Pamelayoung:
I have been having this serious pain on my lower right abdomen whenever I take anything sugary. What could be the cause?

Could be few thing’s. Constipation could be one of it as the most benign cause to possible malignancy

Junnior:
Greetings to the generous doctors!

Please I have been having this recurring malaria symptoms for almost a year now.

Catarrh
Fever
Muscle/joint ache
Migraine
Fatigue.

I have been to the general hospital and the docs prescribed some malaria drugs. The last time I was there, I got some drugs and it seemed to work as I got some relief for about 2 months. But now the symptoms are back again.
It is really messing up my life. I'm gonna have an extra year in school because of it.

What should I do please?
Cc ParadizePriest, AmbulatoryMedic, etc.

Hi
Resistance to antimalaria is quite common. Intermittent fever is common with certain strains of malaria. The best way to know is to do resistance testing of the particular strain affecting you if indeed you have malaria

jamesbridget13:
Doctor Biko don't abandon this thread. I for one know how busy you all can be but pls remember this thread in ur leisure time



I am bothered n I need ur advice. .me hubby has been complaining of pain in his anus recently. I even told him if he is sure it's not pile? But he quickly said it's not so I concluded it would be d ginger he had been chewing of late.


So just this morning he told me while taking his bath he noticed a growth in his anus n he is now believing d pile I once suggested could be d problem


My problem now is that is it only through operation that pile can be cured permanently?
If yes, is it a minor or major surgery?
If no, pls which other option do we have?


Pls doctor help a troubled wife

Hi
It depends on the grade of pile. Medical management are tried first. Surgical management varies and can include cautery, haemorrhoidectomy, ligation etc. It can be commonly done under local anaesthetics so not major procedure unless coexisting problems that can complicate things

LOquence:
Please doctor what can you recommend for external hemorrhoids(pile)that started two days ago. Any cheap and affordable medication would be very much appreciated.. Thanks

Hi
Prevent constipation by increasing dietary fiber or laxatives. If painful defaecation due to haemorrhoids, you can ask your pharmacist for eg scheriproct suppository or any combination with lidocaine/steroid.

We are still open for 24/7. Check out www.ambulatorymedicine.co.Uk for your affordable quality medical advice.
Our patients have never been disappointed!

Gokemranonymous:
Please help me translate, I went for liver test, after being diagnosed of hepatitis

Hi
This is very faint to read. Please upload a more clearer one. Did the test requester not interpret the result for you?

naijaboy756:
Hello Able Doctor,

Please help on;

1.Back pain radiating to neck and shoulder
2.Flashes of hotness of sole of feet and fingers
3. Numbness of right thumb and some fingers
4. Loss of balance when walking and like limping on the left side,structure issue

Hi
Any weakness at all?. What’s your occupation?. What’s your dominant arm?Your symptoms is consist with radiculopathy. If you are losing balance, it could also point to problems in your brain. You haven’t told us about your past medical history. Do you have diabetes or malabsorption problems?. First step is physical examination, bloods,MRI brain/spine

demigodd:
Hello Doctors in the house.
What supplement or drugs can I take to increase my appetite? I hardly eat. Most times, I eat very little food, usually once a day. What can be recommended for my appetite to increase?

Hi
Why do you think you don’t have appetite?. Any problems with swallowing food or tummy pain?. Are you depressed? Do you have eating disorders?. Do you have any cancer?. Can you afford food?. Can you smell food?. The treatment depends on the cause

Challypresh:
firstly I'm happy I was given this wonderful opportunity to lay my health issues n looking forward for solutions here.
I'm very grateful for that.

I'm Precious by name from Nigeria. pls I have been having pains at my left side of my abdomen, then I went to hospital, I was told by the Dr to do scan n it was confirmed that I have Ovarian cyst
pls what could be the cause?
And pls Any natural Remedy for it.
thanks n God bless you all.

Hi
Ovarian cyst is common. It is commonly hormonal with more serious causes including endometriosis, ovarian ca etc. More often than not it does spontaneously regress. If causing symptoms you will need to be referred to gynaecology. There are non surgical and surgical approaches that can be used

prinxwizard:

First of all let me start by apologizing for bothering anyone out there with this post, but the truth is I really need good suggestions. So please,I beg you all to help me out on this.
This started sometime last year (I think April). I had this ugly sexual experience with someone. Ugly in the sense that I started feeling sick after about a day or two. I developed symptoms of viral infection (flu, headache, body pains, etc.) coupled with mild burning sensation in my genital while urinating.
I decided to seek for help amongst my friends and was told to visit a hospital for lab tests to be carried out which I heeded to. To my surprise the doctor that attended to me waved away the idea of having a HIV test because 'the symptoms are not peculiar to HIV'. So I took the urinalysis test which she suggested. When the result came out I was diagnosed of gonorrhea and was given some prescriptions.
Fast forward, few weeks later the burning sensation and attendant scratching (lol) seized and I went back for retest which confirmed it has been cured.
All through this period I was experiencing some malaria-like symptoms (though I kept using over the counter malaria drugs). At a point I visited another hospital for a another lab test. This time I insisted on testing for Hepatitis A&B together with HIV test. The tests all came out negative, though I was advised to wait for a period of three months and get tested again for HIV. But along the line my health improved and I forgot about redoing the test.
Fast forward again, two months ago I started falling sick constantly and kept using over the counter malaria and typhoid drugs which rarely had any effect. Then, last month I started having some strange symptoms, which included chest squeezing and trouble breathing at times, panic attacks and serious burning sensations in my head- which makes me really uncomfortable, disoriented and confused most of the time.
So again I visited a laboratory centre and conducted tests for HIV, Hepatitis C, typhoid and malaria. In all I was told I had hepatitis C and prescriptions for treatment was given to me. I visited a pharmacist the next day and was billed for treatment.
The most confusing thing for me right now is the fact that the pharmacist concluded the treatments yesterday but I'm not yet fine as the burning sensation in my head started yet again last night to even this very moment. I feel like I'm losing it.
Please what should I do next
I'm sorry for the long story.........

Hi
Firstly it is rare for your symptoms to be due to your “recent” sexual exposure. You didn’t tell us if you have previous risky sexual behaviours. If you do then it could well be that you have suffered a complication from immunosuppression eg CNS toxoplasma etc. I think you will benefit from a holistic medical review.

Campd:



Good evening Doc, thanks for your kind response.. Pls, doc what can I do in regards to what you just said because I don't even know what route to take right now..
Should I run some test again or something like that?.

You might benefit from rehabilitation and repeat bloods. If your initial ct scan showed lymphadenopathy, you should ideally be under a medical team and there should be a plan in place for interval scan to make sure that it hasn’t progressed or nothing sinister is going on.

Campd:



Good evening Doc .. I'm sorry for the late response.. I'm getting use to this platform. Here is of the Abdominal CT scan below... On the 6th of August i was diagnosed of Sepsis with a very high fever which was treated with multiple anti biotic Meronem and some other type of anti biotics .. I had a little kidney injury , increased creatinine but was attended to.. The last FBC i did dat was around Oct all appeared to be normal range..
Ever since I have been experiencing serious weakness and dizziness.. I eat well but always weak... I don't know what else to do..

Hi
Sounds like your lymphadenopathy is reactive. This could be due to your sepsis. Your symptoms of dizziness etc may be in the context of post sepsis syndrome which can linger

hardeynhiyhi:
Hello doctor, please what does this test result says?. ESR is 06 from the pink coloured paper, but and as for the other white sheet I seem not to understand anything there. Please help out. Thank you

ESR is erythrocyte sedimentation rate and it looks at how long it takes blood to settle at the bottom of a tube. It is usually a marker of inflammation. Now, lab tests aren’t interpreted in isolation. Your requesting team will interpret it based on your clinical symptoms etc so it is best you check with them

MhisTahrah:
Thanks for the prompt response.I don't know how better I can describe it,there's no lump and I don't sweat very much.I noticed the ticklish feeling extends to my mouth, ear and neck region at times.

Not sure what it could be. It could be some sort of neuropathy if it is affecting your mouth, ears and neck. Otherwise it could just be something benign with no organic causes.!

MhisTahrah:
Hello doctor, I sometimes feel this ticklish feeling in my right axilla and it's uncomfortable and strange. What could be the cause?And what can I do to make it go away?

Depends what you mean by ticklish. Can you feel any lump in your armpit?. Do you sweat very much under your armpit?

ultra100:
Pls, Doctor in the house,what can I use for this tooth ache of my child.

Dental caries. See a dentist

Asaolu123:


Alright, I noticed I have up to 2 swollen lymph node on my neck for up to 2 years now, I've done HIV test on two occasions and it was negative and it didn't reduce neither is it increasing. So I was worried about it and I went to general hospital to lodge a complaint and I was told to go for that test. I'm 25 years old

For completeness you can check EBV/CMV, TB test, ANA/ANCA. Ultrasound of the lymph nodes.

Asaolu123:
Doctors in the help, could you please kindly interpret this lab result for me and give possible advice, thank you so much and God bless

Hi,
What was your reasons for doing the tests?. Blood tests can’t be interpreted without clinical details including your age and medical history. Anyway looking at the lab result it looks normal. Your ESR is probably normal for your age which is why results aren’t interpreted in isolation.

[quote author=ultra100 post=95578669][/quote]

Sounds like contact dermatitis. He can do allergy testing to find out what it is. For his current symptoms, he can try mild steroid and use emollient as soap substitute

Frezhkid10:
...please I need solution...please

Your symptoms could be suggestive of multiple sclerosis or some sort of demyelination. Is there a family History of such?.
You would need bloods including checking hiv serology, syphilis, hepatitis, haematinics, autoimmune profile, Lymes serology. MRI will provide evidence of diagnosis but you may also need lumbar puncture to confirm diagnosis.
I see where you physiotherapist is coming from. But you need to be careful about dexamethasone use. It is a very strong steroid which can damage the Tummy, cause brittle bones and even adrenal insufficiency if not properly weaned. You can discuss with your doctors about trying prednisolone to see if it makes any difference

ultra100:

The rash is a bit itching and is only at the neck region.pls,what can he use to clear it off

You didn’t answer any of the other questions I asked. It’s good to know about the full picture, not just looking from one angle

Topeayan1:
i was diagnosed with psychosis that was why i said misbehave. Please should i continue with the drugs. Am scared of Nitrazepam side effects due 8years prolonged use now. Am using half of it now. Am still cool with risperidone but am scared of Nitrazepam effects Thank you sir. I don't know the name of the psychosis but i was saying rubbishes and hearing a strange voice

Nitrazepam can be slowly weaned off and should be done ideally by the doctor who prescribed it. It can be dangerous if not done properly as it can lead to seizures, tremors, agitation etc. As a rule of thumb you will need to reduce your tablets by half every 4 weeks until you are taking the lowest dose which you can then use for a month and then stop. Avoid drinking alcohol or any recreational drugs if you do use it..

[quote author=forzarush post=95558979][/quote]

Could be polymyalgia rheumatica. See your doctor for investigations

ultra100:
Pls, dermatologist in the house.Please what rash is this.My neighbors has it and it's been reoccurring.

Not a dermatologist but trained in general medicine. Where else is this rash on the body?. Is it itchy?. Does your neighbour suffer from skin conditions as a child?. Any known triggers for this?. Any changes in soaps, clothing etc?..
The pattern of the rash is suggestive of psoriasis Or even contact dermatitis

Topeayan1:
Happy Sunday to you all, Please help me Doctor in the House

In my 300level i stayed with fearful University Professor. I lost her home Key and she gave me ultimatum of 3days to look for the key. I was looking for the key in anxiety and fearful ditto sleepless. After 3days i got the key . The next day i began to misbehave and i was taken to hospital in which i was diagnosed for mental disorder. I had chronic sleeplessness too that time .To the glory of God i was healed but place on drugs daily (largatin,Risnia and Nitrazepam). Two two dosages each then until it was reduced to half a risnia and nitrazepam now after 8years. The Doctor died last week . Please am ok now . I want to stop the drugs. Am scared about the effects of Nitrazepam have been reading 3days ago

Hi
You aren’t telling the full story but I suspect you were diagnosed with psychosis and you will need to tell the actual diagnosis.
Generally, benzodiazepines (nitrazepam) needs to be withdrawn slowly if taking for a prolonged period of time due to withdrawal effects. I suggest you speak with your Doctors if you are planning to be weaned off it.
You also take risperidone which can also help with calming you down. However there is probability for relapse if you don’t take your medications and you get stressed eg anxiety, physical illness etc

Campd:
Good evening Doc.. Pls Sir, I have this problem with my lower abdomen when I eat, it get bloated and feel discomfort. I did a CT abdominal scan only had Enlarged lymphnode.. I have been suffering this for the past 7 months now.. Pls Sir what do I do..

Hi
Kindly post the CT scan interpretation report. Lymph node enlargement on radiology scan is non specific finding. Have you had any bloods or any other investigations done?

forzarush:
Good evening ma'am/Sir. I had recurrent body/joint/muscle pain last year and later had a piercing pain in my right chest and after several diagnoses and investigations I was finally diagnosed and treated for Angina. I also developed painful abscesses/lumps (without mucus in them,just blood) on my butt cheeks and was referred to the SOPD for probable surgery which didn't happen as the abscesses. started dissolving. I still have a. little left.
Recently,I've been battling with the pains again and diagnosis is tending towards Fibromyalgia. The pain is often terrible,keeps me up in tears , makes it hard to sleep and distrupts my productivity. I need help please!

Hi
You are describing multiple symptoms which can’t be linked together. Which pain are you feeling at the moment? Is it your angina pain? Rectal pain?
Fibromyalgia is not a diagnosis that is easily done. It might even be difficult to differentiate from chronic fatigue syndrome/polymyalgia rheumatica/depressive illness or chronic pain due to other diagnosis.
Who gave you the diagnosis of fibromyalgia?. If you have been diagnosed with it, then the doctor should have given you management for the condition.

Kissmalips:
Evening o
Pls I av a reoccurring ear problem. It gets blocked nd itchy. Nd there is dis humming sound
Av used antibiotics nd eardrops. Help is needed ejoor

Has anyone ever looked into your ears?. Your symptoms is called Tinnitus and it has numerous causes. Ear itching also has many causes ranging from skin problem to problems occurring in the ear canal. First step is to get ear examination, if wax still present you might need ear suctioning

cletz991:
am very much attracted to my partner we have been together for 4months now and it has been wonderful in bed not until 3 weeks ago when i started noticing this.i do a stressful job am a salesman which involves driving and selling all day but I have been doing this for 2years now.as for medical history I was asthmatic before wen I was a child,I overgrew it and my last blood pressure reading was 140/90 that was 2 weeks ago.Also during this period I loss appetite,I stool little I lost weight.its all so confusing

I suspect your symptoms are stress/Anxiety related. can also argue some features of clinical depression. weight loss, appetite loss and what sounds like erectile dysfunction is probably anhedonia which is when ppl start losing interest in what they previously enjoy.
Your BP is abnormal for your age and anxiety can drive it.
In saying that it is clinically prudent to rule out organic causes. You can start by checking your blood sugar, kidneys and liver function. You need to speak to your work Human Resources or work counsellor regarding your stress levels. If you have a home blood pressure machine, check your BP twice in the morning when you wake up, one hour apart and twice at night one hour apart. Do this over 4 days to determine a trend.

Aspiregreat:


1. At the middle region, occasionally shifts to the right side
2. Nothing yet
3.Never smoked all my Life, I'm 26 yo
4. No heart problems.
5. Yes please, switches from mild to severe. It's now accompanied by a severe headache.

Thanks.

Based on your age, normal cxr, absence of heart risk factors. Your symptoms is most likely MSK/ costochondritis . This occurs when there is an inflammation of the muscles/cartilage around the chest.

cletz991:
Good morning house
I am a 29 years old man and since the past 3 weeks my sexual performance has been so low which is unlike me.i hardly have morning erection and when I want to have sexual intercourse with my partner my erections are weak.i have never felt this way before .Any help Doc?

Tell me more about your history. It’s highly unlikely to be an organic erectile dysfunction. Are you attracted to your partner? Are you stressed?. Any problems with nerves? Any relevant medical history?

Aspiregreat:
I'm having having this pain on my chest especially the left region. Started last year, I visited my doctor then who suggested take a chest x-ray, went for an x-ray and everything seemed fine according to reports. Drugs were prescribed and I left. However, the pain continued but faint. But recently have been a huge discomfort. Also having serious pain on my neck region.What might be the issue?

Hi
1) where exactly is this pain on your left chest?
2) Noticed anything that triggers it?
3) Any previous smoking? Hypertension? High cholesterol? Alcohol?.
4) Any previous heart problems?. How old are you?
5) Any changes in sensation and weakness associated with your neck pain?