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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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Anonymous

My mom passed away from breast cancer at 52. I’m 30 this year and wondering if I should start going for breast cancer screening. What kind of screening would you recommend for someone with a family history like mine? I ...

  1. It must have been difficult to go through the grief and loss of your mom. Sorry to hear that. Similarly, well done on reflecting on her illness and making conscious lifestyle choices! The best person to guide you through this would be a breast surgeon who could see you, and take a full family historRead more

    It must have been difficult to go through the grief and loss of your mom. Sorry to hear that.

    Similarly, well done on reflecting on her illness and making conscious lifestyle choices! The best person to guide you through this would be a breast surgeon who could see you, and take a full family history, including how old your mom was when she was initially diagnosed.

    Furthermore, it would also be important to note if your mom had genetic screening done, and if she had inherited breast cancer mutation genes. This would have implications into your screening approach, and genetic testing. Genetic testing is mainly indicated for family members of a breast cancer patient carrying predisposing germline (inherited) genetic mutations.

    It’s also important to note that screening isn’t a one-time approach, it is a continued process, and is usually recommended once every 3 years for ladies without strong family history, above the age of 50. Screening in a young lady could include breast ultrasound or breast MRI.

    I wish this information could help you make further informed choice and guide you moving forward!

    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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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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Hi, I want to ask if the HPV vaccine is for younger girls right? But I’m already married and in my 30s—still got point to take or not ah? Or too late already?

  1. This is a very commonly asked question by my patients who are in their 30s or already sexually active. Yes, the HPV vaccine can still be beneficial. It helps protect against several strains of the human papillomavirus, especially the high-risk types linked to cervical cancer. Some vaccines cover upRead more

    This is a very commonly asked question by my patients who are in their 30s or already sexually active.
    Yes, the HPV vaccine can still be beneficial. It helps protect against several strains of the human papillomavirus, especially the high-risk types linked to cervical cancer. Some vaccines cover up to nine strains, including the most common cancer-causing ones.
    Although it works best when given before any exposure to HPV, women who are already sexually active can still benefit—especially if they haven’t been exposed to all the strains the vaccine protects against, which is often the case.
    For adults aged 15 and above, the full schedule usually consists of three doses over six months—typically given at 0, 1–2, and 6 months.
    That said, the HPV vaccine doesn’t replace cervical screening. According to the current Malaysian guidelines, all sexually active women aged 30 to 65 should undergo HPV testing every 5 years, even after vaccination, as the vaccine doesn’t protect against all HPV types.
    Getting vaccinated alongside routine screening gives the best protection against cervical cancer.
     

    Regards,
    Dr Say
    IG: https://www.instagram.com/sayweixian/?hl=en

     

    References: 
    Guidelines for Cervical Cancer Screening in Malaysia, Second Edition (2023), Ministry of Health Malaysia.  https://www2.moh.gov.my/moh/modules_resources/bookshelf/Guidelines_For_Cervical_Cancer_Screening_in_Malaysia_2023/Guidelines_For_Cervical_Cancer_Screening_in_Malaysia_2023.pdf

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I’m trying to manage my PCOS with guidance from my OB, especially since my period has been delayed for quite some time. She prescribed a few medications, but one that caught my attention was YAZ. I noticed in the Consumer ...

  1. Hi, thank you for dropping your question. YAZ is a type of combined oral contraceptive pill that contains both oestrogen and progestin. It’s often prescribed for women with PCOS to help regulate their periods and manage symptoms like acne or excess facial hair. It’s a common choice for PCOS, so yourRead more

    Hi, thank you for dropping your question.

    YAZ is a type of combined oral contraceptive pill that contains both oestrogen and progestin. It’s often prescribed for women with PCOS to help regulate their periods and manage symptoms like acne or excess facial hair.

    It’s a common choice for PCOS, so your OBGYN may have included it as part of a standard plan. But if you have a history of migraines, especially migraines with aura, it’s important to let your doctor know. Oestrogen-containing pills like YAZ have been linked to a slightly higher risk of stroke or blood clots in some people with this type of migraine.

    Your OBGYN may not have been aware of your migraine history, so I’d suggest checking back in to discuss whether YAZ is still the best option for you. There are other alternatives your doctor can consider depending on your full medical history.

    Regards,
    Dr Say Wei Xian
    General Practitioner
    IG: Dr Say Wei Xian (General Practitioner)

     

    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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Hi, I (21F) have been having really heavy periods for the last few months… Is this normal? My cramps are also really bad and I’m tired all the time.

  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 heavy periods, medically termed menorrhagia, along with severe cramps and fatigue can be concerning and warrants further evaluation. While variations in menstrual flow and symptoms can occur, significant changes in your menstrual pattern, especially if they are persistent, should be assRead more

    Experiencing heavy periods, medically termed menorrhagia, along with severe cramps and fatigue can be concerning and warrants further evaluation. While variations in menstrual flow and symptoms can occur, significant changes in your menstrual pattern, especially if they are persistent, should be assessed by a healthcare professional. Here are some potential considerations and steps you might take:

    1. Potential Causes:
    Hormonal Imbalances: Conditions like polycystic ovary syndrome (PCOS) or thyroid disorders can disrupt hormonal balance, leading to heavy bleeding.
    Uterine Fibroids or Polyps: These benign growths in the uterus can cause increased menstrual bleeding and pain.
    Adenomyosis: This condition involves the growth of endometrial tissue into the uterine wall, often resulting in heavy, painful periods.
    Bleeding Disorders: Conditions like von Willebrand disease can affect blood clotting and lead to heavier periods.
    Endometriosis: This condition, where tissue similar to the uterine lining grows outside the uterus, can cause severe cramps and heavy bleeding.

    2. Symptoms to Monitor:
    Bleeding: Track the frequency of pad or tampon changes. Soaking through one every 1-2 hours is a sign of heavy bleeding.
    Clots: Passing large blood clots can indicate excessive bleeding.
    Duration: Periods lasting longer than 7 days are considered prolonged.
    Fatigue: Persistent tiredness could be a sign of anemia, often resulting from chronic blood loss.

    3. Diagnostic Steps:
    Medical History and Physical Exam: A thorough history and pelvic exam can provide initial insights.
    Blood Tests: These can check for anemia, thyroid function, and clotting disorders.
    Pelvic Ultrasound: This imaging test can identify structural abnormalities like fibroids or polyps.
    Endometrial Biopsy: In some cases, sampling the uterine lining may be necessary to rule out other conditions.

    4. Management Options:
    Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and bleeding. Hormonal treatments, such as birth control pills or a hormonal IUD, can regulate periods and reduce bleeding.
    Iron Supplements: If anemia is present, iron supplementation may be needed.
    Surgical Options: In cases where medical management is ineffective, procedures like hysteroscopy, endometrial ablation, or even hysterectomy may be considered, depending on future fertility desires.

    5. When to Seek Immediate Care:
    – If you experience dizziness, fainting, or a rapid heartbeat, these could be signs of severe anemia or significant blood loss, requiring urgent medical attention.

    Given the complexity and potential implications of your symptoms, I recommend scheduling an appointment with a gynecologist or healthcare provider. They can provide a comprehensive evaluation and tailor a management plan specific to your needs and health goals.

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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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Im 30yo female I used to be on birth control for about ages 15-25 to regulate my hormones and for acne. Not sure which brands i took. At 25yo i switched to the depot injection because i wanted more long ...

  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 great that you're exploring different birth control options, especially given your concerns and experiences. Here's a breakdown of the options you mentioned: Implanon (Nexplanon) Hormone Implant: How It Works: It's a small rod implanted under the skin of your arm that releases a hormone calledRead more

    It’s great that you’re exploring different birth control options, especially given your concerns and experiences. Here’s a breakdown of the options you mentioned:

    1. Implanon (Nexplanon) Hormone Implant:
      • How It Works: It’s a small rod implanted under the skin of your arm that releases a hormone called etonogestrel over three years.
      • Effectiveness: Very effective with a less than 1% failure rate.
      • Side Effects: Some women experience irregular periods, mood swings, or changes in appetite. Given your history with the Depo injection, it’s important to discuss this option with your doctor, as hormonal implants can also affect mood.
    2. Mirena IUD (Hormonal IUD):
      • How It Works: It releases levonorgestrel, a hormone that thickens cervical mucus and thins the uterine lining, preventing pregnancy for up to five years.
      • Effectiveness: Also very effective with less than a 1% failure rate.
      • Side Effects: It may reduce or even stop periods over time, which can be beneficial for some women. Mood swings can occur, but they are generally less common than with systemic hormonal birth control like the pill or injection. It could be a safer option for you compared to Depo, but a consultation with a healthcare provider is crucial.
    3. Copper IUD (Non-Hormonal IUD):
      • How It Works: It creates a toxic environment for sperm, preventing fertilization. It can last for up to 10 years.
      • Effectiveness: Highly effective with a less than 1% failure rate.
      • Side Effects: Yes, periods can become heavier and more painful, especially in the first few months. However, since it’s hormone-free, it won’t affect your mood, which might be a significant benefit given your history.

    Considerations:

    • Mood Concerns: Given your history with severe mood swings and suicidal ideations from hormonal birth control, it’s critical to discuss any new options with a healthcare provider, particularly a gynecologist or a women’s health specialist. They can help tailor the best solution for you.
    • Accessibility in Singapore: All three options are available in Singapore, but you’ll need to consult with your doctor to get a prescription and have the device inserted.
    • Latex Allergy: Given your husband’s latex allergy, non-latex condoms (like those made of polyurethane or polyisoprene) are also an option for added protection.

    It’s good to gather information, but the next step should be to consult with a gynecologist to find the safest and most effective option tailored to your needs.

    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’m interested in learning about the various types of birth control pills available. I’ve heard there are different formulations with different hormone combinations and delivery methods. Can you explain the differences between them and how they work?

  1. Most pill control pills are combination pills. They contain one oestrogen and one progesterone. They are all different in micrograms of hormones. They are all 99% efficient at preventing pregnancy. It just depends on which one works best for each individual.

    Most pill control pills are combination pills. They contain one oestrogen and one progesterone. They are all different in micrograms of hormones. They are all 99% efficient at preventing pregnancy. It just depends on which one works best for each individual.

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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. 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.

    See less