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Medical Channel Asia Latest Questions

I’ve been on the oral contraceptive pills for a few years now to manage my acne, but lately I’ve been getting anxious that it might affect my fertility in the long run. I’m not planning for kids yet, but I ...

  1. The following answer is provided by HELF AI (www.HELF.co), a next-gen AI backend built to power the health & wellness industry.

    It's understandable to have concerns about the long-term effects of oral contraceptive pills (OCPs) on fertility, especially if you are planning to keep your options open for future family planning. Here is a detailed overview of the considerations regarding the use of OCPs like Yasmin and their impRead more

    It’s understandable to have concerns about the long-term effects of oral contraceptive pills (OCPs) on fertility, especially if you are planning to keep your options open for future family planning. Here is a detailed overview of the considerations regarding the use of OCPs like Yasmin and their impact on fertility:

    Yasmin and Fertility

    Composition and Mechanism:
    – Yasmin is a combination oral contraceptive pill containing ethinyl estradiol and drospirenone. Drospirenone has antiandrogenic properties, which can be beneficial for managing acne.
    – OCPs work primarily by inhibiting ovulation, altering the cervical mucus to prevent sperm penetration, and changing the endometrial lining to prevent implantation.

    Impact on Fertility:
    Reversible Contraception: OCPs, including Yasmin, are considered reversible forms of contraception. Once you stop taking them, your fertility should return to its baseline level. Most women resume ovulation within a few months after discontinuing the pill.
    No Long-term Impact: There is no evidence to suggest that long-term use of OCPs affects future fertility. The delay in return to fertility is usually temporary and related to the time it takes for the menstrual cycle to normalize after stopping the pill.

    Considerations and Recommendations

    Anxiety and Concerns:
    – It’s common to feel anxious about the potential long-term effects of medications. If anxiety about fertility persists, consider discussing it with your healthcare provider. They can provide reassurance and discuss alternative acne management strategies if needed.

    Alternative Acne Treatments:
    – If you decide to explore other options, treatments such as spironolactone, which also has antiandrogenic effects, or topical treatments might be considered. However, spironolactone is not a contraceptive, so additional birth control methods would be necessary.

    Monitoring and Health Checks:
    – Regular check-ups with your healthcare provider can help monitor your overall health and address any concerns about fertility or side effects from OCPs.

    Lifestyle Factors:
    – Maintaining a healthy lifestyle, including a balanced diet and regular exercise, can support overall reproductive health and potentially improve fertility outcomes when you decide to conceive.

    Conclusion

    While Yasmin and other OCPs are effective for managing acne and providing contraception, they do not have a lasting impact on fertility once discontinued. If you have specific concerns or wish to explore alternative treatments, a discussion with your healthcare provider can help tailor a plan that aligns with your health goals and future family planning desires. Always consult with a healthcare professional before making changes to your medication regimen.

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Anonymous
Anonymous

Is there any way to stop mouth breathing at night besides using a mouth tape?

  1. The following answer is provided by HELF AI (www.HELF.co), a next-gen AI backend built to power the health & wellness industry.

    Addressing mouth breathing at night involves identifying and managing the underlying causes. Here are several strategies that can help reduce or stop mouth breathing during sleep: 1. Address Nasal Congestion or Obstruction: - Nasal Strips or Dilators: These can help open nasal passages and improve aRead more

    Addressing mouth breathing at night involves identifying and managing the underlying causes. Here are several strategies that can help reduce or stop mouth breathing during sleep:

    1. Address Nasal Congestion or Obstruction:
    Nasal Strips or Dilators: These can help open nasal passages and improve airflow.
    Saline Nasal Sprays or Rinses: Regular use can help clear nasal congestion.
    Allergy Management: If allergies are a contributing factor, consider antihistamines or nasal corticosteroids as advised by a healthcare professional.

    2. Improve Sleep Environment:
    Humidifiers: Adding moisture to the air can reduce nasal congestion and throat dryness.
    Adjust Sleeping Position: Sleeping on your side rather than your back can prevent the tongue and soft tissues from collapsing into the airway.

    3. Oral and Dental Interventions:
    Mandibular Advancement Devices: These are oral appliances that reposition the jaw to keep the airway open.
    Orthodontic Evaluation: In some cases, dental issues such as malocclusion may contribute to mouth breathing.

    4. Breathing Exercises:
    Buteyko Method or Other Breathing Techniques: These exercises can help promote nasal breathing by training the body to breathe through the nose.

    5. Lifestyle Modifications:
    Weight Management: Excess weight can contribute to airway obstruction, so maintaining a healthy weight may help.
    Avoid Alcohol and Sedatives: These can relax the muscles of the throat and exacerbate mouth breathing.

    6. Medical Evaluation:
    Consult an Otolaryngologist (ENT Specialist): If structural issues like a deviated septum or enlarged adenoids are suspected, a specialist can provide appropriate interventions.
    Address Sleep Apnea: If sleep apnea is a concern, a sleep study may be warranted to explore treatments such as CPAP therapy.

    7. Behavioral Changes:
    Conscious Practice: During the day, consciously practice keeping your mouth closed and breathing through your nose.

    It is important to consult with a healthcare professional to determine the underlying cause of mouth breathing and to tailor interventions accordingly. They can provide guidance on the most appropriate and effective strategies based on individual needs and any associated conditions.

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ABL
ABL

I had sinisitus (was on antibiotics) and kept having this trickling feeling at the back of throat which causes me to cough. It has been a month now and I still get that feeling on and off, is it normal?

  1. The following answer is provided by HELF AI (www.HELF.co), a next-gen AI backend built to power the health & wellness industry.

    The sensation of a trickling feeling at the back of the throat, often referred to as postnasal drip, is a common symptom that can persist even after an episode of sinusitis has resolved. Here are some insights and considerations regarding your situation: Possible Causes and Considerations: 1. ResiduRead more

    The sensation of a trickling feeling at the back of the throat, often referred to as postnasal drip, is a common symptom that can persist even after an episode of sinusitis has resolved. Here are some insights and considerations regarding your situation:

    Possible Causes and Considerations:

    1. Residual Inflammation: After sinusitis, the inflammation of the nasal passages and sinuses can persist, leading to ongoing mucus production and postnasal drip. This can cause a sensation of mucus trickling down the throat, which may trigger a cough.

    2. Chronic Sinusitis: If symptoms persist for more than 12 weeks, it may indicate chronic sinusitis. This condition is characterized by prolonged inflammation and may require different management strategies.

    3. Allergies: Allergic rhinitis can cause similar symptoms, including postnasal drip and cough. Consider whether you have been exposed to allergens such as pollen, dust mites, or pet dander.

    4. Gastroesophageal Reflux Disease (GERD): Sometimes, GERD can mimic or exacerbate postnasal drip symptoms, as stomach acid can irritate the throat.

    5. Environmental Factors: Dry air, especially in heated indoor environments, can exacerbate postnasal drip. Humidifiers can help maintain moisture in the air.

    Management Strategies:

    Nasal Irrigation: Continue using saline nasal rinses to help clear mucus and reduce postnasal drip.
    Hydration: Ensure adequate fluid intake to help thin mucus secretions.
    Avoid Irritants: Avoid smoking and exposure to secondhand smoke, which can worsen symptoms.
    Allergy Management: If allergies are suspected, consider using antihistamines or nasal corticosteroid sprays as advised by your healthcare provider.
    Humidification: Use a humidifier in your living space to maintain optimal humidity levels.

    When to Seek Further Evaluation:

    – If symptoms persist beyond a few more weeks or worsen, it would be prudent to consult with your healthcare provider.
    – If you experience additional symptoms such as fever, severe facial pain, or visual disturbances, seek medical attention promptly.

    Your healthcare provider may consider further evaluation, including imaging studies or referral to an ENT specialist, to determine if there are underlying issues such as nasal polyps or chronic sinusitis that require specific treatment. Additionally, they may assess for other conditions like GERD or allergies that could be contributing to your symptoms.

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Anonymous
Anonymous

I started using this hair spray 1 month ago cause of some hair loss issue. Is this the best product available as I’m not seeing a huge difference so far and how long do I need to use it for?

  1. The following answer is provided by HELF AI (www.HELF.co), a next-gen AI backend built to power the health & wellness industry.

    When addressing hair loss, it's important to consider the type of hair loss you're experiencing, as well as the specific product you're using. Here are some general considerations and recommendations based on current knowledge about hair loss treatments: Types of Hair Loss 1. Androgenetic Alopecia (Read more

    When addressing hair loss, it’s important to consider the type of hair loss you’re experiencing, as well as the specific product you’re using. Here are some general considerations and recommendations based on current knowledge about hair loss treatments:

    Types of Hair Loss

    1. Androgenetic Alopecia (Male and Female Pattern Hair Loss):
    Treatment Options: Topical minoxidil is commonly used and can take 3 to 6 months to show noticeable results. For men, finasteride is another option, while women may benefit from anti-androgens like spironolactone or cyproterone acetate.
    Expectations: These treatments generally stabilize hair loss and may thicken existing hair, but they do not typically reverse hair loss entirely.

    2. Frontal Fibrosing Alopecia (FFA):
    Treatment Options: This condition often requires a combination of topical and systemic treatments, such as high-potency corticosteroids, 5-alpha reductase inhibitors, or hydroxychloroquine.
    Expectations: The goal is to stabilize the condition rather than achieve regrowth, as FFA is a scarring alopecia.

    3. Telogen Effluvium:
    Treatment Options: Often resolves on its own once the underlying cause is addressed. Stress management, nutritional support, and time are key.
    Expectations: Hair regrowth typically occurs within months after the trigger is resolved.

    Product Considerations

    Hair Sprays and Topical Treatments: If the product you are using is a topical treatment like minoxidil, it generally requires consistent use for several months before significant changes are observed. If it’s a cosmetic product, it may not address the underlying cause of hair loss.
    Shampoos and Scalp Care: Therapeutic shampoos containing antifungal agents like ketoconazole can help if dandruff or scalp inflammation is contributing to hair loss.

    Recommendations

    1. Duration of Use: Continue using the product for at least 3 to 6 months to evaluate its effectiveness, unless you experience adverse effects.
    2. Consultation: Consider consulting with a dermatologist or trichologist to accurately diagnose the type of hair loss and tailor the treatment accordingly.
    3. Complementary Treatments: Ensure you are addressing any nutritional deficiencies or other health issues that might contribute to hair loss, such as iron deficiency or hormonal imbalances.

    Monitoring and Follow-Up

    Photographic Monitoring: Take photographs to objectively assess changes over time.
    Regular Follow-Up: Schedule follow-ups to reassess the treatment plan and make necessary adjustments.

    Ultimately, the best product or treatment plan will depend on the specific diagnosis and individual response to treatment. If you do not see improvement after a reasonable period, or if the condition worsens, a healthcare professional should be consulted for further evaluation and management.

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Jeremy
Jeremy

Hi, I’m a 21-year-old uni student. Wanna ask, does it really matter what time I sleep, as long as I get enough hours? I usually sleep around 3am after studying and wake up late. My parents keep saying it’s not ...

  1. The following answer is provided by HELF AI (www.HELF.co), a next-gen AI backend built to power the health & wellness industry.

    The timing of sleep, in addition to the total duration, plays a significant role in determining the quality and restorative nature of your sleep. Here are some key considerations regarding your sleep schedule: Circadian Rhythms - Biological Clock: Your body operates on a circadian rhythm, which is aRead more

    The timing of sleep, in addition to the total duration, plays a significant role in determining the quality and restorative nature of your sleep. Here are some key considerations regarding your sleep schedule:

    Circadian Rhythms

    Biological Clock: Your body operates on a circadian rhythm, which is a natural, internal process that regulates the sleep-wake cycle and repeats roughly every 24 hours. This rhythm is influenced by external cues like light and darkness.
    Optimal Sleep Window: Typically, the most restorative sleep occurs when your sleep schedule aligns with your natural circadian rhythm. For most people, this means sleeping during the night and being awake during the day.

    Sleep Quality

    Impact of Late Sleep: Going to bed very late, such as 3 a.m., can disrupt your circadian rhythm, potentially leading to poorer sleep quality even if you get the recommended amount of sleep. This can result in less time spent in the deeper, more restorative stages of sleep.
    Daytime Functioning: Misalignment with your circadian rhythm can affect your alertness, cognitive function, and mood during the day, which is particularly important for a student who needs to focus and retain information.

    Health Implications

    Long-term Health Risks: Consistently sleeping outside of typical nighttime hours can increase the risk of various health issues, including metabolic disorders, cardiovascular problems, and mental health concerns.
    Social and Academic Impact: A sleep schedule that is out of sync with societal norms can lead to “social jet lag,” where your body’s internal clock is misaligned with your social obligations, potentially affecting your academic performance and social interactions.

    Recommendations

    Gradual Adjustment: If possible, try to gradually shift your sleep schedule to an earlier time. This can be done by adjusting your bedtime by 15-30 minutes earlier every few days.
    Consistent Schedule: Aim to maintain a consistent sleep schedule, even on weekends, to help regulate your body’s internal clock.
    Sleep Hygiene: Practice good sleep hygiene by creating a conducive sleep environment, avoiding caffeine and screens before bed, and establishing a relaxing pre-sleep routine.

    Conclusion

    While getting enough sleep is crucial, the timing of your sleep can significantly impact its quality and your overall health. Aligning your sleep schedule with your natural circadian rhythm can enhance your well-being and academic performance. If adjusting your schedule is challenging, consider consulting a healthcare professional for personalized advice.

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Madeline L
Madeline L

I accidentally touch a hot stove and got a blister on my hand now, should I cover it or let it air out? also should I apply vit E oil? I dont want scars D;

  1. Hi there! Oh no, I'm sorry to hear about your burn. I know how painful and worrying those can be, especially when you're concerned about scarring. First things first, please don't pop that blister! I know it might be tempting, but the blister is actually your body's way of protecting the healing skiRead more

    Hi there!

    Oh no, I’m sorry to hear about your burn. I know how painful and worrying those can be, especially when you’re concerned about scarring.

    First things first, please don’t pop that blister! I know it might be tempting, but the blister is actually your body’s way of protecting the healing skin underneath. Think of it as nature’s own bandage. Breaking it open just increases your risk of infection and potentially worse scarring. What I’d suggest is giving it a gentle clean with some mild soap and cool water, then covering it with a sterile non-stick dressing, you can find these at any pharmacy. If you’re just lounging at home and it’s not getting irritated, it’s fine to leave it uncovered for a bit to let it breathe.

    I get asked about Vitamin E oil a lot! While many people swear by it, the research is honestly quite mixed, and some folks actually end up with skin irritation from it. My advice would be to wait until everything’s completely healed over, no open areas at all, before trying any scar treatments. In the meantime, something gentle like aloe vera gel or even just a basic moisturizer can help keep the area comfortable while it’s healing.

    Do keep an eye out for any signs that things aren’t healing well such as increasing redness, swelling, warmth, throbbing pain, or any pus. If you notice any of these, do pop by a clinic to get it checked out. Oh, and when did you last have a tetanus shot? If it’s been more than 10 years, it might be worth checking in with your GP about that.

    The good news is that most minor burns like this heal up really well with minimal scarring when looked after properly. Try not to stress too much about it, your body is quite good at healing itself! Take care, and I hope it settles down quickly for you.

    Regards,
    Dr Say Wei Xian
    General Practitioner
    IG: Dr Say Wei Xian (General Practitioner)

    The information provided on this forum is for educational purposes only and not intended as medical advice. Please consult a healthcare provider for any medical concerns, diagnosis or treatment.

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Tiro
Tiro

Hi, i was assaulted with a bottle next to my ear and resulted in hearing loss and my eardrum got ruptured. But right now my eardrum is full recovered, its more than a year now, but still experiencing hearing loss ...

  1. The following answer is provided by HELF AI (www.HELF.co), a next-gen AI backend built to power the health & wellness industry.

    I'm sorry to hear about your situation. Given your history of trauma and the persistence of hearing loss and tinnitus (noise inside the ear) despite the healing of your eardrum, several possibilities could be considered: 1. Sensorineural Hearing Loss (SNHL): - Cochlear Damage: The trauma from the asRead more

    I’m sorry to hear about your situation. Given your history of trauma and the persistence of hearing loss and tinnitus (noise inside the ear) despite the healing of your eardrum, several possibilities could be considered:

    1. Sensorineural Hearing Loss (SNHL):
    Cochlear Damage: The trauma from the assault could have damaged the hair cells within the cochlea, leading to sensorineural hearing loss. This type of hearing loss is often permanent and can be accompanied by tinnitus.
    Otic Capsule Injury: If the trauma was severe, it might have affected the otic capsule, which can result in profound sensorineural hearing loss. This is usually permanent and not amenable to surgical correction.

    2. Ossicular Chain Disruption:
    – Although your eardrum has healed, there could be an issue with the ossicles (the small bones in the middle ear) that transmit sound from the eardrum to the inner ear. Disruption or fixation of these bones can lead to conductive hearing loss.

    3. Perilymph Fistula:
    – Trauma can sometimes cause a perilymph fistula, which is an abnormal connection between the middle ear and the inner ear. This can lead to hearing loss and tinnitus.

    4. Chronic Middle Ear Effusion:
    – Although less likely given the time elapsed, persistent fluid in the middle ear could contribute to hearing loss.

    5. Tinnitus:
    – The persistent noise you hear could be due to damage to the auditory pathways or the cochlea itself. Tinnitus often accompanies sensorineural hearing loss.

    Recommendations:

    1. Audiological Evaluation:
    – A comprehensive hearing test (audiometry) is essential to determine the type and degree of hearing loss.

    2. Otolaryngology Consultation:
    – An evaluation by an ENT specialist is crucial. They may recommend imaging studies, such as a CT scan or MRI, to assess the middle and inner ear structures.

    3. Management Options:
    Hearing Aids: If sensorineural hearing loss is confirmed, hearing aids may help improve hearing and manage tinnitus.
    Cochlear Implants: In cases of severe sensorineural hearing loss, cochlear implants might be considered.
    Tinnitus Management: Techniques such as sound therapy, cognitive behavioral therapy, or tinnitus retraining therapy can be beneficial.

    4. Protective Measures:
    – Protect your ears from further trauma and avoid exposure to loud noises to prevent exacerbation of hearing loss.

    It is important to follow up with healthcare professionals for a tailored management plan based on your specific condition.

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I’ve been on Duodart for BPH for awhile now and it does help a bit, but I’ve also been getting some side effects that are quite bothersome. I recently came across steam therapy (Rezum?) and was wondering is it as ...

  1. The following answer is provided by HELF AI (www.HELF.co), a next-gen AI backend built to power the health & wellness industry.

    Duodart, a combination of dutasteride and tamsulosin, is commonly prescribed for benign prostatic hyperplasia (BPH) and can be effective in reducing symptoms by decreasing prostate size and relaxing prostatic smooth muscle. However, as you've experienced, side effects such as erectile dysfunction, dRead more

    Duodart, a combination of dutasteride and tamsulosin, is commonly prescribed for benign prostatic hyperplasia (BPH) and can be effective in reducing symptoms by decreasing prostate size and relaxing prostatic smooth muscle. However, as you’ve experienced, side effects such as erectile dysfunction, decreased libido, and ejaculatory issues can be bothersome for some patients.

    Rezum, or steam therapy, is a minimally invasive treatment for BPH that uses water vapor to ablate excess prostate tissue. This procedure is typically performed in an outpatient setting and is designed to relieve urinary symptoms by reducing the size of the prostate. Here are some key points to consider regarding Rezum therapy:

    1. Effectiveness: Rezum has been shown to be effective in reducing BPH symptoms, with improvements in urinary flow and symptom scores. Clinical studies have demonstrated significant symptom relief, comparable to some surgical interventions, with a lower risk of serious complications.

    2. Durability: The effects of Rezum are generally long-lasting, with many patients experiencing sustained symptom relief for several years. However, as with any treatment, there is a possibility that symptoms may recur over time, and some patients may require additional treatments.

    3. Comparison to Surgery: While Rezum is less invasive than traditional surgical options like transurethral resection of the prostate (TURP), it may not be as effective for very large prostates or in cases with severe symptoms. TURP remains the gold standard for surgical intervention, particularly for patients with significant prostate enlargement or complications such as recurrent urinary tract infections or renal impairment.

    4. Side Effects and Recovery: Rezum is associated with fewer side effects compared to surgery, with a lower risk of sexual dysfunction and incontinence. Recovery is typically quicker, and most patients can return to normal activities within a few days.

    5. Patient Suitability: Rezum is best suited for men with moderate to severe BPH symptoms who prefer a less invasive option and are willing to accept the possibility of needing future treatments. It may not be suitable for those with very large prostates or significant complications.

    Before deciding on Rezum or any other treatment, it’s important to discuss your specific symptoms, prostate size, and overall health with your healthcare provider. They can help determine the most appropriate treatment plan based on your individual needs and preferences.

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