Pojomojo:
My husband Semen analysis results,

Please can someone help me with it

Time produced 4:30pm

Time received : 4:32

Time examined : 5:00pm

Volume 3ml

Color creamy white

Viscosity : slightly viscosity

Motility
strong( linear) activity 20%
Weak (sluggish) activity 20%
Inactivity 60%

PH 8.0
Epith cell nil
Pus cell 3-4
Rbc- nil

Morphology appearance
1% abnormal
99% Normal

Total sperm conc. 13x10 raised to power 6 cell/ml

Not so bad. Just improve further in counts and others may follow suit. It's all save the day.

iamfertile:
Good evening Dr. Pls, I want to know if tamoxifen has any side effects? I'm taken it for fertility cos I heard it work the same as clomid

Everything containing agents that affects the human body function has side effects, not saving Tamoxifen.
Where did you hear what you heard? From a doctor, a friend, an acquaintance or from the Internet?

It is great once more to have served in the way I can. I am also challenged somehow to know more and help more. This has so far made me to appreciate life the way I see it.
It is really not easy to diagnosed problems from far and so I am encouraged by everyone cooperative effort to see this effortlessly done.
I wish everyone a Prosperous New year, new life and a new health. However, should anyone still have some problem to which I am yet to do either due to human flaws or some insubordination,please just bring it up as I may find it hard to do due to time constraints. This is free, no cost attached.
Regarding privacy,, my signature is simply for all to reach out. However, it is not free. Charges are little and also payable. Thank y'all.

oluwaleokey:
Hi Doc
Great thread
God bless you for your selfless service

Its been very long i did press-up/push ups.
After a couple of it, i realized that i feel pain around my heart region 2 days later.
I thought it was nothing serious, i also discovered that this pain comes at night when i lie down or whenever i wake up mid night. I suspected it to be lumonia but then during the day i feel so much relieved that i will not feel anything until i go to sleep & wake up late at night. These have been the routine for like three days but on the fourth day, i discovered the pain has moved from the heart region to the opp. Direction, i mean, my back bone-spinal cord, just exactly the opposite of the heart. I became worried and the next day it moved from there to my left lungs, like left lower lungs while i simultenously feel minor pain on the heart region and the lung is more severe that i find it difficult lifting my left hand up while lying on the bed.

The next day
I visited the hospital and narrated my ordeal to the young doc on duty, he ruled out lumonia to be the culprit probably bcoz i don't have cough, suspected a muscle blah blah afterwards prescribed some drugs to take for like two weeks and if symptoms persist that i should return back.
I have been diligently taking these drugs till date infact the last intake is today however i still feel the pain only on the heart region.
I do all manner of stretching while lying down at nights, to see if it can ease the pain.
Please what exactly could be the cause?
Only at night
Only at night
Hmmm
Me never see this type
Make i leave village people out of this first

Age?
What were the medication given to you by the doctor?

Kingoftrust:
Doc please a friend of mine said his condom burst while having sex with a girl.... He didn't bother to change so he carried on, now he is experiencing rash and itch on Penis (said it has happened to him one time b4 this current one), itch on his navel and small painless lymph nodes on his groin and neck (the lymph nodes aren't visible but can be felt with ur fingers) he thinks he has HIV and is scared to go for test.... Please can u guess WATS wrong with him

I can't guess what was/is wrong with him. But I think it will be good enough to have a trial knowledge of this from the lab.
What have you guys done so far since on my not replying this post?

Didijiji:
Boss, please see the test result below..

Any cause for worry?

She Was asked to take more water and then do MCS

Kindly advise sir

Bilirubin is a breakdown product of porphyrin. It is brought about by lysing of the red substance that assist the oxygenation processes of the body. By natural distribution and way of excretion, Bilirubin shouldn't be in the urine, and usually when it is the abnormality should be diagnosed soon as possible.


Since Bilirubin was seen in the urine, it may also mean it should be high in the blood. The type of Bilirubin should be analyzed in plasma- conjugated or non-conjugated. This is very important. In furtherance to this, making assay for activities of enzymes specific to liver and gall bladder morphology is also good.

Whatever I may choose to do from here may determine all I have known from the former.
What was her complaint?
How old is she?

Elamin21:
Merry Christmas Doc, I do have waist pain sometime pls what causes waist pain?

Same to you, Elamini. Your having pains at the waist *sometimes* is a normal phenomenon being human. Causes are varied base clinically and normal. Should this waist pain persist especially with other signs and symptoms, please seek a doctor's help for a proper follow up.

Rilwayne001:
Doctors in the house, please what do you have to say about the aftermath of ILEOSTOMY?

What do you really want to know after an Ileostomy is performed?
Your thing of interest will prevent my writing a whole paragraph and yet nothing is said across to you.

What do you want.. to know?

onos217:
Thanks for the reply. Apart from the ringing,I feel dizzy,high body temperature and cartarrh.
After treatment it just goes back to it usual pulsating beat. Sometimes it get intensely disturbing.
But I've sought the service of another ENT specialist. Give drugs to use and report back in 3weeks time.

Okay.

All the best.

edimalo:


Thanks for your reply.
The size of the boil increased a bit and it's painful when I press and sit down. That's what I noticed. I'll do all what you said. What can I use to reduce the size of the boil and stop it from increasing. Thanks

Don't bother about the size for the now, just do as advised at least 5-7days.

Sellout:
he was that it was a small bacteria that just present and gave me some drugs. Thing is I still feel itchy sometimes in my groin area and then my pee color is still very yellow

You did a stool examination, and a plus of Entameba histolytica was seen. Was stooling part of an early to the present?
What were your early symptoms?

edimalo:


I took the injection to treat an infection. The boil is where the injection was given. in one place but not spreading. Though can't see on the skin but can feel it.

If
1) the size of the boil is not increasing...
2) the pain about the boil is not worsening...
3) boil size not spreading...
4) no red or black formation around the region of complaint...
Then you really need not do anything as the boil will go on it own. Just keep on applying a warm compressor on it instead of a cold type. Do this for at most 10days, if no change report back to your doctor or...me.

Sellout:
this were the result of the test.

Did you present this result before a doctor? What did the doctor say?

onos217:
Hello Doc, I'm suffering from a condition called tinnitus. Tinnitus is a non-auditory, internal sound that can be intermittent or continuous, in one or both ears, and either low- or high-pitched.

There's a constant sounds in my right hear just like heart beat.

I read on it and I learnt it has no cure and can only be managed.

Ive been to hospital and I have parted with money I should have invested in some other things but no solution.

I want to find out if there's anything else I can do. Or any drug you could recommend for me.

The continuous sounds is affecting my concentration and giving me sleepless nights.

What were the investigations you have done so far on it?
What medications have you been so far on?
Have these medication been anyway helpful?
Do you find this condition worsening after every treatment?
Apart from the ringing, what other condition /signs/symptoms you may want to share with me?

Lunah:


Thank you.
So no need for PEP?

PEP?! You have started well on it by just being awared of it and the rinsing and sanitising of the limbs that came aftermath.
Get to know the sample you dealt with and the content that was analyze or screened. If you can't, you make reach out to the medication prescribed to her and linked it up to the various viral condition that any of them could be used for. Make a search of your finding as regards to: major route of transmission, incubation, symptoms and even treatment.
This will make you to know much about what you were being exposed to and decision next to take on it. For the now should we are wrong, ensure to monitor yourself, apply normal operation activity protocols with yourself, colleagues and patient to avoid a spread of the unforseen.

edimalo:
Hello Doctors,

I took some injections last weekend and I'll feeling some boil in my buttocks. Though not on the surface. I've put ice blocks on it as I was told but still feeling it. What can I use. Is it abscess and how do I treat it.

Thanks

Where did you have the injection?
Do you have the boil where injection was administered (buttocks)?
What condition had you to take an injection?
Finally, is the boil growing in size or is it spreading out though small in size?

ojoh002:


Thank you sir,

I have been on medication for the past years, test like TB (3), x-ray (2), blood samples have been taking for testing, I have undergone treatments like Asthma, allergies, reflux disease all of this at the general hospital.

Symptoms - http://laryngopedia.com/sensory-neuropathic-cough/
https://www.bastianvoice.com/video-gallery-of-throat-disorders/cancer/coughing-that-wont-go-away-sensory-neuropathic-cough-part-2/

This is just a personal research i did for a person who has been coughing for years, no weight loss, good immune system and one thing is i still sometimes have cough and Carter + the coughing.

I am only asking to know? I cough at any given time.
And i don't think this medicine is sold over the counter (Amitriptyline, tramadol, Gabapentin)

Alright. Can I know the medications you have used so far?
Did you find relief in any of them?
Apart from cough and catarrh, do you have any other symptom I should know?

Flamezzz:

I spoke with the doc that treated me the last time, he sent me these drugs to buy.

CAP OMEPRAZOL 20MG BD for two weeks, SUSPENSION POLY GEL 20MG BD for one week.

What's your take on this doc?

Were these what he gave you on the first treatment?

Sellout:
Doctor please I feel movement or vibrations at different part of my body. I did get a Mouth action from a girl and I went to the hospital, apparently they did not find anything, after taking galic, the whole movement and vibration in parts of my body started, my pee is yellow infact I cant remember in the last 5months where I have had a clear pee, my penis itches me at certain time of the day, its frustrating. Please help me on what kind of drug or test to do.

I don't think the garlic is responsible for your complaint. What tests have you done so far?

Didijiji:
yes boss. I mean is it able to make one feel sick

For me? No!

Didijiji:
Hi Sir 2Ballz.

Thank you for all you are doing for humanity.

Please i have this pain at my upper back. It is centralized at the back sport but most times moves to the left side of the back. Then to the right too.

It hurts like it is getting to my head and often times, i desire to lie face down and have people match my back and i hear some bone sounds as they match like the sounds that come when i press singer joints.

I have tested fro H-pyllori and it isnt. Some say it is muscle spasms. I have gone for a physio session just once and got relief for just a day.

I am beginning to get worried

Just the upper back to shoulder pains?
Massage the region of complaint, does the muscle appear stiff?
Do you find nodding or rotating your neck difficult thing to do?

Didijiji:
Also please can Malaria test result of + make one sick

The tropics is an endemic zone for Malaria. It would be unfair not to have just a plasmodium spp in blood.

ojoh002:
I have had chronic cough for over 4 years now, i have also been treated for allergies, asthma and acid reflux over the years.
Today i was going through the internet and find SENSORY NEUROPATHIC COUGH which kind of feet in for me, but one of the drugs use for the treatment is Amitriptyline (this is a depression drugs), How do Amitriptyline works for SENSORY NEUROPATHIC COUGH.

I will answer your question soon as you answer mine.
You have had a chronic cough for 4years, why haven't you seen a doctor to know what could be wrong anywhere?
What are the symptoms of Sensory Neuropathic Cough that so much suits your present predicament?

Lunah:
Hello Doctor.
I need your advice on this.
A patient came for her antiretroviral drug refill. I collected her folder and got stained with her spills of her blood from the folder has she just left the lab were she went for a test.
Went I noticed, I washed my hands and used a hand sanitizer.
Told my colleagues what happened and they said its no big deal. Truth is I'm worried.
What do you think?

Though by training one is to presume all samples from a pathologic lab are infectious,if the stain on you were for a short time or immediately seen after the mishap and a proper rinse was done, you really have nothing to worry about especially if the spilled weren't on an injury or lesion on your skin. It is not easy for viruses to surpass natural barriers in a jiffy, except for a rough edge a virus will bail out.

Just be careful next time.

Nancystan:
I'm 37+4 with no sign of labor though I do experience cramps that comes n goes in a short while doc said by 37weeks is okay for a twins to be born to avoid complications he did membrane sweep to kick-start labor yet no labor
I'm really worried

First thing first, you must need know from your doctor if the babies are doing okay. Thats what matter most for the now. If your babies in utero are doing fine you should be rest assured that it will only take some days to week to have them out provided your EDD is properly approximated. Talking about your EDD, kindly make a rough catch of when it should be just to know if you haven't been erring on it. Should it is okay especially from your doctor's perspective then you still need to be relax.
Some delay happens with no special explanation to it. I would advised you stuck with your doctor's plan till at most 1-2 weeks for something to happen, else other choice of management will be up headed for you.

freddywells81:


Thank you for the quick response and analysis, doc. I understand clearly now. Since the medications are alright ,then he only needs to wait it out till it clears...which combination sir? I Only asked ,in case we are not on track ,hence time taken. Thank you once again

To treat a non-complicated Gonococcal urethritis with combination of Ciprofloxacin, Doxycycline and then Metronidazole is just an exhibition of poor antibiotics stewardship. Also, it is not reasonable enough to put in prescription both bacterio-statics and -cidals even though the end justify the means.

Wizdray:
Thank you Sir

Can't really say the exact age but its been years. By April next year, I will be 26. Maybe 16, can't say for sure

Hmm, am allergic to cold, dust, and excess fan (always notice the swell becoming bigger and headaches somehow increases whenever am under fan). And seconds under sun usually make the headaches condition worse

Consider this as a management and shouldn't substitute your seeing a doctor for proper review. With respect to all the facts you have so far presented, I would advise you to seek a doctor's prescription to:
1) Corticosteroid spray: to manage your allergy.
2) Antihistamines
3) Antibiotics
4) Use of Acetaminophen.

Your condition will improve with a combination of any three from these four.

You may need to:
1) Learn to keep a dust free environment.
2) Put on a nosemask should you find yourself in a dusty environment.
3) Take warm bath especially in the morning.
4) Reduce your use of fan
5) use a warm compressor on face, apply gently to avoid causing you pains. I would advice a paracetamol is used before doing this or even after the spray.

freddywells81:
Hello docs , I have a cousin(male ,28) experiencing gonorrhea( a milky coloured pores coming from the tip of his sex organ anytime GE presses it). So, we believed it to be gonorrhea..he called me yesterday that he is still experiencing pains(not like it was earlier though) since a week ago. I asked him what he's been using and he sent via SMS :
Ciprotab 500mg ;
Doxycycline ;and
Metro ;

The above-listed was suggested to him by his friend that had experienced it.

But just started using them 4-5days ago.

According to quite a number of friends , "Gonorrhea is not a big deal ."

Is gonorrhea supposed to be this tough OR it's a normal proceeding and that he should give it time ? Is there anything he has left out or leaving out of the combination to aid his quick relief?

Neisseria gonorrhea the causative agent to Gonococcal urethritis is a tough one on males. That organism understood how lengthy the male urethral is, takes time to narrow it over and causes pains on the neck of the bladder.
When it gets to the female and couldn't find same urethral length, it got angry and turn over to her fallopian tubes. So, females never cry like babies on trying to pee like the males.

Though the medication are alright, why the combination?

Flamezzz:

I understand doc but I still ask will this ever get better?

And smoking includes weed right?

By all consultation, if you treat it very well following course and duration, it will get better.

Avoid all forms of smoking(act).

Wizdray:
God bless you sir

Not really. Last time I took drugs was around April and the swollen part is still there plus headaches and nostrils pain. And catarrh isn't frequent as before. Please what can I do to these headaches and nostrils pain. I only feel normal for five minutes whenever I woke

At what age did you start experiencing this?
Do you have problem with allergy?
Rather, list those things you are allergic to.

Like, do you observe that certain things or environment could worsen your catarrh drops and the face pains?

Wizdray:
Colour: yellow with very bad odour oozing from right nostril. I only have experienced that for like three times and I was treated for it each time. And its been awhile since those occurred, infact its been months I've had those discharge

Congestion? The Nasal passage have been swollen for a year now and its visible. Whenever I slept and woke, always noticed it looked bigger but reduced as times goes on during the day

No, no difficulty in moving food

Right now, always feels pain/headache in my head, pain both outside and inside my nose, tiredness, I've fell like couple of times without being pushed, weak body parts. My main concern now is the brain and headaches

Have you being using antibiotics and pain relievers as part of management?
If yes, did you experience relief on using the antibiotics?

Flamezzz:

I will do as you suggested but will this ever get better?
I'm tires of taking antibiotics.

Which do you prefer:
That you treat very well and improve prognosis or get tired and allow it predisposed you to gastric carcinoma or even lymphomas?