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Medical Channel Asia Latest Questions

Anonymous
Anonymous
Asked: April 29, 2025

during sleeping my arm get freezing. why.?

  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.

    Experiencing a sensation of your arm freezing or feeling cold during sleep can be attributed to several factors, some more common and benign, and others potentially requiring medical attention. Here are some plausible explanations and considerations: Poor Circulation: Compression of Blood Vessels: WRead more

    Experiencing a sensation of your arm freezing or feeling cold during sleep can be attributed to several factors, some more common and benign, and others potentially requiring medical attention. Here are some plausible explanations and considerations:

    1. Poor Circulation:
      • Compression of Blood Vessels: While sleeping, you might lie in a position that compresses the blood vessels in your arm, reducing blood flow and causing your arm to feel cold or numb. This is similar to how limbs “fall asleep” due to temporary nerve compression.
      • Underlying Circulatory Issues: Conditions such as peripheral artery disease could affect blood flow to the extremities, leading to a cold sensation.
      • Neurological Factors:
      • Nerve Compression or Entrapment: Similar to circulation issues, nerves might also be compressed during certain sleeping positions, particularly if the brachial plexus or ulnar nerve is involved.
      • Peripheral Neuropathy: Conditions like diabetes or other metabolic disorders can lead to nerve damage, which might contribute to these sensations.
      • Environmental Factors:
      • Room Temperature: A significantly cool environment while sleeping can lead to extremities feeling cold. If your arm is exposed, it might get colder compared to the rest of your body.
      • Bedding: Insufficient bedding or covers that do not adequately retain warmth around your body can also lead to specific areas, like arms, feeling cold.
      • Raynaud’s Phenomenon:
      • This condition causes blood vessels in extremities like fingers and toes to constrict more than usual, reducing blood flow and leading to a cold sensation. If your arms are affected by Raynaud’s, they might feel abnormally cold during rest.
      • Autonomic Dysfunction:
      • Some dysregulation in the autonomic nervous system, which controls blood flow and temperature regulation, might cause certain areas to feel cold.

        • Recommendations:

      • Optimize Sleeping Position: Ensure that you are not compressing the arm by experimenting with different sleeping positions or using additional pillows for support.
      • Adequate Insulation: Ensure your sleeping environment is warm enough and use appropriate bedding to cover all body parts, including arms.
      • Medical Evaluation: If this sensation is persistent or accompanied by pain, numbness, or other symptoms upon waking, it would be prudent to seek medical evaluation to rule out underlying circulatory, neurological, or metabolic conditions.
      • Lifestyle Modifications: For conditions like Raynaud’s, avoiding cold exposure, reducing stress, and avoiding smoking can help manage symptoms.

    While occasional occurrences might be harmless, recurring symptoms warrant further assessment to ensure there are no underlying health issues affecting your circulation or nerves.

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Thinesh
Thinesh
Asked: April 20, 2025

I keep having gout attacks but I already very careful with my diet, no alcohol, no red meat, no seafood. What other things can cause it?? And can I keep taking the gout medicine when I have attacks, worried it ...

  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 frustrating to feel like you're doing everything right and still experience gout attacks. Besides your diet, there are several factors that might be contributing to frequent flare-ups. Stress, dehydration, and certain medications like diuretics and aspirin can sometimes elevate uric acid levelsRead more

    It’s frustrating to feel like you’re doing everything right and still experience gout attacks. Besides your diet, there are several factors that might be contributing to frequent flare-ups. Stress, dehydration, and certain medications like diuretics and aspirin can sometimes elevate uric acid levels. Ensure you’re drinking plenty of water daily to help your body flush out this excess uric acid.

    Regarding medication, it’s understandable to be concerned about its potential impact on your liver or kidneys. Many gout medications are safe for long-term use, but it’s crucial that they are managed properly. Always follow your physician’s guidance regarding medication during a gout attack. If you have any worries about the medication you’re on, or if you think it might be affecting your liver or kidney function, it would be a good idea to discuss this with your healthcare provider. They can monitor your organ health through regular check-ups and adjust your treatment plan if necessary.

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Anonymous
Anonymous
Asked: April 14, 2025

My mom passed away from breast cancer at 52. I’m 30 this year and wondering if I should start going for breast cancer screening. What kind of screening would you recommend for someone with a family history like mine? I ...

  1. Dr Nur Fadhlina Abdul Satar @ Dr Nina (Consultant Clinical Oncologist, Pantai Hospital Kuala Lumpur)
    Best Answer
    Dr Nur Fadhlina Abdul Satar @ Dr Nina (Consultant Clinical Oncologist, Pantai Hospital Kuala Lumpur) Malaysia Board Certified Oncologist

    It must have been difficult to go through the grief and loss of your mom. Sorry to hear that. Similarly, well done on reflecting on her illness and making conscious lifestyle choices! The best person to guide you through this would be a breast surgeon who could see you, and take a full family historRead more

    It must have been difficult to go through the grief and loss of your mom. Sorry to hear that.

    Similarly, well done on reflecting on her illness and making conscious lifestyle choices! The best person to guide you through this would be a breast surgeon who could see you, and take a full family history, including how old your mom was when she was initially diagnosed.

    Furthermore, it would also be important to note if your mom had genetic screening done, and if she had inherited breast cancer mutation genes. This would have implications into your screening approach, and genetic testing. Genetic testing is mainly indicated for family members of a breast cancer patient carrying predisposing germline (inherited) genetic mutations.

    It’s also important to note that screening isn’t a one-time approach, it is a continued process, and is usually recommended once every 3 years for ladies without strong family history, above the age of 50. Screening in a young lady could include breast ultrasound or breast MRI.

    I wish this information could help you make further informed choice and guide you moving forward!

    Regards,
    Dr Nina
    Consultant Clinical Oncologist,
    Pantai Hospital Kuala Lumpur.
    Website: Dr Nina Pantai Hospital Kuala Lumpur
    IG: @ninaabdulsatar

     

    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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Gul Afshan
Gul Afshan
Asked: April 7, 2025

My RBC count is 5.11 in my CP blood test report.  what is this and why its mark as red. is it dangerous sign. ?

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

    Hello, this is something a lot of people ask when reviewing their blood test results. Firstly, let me explain what RBC count is. Your RBC count refers to the number of red blood cells in a given volume of blood, typically in one microliter (µL). These cells are responsible for carrying oxygen througRead more

    Hello, this is something a lot of people ask when reviewing their blood test results.

    Firstly, let me explain what RBC count is. Your RBC count refers to the number of red blood cells in a given volume of blood, typically in one microliter (µL). These cells are responsible for carrying oxygen throughout the body, so they’re quite essential for your overall health.

    For context, the normal range is usually around 4.7-6.1 million cells/µL for adult men, and about 4.2 -5.4 million cells/µL for adult women. Your result of 5.11 falls within this range.

    However, different labs may use slightly different reference ranges. So even if your result is considered normal, it might still be flagged in red if it sits near the upper or lower end of that lab’s cut-off. It doesn’t always mean something is wrong, but it may be highlighted for closer review.

    A higher RBC count can sometimes be linked to things like dehydration, smoking or certain lung conditions. A lower count may point toward anaemia, which can result from iron or vitamin deficiencies, chronic illness, or blood loss.

    That said, we usually don’t make conclusions based on one number alone. To get a clearer picture, it’s important to look at it together with other values in your blood test, such as haemoglobin, haematocrit, and MCV, as well as your overall health and any symptoms you might have.

    So, if you’re unsure or just want peace of mind, I’d recommend going through the full report with your doctor.

    Regards,

    Dr Say

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Sharonnn
Sharonnn
Asked: April 6, 2025

Hi, I want to ask if the HPV vaccine is for younger girls right? But I’m already married and in my 30s—still got point to take or not ah? Or too late already?

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

    This is a very commonly asked question by my patients who are in their 30s or already sexually active. Yes, the HPV vaccine can still be beneficial. It helps protect against several strains of the human papillomavirus, especially the high-risk types linked to cervical cancer. Some vaccines cover upRead more

    This is a very commonly asked question by my patients who are in their 30s or already sexually active.
    Yes, the HPV vaccine can still be beneficial. It helps protect against several strains of the human papillomavirus, especially the high-risk types linked to cervical cancer. Some vaccines cover up to nine strains, including the most common cancer-causing ones.
    Although it works best when given before any exposure to HPV, women who are already sexually active can still benefit—especially if they haven’t been exposed to all the strains the vaccine protects against, which is often the case.
    For adults aged 15 and above, the full schedule usually consists of three doses over six months—typically given at 0, 1–2, and 6 months.
    That said, the HPV vaccine doesn’t replace cervical screening. According to the current Malaysian guidelines, all sexually active women aged 30 to 65 should undergo HPV testing every 5 years, even after vaccination, as the vaccine doesn’t protect against all HPV types.
    Getting vaccinated alongside routine screening gives the best protection against cervical cancer.
     

    Regards,
    Dr Say
    IG: https://www.instagram.com/sayweixian/?hl=en

     

    References: 
    Guidelines for Cervical Cancer Screening in Malaysia, Second Edition (2023), Ministry of Health Malaysia.  https://www2.moh.gov.my/moh/modules_resources/bookshelf/Guidelines_For_Cervical_Cancer_Screening_in_Malaysia_2023/Guidelines_For_Cervical_Cancer_Screening_in_Malaysia_2023.pdf

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Yacob
Yacob
Asked: April 6, 2025

Hi, I recently went for a check-up and the doctor said my blood pressure a bit high. He asked me to monitor and might need to start medication soon. But to be honest, I’m quite scared to start, heard once ...

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

    It’s a very common concern—many patients feel the same way when they hear they may need to start blood pressure medication. And just to reassure you, we don’t keep people on medication for no reason. Blood pressure medication isn’t something you take forever by default. It’s prescribed to manage a cRead more

    It’s a very common concern—many patients feel the same way when they hear they may need to start blood pressure medication. And just to reassure you, we don’t keep people on medication for no reason.

    Blood pressure medication isn’t something you take forever by default. It’s prescribed to manage a condition. If the root cause of your high blood pressure is addressed—like through diet, weight management, or regular exercise—there is a chance the medication can be reduced or even stopped. But this needs to be done properly. Stopping too early, before things are well controlled, can increase the risk of stroke, heart disease, or kidney problems.

    There are many types of blood pressure medications, and they’re not all the same. If you’re experiencing side effects, it’s important to bring it up—there are often alternatives that can be better suited.

    Home monitoring is also very helpful, especially when first starting medication or adjusting doses. Some people experience white coat hypertension, where blood pressure readings are higher in the clinic than at home—so home readings give a more accurate picture.

    Also, just because your BP reading looks fine for a day doesn’t mean the issue has resolved. The medication could be what’s keeping it controlled. Skipping or stopping it on your own could cause your blood pressure to spike unexpectedly.

    And it’s totally understandable to be concerned about long-term effects on the kidneys or liver. That’s why regular follow-ups are important—your healthcare provider will know which blood tests to run and what to keep an eye on based on the medication you’re on.

    If you have concerns, do bring them up at your next visit. It’s always worth having that conversation so expectations can be properly managed.

    Regards,
    Dr Say.

    Reference:
    Clinical Practice Guidelines – Management of Hypertension, 5th Edition (2018), Ministry of Health Malaysia.

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Anonymous
Anonymous
Asked: March 27, 2025

I noticed a small lump near my anus. Not painful, just abit uncomfortable. It’s the 2nd time I had it. Last time it went away the next day but this time it has been around for close to 5 days. ...

  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.

    The presence of a small lump near the anus that is uncomfortable but not painful raises several possibilities, with hemorrhoids being a common consideration. Given your description, it is important to evaluate the characteristics of the lump and any associated symptoms to arrive at a more accurate dRead more

    The presence of a small lump near the anus that is uncomfortable but not painful raises several possibilities, with hemorrhoids being a common consideration. Given your description, it is important to evaluate the characteristics of the lump and any associated symptoms to arrive at a more accurate differential diagnosis.

    Possible Diagnoses

    1. Hemorrhoids:
    – External Hemorrhoids: These are engorged veins located at the anal margin. They can present as a lump and may cause discomfort, especially during bowel movements or prolonged sitting. If the lump is bluish or feels firm, it may indicate thrombosis, which can occur with external hemorrhoids.
    – Internal Hemorrhoids: These are located inside the rectum and may prolapse outside during bowel movements. They typically do not cause pain but can lead to bleeding.

    2. Anal Skin Tags:
    – These are benign growths that can develop after the resolution of hemorrhoids or due to chronic irritation. They are usually painless but can cause discomfort if they become irritated.

    3. Perianal Abscess:
    – This is a localized collection of pus that can occur near the anus. It is typically painful and may be associated with fever or systemic symptoms, which does not seem to apply in your case.

    4. Fistula-in-Ano:
    – This is an abnormal connection between the anal canal and the skin near the anus. It may present as a lump and can be associated with drainage or discomfort.

    5. Other Conditions:
    – Conditions such as warts, cysts, or even malignancies can present similarly, although these are less common.

    Recommendations

    1. Observation: Since the lump has been present for five days without significant pain or other alarming symptoms (such as bleeding or fever), it may be reasonable to monitor it for any changes. Many benign conditions, including hemorrhoids, can resolve spontaneously.

    2. Symptomatic Relief: If you are experiencing discomfort, consider:
    – Warm sitz baths to relieve discomfort.
    – Over-the-counter topical treatments designed for hemorrhoids, which may provide symptomatic relief.

    3. Dietary Adjustments: Ensure adequate fiber intake and hydration to prevent constipation, which can exacerbate hemorrhoidal symptoms.

    4. Pharmacological Options: If a pharmacist has recommended a medication, it may be beneficial to consider it, especially if it is aimed at relieving symptoms associated with hemorrhoids or discomfort. However, ensure that you discuss any concerns with the pharmacist or your healthcare provider.

    5. Follow-Up: If the lump persists beyond a week, increases in size, becomes painful, or if you develop any new symptoms (such as bleeding), it would be prudent to seek evaluation from a healthcare professional. A thorough examination can help rule out more serious conditions and guide appropriate management.

    Conclusion

    While hemorrhoids are a likely cause of your symptoms, the persistence of the lump warrants careful observation and possibly further evaluation if symptoms change. Empower yourself with knowledge about your body, and don’t hesitate to seek professional advice if you have concerns.

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Gene Wong
Gene Wong
Asked: March 26, 2025

I’m in my early 30s and generally healthy, but I’ve been dealing with on-and-off tummy issues ie, bloating, cramps and urgent bathroom runs, especially after heavy meals. Could this be IBS or am I just overly sensitive to food?

  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.

    Your symptoms of bloating, cramps, and urgent bathroom runs, particularly after heavy meals, are indeed suggestive of a functional gastrointestinal disorder, with irritable bowel syndrome (IBS) being a strong possibility. However, it is essential to consider a comprehensive approach to understand thRead more

    Your symptoms of bloating, cramps, and urgent bathroom runs, particularly after heavy meals, are indeed suggestive of a functional gastrointestinal disorder, with irritable bowel syndrome (IBS) being a strong possibility. However, it is essential to consider a comprehensive approach to understand the underlying causes of your symptoms.

    Key Considerations for IBS Diagnosis

    1. Symptom Pattern: IBS is characterized by recurrent abdominal pain or discomfort associated with changes in bowel habits. The Rome IV criteria define IBS as abdominal pain occurring at least once a week for the last three months, with two or more of the following features:
    – Pain relieved by defecation
    – Onset associated with a change in frequency of stool
    – Onset associated with a change in stool form or appearance

    Given your symptoms, it would be beneficial to reflect on whether they align with these criteria, particularly the relationship of your symptoms to bowel movements and dietary intake.

    2. Food Sensitivities: It is possible that you may have food sensitivities or intolerances that exacerbate your symptoms. Common culprits include:
    – Lactose: If you experience symptoms after consuming dairy products, lactose intolerance could be a factor.
    – FODMAPs: Certain carbohydrates (fermentable oligosaccharides, disaccharides, monosaccharides, and polyols) can lead to bloating and discomfort. A low FODMAP diet may help identify specific triggers.
    – Gluten: Some individuals report sensitivity to gluten, which may not be related to celiac disease.

    3. Dietary Habits: Heavy meals can lead to increased gastrointestinal distress, particularly if they are high in fat or sugar, which can slow gastric emptying and lead to bloating. Keeping a food diary may help you identify specific foods or eating patterns that correlate with your symptoms.

    4. Stress and Lifestyle Factors: Stress and anxiety can significantly impact gut function and exacerbate IBS symptoms. Consider whether there are stressors in your life that may be contributing to your gastrointestinal issues.

    Next Steps

    1. Symptom Tracking: Maintain a detailed diary of your symptoms, dietary intake, and any associated factors (e.g., stress levels, physical activity). This can provide valuable insights for you and your healthcare provider.

    2. Consultation with a Healthcare Provider: Given your symptoms, it would be prudent to consult with a healthcare professional, such as a gastroenterologist or a registered dietitian. They can perform a thorough evaluation, which may include:
    – A physical examination
    – Laboratory tests to rule out other conditions (e.g., celiac disease, infections, inflammatory bowel disease)
    – Possibly a referral for dietary assessment or a trial of a low FODMAP diet.

    3. Trial of Dietary Modifications: If IBS is suspected, consider implementing dietary changes, such as reducing high FODMAP foods or lactose, and observe if there is an improvement in your symptoms.

    4. Stress Management: Explore stress-reduction techniques such as mindfulness, yoga, or cognitive behavioral therapy, which may help alleviate symptoms.

    Conclusion

    While your symptoms could indicate IBS, they may also stem from food sensitivities or other gastrointestinal issues. A structured approach involving symptom tracking, dietary modifications, and professional consultation will be essential in determining the underlying cause and developing an effective management plan. Remember, IBS is a manageable condition, and many individuals find significant relief through lifestyle and dietary adjustments.

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