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Medical Channel Asia Latest Questions

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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I recently fell sick and I’m getting this very sharp pain in my nostrils. It’s like dry and cold? I’m not congested but it feels very painful and deep inside. But not inside my head like where my sinus is. ...

  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 sharp pain in the nostrils, especially when it feels dry and cold, can be quite uncomfortable. This type of pain can be attributed to several potential causes, and understanding these can help guide appropriate management strategies. Potential Causes: 1. Nasal Dryness and Irritation: -Read more

    Experiencing sharp pain in the nostrils, especially when it feels dry and cold, can be quite uncomfortable. This type of pain can be attributed to several potential causes, and understanding these can help guide appropriate management strategies.

    Potential Causes:

    1. Nasal Dryness and Irritation:
    Environmental Factors: Exposure to dry air, particularly in heated indoor environments during colder months, can lead to nasal dryness. This can cause the mucous membranes to become irritated and painful.
    Dehydration: Inadequate fluid intake can exacerbate dryness in the nasal passages.
    Medications: Certain medications, such as antihistamines or decongestants, can dry out the nasal passages.

    2. Nasal Vestibulitis:
    – This is an inflammation of the nasal vestibule, the area just inside the nostrils. It can be caused by bacterial infections, often due to Staphylococcus aureus, and can result in sharp pain and tenderness.

    3. Nasal Trauma or Foreign Body:
    – Minor trauma from nose picking or the presence of a foreign body can cause localized pain and irritation.

    4. Allergic Rhinitis:
    – Although typically associated with congestion, allergic rhinitis can sometimes cause irritation and a sensation of dryness, especially if there is frequent nose blowing or sneezing.

    5. Chemical Irritants:
    – Exposure to irritants such as smoke, strong odors, or pollutants can cause nasal discomfort and dryness.

    Management Strategies:

    1. Humidification:
    – Use a humidifier in your living space to add moisture to the air, which can help alleviate dryness in the nasal passages.

    2. Nasal Saline Sprays or Rinses:
    – Regular use of saline sprays or rinses can help keep the nasal passages moist and clear of irritants. This can also aid in soothing irritation.

    3. Hydration:
    – Ensure adequate fluid intake to maintain overall hydration, which can help keep mucous membranes moist.

    4. Avoid Irritants:
    – Minimize exposure to known irritants such as smoke, strong perfumes, or harsh cleaning chemicals.

    5. Topical Treatments:
    – Consider using a nasal emollient or ointment, such as petroleum jelly, applied gently inside the nostrils to provide a protective barrier and reduce dryness.

    6. Medical Consultation:
    – If the pain persists or is accompanied by other symptoms such as fever, swelling, or discharge, it would be prudent to consult a healthcare professional. They can assess for conditions like nasal vestibulitis or other infections that may require specific treatments, such as antibiotics.

    Considerations:

    Monitor Symptoms: Keep track of any additional symptoms that may develop, such as changes in discharge, swelling, or systemic symptoms like fever, which could indicate an infection.
    Specialist Referral: If symptoms do not improve with initial measures, a referral to an otolaryngologist (ENT specialist) may be warranted for further evaluation.

    By addressing the underlying cause, you can effectively manage the symptoms and alleviate the discomfort. If you have any concerns about specific treatments or if symptoms worsen, seeking professional medical advice is recommended.

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