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Medical Channel Asia Latest Questions

Anonymous
Anonymous

I have been working night shifts for a few months now. i cant really sleep more than 5 hours during the day and dont feel rested after that also. my friend asked me to try melatonin but I heard got ...

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

    Transitioning to night shift work can indeed be challenging due to the desynchronization between your internal circadian rhythms and your sleep-wake cycle. This can lead to insufficient sleep and compromised daytime functioning, which you seem to be experiencing. Here are some considerations and strRead more

    Transitioning to night shift work can indeed be challenging due to the desynchronization between your internal circadian rhythms and your sleep-wake cycle. This can lead to insufficient sleep and compromised daytime functioning, which you seem to be experiencing.

    Here are some considerations and strategies you can adopt:

    1. Sleep Environment:
    Optimize your sleep environment: Ensure your bedroom is as dark as possible. Use blackout curtains or an eye mask and make sure the room is quiet and cool to simulate night-time conditions.
    Consider white noise or earplugs to block out daytime disturbances.

    2. Sleep Hygiene Practices:
    – Stick to a consistent sleep schedule, even on days off, to stabilize your body’s circadian rhythm.
    – Develop a relaxing pre-sleep routine, such as reading or taking a bath, to help signal your body it’s time for sleep.

    3. Exposure to Light:
    Before your shift: Bright light exposure at the start of your night shift can help stimulate alertness.
    After your shift: Wear sunglasses on your way home to reduce bright light exposure and signal to your body that it’s time to wind down.

    4. Melatonin Supplementation:
    Melatonin Use: Melatonin can help adjust your sleep cycle, particularly if taken one to two hours before your desired sleep time in doses ranging from 0.5 to 3 mg. It may be beneficial for short-term regulation until your body adjusts, but use it strategically if your shift work schedule is inconsistent.
    Potential Side Effects: While melatonin is generally considered safe, you might experience daytime drowsiness, dizziness, or mild gastrointestinal symptoms. Considering these side effects, melatonin is generally favored over prescription sleeping pills, given its lower risk of dependency and fewer cognitive impairments.

    5. Nutrition and Stimulants:
    – Limit caffeine and heavy meals close to bedtime, as they can disrupt sleep.
    – Stay well-hydrated but avoid large drinks before sleep to minimize disturbances.

    6. Exercise:
    – Regular physical activity can enhance sleep quality, but try to avoid vigorous exercise close to your sleep time.

    7. Considerations on Sleep Aids:
    – Prescription sleep medications, or sleeping pills, have more significant side effects and potential for dependency. They’re generally not recommended as a first-line option for shift work disorder unless other strategies fail.

    8. Consultation:
    – If your difficulties persist, it may be beneficial to consult with a healthcare professional. They can rule out other sleep disorders like insomnia or sleep apnea, which might be contributing to your poor sleep.

    Long-term Adjustment:
    Adapting to night shift work takes time, and your strategies may need adjustment based on how your body responds. Keep monitoring your progress and be open to refining your approach to optimize your sleep and daily function.

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clarista92
clarista92

Is keto diet suitable for someone with PCOS?

  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 ketogenic (keto) diet, characterized by high-fat, moderate-protein, and very low-carbohydrate intake, has gained popularity for various health conditions, including polycystic ovary syndrome (PCOS). However, its suitability for someone with PCOS requires careful consideration of several factors:Read more

    The ketogenic (keto) diet, characterized by high-fat, moderate-protein, and very low-carbohydrate intake, has gained popularity for various health conditions, including polycystic ovary syndrome (PCOS). However, its suitability for someone with PCOS requires careful consideration of several factors:

    Benefits of the Keto Diet for PCOS:

    1. Insulin Sensitivity: PCOS is often associated with insulin resistance. The keto diet can potentially improve insulin sensitivity by significantly reducing carbohydrate intake, which in turn lowers insulin levels and helps stabilize blood glucose.

    2. Weight Loss: Many women with PCOS struggle with weight management due to metabolic disturbances. The keto diet can be effective for weight loss, which may improve PCOS symptoms such as menstrual irregularities and ovulatory function.

    3. Decrease in Androgen Levels: By improving insulin sensitivity and promoting weight loss, the keto diet might help lower androgen levels. This can be beneficial for reducing symptoms like hirsutism and acne.

    Considerations and Potential Risks:

    1. Nutritional Balance: The very restrictive nature of the keto diet might lead to deficiencies in essential nutrients if not carefully managed. It’s important to ensure that even while on a keto diet, individuals consume a variety of nutrients to maintain overall health.

    2. Sustainability: The keto diet’s strict regimen can be difficult to maintain long term. Often, lifestyle changes that are sustainable and balanced are recommended for long-term health benefits and symptom management.

    3. Lipid Profile Changes: The high fat content of the keto diet can alter lipid profiles, potentially increasing cardiovascular risk factors. Regular monitoring of lipid levels is advisable, especially for women with PCOS who may already have an elevated risk of cardiovascular issues.

    4. Gut Health: Reduced fiber intake due to limited carbohydrates can affect gut health and lead to gastrointestinal issues.

    Recommendations for Healthcare Professionals:

    Personalized Approach: Evaluate the individual’s specific health status, metabolic profile, and personal preferences before recommending a keto diet.
    Monitoring and Support: If a patient with PCOS chooses to pursue a keto diet, consider regular follow-up to monitor metabolic parameters, dietary balance, and overall health.
    Alternative Nutritional Plans: Consider other dietary interventions like the Mediterranean diet, which may offer a balanced approach with proven benefits for metabolic health and is easier to maintain.
    Multidisciplinary Collaboration: Engage with dietitians and nutritionists to help design a keto diet plan that is balanced and meets nutritional requirements while considering the individual’s lifestyle and health goals.

    Conclusion:

    While the keto diet may benefit some women with PCOS, it should be approached cautiously and on an individual basis, considering both the potential benefits and the challenges. Tailored nutritional counseling and continuous monitoring remain critical to ensure both efficacy and safety.

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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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mtjyong
mtjyong

I used to run 10km almost 5 days a week but I stopped running for almost a year now due to runner’s knee. I recently signed up for a half marathon and want to start training again but abit worried ...

  1. Dr Malini Karupiah
    Dr Malini Karupiah Consultant Sports Physician & Certified Personal Trainer

    Thank you for sharing this! It’s a very common and frustrating situation for runners. The good news is you can absolutely return to distance running, but you’ll need a more strategic, gradual, and strength-supported approach to help prevent your runner’s knee from flaring up again. Let’s break thisRead more

    Thank you for sharing this! It’s a very common and frustrating situation for runners. The good news is you can absolutely return to distance running, but you’ll need a more strategic, gradual, and strength-supported approach to help prevent your runner’s knee from flaring up again. Let’s break this down carefully:

    Why are you getting runners knees (patello femoral pain)?
    – Muscles imbalances
    – Poor running forms
    – Sudden change and spike in intensity
    – Foot imbalances (flat foot, overpronation)

    How to reduce risk:
    1. Strengthen key muscles – quads, hamstring, calf, hip flexors
    2. Mobility and flexibility work – hip flexors , quads, hamstring
    3. Gradual return to running – light and gradual increase in intensity
    4. Check your gear – proper foot wear
    5. Focus on running – shorter stride forms and keep knees soft

    Warning signs to watch for:
    – Pain
    – Swelling appears

    Add on cross training:
    – Pool running
    – Yoga/ pilates
    – Cycling

    Regards,
    Dr Malini Karupiah
    Consultant Sports Physician & Certified Personal Trainer
    Website: Dr Malini Sports
    IG: @drmalinikarupiahsports @drmalinikarupiah_sports

     

    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

Is post-concert depression real?

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

    Post-concert depression, while not a clinical term or officially recognized mental health condition, is a phenomenon that many people report experiencing after attending a concert or significant event. It describes the feelings of sadness, emptiness, or disappointment that can occur following the hiRead more

    Post-concert depression, while not a clinical term or officially recognized mental health condition, is a phenomenon that many people report experiencing after attending a concert or significant event. It describes the feelings of sadness, emptiness, or disappointment that can occur following the high energy and excitement of a live music performance. Here’s a closer look at why this might happen and how it can be conceptualized:

    Psychological Aspects

    1. Adrenaline Crash: Concerts often generate intense excitement and adrenaline. Once the event is over, the sudden drop in these heightened emotions can create a sense of emptiness or mild depression.

    2. Contrast Effect: The contrast between the exhilarating experience of a concert and returning to daily life can amplify feelings of dissatisfaction or sadness. The excitement of the event highlights the more mundane aspects of regular life.

    3. Transitory Nature: Knowing that the experience was temporary and perhaps a rare occurrence can contribute to a sense of longing or nostalgia, causing individuals to miss the moment and the emotions they felt during the concert.

    4. Anticipation and Build-up: The anticipation and lead-up to a concert are part of the overall experience. Once it concludes, the absence of something to look forward to can contribute to feelings of depression.

    Considerations in Management

    Reflection and Memory Sharing: Encouraging individuals to reflect on the joyous parts of the experience and share memories with friends who attended can prolong positive feelings.

    Balance and Future Planning: Balancing the excitement with realistic expectations and planning future activities or concerts can help maintain a sense of ongoing anticipation.

    Normalizing the Experience: Understanding that these feelings are a common experience can help individuals accept and manage them without undue concern about their mental health.

    Clinical Perspective

    While post-concert depression mirrors some emotional responses observed in conditions like the post-vacation blues or post-holiday depression, it typically does not require clinical intervention unless it significantly interferes with daily functioning or persists beyond a reasonable time frame. However, if someone finds their symptoms considerably distressing or prolonged, exploring these feelings with a mental health professional might be beneficial to rule out any underlying mood disorders.

    In summary, while not clinically defined, post-concert depression can be understood as part of normal emotional fluctuations induced by high-energy and enjoyable experiences followed by a return to baseline routines.

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I was pole dancing on saturday and fell on my toe. Pic attached is on Sunday. today is monday and the bruising is better but its still stiff and a bit pain (3-4/10 when i walk). I can flex the ...

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

    Based on your description of the incident and the symptoms you're experiencing, there are several possibilities to consider. While I cannot view images, I can guide you on the understanding and management of toe injuries, particularly focusing on the likelihood of a toe fracture. Clinical Overview WRead more

    Based on your description of the incident and the symptoms you’re experiencing, there are several possibilities to consider. While I cannot view images, I can guide you on the understanding and management of toe injuries, particularly focusing on the likelihood of a toe fracture.

    Clinical Overview

    When you sustained a fall onto your toe, it could have resulted in various injuries, including a toe fracture or a soft tissue injury such as a sprain. The symptoms you describe—bruising, stiffness, and pain—are quite common following either injury. Here are some key considerations:

    1. Toe Fracture:
    – Given that you have some ability to move the toe and the pain intensity is moderate, this could potentially indicate a nondisplaced fracture, where the bone might have a minor crack but remains in alignment. Bruising is typical with bone injuries, as well as sprains.
    – Important indicators of a fracture might include pinpoint tenderness directly over the bone, visible deformity, or when you experience shooting pain upon engaging in specific movements.

    2. Soft Tissue Injury (Sprain):
    – Sprains involve injury to the ligaments and might present similarly, but tend to allow more movement than a fracture would, assuming they are not severe.

    Management and Recommendations

    1. Rest and Protection:
    – Avoid activities that stress the toe or exacerbate the pain. Give yourself a few days to rest and avoid unnecessary walking.

    2. Ice and Elevation:
    – Continue applying ice intermittently (15-20 minutes every hour) to reduce swelling.
    – Elevate the foot to decrease swelling and provide relief against gravity-induced edema.

    3. Pain Management:
    – Over-the-counter NSAIDs (e.g., ibuprofen, naproxen) or acetaminophen can be taken to help manage pain and inflammation.

    4. Protection:
    – If available, use buddy taping to stabilize the toe by taping it to an adjacent toe with a soft cushion between them to prevent skin irritation.
    – Consider wearing a stiff-soled shoe to minimize toe movement further and offer protection while walking.

    When to Seek Further Medical Attention

    Given the persistent pain and restricted movement, it would be prudent to seek a professional evaluation if:
    – There is significant swelling or persistent bruising.
    – You experience increased pain or any loss of sensation or color changes in the toe.
    – You cannot bear any weight on the toe.
    – The symptoms do not improve with self-care after a few days.

    A clinical examination and potentially an X-ray would confirm whether there is a fracture and determine the treatment plan. Healing and proper management are crucial to prevent long-term complications such as arthritis or chronic pain.

    Prevention and Future Considerations

    Once healed, consider engaging in preventive measures such as proper warm-up exercises, possibly reviewing floor surfaces for traction, and ensuring adequate support for activities like pole dancing. This can help minimize repetition injuries or acute incidents.

    Overall, the primary goal is to ensure proper healing while mitigating pain and enhancing functional recovery through careful monitoring and appropriate intervention.

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Anonymous
Anonymous

I did a home sleep test recently and this was the report. I thought I have sleep apnoea as my wife said thre are times when I sound like I am choking during sleep. AHI was normal but there were ...

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

    Based on your description, your home sleep test raises some potential concerns, despite a normal Apnea-Hypopnea Index (AHI). Here are some considerations and insights tailored to your situation: 1. Oxygen Desaturation Concerns: An oxygen saturation level dropping to 78% is significant. Normally, oxyRead more

    Based on your description, your home sleep test raises some potential concerns, despite a normal Apnea-Hypopnea Index (AHI). Here are some considerations and insights tailored to your situation:

    1. Oxygen Desaturation Concerns: An oxygen saturation level dropping to 78% is significant. Normally, oxygen saturation during sleep should remain above 90%. A desaturation to 78% can suggest episodes of hypoxemia. This finding warrants further investigation, as recurrent or severe hypoxemia can have adverse effects, including those on cardiovascular and neurocognitive health.

    2. Hypopnea Episodes: The presence of hypopneas, even with a normal AHI, is noteworthy. It’s important to consider which criteria were used to define hypopneas, as some definitions emphasize oxygen desaturation while others focus on EEG arousals. Both can contribute to reduced sleep quality and daytime symptoms like fatigue and sleepiness.

    3. Limitations of Home Sleep Tests: While home sleep tests can be convenient, they often have limitations in detecting certain types of sleep-disordered breathing, particularly those without significant apneas or if events occur primarily in REM sleep or specific positions not well captured at home. Home tests also typically have limited channels compared to a full in-lab polysomnography (PSG), which can provide more comprehensive data.

    4. Respiratory Effort-Related Arousals (RERAs): Consider whether the term RDI (Respiratory Disturbance Index), which includes RERAs, was evaluated. If there were RERAs present, they might explain the discrepancy between your symptoms and a normal AHI.

    5. Clinical Correlation: It’s important to correlate these findings with your clinical symptoms and history. Persistent symptoms, such as the choking sensation your wife observed and any associated daytime sleepiness or fatigue, should be evaluated further.

    Recommendations:

    Follow-Up with a Sleep Specialist: Discuss these findings with a sleep specialist. They might recommend an in-lab polysomnography for a more thorough evaluation, which could include measuring additional parameters like sleep stages and more nuanced respiratory effort assessment.

    Lifestyle and Environmental Modifications: Until further evaluation, consider lifestyle modifications such as weight management, positional therapy (avoiding supine sleep which can exacerbate obstructive events), and avoiding alcohol or sedatives before bed, as these can worsen sleep-disordered breathing.

    Additional Monitoring: In some cases, repeated or more detailed monitoring might be suggested, especially if initial investigations do not clearly explain your symptoms.

    Given the complexity and the potential for significant health implications, a detailed clinical assessment is critical to effectively interpret your sleep study results and guide appropriate treatment.

    Remember, individualized evaluation and management based on a comprehensive review of both clinical data and personal symptoms are key in sleep medicine.

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Anonymous
Anonymous

what is the best solution for 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.

    The optimal solution for eye pain depends on the underlying cause of the pain. Here are some common causes and their respective management strategies: 1. Dry Eye (Keratoconjunctivitis Sicca): - Artificial Tears: These are the mainstay treatment to keep the eyes moist and alleviate symptoms. They areRead more

    The optimal solution for eye pain depends on the underlying cause of the pain. Here are some common causes and their respective management strategies:

    1. Dry Eye (Keratoconjunctivitis Sicca):
    Artificial Tears: These are the mainstay treatment to keep the eyes moist and alleviate symptoms. They are available over-the-counter in various forms such as liquids, gels, or ointments.
    Environmental Modifications: Use a humidifier, avoid direct exposure to air conditioning or heating, and wear protective eyewear outdoors.
    Consultation: If symptoms persist, an ophthalmologist may prescribe additional treatments like prescription eye drops or ointments.

    2. Photokeratitis:
    Dark Glasses and Rest: Wearing dark glasses and staying in dimly lit environments can help alleviate symptoms.
    Pain Management: Oral pain relievers or topical antibiotic ointments may be prescribed to prevent infection and ease discomfort.
    Follow-Up: A follow-up visit is recommended to ensure healing.

    3. Corneal Abrasions:
    Pain Control: Small abrasions may be managed with oral NSAIDs or topical NSAID solutions. Larger abrasions might require oral opioids and cycloplegic drops to relieve pain and photophobia.
    Avoid Patching: Patching is generally not recommended for small abrasions as it does not improve healing and may cause discomfort.
    Avoid Topical Anesthetics: These should not be used beyond the initial examination due to the risk of delayed healing and potential complications.

    4. Other Causes:
    Infections or Inflammation: Conditions like conjunctivitis or uveitis may require specific treatments such as antibiotics or anti-inflammatory medications.
    Foreign Bodies: Removal of the foreign body and appropriate antibiotic prophylaxis are necessary.

    In all cases, if the eye pain is severe, persistent, or accompanied by vision changes, it is crucial to seek prompt evaluation by a healthcare professional to determine the appropriate treatment and prevent complications.

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