bangleslover:
I have mouth pain which goes on and off. what can be the cause of this?

Where in mouth? Is it teeth/gums? Lips? Tongue? The walls of mouth/sides? Any sores, rashes etc? And for how long has mouth pain persisted. ?

Xiadnat:


Are you young and healthy otherwise then or? So I assume you had malaria then? It could be that malaria is not yet eradicated from your blood. It could be side effects of drugs; if so, it will pass.

Yellow pee, dry throat and feeling hungry? Also, rule out diabetes.

I'd say go and obtain a blood test: CBC with differentials and peripheral blood smear to check presence of malarial parasites. Also obtain serum glucose levels.

Best

ok thanks,

Xiadnat:


Where in mouth? Is it teeth/gums? Lips? Tongue? The walls of mouth/sides? Any sores, rashes etc? And for how long has mouth pain persisted. ?

the walls of my mouth or gum not sure which,not seen any of that.

it keeps coming and going it has been for days now.

when it happens i take panadol or apply bonjela to relieve me of the pain. sometimes i just lie down on the affected area and then sleep.

its so painful

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Dr.Xiadnat....pls ild love to get ur email address I av some medical issues to discuss with u. Thanks n God bless

Xiadnat:


Where in mouth? Is it teeth/gums? Lips? Tongue? The walls of mouth/sides? Any sores, rashes etc? And for how long has mouth pain persisted. ?

..Doc please can I get ur email address.. Wanna discuss some pressing issues with u. Thanks

Xiadnat:


You sexually active? Rule out STD

If you are or are not, could be contact dermatitis. What are you putting on there lately? New detergent, lotion, condom etc?

Any rashes?

Yes I am. I also feel little itching on the back of my hand

iameffiong:

Yes I am. I also feel little itching on the back of my hand

It could be dermatitis. Need to figure out what it is that's causing the itch.

Try steroid topical cream on it for a limited time to relieve itch.

Wouldn't hurt to get tested for STD too.

rocksteady419:
..Doc please can I get ur email address.. Wanna discuss some pressing issues with u. Thanks

might help if you PM me tho.

bangleslover:


the walls of my mouth or gum not sure which,not seen any of that.

it keeps coming and going it has been for days now.

when it happens i take panadol or apply bonjela to relieve me of the pain. sometimes i just lie down on the affected area and then sleep.

its so painful

Stomatitis: need to pay attention to what brings it on.

At this time, try an anesthetic oral swish like benzocaine or lidocaine. Can try nystatin swish as well in case candidiasis, but this really shouldn't be if you are young and healthy.

Any white patches on the tongue?

Xiadnat:


Stomatitis: need to pay attention to what brings it on.

At this time, try an anesthetic oral swish like benzocaine or lidocaine. Can try nystatin swish as well in case candidiasis, but this really shouldn't be if you are young and healthy.

Any white patches on the tongue?

Ms Doc sorry i don't understand all that language up there, can you simplify it for me please



no white patches

bangleslover:


MR/Ms sorry i don't understand all that language up there, can you simplify it for me please
no white patches

Stomatitis is inflammation oral mucosa (walls of mouth, lips): sometimes caused by allergic reactions. So, just told you to pay attention if anything triggers it or when you notice it and what it is associated with; if any.

Also, you may have nutritional deficiency. May I suggest to see a primary care doctor and have him/her have a look see into your mouth.

If you want to take care of mouth pain, then have your doctor prescribe a pain medicine for the mouth; it's like a mouth wash.

Then, have the doc check your vitamin levels: Vit B levels especially, perhaps iron.

I really like d good work going on here. Pls, for some weeks now, I have been having series of indigestion. Bloating stomach, foul gas from d mouth and butthole, stomach pains, frequent visits to d toilet and fear to eat or loss of appetite. At first it was coming and going, but now its becoming constant to d extent dat i am now scared of eating on a normal day. Used to think twas beans dat was causing it, I stopped eating beans but it still happens. Pls, what do advice me to do, I am really losing strength.

Madamspeaker:
I really like d good work going on here. Pls, for some weeks now, I have been having series of indigestion. Bloating stomach, foul gas from d mouth and butthole, stomach pains, frequent visits to d toilet and fear to eat or loss of appetite. At first it was coming and going, but now its becoming constant to d extent dat i am now scared of eating on a normal day. Used to think twas beans dat was causing it, I stopped eating beans but it still happens. Pls, what do advice me to do, I am really losing strength.

It sounds like food allergey. Take note of when you feel the symptoms and what you ate/eating at the time.

Possiblities: lactose intolerance: meaning avoid all diary: cheese, milk products. Gluten allergey: avoid wheat, rye, oats, barley foods.

any blood in diarrhea? Is stomach pain relieved after bowel movement/stooling? Any fever?

There's also a condition called Irritable bowel syndrome; but see if food allergey first.

Best

My daughter has been having myoclonic seizure since she was 4 months old. She is 17 now and on carbamazepine 800 mg daily as recommended by a doctor. Has it no cure?

Xiadnat:


Hemoglobin of 12.9 should not be this symptomatic. I think there's other underlying issues. Obtain an ECG and get a cardiac exam to start with. I suspect cardiac arrhythmia. You can report back if you'd like.

helo dr, I have done the ECG test and I got the following results:RATE:99beats/Min. P-wave;Normal. P-R: 200mg.width:Normal.Axis;Normal. Q-T Interval:60/ms .T-Wave: T -wave inversion .and my B.P is 160/80. Though the doctor prescribed a drugs for me to bring down the bp. So ples with this ECG results what do u have 2 say

abayomi93:
helo dr, I have done the ECG test and I got the following results:RATE:99beats/Min. P-wave;Normal. P-R: 200mg.width:Normal.Axis;Normal. Q-T Interval:60/ms .T-Wave: T -wave inversion .and my B.P is 160/80. Though the doctor prescribed a drugs for me to bring down the bp. So ples with this ECG results what do u have 2 say

Is there a way you can post the whole of the ECG tracings, just block out your identifying information (name etc.)

I need to see the progression of the waves themselves. These numbers mean little. But, you are clearly on the border of tachycardia (fast heart beat, so you are correct in that). Your blood pressure needs to come down.

The questions now is what's causing this? Two things: thyroid hormone dysfunction or arrhythmia.

Tell me of what age you are? Any other medical issues or symptoms that you feel?

Go back to your doc, and ask him/her to get Thyroid hormone function tests; it includes: TSH, T4.

If you cannot post the entire ECG tracings, no problem. But, I would make sure that your doctor reads it properly to ascertain if cardiac arrhythmias of some sort present.

imagrg:
My daughter has been having myoclonic seizure since she was 4 months old. She is 17 now and on carbamazepine 800 mg daily as recommended by a doctor. Has it no cure?

I am afraid there is no cure. Once she has this seizure past childhood to young adulthood, likelihood of growing out of it gets slimmer and slimmer.

She will be on anti-seizure for life likely. Has she ever tried going off Tegretol for any significant of time? You could try going off the drug for a brief moment of time (albeit under strict watchful eye), see if she has seizure activity. If she doesn't for I believe 6 months at a time, then she may be able to staff off the anti seizure drug for life.

But, suffice to say, most people stay on the safe side by staying on anti seizure for life. Best.

Pls ooo Doctors in d house, i have a regular 30days menses, i did my last menses feb 26th, but since 3days ago i have being having a serious pelvic pains on both sides of my body with pains on my right leg ( esp on d ankle), my down stomach do make some murmuring noice once in a while. Pls i need ur advice. Thnks

Xiadnat:


Is there a way you can post the whole of the ECG tracings, just block out your identifying information (name etc.)

I need to see the progression of the waves themselves. These numbers mean little. But, you are clearly on the border of tachycardia (fast heart beat, so you are correct in that). Your blood pressure needs to come down.

The questions now is what's causing this? Two things: thyroid hormone dysfunction or arrhythmia.

Tell me of what age you are? Any other medical issues or symptoms that you feel?

Go back to your doc, and ask him/her to get Thyroid hormone function tests; it includes: TSH, T4.

If you cannot post the entire ECG tracings, no problem. But, I would make sure that your doctor reads it properly to ascertain if cardiac arrhythmias of some sort present.

I am 21 only

abayomi93:
I am 21 only

well alright. You have non specific and borderline irregularities in your ECG, but I cannot decipher what it means w/o the context of the ECG tracings and your complete personal history.

But, still go get those tests I mentioned.

Do you have family history of heart issues? Do you drink lots of caffeine beverages?

Just curious.

Best.

Dadsonval:
Pls ooo Doctors in d house, i have a regular 30days menses, i did my last menses feb 26th, but since 3days ago i have being having a serious pelvic pains on both sides of my body with pains on my right leg ( esp on d ankle), my down stomach do make some murmuring noice once in a while. Pls i need ur advice. Thnks

Are you sexually active? Get a pregnancy test if you are. Then tests for STD.

There's also hernia; in which case you either bear it or get surgical repair. But, that's after you rule out other things first.

Best.

Xiadnat:


well alright. You have non specific and borderline irregularities in your ECG, but I cannot decipher what it means w/o the context of the ECG tracings and your complete personal history.

But, still go get those tests I mentioned.

Do you have family history of heart issues? Do you drink lots of caffeine beverages?

Just curious.

Best.

Not realy,all I know is that my mother had hypertension but she was an elderly person.and she faced a lot of challanges while growing up that led to her hbp. Soo ar you saying that T.wave inversion is not that serious?. Cus the doctor I saw prescribed a B.P drug for me and I am getting better now. Can u name types of caffeine and soda drinks so that I can stop them comletely

abayomi93:
Not realy,all I know is that my mother had hypertension but she was an elderly person.and she faced a lot of challanges while growing up that led to her hbp. Soo ar you saying that T.wave inversion is not that serious?. Cus the doctor I saw prescribed a B.P drug for me and I am getting better now. Can u name types of caffeine and soda drinks so that I can stop them comletely

Ok. Just treat the high blood pressure then. Engage in healthy lifestyle: exercise, low fat diet. Any drinks that have caffeine in it especially those energy drinks as well as coffee itself.

T wave inversion may or may not be pathologic (problem), that's why I said I needed to interpret it within the context of your history and the rest of the ECG tracings. Since you are young and based on what you have said, I suspect it is not terrible.

Just take the BP meds; and stop caffeine if you take them, get your thyroid hormone checked. Then, I suggest repeating the ECG at some point the near future. Should probably also re-check your BP.

Best.

Xiadnat:


OK. If there is no blood in the stool, it's a better sign. It means it's not one of the infectious bugs that you need heavy duty abx to combat.

However, 3 weeks is quite a lot time to have infectious diarrhea unless you are being re-exposed. Can you think of anything that you have introduced into your diet or drinks that might contribute?

If it's infectious, you need too let it run it's course w/o antibiotics because antibiotics is just killing of your normal flora, making diarrhea worse eventually.

Other things to start thinking of is: allergy to certain foods, inflammatory bowel syndrome. I say, give this another week, if it continues or worsen, see a gastroenterologists. Make sure to replenish with fluid electrolytes, you are loosing some with the stool.

Best.

thanks doc, i did stool m/c/s in the result there was no ova,cyst or parasite seen, in the culture it yielded heavy growth of salmonella spp after 24hr., but in the sensitivity, it was sensitive to nitrofurentrin 4+., and cefixine 2+.,

hi doc plz waz d mst effective medicine to treat chronic bone infection which oozes pus.
is there any supplement or special food patients with such condition shld b placed on
tnks

drstan:
thanks doc, i did stool m/c/s in the result there was no ova,cyst or parasite seen, in the culture it yielded heavy growth of salmonella spp after 24hr., but in the sensitivity, it was sensitive to nitrofurentrin 4+., and cefixine 2+.,

You got stool culture like I asked in the first post. That's great.

Salmonella infectious diarrhea usually only lasts up to 7-10 days w/o antibiotics. Your diarrhea have lasted greater than that, perhaps you are being re exposed.

How is the diarrhea? I still do not recommend treating it with antibiotics unless you are really dying of diarrheal illness (like fever and severe abdominal cramp and decreased appetite and so forth).

Best thing is to investigate what you are eating/drinking that causing re-exposure, and end it.

Good luck

Destinygrl:
hi doc plz waz d mst effective medicine to treat chronic bone infection which oozes pus.
is there any supplement or special food patients with such condition shld b placed on
tnks

May I ask why you have chronic osteomyelitis?

Treatment is parenteral or Intravenous antibiotics. May try oral route as well.

No supplements, just eat well balanced diet comprising of proteins, good fats, vitamins: foods that facilitate would healing.

You need to find you a good 'wound care' specialists or your general primary care doc. health care personnel can do this.

Best.

@ Xiadnat, Are you sexually active? Get a pregnancy test if you are. Then tests for STD.
There's also hernia; in which case you either bear it or get surgical repair. But, that's after you rule out other things first.
Best.
Pls, i'm not that sexual active, what are the other things to rule out first?

Pls doc. Can clomid be used by someone with pcod?