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Doctor in the House: Free Medical Advice Available - Health (1) - Nairaland

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Re: Doctor in the House: Free Medical Advice Available by Balogun(m): 10:46pm On Jan 12, 2006
As you have said, you get your catarrh in the rainy season. The lining of the nose is sensitive to changes in atmospheric temperature and humidity. Decongestant nasal drops may help. Things like Vicks sinex. Remember if you are an athlete, some of these contain banned substances by the IAAF.
Re: Doctor in the House: Free Medical Advice Available by snazzydawn(f): 6:19pm On Jan 24, 2006
I always have this persistent catarrh which never seems to go away,its like its a family thingy,also,for as long as I can remember,I have always had wounds in my nose cos of my bad habit of picking them when I am alone....how do I stop?
Re: Doctor in the House: Free Medical Advice Available by Balogun(m): 8:44pm On Jan 24, 2006
See the answer to the catarrh problem as above. The nose is full of bacteria so having wounds in the nose and picking at it could be a source of infection. You could use an antibacterial nasal ointment or cream. Contents could be chlorhexidine/neomycin or mupirocin. All countries have different trade names for them
Re: Doctor in the House: Free Medical Advice Available by snazzydawn(f): 8:51pm On Jan 24, 2006
I am sure others are dying in silence. Thanks a lot.
Re: Doctor in the House: Free Medical Advice Available by jclord(f): 10:42pm On Feb 05, 2006
Thanks Doctors for giving free advice to the forum. What do you think of the alkaline diet for improving ones health and wellness? I have been on it for about a month now and have found that my allergy symptoms have been tremendously decreased. I noticed an immediate improvement in my immune response to allergens.
Re: Doctor in the House: Free Medical Advice Available by Seun(m): 10:35pm On Feb 12, 2006
Dear Sir,

My father was suffered by Paralysis in the year 1980 and after medical treatment now he is completely all right.

He was suffered by Myocardial Infection (heart attack) In the year 1990. Angiography was carried out at AIIMS New Delhi, resulting multiple narrowing and blockage, hence Board of Doctors deny for CABG. Ultimately since then he is under treatment of cardio physician. He is taking following medicines:

1. Tab. Emdure 60 mg 1 OD
2. Tab. Amlopress AT 25 mg 1 od
3. Tab Colsprin 1 od
4. Tab Isordil 5 mg sos

Recently he was fell down resulting fracture near nack joint of right leg, nailing was done by doctors.

During the above operation it has came to our notice that Blood, Creatinine and potassium are on higher side, more then four time of standard. K-Bind powder was given and potassium came down by 4.0 ME/ql but S. Sodium is 132 ME/ql, S. Chloride is 37 ME/ql.

Most important thing is here that his Blood Urea is 195 MG/DL and S. Creatinine is 5.4 MG/DL.

Some time back he is also suffering by Prostate.

Echocardiography was also carried out on 27.1.2006 as per report conclusion is: “Large sized left ventricle with moderately impaired left venricular systolic function Grade III MR and Mild AR and TR.”

Since 26th January 2006 he is on bed due to nailing.

Kindly advise us on following points:

1. Why these (Blood Urea & S. Creatinine) are on higher side.
2. How it can be reduce.
3. Any treatment that you feel suitable to him.
4. Any seriousness or caused any serious decease.

An early reply in the matter is solicited.

Regards,

V.K. SHARMA


(from my mailbox)
Re: Doctor in the House: Free Medical Advice Available by nicetohave(m): 11:25pm On Feb 12, 2006
To start with i am moved to compassion to respond to your mail, from your name you are of indian descent, a race with a high incidence of hypertension (which is the leading cause of myocardial infarction worldwide) diabetes mellitus and as a complication of such, renal failure.

I must say again your father has a terminal illness, one that will need close monitoring by his personal physician, i will give advise from time to time but that is just a supplementation to what he needs.

From the prescription your father is on it is obvious is hypertensive, which i suspect is the cause of the infarction, also it wont surprise me if his lipid levels are high, a major contributor.

why am i telling you all these?:

1) your father's case is one that needs careful monitoring.
2) he needs to adhere to some strict diet in addition to his medications.

Now to your question:

1) your fathers urea and creatinine is a function of the state of his kidney, from what you have said his kidney is on its way out.

2) How can it be reduced? the values can be reduced but the damage already done to the kidney im afraid, is irreversible.

he will need to do further tests as i wont be surprised if he is presently diabetic, in addition to the hypertention which could further compromise his kidney function, if he can see his doctor to rule out diabetes then they can focus on controlling his high blood pressure, which will slow down the progression of the kidney damage but cannot reverse the damage that has been done.

He can in addition to his present medication go on renal dialysis, expensive treatment but one that will prolong his life (it is estimated at about US$1000 per week to maintain him on this treatment)

4) number three has been answered with two, i am afraid the problem he is facing now is not only that of the heart but also his kidney, the prognosis is not encouraging, i cannot offer you false hopes.

his medications, strict dietary rules:

low fat

low salt, must be observed.

He can add simvastatin 10mg po od to his medications, this will help reduce his fat

He can add Atenolol 25mg po od to his medication, this will help prolong his heart life span

if he can afford the renal dialysis, he will live much longer but sadly its cost is astronomical, with his present compromised kidney, he needs to be monitored by a doctor for further medical trials such as

Enalapril 10mg po od, which will help the kidney recover a little but which his

urea, potassium, and creatinine must be monitored closely.

I hope i have been of help, not much of a hope but a hope all the same if he is obedient to his diet can afford his drugs and to emphasize again, the renal dialysis.

I have to add that all his present medications must be continued.

Good luck

nene, aka nicetohave
Re: Doctor in the House: Free Medical Advice Available by Seun(m): 8:29am On Feb 13, 2006
Dear Sir,

Thanks for replying and providing yr valuable advise. Ya I am from Indai.

In the captioned matter I would further inform you as under:

1. He is regularly monitor by Physician.

2. He is not diabtic.

3.Presently he is not fatty, inspite that he is taking low fat and low salt diet in daily chart.

4. Atenolol 25 mg is a part of Amlopress AT 25 mg which he taking 1Tab OD.

5.He is taking Tab Emdure 60 1 OD.

6. He have history of Prostate also. Whether Prostate is a reason of increase of Blood Urea & Creatinine.

7. Recently Doctor priscribed Tab Hytrine 1 mg 1 OD.

You have advise Tab Enalapril 10 mg 1 od: Kindly inform us that apart from recovering his kidney whether this tablet can help in reducing Blood Urea & Creatinine or not.

Your further advise and treatment in the matter is highly solicited and can boost our mental support.

Regards,

VK SHARMA


It appears he's not conversant with the idea of an Internet forum. But because this issue is important I am cross-posting all responses.
Re: Doctor in the House: Free Medical Advice Available by nicetohave(m): 10:02am On Feb 13, 2006
I am happy to hear that he is not diabetic.

The Hytrin is for his prostate, it is however not uncommon for men his age to be sick this way. (by the way, all men over the age the age of 40 must have at least a once a year screening for prostate cancer, its a life saving excersice, please)

The prostate could raise some of his blood parameters notably the urea but will[b] not[/b] raise the creatinine to 5.4 has you have written, that is a sign of a compromised kidney, the high potassium is also a testimony to that.

I wouldnt want you to get hung on the blood parameters, urea and creatinine and potassium are not the problem on their own (even though high potassium is bad for the heart and must of  a necessity be reduced which the doctors are already doing by giving him the k-binder powder) they are simply pointers that something is wrong with the kidney.

Enalapril helps to improve renal function, yes (improve its present function not reverse already done damage, i like to emphasize so as not to give undue hope) but the reason its use has to be monitored in him is that in a patient with such renal compromise, enalapril[b] may[/b] add to the increasing potassium and if that happens, it must be withdrawn, his only other hope will then be renal dialysis or continue his present medication and then sit and wait.

Urea and creatinine are metabolic body wastes that the kidney cannot clear from the system because its fucntion is deteriorating, giving enalapril wont reduce these values, k-binders can however reduce potassium but not the other two (urea and creatinine) neither will enalapril, which can either help or not depending on how far gone the kidney malfunction is.

what your father needs now is something that works in replacement of the kidney to clear the metabolics waste from the body, and that is what the dialysis machine does.

why am talking so much about the kidney when you don't even seem to mention it? because when metabolic wastes accumulate too much in the body uncleared, it kills faster than cancer or heart disease, talk to the doctors managing him about their options for him in this regard.

The doctors seem to been doing everything for him, i don't know his exact age but with one heart attack, one stroke, a fractured leg, a "tired" heart judging from the echocardiography report, a deteriorating kidney and a prostate cancer or BPH which he has, i am certain the doctors will want to be careful with how aggressive they get with his management.

At this stage he is getting all he needs from medicine, lets wait and see.

don't let him get excited at home for anything, emotions is a major provocant of heart pain.

I hope i have been of help.
Re: Doctor in the House: Free Medical Advice Available by bigbumper(f): 10:52pm On Feb 14, 2006
Since the age of 18, I have been saddled with medically confirmed severe types of Rheumatic disease in the four main group of Rheumatic diseases, namely; Inflammatory arthritis, Osteoarthritis, Soft tissue rheumatism and Back pain.  I have HMS/EDS, FMS, CFS, CSM, Scoliosis, Back pain, Depression, Valgus hind-feet, Plantar Fasciitis, plus RSI, Rheumatic Fever, Tennis elbow, Raynauds Phenomenon, Scoliosis, Depression, Anaemia(loss of blood), etc. Because all my joints are affected, and because of my age and because of damaged tissue and because I left thing too late according to my specialist, the condition are amenable to surgery and I have to learn to live with chronic pain for the rest of my life. 

What hope is there for me?

If I get pregnant, do I have to worry about rupture of fetal membrane, premature labour, or complications that could result from having a caeserean?
Re: Doctor in the House: Free Medical Advice Available by nicetohave(m): 11:25pm On Feb 14, 2006
Collectively, what you suffer from is called[b] CONNECTIVE TISSUE DISEASES[/b].

Before i go on you have to furnish me with more details:

you said you were diagnosed at age 18 but at what age did you first develop the symptoms?

Any family history?

How old are you now?

What medications are you presently on?

you have a multisystemic involvement of this disease, did your specialist tell you what surgical option he is considering?

If you are not comfortable with posting all the response on this forum, you can forward it to the site administrators email for onward transmission to me.

I always believe every problem has a solution, it may only take time for us to come up with an acceptable one.
Re: Doctor in the House: Free Medical Advice Available by Rolly: 4:28pm On Feb 15, 2006
hello people!!!!

i just found this thread and i'm like soooooooooo totally in love with it!!!

i like things about prescibing drugs and stuffs like that, i aim to be a doctor oneday, i just can't wait!!!!!!

As per medical issues, apart from the fact that i'm allergic to sulfur drugs, sulfan amides or something and i cant use most malaria drugs because they contain this substance,( i use atesunate or something like that) and i get silly, silly and annoying colds which make me sneeze a billion times a minute and i cant use septrin because of the same sulphur and actifed is not good for me because it makes me drowsy(although, i use it at nite, i'm usually still drowsy in the morning so i stopped taking it because i have to be in school everyday so i try to cope with the silly cold and it goes as stupidly as it comes, then it comes back)and i also get idiotic headaches(about twice a week) that gives me the irresistible urge to fall asleep no matter where i am (very annoying). apart from all these, i have no problem at all!!!!!! i'm pretty healthy. right doctors?
Re: Doctor in the House: Free Medical Advice Available by jclord(f): 7:18pm On Feb 15, 2006
Rolly,

I am not a doctor but i am an allergy sufferer. I just found a diet that has helped me tremendously.

I is very simple . I make sure I eat lots of organic alkaline fruits and vegetables every day. My husband and I are amazed how well it works. Reasearch this for yourself and get a list of the alkaline foods for your area. You will be surprised how much better you will feel right away without any medication for allergies.

It is hard to be productive when your are suffering. Good luck.
Re: Doctor in the House: Free Medical Advice Available by nicetohave(m): 7:44pm On Feb 15, 2006
thanks jclord.

you are right and there are other home remedies that have been prescribed for the common cold and allergy that works well also, in all i will say they are worth the effort of trying it.

1) tea (lipton or any equivalent tea bag) plus honey

2) tea (lipton or any equivalent tea bag) plus lime, or osan wewe

3) even the common and everyday aspirin, works quite well. It blocks the final common pathway to the production of the inflammatory mediators responsible for allergies, pain, fever etc.

4) and for young mothers, just breastfeeding and breastfeeding alone for 3 to 6 months has been proven to reduce the incidence of allergies and common cold.

5) finally some have prescribed the water therapy, taking about 1200cc of water every morning before you take anything per oral, and wait about an hour after before taking anything.

as i said, they are all worth trying.
Re: Doctor in the House: Free Medical Advice Available by Rolly: 8:02pm On Feb 15, 2006
@ jclord and nicetohave,

thank you so much for ur advice. i can try the fruit and tea part but as for the drugs, , i'm not a fan. i use it 3times aday for one day and thats it,, regardless of whether i feel better or not. i dont stick to drugs but the fruits should work and as for the tea, i'm soooooo adicted to it, on hot days sef, i take hot tea before i take water. but osan wewe is bitter now? i'll try it sha. thanks a lot cheesy
Re: Doctor in the House: Free Medical Advice Available by jclord(f): 12:03am On Feb 16, 2006
Nicetohave,
Thanks. Allergies can really reduce your quality of life and productivity. Your help is greatly appreciated.

Rolly,
I am happy to help. Let us know how this helps you. Try this website, www.wolfeclinic.com, for a list of alkaline foods. I only use this website for the list of foods. I have not purchased any products or followed any other advice from them.

Wishing you good health.
Re: Doctor in the House: Free Medical Advice Available by Balogun(m): 4:49pm On Feb 18, 2006
nicetohave I am glad you have stepped in to attend to the questions. I would like as many doctors that visit this site to give advice. Presently my nephew visiting Nigeria for the first time in over 10 years has been involved in a horrific accident in Abuja. We are currently trying to see whether we can fly him back to Britain. We seem to have problems with the Nigerian neurosurgeon who refuses to send his scan over for us to have second opinion. I am based in Edinburgh as you can see. I would have thought as common courtesy to a fellow doctor I deserve that sort of respect. Thats Nigeria for you.
Re: Doctor in the House: Free Medical Advice Available by jclord(f): 4:58pm On Feb 18, 2006
Balogun ,
Sorry to hear about your nephew's accident. I hope he will recover quickly.
Re: Doctor in the House: Free Medical Advice Available by nicetohave(m): 5:16pm On Feb 18, 2006
Balogun:

nicetohave I am glad you have stepped in to attend to the questions. I would like as many doctors that visit this site to give advice. Presently my nephew visiting Nigeria for the first time in over 10 years has been involved in a horrific accident in Abuja. We are currently trying to see whether we can fly him back to Britain. We seem to have problems with the Nigerian neurosurgeon who refuses to send his scan over for us to have second opinion. I am based in Edinburgh as you can see. I would have thought as common courtesy to a fellow doctor I deserve that sort of respect. Thats Nigeria for you.

I better not say anything about Nigeria now because what i will say may be counted as treason against my country but what on earth stops a doctor from giving a priviledged access to a patients record to another doctor, especially to a fellow Nigerian, in matters of life and death as this?

Balogun, i pray the storm blows over and pray swift recovery to your brother.
Re: Doctor in the House: Free Medical Advice Available by Balogun(m): 10:39pm On Feb 22, 2006
For those that read this forum, it is with sadness that I announce the death of my nephew on sunday morning in National Hospital, Abuja. It is such a tragedy and waste of a young life. I shall leave the replies to any medical questions in the capable hands of other doctors in the house until I feel ready again. God bless you all and may Kunle's soul rest in peace. AMEN
Re: Doctor in the House: Free Medical Advice Available by jclord(f): 11:37pm On Feb 23, 2006
Balogun,

It si sad to hear about the death of your nephew. My condolences to you and your family.

May he rest in peace. Amen
Re: Doctor in the House: Free Medical Advice Available by Seun(m): 11:47pm On Feb 23, 2006
So sorry about that. sad sad
Re: Doctor in the House: Free Medical Advice Available by nicetohave(m): 3:19am On Feb 24, 2006
Accept my condolence sad
Re: Doctor in the House: Free Medical Advice Available by bigbumper(f): 7:00pm On Mar 03, 2006
Sorry to hear about the loss, may his soul rest in perfect peace.

Nicetohave, thanks for the reply. Sorry I could not respond to you on time, travelled to Nigeria for the weekend for sis wedding and was involved in a RTA. On getting back to the country, I was admitted to hospital for the past two weeks for first gastrointeritis, then UTI, then anaemia and orthostatic intolerance. I had to sign a self discharge form against the wish of my ob/gyn, as I had had enough of the hospital.

My email address is dy@postmaster.co.uk. Would be looking forward to hearing from you.
Re: Doctor in the House: Free Medical Advice Available by nicetohave(m): 5:06am On Mar 05, 2006
hi big_bumper, thank God you are alive and well (i hope) but what is happening here? people going home and having RTAs, God continue to keep us from danger o.

I am willing to discuss further with you and give suggestions, where necessary.

Health is wealth.

I wish above all that thou mayest prosper (all NLanders) and be in HEALTH even as thy soul prospers.
Re: Doctor in the House: Free Medical Advice Available by nicetohave(m): 4:26pm On Mar 07, 2006
Have decided to paste links on some topics i consider relevant on free medical advise from time to time, im starting with

Sleep dysfunction in women

http://www.emedicine.com/neuro/topic656.htm

questions are equally welcomed.

Happy viewing.
Re: Doctor in the House: Free Medical Advice Available by gentleone(f): 4:56pm On Mar 07, 2006
@balogun, sorry about your nephew, may his soul rest in peace
Re: Doctor in the House: Free Medical Advice Available by Balogun(m): 6:24pm On Mar 07, 2006
Thanks to everyone for their support. I am back in the business of giving advice again.
Re: Doctor in the House: Free Medical Advice Available by nicetohave(m): 6:48pm On Mar 07, 2006
Glad smiley

welcome back boss
Re: Doctor in the House: Free Medical Advice Available by gentleone(f): 4:01pm On Mar 08, 2006
@ balogun, welcome back.
ok docs in da house, what could be the cause of nail infection?
Re: Doctor in the House: Free Medical Advice Available by nicetohave(m): 7:50pm On Mar 08, 2006
what kind of infection?

Bacterial? fungal?

If it is bacterial it might result from the integrity of the skin around the nails being breached and microbes finding its way into the nail bed, resulting in paronychia. This could easily be treated with a short course of appropriate antibiotics plus/minus drainage as the case my be.

If it is fungal it might result from moisture finding its way underneath the nail bed, encouraging fungus to proliferate and destroy the nail. Usually it is commoner in those that wear tight fitting wet shoes, so it is commoner around the big toes but can occur in any other nail in the body. Treatment includes ensuring dry shoes and nails, and antifungal agents like the ketoconazole or lamisil, usually it takes about 3 to 6 months for effective treatment depending on which part is affected.
Re: Doctor in the House: Free Medical Advice Available by Rolly: 8:32pm On Mar 08, 2006
@ nicetohave,

i read the article on sleep dysfunction in women and it was very informative, thank you.

i want to ask,
1. like in men, does reduced testosterone cause these sleep disorders as it does in women? and why does lack of estrogen cause disorder? i know i read it in the article but it is a natural thing why does it have to be labeled as part if sleep disorders? also is there a way that women can escape from it?

2. i hear people, mostly women (white and sometimes black) breathing, and they breathe loudly like they are gasping for breath. some of them are fat and i know obesity could cause that but most of them are slim women and i dont understand because they dont look like they are gasping for breath but u can hear it.

i'll be waiting for ur answers thank you.

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