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Medical Channel Asia Latest Questions

Gul Afshan
Gul Afshan

My RBC count is 5.11 in my CP blood test report.  what is this and why its mark as red. is it dangerous sign. ?

  1. Hello, this is something a lot of people ask when reviewing their blood test results. Firstly, let me explain what RBC count is. Your RBC count refers to the number of red blood cells in a given volume of blood, typically in one microliter (µL). These cells are responsible for carrying oxygen througRead more

    Hello, this is something a lot of people ask when reviewing their blood test results.

    Firstly, let me explain what RBC count is. Your RBC count refers to the number of red blood cells in a given volume of blood, typically in one microliter (µL). These cells are responsible for carrying oxygen throughout the body, so they’re quite essential for your overall health.

    For context, the normal range is usually around 4.7-6.1 million cells/µL for adult men, and about 4.2 -5.4 million cells/µL for adult women. Your result of 5.11 falls within this range.

    However, different labs may use slightly different reference ranges. So even if your result is considered normal, it might still be flagged in red if it sits near the upper or lower end of that lab’s cut-off. It doesn’t always mean something is wrong, but it may be highlighted for closer review.

    A higher RBC count can sometimes be linked to things like dehydration, smoking or certain lung conditions. A lower count may point toward anaemia, which can result from iron or vitamin deficiencies, chronic illness, or blood loss.

    That said, we usually don’t make conclusions based on one number alone. To get a clearer picture, it’s important to look at it together with other values in your blood test, such as haemoglobin, haematocrit, and MCV, as well as your overall health and any symptoms you might have.

    So, if you’re unsure or just want peace of mind, I’d recommend going through the full report with your doctor.

    Regards,

    Dr Say

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Gul Afshan
Gul Afshan

what is best food to reduce weight

  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 concept of the "best" food for weight loss is somewhat misleading, as weight management is more effectively approached through a balanced dietary pattern rather than sole reliance on specific foods. However, integrating certain types of foods into one's diet can support weight loss due to theirRead more

    The concept of the “best” food for weight loss is somewhat misleading, as weight management is more effectively approached through a balanced dietary pattern rather than sole reliance on specific foods. However, integrating certain types of foods into one’s diet can support weight loss due to their nutritional profiles and impacts on satiety and metabolism. Here are categories of foods often recommended for this purpose:

    1. High-Fiber Foods: Foods rich in fiber can promote feelings of fullness and reduce overall calorie intake. These include:
    – Whole grains: brown rice, oats, quinoa, barley.
    – Legumes: lentils, chickpeas, black beans.
    – Fruits: apples, pears, berries, bananas, citrus fruits.
    – Vegetables: broccoli, carrots, Brussels sprouts, spinach, kale.

    2. Lean Proteins: Adequate protein intake supports muscle maintenance and enhances satiety.
    – Poultry: skinless chicken and turkey.
    – Fish and seafood: salmon, sardines, tuna, shrimp.
    – Plant-based proteins: tofu, tempeh, edamame.
    – Eggs: a versatile and nutrient-dense option.
    – Low-fat dairy: Greek yogurt, cottage cheese.

    3. Healthy Fats: Fats can also contribute to satiety and provide essential nutrients, though they should be consumed in moderation.
    – Avocados: rich in monounsaturated fats.
    – Nuts and seeds: almonds, walnuts, chia seeds, flaxseeds.
    – Olive oil: preferred for cooking and dressing salads.

    4. Non-Starchy Vegetables: Low in calories but high in volume, these can fill the plate without adding excess calories.
    – Leafy greens: lettuce, arugula, Swiss chard.
    – Cruciferous vegetables: cauliflower, cabbage, bok choy.
    – Others: bell peppers, zucchini, asparagus.

    5. Calorie-Free Beverages: Hydration without added calories can help manage hunger cues.
    – Water: essential for all bodily functions.
    – Herbal teas and black coffee: provide flavor without calories.
    – Infused water: adds variety with natural flavors from fruits and herbs.

    Incorporating these foods into a broader plan that emphasizes portion control, balanced macronutrient distribution, and mindful eating practices will likely yield the most sustainable and healthy weight loss. Additionally, any dietary changes should be complemented by regular physical activity and adaptations to one’s lifestyle, such as stress management and sufficient sleep, to enhance the weight loss process and overall wellness.

    Before making significant dietary changes, it is advisable to consult with a healthcare provider or registered dietitian to tailor a plan that considers individual health conditions, nutritional needs, and weight loss goals.

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Anonymous

My mom passed away from breast cancer at 52. I’m 30 this year and wondering if I should start going for breast cancer screening. What kind of screening would you recommend for someone with a family history like mine? I ...

  1. It must have been difficult to go through the grief and loss of your mom. Sorry to hear that. Similarly, well done on reflecting on her illness and making conscious lifestyle choices! The best person to guide you through this would be a breast surgeon who could see you, and take a full family historRead more

    It must have been difficult to go through the grief and loss of your mom. Sorry to hear that.

    Similarly, well done on reflecting on her illness and making conscious lifestyle choices! The best person to guide you through this would be a breast surgeon who could see you, and take a full family history, including how old your mom was when she was initially diagnosed.

    Furthermore, it would also be important to note if your mom had genetic screening done, and if she had inherited breast cancer mutation genes. This would have implications into your screening approach, and genetic testing. Genetic testing is mainly indicated for family members of a breast cancer patient carrying predisposing germline (inherited) genetic mutations.

    It’s also important to note that screening isn’t a one-time approach, it is a continued process, and is usually recommended once every 3 years for ladies without strong family history, above the age of 50. Screening in a young lady could include breast ultrasound or breast MRI.

    I wish this information could help you make further informed choice and guide you moving forward!

    Regards,
    Dr Nina
    Consultant Clinical Oncologist,
    Pantai Hospital Kuala Lumpur.
    Website: Dr Nina Pantai Hospital Kuala Lumpur
    IG: @ninaabdulsatar

     

    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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Thinesh
Thinesh

I keep having gout attacks but I already very careful with my diet, no alcohol, no red meat, no seafood. What other things can cause it?? And can I keep taking the gout medicine when I have attacks, worried it ...

  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 frustrating to feel like you're doing everything right and still experience gout attacks. Besides your diet, there are several factors that might be contributing to frequent flare-ups. Stress, dehydration, and certain medications like diuretics and aspirin can sometimes elevate uric acid levelsRead more

    It’s frustrating to feel like you’re doing everything right and still experience gout attacks. Besides your diet, there are several factors that might be contributing to frequent flare-ups. Stress, dehydration, and certain medications like diuretics and aspirin can sometimes elevate uric acid levels. Ensure you’re drinking plenty of water daily to help your body flush out this excess uric acid.

    Regarding medication, it’s understandable to be concerned about its potential impact on your liver or kidneys. Many gout medications are safe for long-term use, but it’s crucial that they are managed properly. Always follow your physician’s guidance regarding medication during a gout attack. If you have any worries about the medication you’re on, or if you think it might be affecting your liver or kidney function, it would be a good idea to discuss this with your healthcare provider. They can monitor your organ health through regular check-ups and adjust your treatment plan if necessary.

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I am 63 y/o female. I got this bump on my wrist for more than 2 weeks and it is very painful, feels hard and bony… is it bone spur? do I need to do x-ray?

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

    In evaluating a painful, hard bump on the wrist, especially in a 63-year-old female, several possibilities could be considered, including a bone spur, ganglion cyst, or other bony or soft tissue abnormalities. Here’s a structured approach to assess and manage your condition: Differential Diagnosis 1Read more

    In evaluating a painful, hard bump on the wrist, especially in a 63-year-old female, several possibilities could be considered, including a bone spur, ganglion cyst, or other bony or soft tissue abnormalities. Here’s a structured approach to assess and manage your condition:

    Differential Diagnosis

    1. Bone Spur (Osteophyte): These are bony projections that can develop along the edges of bones, often due to arthritis or joint degeneration. They can cause pain if they press on nerves or other structures.

    2. Ganglion Cyst: Although typically softer, these fluid-filled sacs can sometimes feel firm and cause discomfort, especially if they press on nearby nerves.

    3. Arthritis: Osteoarthritis or rheumatoid arthritis can lead to joint deformities or nodules that might feel hard and painful.

    4. Other Bony Lesions: Less commonly, other bony growths or tumors could present similarly.

    Recommended Evaluation

    Clinical Examination: A thorough physical examination by a healthcare professional can help differentiate between these possibilities based on the location, consistency, and mobility of the bump.

    Imaging:
    X-ray: This is a reasonable first step to evaluate bony structures and identify any bone spurs, fractures, or significant arthritic changes.
    Ultrasound or MRI: If the X-ray is inconclusive, these imaging modalities can provide detailed information about soft tissue structures, such as ganglion cysts or tendon abnormalities.

    Management Considerations

    Conservative Treatment: Depending on the diagnosis, initial management might include rest, ice application, and nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation.

    Referral to Specialist: If the diagnosis is uncertain or if conservative management fails, referral to an orthopedic specialist or a rheumatologist might be necessary for further evaluation and treatment.

    Surgical Intervention: In cases where a bone spur or other lesion is causing significant pain or functional impairment, surgical removal might be considered.

    Actionable Steps

    1. Schedule an Appointment: See your primary care physician or a specialist for an evaluation.
    2. Imaging: Discuss the need for an X-ray or other imaging studies to clarify the diagnosis.
    3. Follow Medical Advice: Based on the findings, adhere to the recommended treatment plan, which may include medication, physical therapy, or further specialist referral.

    Given your age and symptoms, it is important to address this promptly to prevent further complications and to ensure appropriate management.

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Anonymous
Anonymous

Why do some people recommend magnesium for sleep issue? can it be taken by everyone?? I’m 30 y/o with occasional insomnia and looking for natural solutions tq

  1. Dr. Syed Anwar
    Dr. Syed Anwar M.D., Lifestyle Wellness & Mental Health Therapist Trn. (MSc/LKM)

    Yeah, I get it! Magnesium gets mentioned a lot when people talk about better sleep and for good reason. It actually plays a role in regulating melatonin, the hormone that tells your body when to sleep, and it also has a relaxing effect on your muscles and nervous system. Quite a number of people endRead more

    Yeah, I get it! Magnesium gets mentioned a lot when people talk about better sleep and for good reason. It actually plays a role in regulating melatonin, the hormone that tells your body when to sleep, and it also has a relaxing effect on your muscles and nervous system.

    Quite a number of people end up with low magnesium without even knowing, especially if they do not eat enough leafy greens, nuts, seeds, or whole grains. It is still best to check your magnesium level and kidney function before starting anything.

    But remember, Magnesium is not a miracle pill ok? It is just one of the many supplements out there that can help you sleep better, and sometimes there are other changes or supplements that might suit you more.

    Regards,
    Dr. Syed Anwar (M.D)
    Lifestyle Wellness & Mental Health Therapist Trn. (MSc/LKM)
    IG: @drsydsage

     

    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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Anonymous
Anonymous

during sleeping my arm get freezing. why.?

  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 a sensation of your arm freezing or feeling cold during sleep can be attributed to several factors, some more common and benign, and others potentially requiring medical attention. Here are some plausible explanations and considerations: Poor Circulation: Compression of Blood Vessels: WRead more

    Experiencing a sensation of your arm freezing or feeling cold during sleep can be attributed to several factors, some more common and benign, and others potentially requiring medical attention. Here are some plausible explanations and considerations:

    1. Poor Circulation:
      • Compression of Blood Vessels: While sleeping, you might lie in a position that compresses the blood vessels in your arm, reducing blood flow and causing your arm to feel cold or numb. This is similar to how limbs “fall asleep” due to temporary nerve compression.
      • Underlying Circulatory Issues: Conditions such as peripheral artery disease could affect blood flow to the extremities, leading to a cold sensation.
      • Neurological Factors:
      • Nerve Compression or Entrapment: Similar to circulation issues, nerves might also be compressed during certain sleeping positions, particularly if the brachial plexus or ulnar nerve is involved.
      • Peripheral Neuropathy: Conditions like diabetes or other metabolic disorders can lead to nerve damage, which might contribute to these sensations.
      • Environmental Factors:
      • Room Temperature: A significantly cool environment while sleeping can lead to extremities feeling cold. If your arm is exposed, it might get colder compared to the rest of your body.
      • Bedding: Insufficient bedding or covers that do not adequately retain warmth around your body can also lead to specific areas, like arms, feeling cold.
      • Raynaud’s Phenomenon:
      • This condition causes blood vessels in extremities like fingers and toes to constrict more than usual, reducing blood flow and leading to a cold sensation. If your arms are affected by Raynaud’s, they might feel abnormally cold during rest.
      • Autonomic Dysfunction:
      • Some dysregulation in the autonomic nervous system, which controls blood flow and temperature regulation, might cause certain areas to feel cold.
      • Recommendations:

      • Optimize Sleeping Position: Ensure that you are not compressing the arm by experimenting with different sleeping positions or using additional pillows for support.
      • Adequate Insulation: Ensure your sleeping environment is warm enough and use appropriate bedding to cover all body parts, including arms.
      • Medical Evaluation: If this sensation is persistent or accompanied by pain, numbness, or other symptoms upon waking, it would be prudent to seek medical evaluation to rule out underlying circulatory, neurological, or metabolic conditions.
      • Lifestyle Modifications: For conditions like Raynaud’s, avoiding cold exposure, reducing stress, and avoiding smoking can help manage symptoms.

    While occasional occurrences might be harmless, recurring symptoms warrant further assessment to ensure there are no underlying health issues affecting your circulation or nerves.

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Eye Pain

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

    Eye pain can arise from various ophthalmological and systemic conditions, each presenting with distinctive characteristics. In a clinical setting, it is pivotal to assess the specific features of the eye pain to accurately differentiate between these conditions and guide appropriate management. HereRead more

    Eye pain can arise from various ophthalmological and systemic conditions, each presenting with distinctive characteristics. In a clinical setting, it is pivotal to assess the specific features of the eye pain to accurately differentiate between these conditions and guide appropriate management. Here is a comprehensive breakdown of common causes of eye pain:

    1. Surface Disorders (Anterior Segment Issues):
    Conjunctivitis: Often presents with gritty discomfort rather than severe pain. Infective forms manifest with mucopurulent discharge, while allergic types are associated with intense itching and watery discharge.
    Corneal Abrasions and Erosions: These typically cause significant pain and photophobia. Patients often describe a sensation of a foreign body in the eye.
    Keratitis: This includes infectious causes such as bacterial, viral (e.g., herpes simplex), and fungal infections. Pain is typically severe, with associated redness, photophobia, and tearing.
    Photokeratitis: Caused by UV light exposure, presenting with symptoms such as severe pain, redness, and photophobia, usually appearing 6 to 12 hours post-exposure.

    2. Deeper Ocular Issues:
    Scleritis: Characterized by severe, boring pain that can radiate to surrounding areas. It is often associated with systemic inflammatory conditions.
    Uveitis (Anterior): Presents with a deep ache and photophobia. It’s often accompanied by redness predominantly around the limbus and visual disturbances.
    Acute Angle-Closure Glaucoma: Severe ocular pain, blurry vision, headache, nausea and vomiting are classic symptoms. Examination reveals a hard eye with significantly elevated intraocular pressure.

    3. Orbital and Systemic Causes:
    Orbital Cellulitis: Often presents with pain on eye movement, redness, swelling, and potential visual disturbances. Prompt treatment is essential to prevent complications.
    Trauma: May result in various types of eye pain depending on the structure affected, from superficial injuries to deeper ones involving the orbit or optic nerve.

    4. Neuropathic or Referred Pain:
    – Conditions such as trigeminal neuralgia or cluster headaches can also manifest as severe eye pain.

    Approach to Evaluation:
    History: Detailed assessment of onset, duration, nature (sharp, dull, constant, intermittent), and associated symptoms (e.g., visual changes, discharge, photophobia) are crucial.
    Examination: Evaluate for visual acuity, pupil reaction, slit-lamp examination for anterior chamber activity, fluorescein staining for corneal defects, and intraocular pressure measurement.
    Referral and Imaging: In cases where initial evaluation suggests serious pathology, or there is rapid deterioration, prompt referral to an ophthalmologist is advisable. Imaging might be indicated if orbital or neurological causes are suspected.

    Management:
    – Treatment is dictated by the underlying cause, ranging from topical antibiotics for bacterial conjunctivitis to systemic treatment for scleritis or uveitis. Pain management might include oral NSAIDs or topical anesthetics, although the latter is used cautiously.

    It’s pertinent to recognize when eye pain may be indicative of a sight-threatening condition, warranting urgent intervention. In systemic association, a collaborative approach with specialists in rheumatology or infectious disease may be necessary.

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