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Medical Channel Asia Latest Questions

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. 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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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. 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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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. 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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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. 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

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

    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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lhansford1182
lhansford1182

Hi, i’ve had a headache for week now, accompanied with dizziness. i’ve taken every medicine i feel like, even pseudoephedrine to relieve congestion, and nothing is helping!!! help!

  1. I’m sorry to hear you’ve been feeling this way. Experiencing a persistent headache and dizziness for over a week, especially after trying various medications, is not normal and should be properly addressed. I strongly recommend that you see a doctor as soon as possible to undergo a thorough examinatRead more

    I’m sorry to hear you’ve been feeling this way. Experiencing a persistent headache and dizziness for over a week, especially after trying various medications, is not normal and should be properly addressed.

    I strongly recommend that you see a doctor as soon as possible to undergo a thorough examination and receive an accurate diagnosis. While over-the-counter medications like those for tension headaches or sinus congestion might help with common issues, they’re not designed to treat underlying or more complex causes of your symptoms. A doctor will be able to identify the root cause and create a treatment plan tailored specifically to your condition.

    It’s also important to note that taking multiple over-the-counter medications without medical guidance can carry risks. Every medicine has potential side effects, and some can interact with others in ways that may worsen symptoms or lead to other complications. It’s always safer to seek professional advice rather than continuing to self-treat.

    Your symptoms might also be linked to something like high blood pressure (hypertension) or low blood pressure (hypotension), which can both cause headaches and dizziness. A doctor will be able to check your vital signs and carry out further relevant tests to diagnose your condition.

    Please do see a doctor soon. Early intervention can make a big difference, and it’s the best way to ensure you get the right medications and start feeling better.

    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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Anonymous
Anonymous

What treatments are available for rosacea? Want to treat my face as it’s always very red and I look flushed all the time. Would like to get rid of it permanently if possible. Tx

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

    Treating rosacea effectively requires a multifaceted approach, as it is a chronic condition with no known cure. The goal is to manage symptoms, reduce flare-ups, and improve the appearance of the skin. Here’s a comprehensive overview of the treatment options available: 1. Lifestyle and EnvironmentalRead more

    Treating rosacea effectively requires a multifaceted approach, as it is a chronic condition with no known cure. The goal is to manage symptoms, reduce flare-ups, and improve the appearance of the skin. Here’s a comprehensive overview of the treatment options available:

    1. Lifestyle and Environmental Modifications

    Identify and Avoid Triggers: Common triggers include spicy foods, alcohol, extreme temperatures, sunlight, stress, and certain skincare products. Keeping a diary to track flare-ups can help identify personal triggers.
    Sun Protection: Use a broad-spectrum sunscreen with an SPF of at least 30 daily. Physical blockers containing zinc oxide or titanium dioxide are often better tolerated.
    Gentle Skincare: Use mild, fragrance-free cleansers and moisturizers. Avoid products with alcohol, menthol, or other irritants.

    2. Topical Treatments

    Brimonidine Gel: This alpha-agonist can reduce persistent facial erythema by constricting blood vessels. It provides temporary relief from redness.
    Oxymetazoline Cream: Similar to brimonidine, it helps reduce redness by vasoconstriction.
    Metronidazole: An anti-inflammatory and antimicrobial agent that can help with both redness and papules/pustules.
    Azelaic Acid: This has anti-inflammatory properties and can help reduce redness and lesions.
    Ivermectin Cream: Effective for inflammatory lesions and may also help with redness.

    3. Oral Medications

    Tetracycline Antibiotics: Doxycycline and minocycline are commonly used for their anti-inflammatory properties, particularly in moderate to severe cases with papules and pustules.
    Isotretinoin: In severe cases, low-dose isotretinoin may be considered, especially when other treatments fail.

    4. Laser and Light-Based Therapies

    Pulsed Dye Laser (PDL) and Intense Pulsed Light (IPL): These treatments target blood vessels and can significantly reduce redness and visible blood vessels. Multiple sessions are often required, and maintenance treatments may be necessary.
    Nd:YAG Laser: Useful for deeper or larger blood vessels.

    5. Other Considerations

    Camouflage Makeup: Green-tinted primers and concealers can help neutralize redness.
    Psychological Support: Given the impact of rosacea on self-esteem and quality of life, psychological support or counseling may be beneficial.

    6. Emerging and Adjunctive Therapies

    Botanical and Natural Products: Some patients find relief with products containing niacinamide, feverfew, or licorice extract, which have anti-inflammatory properties.
    Dietary Modifications: Some evidence suggests that a diet low in inflammatory foods and rich in omega-3 fatty acids may help.

    Long-term Management

    While there is no permanent cure for rosacea, consistent management can lead to significant improvement. It is crucial to work closely with a dermatologist to tailor a treatment plan that addresses your specific symptoms and concerns. Regular follow-ups can help adjust treatments as needed and explore new options as they become available.

    Final Thoughts

    Given the chronic nature of rosacea, setting realistic expectations is important. While complete eradication of symptoms may not be feasible, significant improvement and control of the condition are achievable with a comprehensive and personalized treatment approach. If you have not yet consulted a dermatologist, it would be beneficial to do so for a tailored treatment plan.

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winter season started and i am having pain in my knee.  what could be the cause and what medicine should i take. ?

  1. Knee pain during the winter season is very common, especially amongst the older population. This can result from several factors, including the cold weather causing joint stiffness and discomfort, particularly in individuals with arthritis or previous joint injuries. Reduced physical activity duringRead more

    Knee pain during the winter season is very common, especially amongst the older population. This can result from several factors, including the cold weather causing joint stiffness and discomfort, particularly in individuals with arthritis or previous joint injuries. Reduced physical activity during colder months can also lead to muscle stiffness and exacerbate joint pain. If you have a history of arthritis, symptoms may worsen in winter due to changes in joint fluid and increased stiffness.

    To manage the pain, keep the knee warm using thermal wraps or heating pads, and maintain regular low-impact exercises to improve joint mobility. Over-the-counter pain relievers such as ibuprofen or acetaminophen can help with pain, while topical creams containing menthol or capsaicin may provide localised relief.

    If the pain persists or worsens, please do consult a doctor for further evaluation and proper treatment options. They may recommend imaging studies such as X-rays if indicated, physical therapy, or other forms of interventions.

    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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