lomaxx:

I assume the anti-malarial drug used was an artemisinin-based therapy. If this was the case, Resistance of falciparum malaria to artemisinin therapy is an increasing global concern. The most obvious feature is the delay in rate of clearing parasites totally from the body- which is now often indicated by persistence of symptoms after treatment (especially fever [which becomes low grade from the initial high grade at acute stage]) . I've seen a few cases.

He should manage the fever with Panadol. I prefer Ibuprofen- antipyretic action is more potent.
He will be fine in no time.

Why thanks Doctor, you sure have been helpful. As a matter of fact the treatment therapy used was an oral dosage of artemether and lumefantrine pills. I'd ask him to monitor his situation and I will keep you posted.
Best Regards

lomaxx:

Are you eating well?
Are you passing stool well?
Have you noticed any swollen lymph nodes? (You know what a lymph node is right?)
Running temperature?
How long have you been noticed the symptoms? I'll appreciate if you can state when each symptom was noticed?



What else have you noticed? No matter how slight

I do eat well, pass stool well
I dont know wat lymph node is
It's been like six months now since I started experiencing the above stated.

Also experiencing rise in temperature of the body (body hotness)

lomaxx:

I assume the anti-malarial drug used was an artemisinin-based therapy. If this was the case, Resistance of falciparum malaria to artemisinin therapy is an increasing global concern. The most obvious feature is the delay in rate of clearing parasites totally from the body- which is now often indicated by persistence of symptoms after treatment (especially fever [which becomes low grade from the initial high grade at acute stage]) . I've seen a few cases.

He should manage the fever with Panadol. I prefer Ibuprofen- antipyretic action is more potent.
He will be fine in no time.

BTW doc just found out from him that the night fevers do come with fast heart beats too. Not too fast but fast.

phreakabit:

BTW doc just found out from him that the night fevers do come with fast heart beats too. Not too fast but fast.

I went over the history again. Something is striking. This is how the symptoms progressed : Ear congestion& Headaches => Low grade fever, neck pain, constipation, rumbling tummy.

Quick questions:
Just before the ear congestion, did he have a nasal congestion, a sore throat, or a cough?

Was his neck painful and stiff at the same time?

When he had constipation, did it resolve with frequent bowel motions?

ijinlove20:

I do eat well, pass stool well
I dont know wat lymph node is
It's been like six months now since I started experiencing the above stated.

Also experiencing rise in temperature of the body (body hotness)

Do you sweat excessively at night?
How old are you?
Are you in any routine drugs?
Do you eat or thirst excessively?

lomaxx:

I went over the history again. Something is striking. This is how the symptoms progressed : Ear congestion& Headaches => Low grade fever, neck pain, constipation, rumbling tummy.

Quick questions:
Just before the ear congestion, did he have a nasal congestion, a sore throat, or a cough?

Was his neck painful and stiff at the same time?

When he had constipation, did it resolve with frequent bowel motions?

No Doc, no nasal congestion. Very mild sore throat nothing serious just discomforting. Yes stiff and painful neck, actually started from the hip thought it was because I had seated in a tight vehicle the day before, but then it stopped and the neck pain started that same day.Nope constipation remained for some days even after bowel movements but went away.

phreakabit:

No Doc, no nasal congestion. Very mild sore throat nothing serious just discomforting. Yes stiff and painful neck, actually started from the hip thought it was because I had seated in a tight vehicle the day before, but then it stopped and the neck pain started that same day.Nope constipation remained for some days even after bowel movements but went away.

tried moving your thigh at the hip joint and it was painful?

lomaxx:

tried moving your thigh at the hip joint and it was painful?

Yes doc, I did try to move it and it hurt. But then it stopped and the neck pain started. You might be confused at why I am not speaking in third person anymore. Well I am the actual person with the symptoms. My brother posted on my behalf last night .

phreakabit:

Yes doc, I did try to move it and it hurt. But then it stopped and the neck pain started. You might be confused at why I am not speaking in third person anymore. Well I am the actual person with the symptoms. My brother posted on my behalf last night .

The sequale is very indicative of a resolving suspected aseptic viral meningitis. You had a sore throat(pharyngitis) which is mostly caused by enteroviruses- (could have been bacterial) which must have spread to your meninges and caused an irritation ( obvious by headache, neck stiffness, neck pain).

A CSF lab picture may be beneficial in nailing the exact cause earlier on. It's less likely now - because the symptoms are resolving and you've had an initial antibiotic therapy.

However, the clinical picture shows symptoms are resolving meaning the course is self-limiting. You don't have to do much- except manage conservatively. I still think you should get Ibuprofen. You can consult with your Physician for further advise.

I had earlier assumed that it was malaria since there was a coincidence of symptoms resolving and start of anti-malaria drugs. Obviously it wasn't. Best of luck.

Who can help on Malaria prophylaxis? I'm intolerant to chloroquinine. Thanks

sisiafrika: Who can help on Malaria prophylaxis? I'm intolerant to chloroquinine. Thanks

Sulfadoxine-pyrimethamine 1tab qWeek

Dear Doctors,
Greetings to you all! Please can you advice my relative(Man) on this fertility test below, he also did scrotal scan which came out normal. His Doctor says he cannot recomment any treatment, only option is IVF, they've been TTC for 2years.

LH 16.4miu/ml (1.2-9),FSH 14.9miu/ml (1.0-14.0),PROLACTIN 20.9ng/ml (3.0-14.7),TESTOSTERONE 2.9ng/ml (3.0-10).

Thank you!

lomaxx:

Sulfadoxine-pyrimethamine 1tab qWeek

thanks, u mean 4times a week? Can't I use Artemether+Lumefantrine? Sorry for bothering.

sisiafrika: thanks, u mean 4times a week? Can't I use Artemether+Lumefantrine? Sorry for bothering.

You said prophylaxis right? S-P is good for prophylaxis.

QWeek- One tablet per week.

A-L is for treatment.

lomaxx:

You said prophylaxis right? S-P is good for prophylaxis.

QWeek- One tablet per week.

A-L is for treatment.

alright sir. Thanks

Doc kindly assist pls, since last thur, I av experience all this symptoms progressively: muscle pain(arm - after a tedious work), weakness, mild fever, apollo(am using chlorophenicol ye drop) and now a burning sensation internally expecially my chest and around my left rib. Had malaria test but appeared no MP was found. Right now am taking Gestid Suspension to relief me of the heart burn. Wot else do I need to do pls as am feeling very uncomfortable. Thks for ur quick response.

Kindy: Dear Doctors,
Greetings to you all! Please can you advice my relative(Man) on this fertility test below, he also did scrotal scan which came out normal. His Doctor says he cannot recomment any treatment, only option is IVF, they've been TTC for 2years.

LH 16.4miu/ml (1.2-9),FSH 14.9miu/ml (1.0-14.0),PROLACTIN 20.9ng/ml (3.0-14.7),TESTOSTERONE 2.9ng/ml (3.0-10).

Thank you!

Kindy: Dear Doctors,
Greetings to you all! Please can you advice my relative(Man) on this fertility test below, he also did scrotal scan which came out normal. His Doctor says he cannot recomment any treatment, only option is IVF, they've been TTC for 2years.

LH 16.4miu/ml (1.2-9),FSH 14.9miu/ml (1.0-14.0),PROLACTIN 20.9ng/ml (3.0-14.7),TESTOSTERONE 2.9ng/ml (3.0-10).

Thank you!

The cause of his problem is very clear- it's staring me in the face. His prolactin level is abnormally high and that alone is enough to impair his fertility. Bringing down the prolactin levels to normal is sufficient to restore his fertility. The other details are beyond the scope of this page.

Send me a mail : medicalmatata@gmail.com

lomaxx:



The cause of his problem is very clear- it's staring me in the face. His prolactin level is abnormally high and that alone is enough to impair his fertility. Bringing down the prolactin levels to normal is sufficient to restore his fertility. The other details are beyond the scope of this page.

Send me a mail : medicalmatata@gmail.com

dont you think its better for him to see an endocrinologist??

lomaxx:



The cause of his problem is very clear- it's staring me in the face. His prolactin level is abnormally high and that alone is enough to impair his fertility. Bringing down the prolactin levels to normal is sufficient to restore his fertility. The other details are beyond the scope of this page.

Send me a mail : medicalmatata@gmail.com

Thank you Doctor, I will write you!

lomaxx:

The sequale is very indicative of a resolving suspected aseptic viral meningitis. You had a sore throat(pharyngitis) which is mostly caused by enteroviruses- (could have been bacterial) which must have spread to your meninges and caused an irritation ( obvious by headache, neck stiffness, neck pain).

A CSF lab picture may be beneficial in nailing the exact cause earlier on. It's less likely now - because the symptoms are resolving and you've had an initial antibiotic therapy.

However, the clinical picture shows symptoms are resolving meaning the course is self-limiting. You don't have to do much- except manage conservatively. I still think you should get Ibuprofen. You can consult with your Physician for further advise.

I had earlier assumed that it was malaria since there was a coincidence of symptoms resolving and start of anti-malaria drugs. Obviously it wasn't. Best of luck.

Doc can you please then explain the muscle weakness and aches? Has low grade fever earlier, with mild typhoid like aching muscles. . . Temperature is absolutely normal now but muscles still ache upon simple tasks and I feel hot inside.

Lagusta:

dont you think its better for him to see an endocrinologist??

Very importantly so

cc: Kindy (take note). I saw your mail- reply on its way. I've been terribly busy.

phreakabit:


Doc can you please then explain the muscle weakness and aches? Has low grade fever earlier, with mild typhoid like aching muscles. . . Temperature is absolutely normal now but muscles still ache upon simple tasks and I feel hot inside.

Muscle weakness and aches are characteristic of viral infections. It will pass. On the overall scale, would you say your symptoms are resolving?

lomaxx:

Muscle weakness and aches are characteristic of viral infections. It will pass. On the overall scale, would you say your symptoms are resolving?

Doc thanks for Ur wise counsel, I feel much better today. Had a lil pain and hotness in the ear, but that has reduced drastically n has become mild. The rambling in.my tummy have reduced too n I feel stronger. Only worried if it might resurface just as every recovering person does. Something still bothers me however. . . In the day time I have appetite whereas I loose all urge to eat from 5pm onward.

Doctor,
I woke up one day to discover a slight swelling at my back - upper right side. At times Its itchy. When I scratch, it appears as if it swells a bit. I took antibiotics and rub clotrimazole cream as prescribed by a nurse. I have not seen any improvement. I discover when I bath with warm water, it subsides and shrinks. Please what remedy do you recommend

lomaxx:

Do you sweat excessively at night?
How old are you?
Are you in any routine drugs?
Do you eat or thirst excessively?

I don't sweat excessively
Am not in any routine drugs
I don't eat or thirst excessively

Ok Dr, noted. Thanks once more!

lomaxx:

Very importantly so

cc: Kindy (take note). I saw your mail- reply on its way. I've been terribly busy.

Good day doctor. Please what do you think could be the cause of chronic back and joint pains, including muscular aches and fatigue. These symptoms have been going on for close to 4 years now. I need help pls. Thank you. I'm 21 years old. Also, i noticed maggots in my stool recently each time and waist pain. It's hurts really.

phreakabit:

Doc thanks for Ur wise counsel, I feel much better today. Had a lil pain and hotness in the ear, but that has reduced drastically n has become mild. The rambling in.my tummy have reduced too n I feel stronger. Only worried if it might resurface just as every recovering person does. Something still bothers me however. . . In the day time I have appetite whereas I loose all urge to eat from 5pm onward.

You're getting better. How are you today?

effico: Good day doctor. Please what do you think could be the cause of chronic back and joint pains, including muscular aches and fatigue. These symptoms have been going on for close to 4 years now. I need help pls. Thank you. I'm 21 years old. Also, i noticed maggots in my stool recently each time and waist pain. It's hurts really.

You may want to see a physician. He/she would do a physical examination, run some tests and arrive at a diagnosis.


.

ijinlove20:

I don't sweat excessively
I am 22
Am not in any routine drugs
I don't eat or thirst excessively

Unintentional weight loss despite a good appetite may indicate a thyroid problem or a diabetic problem. D a thyroid assay and a fasting blood sugar test.

Make plans to see a physician as well.

aeu1: Doctor,
I woke up one day to discover a slight swelling at my back - upper right side. At times Its itchy. When I scratch, it appears as if it swells a bit. I took antibiotics and rub clotrimazole cream as prescribed by a nurse. I have not seen any improvement. I discover when I bath with warm water, it subsides and shrinks. Please what remedy do you recommend

Do a hot compress.

lomaxx:

You may want to see a physician. He/she would do a physical examination, run some tests and arrive at a diagnosis.


.


Unintentional weight loss despite a good appetite may indicate a thyroid problem or a diabetic problem. D a thyroid assay and a fasting blood sugar test.

Make plans to see a physician as well.

thank u doctor

lomaxx:

You're getting better. How are you today?

Good day doctor
Went for medical check up yesterday and found Trophozoite of p. falciparum in my blood. Now I have no pain whatsoever but been having diarrhea, should I be worried? Got a personal question how can I reach you?
Regards.