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Medical Channel Asia Latest Questions

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

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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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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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

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

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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Rainbowhong
Rainbowhong

I have been having dizzy spells lately and my chest feels like it’s fluttering sometimes. My blood pressure and heart rate is normal when I check at home, what other test should I be doing actually?

  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 dizzy spells and a sensation of fluttering in the chest can be concerning, and it is important to investigate these symptoms further to rule out or diagnose potential underlying conditions such as arrhythmias. Given that your blood pressure and heart rate are normal at home, it is essenRead more

    Experiencing dizzy spells and a sensation of fluttering in the chest can be concerning, and it is important to investigate these symptoms further to rule out or diagnose potential underlying conditions such as arrhythmias. Given that your blood pressure and heart rate are normal at home, it is essential to consider other diagnostic strategies. Here’s a step-by-step approach:

    1. Detailed Medical Evaluation:
    – A thorough history and physical examination by a healthcare provider is crucial. They will assess for symptoms such as palpitations, dizziness, chest pain, and any known triggers or alleviating factors.

    2. Electrocardiogram (ECG):
    – An ECG is a non-invasive test that measures the electrical activity of the heart. It can help detect irregularities in the heart rhythm that might not be apparent when not symptomatic.

    3. Holter Monitoring:
    – This involves wearing a portable device that continuously records your heart’s rhythms over 24 to 48 hours. This is particularly useful if your symptoms are intermittent and may not be captured during a standard ECG.

    4. Event Monitor or Loop Recorder:
    – If symptoms are infrequent, an event monitor or implantable loop recorder might be recommended. These devices can be worn for longer periods and activated when symptoms occur to capture an ECG at the time of symptoms.

    5. Echocardiogram:
    – This ultrasound test of the heart provides imaging of cardiac structures and can assess heart function and the presence of any structural heart disease, which may contribute to your symptoms.

    6. Stress Test:
    – A stress test evaluates how the heart performs under physical exertion, determining if exercise induces symptoms or arrhythmias that are not present at rest.

    7. Blood Tests:
    – These can evaluate for electrolyte imbalances, thyroid dysfunction, and other metabolic conditions that could contribute to arrhythmic symptoms or other cardiovascular concerns.

    8. Tilt Table Test:
    – If dizziness spells are significant, a tilt table test might be considered to evaluate for conditions like neurally mediated syncope or orthostatic hypotension.

    9. Cardiac MRI or CT (if indicated):
    – In certain cases, advanced imaging can provide detailed information about heart structure and function.

    Each of these tests is selected based on clinical suspicion and the results of initial evaluations. It’s crucial to work closely with a healthcare provider to determine which tests are most appropriate based on your specific symptoms and medical history. Early diagnosis is key to managing any potential underlying conditions effectively.

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