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Medical Channel Asia Latest Questions

Gul Afshan
Gul Afshan

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. 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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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. 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

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. 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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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. 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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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. 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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Carl
Carl

Hi, I am a male in my 30s and I have been having pretty bad eczema since my 20s. I have seen numerous dermatologist and was started on steroids for my eczema on and off, but I still regularly have ...

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

    Thank you for sharing your experience with eczema. It sounds like you have been dealing with a challenging and persistent condition, and I appreciate the opportunity to provide some guidance. Given your history of eczema since your 20s and the ongoing flare-ups despite treatment with topical steroidRead more

    Thank you for sharing your experience with eczema. It sounds like you have been dealing with a challenging and persistent condition, and I appreciate the opportunity to provide some guidance.

    Given your history of eczema since your 20s and the ongoing flare-ups despite treatment with topical steroids, it may be beneficial to consider several factors that could be contributing to the persistence and sensitivity of your skin. Here are some key areas to explore:

    1. Assessment of Triggers

    Environmental Factors: Identify any environmental triggers that may exacerbate your eczema. Common triggers include allergens (such as dust mites, pet dander, pollen), irritants (like soaps, detergents, and fabrics), and changes in temperature or humidity.
    Dietary Considerations: Some individuals with eczema report flare-ups related to certain foods. Consider keeping a food diary to identify any correlations between your diet and skin symptoms.
    Stress: Psychological stress can significantly impact eczema. Assess your stress levels and consider stress management techniques such as mindfulness, yoga, or counseling.

    2. Skin Care Routine

    Emollients: Regular use of emollients is crucial in managing eczema. Ensure you are using a suitable moisturizer that is free from fragrances and irritants. Apply it liberally and frequently, especially after bathing.
    Bathing Practices: Short, lukewarm baths with added oils or oatmeal can help hydrate the skin. Avoid hot water and harsh soaps, and consider using a gentle, non-irritating cleanser.
    Topical Steroid Use: While topical steroids can be effective, overuse can lead to skin thinning and increased sensitivity. It may be worth discussing with your dermatologist about a steroid-sparing approach or the use of lower-potency steroids for maintenance.

    3. Consideration of Allergic Contact Dermatitis

    – Given your history of persistent eczema, it may be beneficial to undergo patch testing to rule out allergic contact dermatitis. This condition can coexist with atopic dermatitis and may contribute to flare-ups if you are sensitized to certain allergens.

    4. Systemic Treatments

    – If topical treatments are insufficient, systemic therapies may be warranted. Options include:
    Immunosuppressants: Medications such as cyclosporine or azathioprine can be effective for severe cases.
    Biologics: Newer biologic therapies targeting specific pathways in the immune response (e.g., dupilumab) have shown promise in treating moderate to severe eczema.
    – Discuss these options with your dermatologist to determine if they are appropriate for your situation.

    5. Phototherapy

    – If available, phototherapy (narrowband UVB or UVA1) can be an effective treatment for chronic eczema. It may help reduce inflammation and improve skin barrier function.

    6. Regular Follow-Up

    – Continuous follow-up with your dermatologist is essential. Regular assessments can help tailor your treatment plan based on your current condition and response to therapies.

    Conclusion

    Eczema can be a complex condition requiring a multifaceted approach to management. By identifying triggers, optimizing your skincare routine, considering patch testing, and exploring systemic treatments, you may find better control over your symptoms. It’s important to maintain open communication with your healthcare provider to adjust your treatment plan as needed.

    If you have specific concerns or symptoms that you would like to discuss further, please feel free to share, and I can provide more targeted advice.

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jibran
jibran

my hands and foots are cold most of the time.  what could be the cause and how to prevent.

  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 cold hands and feet frequently can be attributed to a variety of factors, ranging from benign physiological responses to more serious underlying medical conditions. Here are some potential causes and preventive measures to consider: Potential Causes 1. Physiological Responses: - VasoconRead more

    Experiencing cold hands and feet frequently can be attributed to a variety of factors, ranging from benign physiological responses to more serious underlying medical conditions. Here are some potential causes and preventive measures to consider:

    Potential Causes

    1. Physiological Responses:
    Vasoconstriction: In response to cold temperatures, blood vessels constrict to preserve core body heat, which can lead to cold extremities.
    Raynaud’s Phenomenon: This condition causes intermittent vasospasm of the small blood vessels in the fingers and toes, leading to episodes of color change (white, blue, red) and coldness, often triggered by cold or stress.

    2. Circulatory Issues:
    Peripheral Artery Disease (PAD): Reduced blood flow due to narrowed arteries can result in coldness in the extremities, often accompanied by pain or cramping during physical activity.
    Diabetes: Poor circulation and neuropathy associated with diabetes can lead to cold extremities.

    3. Neurological Conditions:
    Peripheral Neuropathy: Damage to peripheral nerves can disrupt normal temperature sensation, leading to feelings of coldness in the hands and feet.

    4. Hormonal Factors:
    Hypothyroidism: An underactive thyroid can slow metabolism and reduce heat production, resulting in cold extremities.
    Anemia: Low hemoglobin levels can impair oxygen delivery to tissues, leading to coldness.

    5. Lifestyle Factors:
    Smoking: Nicotine causes vasoconstriction, reducing blood flow to the extremities.
    Sedentary Lifestyle: Lack of physical activity can impair circulation.

    Preventive Measures

    1. Dress Appropriately:
    – Wear warm, layered clothing, including thermal socks and gloves, to maintain body heat. Mittens are often warmer than gloves due to reduced surface area exposure.

    2. Improve Circulation:
    – Engage in regular physical activity to promote blood flow. Activities such as walking, cycling, or swimming can enhance circulation.

    3. Manage Stress:
    – Stress management techniques, such as yoga, meditation, or deep-breathing exercises, can help reduce episodes of Raynaud’s phenomenon.

    4. Avoid Smoking:
    – Quitting smoking can improve circulation and reduce vasoconstriction.

    5. Diet and Hydration:
    – Maintain a balanced diet rich in iron and vitamins to support overall health. Staying hydrated can also help maintain good circulation.

    6. Warm Environment:
    – Keep your living and working spaces warm, especially during colder months. Consider using heating pads or warm water soaks for your hands and feet.

    7. Medical Consultation:
    – If symptoms persist or are accompanied by pain, color changes, or ulcers, it is crucial to consult a healthcare professional. They may perform diagnostic tests to rule out conditions such as PAD, diabetes, or thyroid dysfunction.

    Conclusion

    Cold hands and feet can be a common issue, but understanding the underlying causes is essential for effective management. By implementing preventive measures and seeking medical advice when necessary, you can improve your symptoms and overall quality of life. If you have any specific concerns or if your symptoms worsen, please consult a healthcare provider for a thorough evaluation and tailored management plan.

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Sze0719
Sze0719

my daughter keeps telling me she wants to buy retinol as her skin has a lot of acne scars, but will it be too harsh on her skin? are there some gentler alternatives or is retinol really very helpful for ...

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

    When considering retinol for your daughter's acne scars, it's important to weigh both its potential benefits and the sensitivity of her skin. Retinol, a derivative of vitamin A, is known for its ability to promote cell turnover, enhance collagen production, and improve skin texture, making it a popuRead more

    When considering retinol for your daughter’s acne scars, it’s important to weigh both its potential benefits and the sensitivity of her skin. Retinol, a derivative of vitamin A, is known for its ability to promote cell turnover, enhance collagen production, and improve skin texture, making it a popular choice for addressing acne scars. However, it can also cause irritation, especially in individuals with sensitive skin or those new to retinoids.

    Benefits of Retinol for Acne Scars

    1. Cell Turnover: Retinol accelerates the shedding of dead skin cells, which can help fade post-inflammatory hyperpigmentation and improve the appearance of atrophic scars over time.
    2. Collagen Production: By stimulating collagen synthesis, retinol can help improve skin elasticity and reduce the depth of scars.
    3. Texture Improvement: Regular use can lead to smoother skin texture and a more even skin tone.

    Potential Harshness

    While retinol can be effective, it may cause side effects such as:
    Irritation: Redness, peeling, and dryness are common, particularly when starting treatment.
    Sensitivity: Increased sensitivity to sunlight, necessitating diligent sun protection.
    Initial Breakouts: Some individuals may experience a purging phase where existing acne may worsen before improving.

    Gentler Alternatives

    If you’re concerned about the potential harshness of retinol on your daughter’s skin, consider the following gentler alternatives:

    1. Bakuchiol: Often referred to as a natural alternative to retinol, bakuchiol has been shown to provide similar benefits in terms of improving skin texture and reducing the appearance of scars, with less irritation.

    2. Azelaic Acid: This ingredient is effective for both acne and post-inflammatory hyperpigmentation. It has anti-inflammatory properties and can help reduce redness and improve skin tone without the irritation associated with retinoids.

    3. Niacinamide: Known for its soothing properties, niacinamide can help improve skin barrier function, reduce inflammation, and lighten hyperpigmentation, making it a good option for sensitive skin.

    4. Alpha Hydroxy Acids (AHAs): Ingredients like glycolic acid can help exfoliate the skin and improve texture. They are generally milder than retinoids and can be a good starting point for those with sensitive skin.

    5. Beta Hydroxy Acid (Salicylic Acid): Particularly beneficial for acne-prone skin, salicylic acid can help unclog pores and reduce inflammation while also aiding in the fading of scars.

    Recommendations

    Start Slowly: If you decide to proceed with retinol, consider starting with a lower concentration and applying it every other night to allow her skin to acclimate.
    Patch Test: Conduct a patch test on a small area of skin to assess tolerance before applying it to larger areas.
    Moisturize: Encourage the use of a good moisturizer to help mitigate dryness and irritation.
    Sun Protection: Emphasize the importance of daily sunscreen use, as retinol can increase photosensitivity.

    Conclusion

    While retinol can be beneficial for treating acne scars, it may not be suitable for everyone, especially those with sensitive skin. Exploring gentler alternatives like bakuchiol, azelaic acid, or niacinamide may provide effective results with a lower risk of irritation. Ultimately, it may be helpful to consult with a dermatologist who can assess her skin type and recommend the most appropriate treatment plan tailored to her needs. This personalized approach will ensure that she receives the best care for her skin concerns.

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