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Doctor in the House: Free Medical Advice Available - Health (149) - Nairaland

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Ola Orekunrin, The Youngest Doctor In England At Age 21 / Doctor In The House: Free Medical Advice Available / Pharmacist In The House:free Medicines Advice Available (2) (3) (4)

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Re: Doctor in the House: Free Medical Advice Available by dodobytes: 10:42am On May 20, 2015
Please I want to run an SFA test,how much roughly does it cost.

Secondly,can i run the test in a private lab,Union Diagnostics is close to where I live.Please are they reputable?
Re: Doctor in the House: Free Medical Advice Available by Nobody: 11:23am On May 20, 2015
fatme:
Goodmorning doctors, I must say u guys are going a great job here. Please can u advice of a supplement I can take to balance my hormones., was diagnosed with pcos.
Please can anyone help me out with my question?
Re: Doctor in the House: Free Medical Advice Available by Nobody: 4:32pm On May 20, 2015
revenge001:
no symptoms @ all

OK. Here's the thing: Hepatanivir drug that you mentioned is around 80% effective.

However, before you invest in treatment, it is recommended that you get HBV DNA because it will determine if you should receive the treatment or not. It is also used to monitor or tract your response to anti viral treatment should you get one.

Here is your test result in recap: (please correct me If I am wrong)


core IgG= positive --> suggests chronic state
surface antigen= positive --> suggests active replication (this is what makes you active; therefore need HBV DNA to determine how 'active' (or extent of active virus) and determines the need for treatment.
surface antibody= negative --> suggests no immunity
e (infectivity) antigen=negative--> not actively infectious
e (infectivity) antibody=positive--> not actively infectious (this is what makes you chronic)



Treatment is recommended if you are in active liver failure (this will manifest with symptoms) OR

If you have high copies of HBV DNA >20,000.

I suspect you are in Chronic active state. Therefore, do invest in HBV DNA test to determine how "active" you are. Generally, if >20,000 copies of HBV DNA, it is recommended you start anti viral.

I hope this makes more sense. Please feel free to drop comment, questions etc.

Regards.
Re: Doctor in the House: Free Medical Advice Available by Nobody: 4:35pm On May 20, 2015
dodobytes:
Please I want to run an SFA test,how much roughly does it cost.

Secondly,can i run the test in a private lab,Union Diagnostics is close to where I live.Please are they reputable?

I do not know. I do not reside in Nigeria. Do make a separate post so others could offer answers.
Re: Doctor in the House: Free Medical Advice Available by Nobody: 4:38pm On May 20, 2015
fatme:

Please can anyone help me out with my question?

I do not think there is any supplement that is approved by the proper medical authority for the treatment of PCOS.

What are your specific concerns or symptoms of PCOS.

You can manage the signs/symptoms thought.

If you are overweight, loose weight. If you are diabetic, loose weight and eat diabetic friendly diet; if fails, get on metformin.

If you have dysfunction uterine bleeding (or menses), then you will need contraceptive- obtain from your doctor.
Re: Doctor in the House: Free Medical Advice Available by Nobody: 4:43pm On May 20, 2015
Spanishmario:
Observed this kinda itchy black surrounding around my genitals...heard it's called 'jock itching'. is there any drug or cream you can recommend. I started wearing tight briefs of recent and I think that might be the cause.
Thanks

It is likely tinea infection or Jock itch. Wear loose fitting clothing and preferably cotton. Keep area dry and cool.

You will need anti fungal topical such as clotrimazole (lotrimin), Ketoconazole (nizoral), miconazole (micantin).

Clotrimazole and miconazole should be over the counter. Ketoconazole is prescription.

Ultimately, see a doctor to examine the area especially if it does not resolve within days or if it gets worse.

Regards.

1 Like

Re: Doctor in the House: Free Medical Advice Available by Nobody: 4:44pm On May 20, 2015
BlissB:
Thks for the response.....its itchy and i think my vision is affected...cos i cnt see far objects.....i feel so bad knwin am gonna use lens eventually cos dats wat it seems

Itchy and vision affected? Rule out allergies first because of the itchiness.

But, still see and eye specialist.
Re: Doctor in the House: Free Medical Advice Available by Nobody: 10:30pm On May 20, 2015
Xiadnat:


I do not think there is any supplement that is approved by the proper medical authority for the treatment of PCOS.

What are your specific concerns or symptoms of PCOS.

You can manage the signs/symptoms thought.

If you are overweight, loose weight. If you are diabetic, loose weight and eat diabetic friendly diet; if fails, get on metformin.

If you have dysfunction uterine bleeding (or menses), then you will need contraceptive- obtain from your doctor.
The only symptom I have is irregular menstrual cycle. Atimes I could go 4months without my period.
Re: Doctor in the House: Free Medical Advice Available by Nobody: 5:16am On May 21, 2015
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Re: Doctor in the House: Free Medical Advice Available by Immaangel(f): 7:01am On May 21, 2015
Pls what will I use to dry up a wound cos its over a month I have a knife cut on my leg somehow inbetween two toes and it has refused to heal, d worst part of it is that it hurts like hell and I always get hit by something in my environment on d same sport. Pls prescribe a drug I can use to dry it up and heal faster. Thanks
Re: Doctor in the House: Free Medical Advice Available by stadora(f): 12:18pm On May 21, 2015
Just saw this now on a thread inNairaland and decided to share it and to know how true it is Pregnant women have been warned that taking paracetamol could harm their unborn baby. The popular painkiller is believed to have lifelong effects on baby boys, raising their risk of everything from infertility to cancer. Edinburgh University researchers said Britons have become 'blasé' about paracetamol’s potential dangers – and urged pregnant women to think twice before taking the drug. They said that if the tablets are taken, they should be used in the lowest possible dose, for the shortest possible time. Pregnant women have been warned that prolonged use of paracetamol could harm their unborn baby boy The Royal College of Midwives said mothers-to- be should seek medical advice before taking paracetamol at all. And the medicines’ watchdog is to carefully evaluate the research. Paracetamol is the most widely-used painkiller in the world. And as the only painkiller deemed safe in pregnancy, it is taken by most mothers-to-be. However several studies have suggested it interferes with the development of the male reproductive system while still in the womb. This is important because it is thought that if this programming goes wrong, it has lifelong effects, putting the child at higher risk of a range of problems from genital birth defects to infertility and testicular cancer. Testosterone, which is made in the testicles, is thought to be key to the whole process, so the researchers carried out an experiment designed to show if exposure to paracetamol in the womb cuts levels of the hormone. http://www.dailymail.co.uk/health/ article-3089662/Paracetamol-pregnant-risks- infertility-cancer-boys-later-life.html
Re: Doctor in the House: Free Medical Advice Available by kin101: 1:27pm On May 21, 2015
Xiadnat:


I am not really sure how effective hepantivir is or if you really need to do perform HBV DNA at this point.

I will dig some research and see if I come up with any information on the drug.

You should be permitted to travel outside the country. Hepatitis isn't an air-borne contagion, it is blood borne.

The results of your hepatitis tests should not change your life or the way you live it EXCEPT for to practice universal precautions for safety including use of: condoms and gloves.

Take care.



thanks.....
what does medical fitness test comprise of?
Re: Doctor in the House: Free Medical Advice Available by kin101: 1:32pm On May 21, 2015
revenge001:
no symptoms @ all

no
Re: Doctor in the House: Free Medical Advice Available by kin101: 1:33pm On May 21, 2015
Xiadnat:


OK. Here's the thing: Hepatanivir drug that you mentioned is around 80% effective.

However, before you invest in treatment, it is recommended that you get HBV DNA because it will determine if you should receive the treatment or not. It is also used to monitor or tract your response to anti viral treatment should you get one.

Here is your test result in recap: (please correct me If I am wrong)


core IgG= positive --> suggests chronic state
surface antigen= positive --> suggests active replication (this is what makes you active; therefore need HBV DNA to determine how 'active' (or extent of active virus) and determines the need for treatment.
surface antibody= negative --> suggests no immunity
e (infectivity) antigen=negative--> not actively infectious
e (infectivity) antibody=positive--> not actively infectious (this is what makes you chronic)



Treatment is recommended if you are in active liver failure (this will manifest with symptoms) OR

If you have high copies of HBV DNA >20,000.

I suspect you are in Chronic active state. Therefore, do invest in HBV DNA test to determine how "active" you are. Generally, if >20,000 copies of HBV DNA, it is recommended you start anti viral.

I hope this makes more sense. Please feel free to drop comment, questions etc.

Regards.


so hepantivir can rid the hbv ?
Re: Doctor in the House: Free Medical Advice Available by hope43: 4:40pm On May 21, 2015
Xiadnat:


Honestly, since you were able to get pregnant in the first place, it means your cillia is functional.

You probably need to relax and get this TTC event out of your mind and let it happen naturally and when it is suppose or meant to happen.

Let it go okay? I know it's easier said than done. If I were you, I would not get IVF just yet. I would figure out why you miscarried at 11 weeks and go from there.

The point is: you CAN get pregnant naturally; unless something drastic has changed or happened since you last were pregnancy.

I would hold off on IVF until I have fully investigated issues surrounding your fertility as I am not convinced it's your cilia so to speak.

Try stress management techniques.

Take care and I wish you well.
thanks a lot dr
Re: Doctor in the House: Free Medical Advice Available by Nobody: 9:12pm On May 21, 2015
Kin101,

Nothing can 'rid' the HBV. It just suppresses viral shedding and load; which slows down progression to liver failure and cirrhosis.

Complete cure from HBV requires liver transplant.
Re: Doctor in the House: Free Medical Advice Available by Nobody: 9:17pm On May 21, 2015
kin101:


thanks.....
what does medical fitness test comprise of?

http://www.cbp.gov/sites/default/files/documents/cbpo_drug_test_3.pdf

It most likely will vary depending country and job. But, here is the general guidelines. Find out what department/job you are applying
specifically includes.

Height, weight, body mass index (BMI).
Physical Exam includes: Cardiovascular examination (heart check, blood pressure, pulse), musculoskeletal examination including comprehensive range of movement, nervous system, examination for hernias and other abdominal abnormalities
urinalysis for diabetes or kidney / bladder disorders, respiratory examination and spirometry for lung function, vision assessment including color blindness, audiometry for hearing test. Drug and alcohol screening, work fitness assessments (otherwise known as functional capacity evaluations)

They might do labs for blood work to check hemoglobin, glucose, chemistry. Might do ECG, chest xray to assess heart/lungs.

The might also do mental exams to test mental capacity/intelligent and emotional quotient, comprehension, reading, memory recall and comprehension.

Good luck
Re: Doctor in the House: Free Medical Advice Available by Nobody: 9:18pm On May 21, 2015
Immaangel:
Pls what will I use to dry up a wound cos its over a month I have a knife cut on my leg somehow inbetween two toes and it has refused to heal, d worst part of it is that it hurts like hell and I always get hit by something in my environment on d same sport. Pls prescribe a drug I can use to dry it up and heal faster. Thanks

Not much. Just keep the wound clean and dry and use topical antibacterial.

How long have you had this wound and why is it not healing yet? Is it oozing or discharging fluid?
Re: Doctor in the House: Free Medical Advice Available by Nobody: 9:21pm On May 21, 2015
fatme:

The only symptom I have is irregular menstrual cycle. Atimes I could go 4months without my period.

Then you need an oral contraceptive; this you have to get a gyn. exam and prescription.

If you are planning on getting pregnant, then obviously do not take contraceptive. If TTC, you need clomiphene.

May also add metformin to OCP as it synergistically work with OCP to correct dysfunction/abnormal uterine bleeding.

Take care
Re: Doctor in the House: Free Medical Advice Available by Nobody: 10:24pm On May 21, 2015
[quote author=Xiadnat post=33971661]

Then you need an oral contraceptive; this you have to get a gyn. exam and prescription.

If you are planning on getting pregnant, then obviously do not take contraceptive. If TTC, you need clomiphene.

May also add metformin to OCP as it synergistically work with OCP to correct dysfunction/abnormal uterine bleeding.

Take care[/quote
Thanks, God bless
Re: Doctor in the House: Free Medical Advice Available by Immaangel(f): 2:29am On May 22, 2015
Xiadnat:


Not much. Just keep the wound clean and dry and use topical antibacterial.

How long have you had this wound and why is it not healing yet? Is it oozing or discharging fluid?
Two weeks now and its oozing out fluids at intervals
Re: Doctor in the House: Free Medical Advice Available by mizbee: 11:26am On May 22, 2015
Hello, pls I really need ur help. I do have an irregular periods so I went for a test and was told I had an hormonal inbalance and was treated. But d issue now is, I had my last period on the 17th of April which usually last maximum of 2 days and had an unprotected sex on the 7th of May but took Postinor2 some hours later. My question now is am yet to see my flow as at today which is d 22nd, do u think der are chances dat am pregnant?
Re: Doctor in the House: Free Medical Advice Available by Acczeez(m): 8:22pm On May 22, 2015
Hi Doc.
I had little growth in my anus, it's like a boil but hard. It hitches and also painful sometimes before now. The hitch and pains has stopped now after applying shea butter. What could it be please.

Thanks.
Re: Doctor in the House: Free Medical Advice Available by OHaddy(f): 8:03am On May 23, 2015
Hello doc, I need your help.
My period for the last two months have been dark brown in color is there any test I need to do?
Re: Doctor in the House: Free Medical Advice Available by Michaelshow: 8:32am On May 23, 2015
Plz doc.,I had bin seen blood discharge out after my urination bt it doesn't cause any sensation of pain. I went 2 different medical center bt all their effort prove abortive. What can I do to stop dis ? Kindly help....
Re: Doctor in the House: Free Medical Advice Available by famouschildren: 10:29am On May 23, 2015
hi dr. in d house, i posted my thyroid hormonal assay sometimes ago and consulting with my dr, he placed me on 50mg of levothyroxin. running another test i had d result below; (subclinical hyperthyroid)
free T4: 17.1 (7.2-16.4)pmol/l
free T3: 5.2 (3.8-6.0) pmol/l
TSH: 0.09 (0.37-3.5)mIU/l.

PREVIOUS result (subclinical hypothyroid)
free T4: 8.2 (7.2-16.4)pmol/l
free T3: 4.5 (3.8-6.0) pmol/l
TSH: 9.58 (0.37-3.5)mIU/l

Dr. told me to discontinue d drug and test again in d next 4weeks.
my bone of contention is dat i am seriously TTC ( it is delaying my ivf whic should be last month), and i dnt want it postpone anymore.
should i stop d drug or reduce d dose? pls suggest
Re: Doctor in the House: Free Medical Advice Available by kin101: 10:31am On May 23, 2015
Xiadnat:
Kin101,

Nothing can 'rid' the HBV. It just suppresses viral shedding and load; which slows down progression to liver failure and cirrhosis.

Complete cure from HBV requires liver transplant.





people have turned negative before
Re: Doctor in the House: Free Medical Advice Available by Nobody: 12:21pm On May 23, 2015
kin101:



people have turned negative before

It can happen. But, it is not a cure. This means that one can reverse back to active infection at any point in ones' life especially with depressed general immunity.

I wish you well.
Re: Doctor in the House: Free Medical Advice Available by Nobody: 12:23pm On May 23, 2015
famouschildren:
hi dr. in d house, i posted my thyroid hormonal assay sometimes ago and consulting with my dr, he placed me on 50mg of levothyroxin. running another test i had d result below; (subclinical hyperthyroid)
free T4: 17.1 (7.2-16.4)pmol/l
free T3: 5.2 (3.8-6.0) pmol/l
TSH: 0.09 (0.37-3.5)mIU/l.

PREVIOUS result (subclinical hypothyroid)
free T4: 8.2 (7.2-16.4)pmol/l
free T3: 4.5 (3.8-6.0) pmol/l
TSH: 9.58 (0.37-3.5)mIU/l

Dr. told me to discontinue d drug and test again in d next 4weeks.
my bone of contention is dat i am seriously TTC ( it is delaying my ivf whic should be last month), and i dnt want it postpone anymore.
should i stop d drug or reduce d dose? pls suggest

Reduce dose to 25mcg; retest in 4-8 weeks. For TTC events, your TSH need to be at 2.5mlU/L and up to 3mlU/L as pregnancy progresses past first trimester.

You need to be on levothyroxine for the duration of pregnancy and check it every few weeks. As pregnancy progresses, you may require increase in dose as pregnancy does in fact cause increase in thyroid hormone requirements naturally.

Regards.
Re: Doctor in the House: Free Medical Advice Available by Nobody: 12:29pm On May 23, 2015
Acczeez:
Hi Doc.
I had little growth in my anus, it's like a boil but hard. It hitches and also painful sometimes before now. The hitch and pains has stopped now after applying shea butter. What could it be please.

Thanks.

If there is some growth, you have to rule out anal warts. Have a doctor look at it. If it is anal warts, it has to be treated, with eventual removal since it exposes you to risk of anal cancer.

Are you sexually active? Warts are transmitted sexually.

Good luck
Re: Doctor in the House: Free Medical Advice Available by Nobody: 12:37pm On May 23, 2015
OHaddy:
Hello doc, I need your help.
My period for the last two months have been dark brown in color is there any test I need to do?

Do you have normal period as in every 28-32 days for 4-7 days with moderate flow?

Do you mean the entire bleeding during period is dark brown? Have you changed anything in your habits? Diet, medications ?

It is mostly normal but can be abnormal in variety of conditions: certain medications, OCPs, dietary changes, emotional distress, PID/STDs, and possibly cervical carcinoma.

Try: eating more fruits and veggies, drink lots of water/keep hydrated--keeps your system flushed.

If you have not had a woman's exam or it has been over a year, I suggest you can an exam from a GP or gyn.

Good luck.
Re: Doctor in the House: Free Medical Advice Available by Nobody: 12:39pm On May 23, 2015
mizbee:
Hello, pls I really need ur help. I do have an irregular periods so I went for a test and was told I had an hormonal inbalance and was treated. But d issue now is, I had my last period on the 17th of April which usually last maximum of 2 days and had an unprotected sex on the 7th of May but took Postinor2 some hours later. My question now is am yet to see my flow as at today which is d 22nd, do u think der are chances dat am pregnant?

22nd is not far off 17th. Few days off is quite normal. If you haven't started your menstruation yet, get a pregnancy test. It does not harm a thing to test.

Good luck.

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