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Medical Channel Asia Latest Questions

Anonymous
Anonymous
Asked: August 24, 2025
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..

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. Dr Say Wei Xian (General Practitioner)
    Dr Say Wei Xian (General Practitioner) Registered Doctor under the Malaysia Medical Council

    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
Asked: August 14, 2025

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. Dr Say Wei Xian (General Practitioner)
    Dr Say Wei Xian (General Practitioner) Registered Doctor under the Malaysia Medical Council

    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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Anonymous
Anonymous
Asked: August 9, 2025

How to be more sexually active? Boost my sexual performance?  

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

    Enhancing sexual activity and performance involves a combination of physical health, psychological well-being, and relationship dynamics. Here are some strategies that might help: Physical Health 1. Regular Exercise: Engage in regular physical activity to improve cardiovascular health, which is crucRead more

    Enhancing sexual activity and performance involves a combination of physical health, psychological well-being, and relationship dynamics. Here are some strategies that might help:

    Physical Health

    1. Regular Exercise: Engage in regular physical activity to improve cardiovascular health, which is crucial for sexual performance. Exercise can increase stamina, improve mood, and enhance body image.

    2. Healthy Diet: Maintain a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Foods that promote good blood circulation, such as those high in omega-3 fatty acids (e.g., salmon), can be beneficial.

    3. Weight Management: Achieving and maintaining a healthy weight can improve sexual function and reduce the risk of conditions like diabetes and cardiovascular disease, which can impair sexual performance.

    4. Avoid Smoking and Limit Alcohol: Smoking can impair blood flow, while excessive alcohol can decrease libido and performance. Reducing or eliminating these can have positive effects on sexual health.

    5. Adequate Sleep: Ensure you get enough restful sleep, as fatigue can negatively impact libido and performance.

    Psychological Well-being

    1. Stress Management: High stress levels can interfere with sexual desire and performance. Techniques such as mindfulness, meditation, or yoga can help manage stress.

    2. Address Mental Health Issues: Conditions like depression and anxiety can affect sexual performance. Seeking therapy or counseling can be beneficial.

    3. Self-Confidence: Building self-esteem and body confidence can positively influence sexual performance. Focus on self-care and positive self-talk.

    Relationship Dynamics

    1. Open Communication: Discussing desires, preferences, and concerns with your partner can enhance intimacy and sexual satisfaction.

    2. Explore New Things: Trying new activities or positions can keep the sexual experience exciting and fulfilling for both partners.

    3. Quality Time: Spend quality time with your partner outside the bedroom to strengthen your emotional connection, which can enhance sexual intimacy.

    Medical Interventions

    1. Consult a Healthcare Professional: If you experience persistent issues with sexual performance, consult a doctor. They can assess for underlying medical conditions or medications that might be affecting your sexual health.

    2. Consider Medical Treatments: Depending on the cause, treatments such as phosphodiesterase inhibitors (e.g., sildenafil), hormone therapy, or counseling might be recommended.

    3. Therapies for Specific Issues: For issues like erectile dysfunction or premature ejaculation, specific therapies or medications can be prescribed.

    Lifestyle Adjustments

    1. Regular Check-ups: Regular medical check-ups can help identify and manage health issues that could impact sexual performance.

    2. Limit Screen Time: Reducing screen time before bed can improve sleep quality, which is beneficial for sexual health.

    3. Stay Hydrated: Proper hydration is essential for overall health and can impact sexual performance.

    Conclusion

    Improving sexual activity and performance is a multifaceted approach that involves lifestyle changes, psychological well-being, and relationship dynamics. It’s important to tailor these strategies to your individual needs and consult with healthcare professionals for personalized advice. Remember, sexual health is an integral part of overall well-being, and addressing it holistically can lead to satisfying and fulfilling experiences.

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Ashlxf
Ashlxf
Asked: August 3, 2025

I have been having problems with dry eyes for the past 2 years. Tried all sorts if eyedrops and even gel at night but still not a 100% fix. It causes my eyes to sting and itch which is super ...

  1. Dr. Preethi Jeyabal, MBBS MRCS(Edin) FRCOphth(London)
    Dr. Preethi Jeyabal, MBBS MRCS(Edin) FRCOphth(London) Director of Regenerative Aesthetics, Hair Restoration & Dry Eye Services at Eagle Aesthetics & Surgery.

    It sounds like you’ve been really persistent in trying to get relief, and that’s completely understandable — most treatments simply replace tears rather than tackle the root problem. When dry eye lingers for years, it’s important to dig deeper and understand why it’s happening. A thorough assessmentRead more

    It sounds like you’ve been really persistent in trying to get relief, and that’s completely understandable — most treatments simply replace tears rather than tackle the root problem. When dry eye lingers for years, it’s important to dig deeper and understand why it’s happening.

    A thorough assessment can show whether it’s mainly a problem with tear quantity, tear quality, inflammation, or even eyelid gland function. Once we know that, we can choose more targeted treatments — such as prescription anti-inflammatory drops (like steroids and non-steoridal options like cyclosporine or lifitegrast), punctal plugs to help retain natural tears, or advanced heat-based eyelid therapies for meibomian gland dysfunction, including radiofrequency, intense pulsed light, thermal pulsation, thermo-mechanical action, etc. In some cases, autologous serum tears made from your own blood can help restore a healthier tear film.

    By addressing the underlying cause rather than just masking symptoms, we can aim for lasting relief — and hopefully reduce your reliance on constant eyedrops or other topical medications.

    Regards,
    Dr. Preethi Jeyabal
    MBBS MRCS(Edin), FRCOphth(London)
    Director of Regenerative Aesthetics, Hair Restoration & Dry Eye Services
    Eagle Aesthetics & Surgery
    IG: @drpreethisg_eyeskinhair

     

    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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Rbmk
Rbmk
Asked: July 27, 2025

Can cholesterol deposits in the heart be reversed?

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

    Reversal of cholesterol deposits, or atherosclerotic plaques, in the heart is a complex process that involves several therapeutic strategies, primarily focusing on lifestyle modifications and pharmacological interventions. Mechanisms of Reversal 1. Lipid-Lowering Therapy: - Statins: These are the coRead more

    Reversal of cholesterol deposits, or atherosclerotic plaques, in the heart is a complex process that involves several therapeutic strategies, primarily focusing on lifestyle modifications and pharmacological interventions.

    Mechanisms of Reversal

    1. Lipid-Lowering Therapy:
    – Statins: These are the cornerstone of lipid-lowering therapy and have been shown to not only reduce LDL cholesterol levels but also stabilize atherosclerotic plaques. Statins may induce regression of atherosclerotic lesions, although significant regression might take time (typically observed over 12 to 24 months). They work by reducing inflammation, stabilizing plaques, and decreasing thrombogenicity.
    – Other Lipid-Lowering Agents: Ezetimibe, PCSK9 inhibitors, and fibrates can also be used to lower lipid levels and potentially contribute to plaque regression.

    2. Lifestyle Modifications:
    – Diet: A heart-healthy diet rich in fruits, vegetables, whole grains, and lean proteins can help reduce cholesterol levels and slow the progression of atherosclerosis.
    – Exercise: Regular physical activity improves cardiovascular health and can help reduce LDL cholesterol levels.
    – Smoking Cessation: Smoking is a significant risk factor for atherosclerosis, and cessation can improve overall cardiovascular health.

    3. Control of Other Risk Factors:
    – Blood Pressure Management: Controlling hypertension is crucial in reducing cardiovascular risk.
    – Diabetes Management: Tight glycemic control can help reduce the risk of atherosclerosis progression.

    Clinical Evidence and Considerations

    – Plaque Stabilization: While complete reversal of plaques may not always be achievable, stabilization of existing plaques is a critical therapeutic goal. Stabilized plaques are less likely to rupture and cause acute coronary syndromes.
    – Non-Lipid Effects of Statins: Statins have anti-inflammatory effects that contribute to plaque stabilization and may reduce the risk of cardiovascular events even in patients with normal cholesterol levels.
    – Imaging Studies: Techniques such as high-resolution MRI and intracoronary ultrasonography can be used to monitor changes in plaque size and composition over time.

    Prognosis and Long-Term Management

    – Long-Term Therapy: Continuous adherence to prescribed medications and lifestyle changes is essential for maintaining cardiovascular health and preventing further progression of atherosclerosis.
    – Regular Monitoring: Regular follow-up with healthcare providers to monitor lipid levels and adjust therapy as needed is important for optimal management.

    In summary, while complete reversal of cholesterol deposits in the heart may not be fully achievable, significant improvements in cardiovascular health can be attained through a combination of pharmacological and lifestyle interventions. These strategies focus on reducing cholesterol levels, stabilizing plaques, and addressing other cardiovascular risk factors. It is important for healthcare professionals to tailor these interventions to individual patient needs and continuously monitor progress.

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yee78
yee78
Asked: July 20, 2025

I am in my 50s and have really stubborn melasma on both cheeks. Tried all kinds of skin brightening products but only manage to improve it slightly. Am considering laser but not sure if it is a permanent solution or ...

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

    Melasma is indeed a challenging condition to manage, especially when it is persistent and resistant to topical treatments. Here’s a structured overview of the considerations and options available for treating stubborn melasma, particularly in your age group: Understanding Melasma - Nature of MelasmaRead more

    Melasma is indeed a challenging condition to manage, especially when it is persistent and resistant to topical treatments. Here’s a structured overview of the considerations and options available for treating stubborn melasma, particularly in your age group:

    Understanding Melasma

    – Nature of Melasma: Melasma is characterized by brown patches, primarily on sun-exposed areas of the face. It is influenced by factors such as sun exposure, hormonal changes, and genetics.
    – Chronicity: It is a chronic condition with a tendency for recurrence, even after successful treatment.

    Treatment Options

    1. Topical Treatments:
    – Hydroquinone: Often used as a first-line treatment. It can be effective but may require prolonged use.
    – Triple Combination Creams: Containing hydroquinone, tretinoin, and a corticosteroid, these can be more effective for moderate to severe cases.
    – Non-Hydroquinone Alternatives: Azelaic acid, kojic acid, and niacinamide can be considered, especially if you have sensitivity to hydroquinone.

    2. Laser and Light Therapies:
    – Fractional Lasers (e.g., 1550-nm, 1927-nm): These have shown promise in reducing melasma but are not typically permanent solutions. Recurrence is common, and maintenance treatments may be necessary.
    – QS Nd:YAG Laser: Can be effective but may cause side effects like hypopigmentation or rebound hyperpigmentation.
    – Considerations: Laser treatments should be approached cautiously, especially in individuals with darker skin tones, due to the risk of post-inflammatory hyperpigmentation.

    3. Chemical Peels:
    – Superficial Peels: Glycolic acid or salicylic acid peels can be beneficial. They require multiple sessions and should be combined with topical treatments for best results.

    4. Microdermabrasion:
    – Often used in conjunction with other treatments like topical agents. It can help improve skin texture and enhance the penetration of topical treatments.

    Long-term Management

    – Photoprotection: Rigorous sun protection is crucial. Use a broad-spectrum sunscreen with SPF 50 or higher, reapply every two hours, and consider tinted sunscreens containing iron oxide for additional protection against visible light.
    – Maintenance Therapy: Even after achieving improvement, ongoing maintenance with topical agents and sun protection is essential to prevent recurrence.

    Recommendations

    – Consultation: It is advisable to consult with a dermatologist who can tailor a treatment plan based on your specific skin type and the severity of your melasma.
    – Combination Approach: Often, a combination of treatments yields the best results. This may include topical agents, procedural interventions, and strict sun protection.
    – Patient Education: Understanding that melasma is a chronic condition with no guaranteed permanent cure is important. Management focuses on control and maintenance.

    Conclusion

    While laser treatments can offer significant improvement, they are not a permanent solution and require careful consideration of potential side effects and recurrence. Exploring less invasive options like chemical peels or microdermabrasion, in conjunction with topical therapies and sun protection, might be a more sustainable approach. Always ensure any treatment plan is guided by a healthcare professional familiar with your skin type and condition.

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shuqi
shuqi
Asked: July 17, 2025

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

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

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

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

    Yasmin and Fertility

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

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

    Considerations and Recommendations

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

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

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

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

    Conclusion

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

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Anonymous
Anonymous
Asked: July 14, 2025

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

  1. Admin Medical Channel Asia
    Admin Medical Channel Asia

    Hi, thank you for dropping your question in the community! This is actually one of the most commonly asked topics around sleep, so you’re definitely not alone. We recently covered this in an article that looks at mouth taping, nasal strips, and other approaches people are trying to reduce mouth breaRead more

    Hi, thank you for dropping your question in the community!

    This is actually one of the most commonly asked topics around sleep, so you’re definitely not alone.

    We recently covered this in an article that looks at mouth taping, nasal strips, and other approaches people are trying to reduce mouth breathing and snoring at night. Feel free to have a read:

    👉 https://medicalchannelasia.com/can-mouth-taping-and-nasal-strips-effectively-stop-snoring/

    Hope you find this article helpful!

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