₦airaland Forum

AlphaT1:
OP is misleading the public with false information and you are supporting it.....why?

Na na na, never supported him na. If you read my submission I made it clear that thalasaemia and HbSS are two different disease entities even though they are both forms of SCD and the way to diagnose them are different as well.

But if you look at what the Op said about the SS determined by electrophoresis, I think he made it clear it was not the real SS and that was why I brought the issue of quantitative analysis, because someone may be labelled SS not knowing that there may be a missing Hb chain.

And I also think the Op's topic is misleading.

Thanks thanks thanks my brother

I'm just thinking aloud, men have no womb (uterus) and so do not have the special muscles the womb possesses (myometrial muscles) which have special qualities designed for labour and after labour events.

From the experiment, the muscles that were stimulated were the anterior abdominal wall muscles whose make and actions are completely different from the myometrial fibres (muscles) and therefore cannot be compared to the actions of the myometrial fibres despite being stimulated by similar pain amplitude.

Again people have different pain thresholds as well as different response to pains, for instance you will NEVER hear a FULANI woman scream or cry while in labour even during the expulsive phase of second stage of labour, but when a YORUBA woman is in labour, hehehe, wahala dey and IGBO women are in-between.

Haven said these, I think what they were trying to demonstrate was their response to pain not labour pain because there can be no labour without the womb (uterus).

I congratulate those Scientists for this attempt but I congratulate our women the more for scaling through such unquantifiable amount of pains which men have not been able to comprehend till date and may never be able to.

To God who makes all things beautiful and powerful in their time, The Igwe of the Universe, The Olori of all nations, The Obong of the entire planet and the Greatest Scientist of all time, I say, all thanks and honour be to You.
Keep it going Explorers.
Cheers!!

Op thanks for this attempt but I think one should not confuse qualitative and quantitative haemoglobin defects.

It is important to note that although Sβ-Thalasaemia and Hb SS are both forms of Sickle cell disease, they are completely two different disease conditions with far-reaching impact on the person suffering from them.

While Hb SS is as a result of defect in the quality of haemoglobin, Sβ-thalasaemia is as a result of the quantity of haemoglobins present and to diagnose this one needs quantitative analysis of the haemoglobin chains whereas qualitative analysis is enough to diagnose SS which electrophoresis does.

It is not medically possible for a confirmed AA and AS to give birth to SS and I think this erroneous assumption should be corrected. This is beyond simple mathematical calculation.

For an offspring to be SS, both parents MUST possess at least one S gene

Thank you.
Cheers!!

Odunharry:
No wAhala. You actually sent me Airtime of 500 on the 1st of January, 2016.

Aaahh! There's no way I would have remembered, waooo! and you still remembered that, wao! That was an insignificant gesture bro, thanks anyway, I really appreciate this.

We are blessed to bless others. Whenever the opportunity presents we should not fail to do good.

Thanks again, my brother from another mother.
Cheers!

Odunharry:
Welcome sir. Do you still remember me?

Pardon my forgetfulness, I can't remember actually.... no vex o

Odunharry:
ChelseaDr Good morning. How's work and the family.

To God be all glory my brother, thanks a million!! Cheers!

Most patients leave the hospital against medical advice because we don't communicate with them, we don't give them all the information they needed to know to stay back.

We are more interested in prescriptions rather than communication!!

That is why patients run away from us!

Cheers!!

dyydxx:
Thanks. Just wanted to find out after reading several articles on usage and when you might get pregnant on the pills, the universal guidance is that at the beginning of the new pack when coming off he placebo/sugar pills is a very delicate time and one shouldn't miss any pill at that time.

Please let's review this scenario. If my last active pill was on a Thursday(10pm) just before bed and my placebo week starts on Friday and finishes the next week Thursday(Last day of the placebo pills). If I take my beginning active pill on friday 10pm(this time is almost about 2hrs into Saturday), is this an ok time? or it's better to take it early in the morning or afternoon to balance the synthetic hormones since I have just gone 7 days with no hormones.

You're welcome!

If the placebo finishes at 10pm on the said Thursday, then the main drug itself should be started on Friday the following day by 10pm, there is no time lost.

It is also important to know that within this period you are taking placebo, you're expected to also experience withdrawal bleeding.

Cheers!

Hi Op, it is a possibility that you had already been sensitised following the miscarriage and it is also possible you are not. Like someone said above, there are other things that may cause miscarriage at 25 weeks.

What the doctor told you is right, if you had been sensitized, because RHOGAM does not work where sensitization had already occurred.
It is possible you are not sensitized.

I will suggest to see an Obstetrician who will carry out Indirect Coomb's Test (ICT) or more specific test like RHESUS ANTIBODY TITRE to determine if you are sensitized or not and then look for the cause of your repeat miscarriage

The link below may be of help:

https://www.nairaland.com/2429829/rhesus-negative-blood-group-pregnancy

Well done Hon Maria, a.k.a Afikpo Chic

maureensylvia:
currently my mail is not working, can I add u on WhatsApp

No problem..... you can drop your whatsapp number

maureensylvia:
gud evening Sir, have been searching for am information like this, I registered my ante Natal in aminu Kano teaching hospital, I had my first baby there and my baby was diagnosed with jaundice may be it's because of my rhesus factor (negative) I bought the rhogam but still my baby had jaundice and he was on phototheraphy @scbu for a week, now am almost due anytime for my next baby and d jaundice Is scaring me, its like a nightmare to me.

pls Dr what do I do to avoid jaundice for did my next baby.
thanks in anticipation

Sorry about your experience in the past, by God's grace such will not repeat. There are things that could be done and some questions I would want to ask but may not be suitable in this forum for privacy. You can send me a mail.

When is your EDD?

Practically, it is very difficult to work and train as Medical doctor. Med school is a very serious business and requires your full concentration.

I can understand the passion you have for medicine and I am one of those that believe in following my dreams and aspirations in life.

I would suggest you discuss this issue with those that trained you, thank them for their efforts so far in making you who you are today and tell them about your aspirations, may be, just may be, help may just embrace you. My thoughts though
Cheers!

PMS is a form of Menstrual Pain, it is a group of symptoms of varying severity affecting women exclusively during the second half of their menstrual cycle. The pain usually starts 5-7 days before the commencement of menstrual flow and subsides a few days following menstruation.

Over 150 symptoms have been described ranging from physical, psychiatric, behavioural and somatic symptoms. Unfortunately, the exact cause of PMS REMAINS UNKNOWN!

Some have suggested hormonal imbalance, increased sensitivity of progesterone, Vitamine B6 deficiency, excess prolactin, hormone therapy, fluid retention and multiple psychological disturbance.


HOW COMMON IS PMS?
PMS affect over 75% of menstruating women. It is less common among adolescents and those who have attained menopause. It is very common among those ladies in their late 20's and early 30's with an average age of onset at 26years. About 5% may experience very severe symptoms and some may become mentally incapacitated at that stage. It affects every culture and race and like I stated above, the cause is unknown.

WHO ARE AT RISK OF HAVING PMS?
The following people are at risk....someone whose mother had PMS, someone who started seeing her menses at a very early age, obesity, smoking, caffeine intake, alcohol ingestion,. Others include those who have not given birth and are at least 26 years of age, someone with a history of psychiatric illness, including anxiety disorders, and depression following childbirth.

WHAT ARE THE SIGNS AND SYMPTOMS?
The signs and symptoms vary from one individuals to another, as well as in severity of presentation. They include but not limited to the following: abdominal blaoting and pain, breast pain, waist pain, pain at the extrimities, depression, mood swings, forgetfulness, tearfullness, restlessness, sleeplessness, tension, confusion, headache, anger, fatigue, painful intercourse, etc.

For someone to have PMS the person should have had these signs and symptoms exclusively in the second half of her cycle in at least two consecutive symptoms or she could have the symptoms of other medical conditions she has exagerated during the second half of her pregnancy.

CAN PMS BE TREATED?
Treatment is geared at either reducing the severity of the symptoms or modifying the hormonal dysregulation. There is no CURE yet because the exact cause is unknown at the moment. There are both drug and non-drug treatment.

NON DRUG TTREATMENTS
Avoid simple carbohydrate intakes especially during the second half of the cycle, go for complex carbohydrates, also during this phase of the cycle avoid alcohol, caffeine and caffeinated drinks, smoking, to much salt and rather go for low-fat vegetarian diet.

Exercise is very good and aerobics are wonderful in this regard. Other lifestyle modifications like weight reduction is paramount as well as psychotherapy.

Drugs used include Vitamine B6 and Calsium supplementation, use of fluid-losing drugs, NSAIDS, anti-anxiety drugs, vitamine E. Others include oral contraceptive pills, Danazol, GnRH analogues, bromocriptin, etc

Avoiding some triggers during the second half of your cycle can go a long way giving you a pain-free cycle.

Cheers!

Chuukwudi:
Projectile, something that fire up, moves in a parabolic path like an ellipse/curve. It simply goes up and when it does come down, it's on a different location.

Example; thrown stones, bullets, spear, etc.


It's dynamics and kinematics are more technically analyzed in O level physics. It is a topic on its own.

Hahahaha CHUKS, you have just sent this girl to coma.... she doesn't know what projectile is and you are talking about parabola, eclipse, dynamics and kinematics..... infact she gave up!!!!!!!

Happy Easter bro

Kudibaby:
thanks a lot may God bless you.

You're welcome, bless you too

Kudibaby:
thanks a lot may God bless you.

You're welcome, bless you too

YES, WE CAN!
Yes we can!!!. We can help in our own individual ways to reduce the rate of caesarean section. We should encourage our women to register for Antenatal services early when they are pregnant in a clinic or hospital where there is a trained provider.

That is someone who has undergone some training on pregnancy and childbirth, recognition of problems and early referral to nearby facilities where the woman can get help.

Husbands should make available the necessary finances for such registration on time while the government should make antenatal services free for our pregnant women and such promises should not just be relegated to the pages of their manifesto.

We should encourage our women to deliver in the hospital. This is because facility-based deliveries have been found to be important factor in reducing maternal deaths.

From the National Demographic Health Survey 2013, about 576 women die during childbirth or following complications thereof out of 100, 000 deliveries. Not surprising is the fact that only about 36% of them deliver in the hospital while a whooping 63% deliver at home.

Surprisingly from the same report, women who are less than 20 years of age are less likely to deliver in the hospital.

Government should also provide functional facilities that are easily accessible to our pregnant women, and should back their campaign promises with actions.

By so doing, we will not just reduce the CS rate but also the alarming maternal mortality ratio of 576 will also assume a downward trend.

Cheers!!
Dominique, do the needful

babakb:
......., is it a plot by WHO to discourage people across the world From giving birth because of the Cost of C section,.

Actually, the WHO and other bodies including RCOG (Royal College of Obstetricians and Gynaecologists), ACOG (American College of Obstetricians and Gynaecologists), SOGON (Society of Obstetricians and Gynaecologists Of Nigeria), etc, are strong advocates of vaginal delivery (doing it the natural way) and that is why they keep bringing out guidelines geared at reducing CS rate, especially where the baby is "sitting down inside the womb"....breech!

babakb:
...., why cant we continue doing It naturally like it was before, push push or induced Labour,...............

To be honest with you, one of the interventions to reduce CS rate is induction of labour.... but most of these labours that we induce may fail to initiate labour, and in order to bring out a healthy baby, doctors may resort to CS.

By the way, before induction of labour is started, such hospital must have facility for emergency caesarean section including blood banking services, otherwise, it is QUACKERY.

babakb:
...... why cant we continue doing It naturally like it was before, push push or induced Labour, is that Doctors have connived to milk Money out of expectant parents because C Section is damn expensive, is it a plot by WHO to discourage people across the world From giving birth because of the Cost of C section.

FINANCIAL GAINS
One of the reasons why CS rate is increasing as you rightly pointed out is because many people (including non doctors) do it for money. People feel that CS is a very easy surgery, and so they coin up non-existing reasons and give the woman, putting fear in her, thereby indirectly threatening her into submission, for selfish personal aggrandizement.

QUACKERY
Many people who perform CS are not doctors, there are a lot of quacks everywhere, people posing with stethoscopes around their neck, just because they work as cleaners in operating theatres and so feel that they have observed enough and therefore, they can as well cut.

These quacks open clinics and because they work in the hospital, they are "doctors"

Most of our women cannot differentiate between the real doctor and the quack, they will tell you that after all he also works in that Government hospital.

ATTEMPTS AT HOME
Another reason is because majority of our women in labour are being managed by people who do not understand the way labour works. As a matter of fact, no labour is normal until it has ended well. Such people cannot be able to identify problems on time in order to correct it until it is too late, leading to intervention by CS.

Home delivery is dangerous, even though we may term it that it is delivery like the Hebrew women

For everyone reading this, please, if any woman has been found to be in real labour for up to 12 hours please raise an alarm!!! If you ask your doctor he/she will tell you there is real labour and there is false labour. It is negligent of one's responsibility and a criminal to allow a woman to be in real labour for 24 hours or for the water to burst for more than 12 hours.

So people should avoid presenting late to hospital while in labour.

To be fair to you, some doctors are also contributing in increasing the rate for financial gains.

TECHNOLOGICAL ADVANCEMENT
In this age and time, technology has its own disadvantages, aside the numerous advantages. Because of increased monitoring of pregnancy and labour, mist if these machines can detect any small abnormality which if left may jeopardize the woman's joy after nine solid months.

To avert this, doctors will act on the side of caution to bring out a healthy baby before any untoward event happens. No reasonable Doctor will like to deliver a dead baby or a baby which cannot cry at birth.

LITIGATION
Another reason is the increasing rate of litigation against obstetricians. it is assumed that if a doctor does CS and the baby dies, he will be said to have done all that he could, but if he didn't, then the question will be why didn't you do CS doctor?

MATERNAL REQUEST
Self explanatory, I presume

babakb:
I Am sick and tired of hearing women give birth after being operated, i mean is just too much these days, i can confidently say 7 out of 10 childbirths are through c section especially in urban areas, haba,....

Truly, the rate of C-section has been on the rise since the past decade, however to say that 7 out 10 childbirths is via CS is outrageously incorrect. if your statement were anything to go by, it means that 70% of all deliveries is by caesarean section....No na, that is unthinkable, at least at the moment.

To be honest with you NO COUNTRY IN THE WHOLE WORLD HAS THAT RECORD, as at today. WHO recommends CS rate of 10-15% but that has been difficult to achieve globally.

http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/cs-statement/en/

It may interest you to know that The Caribbeans and the South American region has the highest CS rate in the world at the moment, at the rate of 42.9% that is roughly 4 out of 10 deliveries.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4743929/

Infact Africa and other developing countries have the lowest CS rate in the world.... may be due to poor data collection systems.

I will give you some reasons why CS is on the rise globally, especially as it affects us in Nigeria.

babakb:
I Am sick and tired of hearing women give birth after being operated, i mean is just too much these days, i can confidently say 7 out of 10 childbirths are through c section especially in urban areas, haba, why cant we continue doing It naturally like it was before, push push or induced Labour, is that Doctors have connived to milk Money out of expectant parents because C Section is damn expensive, is it a plot by WHO to discourage people across the world From giving birth because of the Cost of C section, pleeeeese dont tell me It's because of complications, the Rate of Child birth operations is just alarming these days and Doctors are smiling to the Banks in the process.

Op, I can understand your feelings, and to be honest with you some of your observations are correct while some of your assertions are not. I will take them bit by bit.

Kudibaby:
Hello
My scan results showed I have a 9.2cm by 9.4cm cyst on my left ovary and a 6.5cm by 4.2cm fibriod in my uterus . The cyst was concluded to be a cystadenoma . Please anyone heard of this condition and how do I get rid of it naturally.

Cystadenoma of the ovary is a non-cancerous tumour of the ovary that is common during the reproductive age, rare before puberty and after menopause. It varies in size, can be very large.

Fibroid is also common in this same age group as cystadenoma. Relationship between fibroid and infertility is not fully understood, it does not cause infertility neither does ovarian cystadenoma, but may lead to recurrent pregnancy loss depending on the location of the fibroid.

people have become pregnant with co-existing fibroid and delivered same, including twins.

Treatment of cystadenoma will depend on your age, size of the tumour and the histology type and may include removing the tumour alone (cystectomy) or removing the entire ovary and the adjacent tube if affected (salpongo-oophorevtomy.

Removing the fibroid will also depend on the size, your age, presence of symptoms or recurrent pregnancy loss as well as on your choice whether to remove it or not.

The only problem is that after the surgery, there is a chance of recurrence if both the fibroid and the cyst, except where the womb is removed (in the case of the fibroid)

Like you've been advised above, go to a Teaching hospital and be managed by the Gynaecologist.

Cheers!!

DMM007:
Good day everyone. My wife age 29, had a still birth at 38 weeks (First Pregnancy) last September, was diagnosed with PID in December, she was treated. Now we are faced with the same issue again and she is receiving treatment but I am on duty away from home until June. I need assistance on possible antibiotics or medication for myself so as to prevent reoccurrence. I am 34 and I have not treated it before. Thanks most sincerely in anticipation. Am just worried for my wife, I hate her going through any pain or discomfort.

If you are comfortable here, then we can discuss.

Your story is not complete sha. I don't know if the reason why your wife had stillbirth was or has been known. I don't know how they arrived at a diagnosis of PID.... what was your wife's complaint?

When you said "now we are faced with the same issue again" I don't really understand what issue... the issue of stillbirth or that of PID? and what kind of treatment is she receiving and where?

Like I said, if you are ok, then let' discuss.

Is she pregnant?

Cheers!

sysengr:
Ok. Thanks a lot

Ya welcome

sysengr:
My prolactin level is 0.84ng/ml. Whats the effect on trying to get pregnant. Can it be boosted to the normal level.
Thanks

Your prolactin level is this low probably because you are neither pregnant nor breastfeeding and there is no big deal about that.

Low prolactin levels usually do not have issues with fertility. Hence your inability to conceive may have nothing to do with this prolactin level but may be due to another reason.

I suggest you go back to the doctor that sent you for the test so that they will look for the reason behind your delay in conceiving.

Cheers!!

sunpass:
Plz guyz i need more clarification of wat a doctor's report look like.Plz wat is it and z it just a note from a doctor(In a typed format) dat just clarifies dat sumone is free from sickness?? Sumbody shud plz shed more light my job is @stake

I think you should rather shine enough light on the connection between a medical report and your job before any light could be shone to you

Cheers!

bebebeme:
ok sir age 25 years marital status single. Not given birth before. Just been having heavy menstruation they called it menorrhagia and that it is caused by hormonal imbalance. And am not sexually active so i wonder why it is like dat

Sorry about this, endometriosis (endometrioma) occurs in women at their reproductive age. the cause is unknown but hormonal imbalance has been implicated as one of the things that could predispose to it.

It doesn't matter whether one is sexually active or not. It causes abnormal bleeding, pain during menses and a major factor in infertility.

There are drugs that could be given to you to relieve the symptoms but in this case of endometrioma, surgery will be needed as well. the unfortunate thing about the surgery is that it may recur and may even be bigger than the previous one and in most cases, inoperable.

The truth is that it actually has no definitive cure.

I will also suggest you tell him to hasten up so that you two can walk down the aisle in no distant time.

Cheers!

bebebeme:
Hello, please any gynaecologist in the house should pls help me explain this scan result to me in normal english. The ultrasound scan was conducted but the person didnt explain it in details. Pls thanks

Hope you wouldn't mind, the result cannot just be interpreted in isolation, would like to know your age (you can give a range), married or not, number of children?

if you are within your reproductive age, it may not be that dangerous as thorpido pointed out...but if you have reached menopause, then it is more than just an endometrioma, this is because of the thickened lining of the womb they also picked on the scan.

I will suggest you see the doctor that sent you for the scan, unless you went to do it on your own.

I could say more on this platform if you don't mind, and if you are ready to answer some questions, otherwise you can see the doctor that sent you for the scan as I said earlier.

Cheers!

ghetta:
Please i just found out that I have diabetes its been in the family im just using this platform to reach out to everyone for help..im a 300l student and a lot of money has already been wasted on me...plssss help me anyone im beggin plss

Hi Op, sorry about the ailment. Unfortunately diabetes has NO CURE but can be CONTROLLED. Thank God it was diagnosed early.

All you need to do is to see your doctor, they will tell you all you need to know. You may need dietary advice, tablets or injection depending on what the doctor finds out.

You may have to be visiting the clinic more frequently and may have to miss some days out of school.

Also note that there are no herbs or supplements that cure diabetes.

Sorry I didn't even ask the kind of help you needed.
Cheers!

Op you can start giving her FOLIC ACID! It is cheap and available in all patent medicine (chemists) shops