do you have any questions on health?

Philippines
February 3, 2009 1:49am CST
Have you ever wondered if situps really get rid of your flabs? Which brand of beauty products really work? What diet regimen is the most effective? If you have any questions about health, diets, weight problems, or acne, feel free to post your question and I will answer them. :) I am a licensed physician, currently writing articles for health magazines. On the side, I answer questions on health in my blog. But I also want to answer your questions here. Ask away!
2 people like this
8 responses
• India
7 Apr 09
I have been thinking of lasik surgery for sometime. I wonder if it is really safe, and if it is safe is there any side affect? I use cylindrical lens which comes to around 7.5. Would this cylindrical power also get corrected with lasik surgery? I have done cryo because of retinal detachment, and so I thought it's better to get the power corrected so that retinal detachment will not occur again. What is your advice?
• Philippines
15 Apr 09
not everyone is an ideal candidate for lasik surgery. i remember that my father has been experiencing blurring of vision and i referred him to an ophthalmologist. turns out he wasn't an ideal candidate because he had severe myopia. :D it's safe IF it is done by an expert. layers of your cornea are shaved off and there is little room for error, so if an inexperienced ophthalmologist does it, you might get in trouble. well, this is always the case anyway - always look for certified/ licensed and experienced doctors. i'm curious as to how you got retinal detachment before. did it occur spontaneously? or after trauma? i'm assuming that you're using cylindrical lenses for astigmatism. i haven't heard of cylindrical lenses being correlated to retinal detachment per se, but an actual eyeball shape abnormality (like having a longer eyeball, like in near-sightedness) will predispose to it. so if you have astigmatism that involves abnormally shaped eyeballs instead of merely abnormal corneas and lenses, OR if you have astigmatism PLUS myopia, the abnormal shape of the eyeball (longer than normal) is the actual factor (and not the refraction error) that predisposes to retinal detachment. lasik surgery will only correct the refraction error by changing the refraction of the cornea, without changing the shape of the eyeball... so even if your refraction error has been corrected by lasik, the shape of your eyeballs will still be the same - and the risk for detachment from the abnormal eyeball shape will still be there. as for correction of astigmatism from lasik surgery, it can be done. but astigmatism is thought to correlate to getting a second lasik surgery (because the first one might not work as well), but of course, this doesn't have to be the case all the time. :D
1 person likes this
• India
26 Apr 09
I did not know that I had retinal detachment. I went for a check since there was pain in the eye, and later I was told that there was hole in the retina. So I had to get cryo thing done to close the hole. (Is hole in the retina the same as retinal detachment? I thought so.) I have myopia... using 7.5.
• Philippines
5 May 09
yes, you're right to think that hole is a retinal detachment. when the retina detaches, it's like leaving a "hole" so people usually refer to the condition as "holes in the retina."
• United States
5 Apr 09
i have tryed to get my 3 year old to eat food but the only things he will eat ia pizza, chicken nuggets, french frys ,cheese,mac n cheese and cerial i cant get him to eat anything else we have been trying for a long time and he wont he is only 28 pounds because of it so i am not sure what else to do
• Philippines
6 Apr 09
it's time to consult a pediatrician on this one. he will need not only a better diet but important vitamins and minerals which i'm sure he is deficient in, if he indeed isn't eating much. the plan here is way too intensive and personal - that is, the plan will cater to your specific issues, like is he not eating well because of bad feeding habits, or is it because he has loss of appetite from an underlying problem? they will also need to take his weight, set a realistic goal for weight gain (and height increase as well). is he mildly/ moderately/ severly stunted? what is his weight for height? etc. there will be reinforcement techniques which the pediatrician can teach you for your child to "learn" to eat healthy food. these include giving rewards for good deeds (hugging him and praising him when he finishes his meal), punishment (not spanking, but deprivation of, say, television when he doesn't finish his food), eating with him at the table to show him that veggies and healthy food are not "yucky", feeding him small frequent meals instead of three big ones, slipping healthy options into his fave foods (putting chopped veggies in a home-made "chicken nugget"), etc. i know these tips are not nearly enough. that's why i would recommend going personally to a pediatrician. he's supposed to be at a growth spurt, so i hope you go as soon as you can. good luck!
• United States
6 Apr 09
his dr said he may grow out of it , he ate everything when he was a baby he ate all his fruit and veggies and when he got older he just wouldnt we tryed rewarding him and everything , they had me take him to a diet person and she said sence hes on vitamins and we keep trying to get him to eat other things and he wont then just let him eat what ever he wants his dr said the same thing.his 2 brother eat all there fruits and veggies and when i try to give them to my youngest he just wont , my 11 month old daughter seems to eat more than he does.
• Philippines
15 Apr 09
i hate to say this, but... why do i feel that the advise they gave you was not enough? oh, i don't intend to badmouth any of your doctors. i only feel that because they are specialists, nobody is looking at the holistic picture. happens all the time - for example, the pediatrician won't evaluate the bre@st mass of a little girl because the pediatrician thinks that her gynecologist should do it, and the gynecologist thinks she doesn't need to evaluate the bre@ast mass because she thinks the pediatrician should. :D anyway, has anybody considered depression as a cause? maybe your little one is a little depressed? or maybe experiencing other emotional reasons for not wanting to eat?
@phyrethyme (1267)
• Philippines
3 Feb 09
Uhm.. I get bad headaches. I told my professor about this.. He's a doctor and he suggested that I should go see a neurologist. So what I meant by bad headaches.. In high school, I'd really think they're severe because I can't do anything right. I end up locking myself in the bathroom because my head gets so painful I would end up throwing up and having colds. It's really painful and throbbing. Now in college, I get one sided headaches. I noticed that I get instant headaches when it's noisy and it's too bright. Sometimes my headaches would last for hours.
• Philippines
3 Feb 09
it looks like a textbook case of migraine. migraines are an enigma... there has been some progress as to what the world of medicine knows about them: they now know that blood vessels are involved, and that there is a wave of constriction, then dilation, of blood vessels, causing the symptoms of a migraine attack. but yes, it is best to visit a neurologist. migraines may mimic some disorders, like anuerysms. but in case what you do have is a migraine, here are a few things that might help: migraine headaches are best treated when they are just starting. don't wait for a headache to get really bad before drinking an analgesic. try naproxen forte; it has a good track record for headaches. when you get a migraine, avoid noise & bright lights. these are stimuli that further worsen migraines. it is best to stay in a dim room with no noise until the episode subsides. sleep it off. migraines are alleviated by sleep, so this may work for you. i had the same migraine attacks when i was in highschool. i first experienced a migraine aura (a visual hallucination), where i saw water running down the periphery of my vision. it was followed by a severe headache and bouts of uncontrollable vomiting and retching. they disappeared after 2 hours, but at the time i did not know that they were migraines. maybe your headaches are just like mine. :)
• Philippines
3 Feb 09
and if you don't mind, i would love to include your question in my website: http://ask-doc-alma.blogspot.com. it can help other migraneurs who are still unaware of what they have. thanks for your question! hope my reply has helped you in any little way. :D
• Philippines
4 Feb 09
Sure. Go ahead.. Include my questions (I have a second one!) in your blog. :D
@TLChimes (4842)
• United States
3 Feb 09
What is a good way to sneak calories into food for a child that under eats? My son has Upper Motor Neuron Disorder, with oromotor issues. He is 18 months and just now eating soft mushy foods. (better then apple sauce but not meats) He was born off the growth charts (3 weeks early, 9p 9oz) and has dropped to the 35%. The OT and I are trying to get creative and I wondered if you had any thoughts?
• Philippines
3 Feb 09
first off, take advantage of this information: carbohydrates have 4 calories per gram protein has 4 calories per gram fats have 9 calories per gram in other words, expect fats to actually have more calories per unit of weight in them. for example, a teaspoon of fat has calories equivalent to more than 2 tsps of either carbohyrates or protein! you may then add healthy sources of fats to your child's diet. depending on your child's existing preferences, you may mix in different types of healthy unsaturated oils into his food. you may also want to osterize food to be able to introduce a whole variety of food to him the way he wants them: mushy and soft. this way, it will be easy for him to take everything in. also, practice a rewards system. everytime he takes in food, give him a hug or a kiss or verbal praise, or anything he loves. make sure you give the reward immediately after his good deed so that he makes the subconscious realization that his good work has brought about the reward. this way, you are helping in conditioning him to look forward to those rewards, and consequently, to those foods that bring about the rewards. besides, fats are known to actually make food more palatable, so children naturally love fatty food. mangoes have more fat content than, say, apples; he will get more calories from this fruit. children also tend to like colorful food. depending on the limitations of your kid because of his UMN disorder, you may actually prepare food in a more colorful way. hope these ideas work.:) what kind of UMN disorder does your child have?
@TLChimes (4842)
• United States
3 Feb 09
They think the UMN problems originate from 3 separate chromosomal changes. He has a developmental delay (verbally he charts at 5 months old but he's smart too. He makes nothing easy.) He has dyspepsia (spell that right?) a miss aligned urethra though not too bad. He has mid-line low tone, control issues, and he can do great one day and hardly move the next. Try getting people to understand that. He made me cry when he walked. I can't wait to cry over a word. Thank you for the great food tips. We've been told by his pediatrician to go to low fat milk but the OT thought that would cut way too many calories. Lucky for me the pediatrician knows that Rowan is a new adventure for her.
@Theresaaiza (10466)
• Australia
16 Apr 09
Hi, I'm so glad you're around, doc! I'm sure you know so much about OB-Gyne stuffs too. It's about my menstrual period. It's really abnormal and getting crazy. Some months I don't get it, and if I do, instead of blood what comes out is something black and sticky. And sometimes, it causes a scrapy-sort of pain on the walls of the V--- canal. I still haven't gone to an OB-Gyn. But do you think these are signs of myoma? or a cyst? By the way, I am 25, and single. Just in case you can base upon those details.
@Theresaaiza (10466)
• Australia
26 Apr 09
when was your first period?-----------11 running 12 (I am 25 now) was it regular after that?-----------after menarche, I had my second month, skipped 6 months, and when it came back lasted for 15 long days. if so, when did the irregular periods start?-----vaguely, I can remember it following this pattern: on and off monthly for about 2 years, and the years that follow, it was like this month, it's really blood and the next month that follow, it's the black thing. But for like 5 months now, every mens is the black one. I've never had my bloody period. Somtimes, i mens twice a month or 2 weeks gap. does your menses/ discharge have any weird smell?-----hmmm....none so far. if it does, it smells like blood.and sometimes funny especially if I don't chnage as often in a day. But thats it can you be more specific about the pain you feel? ----feels like a scraping pain in the walls of my V-canal. It's irritating. Like a minor burn or abrasion poured with water. Im attributing it to the stickiness of the discharge so probably that's why it has irritated the mucous membrane. do you have abdominal enlargement?-----i have always been pot-bellied? but like an unexplainable enlargement? No. Or probably I just didn't notice. How do you check?are you sexually active?-----no, i am single and untouched. have you ever been pregnant before?---no when was your last menstrual period----i'm on my 5th day of the black discharge. previously it was March 14. Same appearance, and lasted for 6 to 7 days are you on any meds?----no, not even any vitamins do you have any illnesses (thyroid/ endocrine)?----never been checked. did you undergo any surgery?---- no can you possibly be pregnant and the bleeding be possibly pregnancy-related? and so on...---impossible. never been touched. as you can see, the history and examination you will need is way too lengthy for this thread.^_^ you are best seen personally by a gynecologist of your choice.----yeah, I am aware of that. I am really thinking about getting checked soon you might be having non-ovulatory menstruation---what is its nature?the problem with menstrual changes/ abnormalities is that it covers an entire umbrella of conditions that will need thorough history, physical exam, and lab/ diagnostic tests. so i believe the next best step is to look for a gynecologist for you.:D---oh yes, i would but i hope to learn more from you before I really try to see one that I can find. Thanx so much
@ladyluna (7004)
• United States
27 Apr 09
Hello Doc, This is a terrific discussion topic. While I would otherwise love to contribute, as long as MyLot supports the irresponsible notion that it is reasonable for one person to judge another person’s views, beliefs, opinion, photographs, as either “useful” or useless, then I remain ‘in protest’. I sincerely apologize for any inconvenience this may cause. From the MyLot FAQ page: “myLot members should rate discussions, responses, comments, and photos based upon quality and usefulness. We are very excited about the DRS and encourage everyone to use it. The DRS is factored into our proprietary earnings algorithm” http://www.mylot.com/o/faq.aspx
• Philippines
5 May 09
that's an interesting point of view. yes, it's like everyone is judge and jury here, lol ^_^ i wouldn't mind, but i'm sure i'll get affected if people judge any of my discussions as "useless" simply out of spite or ignorance. perhaps it's their way of policing the site. it's definitely not a perfect and ideal method, you're right. hm, is this DRS thing new? i haven't been online in a long time because i've gotten busy, and your post alerted me to the DRS thing. hopefully, we all find resolution. have you emailed mylot? i'm sure they will be glad to hear that point. meanwhile, i've to subject my discussion/s to the judgment of everyone, sigh. hope something does happen about the issue though. ^_^
• United States
15 Apr 09
Okay, so I always get a lot of "I -cant-stand-you glances" when I ask this question. But I want to know how to gain weight. I eat ALOT. But I can not gain weight for anything. I thought maybe having children would put on the pounds but after baby number four I am still at 115. I hate being so little. What can I do?
• Philippines
15 Apr 09
first, you have to find out WHY you're not gaining weight. :D i hate to open the first question, but do you perhaps have worms? intestinal parasites may not be detected because they may not have alarming signs and symptoms. some people don't even know they have worms. so that's one of the things you will be examined for. another thing is: do you have diabetes? diabetes actually makes you thinner because your body can't metabolize glucose normally and your body has to eat itself, so to speak, for you to have energy sources. one more issue: could you perhaps have hyperhthyroidism? this may also go unnoticed because your thyroid size may actually be normal, but thyroid hormones may be raging in your body. another thing: you may think you are eating a lot, but is it enough? you have to get an objective measurement. how many calories do you eat per day? what kind of lifestyle do you have: sedentary or otherwise? what is your height and what is your desired caloric intake as measured from your weight? so many things to determine before we can say how you can gain weight. :D
@bombshell (11266)
• Germany
3 Feb 09
i gues so.my brand beatuy?i just use a nivea cream and 3 times a week i use lemon mask.my only problem is my tummy a bit biger after pregnant.
• Philippines
3 Feb 09
Hi! thanks for posting.:) it is expected that you gain weight during pregnancy, and that you lose some of it after you give birth. but it is normal to expect an average of 3 pounds to remain afer childbirth. there are things that you can do though to help you lose weight every after giving birth. for example, bre@stfeeding is an effective way of losing weight (and keeping your child healthy too). anyway, i'll be writing an article in my blog for you. i'll address your weight problems there, especially catering to women who have given birth. meanwhile, i do have tips on losing weight, just check out that article (http://ask-doc-alma.blogspot.com). hope it helps!:D