An Invitation to Contributors

Hello Colleagues!

This blog site will serve as a venue for health news, exchange of medical information, forums, and patient consultation site. You are invited to share and contribute your knowledge. Many people will surely benefit from your expertise.

You may submit your article by commenting on any of the articles, or through this email. This will be an exciting opportunity to be known all over the blogosphere. Thank you very much.

Dugo sa ihi (Bloody urine)

Tanong: I might ask for your advice now. You see, I went to Asian Hospital here in Alabang which is very near to my office. Unfortunately, the urologist is out of the country the other one will come tom pa. So I went to Alabang Medical Hospital which is a 7pesos (present jeepney fare) away from here. Kaso sa Saturday pa raw ng hapon. Waaah! Feeling ko nauubusan na talaga ng health professionals d2. Enwey I have a bad liquid withdrawal this morning, it happened sa last part ng pag ihi ko. I dunno if this something to do with our inuman last night medyo naparami ang San Mig Lights at pulutan. Sisig, inihaw na baboy, buttered chix, tokwa’t pig, saka inihaw na mixed seafoods. Sobrang jingle na jingle ako pag gising ko. So, na pwersa ata at nagkaroon ng blood withdrawal. It seemed I hurt my urinary tract at 6 o’clock location ng bottom ng tube ko. Then I urinated again when I arrived here in the office. Ok na naman uli. Enwey, I took Aspirin muna since yun lang available dito sa table ko and walang gamot sa clinic namin kasi pinagbawal ng safety na. Pero at 10 in the morning meron na naman uli blood. So I went to the hospital wala naman nangyari kasi walang mga doctor. I took antibiotic muna 500 mg Amoxycillin at wala pa rin doktor available upon follow up sa near hospital here. So may I ask for your advice. Tnx.

Sabi ni Nanay: Ang pag-inom ng maraming tubig (mahigit 8 baso sa isang araw) ay makatutulong upang malinis ang iyong pantog. Ang mga tinatawag na natural diuretics ay mga pagkain o mga sangkap na nagtatanggal ng toxins, manas o tubig sa katawan. Ang mga sumusunod ay halimbawa nito: green tea, repolyo, carrot, litsugas, kamatis at sambong.

Magpatingin agad sa manggagamot kapag may dugo sa ihi. Isangguni ang mga sintomas lalo na kung may lagnat, madalas at mainit na pakiramdam tuwing iihi, pagsakit ng tiyan, likod o gilid, o hindi makaihi.

Doctor's Advice: Based on your story, the first thing that I think you are suffering from are urinary stones. This may explain painful and difficulty in urination. Urinalysis and sometimes an ultrasound may be necessary if intractable. Since this may be an on and off event, prescription of antibiotics and pain relievers will afford temporary relief. At best, try to avoid salty foods and alcoholic beverages that may aggravate the situation. You may take ofloxacin and hyoscine-paracetamol for pain (full prescription withheld).

Before taking these medications, it would be good if you would do a urinalysis. This urine test does not need a prescription. You may request it from any laboratory. Please inform me of the results, ok?

Tanong: Here’s the result of my urinalysis conducted at Manila Doctors, and had gone to a urologist. He made a referral for ultrasound. Since I am busy I’ll check within this week para maka undergo ng ultrasound. Tentatively, schedule ko on Thursday. Wala naman siya iba in-advise, just to drink a lot of water, go din siya if ever I drink San Mig Light, and be sexually active din daw. Even though I ask for any medication he just give me for pain kaya I prefer to continue your advised med. Right now, clear naman ang urine ko except once yesterday morning na parang binatak na naman siya after I disposed off my liquid pero me konting konting blood sya. Pero when I continue drinking water fine na naman sya until this morning.

PHYSICAL EXAMINATION
color: DARK YELLOW
transparency: CLOUDY

MICROSCOPIC EXAMINATION
leukocytes: 0-2/HPF
RBC: 8-10/HPF

By the way, I read your blog column last night. It’s a great idea. Marami ka matutulungan for sure. Mabuhay ka! God bless and thank you!

Doctor's Advice: The urinalysis result confirmed my initial suspicion of stones. The lack of pus cells in the urine indicates that there is no concomitant infection. Nonetheless, the antibiotics that you are now taking will avoid infection, just in case. As I mentioned before, a scan will localize the stone and will give information on its size and number, should they be visible. Just follow your urologist's advice and I am sure that you will be well. Keep me informed please.


View original post here

Pagkabingi (Hearing Loss)

Tanong: Una sa lahat nais ko pong magpasalamat sa inyo. Ako’y nagagalak sa inyo dahil nakita ko po ang inyong email add at nakita ko po ang inyong payo . Mayroon po akong tanong sa inyo tungkol sa aking ama na may sakit sa tainga na kung minsan lumalabas ang dugo kaya natatakot ako. Ang pagkakaalam ko po noong siya ay binata pa sumisid siya sa dagat at sa pagkakataon na iyon ay bigla na lamang daw pong pumutok ang kanyang tainga at lumabas ang dugo. Pinakonsulta niya po iyon sa kanilang bayan pero hindi pa rin nalunasan at sa bandang huli ay unti-unting hindi na siya nakarinig ng malapitan. Kaya nag-isip na lang po kami na magkapatid ipagamot na lang namin sa malapit na pagamutan. Kagaya ng sakit ng tatay ko, may pag-asa pang bumalik? Ang paglipas po ba ng pagkain ay may kinalaman sa pagkabingi ng tao? Sana bigyan ninyo po ako ng payo sa sulat kung eto para malalaman namin kung anong dapat gawin ...Maraming salamat po...

Sabi ni Doktor: Maraming salamat sa iyong liham. Marahil dahil sa mataas na pressure sa ilalim ng tubig, pumutok ang ear drum ng iyong ama. Ito ang dahilan kung bakit dumugo ang kanyang tainga at hindi na makarinig. Sa ganitong kaso, isang espesyalista sa tainga [otolaryngologist o ear-nose-throat (ENT)] o audiologist ang makakatulong sa kanya. Dahil sa hindi na maibabalik ang pandinig, mangailangan siya ng hearing aid o ibang kagamitan upang malunasan ito. Walang kinalaman ang hindi pagkain sa pagkabingi.


View original post here

Missed Periods or Amenorrhea

Tanong: I was operated on two months ago. Di ko alam I had period pala after the surgery. Then, inoperahan ulit ako four days after the first surgery. Since then, di pa ako ulit nagka period. Sinalinan ako ng dugo sa second surgery ko kasi bumaba ang hemoglobin ko. Regular lagi ang period ko, pero till now wala pa ko. 44 years pa lang ako but I had my period at the age of 12. Me possibility ba na menopause na ako? Please enlighten me about this. Thanks very much. God bless!

Doctor's Advice: Thank you for your letter. A woman is not considered to have secondary amenorrhea (absence of periods in a previously menstruating woman) until she has missed three periods in a row. In your case, it seems that you have one or two missed periods. If you are sure that you are not pregnant, the stress of surgery might have caused a hormonal imbalance in your body system that resulted in missed periods. In this case, I think you have to seek a gynecologic evaluation. Most probably, the physician will prescribe hormonal pills to balance the hormones so that menstruation will ensue. Usually, menopause can happen anytime from 30’s to mid-50s or even later.

View original post here

Pamumutla (Anemia)

Tanong: Ako po ay 25 taong gulang. Madalas po ako makaranas ng pagkahilo tatlong buwan na ang nakakaraan. Sabi ng aking mga kaibigan, maputla raw ako. Napansin ko rin po na lumakas ang aking regla anim na buwan na ang nakaraan. Alam ko pong hindi ako buntis dahil wala naman akong nobyo. Ano po ang maipapayo ninyo sa akin? Maraming salamat.

Sabi ni Nanay: Ang salabat ay maaaring inumin para sa sakit ng puson tuwing may buwanang dalaw at upang huminto ang malakas na pagdaloy nito. Dikdikin ang isang pirasong luya at pakuluan sa isang tasang tubig. Dagdagan ng asukal ayon sa iyong panlasa at inumin tatlong beses araw-araw makatapos kumain.

Welcome to Doctor Online

Welcome to Doctors Online blog.

This blog was created site for those who are seeking medical opinions. I shall give you the best medical advice that I can. In the end, you as the patient have the last say with what to do. After all, it is for your own personal good that you decide what is best. Medical doctors like me, can only help clients as much.

From time to time, this blog may feature guest physicians who will give advices and articles with regard their own specialty. It will be an opportunity to all the readers as well. A Google account will be necessary for those who will ask for medical advice in the comment box.

Enjoy reading the articles. Cheers to better health!