Vikkioshio:
Morning Dr.... Please I have peptic ulcer and it really disturbing on a daily basis, have tried omeprazole and gecrol suspension all to know avail. Please is there something else I can take, thanks in anticipation

OsinaAmaka:
Good day doc, and thanks for the good things you and your team are doing here.
Please Doc, my wife always take in anytime we have romance even without sex, this thing is really giving us problem, please is there any medication for correction of this problem, and what are they?

AmbulatoryMedic:



Hi
If all investigations are normal, I suspect it could be a kind of functional neurology disorder. This means although there isn’t any physical/structural cause for your symptoms, it could be due to how your body perceive sensory stimulus. It also doesn’t mean you are making things up.
If you find this debilitating, you may have to consult a neurologist with specialist interest in diagnosing functional disorders. You can ask around to see if such neurologist exists in Nigeria.

Best wishes

2Ballz:

Parthenogenesis has not been shown to occur in humans and certainly proven, an ordinary romance couldn't just have led to conception.

You may need to give us details about this romance of yours.If your detail of description does not involve an intromission by the penis into the vagina at any level, then there is more to your wife's pregnancy than you know.

OsinaAmaka:


The fact is that the first time i noticed it i resorted to using condom still it re-occured when i asked my friend who is a nurse, he said it was as a result of her body system, that any contact of the semen to her body will result to pregnancy. I felt bad and decided to contact the professionals here before visiting any Hospital. Thanks for taking your time.

AmbulatoryMedic:


Hi,
My advice will still remain the same as the one you attached. Every suspected STI needs full sexual health screen including taking swabs for gonorrhoea (especially to check for treatment resistance). Also from a medico-legal point of view, you would need to inform any other sexual partners and the need for them to be treated.
Regarding the urine issue with flow, you didn’t say how old you are ?. Could this be your prostate?. Things that point to prostate problems are poor flow, post void dribble, incontinence, hesitancy, increased frequency, blood in urine (haematuria).

Frezhkid10:
....Good evening doc..I went for urethral swab and it came out negative..the lab attendant asked me to do urinalysis and I declined since the doctor I saw at general hospital only wrote urethral swab..But since the first time I saw the pus when I was pooping, i have not seen it again..does that mean that my immune system has gotten rid of it??..or should I still do the urinalysis??

AmbulatoryMedic:


Hi,
If you don’t see the pus anymore it could be that your body fought it. It however doesn’t mean it has gone away forever. It probably would be a good idea to do a urine culture that also looks for STI organisms. You only mentioned having a urethral swab, did you get a swab of the pus itself? Or you just had a swab of the urethral meatus?

Frezhkid10:
..just a swab of the urethral meatus..the pus was no where to be found during the test..even after pressing my dick for some time..

ItrendNaija:
Getting the right professional help is important that's why FCMB is launching a Health Advisory Services tomorrow being Thursday, August 13, 2020.

https://on.fcmb.com/30HnRLF

AmbulatoryMedic:


Could be the muscles there as you rightly said, the muscles there are sternocleidomastoid And trapezius. but there are deeper ones like crico-pharyngeus, omohyoid etc and your symptoms could be a pouch somewhere there. Keep in touch as you planned.
Kind regard

AmbulatoryMedic:

Hi
Feeling of lump in throat is not an uncommon symptom. It could be caused by simple lymph nodes inflammation due to viral infection to thyroid problems or even issues lower down the oesophagus. It sounds unlikely to be cancer based on your age and absence of other risk factors (you haven’t mentioned any other symptoms, so I assume nothing else).
You probably will need a full throat exam for starters

ChybuzzDD:


Yes, you're right.
There should be a minimum of 4weeks between the first and second doses.
Confirm if there's no error in calculating the date given to you, as 17th of August should be the exact date.
Though they can argue a week difference does not significantly matter, but protocols should be obeyed.

MafiaCity:
Hello sir. Good morning. I went on the 17th August, that's yesterday for the second shot like you advised. The lady at the Primary health centre said I should come back on the 21st September for the third. When do you think is advisable to go for the third and final shot, sir?

ChybuzzDD:


The standard 3-dose regimen is given at 0 month(now), 1month after 1st dose, and 6months after 1st dose.
And the minimum interval has to be met for maximum effectiveness.
I don't know where the person giving it to you got his/her own regimen from.

The 3rd dose should be on Jan 17, 2021(6months from the first dose).
Anything from the 4th month(Nov 17) can be accepted, but definitely not Sep 21.

AmbulatoryMedic:
Do you need medical advice or treatment plans for any medical questions you have?

Schedule your one to one consultation at www.ambulatorymedicine.co.uk.
We provide quality medical services at an affordable rate to our patients and we have supported many people from Africa and Europe with our services. Our clinicians are well qualified to offer you value for your money.

2Ballz:

Tell them you want to have a test done to show or confirm egg of S. haematobium or even any of the S. species.
Preferably, Urine or faecal culture for the parasitic eggs. Usually microscopy. Easy!

A blood test may be done on your white blood cells for increase levels of eosinophils and basophils and a rapid urinalysis to rule out other causes. A confirm serologic test can be done in our Microbiology unit, Pathology in University teaching hospital.

Please see doctor for further help whether result is positive for S. haematobium or not should symptoms continues.

AmbulatoryMedic:
Do you need medical advice or treatment plans for any medical questions you have?

Schedule your one to one consultation at www.ambulatorymedicine.co.uk.
We provide quality medical services at an affordable rate to our patients and we have supported many people from Africa and Europe with our services. Our clinicians are well qualified to offer you value for your money.

ChybuzzDD:


The standard 3-dose regimen is given at 0 month(now), 1month after 1st dose, and 6months after 1st dose.
And the minimum interval has to be met for maximum effectiveness.
I don't know where the person giving it to you got his/her own regimen from.

The 3rd dose should be on Jan 17, 2021(6months from the first dose).
Anything from the 4th month(Nov 17) can be accepted, but definitely not Sep 21.

ChybuzzDD:


The standard 3-dose regimen is given at 0 month(now), 1month after 1st dose, and 6months after 1st dose.
And the minimum interval has to be met for maximum effectiveness.
I don't know where the person giving it to you got his/her own regimen from.

The 3rd dose should be on Jan 17, 2021(6months from the first dose).
Anything from the 4th month(Nov 17) can be accepted, but definitely not Sep 21.

Pasca07:
and this

ChybuzzDD:


Remind me of what your symptoms are.
Results only make sense when correlated with patient's clinical features