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Medical Channel Asia Latest Questions

I’m 14 weeks pregnant (baby boy) and i have zero appetite. almost everything sounds unappealing and the act of eating feels like a chore. I thought I will show a bigger bump by now but I’m barely visible! I just ...

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

    It’s understandable to be worried about your appetite and weight during pregnancy, especially with the well-being of your baby in mind. Here's some guidance to help you navigate this: Appetite Loss During Pregnancy: It’s not uncommon to experience appetite changes, especially during the first trimesRead more

    It’s understandable to be worried about your appetite and weight during pregnancy, especially with the well-being of your baby in mind. Here’s some guidance to help you navigate this:

    1. Appetite Loss During Pregnancy:
      • It’s not uncommon to experience appetite changes, especially during the first trimester, as your body adjusts to pregnancy. Nausea, food aversions, and changes in hormones can all contribute to this.
      • Focus on small, frequent meals: If large meals are too daunting, try eating small portions throughout the day. Even snacking on nutrient-dense foods like nuts, yogurt, fruit, or smoothies can help.
      • Stay hydrated: Sometimes liquids like soups, smoothies, or even water can be easier to manage than solid foods. Staying hydrated is also crucial for your baby’s development.
    2. Nutritional Support for Baby:
      • Prenatal vitamins: Continue taking your prenatal vitamins, as they can help cover any nutritional gaps.
      • Consult with your doctor: It’s important to mention your weight loss and appetite to your doctor or midwife. They can provide specific advice and, if necessary, refer you to a nutritionist.
      • Weight gain during pregnancy: Early pregnancy weight loss can happen, especially with morning sickness or food aversions. As long as you’re working with your healthcare provider to ensure you’re getting enough nutrients, your baby can still thrive.
    3. Premature Birth Concerns:
      • While it’s natural to worry, a slight weight loss or appetite change in the early stages doesn’t automatically increase the risk of premature birth. Your doctor will monitor your progress and provide support as needed to keep you and your baby healthy.

    Please reach out to your healthcare provider as soon as possible to discuss your concerns in more detail. They can help you develop a plan to manage your appetite and weight throughout your pregnancy. You’re doing a great job looking out for your baby, and your care team will support you every step of the way.

    https://www.helf.co/en

    All responses provided by HELF are generated by its AI architecture. The information shared is intended for general informational purposes only and should not be relied upon for medical diagnosis or treatment. Please consult a healthcare provider for any medical concerns, diagnosis or treatment.

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Anonymous
Anonymous

Hi. I’m about 8-9 weeks pregnant and I’ve been taking folic acid regularly. I also find myself no appetite to eat sometimes so I bought Similac formula for pregnant/lactating mothers for the extra nutrients. I’ve noted that there’s folic acid inside ...

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

    Congratulations on your pregnancy! It's great that you're being proactive about your nutrition during this important time. Let's address your question regarding folic acid intake. Recommended Folic Acid Intake During Pregnancy During pregnancy, the recommended daily allowance (RDA) for folic acid isRead more

    Congratulations on your pregnancy! It’s great that you’re being proactive about your nutrition during this important time. Let’s address your question regarding folic acid intake.

    Recommended Folic Acid Intake During Pregnancy

    During pregnancy, the recommended daily allowance (RDA) for folic acid is typically 600 micrograms (mcg). This is to support fetal development, particularly in the early stages when the neural tube is forming. If you have specific risk factors (such as a previous pregnancy affected by a neural tube defect), your healthcare provider may recommend a higher dose, often up to 4 mg daily.

    Sources of Folic Acid

    1. Folic Acid Supplements: If you have been prescribed a folic acid supplement, it is important to know the dosage. Common prescriptions are often around 400 mcg – 1 mg daily.
    2. Similac Formula: The Similac formula for pregnant and lactating mothers typically contains additional nutrients, including folic acid. The amount of folic acid in these formulas can vary, but it is generally designed to complement your dietary intake rather than exceed it.

    Potential for Overdose

    Folic acid is a water-soluble vitamin, which means that excess amounts are usually excreted in urine rather than stored in the body. However, excessive intake can still lead to potential issues:

    • Upper Limit: The tolerable upper intake level for folic acid from supplements and fortified foods is set at 1,000 mcg (1 mg) for adults. This limit is primarily to prevent masking vitamin B12 deficiency, which can lead to neurological issues if not addressed.
    • Combining Sources: If you are taking a folic acid supplement (e.g., 400 mcg) and also consuming the Similac formula (which may contain around 200 mcg to 400 mcg of folic acid per serving), you need to calculate your total intake. For example:
      • Folic acid supplement: 400 mcg
        Similac formula (2 servings): 200 mcg x 2 = 400 mcg
        Total intake: 400 mcg + 400 mcg = 800 mcg
      • In this scenario, your total intake would be 800 mcg, which is below the upper limit and generally considered safe.

    Recommendations

    1. Consult Your Healthcare Provider: Before making any changes to your supplementation or diet, it’s best to discuss your specific situation with your healthcare provider. They can provide personalized advice based on your health history and dietary needs.
    2. Monitor Your Intake: Keep track of how much folic acid you are consuming from all sources (supplements, food, and fortified products) to ensure you stay within safe limits.
    3. Balanced Diet: While supplements are helpful, try to include a variety of folate-rich foods in your diet, such as leafy greens, legumes, nuts, and fortified cereals, to meet your nutritional needs.
    4. Listen to Your Body: If you experience any unusual symptoms or have concerns about your appetite or nutrition, reach out to your healthcare provider for guidance.

    In summary, as long as your total folic acid intake remains below the upper limit and is within the recommended range for pregnancy, you should be fine taking both the supplement and the formula. However, always prioritize communication with your healthcare provider for tailored advice.

    https://www.helf.co/en

    All responses provided by HELF are generated by its AI architecture. The information shared is intended for general informational purposes only and should not be relied upon for medical diagnosis or treatment. Please consult a healthcare provider for any medical concerns, diagnosis or treatment.

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i’ve heard that men who are 60 years old are at a higher risk of prostate cancer. what are some of the symptoms that i should be looking out for?

  1. This answer was edited.

    Prostate cancer is often asymptomatic in its early stages. Many men don’t experience noticeable symptoms until the cancer has grown or spread. When symptoms do occur, they can include: Frequent need to urinate Sudden urge to urinate Reduced flow of urine Unexplained weight-loss and fatigue Lower bacRead more

    Prostate cancer is often asymptomatic in its early stages. Many men don’t experience noticeable symptoms until the cancer has grown or spread. When symptoms do occur, they can include:

    • Frequent need to urinate
    • Sudden urge to urinate
    • Reduced flow of urine
    • Unexplained weight-loss and fatigue
    • Lower back pain or pain in the hip area

    It is important to note that these can be symptoms for other conditions too.

    Dr Francis Chin Kuok Choon
    Senior Consultant in Radiation Oncology, Palliative Medicine
    https://iconcancercentre.sg/doctor/francis-chin-kuok-choon/
    https://sg.linkedin.com/in/dr-francis-chin-kuok-choon

    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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Yes hello how do I get on esketamine treatment. Thank you

  1. Dr Jared Ng
    Best Answer
    Dr Jared Ng Dr Jared Ng (黄伟立医生) is an experienced psychiatrist with over 20 years of dedicated service in both public and private sectors, currently serving as the Founder and Medical Director of Connections MindHealth. With a focus on adults, children, and adolescents, his practice offers a wide spectrum of mental health services, corporate wellness programmes, and specialised training for primary care physicians. Known for his compassionate and patient-centred approach, Dr Ng is committed to improving the lives of those he serves through thoughtful, comprehensive mental health support.
    This answer was edited.

    Thank you for your inquiry. In Singapore, Esketamine treatment is approved for treatment-resistant depression and is available at both public institutions, and private psychiatric clinics. Esketamine works differently from conventional antidepressants. It acts on N-methyl-D-aspartate (NMDA) receptorRead more

    Thank you for your inquiry. In Singapore, Esketamine treatment is approved for treatment-resistant depression and is available at both public institutions, and private psychiatric clinics.

    Esketamine works differently from conventional antidepressants. It acts on N-methyl-D-aspartate (NMDA) receptors in the brain, and patients often experience a rapid improvement in depressive symptoms within hours or days, particularly for those who have not responded to other treatments.

    However, it is essential to discuss the potential side effects with your psychiatrist before proceeding. Common side effects include dizziness, dissociation (feeling detached from reality), increased blood pressure, nausea, and headaches. Less commonly, some patients may experience more severe side effects, such as sedation or misuse potential, so careful monitoring during and after treatment is necessary.

    Additionally, the treatment involves a specific protocol that includes administration under medical supervision, which can impact the cost and accessibility. Your psychiatrist will guide you through these considerations, including whether Esketamine is suitable for your condition and how to access it.

    Dr Jared Ng
    Medical Director, Senior Consultant, Psychiatrist
    Connections MindHealth, Fullerton Health Singapore
    https://connectionsmind.com/ https://www.fullertonhealth.com/

    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

When it comes to identical twins, one fertilised egg (ovum) splits and develops into two babies with exactly the same genetic information. However is it possible for two pairs of identical fraternal twins to be born? Two fertilised egg split ...

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

    Yes, it is indeed possible for two pairs of identical twins to be born from two fertilized eggs, although this scenario is quite rare. To clarify the terminology: Identical Twins (Monozygotic Twins): These twins arise from a single fertilized egg (zygote) that splits into two embryos. They share 100Read more

    Yes, it is indeed possible for two pairs of identical twins to be born from two fertilized eggs, although this scenario is quite rare. To clarify the terminology:

    • Identical Twins (Monozygotic Twins): These twins arise from a single fertilized egg (zygote) that splits into two embryos. They share 100% of their genetic material and are genetically identical.
    • Fraternal Twins (Dizygotic Twins): These twins occur when two separate eggs are fertilized by two different sperm cells. They share about 50% of their genetic material, similar to regular siblings, and can be of the same sex or different sexes.

    Now, the scenario you described involves two separate fertilized eggs, each of which splits to form identical twins. This can happen as follows:

    • Two Fertilized Eggs: In this case, two separate eggs are released during ovulation and each is fertilized by a different sperm cell. This results in two zygotes.
    • Splitting of Each Zygote: If each of these zygotes (fertilized eggs) undergoes a division process (which is rare), each can split into two embryos. This would lead to the formation of two pairs of identical twins.

    Thus, the outcome would be four babies in total: two from the first zygote and two from the second zygote, with each pair being genetically identical.

    Mechanisms and Considerations

    1. Occurrence: The occurrence of two fertilized eggs both splitting is extremely rare and is not well-documented in the literature. The likelihood of this happening is much lower than the occurrence of either identical or fraternal twins alone.
    2. Genetic Implications: In this scenario, the two pairs of identical twins would share 100% of their genetic material within each pair but only about 50% of their genetic material with the other pair, as they originated from different zygotes.
    3. Clinical Considerations: From a clinical perspective, managing a pregnancy with multiple sets of twins (especially identical twins) can be complex. The risks associated with twin pregnancies, such as preterm birth, growth restriction, and complications related to shared placental circulation (in the case of identical twins), would need to be carefully monitored.
    4. Ultrasound Monitoring: Early ultrasound examinations can help determine the number of embryos and their chorionicity and amnionicity, which are crucial for assessing risks and planning for delivery.

    Conclusion

    While the phenomenon of two pairs of identical twins resulting from two fertilized eggs is theoretically possible, it is exceedingly rare. The implications for prenatal care and delivery would require careful consideration and monitoring to ensure the health and safety of both the mother and the babies.

    https://www.helf.co/en

    All responses provided by HELF are generated by its AI architecture. The information shared is intended for general informational purposes only and should not be relied upon for medical diagnosis or treatment. Please consult a healthcare provider for any medical concerns, diagnosis or treatment.

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acneman
acneman

I (20M) have had really bad acne since I was a teenager. It hasn’t improved at all over the years, but is it true that taking Accutane can help?

  1. Dr. Joyce Lim (Joyce Lim Skin & Laser Clinic)
    Dr. Joyce Lim (Joyce Lim Skin & Laser Clinic) Dr. Lim is a dermatologist who treats skin, hair and nail problems in both adults and children. Besides medical dermatology, Dr. Lim has the expertise to treat aesthetic skin problems as well as perform laser and skin surgery. In addition to her clinical practice, Dr. Lim conducts teaching sessions for dermatologists and aesthetic doctors.
    This answer was edited.

    I hear you - it can be frustrating dealing with persistent acne, especially when it doesn’t seem to improve with time. Yes, isotretinoin (Accutane) is an effective treatment option for moderate to severe acne that hasn’t responded well to other treatments. It works by shrinking the oil glands in youRead more

    I hear you – it can be frustrating dealing with persistent acne, especially when it doesn’t seem to improve with time. Yes, isotretinoin (Accutane) is an effective treatment option for moderate to severe acne that hasn’t responded well to other treatments. It works by shrinking the oil glands in your skin, which helps reduce oil production, clogged pores, and inflammation. Many people see significant, long-lasting improvement after taking the medication.

    Dermatologists like myself typically recommend it when conventional acne treatments are not effective. It is also useful for nodulocystic acne. Nowadays it is given in a low dose regime to reduce side-effects without compromising efficacy 

    This medication can have potential side effects:

    • Mucosal areas like the lips and eyes as well as the skin  can become very dry when on isotretinoin and so you need to use moisturisers and lip balm
    • Isotretinoin can cause increased sun sensitivity and you need to use a sunscreen when outdoors
    • The medication can cause serious birth defects, so female patients must use strict contraception while on it.

    Regular blood tests may be needed especially if you are on high doses.

    Since your acne has persisted for years without improvement, it’s a good idea to consult a dermatologist. A dermatologist is a skin expert in acne who can assess your acne severity, identify any trigger factors and discuss the treatment options with you.  If you need isotretinion, your dermatologist can guide you through the treatment plan and possible side-effects.  

    In the meantime, you can also manage your acne by using skincare products for acne-prone skin, reducing foods in your diet that you notice may cause acne flare-ups, and managing stress (which can also cause acne flares).

     

    Wishing you all the best in your skincare journey!

     

    Dr Joyce Lim

    Consultant Dermatologist

    Joyce Lim Skin & Laser Clinic

    http://www.joycelim.com

     

    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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Has anyone experienced any long-term side effects of BC? I have been on different types of birth control pills since I am 16 (I am 27 now) and recently my period has completely stopped.I was prescribed for endometriosis. I am ...

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

    Long-term use of birth control pills can come with both benefits and potential side effects, especially for managing conditions like endometriosis. Here are some things to consider: 1. Endometriosis and Birth Control: Management: Birth control pills are commonly prescribed for endometriosis becauseRead more

    Long-term use of birth control pills can come with both benefits and potential side effects, especially for managing conditions like endometriosis. Here are some things to consider:

    1. Endometriosis and Birth Control:

    • Management: Birth control pills are commonly prescribed for endometriosis because they help manage symptoms by reducing or stopping menstruation, which can alleviate pain and prevent the condition from worsening.
    • Period Stopping: It’s not uncommon for periods to stop on certain types of birth control, especially those designed to suppress menstruation (like continuous pill use). This is generally considered safe and a way to manage endometriosis symptoms.

    2. Long-Term Use of Birth Control Pills:

    • Bone Density: Some studies suggest long-term use of birth control can lead to a slight reduction in bone density, though this is more common with Depo-Provera injections than with pills. It’s worth discussing this with your doctor, especially if you’re at risk for osteoporosis.
    • Cardiovascular Risks: Long-term use of birth control pills may increase the risk of blood clots, stroke, and heart disease, particularly if you smoke, have high blood pressure, or are over 35.
    • Cancer Risk: Birth control pills have been shown to reduce the risk of ovarian and endometrial cancer but may slightly increase the risk of breast and cervical cancer. The overall risk varies depending on individual health factors.

    3. Concerns About Periods Stopping:

    • Hormonal Balance: If your periods have stopped entirely, it’s important to discuss this with your gynecologist. While stopping periods can be a goal of endometriosis treatment, sudden changes in your menstrual cycle could signal a need to adjust your medication.
    • Long-Term Health: If you’re not sexually active and are concerned about the necessity of continuing birth control, your doctor might explore other treatment options for endometriosis. There are alternative therapies like progestin-only pills, hormone therapy, or even non-hormonal options depending on your symptoms and health goals.

    4. Considerations Moving Forward:

    • Health Monitoring: Regular check-ups and discussions with your healthcare provider are essential. If you have concerns about the long-term impact of birth control, they can guide you through the pros and cons of continuing or changing treatment.
    • Alternative Treatments: If you feel that birth control may no longer be necessary for you, it might be worth discussing alternative options to manage your endometriosis that don’t involve continuous hormonal treatment.

    Your health decisions should always align with your personal goals and comfort. If you’re feeling uncertain, it might be helpful to seek a second opinion from another gynecologist who can provide a fresh perspective on your treatment plan.

    https://www.helf.co/en

    All responses provided by HELF are generated by its AI architecture. The information shared is intended for general informational purposes only and should not be relied upon for medical diagnosis or treatment. Please consult a healthcare provider for any medical concerns, diagnosis or treatment.

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Hello, hope you’re doing well. I have a medical (I think) worry that I’ve been meaning to ask but I’m not sure what is the cause or whether it’s something I should go to the doctor for. Over the years I’ve had ...

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

    It sounds like you are experiencing a range of twitching sensations in various parts of your body, including your fingers, eyes, thighs, and more recently, your stomach and intestines. This can understandably be concerning, especially with the increase in frequency and the sensation of twinges accomRead more

    It sounds like you are experiencing a range of twitching sensations in various parts of your body, including your fingers, eyes, thighs, and more recently, your stomach and intestines. This can understandably be concerning, especially with the increase in frequency and the sensation of twinges accompanying the twitching. Let’s explore the potential causes, implications, and considerations for your situation.

    Understanding Muscle Twitching

    Muscle twitching, or fasciculation, can occur for a variety of reasons, and it can be benign or indicative of an underlying condition. Here are some common causes:

    1. Benign Causes:
      • Fatigue and Stress: Even if you feel your work environment is manageable, underlying stress or fatigue can lead to muscle twitching. Lack of sleep, as you mentioned, can also contribute.
      • Caffeine and Stimulants: High caffeine intake or other stimulants can lead to increased muscle excitability.
      • Nutritional Deficiencies: Deficiencies in electrolytes (like magnesium, potassium, or calcium) can cause muscle twitching. A balanced diet is crucial.
      • Dehydration: Insufficient fluid intake can lead to muscle cramps and twitching.
    2. Neurological Causes:
      • Peripheral Neuropathy: Conditions affecting the peripheral nerves can lead to twitching sensations. This can be due to diabetes, vitamin deficiencies, or other systemic issues.
      • Neuromuscular Disorders: Conditions like myasthenia gravis or amyotrophic lateral sclerosis (ALS) can present with twitching, but these are typically accompanied by other significant symptoms.
      • Tics or Tourette Syndrome: These can manifest as involuntary movements or sounds, but they usually have a more specific pattern.
    3. Gastrointestinal Causes:
      1. Visceral Muscle Spasms: The sensation of twitching in the stomach or intestines could be related to spasms of the smooth muscle in the gastrointestinal tract. This can occur due to digestive issues, food intolerances, or even stress-related gut responses.
      2. Irritable Bowel Syndrome (IBS): This condition can cause various gastrointestinal symptoms, including spasms and discomfort.

    When to Seek Medical Attention

    Given the increase in frequency and the new sensations you are experiencing, it would be prudent to consult a healthcare professional. Here are some considerations for your visit:

    1. Documentation: Keep a diary of your symptoms, noting when they occur, their duration, any associated activities (like eating or stress), and any other symptoms (like pain, changes in bowel habits, etc.). This can help your doctor understand the pattern.
    2. Specialist Consultation: Depending on your symptoms, you may need to see:
      • A neurologist for evaluation of the twitching and any potential neurological causes.
      • A gastroenterologist if the gastrointestinal symptoms are prominent or concerning.
    3. Diagnostic Tests: Your doctor may recommend tests such as:
      • Blood tests to check for electrolyte levels, vitamin deficiencies, and thyroid function.
      • Imaging studies (like an MRI or CT scan) if there are neurological concerns.
      • Electromyography (EMG) to assess muscle and nerve function if neurological issues are suspected.

    Practical Advice

    1. Lifestyle Modifications: Ensure you are well-hydrated, maintain a balanced diet rich in vitamins and minerals, and consider reducing caffeine intake. Regular physical activity and stress management techniques (like mindfulness or yoga) can also be beneficial.
    2. Monitor Symptoms: Pay attention to any changes in your symptoms, especially if they worsen or if new symptoms develop (like weakness, significant pain, or changes in bowel habits).

    Conclusion

    While muscle twitching can often be benign, the increase in frequency and the specific sensations you describe warrant further investigation. Consulting with a healthcare professional will provide clarity and appropriate management. Remember, early intervention can often lead to better outcomes, so don’t hesitate to seek help.

    https://www.helf.co/en

    All responses provided by HELF are generated by its AI architecture. The information shared is intended for general informational purposes only and should not be relied upon for medical diagnosis or treatment. Please consult a healthcare provider for any medical concerns, diagnosis or treatment.

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