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Medical Channel Asia Latest Questions

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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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 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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Anonymous
Anonymous
Asked: August 28, 2025

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

    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.

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Susanna Tan
Susanna Tan
Asked: May 2, 2024

I recently attended a concert that left me buzzing with excitement and energy, but now that it’s over, I find myself feeling unexpectedly low. I’m curious if others have experienced this too and what might be behind it.

  1. Dr Lim Boon Leng, Psychiatrist, Dr BL Lim Centre for Psychological Wellness
    Best Answer
    Dr Lim Boon Leng, Psychiatrist, Dr BL Lim Centre for Psychological Wellness

    Post-concert depression is not a clinical condition, but it can feel like a mild form of depression or sadness. Symptoms include feeling low, empty, or emotionally drained after the event, difficulty returning to normal routines or a lack of interest in enjoyable activities before the event, a stronRead more

    Post-concert depression is not a clinical condition, but it can feel like a mild form of depression or sadness. Symptoms include feeling low, empty, or emotionally drained after the event, difficulty returning to normal routines or a lack of interest in enjoyable activities before the event, a strong desire to relive the experience, and a tendency to withdraw from social interactions. It’s important to distinguish these feelings from more serious mental health conditions. If these symptoms persist or significantly impair one’s ability to function daily, it may indicate a more serious issue.

    Source: https://medicalchannelasia.com/life-after-coldplay-coping-with-post-concert-depression/

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Timothy Lim
Timothy Lim
Asked: May 2, 2024

I’ve been experiencing chest pains lately, and I’m curious about what could be causing them. They seem to come and go, sometimes accompanied by shortness of breath or discomfort in my arms. Could this be a sign of something serious, ...

  1. Dr Anthony Leachon, Internist-Cardiologist, Manila Doctors Hospital
    Dr Anthony Leachon, Internist-Cardiologist, Manila Doctors Hospital

    It could be angina. Angina is defined as chest pain precipitated by effort and relieved by rest or the medication nitroglycerine. There can be some subtle symptoms, like fatigability and shortness of breath. It occurs when part of your heart muscle does not get enough oxygen-rich blood. You should hRead more

    It could be angina. Angina is defined as chest pain precipitated by effort and relieved by rest or the medication nitroglycerine. There can be some subtle symptoms, like fatigability and shortness of breath. It occurs when part of your heart muscle does not get enough oxygen-rich blood. You should have a check with your doctor. They will do an ECG and check your medical history to confirm if it is coronary artery disease.

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Geraldine Lee
Geraldine Lee
Asked: May 2, 2024

I’m interested in learning about the various types of birth control pills available. I’ve heard there are different formulations with different hormone combinations and delivery methods. Can you explain the differences between them and how they work?

  1. Dr Genevieve Quek, General Practioner, Clinic 10
    Dr Genevieve Quek, General Practioner, Clinic 10

    Most pill control pills are combination pills. They contain one oestrogen and one progesterone. They are all different in micrograms of hormones. They are all 99% efficient at preventing pregnancy. It just depends on which one works best for each individual.

    Most pill control pills are combination pills. They contain one oestrogen and one progesterone. They are all different in micrograms of hormones. They are all 99% efficient at preventing pregnancy. It just depends on which one works best for each individual.

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Ng Yan Feng
Ng Yan Feng
Asked: May 2, 2024

I’ve been struggling with breathing issues during sleep lately, and it’s been quite concerning. I often wake up feeling short of breath or gasping for air. I’m curious about what might be causing this problem—is it related to sleep apnea, ...

  1. Dr Valerie Tay, ENT Specialist, Aspire Ear Nose Throat And Snoring Clinic
    Best Answer
    Dr Valerie Tay, ENT Specialist, Aspire Ear Nose Throat And Snoring Clinic
    This answer was edited.

    Based on your description, it is clear that your breathing issues during sleep warrant further evaluation. Conditions such as sleep apnoea, allergies, nasal obstruction, or other underlying medical issues can significantly disrupt normal breathing patterns during rest. Sleep Apnoea: Sleep apnoea isRead more

    Based on your description, it is clear that your breathing issues during sleep warrant further evaluation. Conditions such as sleep apnoea, allergies, nasal obstruction, or other underlying medical issues can significantly disrupt normal breathing patterns during rest.

    Sleep Apnoea: Sleep apnoea is characterized by pauses in breathing or shallow breathing during sleep. This disruption prevents restful sleep and lowers blood oxygen levels. A sleep study can confirm if sleep apnoea is the cause of your breathing issues.

    Allergies: Allergies can cause nasal irritation and inflammation, this is known as allergic rhinitis. The nasal swelling and congestion can make breathing through the nose difficult, especially when lying down, leading to restless sleep and the sensation of choking during sleep. Allergy testing can be done to identify specific allergens and guide effective treatments to reduce nasal inflammation.

    Nasal Obstruction: Structural abnormalities within the nose, such as a deviated septum, polyps, or enlarged turbinates, can block the nasal airway. This restriction of airflow can disrupt sleep. An ENT specialist can examine your nasal cavity with an endoscope to determine if these structures are impairing your breathing and if surgical correction is necessary. Breathing issues during sleep can severely impact sleep quality, increase the risk of medical conditions like hypertension, heart disease, stroke, and, and negatively affect overall health, quality of life, and productivity. It is crucial to consult an ENT specialist if you experience disturbed breathing at night.

    A thorough evaluation can identify and treat the underlying cause, ensuring you receive the appropriate care to improve your sleep and overall well-being.

    Dr Valerie Tay
    Senior Consultant Ear, Nose and Throat (ENT) Surgeon
    https://www.aspire-ent.sg/
    https://www.instagram.com/drvalerietay/

    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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