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Medical Channel Asia Latest Questions

Hi there, I am having an issue with my skin. I have eczema and sometimes it gets worse when I am feeling stressed or when the weather gets too humid. How can I mitigate this? Thank you.

  1. Dr Paul Yow
    Best Answer
    Dr Paul Yow https://eagleeyeaesthetics.com.sg/doctors/dr-paul-yow/

    Hi, I’m Dr. Paul Yow – Director of Aesthetic Medicine at Eagle Aesthetics and Surgery and I hope the following answer will be useful to you! You have correctly identified that stress and weather/environmental changes can trigger eczema flares in persons with sensitive skin or difficult to manage eczRead more

    Hi, I’m Dr. Paul Yow – Director of Aesthetic Medicine at Eagle Aesthetics and Surgery and I hope the following answer will be useful to you!

    You have correctly identified that stress and weather/environmental changes can trigger eczema flares in persons with sensitive skin or difficult to manage eczema. Fortunately, there are several things you can do to mitigate the flares and soothe the skin faster.

    1. Moisturizing is key to maintaining a healthy skin barrier and reducing the number of flares you do experience. Even if the skin looks to be ok, I would still advocate the regular use of moisturisers to keep your skin healthy. 
      With regards to which type – as there are many brands out there, I would advise for a moisturizer that is adequate for your lifestyle and one that does not irritate your skin. For example – you can consider a thicker moisturiser for the night especially if you sleep in an airconditioned room. The main takeaway would be to find a moisturiser that you will apply frequently and just keep reapplying it.
    2. Seek treatment early.
      In the case of a bad flare, it is always good to see a doctor early to review the condition and see if medical treatment such as topical steroids to control the flare or anti-histamines to control the itch are required. Delaying a review can often lead to a prolongation of the flare and may contribute to other side effects such as excoriations and infections from scratching at the eczema sites.
    3. Avoid triggers.
      If there are certain instances or products you know will cause a flare – do your best to avoid them to reduce the chance of a flare occurring.

    If you have any concerns about your options, feel free to reach out for more information. Happy to help answer any more questions!

    Dr. Paul Yow
    Director of Aesthetic Medicine
    Eagle Aesthetics & Surgery
    Instagram: Dr. Paul Yow

    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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Hi, my daughter (15F) has been experiencing excessive gas and discomfort for a few days now. Can probiotics help to reduce the bloating?

  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 considering the use of probiotics for gastrointestinal symptoms such as excessive gas and bloating, it's important to understand the potential benefits and limitations of these supplements. Probiotics are live microorganisms that, when administered in adequate amounts, can confer health benefitRead more

    When considering the use of probiotics for gastrointestinal symptoms such as excessive gas and bloating, it’s important to understand the potential benefits and limitations of these supplements. Probiotics are live microorganisms that, when administered in adequate amounts, can confer health benefits to the host. They are often used to promote a healthy balance of gut bacteria, which can be disrupted by factors such as diet, stress, or illness.

    Potential Benefits of Probiotics:

    1. Gut Microbiota Balance: Probiotics can help restore the natural balance of gut bacteria, which may be beneficial if the bloating is due to an imbalance, such as after antibiotic use or dietary changes.

    2. Digestive Health: Certain strains of probiotics have been shown to aid digestion and reduce symptoms of bloating and gas. For example, Bifidobacterium and Lactobacillus strains are commonly used for these purposes.

    3. Reduction of Gas Production: Some probiotics may help reduce gas production by improving the digestion of certain carbohydrates and reducing the fermentation process that leads to gas.

    Considerations and Recommendations:

    Strain-Specific Effects: The effects of probiotics can be strain-specific, meaning that not all probiotics will have the same effect on bloating and gas. It may be beneficial to choose a probiotic that has been specifically studied for these symptoms.

    Dietary Factors: Evaluate her diet to identify any foods that might be contributing to the symptoms. Foods high in fermentable carbohydrates (FODMAPs) can often cause bloating and gas.

    Duration and Dosage: Probiotics are not a quick fix and may take several weeks to show benefits. It’s important to follow the recommended dosage on the product label or as advised by a healthcare professional.

    Underlying Conditions: If the symptoms persist or are severe, it may be important to rule out underlying conditions such as lactose intolerance, irritable bowel syndrome (IBS), or small intestinal bacterial overgrowth (SIBO), which may require specific treatments.

    Consultation with a Healthcare Professional: Before starting any new supplement, especially in adolescents, it’s advisable to consult with a healthcare professional to ensure it’s appropriate and to discuss any potential interactions with other medications or health conditions.

    In summary, while probiotics may help alleviate symptoms of gas and bloating in some individuals, their effectiveness can vary. It’s crucial to consider the specific strains and to address any dietary or lifestyle factors that may be contributing to the symptoms. If the discomfort continues, seeking medical advice is recommended to explore other potential causes and treatments.

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brotherpain
brotherpain

my brother plays alot of sports like football and badminton, but recently he says his legs are damn pain. he say it’s very sore but also hurts to walk sometimes

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

    Given your brother's symptoms of leg pain and soreness, especially with a history of engaging in high-impact sports like football and badminton, several potential causes should be considered. Here’s a detailed exploration of possible conditions and recommendations for management: Potential Causes 1.Read more

    Given your brother’s symptoms of leg pain and soreness, especially with a history of engaging in high-impact sports like football and badminton, several potential causes should be considered. Here’s a detailed exploration of possible conditions and recommendations for management:

    Potential Causes

    1. Muscle Strain or Overuse Injury:
    Description: Common in athletes, muscle strains occur when muscles are overstretched or torn. Overuse injuries can result from repetitive stress without adequate rest.
    Symptoms: Pain, soreness, and stiffness in the affected muscles, often exacerbated by activity or palpation.

    2. Delayed Onset Muscle Soreness (DOMS):
    Description: Typically occurs after intense or unfamiliar physical activity, leading to microscopic muscle damage.
    Symptoms: Muscle soreness and stiffness that peaks 24-72 hours post-exercise.

    3. Shin Splints (Medial Tibial Stress Syndrome):
    Description: Pain along the shin bone due to repetitive stress, common in runners and athletes.
    Symptoms: Tenderness, soreness, or pain along the inner side of the shinbone, worsening with activity.

    4. Stress Fractures:
    Description: Small cracks in the bone caused by repetitive force or overuse, often seen in athletes.
    Symptoms: Localized pain that worsens with weight-bearing activities and improves with rest.

    5. Iliotibial Band Syndrome:
    Description: Overuse injury of the connective tissues that are located on the outer thigh and knee.
    Symptoms: Pain on the outer part of the knee, which may extend up the thigh.

    Recommendations

    1. Initial Management:
    Rest: Encourage your brother to take a break from high-impact activities to allow healing.
    Ice Therapy: Apply ice packs to the sore areas for 15-20 minutes every few hours to reduce inflammation.
    Compression and Elevation: Use compression bandages and elevate the legs to decrease swelling.

    2. Pain Management:
    – Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and inflammation.

    3. Gradual Return to Activity:
    – Once symptoms improve, a gradual return to sports is advised. Begin with low-impact activities and progressively increase intensity.

    4. Stretching and Strengthening:
    – Incorporate stretching exercises for the legs, focusing on the calves, hamstrings, and quadriceps.
    – Strengthening exercises can help prevent future injuries by improving muscle resilience.

    5. Footwear and Equipment:
    – Ensure proper footwear that provides adequate support and cushioning for sports activities.
    – Consider consulting a specialist for orthotics if there are any biomechanical issues.

    6. Consultation with a Healthcare Professional:
    – If pain persists or worsens, it is important to consult a healthcare professional for a thorough evaluation. They may recommend imaging studies or refer to a specialist, such as a sports medicine physician or physiotherapist.

    Further Considerations

    Training Habits: Review his training regimen to ensure it includes adequate rest and recovery periods.
    Nutritional Support: Ensure a balanced diet rich in calcium and vitamin D to support bone health.
    Hydration: Maintain proper hydration, as dehydration can exacerbate muscle soreness.

    By addressing these factors, your brother can effectively manage his symptoms and reduce the risk of future injuries. If symptoms persist despite these measures, professional medical evaluation is crucial to rule out more serious conditions.

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acneman
acneman

I (20M) have had really bad acne since I was a teenager. It hasn’t improved at all over the years, but is it true that taking Accutane can help?

  1. Dr. Joyce Lim (Joyce Lim Skin & Laser Clinic)
    Dr. Joyce Lim (Joyce Lim Skin & Laser Clinic) Dr. Lim is a dermatologist who treats skin, hair and nail problems in both adults and children. Besides medical dermatology, Dr. Lim has the expertise to treat aesthetic skin problems as well as perform laser and skin surgery. In addition to her clinical practice, Dr. Lim conducts teaching sessions for dermatologists and aesthetic doctors.
    This answer was edited.

    I hear you - it can be frustrating dealing with persistent acne, especially when it doesn’t seem to improve with time. Yes, isotretinoin (Accutane) is an effective treatment option for moderate to severe acne that hasn’t responded well to other treatments. It works by shrinking the oil glands in youRead more

    I hear you – it can be frustrating dealing with persistent acne, especially when it doesn’t seem to improve with time. Yes, isotretinoin (Accutane) is an effective treatment option for moderate to severe acne that hasn’t responded well to other treatments. It works by shrinking the oil glands in your skin, which helps reduce oil production, clogged pores, and inflammation. Many people see significant, long-lasting improvement after taking the medication.

    Dermatologists like myself typically recommend it when conventional acne treatments are not effective. It is also useful for nodulocystic acne. Nowadays it is given in a low dose regime to reduce side-effects without compromising efficacy 

    This medication can have potential side effects:

    • Mucosal areas like the lips and eyes as well as the skin  can become very dry when on isotretinoin and so you need to use moisturisers and lip balm
    • Isotretinoin can cause increased sun sensitivity and you need to use a sunscreen when outdoors
    • The medication can cause serious birth defects, so female patients must use strict contraception while on it.

    Regular blood tests may be needed especially if you are on high doses.

    Since your acne has persisted for years without improvement, it’s a good idea to consult a dermatologist. A dermatologist is a skin expert in acne who can assess your acne severity, identify any trigger factors and discuss the treatment options with you.  If you need isotretinion, your dermatologist can guide you through the treatment plan and possible side-effects.  

    In the meantime, you can also manage your acne by using skincare products for acne-prone skin, reducing foods in your diet that you notice may cause acne flare-ups, and managing stress (which can also cause acne flares).

     

    Wishing you all the best in your skincare journey!

     

    Dr Joyce Lim

    Consultant Dermatologist

    Joyce Lim Skin & Laser Clinic

    http://www.joycelim.com

     

    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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whyineedthis
whyineedthis

why is this happening to me that when i sleep, i start snoring.

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

    Snoring occurs when airflow through the mouth and nose is partially obstructed during sleep, causing the surrounding tissues to vibrate and produce sound. There are several reasons why you might be experiencing snoring: 1. Anatomical Factors: The structure of your airway can influence snoring. For eRead more

    Snoring occurs when airflow through the mouth and nose is partially obstructed during sleep, causing the surrounding tissues to vibrate and produce sound. There are several reasons why you might be experiencing snoring:

    1. Anatomical Factors: The structure of your airway can influence snoring. For example, a low, thick soft palate, enlarged tonsils, or a long uvula can narrow the airway and contribute to snoring. Additionally, nasal septum deviation or nasal polyps can obstruct airflow.

    2. Obesity: Excess weight, particularly around the neck, can put pressure on the airway, increasing the likelihood of snoring. Fat deposits around the neck can lead to airway narrowing during sleep.

    3. Age: As you age, the muscle tone in your throat decreases, which can increase the risk of snoring. This is a common physiological change that can affect airway patency.

    4. Alcohol and Sedatives: Consumption of alcohol or sedative medications before bedtime can relax the muscles of the throat, increasing the risk of airway obstruction and snoring.

    5. Sleep Position: Sleeping on your back can cause the tongue and soft palate to collapse to the back of the throat, leading to airway obstruction and snoring. Side sleeping is often recommended to mitigate this.

    6. Nasal Congestion: Conditions like allergies, colds, or sinus infections can lead to nasal congestion, which can obstruct airflow and result in snoring. Chronic nasal congestion can also be a factor.

    7. Smoking: Smoking can irritate the mucous membranes in the airway, leading to inflammation and increased likelihood of snoring.

    8. Obstructive Sleep Apnea (OSA): Snoring can be a symptom of OSA, a condition characterized by repeated episodes of partial or complete obstruction of the airway during sleep. This can lead to disrupted sleep and other health issues.

    To address snoring, consider the following steps:

    Lifestyle Modifications: Weight loss, avoiding alcohol and sedatives before bedtime, and quitting smoking can help reduce snoring.
    Positional Therapy: Sleeping on your side rather than your back may alleviate snoring.
    Nasal Treatments: Using nasal strips or decongestants can improve airflow through the nose.
    Medical Evaluation: If snoring is persistent, loud, or accompanied by symptoms like daytime sleepiness or observed apneas, a medical evaluation for OSA may be warranted. This could involve a sleep study to assess the severity and nature of the snoring.

    If snoring is affecting your quality of life or that of your bed partner, it may be beneficial to consult a healthcare professional who can provide a tailored assessment and recommend appropriate interventions.

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Hi, I (21F) have been having really heavy periods for the last few months… Is this normal? My cramps are also really bad and I’m tired all the time.

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

    Experiencing heavy periods, medically termed menorrhagia, along with severe cramps and fatigue can be concerning and warrants further evaluation. While variations in menstrual flow and symptoms can occur, significant changes in your menstrual pattern, especially if they are persistent, should be assRead more

    Experiencing heavy periods, medically termed menorrhagia, along with severe cramps and fatigue can be concerning and warrants further evaluation. While variations in menstrual flow and symptoms can occur, significant changes in your menstrual pattern, especially if they are persistent, should be assessed by a healthcare professional. Here are some potential considerations and steps you might take:

    1. Potential Causes:
    Hormonal Imbalances: Conditions like polycystic ovary syndrome (PCOS) or thyroid disorders can disrupt hormonal balance, leading to heavy bleeding.
    Uterine Fibroids or Polyps: These benign growths in the uterus can cause increased menstrual bleeding and pain.
    Adenomyosis: This condition involves the growth of endometrial tissue into the uterine wall, often resulting in heavy, painful periods.
    Bleeding Disorders: Conditions like von Willebrand disease can affect blood clotting and lead to heavier periods.
    Endometriosis: This condition, where tissue similar to the uterine lining grows outside the uterus, can cause severe cramps and heavy bleeding.

    2. Symptoms to Monitor:
    Bleeding: Track the frequency of pad or tampon changes. Soaking through one every 1-2 hours is a sign of heavy bleeding.
    Clots: Passing large blood clots can indicate excessive bleeding.
    Duration: Periods lasting longer than 7 days are considered prolonged.
    Fatigue: Persistent tiredness could be a sign of anemia, often resulting from chronic blood loss.

    3. Diagnostic Steps:
    Medical History and Physical Exam: A thorough history and pelvic exam can provide initial insights.
    Blood Tests: These can check for anemia, thyroid function, and clotting disorders.
    Pelvic Ultrasound: This imaging test can identify structural abnormalities like fibroids or polyps.
    Endometrial Biopsy: In some cases, sampling the uterine lining may be necessary to rule out other conditions.

    4. Management Options:
    Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and bleeding. Hormonal treatments, such as birth control pills or a hormonal IUD, can regulate periods and reduce bleeding.
    Iron Supplements: If anemia is present, iron supplementation may be needed.
    Surgical Options: In cases where medical management is ineffective, procedures like hysteroscopy, endometrial ablation, or even hysterectomy may be considered, depending on future fertility desires.

    5. When to Seek Immediate Care:
    – If you experience dizziness, fainting, or a rapid heartbeat, these could be signs of severe anemia or significant blood loss, requiring urgent medical attention.

    Given the complexity and potential implications of your symptoms, I recommend scheduling an appointment with a gynecologist or healthcare provider. They can provide a comprehensive evaluation and tailor a management plan specific to your needs and health goals.

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I (28M) have sweats and slightly high temperature when I sleep at night, but I do not have any underlying health conditions that I know of. Could there be some sort of condition that results in my condition or is my ...

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

    Experiencing night sweats and a slightly elevated temperature during sleep can be concerning, but it's important to note that these symptoms can arise from a variety of causes, some of which are benign and others that may require further investigation. Here are some potential explanations and considRead more

    Experiencing night sweats and a slightly elevated temperature during sleep can be concerning, but it’s important to note that these symptoms can arise from a variety of causes, some of which are benign and others that may require further investigation. Here are some potential explanations and considerations:

    1. Environmental Factors: Sometimes, night sweats can be attributed to external factors such as a warm sleeping environment, heavy bedding, or wearing overly warm sleepwear. Ensuring a cooler room temperature and using breathable fabrics can help mitigate these issues.

    2. Lifestyle Factors: Consumption of spicy foods, caffeine, or alcohol before bed can lead to night sweats. Stress and anxiety can also trigger sweating during sleep. Evaluating your diet and stress levels may provide insights into potential triggers.

    3. Infections: Low-grade fevers and night sweats can be early signs of infections, such as viral illnesses or more chronic conditions like tuberculosis or HIV. If you have recently traveled or have been exposed to infectious diseases, it might be worth discussing this with a healthcare provider.

    4. Medications: Certain medications, including antidepressants, antipyretics, and some blood pressure medications, can cause night sweats as a side effect. Reviewing any medications or supplements you are taking with a healthcare provider can help identify if they might be contributing to your symptoms.

    5. Hormonal Changes: Although more common in women, hormonal imbalances can also affect men. Conditions such as hyperthyroidism can lead to increased sweating and a slightly elevated body temperature.

    6. Sleep Disorders: Conditions like obstructive sleep apnea can lead to night sweats. If you experience symptoms such as snoring, gasping for air during sleep, or excessive daytime sleepiness, a sleep study might be warranted.

    7. Idiopathic Hyperhidrosis: This is a condition where the body produces excessive sweat without an identifiable medical cause. While it can be bothersome, it is generally not harmful.

    8. Other Medical Conditions: Less commonly, night sweats can be associated with conditions like lymphoma or other malignancies, especially if accompanied by other symptoms such as unexplained weight loss or persistent fatigue.

    Given your symptoms, it would be prudent to monitor for any additional symptoms or changes in your condition. If the night sweats persist, worsen, or are accompanied by other concerning symptoms, it would be advisable to consult a healthcare provider. They can perform a thorough evaluation, which may include a detailed history, physical examination, and potentially some laboratory tests to rule out underlying conditions.

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twitch24
twitch24

Hi im 29 year old female nd my eyelid has been twitching for awhile… Not sure why but it’s v annoy…

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

    Eyelid twitching, also known as myokymia, is a common and usually benign condition characterized by involuntary, repetitive spasms of the eyelid muscles. While it can be annoying, it is typically not a sign of a serious medical issue. Here are some potential causes and considerations: 1. Stress andRead more

    Eyelid twitching, also known as myokymia, is a common and usually benign condition characterized by involuntary, repetitive spasms of the eyelid muscles. While it can be annoying, it is typically not a sign of a serious medical issue. Here are some potential causes and considerations:

    1. Stress and Fatigue: Stress is one of the most common triggers for eyelid twitching. Similarly, lack of sleep or fatigue can exacerbate the condition. Ensuring adequate rest and managing stress through relaxation techniques or exercise may help alleviate symptoms.

    2. Caffeine and Alcohol: Excessive consumption of caffeine or alcohol can lead to muscle spasms, including eyelid twitching. Reducing intake of these substances might help reduce the frequency of twitching.

    3. Eye Strain: Prolonged use of digital devices or reading without breaks can cause eye strain, leading to twitching. Practicing the 20-20-20 rule (every 20 minutes, look at something 20 feet away for 20 seconds) can help reduce eye strain.

    4. Dry Eyes: Dryness of the eyes can irritate the eyelid muscles, causing twitching. This is more common in individuals who use contact lenses or spend a lot of time in front of screens. Using lubricating eye drops may provide relief.

    5. Nutritional Imbalances: Deficiencies in certain nutrients, such as magnesium, can contribute to muscle spasms. Ensuring a balanced diet with adequate vitamins and minerals is important.

    6. Allergies: Allergies can cause irritation and twitching of the eyelids. If you have known allergies, managing them with antihistamines or other treatments may help.

    7. Medications: Some medications can cause muscle twitching as a side effect. If you suspect this might be the case, consult with your healthcare provider.

    8. Neurological Causes: In rare cases, persistent eyelid twitching can be a sign of a more serious neurological condition, such as blepharospasm or hemifacial spasm. If the twitching persists for several weeks, affects other parts of your face, or is accompanied by other symptoms, it is advisable to seek medical evaluation.

    Practical Advice:
    – Try to identify and reduce potential triggers, such as stress or caffeine.
    – Ensure you are getting enough sleep and taking regular breaks from screens.
    – Consider using lubricating eye drops if you experience dry eyes.
    – Maintain a balanced diet and consider a multivitamin if dietary intake is insufficient.

    If the twitching persists or worsens, or if you experience additional symptoms, it would be wise to consult a healthcare professional for further evaluation and management.

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