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'm really worried about my mom. She had typhoid a week ago and was on Levolab 500 mg for those 7 days. Her fever went away after just 3 days, which is good, but she's still feeling super weak. And now she's been having trouble going to the bathroom, like she hasnt had a bowel movement in 3 days, though her urine seems normal. Is this something we should be concerned about, or is it a normal side effect after typhoid? What can we do to help with the bowel issues?

Accepted Answer

Vertigo and Dizziness: Addressing Long-Term Symptoms and Recent Exacerbation_

I understand your concern for the individual's prolonged struggle with vertigo and dizziness. Given the current treatment regimen and recent exacerbation, here are some suggestions:

_Possible Causes of Exacerbation:_

1. _Inadequate medication dosage_: The current dosage of Stugeron and Dytor might not be sufficient to control symptoms.
2. _Medication tolerance_: Long-term use of Stugeron might lead to tolerance, reducing its effectiveness.
3. _Underlying condition progression_: The underlying condition causing vertigo and dizziness might have progressed, requiring adjustments to the treatment plan.

_Recommendations:_

1. _Consult a specialist_: Schedule an appointment with an ear, nose, and throat (ENT) specialist, a neurologist, or a vestibular specialist to reassess the condition and adjust the treatment plan.
2. _Medication adjustments_: The specialist might recommend adjusting the dosage or switching to alternative medications, such as betahistine or vestibular suppressants.
3. _Vestibular rehabilitation therapy (VRT)*: A physical therapist specializing in VRT can help the individual develop exercises to improve balance and reduce vertigo symptoms.
4. _Lifestyle modifications*: Encourage the individual to make lifestyle changes, such as:
    - Avoiding triggers like caffeine, nicotine, or certain foods
    - Maintaining a consistent sleep schedule
    - Engaging in regular exercise, like yoga or tai chi, to improve balance and reduce stress

_Monitor and Seek Immediate Medical Attention if:_

1. _Sudden worsening of symptoms_
2. _Severe vomiting or inability to keep fluids down_
3. _Double vision or difficulty speaking_
4. _Severe headache or confusion_

Question 3

My wife is 32 and has a large pancreatic cyst that the CT scan says is likely benign. The doctor recommended open surgery with a GI surgeon who specializes in pancreas cases. We're looking for a specialist in Bangalore can you suggest a good doctor and hospital with expertise in this?

Accepted Answer

kindly share report

It's been 6 days since my gallbladder was removed through laparoscopic surgery because of gallstones but I still haven't had a bowel movement. Urine output is fine but no stool even though I'm taking Duphalac. Is this normal after gallbladder surgery?

Try to use glycerin suppository per rectal ,

More Gastroenterology/GI medicine Health Queries

My wife is 32 and has a large pancreatic cyst that the CT scan says is likely benign. The doctor recommended open surgery with a GI surgeon who specializes in pancreas cases. We're looking for a specialist in Bangalore can you suggest a good doctor and hospital with expertise in this?

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