₦airaland Forum

Hi. Sorry to have been AWOL on this thread - I was bereaved.

We unfortunately lost the top person in the health team where I practice, after a brief illness. This put a lot of my activities in disarray for a while.

Death. The ultimate inevitability. Physical death, that is. I believe in the lifeafter. . .

Some infertile persons or couples may have been on to the thread-starter picture here, and are now sadly following the relatively silly-season comments some are posting.

Interesting topic.

I have a patient on the ward right now who's billed for an Elective Caesarean Section tomorrow - the indication: she's had 3 previous Caesarean Sections.

So, this shall be the fourth. And it shall be the last, also, because she has consented (I'm not sure her husband was in agreement) to have both her tubes tied during the procedure. Technically, therefore, the tomorrow's procedure is an Elective Caesarean Section with Bilateral Tubal Ligation.

Wish us good-luck and God's speed, folks.

rill:
hi doc pls i need help. i have this problem of oversweating on the palm, feet and face. also i tend to get too nervous easily over little things and this also ends up in me sweating over the face. pls what can i do?

Generally speaking, people have varying degrees to which they produce sweat and nothing can change this.

Sweating in the palms when one is nervous, is an autonomic nervous system response when one is tense - nothing much you can do to change this automatic body response. Your best bet therefore, is to adapt ones self to those tense situations such that you learn to feel less nervous under such circumstances. The sweating should then lessen.

sammiy:
Pls doctors in d aus,inid urgent response,am 18+.firstly am alredy losing my hair,pls wat ican ido to save my hair & even boost my hair growth,secondly am short and want 2grow taller atlest abit.pls d loss of hair & lack of height is rily affecting my self confidence,pls help

I replied this before (above) but the spambots took it away for a while: My own little contribution on this is that you observe a healthy lifestyle as much as possible.


Nothing you can do, really, to increase your vertical growth. Just be who you are, bro.

fahteemah:
I have backaches and can't stand at times when its so bad. My chest also hurts at times almost like the ribs are rubbing against each other. It has been occuring for years and I've been using gestid for the chest and I also apply balm to the affected area. getting really worried
what can be the cause can it be as a result of my genotpe. I am AC cause it seems to be happening to only me

Clearly, your AC Genotype is not the cause at all.

I wish I had the opportunity to medically clerk you. Then, I should have a stronger chance to make my diagnosis.

What have your doctors been saying is the diagnosis, I wonder.

franny1980:
Hi Doc,

I was having some whitish discharge and i went to hospital for a scan and swap test and the doctor told me that the symptons shows that am having Pelvic inflammatory disease (PID). i have treated it like 2 times now and i still feel pains in my stomach. i have taken below drugs:

flagyl
ciprofloxacin tablet
Gentamycin injection
and other antiboitics and insert tablet too

Please doctor i dont know what to do again and tired of taking antiboitics

I am 30yr and i have been TTC since 7months now, please tell me what to do.

Invest time and money to see the right specialist, this time - the Gynaecologist. Oh, hang -on! TTC is another threads acronym for Trying To Conceive. Which suggests you are probably seeing a Gynaecologist - please stick with them and I'm optimistic you will conceive pretty soon; don't give up.

mutw:
any help from u pls. I used to have rashes and blemishes on my face only. I went to doctor but prescribed NIZORAL SHAMPOO.
It worked but what i noticed was dat anytime it finishes d rashes comes back, I then discorverd maybe it comes from blood. please any help on any drug to use to cure this. cheers and Godbless.

Sorry, I doubt I can be of help here.

It seems to me you require the expertise of a Cosmetologist and not a medical doctor. It certainly does not come from blood, as you suggest. Trust me on this.

sammiy:
pls can some pls help wit steps to follow in preventing and boostin hair growth pls?

My own little contribution on this is that you observe a healthy lifestyle as much as possible.

fahteemah:
I have backaches and can't stand at times when its so bad. My chest also hurts at times almost like the ribs are rubbing against each other. It has been occuring for years and I've been using gestid for the chest and I also apply balm to the affected area. getting really worried
what can be the cause can it be as a result of my genotpe. I am AC cause it seems to be happening to only me

Clearly, your AC Genotype is not the cause at all.

I wish I had the opportunity to medically clerk you. Then, I should have a stronger chance to make my diagnosis.

What have your doctors been saying is the diagnosis, I wonder.

franny1980:
Hi Doc,

I was having some whitish discharge and i went to hospital for a scan and swap test and the doctor told me that the symptons shows that am having Pelvic inflammatory disease (PID). i have treated it like 2 times now and i still feel pains in my stomach. i have taken below drugs:

flagyl
ciprofloxacin tablet
Gentamycin injection
and other antiboitics and insert tablet too

Please doctor i dont know what to do again and tired of taking antiboitics

I am 30yr and i have been TTC since 7months now, please tell me what to do.

Invest time and money to see the right specialist, this time - the Gynaecologist.

mutw:
any help from u pls. I used to have rashes and blemishes on my face only. I went to doctor but prescribed NIZORAL SHAMPOO.
It worked but what i noticed was dat anytime it finishes d rashes comes back, I then discorverd maybe it comes from blood. please any help on any drug to use to cure this. cheers and Godbless.

Sorry, I doubt I can be of help here.

It seems to me you require the expertise of a Cosmetologist and not a medical doctor. It certainly does not come from blood, as you suggest. Trust me on this.

jdayz:
hi doctor.thanks for the reply bt i 4got to mention dt they did a urine test  and the result said it wz a staph the doc gave me antibiotics but like i said ealier i still ave the discharge with odour and i itch too.pls what do i do.

Any competent doctor knows that Staphylococcus is[b] nearly always[/b] a normal commensal in and on the body and hence should be ignored; almost to the point of seeing it as a contaminant of specimen culture results. This is what I referred to earlier in my reply comments about Staph, above.

You should then go ahead with my suggested prescription, above.

susanamand:
Dear Doc,

Sometimes on the 12th of September i have a protected sex and i saw my period on the 25th of September although i fell sick and i did test i was told i had typoid/malaria parasite which was treated half way because i stop using the drugs cause it was having reaction on me. i was suppose to see my menses 22nd of october following the 28day stuff but today being 25th am yet to see it.


What then is the problem.

You may quite simply be pregnant. Always see a doctor rather than going to do a test by yourself.

I'll explain further. It is possible that the flow that started on the 25th September, was not a menstrual flow at all. It could have been the implantation bleeding that often times occurs in early conception - and it does so usually around the time of the expected period, hence the more easily confusing for women. It however is usually not as heavy and as prolonged as the normal menses.

In other words, you may have been in very early conception and the accompanying "morning sickness" is what your test was calling typhoid/"malaria parasite".

See your doctor, pronto.

ceebaby:
am sitted right here with my frnd, waitin for your replies. my friend said that she had sex with her boyfrnd last mnth, she took postinor2, and after few days, she started bleeding, it lasted for 9 to 10 days after which uptill now she has not seen her period. what could be the problem? do u gyz think she is pregnant? pls help, she's right here waitin for your replies. thanks

I think she may or may not be pregnant.

I'm no Gynaecologist but it is a fact that depending on how often one takes hormonal contraceptives such as Postinor in a given time period, this may cause disruption of the menstrual cycle thus possibly causing delay.

Let her get it sorted out with a visit to her doctor.

osilekan4u:
Hello doctors in the house,please i need you to advise me and assist on how to tackles this my difficullty to breath well at times.I have gone to hospital on many occasion and some say its asthma, some say its not.dust trigger,fumes cold etc trigger it but nobody is asthmatic in our family.i used to take ventoline and aminophilne to reduce the effect.The annoying thing is that atb times ventoline drug do not usually take effect when i use( may be it is as a result of this fake drug).I used to have sleepless night night over it at times.I was not feeling such thing when i was a teenager(secondary school).Not until over 18yrs that i have been experiencing it.
i need something that can at least stop the wheezing and the difficulty to breath when it happens.I nitially i dont take anything and it goes after a while.but i dont want to b enduring the pains it causes.
Please assist me on what to do i am 35 years of age now.Thanks a lot

Your best hope still lies in seeing a competent general duty doctor whenever you get ill. There is no more I can do by way of assistance. Well, may be there is a final further step: see the specialist (will cost more effort, time and money, though) - and in this case the specialist to get a referral to is the[b] Consultant Respiratory Physician[/b]. You'll get them in any General or Teaching Hospital by way of a referral letter from your doctor.

stalker:
Hi doc, someone in the family has psoriasis according to the doctor. He has blotchy skin. What can he use for treatment?

Psoriasis should be managed by a Consultant Dermatologist - they are the ones that would be up to speed on the right drug combination. Left to me, I would be at a loss, after writing Prednisolone, for what further to include on the prescription list.

jdayz:
pls doc, i've had two D&C s nd the last one was in may.after the d&c i started having this stomach pain and i went to the hospital and it diagonized that i had PID,the doc gave mi some antibiotics which i took bt the systoms still persisted,went for another scan just to discover that the PID was still there,went to the hospital again and did a urine test and the doctor said it waz staph so he prescibed another dose of anti biotics, but the issue is i discovered dt since then its bin one thing or the other its either am itching or aving discharge with foul smell, even now i still ave the foul odour bt am tired of taking antibiotics cos i feel it mit also be contributing to the infections just like i read.pls wat do i do to eliminate this infections cos am getting married by dec and i want to conceive so badly.pls answer it .
thanks
worried jdayz

Hello. Based on the scan findings of a Pelvic Inflamatory Disease (PID), and not any suggestion of "staph" per se, I'm going to give you a good-quality, broad-spectrum antibiotics prescription ^{many times, the poor quality of the drugs is the problem}:

1) Tablet AUGUMENTIN 1 gram (1000mg) twice daily for 1 week - get the Smithklime Beecham brand.
2) Tabet METRONIDAZOLE (e.g. Flagyl) 400mg three times daily for 1 week - any regular brand should do.
3) Intramuscular Injection GENTAMYCIN 280mg daily for 1 week - any available brand with 280mg per vial, will do.

Who would you get to administer the said intramuscular injection, I wonder?

beebee2000:
Pls doc i have an issue don't know if you can help me out .I have a dry and strong palm, why i don't know why.
I have used different type of creams still no solution pls doctor tell me what kind of cream would be suitable or any possible solution. Don't like the compliments i get after giving out a handshake.
  i have used a lot of hand creams, glycerin and even did pedicure only for it to get strong after i stopped.
     

             You assistance will be appreciated

What readily comes to mind as a possible cause, is exposure of your palms to repeated abrassive force, as in the case of an auto mechanic who works all day without protective gloves.

Rare skin conditions are possible causes. Growth hormone abnormalities, possibly.

A doctor will determine if the condition is a disease that requires treatment or just a reaction to the kinds of exposure mentioned formerly - in which case, prolonged abstinense from such harsh exposure to the palms, will gradually revert the texture back to a more subtle one.

tchaik:
Wats up Docs, I like the way u guyz attend to peeps online, thats cool. Thanks for making out time to help peeps.
I have a problem that requires urgent help. I kinda wonder if there is any pill that can make one to have an erection, even when he is not sexually excited? Viagra makes one to sustain erection (right?),but I need to have an erection (have intimacy with someone u aint feeling anything for) but my manliness just wont oblige.It is frustrating if that is how u pay your school fees and daily meals. I need this pill, and need it fast. PLEASE!!!!!!!!!!!!!!.

I suggest you see a Urologist. That's the right specialist for Erectile Dysfunction issues.

lanredo:
Doki Balogun,
How can I be free from asthma. I do have difficulty in breathing many times at night and some times I eat beans. Sometimes when I drink beer with just 2 stick of ciga.
I have battling with it for over 9yrs now. There was time I stop smoking, but now I've started it again.

Cold, dust/fumes and physical/emotional stress. These are the main factors that trigger-off an Asthmatic attack. Obviously, the cigarette smoke falls under "fumes" as a possible trigger in your case.

The good news is that Asthma most times wears-off as one advances towards middle-age and beyond, assuming of course that the condition began manifesting in childhood or the teenages, as do the majority of cases.  It less commonly begins to manifest for the first time in adulthood.

What's your age, bro?

Frankbet:
Hello doc. this is urgent because i have this very unpleasantly irritable foul odour coming out from under my private area between my tighs and there is a black patch growing and spreading in that area. i dont know what to do. dont know if it is std or a toilet infection, but i went to a hospital and what the doc prescribed is not working.
please do kindly reply asap.

My guess is you have Taenia Cruris.

Use Clotrimazole Cream generously applied over the rash after taking a bath and towel-drying, twice daily for 4 weeks 2) Tablet Griseofulvin 500mg daily for 4 weeks.

krazynaija:
Hello Doctors thanks for the swift response to everyone on this thread, Tetracicline 500MG every6 hours, was prescribed to me here, I went to the pharmacy and was given TIVASICLINE 250MG , can i take 1 tablet every 6hours also or do i take 2 since its 250MB NOT 500MB

No, don't take this other drug. Rather get my prescription - which so happens to be rather very commonly available.

Chybyke07:
Goodday Docs,

A friend of mine urgently needs to know a very good and affordable hospital for [b]HEART [/b]ailments in India.
Kindly help us with this information.

Thanks

I'm afraid I personally do not have data on hospitals in India.

Epiphany:
TO ALL DOCTORS ON THIS THREAD:

I must say that i am totally impressed by the way you are responding to peoples queries. Even though i have not asked any questions, i wish i am able to reward you all for your selfless service.

Continue the good work. No good deed goes un-rewarded.

Cheers!

On the behalf of Dr Balogun and others, I say thank you to that. Rendering professional help is self-fulfilling in itself.

dr rooney:
Hey doc. I've got scabies making my fingers, toes, wrists, ankles and ittybits rashy, inflammed and sore due to intensive itching and scratching. I was told vecuten cream, endix g and tabs prednisolone would cure me   but they are all just anti-inflammatory and wont actually kill the scabies mite. Oral ivermectin and acticin cream should do the trick but i dont know if they are sold in nigeria and if they are not in nigeria, what drugs do you recommend i use to get a cure. Thank you very much.

Scabies is successfully cured in our environment, with [i]Benzyl Benzoate [/i]ointment, applied to the affected areas twice daily after bathing, for 1 week. Avoid the ointment getting into the eyes.

altavista:
Doc Surgeon, what could be the cause of constant hotness or heat in the body particularly at the back along the spinal cord and around the privates?
AND what can I use for treatment?

Too little information to work with, I'm afraid. This shows the advantage of going for a consultation where more facts can be derived.

altavista:
Docs, for some months now I've had this hotness and heat in my body and it's particularly concentrated around the privates and the spinal cord at the back.

Please, what is the cause and what do you advice cos it gets really uncomfortable at times.

Thanks

I'm afraid I cannot decide what the problem can be with only one variable to work with - the symptom of heat that you mentioned.

Whereas, if I were to see you one-on-one, I'd ask a lot of questions then do a clinical examination of several systems of your body. I'd then have much more data to allow me reach a conclusion.

[quote author=Ileke-IdI link=topic=3465.msg6917166#msg6917166 date=1286773697]@the doctors in the house.

What is the cause of my unusual ache when I go jogging? Over the summer, I was an active daily jogger, then I stopped. Nowadays, am trying to pick it back up with much difficulty. Everytime I go jogging, a mild ache starts up from the right lateral side of my navel, and eventually moves up to the my ribs. Sometimes the pain is so severe that I have to stumble home.
And sometimes my ankle gets painful, that it becomes hard to jog.

What could be the cause? Lack of proper nutrition, is my body getting used to exercising again, or some other internal problem?

thanks. [/quote]I'm guessing that you are simply lacking your old stamina. Heavy breathing causes pain under the diaphragm, and this seems to be what you described. Pains in your ankles can be explaned by the srain from the jogging.

However, to be sure, check with your doctor to rule-out a possible heart condition - I'm taking caution of the sometimes "so severe" chest pains you mentioned.

d shalom:
I often have boils in my private organ, bladder and the manliness and on my laps I have taken strong anti-biotics to no avail.  my test says absence of baterial infection, but my puss cell is between 3-5, spermatozoa count very low; oligospermia.

What drugs can increase the count. Note My hormonal balance is ok.

Is clomid good for the man, a friend took it and his count increased from 4-7 million in one month.

Your need for more information, added to all the data you seem to have already, by now any doctor would be concerned as to whether you are seeing a doctor one-on-one to sort through all of the information.

Half-knowledge is dangerous. Especially in a zero-regulated health environment such as ours, where one can pick-up [i]Clomid [/i]or any drug for that matter, just like that; without a doctor's prescription. Dangerous indeed.

Let the specialist do the job.

tunslove94:
Can you list the type of drugs advisable to take for both toxic and Non- Toxic goitre?

I could. However, I'm worried it may be abused without having a doctor's imput in making an informed diagnosis before subsequently getting a prescription.

Hello ladies,

I'm afraid I've committed look[/i]ery. Might as well go the whole hog and then commit [i]post[/i]ery 

The menstruation is said to be regular, when it comes at [i]regular intervals. The average is 28 days interval. But there is an accepted normal range: 22 - 36 days.

So, if a lady usually sees her menses every 24 days, as an example, this is normal. And as long as it comes roughly every 24 days interval, it is then said to be regular for that particular lady since that is her usual interval. The regualrity therefore, refers to the rhythm: every so-and-so days interval - and it sticks to that interval if it is regular.

Imagine an event occuring every 6 days, starting from Monday. The next event therefor would be the Sunday following. Then Saturday, and so on. The day of the week changes, but the event still stays regular at every 6-days interval.

The same thing with a regular period. The dates may change from month to month, but it is the interval that determines regularity. Except, of course a mentrual period that comes every 30 days - the date then tends to stay nearly the same, month after month, since this 30-day interval resonates well with the 30-days that makes up a calender month, more or less.

Forgive my intrusion, ladies.

tunslove94:
How is goiter cured?Which drug can one take to overcome goiter?.
[pre][/pre]NNNNNNNNNNN

It would be determined first whether the Goitre is a Toxic Goitre or a Non-Toxic one.

There are drug-based, Medical remedies and then there are Surgical remedies when indicated.

teetee2:
Thx Surgeon,  Yes by Vitabiotics. For very long time i av been taking Ventolin and predisolone tablet due to challenge on my health and this makes me to loose weight and affects my menses i,e not flowing regularly, it comes on interval of 2 or 3 months.  Though im advance in age and not marry, i tried Phamaton capsules but not really get the result i wanted.  I surf on internat and discovered that an ailment can cause irregularities in woman circle. In a conversation a lady said that she takes WELL WOMAN and good for her skin, menses etc.  Pls is there anything i can use to make my menses flow well.  Thanks

Some of our women folk wrongly believe that it would result in a problem, if their menses doesn't flow well - meaning that the waste-products that's supposed to flow out, still remains in their system. Well, like I said, this is absolutely wrong thinking. The menses is no waste product at all. It is the endometrial lining shedding-off due to the newer one growing beneath. So, if there is no new growth beneath, their would be no new flow - doesn't mean danger or any retained waste, etc.

I'm saying this because I have noted you mentioned being advanced in age and unmarried, hence I assume you aren't trying to get pregnant - this would have been the only reason I would have been concerned about your irregular menstrual cycle.

If you still are concerned about this aspect of your health, I would suggest you see a Gynaecologist

teetee2:
Is it a must for women to take WELL WOMAN and then what is the functions it renders to the body. Thanks

I assume you refer to the Vitamin suppliment from Vitabiotics_{I did a quick search}. It is just that - it adds vitamins and other mineral substances needed for a balanced diet.

It isn't a must. It all depends on ones state of health and dietary needs. If one is eating a fairly balanced diet and is in general good health, vitamin suppliments are not a MUST. The extra that the body will not absorb would be passed-out in the stools.

An active sports woman on the other hand, would need more vitamins because she has a higher turn-over of these minerals due to a higher metabolic activity during regular training and competition, etc. Same thing applies to a pregnant woman - her Gynaecologist would recommend some mineral suppliment or the other.

Machux2010:
@ surgeon.
Doc, who is the best consultant for cases of erectile dysfunction and quick expulsion? There is a lot of herbal prescriptions given even on this thread, but I feel any cure one starts whithout knowing the causes or run medical tests does not give you security against future reoccurance. Advice.

For the two conditions mentioned, the right specialist to see is a consultant Urologist.

moskey:
hello Doctor,

I have low blood presure, what can i do? please help.

Hello. I'm sorry if I'm wrong but I get the feeling you only assume you have low blood pressure. Prove me wrong: was this told you by a doctor? What solution did they profer?

Redem:
hi surgeon
thanks for your suppport
as a final request please could you suggest specific food items rich in fibre as you suggested.

The green stems of plants (vegetables), their leaves and their fruits - humans cannot digest the cellulose contained in the cell wall of these plant structures. As such, they remain as[i] bulk[/i] in the stools.

So, in general, we say fruits and vegetables are rich in fibre. Even the squeezed-out juice from Citrus fruits such as Pineapples or Oranges - they still contain lots of tiny pulps from the fruit-flesh, hence are rich in fibre also.

Redem:
thank you. but how come there is still blood wheni have a running stomach and  the stool is watery. hence i dont think its due to friction or difficulty in movement.

please  help

Sometimes when stools are little and watery, they become a nuisance in terms of the method the intestines adopts to empyt them. The intestines are convoluted loops of many meters length an so you can imagine fluid faeces hiding here and there in the various troughs within the loops.

The intestines function better with bulky stools. With loose stools they work inefficiently with the individual having to strain automatically as an aid. This is why the anus soon becomes oedematous(engorged) from all the straining, which may then lead to engorged veins (Haemorrhoids) that may then bleed. Therefore, one can develop Haemorrhoids both from Constipated stools and Diarrhoeal stools - the common factor is straining.

This is all in a general sense. In some cases of Diarrhoeal Disease, watery stools run out very easily with no difficulty whatsoever.

lohtanah:
Hello Doctor,

I noticed some rash over my body a couple of moths ago. They seemed harmless at first and i just wash with medicated soap and dettol. It seem to disappear but soon got worse

The rashes reappeared in clusters - like ringworm- and would turn into lump-like itchy and painful sores.

Doctor i visited said it was a fungi infection and prescribed ketoconazole, fluconazole, gentamycin, doxylin - all of which i've taken but they don't seem to be going and instead comes out worse and leaves dark patches especially on my legs and feet.

Please what do i do next? I'm so worried!

May be it was an omission in certain details as to the usage of your medication, on your part, or that of the health-service provider.

Long and short - see your doctor again.

Redem:
Hi Doctor

I observe that when i consume sugary products, there is blood in my stool. So i stopped, but anytime i take coke or anything like that it starts again. Please what is the cause for this

Thank you

The only way Sugar is connected to a change in stools in some individuals, is that it changes the consistency of the stools - makes them soft, sticky and generally more difficult to move along the bowels, hence causes the defaecation to be more difficult; usually with straining and invariably some bleeding at times. Unlike Fibre-diet such as diets rich in Fruits and Vegetables - these cause one to stool with ease and efficiency because they add bulk to the stool and bulk greatly aids the peristaltic (pumping) action of intestinal motility.

If I am correct, you would notice a change in the manner and consistency of your stool. Otherwise, it is not Sugar causing the bleeding, but something else.

Add more Fibre to your Carbohydrate/sugary diet. This should help correct the problem.

bece:
Hi doc pls i have been having pain on the left side of my back,when i take a deep breath i feel it, when i lie down and try to raise my neck i feel it too its like i have a wound on that side, i have seen a doctor i did Ecg and the result was okay. At times i feel sharp pain on my left side too under my bosom all these i complained to my doc and after all the test he said i should try and shed weight. Am a female 34 2 kids,5'10 and 100 kg. I hope is not cardiac arrest. Please doc help

A`Heart Attack would give rise to a chest pain usually as a result of increased Heart activity during physical exersion (like climbing several flights of stairs) or emotional aggitation/excitement.

In your case, you describe feeling chest pain only when the chest wall undergoes expansion (breathing-in) or contraction (bending forward; lying on the side, etc). It points more to a problem of the connective tissue - i.e. of muscles, tendons or ligament, or possibly a Lung disease.