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Medical Channel Asia Latest Questions

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

    This one is a bit tricky! Technically, if you go to bed and wake up at exactly the same time every single day, your body can get used to it. Most people have days where they sleep earlier or later and that is when the body clock starts getting messed up. Our bodies work best when we sleep during darRead more

    This one is a bit tricky!

    Technically, if you go to bed and wake up at exactly the same time every single day, your body can get used to it. Most people have days where they sleep earlier or later and that is when the body clock starts getting messed up.

    Our bodies work best when we sleep during darkness and wake up to daylight. Remember this, sunlight is not just for waking up, it helps regulate your hormones, metabolism, mood, and even vitamin D levels. Missing out on natural light can affect both your physical and mental health over time.

    Long story short, even if you feel fine now, a 3 am sleep schedule is not something I would recommend in the long run.

    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

Why does my toe nail look like that? Isit trapped blood inside? Has been like that for few months and the only trigger I can think of is wearing new heels that were too tight..

  1. Hello! From the photo and your history, it does look like a subungual haematoma, which is basically dried blood trapped under the toenail, usually caused by trauma. In your case, it's most likely due to pressure from your tight heels. If it’s been there for months and not getting worse, the blood maRead more

    Hello! From the photo and your history, it does look like a subungual haematoma, which is basically dried blood trapped under the toenail, usually caused by trauma. In your case, it’s most likely due to pressure from your tight heels.

    If it’s been there for months and not getting worse, the blood may just grow out with the nail over time, nothing to worry about.

    But do take note if there’s persistent pain, spreading of discolouration, nail changes like thickening or lifting. If any of these happen, it’s best to get it checked in case of something more serious.

    I usually tell my patients to monitor it over a few months unless it’s painful or worsening. You could also see a GP if unsure to get it examined.

     

    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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shennie
shennie

I (32F) have been getting cold sores quite often lately, used to be only when I travel to cold countries, now it’s like every couple of months. I use acyclovir cream but it doesn’t seem to prevent it from coming ...

  1. Hi Shennie. Cold sores are usually caused by the herpes simplex virus type 1 (HSV-1), which stays dormant in your body once you’ve contracted it. When your immune system is weakened, for example due to stress, poor sleep, or even general fatigue, the virus can reactivate and flare up, causing recurrRead more

    Hi Shennie. Cold sores are usually caused by the herpes simplex virus type 1 (HSV-1), which stays dormant in your body once you’ve contracted it. When your immune system is weakened, for example due to stress, poor sleep, or even general fatigue, the virus can reactivate and flare up, causing recurrent cold sores.

    I’ve had patients who experience similar patterns, where it used to only happen during cold weather or travel, but starts recurring more often due to lifestyle stressors.

    Topical acyclovir cream can help shorten each episode, but if you’re getting flare-ups this frequently, it might not be enough. You might benefit from oral antiviral medication, which can help reduce the severity and frequency of outbreaks. But you’ll need to see a doctor to get a proper assessment and prescription.

    It’s worth visiting your GP to discuss treatment options and see what works best 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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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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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’m trying to manage my PCOS with guidance from my OB, especially since my period has been delayed for quite some time. She prescribed a few medications, but one that caught my attention was YAZ. I noticed in the Consumer ...

  1. Hi, thank you for dropping your question. YAZ is a type of combined oral contraceptive pill that contains both oestrogen and progestin. It’s often prescribed for women with PCOS to help regulate their periods and manage symptoms like acne or excess facial hair. It’s a common choice for PCOS, so yourRead more

    Hi, thank you for dropping your question.

    YAZ is a type of combined oral contraceptive pill that contains both oestrogen and progestin. It’s often prescribed for women with PCOS to help regulate their periods and manage symptoms like acne or excess facial hair.

    It’s a common choice for PCOS, so your OBGYN may have included it as part of a standard plan. But if you have a history of migraines, especially migraines with aura, it’s important to let your doctor know. Oestrogen-containing pills like YAZ have been linked to a slightly higher risk of stroke or blood clots in some people with this type of migraine.

    Your OBGYN may not have been aware of your migraine history, so I’d suggest checking back in to discuss whether YAZ is still the best option for you. There are other alternatives your doctor can consider depending on your full medical history.

    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.

    See less
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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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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