₦airaland Forum

AmbulatoryMedic:
Like avoiding squeezing her breasts. Wearing clothes that are too tight on the breasts. Wearing more absorbent bras, counselling regarding stress management..

AmbulatoryMedic:
Hi
She needs an MRI brain, if fine then her symptoms are stress related. If she continues with parlodel for a while, she will need regular monitoring via CXR etc due to side effects of this medication. Stress management and non medical symptom control will play a big role

AmbulatoryMedic:
Hi
With Nipple discharge, it is important to differentiate the pathological from the physiological.
Worrying signs for nipple discharges include 1) unilateral symptoms. 2) Abnormal non white discharge. 3) Breast changes. 4) vision changes 5) Heaaches.
You said your wife isn’t pregnant and not lactating, does lactating mean not breastfeeding or breast stimulation in this context?. Bilateral white nipple discharge is normal sometimes during periods.
Is your wife on any other regular medications?. Things like antipsychotics etc can also cause nipple discharge. Stress also possible.
In saying this, sometimes there is no cause found for nipple discharge but patients will be under surveillance for possible prolactinoma

AmbulatoryMedic:
Hi,
Biochemically, your wife’s hormonal test look fine. Was she having any nipple discharge before been started on this medication?
The medication shouldn’t normally prohibit sex, dopamine (palodel) is actually linked with the reward system which means theoretically your wife should be feeling like having more sex.
Saying that, it is impossible to totally rule out medication as a cause of her symptoms due to unknown anticholinergic activities of the medications. There are other reasons for loss of libido ranging from urogynaecology to psychosexual. You will need to follow up with your Doctor

AmbulatoryMedic:
Hi
No, lack of sex doesn’t cause abnormal hormones. Abnormal hormones can however cause reduced libido.
There are numerous causes of hormonal imbalances depending on which ones you are referring to. Maybe you should post a picture of the hormone profile you mentioned with the reason for doing it

YourhealthNG2:
Yes, parlodel may cause those side effects.
The dosage is usually individuallised and may be adjusted as treatment progresses until the desired goal is achieved.

AmbulatoryMedic:
Hi
No, lack of sex doesn’t cause abnormal hormones. Abnormal hormones can however cause reduced libido.
There are numerous causes of hormonal imbalances depending on which ones you are referring to. Maybe you should post a picture of the hormone profile you mentioned with the reason for doing it

Leem54:
Thank you for responding Doctor, you know at some point i thought so too that if it is h pylori it should have cleared away with treatment. I even used elicorid the three regimen drug. So i have been wondering that with a lot gas and bloating and reoccurrence.... it might be small intestine bacterial overgrowth.
But i will try to follow your suggestion of the OGD. It is just that most Doctors i visit do not prescibe it for me. All the prescribe is antibiotics again.
Thank you once more!

AmbulatoryMedic:
Your swallowing issue could be due to 1) Dry mouth. 2) oesophagus narrowing due to long-standing acid reflux. 3) A mechanical obstruction in your throat.
Does the problem occur at the top when you eat food or at the bottom of your throat as the food goes down?
Cafergot has caffeine aswell which can also cause dry mouth. Do you take it regularly?. If yes you need to keep a closer eye on your BP.
The definitive investigation is an OGD to look inside your throat and stomach.

AmbulatoryMedic:
Your swallowing issue could be due to 1) Dry mouth. 2) oesophagus narrowing due to long-standing acid reflux. 3) A mechanical obstruction in your throat. THIS NOTED. WHAT CAN I NOW DO?

Does the problem occur at the top when you eat food or at the bottom of your throat as the food goes down?IT OCCOURS LET SAY AT MIDDLE OF THROAT PIPE

Cafergot has caffeine aswell which can also cause dry mouth. Do you take it regularly?. If yes you need to keep a closer eye on your BP. I DONT TAKE THE CAFERGOT REGULARLY. I ONLY TAKE WHEN I EXPERIENCE CRAZY HEADACHE WHICH I HAVE NOT EVEN EXPERIENCED FOR OVER 6-7MONTHS NOW

The definitive investigation is an OGD to look inside your throat and stomach. IS THE OGB SAME AS ENDOSCOPY OR WHAT DID YOU MEAN BY OGD?

CURRENTLY, I AM FEELING MILD CHEST PAIN, NECK ACHE AND MINTY SENSATION FROM MY THROAT WHEN I LIE DOWN. OR DOES POSTURE CAUSE THE ABOVE FEELINGS because I FACE DOWN ALOT AT WORK WHILE WORKING. LATELY, I ENSURE I EXERCISE THE HEAD-NECK AT INTERVALS

what is the way forward please, doc?

AmbulatoryMedic:
Hi,
Food getting stuck can be a symptom of many things.
1) Does this occur with solid or liquid food or both?. *solid-perhaps because i eat in a rush way back*[
2) What happens when food gets stuck?. Any vomiting?*NO* Abdo pain?.. *NO*
3) Any breathing problems?*NO* But i noticed i use to have one nose hole blockage at seldom but when i use Vicks inhaler, it subsides
4) Which Medications are you on?. *Am on NATRIXAM 1.5/5mg which i use based on my blood pressure readings*
5) Any previous medical problems? *I was once diabetic but i am no more again. I am still hypertensive. There was a time i had a very chronic headache and head hotness. It was then my doc recomended CAFERGOT pill which got me rekindled but i noticed it was since i used this cafergot that i started to experience this food stuck sensation in throat/chest (without chest pain). I have used ULSAKIT and some acidic blockers pills but i am not getting the best result that i want. Currently, i use Bicarbonate Soda when the stuck is getting out of hands(which makes me better) but i dont want this sensation to be what i will be nursing, i want to eradicat it totally and that is why i am seeking this help.*

AmbulatoryMedic:
Hi
There is nothing like chronic malaria or typhoid. What symptoms were you having when you had these tests?
The test showed you have antibodies against salmonella antigens. It is difficult to tell if this is past or current infection in the absence of any clinical details

2Ballz:
Watery nipple discharge though quite embarrassing may actually not be coming from any serious health condition generally or with the breast. Since it is not milky by appearance ,there is little to say it is related to high plasma prolactin. Though by normal clinic constraint, it is advisable to have a assay for the prolactin blood concentration done just to rule high prolactin hormone out. The rest would be to check the breast properly for any changes to duct and changes relating to lump. Not to forget, most nipple watery discharge aren't spontaneous and would only happen during a breast expression or nipple massage. So, she should avoid doing this for the mean time.
How old is she?
If she above 35years, her doctor could advice a mammography should ultrasound scanning did not much to find anything. If all these are done and yet no findings, she is probably alright and the nipple discharge could have happened by her increased breast expression if not, she should wait some months further to allow the obvious cause comes more clinical.

2Ballz:
A combination of side effects from PIPs, antacids and then symptoms from your GERD.

2Ballz:
Have you discussed with your doctor on the present symptoms you have been having these days?

2Ballz:
It is expected to have weight loss on a recurring GERD. My main problem with your doctor's prescription is slight. I see it improper to prescribe PIP (as in Omeprazole) and H2-receptor inhibitor ( as in Cemitidine) together. It is not acceptable as the PIP can never work optimally in the presence of H2R inhibitor. This may just be a reason for the symptomatic treatment (as with the antacid) rather than a managemental treatment. With this, I don't see how you may improve at all until the treatment plan needs to be well adjusted and planned.

2Ballz:
I have gone through your post and I must say that the doctor you are seeing on this condition is making serious blunders on prescription, with this I don't think your GERD may improve too soon.

2Ballz:
My question is what have you done so far in searching for solution to your GERD?
What medications have you used so far on it?
Any lifestyle changes?