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A Doctor's "Secret" Health Notes - Health (1) - Nairaland

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Re: A Doctor's "Secret" Health Notes by porto5: 8:48pm On Aug 08, 2010
Am a lady, d boils r strong n nt oozing out pores, its strong n very painful.
Re: A Doctor's "Secret" Health Notes by surgeon(m): 7:54pm On Aug 09, 2010
@porto5

Sounds like furuncles - they may form pus later. Furunculosis, is "boils" that are not yet "ripe" . If I'm correct, you need a course of anti-biotics. Did you shave recently? But alas! - this is all speculation of course. I can not be sure until I see it! Let your doc take a look.
Re: A Doctor's "Secret" Health Notes by nolvera(f): 8:22pm On Aug 10, 2010
Pls come 2 my rescue,i ve bin having virginal dicharge after taken'Dexacotin'.and i ve bin 2 lab which said i dt ve candidas.Pls ur advice is needed.
Re: A Doctor's "Secret" Health Notes by surgeon(m): 8:51pm On Aug 10, 2010
@nolvera

If it isn't a Fungal Vaginitis, it could be Bacterial or it could be Trichomona. Please direct your question to @kathyekiti on the Obst/Gynae thread or see your personal Gynaecologist.
Re: A Doctor's "Secret" Health Notes by yjay(f): 4:30pm On Aug 18, 2010
hello surgeon, i ve a question regarding the issue of boils as well, been ving on & off boils on my privates for weeks now, it just comes & goes, havent really done anything abt it, a friend of mine told me maybe its as a result of an infection, wat do u think? do i ve it checked out? i guess i havent done anything abt it cos it comes & goes, thanks for ur time
Re: A Doctor's "Secret" Health Notes by surgeon(m): 8:23pm On Aug 18, 2010
@yjay

Your boils problem is difficult to understand off-hand. Go ahead and do the check with your doctor. You are welcome anytime.
Re: A Doctor's "Secret" Health Notes by Ejadamen(f): 10:00pm On Aug 18, 2010
Hi Doc, this boils on privates is an issue. I know a guy who gets boils on his privates usually on the p e n i s just before the cap and/or on the area above the p e n i s where pubic hair is. The boils are usually pimple like,no pus,not painful,itches sometimes. Once in a while a boil with pus would appear and go. They come and go usually after a bout of antibiotics and application of antibacterial/antifungal cream. But they keep recurring. What could be the issue?
Re: A Doctor's "Secret" Health Notes by munagi: 2:25pm On Aug 19, 2010
Hi doc, I have been married for 4 years now without a child. My husband is okay. About 7 years ago I did this abortion that almost claimed my life, after that I noticed that my menstrual circle which normally last 4 days and very moderate not last up to 8 to 9 days and runs very heavily within the first 2-3 days associated with this killing waist pain.

Please what do I do. I am scared that my reproductive system was tampered with during this messy abortion.
Re: A Doctor's "Secret" Health Notes by munagi: 2:26pm On Aug 19, 2010
Hi doc, I have been married for 4 years now without a child. My husband is okay. About 7 years ago I did this abortion that almost claimed my life, after that I noticed that my menstrual circle which normally last 4 days and very moderate not last up to 8 to 9 days and runs very heavily within the first 2-3 days associated with this killing waist pain.

Please what do I do? I am scared that my reproductive system was tampered with during this messy abortion.
Re: A Doctor's "Secret" Health Notes by Nobody: 3:31pm On Aug 19, 2010
hi doc, pls what causes a person's body to shake.for instance, if holding a cup of water or holding a camera, he'll discover his hands are shaking. and also he gets tired too easily.note:he is AS.
Re: A Doctor's "Secret" Health Notes by surgeon(m): 7:15pm On Aug 19, 2010
@Ejadamen

If I'm reading you correctly, you are laying complaints on behalf of another's issue. Apparently this other person has tried antibiotic creams and antifungal creams to no lasting solution.

It's challenging to make an e-diagnosis more so for a second-hand reporting of a condition. The best attempt here for a lasting remedy to the other's problem is for him to task his doctor once more with a consultation.
Re: A Doctor's "Secret" Health Notes by surgeon(m): 7:25pm On Aug 19, 2010
@munagi

I promise you that if you invest time to both (you and hubby) see a qualified Gynae (and then quickly follow through with all required investigations they recommend), you give yourself and your husband the best chance at having a child. Time, otherwise, keeps going, and time is not a friend to your situation.

Ask yourself if you have done the advice, in it's exactness, in the last 4 years. Thoroughness with dealing with the Gynae is key. From my long experience, most sub-fertile couples give-up after part-dealing with the Gynae's management plan.

Stay focused and go now.
Re: A Doctor's "Secret" Health Notes by surgeon(m): 7:36pm On Aug 19, 2010
@yemium

Shakiness, or tremors, can be explained ordinarily sometimes as being caused by fatigue in the muscles of the particular limb, after some vigorous muscular activity e.g. changing ones flat tyre, etc.

Nutrients like Calcium, required for muscular coordination, are quickly used-up in explosive muscular excersice/activity which then manifests as tremors when activating such muscles lightly, soon after.

Having AS Genotype has nothing to do with any cause of tremors, I should say.

Disease of the Thyroid gland or the Brain-stem, or Nervous Disorders, has tremors as some of the manifestations.
Re: A Doctor's "Secret" Health Notes by Ejadamen(f): 9:41pm On Aug 19, 2010
Surgeon,thanks. I appreciate the difficulty of making an e-diagnosis. What kind of doctor will the guy go to? A general practitioner or a gynae
Re: A Doctor's "Secret" Health Notes by LAGOS1976: 2:44pm On Aug 22, 2010
we re listening.
Re: A Doctor's "Secret" Health Notes by surgeon(m): 6:58pm On Aug 22, 2010
@Ejadamen

I know the difficulties of seeing medical specialists in our environment. Especially for a non-life-threatening condition. Ideally he should see a Consultant Dermatologist - they handle all skin eruptions no matter what part of the body they occur, including Venereal Disease with skin manifestations like Syphylis, for example.

He can start again with a general duty doctor, such as myself. They have a broad enough knowledge to handle easily diagnosable conditions that cut-across the different specialties.

Not a gnyae, @Eja!  grin
Re: A Doctor's "Secret" Health Notes by Ejadamen(f): 11:32am On Aug 23, 2010
surgeon:

@Ejadamen

I know the difficulties of seeing medical specialists in our environment. Especially for a non-life-threatening condition. Ideally he should see a Consultant Dermatologist - they handle all skin eruptions no matter what part of the body they occur, including Venereal Disease with skin manifestations like Syphylis, for example.

He can start again with a general duty doctor, such as myself. They have a broad enough knowledge to handle easily diagnosable conditions that cut-across the different specialties.

Not a gnyae, @Eja!  grin
smiley smiley Thanks surgeon wink
Re: A Doctor's "Secret" Health Notes by uteh: 4:25pm On Aug 26, 2010
Hi Doc,

I had fibriod surgery sometime in May this year. According to the doctor after the surgery, apart from small ones that were attached to the uterus, the main one (which was big) was mobile (said it means it was just lying on the uterus without being attached to it). So with this, he said the internal wound or scarring was not much.

We have started trying again in July, but somebody said I should go for another HSG in case the surgery may have blocked the fallopian tube ( I had done HSG and other tests before the surgery and was confirmed okay, that its was just the fibroid that was causing the difficulty in conceiving). I want to know if I should go with this advise,

Thank you
Re: A Doctor's "Secret" Health Notes by surgeon(m): 8:12pm On Aug 26, 2010
uteh:

Hi Doc,

I had fibriod surgery sometime in May this year. According to the doctor after the surgery, apart from small ones that were attached to the uterus, the main one (which was big) was mobile (said it means it was just lying on the uterus without being attached to it). So with this, he said the internal wound or scarring was not much.

We have started trying again in July, but somebody said I should go for another HSG in case the surgery may have blocked the fallopian tube ( I had done HSG and other tests before the surgery and was confirmed okay, that its was just the fibroid that was causing the difficulty in conceiving). I want to know if I should go with this advise, am really keen on getting pregnant, cos am in my late 30s.

Thank you

@uteh

Don't listen to just "anybody" particularly when it concerns your life. HSGs are referred to medically as "invasive" procedures in that they entail introducing agents into the body system. As such, the decision to do such procedures comes after careful consideration by they that have all your data and know the reasons why.
Re: A Doctor's "Secret" Health Notes by Adonike(m): 2:19am On Aug 27, 2010
Good day Doctor surgeon,                     I had always been a fan of every of your thread and had discovered that you tend to proffer possible solutions to ailments and sickness with due seriousness. Infact, I must commend and comment by saying that you are a good man with a matured mind indeed.                      Doctor, there is this acute toothache that wont just let me be. It started as a tiny hole in one of my left molars later, develops into a big hole thereby making it impossible for me to chew without meticulous caution.                    I have tried  so many methods and ways made known to me by friends and families but the acute pain keep escalating from bad to worst and making me uncomfortable at every giving time.                    I would like you to wade into this and advice me on what next to do.                    Thanks.
Re: A Doctor's "Secret" Health Notes by diamond50: 9:09am On Aug 27, 2010
Hi Doc , i have Gynecomastia and i am a bit fat but not too fat i have tried aerobics exercise but it seems that is not helping it ,what can i do to get rid of it?
Re: A Doctor's "Secret" Health Notes by surgeon(m): 5:25pm On Aug 27, 2010
Adonike:

Good day Doctor surgeon,                     I had always been a fan of every of your thread and had discovered that you tend to proffer possible solutions to ailments and sickness with due seriousness. Infact, I must commend and comment by saying that you are a good man with a matured mind indeed.                      Doctor, there is this acute toothache that wont just let me be. It started as a tiny hole in one of my left molars later, develops into a big hole thereby making it impossible for me to chew without meticulous caution.                    I have tried  so many methods and ways made known to me by friends and families but the acute pain keep escalating from bad to worst and making me uncomfortable at every giving time.                    I would like you to wade into this and advice me on what next to do.                    Thanks.

I'm glad to be of help. It sounds like you have Dental Caries - caused by the decaying action of bacteria on the outer enamel of teeth and beyond, in the presence of certain bacteria.

Only one thing you can do for a cure - see a Dentist. Do quick before it gets worse.

diamond50:

Hi Doc , i have Gynecomastia and i am a bit fat but not too fat i have tried aerobics exercise but it seems that is not helping it ,what can i do to get rid of it?

Some men have the tendency. Weight gain, however, always plays a significant role in developing Gynaecomastiaover-development of the male bosoms. Forget using drugs - I don't know of any - and simply decide to lose weight and stay trim. Think aerobic exercises.
Re: A Doctor's "Secret" Health Notes by Angee4real: 5:54pm On Aug 27, 2010
Pls dr, i'm trying to conceive right now i went to see my dr and he told me to go for pelvic scan and this is the result. i want to know is there any time wrong.

PELVIC SCAN

UTERUS: An anteverted and normal size uterus. The cavity is empty, intact and regular. No evidence of intra or extra uterine gestation. No retained products of conception. Endometrial findings are normal. Myometrial architecture is smooth and homogenous. No fibroids uteri

OVARIES: Both ovaries are normal in sizes and stroma echogenicity. A 20mm follicular cyst is identified in the left ovary, right ovary is free.

ADNEXA: Bilaterally free. The salpinges shows nothing remarkable. Nothing in the pouch of Douglas

ABDOMINAL SCAN

LIVER: Normal liver spa. Hepatic parenchyma texture, biliary and vascular markings are normal. No focal or diffuse lesions.

No suggestion of hepatopathy e.g. Cirrhosis.

PANCREAS: Is normal in size, parenchyma and symmetry. No focal pancreatic lesion. No masses eg. Pseudocyst.

SPLEEN: Is normal in size and parenchyma. The splenic sinusoids are normal. No lymphoreticular changes.

GALLBLADDER: Has normal size, lumen and wall thickness. No gallstones

KIDNEYS: Both kidneys are normal in size, sinus and corticomedullary differentiation. No intrinsic and/or extrinsic renal masses. The renal collecting systems/calyces are not dilated.

ADRENALS: Nil abnormality. No adrenal masses.

VESSELS: The paracaval and paraortic regions are free. No aneurysms. No adenopathies. No ascites. No intrabdominal mass. Normal G.I.T. motility and gas pattern are noted.

Pls doc, with this scan result, is there any thing wrong with me, will I be able to conceive. Because I am looking forward to conceiving thanks.
Re: A Doctor's "Secret" Health Notes by surgeon(m): 7:36pm On Aug 27, 2010
Angee4real:

Pls dr, i'm trying to conceive right now i went to see my dr and he told me to go for pelvic scan and this is the result.  i want to know is there any time wrong.

PELVIC SCAN

UTERUS:   An anteverted and normal size uterus.  The cavity is empty, intact and regular.           No evidence of intra or extra uterine gestation.  No retained products of             conception.  Endometrial findings are normal.  Myometrial architecture is          smooth and homogenous.  No fibroids uteri

OVARIES:   Both ovaries are normal in sizes and stroma echogenicity.  A 20mm follicular cyst          is identified in the left ovary, right ovary is free.

ADNEXA:   Bilaterally free.  The salpinges shows nothing remarkable.  Nothing in the pouch of Douglas

ABDOMINAL SCAN

LIVER:   Normal liver spa.  Hepatic parenchyma texture, biliary and vascular markings are normal.  No focal or diffuse lesions.

   No suggestion of hepatopathy e.g. Cirrhosis.

PANCREAS:   Is normal in size, parenchyma and symmetry.  No focal pancreatic lesion.  No masses eg. Pseudocyst.

SPLEEN:   Is normal in size and parenchyma.  The splenic sinusoids are normal.  No lymphoreticular changes.

GALLBLADDER:   Has normal size, lumen and wall thickness.  No gallstones

KIDNEYS:   Both kidneys are normal in size, sinus and corticomedullary differentiation.  No intrinsic and/or extrinsic renal masses.  The renal collecting systems/calyces are not dilated.

ADRENALS:   Nil abnormality.  No adrenal masses.

VESSELS:   The paracaval and paraortic regions are free.  No aneurysms.  No adenopathies.  No ascites.  No intrabdominal mass.  Normal G.I.T. motility and gas pattern are noted.

Pls doc, with this scan result, is there any thing wrong with me, will I be able to conceive. Because I am looking forward to conceiving thanks.


I'm glad you did as your doctor suggested. I've read through the scan results and nothing abnormal was found. Now go ahead and see your doctor; only he knows your total picture.

However take not of this:

1) You ask if you will be able to conceive. My answer is, yes, very likely, as is the case with most women without any medical problem found.

2) A normal scan finding doeasn't necessarily mean there is no abnormality. It means that within the limitations of the ability of "scan" to show-up certain details, nothing abnormal showed up. A normal pelvic scan will not, for example, show blockage of the fallopian tubes, and so on. The physics behind a scan cannot show all things.

3) Therefore, it is your doctor, who has clerked you, that knows much mor than just one investigation such as "scan" can reveal.

4) So, go ahead with your doctor and never make conclusions yourself. Ask him questions. Never assume that a "test" that says "nothing seen" means everything is revealed.
Re: A Doctor's "Secret" Health Notes by Angee4real: 12:00pm On Aug 30, 2010
Thanks Dr. i will do as you said.
Re: A Doctor's "Secret" Health Notes by zahealer(f): 1:25pm On Aug 30, 2010
Sensitive Calf

Hi doctor,

Welldone for all the good work you are doing Nairalanders. Please help diagnose this health condition: My left calf is very sensitive to cold air. Even when I sleep and my body temperature drops, the left calf begins to ache and it doesn't matter how deeply asleep I was, the discomfort wakes me up until I wear a calf support to warm it up. I dont have this problem at all once the calf support is on. I'm really worried because last nite because the ceiling fan was on in my room and didn't have d calf support on, I felt a drilling pain in my calf bone. It was very sharp and I had to get up immediately to wear a thick calf support. I don't like this situation at all and its getting embarassing as it happens, even in the afternoon, as long as I don't have the support on. I don't want to wear calf support all the time Kindly help please.
Re: A Doctor's "Secret" Health Notes by surgeon(m): 7:26pm On Aug 30, 2010
zahealer:

Sensitive Calf

Hi doctor,

Welldone for all the good work you are doing Nairalanders. Please help diagnose this health condition: My left calf is very sensitive to cold air. Even when I sleep and my body temperature drops, the left calf begins to ache and it doesn't matter how deeply asleep I was, the discomfort wakes me up until I wear a calf support to warm it up. I dont have this problem at all once the calf support is on. I'm really worried because last nite because the ceiling fan was on in my room and didn't have d calf support on, I felt a drilling pain in my calf bone. It was very sharp and I had to get up immediately to wear a thick calf support. I don't like this situation at all and its getting embarassing as it happens, even in the afternoon, as long as I don't have the support on. I don't want to wear calf support all the time Kindly help please.



I must admit I'm a bit at a loss here as to what the problem could be. I'm thinking Intermittent Claudications if indeed the pain is in the muscle bulk, though you said the pain goes to the bone. Intermittent Claudication will arise from sluggish blood-flow within the muscle and could be as a result of a vascular (arteries and veins) problem.

If it were an acute muscle spasm ("muscle pull"wink, you would have said so because this is quite well known, and increasing Calsium intake in the diet or Calcium suppliments (tablets) would be of help.

Whatever the case may be, particularly if the pain goes deep to the bone, I suggest you get a referral to an Orthopaedic Surgeon - don't be alarmed - this specialist handles mild conditions of the musculo-skeletal system that doesn't require bone surgery necessarily.
Re: A Doctor's "Secret" Health Notes by allycat: 7:34am On Aug 31, 2010
Nice one doc. Im a medic myself and I am impressed.
Re: A Doctor's "Secret" Health Notes by adetunrayo(f): 11:06am On Aug 31, 2010
hello doc, nice work u r doing. pls i need ur advice, i feel my head is spining at times as if i want 2 collapse. it comes off and on.

thank u.
Re: A Doctor's "Secret" Health Notes by surgeon(m): 6:02pm On Aug 31, 2010
allycat:

Nice one doc. Im a medic myself and I am impressed.

Thanks. Put in a word or two if you please.

adetunrayo:

hello doc, nice work u r doing. pls i need your advice, i feel my head is spining at times as if i want 2 collapse. it comes off and on.

thank u.

I'm wondering how frequently they occur and if there are other associated symptoms present. Your age, sex, last menstrual period (if female), past medical record, etc.

It could be nothing, or anything from as simple as a sudden change in posture as being the cause, to an ear disease, high blood pressure, stress, etc.
Re: A Doctor's "Secret" Health Notes by judity: 9:59pm On Sep 01, 2010
my problem is i am 25,1.6m tall and weigh 53kg.i started my period when i was 15, since then my period has been very irregular,last year i did some an ultrasound and some hormonal tests and my results were-
prolactin-14.01ng/ml, Estradol- 91.7pg/ml, LH-32.06mIu/ml, FSH-9.518mIu/ml. the ultrasound-normal.the doctor prescribed microgynon 30 and vit e. for 3 months.While i was taking the drugs, my period was regular,but immediately i stopped, it has bin irregular since then sometimes not coming for like 90 days, but something remarkable is that since i stopped the pills, i always have a tingling feeling around my n.i.p.p.l.e. about a week before my period.
i saw my period last around middle of june and it lasted for about 7days which is quite abnormal,my period usually lasts between 4-5days.it also came while i was having the tingling feeling instead of 1 week after.Presently, i have noticed a brownish-bloodlike scanty discharge for about 3 days now.i am so confused and worried.pls help me.
Seeing a gynaecologist is quite difficult here and the tests also are quite expensive. thanks , waiting for your reply
Re: A Doctor's "Secret" Health Notes by nuga10: 9:30am On Sep 02, 2010
doctor,l ve a lot of black spots on my face,l ve used a lot of facial treatment bt it is still there and am light in complexion,l also ve this mucus like stuff in my throat,it's been there for a longtime now,l ve used antibotics bt it is still there,pls advice on wat l should do?

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