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Medical Channel Asia Latest Questions

i’ve had bunions for a really long time, and it hurts very badly. the worst one is the bunion on my 5th toe at the base of the toe. can it be fixed? would a bunion corrector help?

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

    Bunions, particularly those affecting the fifth toe, known as bunionettes or tailor's bunions, can indeed cause significant discomfort and impact daily activities. Addressing your concerns involves a combination of conservative management and, if necessary, surgical intervention. Conservative ManageRead more

    Bunions, particularly those affecting the fifth toe, known as bunionettes or tailor’s bunions, can indeed cause significant discomfort and impact daily activities. Addressing your concerns involves a combination of conservative management and, if necessary, surgical intervention.

    Conservative Management

    1. Footwear Modifications: The first line of management typically involves wearing shoes with a wide toe box and low heels to reduce pressure on the affected area. This can alleviate pain and prevent further progression of the deformity.

    2. Orthotic Devices: Custom or over-the-counter orthotic devices can help redistribute pressure across the foot, potentially alleviating pain. These devices can also help correct abnormal foot mechanics that contribute to bunion formation.

    3. Bunion Correctors: While bunion correctors or splints can provide temporary relief by realigning the toe, their effectiveness in permanently correcting the deformity is limited. They may help reduce pain and slow progression when used consistently, especially at night.

    4. Pain Management: Nonsteroidal anti-inflammatory drugs (NSAIDs) or acetaminophen can be used to manage pain. Topical treatments, such as diclofenac gel, may also be beneficial.

    5. Physical Therapy: Stretching and strengthening exercises can improve foot function and reduce discomfort. A physical therapist can guide you in exercises that target the muscles and tendons around the affected area.

    Surgical Intervention

    If conservative measures fail to provide adequate relief and the bunion significantly affects your quality of life, surgical options may be considered. Surgical procedures for bunionettes aim to realign the toe and remove the bony prominence. The specific type of surgery will depend on the severity of the deformity and your overall foot structure.

    Distal Osteotomy: This procedure involves cutting and realigning the bone to correct the deformity.
    Exostectomy: Removal of the bony prominence may be performed in conjunction with other procedures to improve alignment.

    Considerations for Surgery

    Severity of Symptoms: Surgery is typically reserved for cases where pain is severe and conservative treatments have been exhausted.
    Recovery Time: Post-surgical recovery can vary, and you may need to limit weight-bearing activities for a period.
    Potential Complications: As with any surgery, there are risks, including infection, nerve damage, and recurrence of the bunion.

    Next Steps

    1. Consultation with a Specialist: A podiatrist or orthopedic surgeon specializing in foot and ankle conditions can provide a comprehensive evaluation and discuss the most appropriate treatment options for your specific case.

    2. Imaging: If surgery is being considered, imaging studies such as X-rays can help assess the extent of the deformity and guide surgical planning.

    3. Lifestyle Modifications: Maintaining a healthy weight and avoiding activities that exacerbate symptoms can also be beneficial.

    In summary, while bunion correctors may offer some relief, they are unlikely to provide a permanent solution. A thorough evaluation by a healthcare professional will help determine the best course of action tailored to your needs.

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dennis2828
dennis2828

i’ve heard that men who are 60 years old are at a higher risk of prostate cancer. what are some of the symptoms that i should be looking out for?

  1. This answer was edited.

    Prostate cancer is often asymptomatic in its early stages. Many men don’t experience noticeable symptoms until the cancer has grown or spread. When symptoms do occur, they can include: Frequent need to urinate Sudden urge to urinate Reduced flow of urine Unexplained weight-loss and fatigue Lower bacRead more

    Prostate cancer is often asymptomatic in its early stages. Many men don’t experience noticeable symptoms until the cancer has grown or spread. When symptoms do occur, they can include:

    • Frequent need to urinate
    • Sudden urge to urinate
    • Reduced flow of urine
    • Unexplained weight-loss and fatigue
    • Lower back pain or pain in the hip area

    It is important to note that these can be symptoms for other conditions too.

    Dr Francis Chin Kuok Choon
    Senior Consultant in Radiation Oncology, Palliative Medicine
    https://iconcancercentre.sg/doctor/francis-chin-kuok-choon/
    https://sg.linkedin.com/in/dr-francis-chin-kuok-choon

    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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laser123
laser123

Hi, I’m interested to know more about fractional lasers. I’ve heard that it’s good for sagging skin and acne scars, was wondering if it would also help to shrink my pores? What are some of the benefits of going for ...

  1. Dr Paul Yow
    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’re absolutely right – fractional lasers do help stimulate collagen production and can be an effective method to rejuvenate the skin and target texture concRead 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’re absolutely right – fractional lasers do help stimulate collagen production and can be an effective method to rejuvenate the skin and target texture concerns of scarring and pores as well as fine lines.

    There can be some overlap between PICO and fractional lasers but generally speaking with fractional lasers, we are referring to a class of lasers such as the Carbon Dioxide laser or Halo Laser that causes microscopic columns of damage to the skin to trigger a wound healing response to improve the skin. With PICO lasers, we are referencing a class of lasers based on their speed / rate of fire, i.e. they fire a laser beam at ultrashort picosecond pulses, and when people refer to them, they are traditionally referring to PICO lasers to help even out skin tone and treat hyperpigmentation.
    However, as laser technology advances – you will find many new PICO lasers have settings or handpieces to operate as both a fractional as well as toning (anti-pigmentation) device and this can be changed based on what your doctor is planning in that session for you.

    If you have any concerns, 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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Recently I went out with my family to eat and I have had diarrhea for the last 2 days. Is this a sign of food poisoning???

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

    Diarrhea following a meal, particularly when it occurs in conjunction with other gastrointestinal symptoms such as nausea, vomiting, or abdominal cramping, can indeed be indicative of food poisoning. Food poisoning is typically caused by consuming food or beverages contaminated with infectious agentRead more

    Diarrhea following a meal, particularly when it occurs in conjunction with other gastrointestinal symptoms such as nausea, vomiting, or abdominal cramping, can indeed be indicative of food poisoning. Food poisoning is typically caused by consuming food or beverages contaminated with infectious agents, including bacteria (such as Salmonella, E. coli, or Campylobacter), viruses (such as norovirus), or parasites.

    Given that your symptoms began shortly after dining out, it is plausible that you may have ingested contaminated food or water. The timing of symptom onset can vary depending on the causative agent. For instance, symptoms from bacterial toxins, such as those produced by Staphylococcus aureus, can appear within a few hours, whereas other bacterial infections might take longer to manifest.

    Here are some considerations and steps you might take:

    1. Hydration: Ensure adequate fluid intake to prevent dehydration, which is a common complication of diarrhea. Oral rehydration solutions or electrolyte-rich fluids can be beneficial.

    2. Dietary Adjustments: Consider a bland diet, avoiding dairy, caffeine, alcohol, and fatty or spicy foods until symptoms improve.

    3. Symptom Monitoring: Keep track of any additional symptoms, such as fever, blood in stools, or severe abdominal pain, which could indicate a more serious condition requiring medical attention.

    4. Duration and Severity: If diarrhea persists beyond a few days, or if you experience severe symptoms, it would be prudent to consult a healthcare professional. They may recommend stool tests to identify the specific pathogen and guide appropriate treatment.

    5. Preventive Measures: Reflect on food safety practices to prevent future occurrences, such as ensuring proper food handling, cooking, and storage.

    While food poisoning is a common cause of acute diarrhea, other potential causes should also be considered, such as viral gastroenteritis or a reaction to a new food or medication. If your symptoms are severe or persistent, seeking medical evaluation is advisable to rule out other conditions and to receive tailored treatment.

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The Bittersweet Debate: Are Artificial Sweeteners Better for You?

  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 debate over the health implications of artificial sweeteners, also known as non-nutritive sweeteners (NNS), is multifaceted and continues to evolve as new research emerges. Here, we'll explore the potential benefits and risks associated with their consumption, providing a comprehensive overviewRead more

    The debate over the health implications of artificial sweeteners, also known as non-nutritive sweeteners (NNS), is multifaceted and continues to evolve as new research emerges. Here, we’ll explore the potential benefits and risks associated with their consumption, providing a comprehensive overview to aid healthcare professionals in advising patients.

    Potential Benefits

    1. Caloric Reduction: Artificial sweeteners provide sweetness without the calories, which can be beneficial for individuals looking to reduce their caloric intake. This can be particularly useful for patients with obesity or those trying to manage their weight.

    2. Glycemic Control: For individuals with diabetes, NNS can offer a way to enjoy sweet-tasting foods and beverages without affecting blood glucose levels. This can help in maintaining better glycemic control when used as part of a balanced diet.

    3. Dental Health: Unlike sugar, artificial sweeteners do not contribute to dental caries, making them a preferable option for oral health.

    Potential Risks

    1. Metabolic Effects: Some studies suggest that NNS may be associated with metabolic changes, such as alterations in glucose metabolism and insulin sensitivity. The mechanisms are not fully understood but may involve changes in gut microbiota or altered sweet taste receptor signaling.

    2. Weight Management: While NNS can reduce caloric intake, their impact on long-term weight management is unclear. Some research indicates that they may not lead to significant weight loss and could potentially contribute to weight gain by affecting appetite regulation and energy balance.

    3. Cardiovascular and Mortality Risks: Emerging evidence suggests a potential association between high consumption of artificially sweetened beverages and increased risks of cardiovascular disease and all-cause mortality. However, these findings are not yet conclusive and require further investigation.

    4. Gut Microbiome: There is growing interest in how NNS may affect the gut microbiome, potentially leading to dysbiosis. Changes in gut bacteria could influence metabolic health, although more research is needed to establish causality.

    Practical Considerations

    Patient-Specific Recommendations: When advising patients, consider individual health goals, dietary preferences, and any underlying health conditions. For some, the benefits of reducing sugar intake may outweigh potential risks associated with NNS.

    Moderation and Balance: Encourage patients to use NNS in moderation and as part of a balanced diet. Emphasize the importance of whole foods and non-sweetened beverages, such as water, as primary dietary components.

    Ongoing Research: Stay informed about the latest research findings, as the understanding of NNS and their health impacts continues to evolve. Encourage patients to be cautious and consult healthcare providers for personalized advice.

    Conclusion

    Artificial sweeteners present both opportunities and challenges in dietary management. While they offer a means to reduce sugar intake and manage caloric consumption, their long-term health effects remain a topic of active research. Healthcare professionals should guide patients based on current evidence, individual health profiles, and lifestyle considerations, while remaining open to new insights as the scientific community continues to explore this complex topic.

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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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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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Hi, my daughter (15F) has been experiencing excessive gas and discomfort for a few days now. Can probiotics help to reduce the bloating?

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

    When considering the use of probiotics for gastrointestinal symptoms such as excessive gas and bloating, it's important to understand the potential benefits and limitations of these supplements. Probiotics are live microorganisms that, when administered in adequate amounts, can confer health benefitRead more

    When considering the use of probiotics for gastrointestinal symptoms such as excessive gas and bloating, it’s important to understand the potential benefits and limitations of these supplements. Probiotics are live microorganisms that, when administered in adequate amounts, can confer health benefits to the host. They are often used to promote a healthy balance of gut bacteria, which can be disrupted by factors such as diet, stress, or illness.

    Potential Benefits of Probiotics:

    1. Gut Microbiota Balance: Probiotics can help restore the natural balance of gut bacteria, which may be beneficial if the bloating is due to an imbalance, such as after antibiotic use or dietary changes.

    2. Digestive Health: Certain strains of probiotics have been shown to aid digestion and reduce symptoms of bloating and gas. For example, Bifidobacterium and Lactobacillus strains are commonly used for these purposes.

    3. Reduction of Gas Production: Some probiotics may help reduce gas production by improving the digestion of certain carbohydrates and reducing the fermentation process that leads to gas.

    Considerations and Recommendations:

    Strain-Specific Effects: The effects of probiotics can be strain-specific, meaning that not all probiotics will have the same effect on bloating and gas. It may be beneficial to choose a probiotic that has been specifically studied for these symptoms.

    Dietary Factors: Evaluate her diet to identify any foods that might be contributing to the symptoms. Foods high in fermentable carbohydrates (FODMAPs) can often cause bloating and gas.

    Duration and Dosage: Probiotics are not a quick fix and may take several weeks to show benefits. It’s important to follow the recommended dosage on the product label or as advised by a healthcare professional.

    Underlying Conditions: If the symptoms persist or are severe, it may be important to rule out underlying conditions such as lactose intolerance, irritable bowel syndrome (IBS), or small intestinal bacterial overgrowth (SIBO), which may require specific treatments.

    Consultation with a Healthcare Professional: Before starting any new supplement, especially in adolescents, it’s advisable to consult with a healthcare professional to ensure it’s appropriate and to discuss any potential interactions with other medications or health conditions.

    In summary, while probiotics may help alleviate symptoms of gas and bloating in some individuals, their effectiveness can vary. It’s crucial to consider the specific strains and to address any dietary or lifestyle factors that may be contributing to the symptoms. If the discomfort continues, seeking medical advice is recommended to explore other potential causes and treatments.

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