Ok. Tanx doc marc.

agbeke58:
Ok doc marc. I did a urine culture test, i started medication abt three weeks ago 8th oct to be precise. Tanx.

Okay.

I think you're anemic or you have low PCV. You can get blood supplements(folate, vitamin C, calcium, and vitamin B12,). You'll be okay!

MumZ:
went 4 a pelvic scan 2day, n d sonographer said all was well n deer was noting wrong with baby, bt I was surprise 2 c on d result dat I was 34 wks gone n edd is early DEC instead of 37wks n my edd being 2nd wk in Nov. I'm used 2 seeing a week differences in dis results, bt I tink 3 wks difference is just 2 much. my doctor did a tummy measurement n concluded dat my baby was way past 36 weeks n I shldnt b worried. its really hard not 2 worry even though I read some sites dat gave some assurances. I'd like 2 know wat can cause such huge difference in d edd date. awaiting ur quick response.
@ Twichnnie I won't also mind if u ans dis.

Such disparity is owing to human error. It is either the sonography wasn't accurately done and interpreted, or your doctor simply over-assumed after he palpated, observed the fetal heartbeat, and measured your tummy.

I'll advise you go run a confirmatory scan and check your EDD at another diagnostic centre and see if it tallies with the former or the latter.

LuckyG1:


Sir,i am humbled by how your ways of rendering answers to questions of our women.Nice of you,thanks!

In respect to MumZ question,i would advice she worries little about her sonographical EDD,this is because sonographical EDD do show variability as the pregnancy progresses.I am not surprise that she might come to write another sonographical EDD from another diagnostic centre.But if you study these results you will understand that each of the records fall into a central tendency which can actually fall out a specific derivable average EDD.I do tell women to keep in mind all the EDDs shown and recorded to them and respectfully by mentality prepare for each day.Nevertheless,sonographical EDD at the early trimester (if done with least error) of gestation is more truer than any EDD gotten at the other trimesters.So the 1st EDD should be taken somewhat seriously.Now,as i usually may do for some confused cases of EDD,would be to calculate the average EDD for a preggy that has more than 3 EDDs.I will have a value that is close to all the EDDs,this insinuation has helped me again and again on attending to most women...

Marc9,i love your sense of view,hope mine is pardon?

One hand does not lift a pot of soup. It takes two hands.

Feel free to always chip in your view as well.

Well in regard to EDD, like I said, one of both medics erred or over-assumed. I don't know about EDD varying as pregnancy progresses. All I know is it takes 40weeks from the start of the last menstruation for a pregnancy to progress to a 'term'.

MumZ, can you remember the date of your last menstruation? If you can, I'll calculate your EDD, without a sonogram or palpation or tummy measurement.

MumZ:


yes o, Feb 8th, dats y I know dis last scan result is really off. all oda scan dates I got were all 2nd week in Nov, which I know is accurate, dis 1 just jumpd 2 1st week in DEC. like Lucky G said, I also read dat earlier scans r more accurate, bt I'm just worried cos of d 2 much time differences in d edd. my 1st child edd dates were all in dsame week. tanks 4 ur time doc.

Your EDD is 15th of November 2014!!!!!

Few ladies give birth on their EDD. Quite a lot of them seem to go into labour seven(7) or nine(9) days before their due dates or after their due dates.

MumZ, here's what your adorable baby now looks like.....

Hello Dr. Marc9, great job U̶̲̅ re doing here. Pls ℓ av a lot of challenges, my tubes are blocked as showed by HSG & d laparascopy & dye ℓ did av no effect on it, so my Gyne advise me to go for IVF. But ℓ still av other issues like high prolactin, low progesterone & oestradiol. ℓ am on Parlodel for d high prolactin, it has reduce from 90. 3 to 37.0. ℓ also took Fertility blend for 3mths ℓ just stopped last week wednesday. ℓ don't even see my menstrual period at all. ℓ had blighted ovum after d IVF in june, since den ℓ av not visited my Dr, ℓ just focus on how d prolactin will normal which I'm achieving. Pls Wɑ̤̥̈̊† can ℓ do to take care of d low oestradiol & progesterone?
Urgent pls.....

MumZ:


tanks 4 going all out 2 do dis, appreciate picture 2. I also ffg baby centre so I get d weekly descriptions. I've done about 5 scans b4 yestdy n all d edd dates given were btw 11th - 16th Nov, me no know where yestdy scan now came up wit DEC date.

Well things like this happen though. Human error. Maybe the sonographer was thinking about his rent. The landlord might have given him a sleepless night.

Well, just take it as an iatrogenic mistake and pardon him!

omedit:
Hello Dr. Marc9, great job U̶̲̅ re doing here. Pls ℓ av a lot of challenges, my tubes are blocked as showed by HSG & d laparascopy & dye ℓ did av no effect on it, so my Gyne advise me to go for IVF. But ℓ still av other issues like high prolactin, low progesterone & oestradiol. ℓ am on Parlodel for d high prolactin, it has reduce from 90. 3 to 37.0. ℓ also took Fertility blend for 3mths ℓ just stopped last week wednesday. ℓ don't even see my menstrual period at all. ℓ had blighted ovum after d IVF in june, since den ℓ av not visited my Dr, ℓ just focus on how d prolactin will normal which I'm achieving. Pls Wɑ̤̥̈̊† can ℓ do to take care of d low oestradiol & progesterone?
Urgent pls.....

The reason you're amenorrhoeic is due to the extremely low estrogen(E2) and progesterone secretion. There's a negative feedback in which an high prolactin causes the GnRH to decrease the production of estrogen(E2) and progesterone. Your prolactin level is still high. The normal range is 12-20ng/ml, and your level is 37ng/ml. It still needs to drop lower.

Your blocked tubes, was it stated that both tubes are blocked? Or just one? And also, was the site of the occlusion stated, if it's proximal tube blockage, mid-tube blockage, or distal tube blockage?! Did your gynae bother to find out the cause of the tubal blockage? Was it infection? Was it scarring?

Well, depending on the site of the blockage and the cause, the situation can still be salvage. Don't know if you've heard of certain procedures like fertility massage that help dislodge scars in the tube. Regular exercise also helps dilate the tube as blood vessels become hyperemic.

Add me up on BBM, so I can give more insight on this.

Marc9:


The reason you're amenorrhoeic is due to the extremely low estrogen(E2) and progesterone secretion. There's a negative feedback in which an high prolactin causes the GnRH to decrease the production of estrogen(E2) and progesterone. Your prolactin level is still high. The normal range is 12-20ng/ml, and your level is 37ng/ml. It still needs to drop lower.

Your blocked tubes, was it stated that both tubes are blocked? Or just one? And also, was the site of the occlusion stated, if it's proximal tube blockage, mid-tube blockage, or distal tube blockage?! Did your gynae bother to find out the cause of the tubal blockage? Was it infection? Was it scarring?

Well, depending on the site of the blockage and the cause, the situation can still be salvage. Don't know if you've heard of certain procedures like fertility massage that help dislodge scars in the tube. Regular exercise also helps dilate the tube as blood vessels become hyperemic.

Add me up on BBM, so I can give more insight on this.

I have 3 important questions
-does stage 4 leukemia have a cure
-can cancer spread from bone marrow to longs
what are the chances of survival

youngice:

I have 3 important questions
-does stage 4 leukemia have a cure
-can cancer spread from bone marrow to lungs
what are the chances of survival

Your first question. I'll say CLL may or may not be curable depending on its prognoses. But stage IV CLL has high risk groups and immediate treatment is required, because the cancer has progressed to other organs. At this stage, the person becomes anemic and thrombocytopenic.

Your second question. Yes CA do spread to other parts of the body. It's called 'metastasis'. CA can spread from the marrow down to the lungs, and when that happens, the condition becomes critical.

Your third question. Chances of survival depends on the nature of the treatment plan. But the rate hovers between 40 to 65%. But it all depends on treatment plan, and the metastatic progress of the CA

Marc9:


Your first question. I'll say CLL may or may not be curable depending on its prognoses. But stage IV CLL has high risk groups and immediate treatment is required, because the cancer has progressed to other organs. At this stage, the person becomes anemic and thrombocytopenic.

Your second question. Yes CA do spread to other parts of the body. It's called 'metastasis'. CA can spread from the marrow down to the lungs, and when that happens, the condition becomes critical.

Your third question. Chances of survival depends on the nature of the treatment plan. But the rate hovers between 40 to 65%. But it all depends on treatment plan, and the metastatic progress of the CA

OMG THIS IS BAD NEWS

youngice:
OMG THIS IS BAD NEWS

What's the problem? Are you the one with CLL?

Thanx marc9 for finding out time to reply us....recently I finds out that i can't breath normally like every other person, its like my nostril is not enough to take in enough oxygen even when i tried to, it seems difficult and i finds out that i breath heaavily and my chest pants like someone who has been running a relay race, is there any drugs to correct it?

leocolin:
Thanx marc9 for finding out time to reply us....recently I finds out that i can't breath normally like every other person, its like my nose is not enough to take in enough oxygen even when i tried to, it seems difficult and i finds out that i breath heaavily and my chest pants like someone who has been running a relay race, is there any drugs to correct it?

Leocolin, it's a cardiopulmonary congestion/discomfort.

I wish I can help with Rx, but I can't. Not here!

Marc9:

Leocolin, it's a cardiopulmonary congestion/discomfort.

I wish I can help with Rx, but I can't. Not here!

since u can't help me sir, what do u advice me to do?

leocolin:
since u can't help me sir, what do u advice me to do?

I never said I can't help you. I simply said I can't Rx here. But then, you can get peptol. It should help clear your trachea and ease your dyspnea

I had my child 2010 oct. After two years i started experiencing, pepperish feeling in my belly, from the neval to back waist, expecially two weeks to my menstrual period, yeast in ma v***na and still trying to concieve,

Can butt enlargement drug cause infertily?, eg: hip up

Godsbaby1:
I had my child 2010 oct. After two years i started experiencing, pepperish feeling in my belly, from the navel to back waist, expecially two weeks to my menstrual period, yeast in ma v***na and still trying to concieve,

Well, the infection likely explains why you seem to experince that symptom.

Have you treated the candida completely? Is your menstruation regular?

Marc9:


I never said I can't help you. I simply said I can't Rx here. But then, you can get peptol. It should help clear your trachea and ease your dyspnea

God bless u sir!. I will get it right away, but is it a syrup?

leocolin:
God bless u sir!. I will get it right away, but is it a syrup?

It's a mentol candy, shaped in tablet form.

Marc9:
Well, the infection likely explains why you seem to experince that symptom.

Have you treated the candida completely? Is your menstruation regular?

thanks for ur reply yes ma menses is regular every 26day, i treated candida 2005, it like it surface?,

Godsbaby1:
thanks for ur reply yes ma menses is regular every 26day, i treated candida 2005, it like it surface?,

Well, it depends. If you seem to observe whitish discharge with offensive smell, then it shows the infection is still active.

Marc9:
Well, it depends. If you seem to observe whitish discharge with offensive smell, then it shows the infection is still active.

, thanks, believe me it is odourless,

Godsbaby1:
, thanks, believe me it is odourless,

Ok.

Well, I think it's better you seek the help of a gynae. He'll get you examined and investigate the cause of your conceptual delay.

Marc9:
Ok.

Well, I think it's better you seek the help of a gynae. He'll get you examined and investigate the cause of your conceptual delay.

thanks, i will repeat, the third time, i visited last feb. This year

Godsbaby1:
thanks, i will repeat, the third time, i visited last feb. This year

I wish you success!

Marc9:
I wish you success!

Amen, i need that third child like yesterday, i love kids .........muuaaaahhh

Godsbaby1:
Amen, i need that third child like yesterday, i love kids .........muuaaaahhh

smile....

I understand. Maybe I can refer you to a gynae

Marc9:
smile....

I understand. Maybe I can refer you to a gynae

ok am waiting sir, like i ask can but enlargement cause infertility, i took some 2012, do u think i cud be d cause of the delay