₦airaland Forum

liliangmail: nys section..Interestin i must say! whc is beta? to mak frnds wif pplp below ur level or pple above?

It depends on what you mean by "level". Making friends with people below your level won't help you grow. Making friends with people above your level will always put you in a challenging spot- where you would always want to be better than yesterday. I don't think one should make friends with people below their level- rather people below should want to make friends with you.


By level I mean mental capacity.

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Lagusta: one bottle of alomo for you joor, with alutacontinua to top it up!!!

That babe dey yankee sha. I can sha still manage the ones around here

4tunebest: She doesn't have any swelling but sometimes, her face & lips are puffy early in the morning; maybe once a week.

Her soap doesn't contain mercury. The last time She used Tura soap was about 20 years ago. Thanks for your help

Lagusta isnt the diagnosis clear?

Nephrotic syndrome secondary to uncontrolled diabetes mellitus complicated by Uraemia.

Medicine is beautiful.

Lagusta what do you think? An endocrinologist should suffice. The cholestasis should be kept in mind though. Labs would confirm.

4tunebest: She has been itching for over a month
No. She isn't asthmatic
She doesn't have any allergy that we know of
Yes. She is unusually tired @ times
She has bright white eyes
Her urine colour is normal, only that it foams

In addition, she is usually nauseous but she hasn't vomitted @ any time

Loss of appetite. She has been forcing herself to eat.

Just yesterday, she developed sore throat.

Night itch, nausea, loss of appetite, foamy urine, and fatigue in a woman could be one of two things : Uremia or a Cholestatic disease. Uremia has a continuous itch(day and night) - its a close possibility). (does she have leg swelling? Does Her face get puffy in the morning?)

In your body, there's a substance called bile. It contains 2 major substances: bilirubin and bile salts. These substances are put in bile by some body processes. Problem arises when these substances are not put in bile but retained by the body. A high retention of these substances make them increase in concentration in the blood. So a high retention of bile salts would lead to increased concentration of bile salt in the body while a high retention of bilirubin would cause a increased concentration of bilirubin in the body.

I hope you're following.

What the symptoms would be would depend on what substance is more increased. Sometimes, the bile salts are very increased while the bilirubin is normal or moderately elevated and vice versa. For example, in your mothers case, it's very possible that the bile salts are very increased( she has nocturnal itch, nausea, fatigue and most importantly foamy urine) while the bilirubin is still normal or slightly increased. Only a laboratory test would confirm this.

The fact that piriton failed woefully in relieving the itch goes ahead to strengthen the diagnosis of a Cholestatic condition. The itch that comes from a cholestasis is mediated by opiate pathways(very far apart from the realms of piriton). Hence, treatment failures are always recorded.

A liver function test, serum bile salt and serum bilirubin estimation by the labs would confirm these findings.

Most importantly, you might want to take your mom to see a gastroenterologist. Mention the positive findings we've discovered so far when you do.

I hope I've been very helpful.

4tunebest: No she doesn't itch if she sleeps on the same bed during the day.

Every part of her body itches throughout the night.
Thanks. Really looking forward to your response

How long has she had the itch?
Is she asthmatic?
Does she have allergies?
Is she unusually tired?
Are her eyes unusually yellow - even if its a tint?
Does she pass dark colored urine?


cc: Lagusta

I think her mom's pruritus may be unrelated to hygiene or the bed material. If it were, she would be having it in the daytime as well, because she obviously uses the same bed in the daytime. It would less likely be any of the dermatitis- exposure to the same conditions occur at all times of the day yet the itch chooses to come at night. Also, may not be atopy- atopy uses the type1 hypersensitivity reaction mediated by histamine from mast cell degran. Piriton would have taken care of it.

Maybe it's a systemic condition. Uremia and cholestasis comes to mind. Uremia has a continuous itch- day and night. Cholestatic pruritus occurs mainly at night- a possibility. But only co-symptoms, liver function test and serum bilirubin level would nail the diagnosis.

My humble submission.

4tunebest: She was placed on admission & given intraveinous fluids

If she sleeps on the same bed in the daytime, does she itch?

What part of the body itches? Hands , legs or everywhere?

4tunebest: I am creating this topic as a last resort, since everything we tried to solve this issue have so far proved abortive.

For over a month, my mum has been itching seriously, mostly @ night and the discomfort prevents her from sleeping throughout the night. During the day, everything is normal but once it is night, stuff like hives start appearing on her skin, which itches until dawn. Then in the morning, the hives disappear & the itching stops until night time when thesame thing repeats itself. We have used drugs prescribed by doctors, yet no improvement.

Please what else can we do?
Thanks in anticipation of your helpful response.

What did the doctors do for her?

marieolae: Guys is this tru?

Not true.

The fastest way to self-delete from my life is to start having an unnecessary sense of importance. Life is supposed to flow naturally, be easy and direct.

dnacrystal: The beasts called men with that rod between their legs. Even if she had seduced him...... Could she even have seduced him....choi!

Going by the bolded, one of your X chromosomes came from a beast.

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phreakabit: Doc can you please then explain the muscle weakness and aches? Has low grade fever earlier, with mild typhoid like aching muscles. . . Temperature is absolutely normal now but muscles still ache upon simple tasks and I feel hot inside.

Muscle weakness and aches are characteristic of viral infections. It will pass. On the overall scale, would you say your symptoms are resolving?

Lagusta: dont you think its better for him to see an endocrinologist??

Very importantly so

cc: Kindy (take note). I saw your mail- reply on its way. I've been terribly busy.

Kindy: Dear Doctors,
Greetings to you all! Please can you advice my relative(Man) on this fertility test below, he also did scrotal scan which came out normal. His Doctor says he cannot recomment any treatment, only option is IVF, they've been TTC for 2years.

LH 16.4miu/ml (1.2-9),FSH 14.9miu/ml (1.0-14.0),PROLACTIN 20.9ng/ml (3.0-14.7),TESTOSTERONE 2.9ng/ml (3.0-10).

Thank you!

Kindy: Dear Doctors,
Greetings to you all! Please can you advice my relative(Man) on this fertility test below, he also did scrotal scan which came out normal. His Doctor says he cannot recomment any treatment, only option is IVF, they've been TTC for 2years.

LH 16.4miu/ml (1.2-9),FSH 14.9miu/ml (1.0-14.0),PROLACTIN 20.9ng/ml (3.0-14.7),TESTOSTERONE 2.9ng/ml (3.0-10).

Thank you!

The cause of his problem is very clear- it's staring me in the face. His prolactin level is abnormally high and that alone is enough to impair his fertility. Bringing down the prolactin levels to normal is sufficient to restore his fertility. The other details are beyond the scope of this page.

Send me a mail : medicalmatata@gmail.com

sisiafrika: thanks, u mean 4times a week? Can't I use Artemether+Lumefantrine? Sorry for bothering.

You said prophylaxis right? S-P is good for prophylaxis.

QWeek- One tablet per week.

A-L is for treatment.

Sent to all.

Onyebuchi Chukwu - chopping from both sides of the mouth since 1960.

sisiafrika: Who can help on Malaria prophylaxis? I'm intolerant to chloroquinine. Thanks

Sulfadoxine-pyrimethamine 1tab qWeek

phreakabit: Yes doc, I did try to move it and it hurt. But then it stopped and the neck pain started. You might be confused at why I am not speaking in third person anymore. Well I am the actual person with the symptoms. My brother posted on my behalf last night .

The sequale is very indicative of a resolving suspected aseptic viral meningitis. You had a sore throat(pharyngitis) which is mostly caused by enteroviruses- (could have been bacterial) which must have spread to your meninges and caused an irritation ( obvious by headache, neck stiffness, neck pain).

A CSF lab picture may be beneficial in nailing the exact cause earlier on. It's less likely now - because the symptoms are resolving and you've had an initial antibiotic therapy.

However, the clinical picture shows symptoms are resolving meaning the course is self-limiting. You don't have to do much- except manage conservatively. I still think you should get Ibuprofen. You can consult with your Physician for further advise.

I had earlier assumed that it was malaria since there was a coincidence of symptoms resolving and start of anti-malaria drugs. Obviously it wasn't. Best of luck.

phreakabit: No Doc, no nasal congestion. Very mild sore throat nothing serious just discomforting. Yes stiff and painful neck, actually started from the hip thought it was because I had seated in a tight vehicle the day before, but then it stopped and the neck pain started that same day.Nope constipation remained for some days even after bowel movements but went away.

tried moving your thigh at the hip joint and it was painful?

ijinlove20: I do eat well, pass stool well
I dont know wat lymph node is
It's been like six months now since I started experiencing the above stated.

Also experiencing rise in temperature of the body (body hotness)

Do you sweat excessively at night?
How old are you?
Are you in any routine drugs?
Do you eat or thirst excessively?

phreakabit: BTW doc just found out from him that the night fevers do come with fast heart beats too. Not too fast but fast.

I went over the history again. Something is striking. This is how the symptoms progressed : Ear congestion& Headaches => Low grade fever, neck pain, constipation, rumbling tummy.

Quick questions:
Just before the ear congestion, did he have a nasal congestion, a sore throat, or a cough?

Was his neck painful and stiff at the same time?

When he had constipation, did it resolve with frequent bowel motions?

tijjanioyan: i dey vex

And you had to quote the whole post?

What are you over-dosing on?

No pictures the nearly burnt AFCON Cup?

How am I supposed to believe that?

labodinho: Same here too,maybe gmail issue.Plz resend.

charleymed: please re send. i didn't see it. kelechi.uc@gmail.com

labodinho: Same here too,maybe gmail issue.Plz resend.

I've Re-sent

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How far? Loot don finish?

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phreakabit: Good day Doc
S.W.I.M has been having low grade night fevers and neck pain for a week or two. In the morning she says he says he feels muxh better with no pains but not quite 100 percent. Had very mild headaches and pressure in the left ear prior to this, that went away after maleria medications. Was having constipation, rumbling tummy and fast heartbeat and took amoxil. Everything seems fine except for the reoccurring night fevers.

I assume the anti-malarial drug used was an artemisinin-based therapy. If this was the case, Resistance of falciparum malaria to artemisinin therapy is an increasing global concern. The most obvious feature is the delay in rate of clearing parasites totally from the body- which is now often indicated by persistence of symptoms after treatment (especially fever [which becomes low grade from the initial high grade at acute stage]) . I've seen a few cases.

He should manage the fever with Panadol. I prefer Ibuprofen- antipyretic action is more potent.
He will be fine in no time.

Those are the real heroes who through the foggy quagmire of a hopeless system play a microscopic role to better the lots of many.

Rest In Peace My Chief. May you find eternal rest in the bosom of Our Lord.

compunigeria: will appreciate it too compunigeria@yahoo.com thanks

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UromOta: diz ma email. Uromotamaths@gmail.com. tnk u

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