Question 1

I've been having this pain around my anus for the last couple of days, and when I went to see the doctor yesterday, she mentioned it was the beginning stage of piles. I'm a bit worried and not sure what to do next. Could you give me some advice on how to manage this or what steps I should take?

Accepted Answer

It sounds like you may be experiencing symptoms of piles (hemorrhoids). To help alleviate your symptoms, you can try using over-the-counter medications such as Preparation H cream. Apply a small amount of the cream to the affected area up to 4 times a day, especially after bowel movements. Additionally, you can take a stool softener like Colace to help make bowel movements more comfortable. Make sure to drink plenty of water and eat a high-fiber diet to prevent constipation, which can worsen hemorrhoid symptoms. If your symptoms persist or worsen, please follow up with your doctor for further evaluation and management.

Question 2

I'm noticing a small hard lump on the side of my neck, and it just appeared a day ago. I'm a bit worried because I've had throat and ear infections in the past. Plus, I smoke and drink. Could this lump be something related to my medical history? Also...

Accepted Answer

Yes that could be reactive lymphadenitis due to your previous infection need to use a course of antibiotics,visit General Physician for appropriate management

Question 3

I'm really worried because I did a medical abortion back in December last year when I was 4 weeks pregnant. I went through all the bleeding and even passed tissues and clots. Afterward, I got my periods in February and March, and my home pregnancy te...

Accepted Answer

Possible Causes of Spleen Enlargement*

1. *Fatty liver*: Although your fatty liver is grade 1, it might be contributing to the spleen enlargement.
2. *Portal hypertension*: Elevated bilirubin (1.6) and liver enzymes (SGOTSGPT) could indicate portal hypertension, which can cause spleen enlargement.
3. *Other potential causes*: Although your tests were mostly normal, other possible causes of spleen enlargement include lymphoma, leukemia, or a spleen disorder.

*Recommendations*

1. *Follow-up ultrasound*: Schedule a follow-up ultrasound in 2-3 months to monitor the spleen size.
2. *Liver health*: Continue with udiliv 300 and vitamin E to support liver health.
3. *Weight management*: Maintain your weight loss efforts, as excess weight can exacerbate fatty liver and spleen enlargement.
4. *Consult a gastroenterologist*: Seek a consultation with a gastroenterologist to further investigate the cause of spleen enlargement and fatty liver.

Question 4

I've been experiencing this weakness in my chest and it's making me really anxious. I'm trying to figure out what's going on because sometimes I also get this heaviness when I breathe and feel dizzy. It even makes me feel shaky at times. What could b...

Accepted Answer

It sounds like you may be experiencing symptoms related to anxiety, which can cause chest tightness, dizziness, and shaky feelings. However, these symptoms can also be linked to other conditions such as heart issues or respiratory problems. I recommend consulting with a healthcare provider to get a proper evaluation and ensure it's not something more serious.

Question 5

I'm 15 years old and currently 5.5 feet tall. I'm really curious and a bit worried about whether my height will increase. How much more do you think it might grow?

Accepted Answer

Elevated alkaline phosphatase (ALP) levels can indicate various conditions.

_Possible Causes_

1. _Bone disorders_: Osteomalacia, rickets, or Paget's disease.
2. _Liver diseases_: Hepatitis, cirrhosis, or liver cancer.
3. _Bile duct obstruction_: Gallstones or tumors.
4. _Hormonal imbalances_: Hyperthyroidism or hypothyroidism.
5. _Vitamin D deficiency_.

_Next Steps_

1. _Consult your doctor_: Discuss your test results and medical history.
2. _Additional tests_: Your doctor may order further tests, such as:
    - Liver function tests (LFTs)
    - Bone scans or X-rays
    - Ultrasound or CT scans
    - Hormone level tests
3. _Monitor and adjust_: Depending on the underlying cause, your doctor may recommend lifestyle changes, medication, or further treatment.

_Keep in mind_

1. _Isolated elevation_: ALP elevation can be isolated, and further testing may not reveal any underlying conditions.
2. _Other factors_: Certain medications, vitamins, or supplements can influence ALP levels.

Question 6

My wife's in her 6th month of pregnancy and she's been having some issues like vomiting, a cold, runny nose, and headaches. We went to a gynecologist who prescribed some meds like azithromycin, Sinarest, and Ascoril D Plus syrup. We even did a COVID ...

Accepted Answer

Possible HIV Exposure and Post-Exposure Prophylaxis (PEP)

*Assessment of Risk*

1. *Condom use*: You used a condom, which significantly reduces the risk of HIV transmission.
2. *Condom breakage*: Although the condom remained inside, the risk of transmission is still relatively low.

*Laboratory Test Results*

1. *Negative result*: Your HIV test result is negative, which is reassuring.

*Post-Exposure Prophylaxis (PEP)*

1. *PEP eligibility*: PEP is typically recommended within 72 hours of potential exposure.
2. *PEP effectiveness*: PEP can reduce the risk of HIV infection if started promptly.
3. *Consult a healthcare professional*: Discuss your situation with a healthcare provider to determine if PEP is necessary.

*Next Steps*

1. *Schedule a follow-up test*: Repeat the HIV test after the window period (typically 3-6 months) to confirm the negative result.
2. *Practice safe sex*: Continue using condoms correctly to minimize the risk of future exposures.
3. *Seek counseling*: Consider counseling to address any emotional concerns or questions you may have.

I've been having this pain around my anus for the last couple of days, and when I went to see the doctor yesterday, she mentioned it was the beginning stage of piles. I'm a bit worried and not sure what to do next. Could you give me some advice on how to manage this or what steps I should take?

I've been having this pain around my anus for the last couple of days, and when I went to see the doctor yesterday, she mentioned it was the beginning stage of piles. I'm a bit worried and not sure what to do next. Could you give me some advice on how to manage this or what steps I should take?

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General Physician/ Internal Medicine

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