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Medical Channel Asia Latest Questions

Anonymous
Anonymous

Is post-concert depression real?

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

    Post-concert depression, while not a clinical term or officially recognized mental health condition, is a phenomenon that many people report experiencing after attending a concert or significant event. It describes the feelings of sadness, emptiness, or disappointment that can occur following the hiRead more

    Post-concert depression, while not a clinical term or officially recognized mental health condition, is a phenomenon that many people report experiencing after attending a concert or significant event. It describes the feelings of sadness, emptiness, or disappointment that can occur following the high energy and excitement of a live music performance. Here’s a closer look at why this might happen and how it can be conceptualized:

    Psychological Aspects

    1. Adrenaline Crash: Concerts often generate intense excitement and adrenaline. Once the event is over, the sudden drop in these heightened emotions can create a sense of emptiness or mild depression.

    2. Contrast Effect: The contrast between the exhilarating experience of a concert and returning to daily life can amplify feelings of dissatisfaction or sadness. The excitement of the event highlights the more mundane aspects of regular life.

    3. Transitory Nature: Knowing that the experience was temporary and perhaps a rare occurrence can contribute to a sense of longing or nostalgia, causing individuals to miss the moment and the emotions they felt during the concert.

    4. Anticipation and Build-up: The anticipation and lead-up to a concert are part of the overall experience. Once it concludes, the absence of something to look forward to can contribute to feelings of depression.

    Considerations in Management

    Reflection and Memory Sharing: Encouraging individuals to reflect on the joyous parts of the experience and share memories with friends who attended can prolong positive feelings.

    Balance and Future Planning: Balancing the excitement with realistic expectations and planning future activities or concerts can help maintain a sense of ongoing anticipation.

    Normalizing the Experience: Understanding that these feelings are a common experience can help individuals accept and manage them without undue concern about their mental health.

    Clinical Perspective

    While post-concert depression mirrors some emotional responses observed in conditions like the post-vacation blues or post-holiday depression, it typically does not require clinical intervention unless it significantly interferes with daily functioning or persists beyond a reasonable time frame. However, if someone finds their symptoms considerably distressing or prolonged, exploring these feelings with a mental health professional might be beneficial to rule out any underlying mood disorders.

    In summary, while not clinically defined, post-concert depression can be understood as part of normal emotional fluctuations induced by high-energy and enjoyable experiences followed by a return to baseline routines.

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Anonymous
Anonymous

I have been working night shifts for a few months now. i cant really sleep more than 5 hours during the day and dont feel rested after that also. my friend asked me to try melatonin but I heard got ...

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

    Transitioning to night shift work can indeed be challenging due to the desynchronization between your internal circadian rhythms and your sleep-wake cycle. This can lead to insufficient sleep and compromised daytime functioning, which you seem to be experiencing. Here are some considerations and strRead more

    Transitioning to night shift work can indeed be challenging due to the desynchronization between your internal circadian rhythms and your sleep-wake cycle. This can lead to insufficient sleep and compromised daytime functioning, which you seem to be experiencing.

    Here are some considerations and strategies you can adopt:

    1. Sleep Environment:
    Optimize your sleep environment: Ensure your bedroom is as dark as possible. Use blackout curtains or an eye mask and make sure the room is quiet and cool to simulate night-time conditions.
    Consider white noise or earplugs to block out daytime disturbances.

    2. Sleep Hygiene Practices:
    – Stick to a consistent sleep schedule, even on days off, to stabilize your body’s circadian rhythm.
    – Develop a relaxing pre-sleep routine, such as reading or taking a bath, to help signal your body it’s time for sleep.

    3. Exposure to Light:
    Before your shift: Bright light exposure at the start of your night shift can help stimulate alertness.
    After your shift: Wear sunglasses on your way home to reduce bright light exposure and signal to your body that it’s time to wind down.

    4. Melatonin Supplementation:
    Melatonin Use: Melatonin can help adjust your sleep cycle, particularly if taken one to two hours before your desired sleep time in doses ranging from 0.5 to 3 mg. It may be beneficial for short-term regulation until your body adjusts, but use it strategically if your shift work schedule is inconsistent.
    Potential Side Effects: While melatonin is generally considered safe, you might experience daytime drowsiness, dizziness, or mild gastrointestinal symptoms. Considering these side effects, melatonin is generally favored over prescription sleeping pills, given its lower risk of dependency and fewer cognitive impairments.

    5. Nutrition and Stimulants:
    – Limit caffeine and heavy meals close to bedtime, as they can disrupt sleep.
    – Stay well-hydrated but avoid large drinks before sleep to minimize disturbances.

    6. Exercise:
    – Regular physical activity can enhance sleep quality, but try to avoid vigorous exercise close to your sleep time.

    7. Considerations on Sleep Aids:
    – Prescription sleep medications, or sleeping pills, have more significant side effects and potential for dependency. They’re generally not recommended as a first-line option for shift work disorder unless other strategies fail.

    8. Consultation:
    – If your difficulties persist, it may be beneficial to consult with a healthcare professional. They can rule out other sleep disorders like insomnia or sleep apnea, which might be contributing to your poor sleep.

    Long-term Adjustment:
    Adapting to night shift work takes time, and your strategies may need adjustment based on how your body responds. Keep monitoring your progress and be open to refining your approach to optimize your sleep and daily function.

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clarista92
clarista92

Is keto diet suitable for someone with PCOS?

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

    The ketogenic (keto) diet, characterized by high-fat, moderate-protein, and very low-carbohydrate intake, has gained popularity for various health conditions, including polycystic ovary syndrome (PCOS). However, its suitability for someone with PCOS requires careful consideration of several factors:Read more

    The ketogenic (keto) diet, characterized by high-fat, moderate-protein, and very low-carbohydrate intake, has gained popularity for various health conditions, including polycystic ovary syndrome (PCOS). However, its suitability for someone with PCOS requires careful consideration of several factors:

    Benefits of the Keto Diet for PCOS:

    1. Insulin Sensitivity: PCOS is often associated with insulin resistance. The keto diet can potentially improve insulin sensitivity by significantly reducing carbohydrate intake, which in turn lowers insulin levels and helps stabilize blood glucose.

    2. Weight Loss: Many women with PCOS struggle with weight management due to metabolic disturbances. The keto diet can be effective for weight loss, which may improve PCOS symptoms such as menstrual irregularities and ovulatory function.

    3. Decrease in Androgen Levels: By improving insulin sensitivity and promoting weight loss, the keto diet might help lower androgen levels. This can be beneficial for reducing symptoms like hirsutism and acne.

    Considerations and Potential Risks:

    1. Nutritional Balance: The very restrictive nature of the keto diet might lead to deficiencies in essential nutrients if not carefully managed. It’s important to ensure that even while on a keto diet, individuals consume a variety of nutrients to maintain overall health.

    2. Sustainability: The keto diet’s strict regimen can be difficult to maintain long term. Often, lifestyle changes that are sustainable and balanced are recommended for long-term health benefits and symptom management.

    3. Lipid Profile Changes: The high fat content of the keto diet can alter lipid profiles, potentially increasing cardiovascular risk factors. Regular monitoring of lipid levels is advisable, especially for women with PCOS who may already have an elevated risk of cardiovascular issues.

    4. Gut Health: Reduced fiber intake due to limited carbohydrates can affect gut health and lead to gastrointestinal issues.

    Recommendations for Healthcare Professionals:

    Personalized Approach: Evaluate the individual’s specific health status, metabolic profile, and personal preferences before recommending a keto diet.
    Monitoring and Support: If a patient with PCOS chooses to pursue a keto diet, consider regular follow-up to monitor metabolic parameters, dietary balance, and overall health.
    Alternative Nutritional Plans: Consider other dietary interventions like the Mediterranean diet, which may offer a balanced approach with proven benefits for metabolic health and is easier to maintain.
    Multidisciplinary Collaboration: Engage with dietitians and nutritionists to help design a keto diet plan that is balanced and meets nutritional requirements while considering the individual’s lifestyle and health goals.

    Conclusion:

    While the keto diet may benefit some women with PCOS, it should be approached cautiously and on an individual basis, considering both the potential benefits and the challenges. Tailored nutritional counseling and continuous monitoring remain critical to ensure both efficacy and safety.

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Rainbowhong
Rainbowhong

I have been having dizzy spells lately and my chest feels like it’s fluttering sometimes. My blood pressure and heart rate is normal when I check at home, what other test should I be doing actually?

  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 dizzy spells and a sensation of fluttering in the chest can be concerning, and it is important to investigate these symptoms further to rule out or diagnose potential underlying conditions such as arrhythmias. Given that your blood pressure and heart rate are normal at home, it is essenRead more

    Experiencing dizzy spells and a sensation of fluttering in the chest can be concerning, and it is important to investigate these symptoms further to rule out or diagnose potential underlying conditions such as arrhythmias. Given that your blood pressure and heart rate are normal at home, it is essential to consider other diagnostic strategies. Here’s a step-by-step approach:

    1. Detailed Medical Evaluation:
    – A thorough history and physical examination by a healthcare provider is crucial. They will assess for symptoms such as palpitations, dizziness, chest pain, and any known triggers or alleviating factors.

    2. Electrocardiogram (ECG):
    – An ECG is a non-invasive test that measures the electrical activity of the heart. It can help detect irregularities in the heart rhythm that might not be apparent when not symptomatic.

    3. Holter Monitoring:
    – This involves wearing a portable device that continuously records your heart’s rhythms over 24 to 48 hours. This is particularly useful if your symptoms are intermittent and may not be captured during a standard ECG.

    4. Event Monitor or Loop Recorder:
    – If symptoms are infrequent, an event monitor or implantable loop recorder might be recommended. These devices can be worn for longer periods and activated when symptoms occur to capture an ECG at the time of symptoms.

    5. Echocardiogram:
    – This ultrasound test of the heart provides imaging of cardiac structures and can assess heart function and the presence of any structural heart disease, which may contribute to your symptoms.

    6. Stress Test:
    – A stress test evaluates how the heart performs under physical exertion, determining if exercise induces symptoms or arrhythmias that are not present at rest.

    7. Blood Tests:
    – These can evaluate for electrolyte imbalances, thyroid dysfunction, and other metabolic conditions that could contribute to arrhythmic symptoms or other cardiovascular concerns.

    8. Tilt Table Test:
    – If dizziness spells are significant, a tilt table test might be considered to evaluate for conditions like neurally mediated syncope or orthostatic hypotension.

    9. Cardiac MRI or CT (if indicated):
    – In certain cases, advanced imaging can provide detailed information about heart structure and function.

    Each of these tests is selected based on clinical suspicion and the results of initial evaluations. It’s crucial to work closely with a healthcare provider to determine which tests are most appropriate based on your specific symptoms and medical history. Early diagnosis is key to managing any potential underlying conditions effectively.

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Eye 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.

    Eye pain can arise from various ophthalmological and systemic conditions, each presenting with distinctive characteristics. In a clinical setting, it is pivotal to assess the specific features of the eye pain to accurately differentiate between these conditions and guide appropriate management. HereRead more

    Eye pain can arise from various ophthalmological and systemic conditions, each presenting with distinctive characteristics. In a clinical setting, it is pivotal to assess the specific features of the eye pain to accurately differentiate between these conditions and guide appropriate management. Here is a comprehensive breakdown of common causes of eye pain:

    1. Surface Disorders (Anterior Segment Issues):
    Conjunctivitis: Often presents with gritty discomfort rather than severe pain. Infective forms manifest with mucopurulent discharge, while allergic types are associated with intense itching and watery discharge.
    Corneal Abrasions and Erosions: These typically cause significant pain and photophobia. Patients often describe a sensation of a foreign body in the eye.
    Keratitis: This includes infectious causes such as bacterial, viral (e.g., herpes simplex), and fungal infections. Pain is typically severe, with associated redness, photophobia, and tearing.
    Photokeratitis: Caused by UV light exposure, presenting with symptoms such as severe pain, redness, and photophobia, usually appearing 6 to 12 hours post-exposure.

    2. Deeper Ocular Issues:
    Scleritis: Characterized by severe, boring pain that can radiate to surrounding areas. It is often associated with systemic inflammatory conditions.
    Uveitis (Anterior): Presents with a deep ache and photophobia. It’s often accompanied by redness predominantly around the limbus and visual disturbances.
    Acute Angle-Closure Glaucoma: Severe ocular pain, blurry vision, headache, nausea and vomiting are classic symptoms. Examination reveals a hard eye with significantly elevated intraocular pressure.

    3. Orbital and Systemic Causes:
    Orbital Cellulitis: Often presents with pain on eye movement, redness, swelling, and potential visual disturbances. Prompt treatment is essential to prevent complications.
    Trauma: May result in various types of eye pain depending on the structure affected, from superficial injuries to deeper ones involving the orbit or optic nerve.

    4. Neuropathic or Referred Pain:
    – Conditions such as trigeminal neuralgia or cluster headaches can also manifest as severe eye pain.

    Approach to Evaluation:
    History: Detailed assessment of onset, duration, nature (sharp, dull, constant, intermittent), and associated symptoms (e.g., visual changes, discharge, photophobia) are crucial.
    Examination: Evaluate for visual acuity, pupil reaction, slit-lamp examination for anterior chamber activity, fluorescein staining for corneal defects, and intraocular pressure measurement.
    Referral and Imaging: In cases where initial evaluation suggests serious pathology, or there is rapid deterioration, prompt referral to an ophthalmologist is advisable. Imaging might be indicated if orbital or neurological causes are suspected.

    Management:
    – Treatment is dictated by the underlying cause, ranging from topical antibiotics for bacterial conjunctivitis to systemic treatment for scleritis or uveitis. Pain management might include oral NSAIDs or topical anesthetics, although the latter is used cautiously.

    It’s pertinent to recognize when eye pain may be indicative of a sight-threatening condition, warranting urgent intervention. In systemic association, a collaborative approach with specialists in rheumatology or infectious disease may be necessary.

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Anonymous
Anonymous

during sleeping my arm get freezing. why.?

  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 a sensation of your arm freezing or feeling cold during sleep can be attributed to several factors, some more common and benign, and others potentially requiring medical attention. Here are some plausible explanations and considerations: Poor Circulation: Compression of Blood Vessels: WRead more

    Experiencing a sensation of your arm freezing or feeling cold during sleep can be attributed to several factors, some more common and benign, and others potentially requiring medical attention. Here are some plausible explanations and considerations:

    1. Poor Circulation:
      • Compression of Blood Vessels: While sleeping, you might lie in a position that compresses the blood vessels in your arm, reducing blood flow and causing your arm to feel cold or numb. This is similar to how limbs “fall asleep” due to temporary nerve compression.
      • Underlying Circulatory Issues: Conditions such as peripheral artery disease could affect blood flow to the extremities, leading to a cold sensation.
      • Neurological Factors:
      • Nerve Compression or Entrapment: Similar to circulation issues, nerves might also be compressed during certain sleeping positions, particularly if the brachial plexus or ulnar nerve is involved.
      • Peripheral Neuropathy: Conditions like diabetes or other metabolic disorders can lead to nerve damage, which might contribute to these sensations.
      • Environmental Factors:
      • Room Temperature: A significantly cool environment while sleeping can lead to extremities feeling cold. If your arm is exposed, it might get colder compared to the rest of your body.
      • Bedding: Insufficient bedding or covers that do not adequately retain warmth around your body can also lead to specific areas, like arms, feeling cold.
      • Raynaud’s Phenomenon:
      • This condition causes blood vessels in extremities like fingers and toes to constrict more than usual, reducing blood flow and leading to a cold sensation. If your arms are affected by Raynaud’s, they might feel abnormally cold during rest.
      • Autonomic Dysfunction:
      • Some dysregulation in the autonomic nervous system, which controls blood flow and temperature regulation, might cause certain areas to feel cold.
      • Recommendations:

      • Optimize Sleeping Position: Ensure that you are not compressing the arm by experimenting with different sleeping positions or using additional pillows for support.
      • Adequate Insulation: Ensure your sleeping environment is warm enough and use appropriate bedding to cover all body parts, including arms.
      • Medical Evaluation: If this sensation is persistent or accompanied by pain, numbness, or other symptoms upon waking, it would be prudent to seek medical evaluation to rule out underlying circulatory, neurological, or metabolic conditions.
      • Lifestyle Modifications: For conditions like Raynaud’s, avoiding cold exposure, reducing stress, and avoiding smoking can help manage symptoms.

    While occasional occurrences might be harmless, recurring symptoms warrant further assessment to ensure there are no underlying health issues affecting your circulation or nerves.

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Thinesh
Thinesh

I keep having gout attacks but I already very careful with my diet, no alcohol, no red meat, no seafood. What other things can cause it?? And can I keep taking the gout medicine when I have attacks, worried it ...

  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 frustrating to feel like you're doing everything right and still experience gout attacks. Besides your diet, there are several factors that might be contributing to frequent flare-ups. Stress, dehydration, and certain medications like diuretics and aspirin can sometimes elevate uric acid levelsRead more

    It’s frustrating to feel like you’re doing everything right and still experience gout attacks. Besides your diet, there are several factors that might be contributing to frequent flare-ups. Stress, dehydration, and certain medications like diuretics and aspirin can sometimes elevate uric acid levels. Ensure you’re drinking plenty of water daily to help your body flush out this excess uric acid.

    Regarding medication, it’s understandable to be concerned about its potential impact on your liver or kidneys. Many gout medications are safe for long-term use, but it’s crucial that they are managed properly. Always follow your physician’s guidance regarding medication during a gout attack. If you have any worries about the medication you’re on, or if you think it might be affecting your liver or kidney function, it would be a good idea to discuss this with your healthcare provider. They can monitor your organ health through regular check-ups and adjust your treatment plan if necessary.

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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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Gul Afshan
Gul Afshan

My RBC count is 5.11 in my CP blood test report.  what is this and why its mark as red. is it dangerous sign. ?

  1. Hello, this is something a lot of people ask when reviewing their blood test results. Firstly, let me explain what RBC count is. Your RBC count refers to the number of red blood cells in a given volume of blood, typically in one microliter (µL). These cells are responsible for carrying oxygen througRead more

    Hello, this is something a lot of people ask when reviewing their blood test results.

    Firstly, let me explain what RBC count is. Your RBC count refers to the number of red blood cells in a given volume of blood, typically in one microliter (µL). These cells are responsible for carrying oxygen throughout the body, so they’re quite essential for your overall health.

    For context, the normal range is usually around 4.7-6.1 million cells/µL for adult men, and about 4.2 -5.4 million cells/µL for adult women. Your result of 5.11 falls within this range.

    However, different labs may use slightly different reference ranges. So even if your result is considered normal, it might still be flagged in red if it sits near the upper or lower end of that lab’s cut-off. It doesn’t always mean something is wrong, but it may be highlighted for closer review.

    A higher RBC count can sometimes be linked to things like dehydration, smoking or certain lung conditions. A lower count may point toward anaemia, which can result from iron or vitamin deficiencies, chronic illness, or blood loss.

    That said, we usually don’t make conclusions based on one number alone. To get a clearer picture, it’s important to look at it together with other values in your blood test, such as haemoglobin, haematocrit, and MCV, as well as your overall health and any symptoms you might have.

    So, if you’re unsure or just want peace of mind, I’d recommend going through the full report with your doctor.

    Regards,

    Dr Say

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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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