Kabawhat:
Hello doctor pls I don't know lately some few part of my body specifically the hands, legs n some region of body will just be shaking as if something is pump into blood something like dat for few seconds, n ask someone he said it normal but now it get out hands because it somewhat occurs like 5 to 10tyms a day pls help

Please, I need to know you age, any other conditions that you may have, and how many days/months/years this has been going on for.

megfrank:


Hi doc. Sorry if this is on the wrong thread. I haven't been at ease, so I need confirmation on something from you. I had a pre-employment medical examination for a company, and my bp was unusually high(163/65) (I run bp checks at home and it's normal) the doctor said it was probably due to anxiety , and I agree with this, because I was actually tensed up, especially as hospital settings always give me a fright most times. Am 22 years of age, and I have been worried. Could the high bp at the pre medicals cost me the job? I really would appreciate your reply.

It is highly unlikely that an elevated blood pressure would cost you your job. Please, if I may ask, in which city to you live and type of job did you apply for?

monickerless:
its been 18 years since then. he took ill and was just months old then. and after the nurse injected him, he couldn't move for some couple of weeks(not sure if its weeks or months). i'll share a pic of the injection wound. in addition, the injection was administered on his left arm and i'm the one guessing its an intramusclular injection cos it seems like the only explanation for his limping but i'll also like to know if there are other explanations of a baby not being able to move and then later limping due to an injection administration error? here's a pic of the wound

Such a mark is difficult to interpret. If during that young age, he also experienced gluteal (buttocks) injection then that could certainly be the cause of his gait (walking) problems. Have you discussed this with any other doctors?

solin:
Good Evening Doc, pls what test can u recommend for my wife. We have been waiting on God for fruit of d womb. For 9 mnths

First question, is your wife seeing regular menses?

Potential testing that you and your wife will have to undergo is shared below:

1. For you
Semen Analysis

2. For your wife
Luteinizing Hormone
Follicle Stimulating Hormone
Estradiol
Progesterone
Prolactin
Free T3
Total Testosterone
Free Testosterone

You will need to see someone to evaluate these tests. Are currently seeing any fertility doctors? Where do you live? (I may know a physician in the area that can help you)

The first step in diagnosing an issue relating to fertility is a comprehensive appointment with your fertility physician. During this appointment, your medical history and lifestyle will be discussed extensively. Topics such as birth control use, menstrual and pregnancy history, current and past sexual practices, medications used, surgical history, other health issues and what your lifestyle is like as well as your work/living environment will all be discussed.

A thorough physical exam will also be done. Areas such as your thyroid, breasts, and hair growth will be looked at. A pelvic exam is also an important part of evaluating fertility, along with a pap smear.

After this first appointment, your physician may want to proceed with some initial testing. This initial testing will evaluate things such as if ovulation is occurring, when it should be occurring, ovarian function, and uterine function during the ovulation process.

TESTS

Ovulation testing— to confirm if ovulation is occurring by looking through your temperature charts, using ovulation predictor kits and blood tests and ultrasound

Ovarian function tests–These tests are looking to see how the hormones are functioning and working during your ovulation cycle. Tests include the Day 3 FSH (measuring follicle stimulating hormone), Day 3 Estradiol (measuring estrogen), ultrasound (to confirm ovulation occurred) and blood tests.

Luteal Phase testing– Testing will evaluate progesterone levels, more extensive hormone testing.

Hormone tests: Most all of this testing will revolve around thorough hormone tests.

These hormone tests include the following:

Luteinizing Hormone
Follicle Stimulating Hormone
Estradiol
Progesterone
Prolactin
Free T3
Total Testosterone
Free Testosterone
DHEAS
Androstenedione

The following tests are also commonly used in the first evaluated cycle:

Cervical mucus tests: This involves a post coital test (PCT) which determines if the sperm is able to penetrate and survive in the cervical mucus. It also involves a bacterial screening.

Ultrasound tests: This is used to assess the thickness of the lining of the womb, to monitor follicle development and to check the condition of the uterus and ovaries. An ultrasound may be conducted two to three days later to confirm that an egg has been released.

If both the semen analysis and the above testing return normal results, there is also additional testing that your fertility specialists may recommend.

babythug:


Thanks for your response! The rash has faded off a bit and i'm hopeful it wont return.

By sheer coincidence i bought a fade milk /body cream which contained hydroquinone and i realized it cleared up the rash. I am still open to further advice though.....

Here is more advice on things that can cause rashes. Sometimes you can get rid of a rash yourself. These dermatologists’ tips can help you find the cause.

Once you know what’s causing your rash, avoiding it often clears the rash.

To help you find the cause, follow these steps:
Ask yourself the questions on this page (below) that are relevant.
If you answered yes to a question, stop using/wearing what you think caused the rash.
If the rash begins to clear, you may have found the culprit. If the rash worsens or remains for 2 weeks, make an appointment to see a dermatologist. You’ll need help to get rid of the rash.


Rash beneath jewelry, shoes, or clothing
If a rash develops where jewelry, shoes, gloves or other clothing, a zipper, a buckle, or a fastener touches your skin:

Stop wearing the item for a few days.
If the rash begins to clear when you stop wearing the item, you may have an allergy to a metal, dye, or fabric finisher.

Some people develop an allergy to jewelry that they’ve worn for years. The cause is often nickel, a metal found in many pieces of jewelry. A wedding ring can cause this problem. In fact, this rash is so common that it has a name, wedding-ring dermatitis.

If this happens, ask your dermatologist for tips to prevent getting a rash from your wedding ring.

Rash on face
It can be a challenge to find the cause of this rash, but you can start by answering the following questions:
Have you recently tried a new makeup, eye cream, or fragrance?
Some people are allergic to ingredients in these products.
Do you use an eyelash curler or tweezers?
These items often contain nickel, which is a common cause of allergic contact dermatitis. Brief direct contact with an eyelash curler or tweezers can cause an allergic skin reaction.
Do you rub your eyes?
If you find yourself rubbing your eyes, try to stop. Indirect contact with an allergen can cause a rash on your face. Even nickel used in a doorknob or keys can end up on your face when you rub your eyes.
Do you wear nail polish or artificial nails?
These products can cause a rash when you touch your face. Even when you don’t develop a rash on your hands, the skin on your face can react.
Has a fragrance touched your skin?
Directly applying a fragrance can cause a rash. You can also get a rash from indirect contact. Touching a a towel or pillow that has a fragrance on it could cause a rash.

Rash on side of face, neck, hairline, or chest
You can often find the cause of a rash in one of these areas by asking yourself these questions:

Do you hold your cell phone against your face?
A rash that appears on one side of the face may indicate that you have an allergy to nickel or chromium. Some cell phones contain one of these metals. You also could have an allergy to something in the case you use for your cell phone.
Have you recently switched shampoo or conditioner?
If you are allergic to an ingredient in a shampoo or conditioner, a rash can appear where the product runs down your body when you rinse.
Have you recently used a hair dye or perm solution?
These can cause a rash.

monickerless:
hello doc. a friend of mine was mistakenly/purposefuly(don't know which) given an intramuscular injection and he's been limping since then. he's also developed a bad posture where his shoulders are unbalanced. is there anything that can be done to correct this, asides surgically?

Has he developed an infection at the site of the injection? Please take a pic of the injection site and post. If there is a underlying infection, he may need incision and drainage of the pus.

I would also like to know why he requested the intramuscular injection? In essence, what brought him to the hospital in the first place? If he received intramuscular injection in the buttocks, he may have incurred nerve damage from the injection. This will cause what is known as 'Foot drop'.

Here is what can be done (mind you, I recommend that you speak with a doctor in person before embarking on any treatment at the moment):

A trans-sacral nerve block -

There is medical evidence supporting the use of lidocaine and methylprednisone injection at damaged nerve site to heal the inflammation that is causing the foot drop. This treatment is only effective if done early (within 2 months) however, results may vary. Evidence supports favorable outcomes.

However, be sure to see a doctor in person before doing any of the above. (I would just tell the doctor that this is a treatment option that you're willing to consider)

aamstih:
All right Doc. How much would that cost me?

If you're in Lagos, I'm not sure of the price. In Port Harcourt, at Capino Labs, the price is relatively cheap, maybe 200 naira.

Ezehrobinson:



good morning sir.
I've been having severe headache for the past three years. I also have the sensation of having much fluid in my head that moves whenever I move my head. This has made me uncomfortable and loose concentration some times. my eyes are now sensitive to light.

I was having low blood pressure before and I went to a laboratory. They confirmed that I have sepcemia and was placed on gentamicin. that has solved my low blood pressure problem.

Please what do you advice I do about my head.

Thank you

If I may ask, how old are you?

Do you have any chronic conditions (diabetes, hypertension, etc.)?

Are you having any fever? (if so, I recommend immediate trip to the hospital)

Are you having any nausea or vomiting? (if so, this could be migraine)

Are you on any other medications? (often times, some medications may have side effects that cause headaches)

adab86:
I often experienced quick eruption and sometimes erectal dysfunction, pls what should i do or is there any drug u can prescribe for me?

Tests for erectile dysfunction would include:

Physical exam. This might include careful examination of your penis and testicles and checking your nerves for sensation.
Blood tests. A sample of your blood might be sent to a lab to check for signs of heart disease, diabetes, low testosterone levels and other health conditions.
Urine tests (urinalysis). Like blood tests, urine tests are used to look for signs of diabetes and other underlying health conditions.
Ultrasound. This test is usually performed by a specialist in an office. It involves using a wandlike device (transducer) held over the blood vessels that supply the penis. It creates a video image to let your doctor see if you have blood flow problems.

This test is sometimes done in combination with an injection of medications into the penis to stimulate blood flow and produce an erection.

Overnight erection test. Most men have erections during sleep without remembering them. This simple test involves wrapping a special device around your penis before you go to bed.

This device measures the number and strength of erections that are achieved overnight. It can help to determine if your erectile dysfunction is related to psychological or physical causes.

Psychological exam. Your doctor might ask questions to screen for depression and other possible psychological causes of erectile dysfunction.

You should look into these assessments before taking any medication. I recommend that you talk about this with a doctor in Nigeria and he can make a recommendation after doing the tests with you. Are you in Lagos or Port Harcourt? I can recommend a physician for you to see.

aamstih:
@ drnwamba

What are the series of tests that u would recommend to someone that is easily down with malaria.

I recommend that you get a THICK AND THIN BLOOD SMEAR to evaluate for any parasites in the blood. Please let me know what your results are and I would be happy to provide additional counsel.

Ezehrobinson:
@ drnwamba

good evening doctor, I've been looking for someone I can talk to and I thank heaven I ran into this thread.

please I'm in port Harcourt. can I see you tomorrow please?

I won't be in Port Harcourt until later this year. You can ask me questions through the thread and I may be able to help you. Also, if you are in Port Harcourt, I recommend that you go to Capino Hospital/Pharmacy. Tell Capino that you were sent by Dr. Nwamba and he will attend to your concerns with utmost attention.

Chitexs250:

Has he had a colonoscopy? Polyps can be the cause of such diarrhea.

Colonoscopy lets a doctor closely look at the inside of the entire colon and rectum. The doctor is looking for polyps which could be early signs of cancer. Polyps are small growths that over time can become cancer. The doctor uses a thin (about the thickness of a finger), flexible, hollow, lighted tube that has a tiny video camera on the end. This tube is called a colonoscope. The colonoscope is gently eased inside the colon and sends pictures to a TV screen. Small amounts of air are puffed into the colon to keep it open and let the doctor see clearly.

The exam itself takes about 30 minutes. Patients are usually given medicine to help them relax and sleep while it’s done.

Your doctor decides how often you need this test, usually once every 10 years, unless you are at a higher risk for developing colon cancer. It’s important that you talk with your doctor to understand your risk for colon cancer, the guidelines you should follow for testing, and whether you need to start having the tests at age 50 or earlier.

Colonoscopies are important because colorectal cancer screening helps people stay well and saves lives. Regular colorectal cancer testing is one of the most powerful weapons for preventing colorectal cancer or finding it early, when it’s easier to treat. There are 2 basic types of screening tests:

Tests that mainly find cancer: These involve testing the stool (feces) for signs that cancer may be present. These tests are easier, but they are also less likely to detect polyps.

Removing polyps can help prevent colorectal cancer from ever starting. And cancers found in an early stage, while they are small and before they have spread, are more easily treated. Nine out of 10 people whose colon cancer is discovered early will be alive 5 years later. And many will live a normal life span.

But all too often people don’t get any of these screening tests. Then the cancer can grow and spread without being noticed. Early on, colorectal cancer doesn’t usually cause any changes that are noticed (symptoms). In most cases, by the time people do have symptoms the cancer is advanced and very hard to treat.

Regular screening is the most reliable way to find these cancers in the early stages. Ask a doctor about the best screening plan for you.

Nomzylicious:
Hello Doc. I am having missed period which was supposed to start on d 7th of july. I did home pregnancy test and it showed negative. I was advised to do an infection test cos it do stop menses sometimes. And d result showed (Yeilded Growth of candida alblian) and other things I cudnt read. But my breast is bigger and fuller, and I urinate often I do have cramps like I want to menstruate. Is there a possibility of me being pregnant? Waiting for your reply in anticipation..

Two separate matters here:
1. Lab result showing candida infection
2. Possibility of pregnancy

For 1. - Have you witnessed any discharge that is abnormal for you? It is possible that you are having a yeast infection based on your lab results. Yeast infections are not known to cause missed periods so it's possible to be pregnant and have a yeast infection at the same time. I suggest that you meet a doctor and inform them that you want prescription for yeast infection. There are antifungal vaginal creams that are very effective at treating such an infection.

For 2. - Urine pregnancy tests are not very accurate if done too early. I would suggest that you do another urine pregnancy test to ensure that you not pregnant. How long have you been noticing that your breasts are larger and increase of urination?

The most common early signs of pregnancy are:
Tender, swollen breasts.
Early in pregnancy hormonal changes might make your breasts tender, sensitive or sore. Or your breasts might feel fuller and heavier.
Nausea with or without vomiting.
Morning sickness, which can strike at any time of the day or night, sometimes begins as early as three weeks after conception. While the cause of nausea during pregnancy isn't clear, pregnancy hormones likely play a role. Pregnant women might also find that smells that never bothered them before now cause nausea.
Increased urination.
You might find yourself urinating more often than usual.
Fatigue.
Fatigue also ranks high among early symptoms of pregnancy. During early pregnancy, levels of the hormone progesterone soar — which can make you feel sleepy.
Food aversions or cravings.
When you're pregnant, you might find yourself turning up your nose at certain foods. Food cravings are common, too. Like most other symptoms of pregnancy, these food preferences can be chalked up to hormonal changes.

Chitexs250:
Hello Doctor
There is a friend of mine that has been stooling for 1 month and half and also loosing weight

Some test has been done
1. HIV test - negative
2. Malaria and typhoid - treated
3. Stool culture - negative

Yet he's still loosing weight.
Your advice is needed.

There a few things that I would like to know.
1. By stooling, do you mean diarrhea. If so, how many times a day is he stooling? Is he seeing blood or mucus in his stool?
2. What medications were used to treat his malaria and typhoid? How long did he take them?
3. How old is this person?
4. How much weight has he lost?
5. Is he having any other symptoms such as night sweats or fatigue?

Once you respond, I will have a better picture and can give you advice to fit his circumstances.

The way that I would think about it is this:

1. The problem could be in the blood sugar (you said that your blood sugar is normal - what is your blood sugar number?)
2. The problem could be in the kidney (Have you had any other tests that look at you "creatinine" level)
3. The problem could be in the bladder (You could have an overactive bladder or other things - have you seen in pink tinged urine or is the urine clear and yellow)
4. You could just be drinking a lot of water, requiring you to urinate a lot

Causes of Frequent Urination
Frequent urination can be a symptom of many different problems. When frequent urination is accompanied by fever, an urgent need to urinate, and pain or discomfort in the abdomen, you may have a urinary tract infection. Other possible causes of frequent urination include:

Diabetes . Frequent urination with an abnormally large amount of urine is often an early symptom of both type 1 and type 2 diabetes as the body tries to rid itself of unused glucose through the urine.

Pregnancy . From the early weeks of pregnancy the growing uterus places pressure on the bladder, causing frequent urination.

Prostate problems . An enlarged prostate can press against the urethra (the tube that carries urine out the body) and block the flow of urine. This causes the bladder wall to become irritable. The bladder begins to contract even when it contains small amounts of urine, causing more frequent urination.

Interstitial cystitis . This condition of unknown cause is characterized by pain in the bladder and pelvic region. Often, symptoms include an urgent and/or frequent need to urinate.

Diuretic use. These medications that are used to treat high blood pressure or fluid buildup work in the kidney and flush excess fluid from the body, causing frequent urination.

Stroke or other neurological diseases. Damage to nerves that supply the bladder can lead to problems with bladder function, including frequent and sudden urges to urinate.

Less common causes include bladder cancer, bladder dysfunction, and radiation therapy.

Often, frequent urination is not a symptom of a problem, but is the problem. In people with overactive bladder syndrome, involuntary bladder contractions lead to frequent and often urgent urination, meaning you have to get to a bathroom right now -- even if your bladder is not full. It may also lead you to wake up once or more during the night to use the bathroom.

tforever:
To conceive, an egg (ovum) from the woman has to combine with a sperm from the man. An ovum is released from an ovary when a woman ovulates. This usually occurs once a month between 12 and 16 days from the start of her last period if she has a regular monthly cycle of 28-30 days. The ovum travels down a Fallopian tube to the middle of the womb (uterus) over 12-24 hours.

This is true but there are many things that can happen during this process that cause infertility. Sometimes the problem is with the fallopian tube (there can be blockages) other times it's with the man's sperm (where there is not enough production). Other times it can be with the actually menstruation cycle (menstrual cycle doesn't result in ovum release).

I appreciate your post but I want to help those with problems in this arena.

babythug:
Hello Dr,
I recently developed a nasty skin rash on my ankles its like a thick lesion and very itchy darker than my Skin color. some herbal practitioner says its "norun ela"(yoruba language). She's recommended some herbal drink, soap and cream. Just wanted to know if anyone knew what the English name for norun is, has anyone tried herbal treatment for it, what do you doctors recommend.

I'd appreciate any advice. Cheers

It's been quite some while now but is the rash still there? How have things been coming along? Did the herbal remedy help? Let me know how things are going (if it hasn't gotten better let me know so that we can chat about it).

walesdam:
Hello Doctor. Few days ago I noticed that after eating or drinking, I get the sensation of whatever I take being stuck in my chest and it makes me uncomfortable. Whenever I wake up after sleeping it is gone. What do think is wrong?

Depending on your age and previous medical history. The causes can be various. This could be as simple as heartburn, which alleviated with an antacid. It could also be something more serious, however, I need to know if you are having any more symptoms. Is there anything other than going to sleep that makes it better? Does it happen after or before eating? Are you have fatigue, weight loss, or night sweats. As you can see there are many questions to be answered here.

I would recommend that you take an antacid and if your symptoms persist go to see a doctor or start a chat with me so that I can ask you more questions.

ugonwa2003:
Good morning doc. Pls I need urgent attention and I'll appreciate ur counsel on dis matter. D drugs below was prescribed for me n I hv taken them for 2 days now: De deons syrup of haemoglobin 15 ml 2x daily, 1g augumentin 1cap 2x, panadol 2 3x, artemeter injection for 3 days, natures field healthy you womens formula once a day and fruitivite chewable vitamin c. Test result pcv 29% as against 36-47, malaria parasite + trophozoite of p falsiparum seen, widal titre significant level >1/80. Dey gav me hydrocort cos of the allergy dis morning but I can't c d effect cos am still itching

What problem did you tell the doctors that you are having? Is it the fact that your itching or was it something else. De deons syrup of haemoglobin is basically a vitamin. Augmentin is an antibiotic. Panadol is a pain reliever. Artemeter is antimalarial. The rest are vitamins. It sounds likes they are treating you for malaria but your malaria parasite is only reading +1. Hydrocort is a steroid that will reduce itching by reducing your immune response so I don't believe it is your best bet at treating your condition based on your lab results and findings.

If you can tell me what your symptoms are and when they started. I can help you find the root cause, however, right now, with the information you have provided, I can't do so. Please answer those questions above so that I can help you.

lafex:
Hello Dr,
I do urinate almost every hour.
Hw can I reduce it?
Thanks

When did this problem start? What is your blood sugar? Are you currently on any medications?

I'm so happy that this will help you! Reach out to your friends TTC as well and direct them to this post so that we can get to everyone who is interested!

Hey everyone!

I wanted to start this for women who are still waiting for a child, who have tried for a long time, have suffered miscarriages, still births and are trying to find alternative ways of having a child.

I want to create a Guide for IVF and other alternatives that will increase likelihood of pregnancy. Before creating the guide, I want to get your questions so that I can serve your curiosity in the best way possible.

If you are worried about putting your contact information on the post. Feel free to email me with your details at drnwamba@yahoo.com. Please put "TTC" in the subject line.

I will be posting free slides from my medical school courses here on this blog site. Please let me know which topics that you want more information in and I can upload slides that give a focused presentation on them.

@everyone on this thread.
Many ppl are sending me emails. I have counseled ppl on burn management and those seeking employment in Port Harcourt. Recognize that I respond to this feed everyday and can give you many resources and counsel.

@ladyconfessor

There are some very important pieces of information that are missing here but I will share more information on the possible causes of irregular menstrual bleeding.

1. Infection: infections are usually accompanied by itching but also:
a. unpleasant smelly vaginal discharge
b. painful urination
c. ulcers/lesions

If you think that you may have an infection, it is advisable that you have the appropriate tests conducted to identify the type of infection so that appropriate antibiotics can be used to treat it.

Make sure you purchase antibiotics from credible distributors because I know counterfeit medications are a problem in the motherland.

2. PCOS: this can be a result of something called "polycystic ovarian syndrome". Nevermind the name. It is a hormone imbalance.
The cause is thought to be a result of excessive hormone release from fat cells in the body so it frequently targets woman who are bigger in size.
Things that increase this possibility:
a. If this is a long standing problem and not something that has just happened twice
b. If you are also suffering from infertility

Treatment is the use of oral contraceptive pills to balance the hormone levels to restore the your cycle's regularity.

3. Pregnancy: This is the first thing that I consider whenever any woman complains of newfound cycle irregularity because it is the most common cause. Make sure to take a pregnancy test to know your status.

There are a large number of things that can cause cycle irregularity but I would like to know if you are suffering from any these symptoms above because they are the most likely causes. If not, then we can explore some alternative less likely causes of your symptoms.

Section 30. (1) Any person may lay a complaint about the manner in which he or she was treated at a health establishment and have the complaint investigated.

How many of you doctors and patients would lay complaints to keep your healthcare system accountable. What would be your top three complaints?

Please let me know if you are a doctor, patient, medical student, etc.

A forum where you can ask questions about what YOUR government is doing to protect your health and well being.
I will post information from the bill to spur the conversation and all contributors feel free to share your opinions.

@indigene

Thank you very much for your input. I have modified the text box underneath the topic. Pls let me know if the information there is enough. Feel free to share your opinions.

@Harkynkunle

My email is drnwamba@yahoo.com. Feel free to contact me anytime.

@ugo1990

Where is your brother located? (which city) I can put him in touch with someone that I know that can help him find job in Port Harcourt.

If you are based in Lagos, I have another contact that he may talk to put I am not sure of job availability.

If possible, I would like to speak with him. My email is drnwamba@yahoo.com

If you get cough, it could be:

1. Post-nasal drip - when the mucus of runny nose is dripping in back of you're throat.

That is cured with most over the counter cold remedies. Any preparation that includes pseudoephedrine. Make sure to take at night because that is when the drip into the back of the throat occurs.

Make sure the medications are not counterfeit!! I know that is a bring problem in the motherland.

If you no get cough,

2. Throat infection - this could require antibiotics. (I have attached pic of what that one looks like)

Things that increase the risk of this one include:
a. no cough
b. swollen glands in your neck
c. fever (temperature > 38C)
d. contact with sick people that also have sore throat, especially young children