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Medical Channel Asia Latest Questions

I’m a 15 year old girl and I regularly sleep 8 hours or more. However, I feel very tired during the day and I wake up feeling very groggy and unrested. My sister (who sleeps in the same room as ...

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

    Feeling tired despite getting 8 hours of sleep and waking up groggy could indicate that your sleep quality, rather than the quantity, might be the issue. Snoring or loud breathing could be signs of a sleep-related problem, such as sleep apnea or other breathing disturbances. Here are some possibilitRead more

    Feeling tired despite getting 8 hours of sleep and waking up groggy could indicate that your sleep quality, rather than the quantity, might be the issue. Snoring or loud breathing could be signs of a sleep-related problem, such as sleep apnea or other breathing disturbances. Here are some possibilities:

    1. Sleep Apnea:

    • What It Is: Sleep apnea is a condition where breathing temporarily stops and starts during sleep. This can lead to fragmented sleep, even if you’re in bed for 8 hours.
    • Symptoms: Snoring, loud breathing, daytime fatigue, and waking up feeling unrested are common signs.
    • Next Steps: If you suspect sleep apnea, it’s important to talk to a doctor. They may recommend a sleep study to monitor your breathing patterns during the night.

    2. Sleep Hygiene:

    • Routine: Maintaining a consistent sleep routine, with a regular bedtime and wake-up time, helps improve sleep quality.
    • Environment: Ensure your sleep environment is comfortable and quiet. If your room is noisy or too bright, this could also affect your rest.

    3. Other Factors:

    • Diet and Exercise: Eating well and exercising can improve your energy levels. However, heavy meals or intense exercise too close to bedtime can interfere with sleep.
    • Stress or Anxiety: Emotional stress can lead to restless sleep. If you’re dealing with stress, relaxation techniques before bed, like reading or deep breathing exercises, might help.

    4. Medical Consultation:

    • Since you’re feeling consistently tired and your sister has noticed loud breathing or snoring, it’s a good idea to see a healthcare provider. They can help determine if there’s an underlying issue, like a sleep disorder, and guide you toward improving your sleep quality.

    If this fatigue is affecting your daily life or school performance, seeking advice sooner rather than later is a good idea.

    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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diggydoo
diggydoo

I have a mole on my leg that is growing for the past 5 years. It’s round and black and used to be flat but now a bit raised. Still uniform in shape and colour so it’s not skin cancer ...

  1. Thank you for your question! This article helps explain more about your symptoms: https://medicalchannelasia.com/moles-when-should-i-be-worried/ Moles in general are common skin growths that develop when melanocytes, pigment-producing cells in your skin, cluster together. These clusters cause the daRead more

    Thank you for your question!

    This article helps explain more about your symptoms:

    https://medicalchannelasia.com/moles-when-should-i-be-worried/

    Moles in general are common skin growths that develop when melanocytes, pigment-producing cells in your skin, cluster together. These clusters cause the darkening of the skin and can appear anywhere on your body, including the scalp, genitals, and inside your mouth.

    Most moles are harmless and typically appear during childhood and adolescence. You can have anywhere from 10 to 40 moles by adulthood, and they may change in color, size, and texture over time. Some moles may even fade away completely.

    Here are some characteristics of moles:

    • Color: Moles can vary in color from light brown to black, pink, red, tan, or even blue.
    • Size: Most moles are smaller than a pencil eraser (about 6 millimeters or ¼ inch in diameter).
    • Shape: Moles can be round, oval, or irregular in shape.
    • Texture: Moles can be flat, smooth, raised, or wrinkled. They may also have coarse hairs growing out of them.

    While most moles are benign (noncancerous), some can be cancerous. Melanoma, the most serious type of skin cancer, can develop from a mole. Early detection is key to successful treatment, so it’s important to be aware of the signs and symptoms of melanoma.

    Here are some tips for monitoring your moles:

    • The ABCDE rule: This rule can help you identify moles that may be cancerous.
      • Asymmetry: One half of the mole doesn’t match the other half.
      • Border: The border of the mole is irregular, notched, or blurred.
      • Color: The mole has more than one color, or the color changes within the mole.
      • Diameter: The mole is larger than 6 millimeters (¼ inch) in diameter.
      • Evolving: The mole is changing in size, shape, or color.
    • Perform regular skin self-exams: Look for any new moles or changes in existing moles. Pay particular attention to moles in areas you don’t normally see, such as your back or scalp.
    • See a doctor: If you notice any changes in a mole, see a doctor or dermatologist for a professional evaluation.

    If you’re experiencing any skin issues, it is best to consult a Dermatologist doctor to determine the cause and receive proper treatment. This information from Medical Channel Asia is not a substitute for professional medical advice. Consulting a doctor is important to get a proper diagnosis and treatment plan.

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I have had terrible headache for the past 3 weeks. Its on and off. Very painful and sometimes its pulsating. I check my blood pressure all seems to be normal. Should i go for an appointment to scan my head? ...

  1. Really? My mother also been complaining of headache. Last time take Panadol ok but now not enough. She going to see pain specialist in 2 weeks. Maybe u try.

    Really? My mother also been complaining of headache. Last time take Panadol ok but now not enough. She going to see pain specialist in 2 weeks. Maybe u try.

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abdul mujeeb
abdul mujeeb

having pain in knee mostly after driving how to improve or relief from knee pain

  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 knee pain after driving is a common issue, often related to prolonged periods of sitting in a fixed position, which can strain the knee joint. Here are some strategies to help alleviate and prevent knee pain associated with driving: 1. Adjust Your Seat and Posture: - Ensure your seat isRead more

    Experiencing knee pain after driving is a common issue, often related to prolonged periods of sitting in a fixed position, which can strain the knee joint. Here are some strategies to help alleviate and prevent knee pain associated with driving:

    1. Adjust Your Seat and Posture:
    – Ensure your seat is positioned to allow your knees to be slightly bent and at the same level or slightly lower than your hips. This helps reduce strain on the knee joint.
    – Adjust the backrest to support your lower back, promoting an upright posture.
    – Consider using a lumbar support cushion to maintain the natural curve of your spine.

    2. Take Regular Breaks:
    – During long drives, take breaks every hour to stretch and walk around. This helps improve circulation and reduces stiffness in the knees.

    3. Strengthening and Stretching Exercises:
    – Engage in exercises that strengthen the muscles around the knee, such as quadriceps and hamstring strengthening exercises. This can provide better support to the knee joint.
    – Incorporate stretching exercises for the legs, focusing on the quadriceps, hamstrings, and calves to maintain flexibility.

    4. Use of Ice and Heat:
    – Apply ice packs to the knee after driving if you experience pain or swelling. Use a cold gel pack or a bag of ice wrapped in a thin towel for 15 minutes every 1 to 2 hours as needed.
    – Alternatively, use heat therapy before driving to relax the muscles and improve flexibility.

    5. Pain Relief Medication:
    – Over-the-counter pain relievers such as acetaminophen or NSAIDs like ibuprofen can help manage pain. However, these should be used as directed and not for prolonged periods without consulting a healthcare provider.

    6. Consider Knee Support:
    – Wearing a knee brace or using a knee support sleeve can provide additional stability and reduce discomfort during driving.

    7. Footwear:
    – Wear comfortable, supportive shoes when driving to ensure proper foot positioning and reduce strain on the knees.

    8. Consult a Healthcare Professional:
    – If knee pain persists despite these measures, it may be beneficial to consult a healthcare professional for a thorough evaluation. They may recommend physical therapy or other interventions tailored to your specific condition.

    By implementing these strategies, you can help manage and potentially reduce knee pain associated with driving. If symptoms persist or worsen, seeking professional medical advice is crucial to address any underlying issues effectively.

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Hi there, I am having an issue with my skin. I have eczema and sometimes it gets worse when I am feeling stressed or when the weather gets too humid. How can I mitigate this? Thank you.

  1. Dr Paul Yow
    Best Answer
    Dr Paul Yow https://eagleeyeaesthetics.com.sg/doctors/dr-paul-yow/

    Hi, I’m Dr. Paul Yow – Director of Aesthetic Medicine at Eagle Aesthetics and Surgery and I hope the following answer will be useful to you! You have correctly identified that stress and weather/environmental changes can trigger eczema flares in persons with sensitive skin or difficult to manage eczRead more

    Hi, I’m Dr. Paul Yow – Director of Aesthetic Medicine at Eagle Aesthetics and Surgery and I hope the following answer will be useful to you!

    You have correctly identified that stress and weather/environmental changes can trigger eczema flares in persons with sensitive skin or difficult to manage eczema. Fortunately, there are several things you can do to mitigate the flares and soothe the skin faster.

    1. Moisturizing is key to maintaining a healthy skin barrier and reducing the number of flares you do experience. Even if the skin looks to be ok, I would still advocate the regular use of moisturisers to keep your skin healthy. 
      With regards to which type – as there are many brands out there, I would advise for a moisturizer that is adequate for your lifestyle and one that does not irritate your skin. For example – you can consider a thicker moisturiser for the night especially if you sleep in an airconditioned room. The main takeaway would be to find a moisturiser that you will apply frequently and just keep reapplying it.
    2. Seek treatment early.
      In the case of a bad flare, it is always good to see a doctor early to review the condition and see if medical treatment such as topical steroids to control the flare or anti-histamines to control the itch are required. Delaying a review can often lead to a prolongation of the flare and may contribute to other side effects such as excoriations and infections from scratching at the eczema sites.
    3. Avoid triggers.
      If there are certain instances or products you know will cause a flare – do your best to avoid them to reduce the chance of a flare occurring.

    If you have any concerns about your options, feel free to reach out for more information. Happy to help answer any more questions!

    Dr. Paul Yow
    Director of Aesthetic Medicine
    Eagle Aesthetics & Surgery
    Instagram: Dr. Paul Yow

    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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Jeremy
Jeremy

Hi, I’m a 21-year-old uni student. Wanna ask, does it really matter what time I sleep, as long as I get enough hours? I usually sleep around 3am after studying and wake up late. My parents keep saying it’s not ...

  1. Dr. Syed Anwar
    Dr. Syed Anwar M.D., Lifestyle Wellness & Mental Health Therapist Trn. (MSc/LKM)

    This one is a bit tricky! Technically, if you go to bed and wake up at exactly the same time every single day, your body can get used to it. Most people have days where they sleep earlier or later and that is when the body clock starts getting messed up. Our bodies work best when we sleep during darRead more

    This one is a bit tricky!

    Technically, if you go to bed and wake up at exactly the same time every single day, your body can get used to it. Most people have days where they sleep earlier or later and that is when the body clock starts getting messed up.

    Our bodies work best when we sleep during darkness and wake up to daylight. Remember this, sunlight is not just for waking up, it helps regulate your hormones, metabolism, mood, and even vitamin D levels. Missing out on natural light can affect both your physical and mental health over time.

    Long story short, even if you feel fine now, a 3 am sleep schedule is not something I would recommend in the long run.

    Regards,
    Dr. Syed Anwar (M.D)
    Lifestyle Wellness & Mental Health Therapist Trn. (MSc/LKM)
    IG: @drsydsage

     

    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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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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sinuspain
sinuspain

Hi. I’ve been experiencing a sharp pain in my nose and face for many days now. What can I do to relieve sinus pressure? When should I see my doctor for this?

  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 nose and face, particularly if it persists for several days, can be indicative of sinusitis or another underlying condition affecting the sinuses. Sinus pressure often results from inflammation or infection, leading to symptoms such as congestion, facial pain, and presRead more

    Experiencing sharp pain in the nose and face, particularly if it persists for several days, can be indicative of sinusitis or another underlying condition affecting the sinuses. Sinus pressure often results from inflammation or infection, leading to symptoms such as congestion, facial pain, and pressure. Here are some strategies to relieve sinus pressure and guidance on when to seek medical attention:

    Self-Care Measures to Relieve Sinus Pressure:

    1. Nasal Irrigation:
    – Use a saline nasal spray or perform nasal irrigation with a neti pot to help clear mucus and reduce congestion. This can alleviate pressure and improve breathing.

    2. Steam Inhalation:
    – Inhale steam from a bowl of hot water or take a hot shower. The moisture can help loosen mucus and relieve sinus pressure.

    3. Hydration:
    – Drink plenty of fluids to thin mucus secretions, which can facilitate drainage and reduce pressure.

    4. Warm Compress:
    – Apply a warm compress to your face, particularly over the sinus areas, to help ease pain and pressure.

    5. Over-the-Counter Medications:
    – Consider using decongestants or antihistamines if allergies are contributing to your symptoms. Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation.

    6. Humidifier:
    – Use a humidifier in your home to maintain moisture in the air, which can prevent your nasal passages from drying out and becoming irritated.

    When to See a Doctor:

    Persistent Symptoms: If your symptoms persist beyond 10 days without improvement, it may be time to consult a healthcare professional. This could indicate a bacterial infection requiring antibiotics or another underlying issue.

    Severe Symptoms: Seek medical attention if you experience severe symptoms such as:
    – High fever (above 102°F or 38.9°C)
    – Intense facial pain or swelling
    – Vision changes or eye swelling
    – Confusion or difficulty thinking clearly
    – Stiff neck

    Recurrent Episodes: If you experience frequent episodes of sinusitis, it may be beneficial to see a doctor to explore potential underlying causes, such as nasal polyps or chronic sinusitis.

    Complications: If you notice any signs of complications, such as persistent headaches, ear pain, or a significant change in your sense of smell, a medical evaluation is warranted.

    Clinical Considerations:

    In a clinical setting, your healthcare provider may perform a physical examination and potentially order imaging studies, such as a CT scan, to assess the sinuses. They may also consider prescribing a course of antibiotics if a bacterial infection is suspected, or recommend other treatments such as corticosteroid nasal sprays to reduce inflammation.

    Ultimately, addressing sinus pressure effectively involves a combination of self-care measures and professional medical evaluation when necessary. If symptoms persist or worsen, timely consultation with a healthcare provider is crucial to prevent complications and ensure appropriate management.

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Anonymous
Anonymous

Do young patients with cerebrovascular malformation actually get better? Are there ways to help rectify this condition?

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

    Cerebrovascular malformations in young patients, such as arteriovenous malformations (AVMs), cavernous malformations, and capillary telangiectasias, present a unique set of challenges and opportunities for management. The prognosis and potential for improvement depend on several factors, including tRead more

    Cerebrovascular malformations in young patients, such as arteriovenous malformations (AVMs), cavernous malformations, and capillary telangiectasias, present a unique set of challenges and opportunities for management. The prognosis and potential for improvement depend on several factors, including the type of malformation, its location, size, and whether it has caused any neurological symptoms or complications such as hemorrhage.

    Prognosis and Natural History

    1. Arteriovenous Malformations (AVMs):
    – AVMs are abnormal connections between arteries and veins, bypassing the capillary system. They can lead to hemorrhage, seizures, or neurological deficits.
    – The natural history of AVMs involves a risk of bleeding, which can be life-threatening or lead to significant morbidity. The annual hemorrhage risk is estimated to be around 2-4% per year.
    – Some AVMs may remain asymptomatic and stable over time, especially if they are small and located in non-eloquent brain areas.

    2. Cavernous Malformations:
    – These are clusters of dilated blood vessels that can cause seizures, headaches, or neurological deficits if they bleed.
    – The risk of hemorrhage is generally lower than that of AVMs, but it can vary based on the lesion’s location and previous hemorrhagic events.

    3. Capillary Telangiectasias:
    – These are usually benign and asymptomatic, often discovered incidentally on imaging. They rarely require intervention.

    Management Strategies

    The management of cerebrovascular malformations in young patients aims to prevent complications and improve quality of life. Here are some approaches:

    1. Observation:
    – For asymptomatic or minimally symptomatic malformations, especially those in critical brain areas, careful observation with regular imaging may be appropriate.

    2. Surgical Intervention:
    – Surgical resection is often considered for accessible AVMs or cavernous malformations that have bled or are causing significant symptoms. The decision depends on the lesion’s size, location, and the patient’s overall health.

    3. Endovascular Therapy:
    – Embolization can be used as a primary treatment or adjunct to surgery for AVMs. It involves occluding the abnormal vessels using materials like coils or glue.

    4. Stereotactic Radiosurgery:
    – This non-invasive treatment uses focused radiation to induce gradual obliteration of the AVM over time. It is particularly useful for small to medium-sized AVMs in eloquent brain areas.

    5. Medical Management:
    – Seizures or headaches associated with cerebrovascular malformations can be managed with appropriate medications.

    Rehabilitation and Support

    Rehabilitation Services: For patients with neurological deficits, physical, occupational, and speech therapy can help improve function and quality of life.
    Psychosocial Support: Addressing the emotional and psychological impact of living with a cerebrovascular malformation is crucial, especially in young patients.

    Future Directions

    Research and Clinical Trials: Ongoing research into the genetic and molecular basis of these malformations may lead to novel therapies. Participation in clinical trials could be considered for eligible patients.

    Conclusion

    While some young patients with cerebrovascular malformations may experience improvement or stability, others may require intervention to prevent complications. A multidisciplinary approach involving neurosurgeons, neurologists, radiologists, and rehabilitation specialists is essential to tailor management to the individual patient’s needs and circumstances. Regular follow-up and monitoring are crucial to adapt the treatment plan as the patient grows and develops.

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36 year old male here, im thin with no known underlying medical conditions.2 days ago, I felt pain in my right calf. It feels aching and heavy, and deeper inside than a usual muscle ache. Only ache and no swelling ...

  1. Deep vein thrombosis (DVT) occurs when a blood clot forms in one of the deep veins of your body, such as those in your legs or arms. Left untreated, the clot could dislodge and travel to your lungs, causing a pulmonary embolism - a serious and potentially life-threatening condition. Some key warningRead more

    Deep vein thrombosis (DVT) occurs when a blood clot forms in one of the deep veins of your body, such as those in your legs or arms. Left untreated, the clot could dislodge and travel to your lungs, causing a pulmonary embolism – a serious and potentially life-threatening condition.

    Some key warning signs of DVT include aching pain, swelling, tenderness in tue calf. Pain with walking or movement of the affected area is also common. However, the absence of some characteristic symptoms does not rule out DVT, as some patients may only report mild ache or heaviness in the leg. At the same time, while most leg pains are not due to DVT, it is important to get any concerning symptoms properly evaluated expediently, especially if they persist for days and does not improve in severity. The easiest thing is to put it down to a muscle strain. Risk factors for developing a DVT in the leg include trauma, dehydration, immobility, recent air travel especially long haul and a family history of clotting problems.

    I would not recommend taking aspirin on your own without seeing a vascular specialist first, as that could potentially worsen bleeding risks especially if you have pre-existing conditions such as a stomach ulcer. The best thing to do is schedule an appointment with a vascular surgeon to have your leg examined. We can perform a tailored physical exam and history taking to assess the likelihood of a DVT, and initiate further tests like a Duplex ultrasound scan and blood test marker to diagnose or rule out a DVT. Early detection and treatment are important for preventing longer term complications such as post thrombotic syndrome where the leg can feel particularly heavy when standing or walking for a long time and is associated with skin problems such as ulceration. The earlier you diagnose a DVT, the quicker you can be started on blood thinners and the more likely you can make a full recovery by dissolving all the clot. You can expect an ultrasound scan to be performed on the same day you are seen and and you will be informed whether you have a DVT or not.

    Do make an appointment promptly for an evaluation. If your symptoms significantly worsen or you experience difficulty breathing, chest pain or palpitations, you should seek immediate medical attention. Let me know if you have any other questions.

    Dr Tang Tjun Yip
    Senior Vascular and General Surgeon
    The Vascular & Endovascular Clinic
    https://vascularclinic.sg/
    https://www.facebook.com/theveclinic/
    https://www.instagram.com/theveclinic/

    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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