DonCrust:
So nobody care enough to respond to my post? I guess I expected more than I could get from this thread.

Xiadnat:



Is she sexually active?

PeyButtons:


Yes married with a child

Xiadnat:


My policy is this: if are sexually active, a genital lesion of any kind is an STI until proven otherwise.

It could still be STI like herpes especially if it is painful.

Anyway, lets assume it is not STI;

If it is just pruritus (itchy), then try: applying cold compress/cold bath/cool water/ICE packs. Also, try anti-itch creams like 1% hydrocortisone cream (this is OTC in US), if low dose topical steroid doesn't work, then perhaps try stronger one.

But, best thing I can say is if this itch continues; see a gynecologist or a GP for a proper pelvic exam + or - swab. Has she ever gotten a PAP smear?

Best.
Xia, MD

PeyButtons:

Thanks for this. Please I'm awaiting response concerning the heat rash on my skin .ASAP.

johnkay1:
Hello my people, I will like u to help me out in this situation. My mother age is around 50 and she has high blood pressure which she has been managing with the help of vasopreen, folic acid among others, but just of recent now she started complaining of back pain with burning sensation. what may be the cause and what should we do now?

Doc. Xiadnat, please could you give an idea of what the sign +++ and ++, for example, after Ampiclox, under Sensitivity on a urine M/C/S result mean? Guidance will be appreciated.

Xiadnat:

It means the bug found in your urine is sensitive to the particular antibiotics.
Example: if the urine found Ecoli x10^5
And its sensitivity is listed as such:
Nitrofurantoin +++
Ceftriaxone ++
Amoxicillin +
Ampicillin -
It means ecoli found in your urine is more sensitive to nitrofurantoin then ceftiaxone etc and resistant to ampicillin.
Meaning:
Nitrofurantoin is your best abx to kill off this bacteria
And ampicillin will not kill it at all.
Hope it helps
Best

U1:

what of the situation where an antibiotic is listed as both ++ and resistant?

Xiadnat:


KK. I see we're going advanced microbiology....

Well,

usually sensitivity reports are not that ambiguous ( it's either + or -). So, the bug is either susceptible or it is not.

BUT!

In some cases, different STRAIN of same BUG can produce both + and - where by one strain in susceptible and one strain in resistant.

Case in point:

Staph aureus: there is MSSA (methicillin sensitive staph a.) and there is MRSA (methicillin resistant staph a.). But usually lab will just report it as either MSSA or MRSA not both. Enterococcus: there is VRE (vancomycin resistant enterococcus) and VSE.

It is also the idea behind influenza virus and why it is hard to establish a vaccine that is permanent 'cause the strain of virus changes year to year.

*Modified* : If both +/- are present on lab report, what this probably means is you have both resistant and susceptible strain of bacteria present. Therefore, the antibiotics in question can be used in higher doses in order to be bacteriostatic or bactericidal (balanced with toxic side effects).

Hope it helps.

Morrewhunmie:
good day doc
plz,m having some yellow patches like eczema at my back,not sure if its eczema buh I've used all sort of creams like acne away,funbact A etc buh its still dr.plz I'd like to know aw to treat it coz it prevent mi from wearing lowback tops.
2. I've noticed for some months now that my temperature is always high.how can I stop this n wats d cause?
thanks in anticipation of ur response.

Xiadnat:



First: since I can't see this skin lesions; it is hard to tell. Things it could be: some form of eczema, atopic or seborrheic dermatitis, psoriasis.

Yellow plaque sound more like psoriasis though, but it is not impossible for it to be something else though. Do you get allergies or are asthmatic per chance or anyone in your family?

I would first, keep skin area moisturized; get good moisturizer: Vaseline- cream based, not petroleum laden gel like one. Also, aloe vera, coconut oil/cream based, cocoa butter.

I would also go and get RX for low to mid potency steroid ointment or cream like hydrocortisone. There are other treatments but for more advanced cases.

Re High temp: go and get a basic lab work that includes peripheral blood smear; get tested for malaria and/or typhoid fever dear. And, then go from there.

*modified*:how high do you get exactly? Have you measured it with thermometer then or

Best of luck, do let me know how it goes....

Morrewhunmie:

its not really yellow like dt .....its looks like eczema,n I don't get allergies neither is dr an asthmatic patient in my family ...... tanks for d advice....will get back to u

Enenuegli:
Gud evening doctors in the house. Since I became conscious of my self, its either one illness or d oda. My mum told me dat wen I was still in d womb, she almost had miscarriage, she couldn't walk, still she gave birth to me wen I was 8month 2 wks. Since den, ve suffered from typhoid, pneumonia, malaria, ulcer, infections and kidney problems. Am always on medication. My question is, does my premature birth has anytin to do with my low immune system? And hw do I boost my immunity to be resistance to all des ailments. Even now dey said I have kidney disease and UTI, ve taken all manners of antibiotics, yet d pain is still der. Pls help advice me on wat to do.

Enenuegli:
But wat do I do about des kidney disease and Uti, it seems medications only suppresses the pain for a while.

delightful1:
Hello doctor Xiadnat, for a while now my throat is always dry and I have to 'clear' my throat like frequently and It's becoming annoying. Please, what could be wrong?

Xiadnat:


Do you take any medications or have any health conditions? Allergies? Any other symptoms?

Have you tried drinking lots of water?

Apart from ruling out other serious medical condition or medication side effect,

Hydrate, warm tea + honey, throat lozenges....humidifers

Best

itunu8:
helo doc. pls I need some clarification on this. I tested + to hepB (surface antigen).. so d doc told me to do.. liver scan, liver function test, and hepB envelop antigen (HPev) all the test came out normal, even the HPev came out negative.. the doc den confirmed that I am jst a carrier nd cannot av issues wt my liver neidr can I infect anyone nd dat it wilk go on its own. now my question is , I still am not convincd, am I supposed to b worried, is there sth else I need to do ...+ I have fatty liver, pls how do I cure this thanks in anticipation

temmytwity:
Doctors in the house I greet ooo,please my sis got married last year they started trying to get pregnant in Oct but hasn't been able.She complained that she usually feel itchy on the outer part of her Vagina,she told her hubby,he doesn't feel any itch,pain whatsoever, please advice on what she should do or what you think about the situation.