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Medical Channel Asia Latest Questions

Fatimah
Fatimah
Asked: February 19, 2025

My big toe damn pain lah, think it’s ingrown. The side of my right big toe is red, swollen, and throbbing like crazy. Tried soaking in warm salt water but macam no difference leh. Any home remedies that actually work ...

  1. Mr. Benedict Khoo, Principal Podiatrist, Straits Podiatry
    Mr. Benedict Khoo, Principal Podiatrist, Straits Podiatry Principal Podiatrist

    However, if the above steps provide no relief, that generally means that the nail spike is pretty deep, and if the spike continues to be there, things can get worse. Fret not, in this day and age, we no longer need to take out the entire nail just to resolve an ingrown toenail. That is regarded as uRead more

    However, if the above steps provide no relief, that generally means that the nail spike is pretty deep, and if the spike continues to be there, things can get worse. Fret not, in this day and age, we no longer need to take out the entire nail just to resolve an ingrown toenail. That is regarded as unnecessary, and will cause a much bigger wound for you to take care. The current treatment for ingrown toenails are mainly 3 option:

    1. First is known as a “slant back”, which is basically trimming the portion of the nail spike away without cutting too deep towards the root. This is helpful when the spike is not near the nail root at all, or the shape of the nail is largely normal.
    2. The second method is known as a “partial nail avulsion”, which basically removes a small portion of the nail all the way down to the nail root. Think of it like treating a wisdom tooth, you are just remove the tooth that is causing the problem, but the other teeth stay. After the nail is removed, we could also put in a chemical to stop that portion of the nail from growing back, so that will put an end to your suffering permanently. This method is generally recommended for cases where the spike is very close to the nail root, or the edge of the nail curves deeply into the flesh (resulting in recurring ingrown toenail)
    3. The third option is relatively new, known as “nail bracing”. This involves putting a “brace” over the nail plate to try and hold the shape of the nail such that it doesn’t grow into the flesh. This is only useful if the shape of your nail (at the base of the nail) is considered normal and not involuted (or curving into the flesh).

    We hope this gives you a better idea on the management of ingrown toenail, and hope that you received help for your problem.

    Benedict Khoo,
    Principal Podiatrist, Straits Podiatry.
    Website: http://www.straitspodiatry.com/
    Facebook: https://www.facebook.com/Straits.Podiatry

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Sylvia79
Sylvia79
Asked: February 12, 2025

My 5-year-old walks with his feet slightly turned in. His paediatrician said he might outgrow it, but I’m still worried. Will corrective shoes help, or should I get a second opinion?

  1. Ms. Saw Yu Ting, DPM, Chief Podiatrist, Straits Podiatry
    Ms. Saw Yu Ting, DPM, Chief Podiatrist, Straits Podiatry Doctor of Podiatric Medicine (DPM), Chief Podiatrist

    One way to know if the in-toeing gait is happening at the hips level is to observe the kneecap when your child is walking. If the kneecaps are facing towards each other, chances are, it’s coming from the hips. The way to manage this case would be to stop the habit of “W” sitting first (top priority)Read more

    One way to know if the in-toeing gait is happening at the hips level is to observe the kneecap when your child is walking. If the kneecaps are facing towards each other, chances are, it’s coming from the hips. The way to manage this case would be to stop the habit of “W” sitting first (top priority). We would also need to encourage exercises that helps strengthen the glutes (muscles at the buttock region). Depending on severity, custom-made insoles can help to stop them from in-toeing as well. As for shoes, there aren’t any shoes out there that can help with correcting in-toeing gait.

    The above is just one of the causative factors of in-toeing, and the management will differ if the underlying cause is coming from other levels. Given the complexity of the issue, we would recommend any child who is still intoe-ing after the age of 3 to seek a medical opinion. That way, you can also receive guidance on how to manage your child’s condition.

    Hope this helps!

    Saw Yu Ting,
    DPM, Chief Podiatrist, Straits Podiatry.
    Website: http://www.straitspodiatry.com/
    Facebook: https://www.facebook.com/Straits.Podiatry

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Steph Wong
Steph Wong
Asked: February 10, 2025

I’ve been using deodorant regularly for years, but recently a friend of mine said it can cause breast cancer and now I’m super paranoid about it. T.T What if mine is aluminium-free, does that make a difference?

  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

    Hi there! As a breast cancer oncologist, I want to reassure you about a common concern: the idea that deodorants cause breast cancer. This is a myth that many people worry about, but the good news is that there's no scientific evidence to back it up. Some people have raised concerns about ingredientRead more

    Hi there! As a breast cancer oncologist, I want to reassure you about a common concern: the idea that deodorants cause breast cancer. This is a myth that many people worry about, but the good news is that there’s no scientific evidence to back it up.

    Some people have raised concerns about ingredients like aluminum and parabens in deodorants, but extensive research has shown that these substances do not increase your risk of breast cancer.

    However, there is one specific situation to be aware of – during radiotherapy for breast cancer, deodorants with aluminum are often discouraged, as they can interact with the radiation given. But this advice is only applicable to women with proven breast cancer undergoing radiotherapy.

    I hope this helps ease your mind!

    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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Anonymous
Anonymous
Asked: February 6, 2025

Hello, I am a 63-year-old female who has been subjected to severe family scapegoat abuse over my lifetime. With the death of my father two years ago, my family ramped up the abuse even more. My anxiety level has been so ...

  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.

    I'm sorry to hear about the challenges you've been facing. It sounds like you've been through a lot, and it's important to address both your physical and mental health concerns in a comprehensive manner. Understanding Your Situation 1. Complex PTSD (CPTSD): This condition often arises from prolongedRead more

    I’m sorry to hear about the challenges you’ve been facing. It sounds like you’ve been through a lot, and it’s important to address both your physical and mental health concerns in a comprehensive manner.

    Understanding Your Situation

    1. Complex PTSD (CPTSD): This condition often arises from prolonged exposure to trauma, such as the scapegoat abuse you’ve described. CPTSD can manifest with symptoms similar to PTSD, including intrusive thoughts, emotional dysregulation, and difficulties in relationships. It is crucial to recognize that your experiences are valid and that the psychological impact of such abuse can be profound.

    2. Gastroesophageal Reflux Disease (GERD): The development of GERD in the context of high anxiety is not uncommon. Stress and anxiety can exacerbate GERD symptoms through various mechanisms, including increased gastric acid production and altered esophageal motility. The mind-body connection is significant, and addressing your anxiety may help alleviate some of your GERD symptoms.

    Recommendations for Management

    1. Psychological Support:
    – Therapy: Engaging with a mental health professional experienced in trauma and CPTSD can be beneficial. Therapies such as Cognitive Behavioral Therapy (CBT) or Eye Movement Desensitization and Reprocessing (EMDR) are often effective in treating trauma-related disorders.
    – Support Groups: Connecting with others who have experienced similar forms of abuse can provide validation and support. Consider seeking out local or online support groups focused on trauma recovery.

    2. Managing Anxiety:
    – Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, yoga, or deep-breathing exercises can help reduce anxiety levels. These techniques may also have a positive impact on your GERD symptoms by promoting relaxation and reducing stress.
    – Medication: If your anxiety is significantly impacting your daily life, discussing pharmacotherapy options with a psychiatrist may be warranted. Medications such as SSRIs or SNRIs can be effective for anxiety and may also have a positive impact on your overall mood.

    3. Addressing GERD:
    – Dietary Modifications: Identify and avoid foods that trigger your GERD symptoms. Common culprits include spicy foods, caffeine, chocolate, and acidic foods. Eating smaller, more frequent meals can also help.
    – Lifestyle Changes: Elevating the head of your bed, avoiding eating close to bedtime, and maintaining a healthy weight can all contribute to reducing GERD symptoms.
    – Medications: Over-the-counter antacids or proton pump inhibitors (PPIs) may provide relief from GERD symptoms. Consult with your healthcare provider to determine the most appropriate treatment for your situation.

    4. Building a Support Network:
    – Family and Friends: If possible, communicate your needs to trusted family members or friends who can provide emotional support. Establishing boundaries with family members who contribute to your distress is also important.
    – Professional Guidance: Consider working with a therapist who specializes in family dynamics and trauma. They can help you navigate your relationships and develop strategies for coping with ongoing family issues.

    Conclusion

    Your journey toward healing will take time, and it’s essential to be patient with yourself. Addressing both the psychological and physical aspects of your health is crucial. By seeking appropriate support and making targeted lifestyle changes, you can work toward reducing your anxiety and managing your GERD symptoms more effectively. Remember, you are not alone in this, and there are resources available to help you through your recovery process. If you have any further questions or need more specific guidance, feel free to ask.

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Michy09
Michy09
Asked: February 5, 2025

is salt water for sore throat a real thing?? my dad keeps saying that it works but i think it’s just an old wives tale.. currently having a sore throat, probably ate too much of CNY cookies, should I try ...

  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.

    Gargling with salt water is indeed a well-established home remedy for sore throat, and it is supported by both anecdotal evidence and some clinical observations. The mechanism behind this practice involves several beneficial effects that can help alleviate the discomfort associated with a sore throaRead more

    Gargling with salt water is indeed a well-established home remedy for sore throat, and it is supported by both anecdotal evidence and some clinical observations. The mechanism behind this practice involves several beneficial effects that can help alleviate the discomfort associated with a sore throat.

    Mechanisms of Action

    1. Osmotic Effect: Salt water creates a hypertonic solution that can draw excess fluid out of swollen tissues in the throat, potentially reducing inflammation and swelling. This can provide temporary relief from pain and discomfort.

    2. Antimicrobial Properties: Salt has mild antimicrobial properties, which may help reduce the bacterial load in the throat. While it is not a substitute for antibiotics in cases of bacterial infections like strep throat, it can help in cases of viral infections or mild bacterial irritation.

    3. Mucus Clearance: Gargling can help loosen mucus and debris in the throat, making it easier to expel. This can be particularly helpful if post-nasal drip is contributing to your sore throat.

    4. Soothing Effect: The warm salt water can provide a soothing sensation, which may help ease the pain temporarily.

    Practical Guidance

    Given your current situation, where you suspect your sore throat may be related to dietary choices (such as consuming too many cookies), gargling with salt water could be a beneficial and easy remedy to try. Here’s how to do it effectively:

    1. Prepare the Solution: Mix about 1/2 to 1 teaspoon of salt in a glass of warm water (8 ounces). Ensure the water is warm but not hot, as extreme temperatures can further irritate the throat.

    2. Gargling Technique: Take a sip of the solution, tilt your head back slightly, and gargle for about 30 seconds before spitting it out. Repeat this process several times, ideally 2-3 times a day.

    3. Hydration: Ensure you stay well-hydrated by drinking plenty of fluids, as this can also help soothe your throat and support your overall recovery.

    Considerations

    While gargling with salt water can provide symptomatic relief, it is important to monitor your symptoms. If your sore throat persists for more than a few days, worsens, or is accompanied by other concerning symptoms (such as high fever, difficulty swallowing, or swollen lymph nodes), it would be prudent to consult a healthcare professional for further evaluation.

    In summary, your dad’s advice about salt water is not just an old wives’ tale; it can be a practical and effective home remedy for soothing a sore throat. Give it a try, and hopefully, you’ll find some relief!

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Anonymous
Anonymous
Asked: February 3, 2025

Hi, so I woke up with a UTI today and it’s really annoying but I don’t have time to go to the doctor today :(( Will UTI go away on it’s own? Can I just wait awhile and be okay?

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

    I know dealing with a UTI can be really uncomfortable, especially when you’re busy, but it’s important to start treatment as soon as possible. The bacteria multiply quickly and even waiting a few hours can make things feel much worse. You might notice symptoms like burning sensation when you pee, feRead more

    I know dealing with a UTI can be really uncomfortable, especially when you’re busy, but it’s important to start treatment as soon as possible. The bacteria multiply quickly and even waiting a few hours can make things feel much worse. You might notice symptoms like burning sensation when you pee, feeling like you need to go all the time (even if hardly anything comes out), or that your bladder doesn’t feel completely empty after you go. Worsening of these symptoms usually means that the infection is spreading and becoming more severe.

    While some mild infections might clear up on their own, there’s no guarantee, and waiting too long can let the infection spread to your kidneys. That can lead to more serious problems like fever, chills, and a deep, aching pain in your lower back, which can be much harder to treat and make you feel really unwell. Hence, it’s best to start treatment as soon as possible.

    Personally, I really recommend that you see a doctor as soon as possible so you can get started on antibiotics. In the meantime, drink plenty of water to help flush out the bacteria. If you’re feeling uncomfortable, taking some ibuprofen or paracetamol can help ease the pain. You might also find Phenazopyridine (e.g., Pyridium, Azo, Uristat) helpful. These are over-the-counter medication that can relieve the burning sensation when you urinate. Just keep in mind that they only help with symptoms and doesn’t actually treat the infection, so antibiotics are still necessary.

    If you start feeling worse, develop fever, chills, or pain in your back, or if your symptoms don’t improve within a day, I really urge you see your general practitioner straight away. I know it’s frustrating to have to deal with this when you’re busy, but the sooner you start antibiotics, the quicker you’ll feel better and avoid complications.

    Dr Say

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Anonymous
Anonymous
Asked: January 25, 2025

I’ve been smoking for years and trying to quit, but it’s really hard la. I keep hearing about nicotine replacement inhalers/ gum/ patch – like, do they really work? Isn’t it still nicotine, so can still get addicted, right? How ...

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

    Quitting smoking isn’t easy, but it helps to understand where you are right now. I usually explain it using the 6 Stages of Change Model: Precontemplation – Not thinking about quitting yet. Contemplation – Starting to think about quitting. Preparation – Actively planning to quit. Action – Actively wRead more

    Quitting smoking isn’t easy, but it helps to understand where you are right now. I usually explain it using the 6 Stages of Change Model:

    1. Precontemplation – Not thinking about quitting yet.
    2. Contemplation – Starting to think about quitting.
    3. Preparation – Actively planning to quit.
    4. Action – Actively working to quit
    5. Maintenance – Staying smoke-free.
    6. Relapse – A slip-up, but a chance to learn and try again.

     

    From what you’ve shared, it sounds like you’re probably at stage 2 (contemplation) or maybe even stage 3 (preparation), which is fantastic. Thinking about quitting or getting ready to take action is such an important step, and you should be proud of that.

    Let me explain how nicotine replacement therapy (NRT) works in a simple way. When you smoke, you’re not just getting nicotine – you’re also inhaling other harmful chemicals, like tar and carbon monoxide, which do most of the damage to your health. With NRT, you still get a small, controlled amount of nicotine, but without all those harmful toxins. It’s a safer way to manage withdrawal symptoms and cravings while you work on breaking the habit.

    What’s great about NRT is that it’s very flexible, and we can control the dose. For example, if you use a patch, you’ll start with a higher dose to manage the cravings and then gradually reduce it over time. The same goes for gum, lozenges, or inhalers – you use them when you need them and slowly cut back as your cravings get better. This gradual approach makes quitting much more manageable, especially compared to going cold turkey.

    There are also a few types of NRT:

    • Patches give you a steady dose of nicotine throughout the day.
    • Gum or lozenges are great for sudden cravings when they hit.
    • Inhalers are very popular because they replace not just the nicotine but also the hand-to-mouth habit that many smokers struggle to let go of.
    • Sprays (mouth or nasal) provide quick relief for intense cravings.

     

    From my experience with other patients, a lot of them find the inhaler most helpful because it mimics the act of smoking, which can be one of the hardest parts to give up.

    I know some patients also worry if an inhaler is like vaping. It’s actually very different. With NRT inhalers, you’re only getting a controlled dose of nicotine – there’s no harmful chemicals, no burning, and no smoke. It’s purely a tool to help you quit, not something designed to replace one addiction with another.

    In Malaysia, you can get NRT products like patches, gum, and inhalers at pharmacies such as Guardian, Watsons, or Caring Pharmacy. Just ask the pharmacist, and they’ll guide you on how to use them properly. You can also visit a smoking cessation clinic or any general clinics if you’d like more support.

    The fact that you’re considering quitting is already a huge step. With the right tools and support, you can definitely do this.

     

    Dr Say.

     

    References:

    1. Centers for Disease Control and Prevention (CDC) – Benefits of Nicotine Replacement Therapy
    2. World Health Organization (WHO) – Tobacco Facts and Smoking Cessation
    3. Ministry of Health Malaysia – Resources for Smoking Cessation Clinics and Quitline (KKM MyHealth)
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davidong12
davidong12
Asked: January 16, 2025

My daughter plays volleyball and recently she has been complaining about feeling numbness in her hand. She also said that her fingers feel weak and like they’re tingling. Are these symptoms of carpal tunnel? Should I take her to the ...

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

    Thanks for reaching out on MCA Community Page! The symptoms your daughter is experiencing—numbness in her hand, finger weakness, and tingling—could potentially be related to carpal tunnel syndrome, but there are other possible causes as well. Carpal tunnel syndrome occurs due to compression of the mRead more

    Thanks for reaching out on MCA Community Page!
    The symptoms your daughter is experiencing—numbness in her hand, finger weakness, and tingling—could potentially be related to carpal tunnel syndrome, but there are other possible causes as well.

    Carpal tunnel syndrome occurs due to compression of the median nerve, which supplies sensation and function to the thumb, index, and middle fingers. If her symptoms are primarily affecting these areas, it could point to this condition. However, it’s worth noting that carpal tunnel syndrome is less common in younger individuals and typically affects women over 40. That said, certain factors like repetitive hand movements, prolonged wrist extension, or trauma—such as what might occur during volleyball—can contribute to nerve irritation, even in younger patients like her.

    It’s important to have her assessed by a doctor to confirm the diagnosis and rule out other potential causes of her symptoms, such as nerve injuries or overuse strain from her sport. A proper examination will allow for an accurate diagnosis and a proper treatment plan.

    In the meantime, encourage her to rest her wrist, avoid repetitive or strenuous wrist movements, and consider using ice to reduce any inflammation. Do get her medical attention immediately if her symptoms worsens.

    Dr. Say
    Medical Officer.

     

    Disclaimer: 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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