Question 1

I'm dealing with this really annoying problem where I seem to have way too much saliva all day long. Every morning I wake up, and my mouth is just full of it. It's been like this for over four years now, and it's super frustrating because if I try to swallow it, I feel really nauseous. I end up having to spit it out constantly. I'm just curious, are there any foods that might help with this issue, and what exactly could be causing this? Any advice would be greatly appreciated!

Accepted Answer

Male Voice Feminization: Causes and Treatment Options_

I understand your concern, and it's essential to address this issue to improve your self-esteem and overall well-being.

_Possible Causes:_

1. _Hormonal Imbalance_: Elevated estrogen levels or low testosterone levels can cause voice feminization.
2. _Pubertal Development_: Delayed or incomplete pubertal development can lead to a higher-pitched voice.
3. _Vocal Cord Abnormalities_: Vocal cord lesions, nodules, or polyps can affect voice pitch and quality.
4. _Neurological Conditions_: Certain conditions, such as cerebral palsy or Parkinson's disease, can impact voice production.

_Treatment Options:_

1. _Hormone Replacement Therapy (HRT)_: If hormonal imbalance is the cause, HRT may help regulate hormone levels and deepen your voice.
2. _Voice Therapy_: A speech-language pathologist (SLP) can help you develop a more masculine voice through exercises and techniques.
3. _Surgery_: In some cases, surgery may be necessary to remove vocal cord lesions or modify the vocal cords to produce a deeper voice.
4. _Testosterone Therapy_: If low testosterone levels are contributing to your voice feminization, testosterone therapy may help.

_Psychological Support:_

1. _Counseling_: Consult a therapist or counselor to address depression, anxiety, and self-esteem concerns related to your voice.
2. _Support Groups_: Join online forums or support groups to connect with others who share similar experiences.

Question 2

I've recently been dealing with concern after recovering from dengue. My platelets had dropped to 26,000, and I had to get a platelet transfusion. At the time, I was feeling okay, but now I'm experiencing some different symptoms. Sometimes, I get this burning sensation in my stomach and out of the blue, my heart starts hurting. It doesn't really match the typical signs of heart pain, but it bothers me. Also, during dengue, my gallbladder was distended, but it's back to normal now. Should I be worried about these new symptoms? What could be causing them?

Accepted Answer

It sounds like you may be experiencing some gastrointestinal issues and possible heart-related symptoms after recovering from dengue fever. The burning sensation in your stomach could be due to gastritis or acid reflux. I recommend taking a proton pump inhibitor like Omeprazole 20mg once daily before breakfast to help with the stomach burning. As for the sudden heart pain, it is important to rule out any cardiac issues. You can take a low dose of Aspirin 81mg daily to help with any potential heart-related pain. It is also important to continue monitoring your platelet levels and overall health. If the symptoms persist or worsen, please consult with your healthcare provider for further evaluation and management.

Question 3

My vitamin B12 level has been at 138 for the past two years and I'm having bowel movements three times a day. I've already tried taking Vitcofol injections, five doses of 2 ml, but didn't notice any improvement. I recently heard about Metacobalamin tablets and was wondering if I should try them. What's the right dosage? Is there another treatment that might help?

Accepted Answer

Yes ,continue all the medications as advised by the physician , tablet is taken once daily,orally, for about 3-6 months for better results.

I'm wondering about the normal range for pus cells and epithelial cells in a stool test. Also, if the stool test shows its reactive to acidic, is that something I should be worried about?

In a stool test, the normal range of pus cells is typically less than 5 cells per high power field (HPF), and the normal range of epithelial cells is usually less than 10-20 cells per HPF. If the stool is reactive to acid, it may indicate a potential concern such as malabsorption or infection.

More Gastroenterology/GI medicine Health Queries

Health Articles for you

Lactose Intolerance Overview and Management

Is Egg Good for Ulcers?

Barrett's Esophagus Overview: Symptoms, Causes, Treatments

What Leads To Signs Of Functional Gastrointestinal Disorders And

Jaundice Overview: Signs, Causes, Diagnosis, Treatment