemia: means you have inadequate (below reference range) red blood cells to carry oxygen to your tissues. It can be from numerous causes. Most common perhaps dietary lack (iron, vitamins), chronic disease, sickle cells, hemolytic etc.

Leucocytosis: typically due to infection, inflammation, allergies or leukemia.

This result has to be interpreted based upon your symptoms/signs. I cannot deduce much else.

If your liver is enlarged, get full hepatitis workup panel, liver function tests and ultrasound.
Thnks. D Doctors are on strick, i dont have any hepatitis A,B or C, d scan showed right ovarian cyst and hepatomegaly. What do u advise that i shld do pending d time d doctors will resume

Good luck.

Xiadnat:
PID is mostly a clinical diagnosis. Are you having symptoms: abdominal/pelvic pain, dysuria, fever/chills? You engage in unsafe sex?

PID is from STD; therefore, you should rather screen for STD for culprit. Should also sample/culture the pus from your vaginal and endocervical samples.

However, pus in those samples with high risk of STD does suggest empirical treatment for PID. I however cannot say that it is PID based solely on the results outlined below. Pus in the vaginal sample is not normal though.

Regards.

RuthlessAnalyst:


it's really not advisable to use just laboratory investigation in arriving at a Diagnosis
The result you presented are near normal in My Opinion
The Ultra Sound finding is Normal wonder why the '?' (Queried) PID: maybe the clinical history you gave must have prompted that preliminary diagnosis.
features of PID on Ultra Sound include: fluid in the Pouch of Douglas (POD) or pelvis, thickened or dilated fallopian tube, adnexal mass, thickened endometrium e.t.c

The High Vaginal Swab MCS (HVS MCS) also look normal as few Epithelial Cells and Yeast Cell can be seen in normal Test.

I advice You give a clinical description of your symptoms and if possible get a pelvic examination to help arrive at a definitive diagnosis

freakingout:

Good evening Doctor. Thanks for your response. I'm married. Been ttc for two and a half years. I've had three miscarriages. During af I usually have abdominal and pelvic pain. Hence the doctor's suggestion for the scan and swab test for PID. She wants to rule out PID as the cause of the miscarriages before looking at other areas. Thanks

Xiadnat:


Ok. I suggest getting started on empiric treatment for PID with broad spectrum antibiotics while you wait for culture of the pus.

I wish you well with your TTC events.

freakingout:

Good evening Doctor. Thanks for your
response. I'm married. Been ttc for two and a
half years. I've had three miscarriages.
During af I usually have abdominal and pelvic
pain. Hence the doctor's suggestion for the
scan and swab test for PID. She wants to rule
out PID as the cause of the miscarriages
before looking at other areas. Thanks

RuthlessAnalyst:


Ok I understand
But How old are You and what is Your Genotype?

Mdolalekan2u:
Hello Dr
Please I'm living in far not of Nigeria with my family. Due to excessive heat, my children developed Heat Rashes especially d youngest one of about 11 month old and her brother 3yrs.
Their back are covered with rashes. Some time they will start crying and scratching almost all over their body. Yesternight we couldn't sleep because of the youngest one started crying and trying to scratch her back.
It took some hrs b4 we could sleep and she has started like that for some days ago. It do happen even during d day time.
Please, advise me on what 2 do.
Thank you.
Best Regard.

freakingout:

31. AS

RuthlessAnalyst:

What about your Blood Group (Rhesus + or -)