teekayo: Pls I need a PEP for a HIV exposure risk...it was yesterday (sat)...I think I need it latest tomorrow...PLS how and where can I get one fast... I'm in lagos. Thank you

Visit PEPFAR clinic in your centre OR any ARV center near you. I almost had needle prick when I was setting up IV line on my RVD pxt 2 days ago. Her vein was colapsed and very difficult to access. What saved me was that I double-gloved as well as my dry and rough skin. However, I took no chance sha. I immediately degloved and rinsed my hand vigourously with soap and clean water. I inspected the site and there was no point of needle prick. I Could not express any blood from the suspected site too. Then I put on another glove. Finished setting up the line and reported to PEP center in where I work. After thorough assessment, I told that there was no evidence of exposure. I was really scared!

@ACM...geez...thanks. Pls can you help me with an address/ phone no.... I know none for now. I hope to take my partner along for the test.

teekayo: @ACM...geez...thanks. Pls can you help me with an address/ phone no.... I know none for now. I hope to take my partner along for the test.

I'm in Enugu. There is a PEPFAR center in UNTH, Enugu

@ ACM...thanks... I'm in lagos...d only place I know of is LUTH... But my concern is if there would be a crowd and the availablility of d PEP at the place. That's why I'd prefer somewhere smaller and more direct (like d PEP centre u talked about)...know any or anyone I can meet in lagos tomorrow?...thanks once again

teekayo: @ ACM...thanks... I'm in lagos...d only place I know of is LUTH... But my concern is if there would be a crowd and the availablility of d PEP at the place. That's why I'd prefer somewhere smaller and more direct (like d PEP centre u talked about)...know any or anyone I can meet in lagos tomorrow?...thanks once again

Visit LUTH first. There may be many PEPFAR center scattered in Lagos. Just ask

@ ACM... I'd be there first thing tomorrow....thanks

Pls doctor I need ur advice I did hvs test and the result is pus cells:1-4/hpf ,epithelial cells:4-16/hpf,t.vaginalis: nil ,yeast cells++),growth of candida albican isolated after 72hrs of incubation pls what is the mean

Kayode 12: Gud day doctor wat cn som1 use 2 cure mouth odour?pls reply

Please read this article is has great tips to help with bad breath/mouth odour http://livinghealthyways.com/bad-breathwhat-you-need-to-k/

Pls doctor, i need an advice on behalf of a elderly man. He is in pain. He complains of abdominal pains, experienced blood in urine, once. He also complained of not urinating normally some times. He was on self medication when i met him and had to stop him. He cried he has been to the hospital, but they did not give him the necessary care. Pls, what could be the cause of these symptoms, because am afraid it could be kidney or liver defect. He's been on self medication even before these problem

Please help me, am having rashes all over my body......any solution pals?

Stevecares: Pls doctor, i need an advice on behalf of a elderly man. He is in pain. He complains of abdominal pains, experienced blood in urine, once. He also complained of not urinating normally some times. He was on self medication when i met him and had to stop him. He cried he has been to the hospital, but they did not give him the necessary care. Pls, what could be the cause of these symptoms, because am afraid it could be kidney or liver defect. He's been on self medication even before these problem

Your comment grabbed my attention. So I must give u an outright response.

In an elderly man who complains of abdominal pain(maybe flank pain), hematuria(blood in urine); there is only one diagnosis that I must consider first before others. That diagnosis is kidney cancer. In medicine, there is a triad for the diagnosis of kidney cancer. They are:

1. Flank pain

2. Abdominal mass

3. Hematuria.

These 3 symptoms must not be present in kidney cancer. Though they can also occur in kidney stones. But for the fact that he is an elderly patient makes kidney cancer topmost on my list of my differential diagnosis. I will advise that he visits a Teaching hospital to meet a urologist as soon as possible. Kidney diseases can be reversed if detected early. He's doing himself a major disservice by placing himself on self-medication.

Doctor please i need your help and advice. I want to take Silverstatin a slimming drug because i want to shed weight a bit please i dont know if it will be safe to do that because i will be starting my final exams in school next week and i dont know the pros and cons. Please doctor if the drug is not safe can you recommend a safer one cos i am too busy to excercise for now and please i want you to enlighten me more on how it works. Please reply its urgent...Thanks

winlvf: Doctor please i need your help and advice. I want to take Silverstatin a slimming drug because i want to shed weight a bit please i dont know if it will be safe to do that because i will be starting my final exams in school next week and i dont know the pros and cons. Please doctor if the drug is not safe can you recommend a safer one cos i am too busy to excercise for now and please i want you to enlighten me more on how it works. Please reply its urgent...Thanks

Do u mean "Simverstatin"?

Yes its simv... i didnt know that was the spelling someone told me its silva... Thanks please reply

Simvastatin just like every other drugs has its side effect. They are abdominal pain, diarrhea, indigestion, and a general feeling of weakness, joint pain, memory loss, and muscle cramps. It can also cause Cholestatic hepatitis, hepatic cirrhosis, muscle-wasting conditions(rhabdomyolysis), etc. It is mostly used in combination with exercise and weight reduction. You may not experience any of these side effects. I will advise u to delay its use until after your exams.

ACM10: Simvastatin just like every other drugs has its side effect. They are abdominal pain, diarrhea, indigestion, and a general feeling of weakness, joint pain, memory loss, and muscle cramps. It can also cause Cholestatic hepatitis, hepatic cirrhosis, muscle-wasting conditions(rhabdomyolysis), etc. It is mostly used in combination with exercise and weight reduction. You may not experience any of these side effects. I will advise u to delay its use until after your exams.

Now the aspect of memory loss got me scared i cant imagine myself reading and on getting to the exam hall i forget everything. I will delay its use for now. Thanks

Please doc. I easily forget, could you recommend a drug which i can take for it? And what cud be the cause?

achi_cares: Please doc. I easily forget, could you recommend a drug which i can take for it? And what cud be the cause?

It's against the medical ethics to prescribe for a patient I've not examined. Moreover, here is a medical advice thread. I suggest that u visit a hospital.

Dr. Pls I urgently need ur help. A friend of mine who's 2 weeks pregnant but wants abortion cos her boyfriend says he's not responsible.Could you kindly prescribe an abortion pill that you know she could use?For discrete purpose,you can e-mail the name @ supplanter25000@gmail.com. I shall be very grateful for your assistance

Thanks for ur concern to our health. A friend of mine needs ur help on the issue his organs' size is too small to his age. Plz help him

Doctor, my gulfriend and i r both "A.S" i realy love her. wat r my chances of escaping the impending trouble if i decide to marry her?
thanks in anticipation sir.

Supplanter: Dr. Pls I urgently need ur help. A friend of mine who's 2 weeks pregnant but wants abortion cos her boyfriend says he's not responsible.Could you kindly prescribe an abortion pill that you know she could use?For discrete purpose,you can e-mail the name @ supplanter25000@gmail.com. I shall be very grateful for your assistance

Seek for help elsewhere, sorry.

smartkachi: Thanks for ur concern to our health. A friend of mine needs ur help on the issue his organs' size is too small to his age. Plz help him

Be content with the size of your organ. Size does not really matter but performance.

KENNSAMMY: Doctor, my gulfriend and i r both "A.S" i realy love her. wat r my chances of escaping the impending trouble if i decide to marry her?
thanks in anticipation sir.

Mathematically, u have 25% chance of producing a sickler for every delivery. But life does not obey mathematical rule. So, I will advise u to call of the engagement and look for someone with AA genotype.

Hi Doc
I need ur help,am gettin married April 6 dis year and my monthly flow will start on d 5th
Wot can I do or wich drug can I use to avoid it disturbin my day for me and to forward it till one week or two weeks after??
Make d tin no con spoil Market for me

Chicolo: Hi Doc
I need ur help,am gettin married April 6 dis year and my monthly flow will start on d 5th
Wot can I do or wich drug can I use to avoid it disturbin my day for me and to forward it till one week or two weeks after??
Make d tin no con spoil Market for me

Use your sanitary pad

pls doctor a dude is having an inguinal hernia on his right side.it still a recduciable .. Is this disorder a dangerous ailment ? He is scared of surgery because of several complint he has read about post operation complications like damge to pelvis,spearmatic cord, recurrent of hernia and shrinking of mesh ... Pls doctor, advice on us on this..he is very scared of surgery ...

luvola: pls doctor a dude is having an inguinal hernia on his right side.it still a recduciable .. Is this disorder a dangerous ailment ? He is scared of surgery because of several complint he has read about post operation complications like damge to pelvis,spearmatic cord, recurrent of hernia and shrinking of mesh ... Pls doctor, advice on us on this..he is very scared of surgery ...

No need to be scared. He should arrange to meet a urologist in any teaching hospital near him. The success rate is high for herniorrhaphy in the hand of a specialist. He only have to fear quacks.

Doctor in the house can a nursing mother of a 4 week old baby take deworming tablet

@ ag - he had consult a public general hospital @ ajeromi ajegunle in lagos owned by lagos state govt.. Is it a good hospital ?.. Hw will someone knows a good surgeon..? The doctors in the aforedmention hospital told him that this is not the first time they are doing the surgery and that they do it almost all the time.. Pls is the aformentioned hospital good ? Pls enlight me more on this hernia because he is scared

@ acm - he had consult a public general hospital @ ajeromi ajegunle in lagos owned by lagos state govt.. Is it a good hospital ?.. Hw will someone knows a good surgeon..? The doctors in the aforedmention hospital told him that this is not the first time they are doing the surgery and that they do it almost all the time.. Pls is the aformentioned hospital good ? Pls enlight me more on this hernia because he is scared