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Medical Channel Asia Latest Questions

Anonymous
Anonymous
Asked: July 11, 2024

Hi. I’m about 8-9 weeks pregnant and I’ve been taking folic acid regularly. I also find myself no appetite to eat sometimes so I bought Similac formula for pregnant/lactating mothers for the extra nutrients. I’ve noted that there’s folic acid inside ...

  1. HELF AI
    HELF AI

    Congratulations on your pregnancy! It's great that you're being proactive about your nutrition during this important time. Let's address your question regarding folic acid intake. Recommended Folic Acid Intake During Pregnancy During pregnancy, the recommended daily allowance (RDA) for folic acid isRead more

    Congratulations on your pregnancy! It’s great that you’re being proactive about your nutrition during this important time. Let’s address your question regarding folic acid intake.

    Recommended Folic Acid Intake During Pregnancy

    During pregnancy, the recommended daily allowance (RDA) for folic acid is typically 600 micrograms (mcg). This is to support fetal development, particularly in the early stages when the neural tube is forming. If you have specific risk factors (such as a previous pregnancy affected by a neural tube defect), your healthcare provider may recommend a higher dose, often up to 4 mg daily.

    Sources of Folic Acid

    1. Folic Acid Supplements: If you have been prescribed a folic acid supplement, it is important to know the dosage. Common prescriptions are often around 400 mcg – 1 mg daily.
    2. Similac Formula: The Similac formula for pregnant and lactating mothers typically contains additional nutrients, including folic acid. The amount of folic acid in these formulas can vary, but it is generally designed to complement your dietary intake rather than exceed it.

    Potential for Overdose

    Folic acid is a water-soluble vitamin, which means that excess amounts are usually excreted in urine rather than stored in the body. However, excessive intake can still lead to potential issues:

    • Upper Limit: The tolerable upper intake level for folic acid from supplements and fortified foods is set at 1,000 mcg (1 mg) for adults. This limit is primarily to prevent masking vitamin B12 deficiency, which can lead to neurological issues if not addressed.
    • Combining Sources: If you are taking a folic acid supplement (e.g., 400 mcg) and also consuming the Similac formula (which may contain around 200 mcg to 400 mcg of folic acid per serving), you need to calculate your total intake. For example:
      • Folic acid supplement: 400 mcg
        Similac formula (2 servings): 200 mcg x 2 = 400 mcg
        Total intake: 400 mcg + 400 mcg = 800 mcg
      • In this scenario, your total intake would be 800 mcg, which is below the upper limit and generally considered safe.

    Recommendations

    1. Consult Your Healthcare Provider: Before making any changes to your supplementation or diet, it’s best to discuss your specific situation with your healthcare provider. They can provide personalized advice based on your health history and dietary needs.
    2. Monitor Your Intake: Keep track of how much folic acid you are consuming from all sources (supplements, food, and fortified products) to ensure you stay within safe limits.
    3. Balanced Diet: While supplements are helpful, try to include a variety of folate-rich foods in your diet, such as leafy greens, legumes, nuts, and fortified cereals, to meet your nutritional needs.
    4. Listen to Your Body: If you experience any unusual symptoms or have concerns about your appetite or nutrition, reach out to your healthcare provider for guidance.

    In summary, as long as your total folic acid intake remains below the upper limit and is within the recommended range for pregnancy, you should be fine taking both the supplement and the formula. However, always prioritize communication with your healthcare provider for tailored advice.

    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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Anonymous
Anonymous
Asked: July 10, 2024

When it comes to identical twins, one fertilised egg (ovum) splits and develops into two babies with exactly the same genetic information. However is it possible for two pairs of identical fraternal twins to be born? Two fertilised egg split ...

  1. HELF AI
    HELF AI

    Yes, it is indeed possible for two pairs of identical twins to be born from two fertilized eggs, although this scenario is quite rare. To clarify the terminology: Identical Twins (Monozygotic Twins): These twins arise from a single fertilized egg (zygote) that splits into two embryos. They share 100Read more

    Yes, it is indeed possible for two pairs of identical twins to be born from two fertilized eggs, although this scenario is quite rare. To clarify the terminology:

    • Identical Twins (Monozygotic Twins): These twins arise from a single fertilized egg (zygote) that splits into two embryos. They share 100% of their genetic material and are genetically identical.
    • Fraternal Twins (Dizygotic Twins): These twins occur when two separate eggs are fertilized by two different sperm cells. They share about 50% of their genetic material, similar to regular siblings, and can be of the same sex or different sexes.

    Now, the scenario you described involves two separate fertilized eggs, each of which splits to form identical twins. This can happen as follows:

    • Two Fertilized Eggs: In this case, two separate eggs are released during ovulation and each is fertilized by a different sperm cell. This results in two zygotes.
    • Splitting of Each Zygote: If each of these zygotes (fertilized eggs) undergoes a division process (which is rare), each can split into two embryos. This would lead to the formation of two pairs of identical twins.

    Thus, the outcome would be four babies in total: two from the first zygote and two from the second zygote, with each pair being genetically identical.

    Mechanisms and Considerations

    1. Occurrence: The occurrence of two fertilized eggs both splitting is extremely rare and is not well-documented in the literature. The likelihood of this happening is much lower than the occurrence of either identical or fraternal twins alone.
    2. Genetic Implications: In this scenario, the two pairs of identical twins would share 100% of their genetic material within each pair but only about 50% of their genetic material with the other pair, as they originated from different zygotes.
    3. Clinical Considerations: From a clinical perspective, managing a pregnancy with multiple sets of twins (especially identical twins) can be complex. The risks associated with twin pregnancies, such as preterm birth, growth restriction, and complications related to shared placental circulation (in the case of identical twins), would need to be carefully monitored.
    4. Ultrasound Monitoring: Early ultrasound examinations can help determine the number of embryos and their chorionicity and amnionicity, which are crucial for assessing risks and planning for delivery.

    Conclusion

    While the phenomenon of two pairs of identical twins resulting from two fertilized eggs is theoretically possible, it is exceedingly rare. The implications for prenatal care and delivery would require careful consideration and monitoring to ensure the health and safety of both the mother and the babies.

    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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Anonymous
Anonymous
Asked: July 10, 2024

Hello, hope you’re doing well. I have a medical (I think) worry that I’ve been meaning to ask but I’m not sure what is the cause or whether it’s something I should go to the doctor for. Over the years I’ve had ...

  1. HELF AI
    HELF AI

    It sounds like you are experiencing a range of twitching sensations in various parts of your body, including your fingers, eyes, thighs, and more recently, your stomach and intestines. This can understandably be concerning, especially with the increase in frequency and the sensation of twinges accomRead more

    It sounds like you are experiencing a range of twitching sensations in various parts of your body, including your fingers, eyes, thighs, and more recently, your stomach and intestines. This can understandably be concerning, especially with the increase in frequency and the sensation of twinges accompanying the twitching. Let’s explore the potential causes, implications, and considerations for your situation.

    Understanding Muscle Twitching

    Muscle twitching, or fasciculation, can occur for a variety of reasons, and it can be benign or indicative of an underlying condition. Here are some common causes:

    1. Benign Causes:
      • Fatigue and Stress: Even if you feel your work environment is manageable, underlying stress or fatigue can lead to muscle twitching. Lack of sleep, as you mentioned, can also contribute.
      • Caffeine and Stimulants: High caffeine intake or other stimulants can lead to increased muscle excitability.
      • Nutritional Deficiencies: Deficiencies in electrolytes (like magnesium, potassium, or calcium) can cause muscle twitching. A balanced diet is crucial.
      • Dehydration: Insufficient fluid intake can lead to muscle cramps and twitching.
    2. Neurological Causes:
      • Peripheral Neuropathy: Conditions affecting the peripheral nerves can lead to twitching sensations. This can be due to diabetes, vitamin deficiencies, or other systemic issues.
      • Neuromuscular Disorders: Conditions like myasthenia gravis or amyotrophic lateral sclerosis (ALS) can present with twitching, but these are typically accompanied by other significant symptoms.
      • Tics or Tourette Syndrome: These can manifest as involuntary movements or sounds, but they usually have a more specific pattern.
    3. Gastrointestinal Causes:
      1. Visceral Muscle Spasms: The sensation of twitching in the stomach or intestines could be related to spasms of the smooth muscle in the gastrointestinal tract. This can occur due to digestive issues, food intolerances, or even stress-related gut responses.
      2. Irritable Bowel Syndrome (IBS): This condition can cause various gastrointestinal symptoms, including spasms and discomfort.

    When to Seek Medical Attention

    Given the increase in frequency and the new sensations you are experiencing, it would be prudent to consult a healthcare professional. Here are some considerations for your visit:

    1. Documentation: Keep a diary of your symptoms, noting when they occur, their duration, any associated activities (like eating or stress), and any other symptoms (like pain, changes in bowel habits, etc.). This can help your doctor understand the pattern.
    2. Specialist Consultation: Depending on your symptoms, you may need to see:
      • A neurologist for evaluation of the twitching and any potential neurological causes.
      • A gastroenterologist if the gastrointestinal symptoms are prominent or concerning.
    3. Diagnostic Tests: Your doctor may recommend tests such as:
      • Blood tests to check for electrolyte levels, vitamin deficiencies, and thyroid function.
      • Imaging studies (like an MRI or CT scan) if there are neurological concerns.
      • Electromyography (EMG) to assess muscle and nerve function if neurological issues are suspected.

    Practical Advice

    1. Lifestyle Modifications: Ensure you are well-hydrated, maintain a balanced diet rich in vitamins and minerals, and consider reducing caffeine intake. Regular physical activity and stress management techniques (like mindfulness or yoga) can also be beneficial.
    2. Monitor Symptoms: Pay attention to any changes in your symptoms, especially if they worsen or if new symptoms develop (like weakness, significant pain, or changes in bowel habits).

    Conclusion

    While muscle twitching can often be benign, the increase in frequency and the specific sensations you describe warrant further investigation. Consulting with a healthcare professional will provide clarity and appropriate management. Remember, early intervention can often lead to better outcomes, so don’t hesitate to seek help.

    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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Anonymous
Anonymous
Asked: July 9, 2024

I’m sorry to bother you. Currently freaking out because I had an HIV exposure April 28… I had several test done. HIV 1&2 4th Generation blood test( 33 days after exposure) Negative. HIV 4th Generation rapid test (35 days after ...

  1. Dr Leong Hoe Nam (Rophi Clinic)
    Dr Leong Hoe Nam (Rophi Clinic)

    Short answer is no. You do not have HIV. The fourth generation HIV testing is extremely accurate and sensitive at 3 weeks after infection especially those done at the laboratory (not point of care). Rather the repeated testing suggest that you may have anxiety. You may wish to address that with a coRead more

    Short answer is no. You do not have HIV. The fourth generation HIV testing is extremely accurate and sensitive at 3 weeks after infection especially those done at the laboratory (not point of care).

    Rather the repeated testing suggest that you may have anxiety. You may wish to address that with a counsellor.

    Next. Sore throat, white tongue and swollen lymph node may be a viral infection or somatic manifestations of your anxiety. A consultation with your doctor would help you discern that better.

    Lastly.. avoid HIV exposure. Take precautions and be in a monogamous relationship. The stress of an unwanted sexually transmitted disease, especially a highly stigmatized disease like HIV, is unnecessary, and a nuisance.

    Dr Leong Hoe Nam
    Senior Consultant Infectious Diseases Physician
    Rophi Clinic Singapore
    Website: https://www.rophiclinic.com.sg/
    Facebook: https://www.facebook.com/rophiclinic
    YouTube: https://www.youtube.com/@RophiClinicYT
    Email: enquiry@rophiclinic.com.sg

    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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Anonymous
Anonymous
Asked: July 4, 2024

Hi, I’ve been having headaches every single day normally around three of them. They start of kind of sharp and go into a more pressure type of headache with random sharp pains. I’ve also been having a really hard time ...

  1. HELF AI
    HELF AI

    I'm sorry to hear that you're experiencing these troubling symptoms. It's important to take them seriously, as they could indicate a range of underlying issues that may require medical attention. Let's break down your symptoms and consider potential causes, as well as the importance of seeking furthRead more

    I’m sorry to hear that you’re experiencing these troubling symptoms. It’s important to take them seriously, as they could indicate a range of underlying issues that may require medical attention. Let’s break down your symptoms and consider potential causes, as well as the importance of seeking further evaluation.

    Symptoms Overview

    1. Headaches:
      You describe having daily headaches that start sharp and transition into a pressure-like sensation. This pattern could suggest a tension-type headache or a migraine, but the sharp pains and pressure could also indicate other issues, such as increased intracranial pressure or a neurological condition.
    2. Cognitive Difficulties:
      Difficulty focusing, reading, and spelling can be concerning, especially if these issues are new and represent a change from your previous abilities. This could be related to the headaches, or it might indicate cognitive impairment due to other factors.
    3. Weakness and Coordination Issues:
      The sudden weakness in your right leg and difficulty walking, along with stumbling and tripping, could suggest neurological involvement. This might be due to a number of conditions, including but not limited to multiple sclerosis, a transient ischemic attack (TIA), or other neurological disorders.
    4. Visual Disturbances:
      The perception of seeing everything covered in dots, which can be described as visual snow or floaters, may indicate a visual processing issue or could be related to migraines.
    5. Memory Problems:
      Difficulty recalling symptoms and having poor memory can be associated with cognitive dysfunction, which might be linked to the headaches or other neurological issues.
    6. Fatigue and Breathing Issues:
      Extreme tiredness and trouble breathing are significant symptoms that should be evaluated, especially if they are worsening.

    Potential Causes

    Given the combination of your symptoms, several potential causes could be considered:

    • Migraine or Tension-Type Headaches: These can cause cognitive symptoms and visual disturbances.
    • Neurological Disorders: Conditions such as multiple sclerosis, transient ischemic attacks, or even more serious conditions like brain tumors or strokes could present with your symptoms.
    • Cervical Spine Issues: Problems in the neck can lead to headaches, weakness, and coordination issues.
    • Metabolic or Endocrine Disorders: Conditions such as thyroid dysfunction or diabetes can cause fatigue, cognitive issues, and weakness.
    • Anxiety or Depression: These can manifest with cognitive difficulties, fatigue, and physical symptoms like headaches.

    Recommendations

    1. Seek Immediate Medical Attention: Given the severity and combination of your symptoms—especially the weakness in your leg, cognitive difficulties, and visual disturbances—it is crucial to seek medical evaluation as soon as possible. These symptoms could indicate a serious condition that requires prompt intervention.
    2. Document Your Symptoms: Keep a detailed record of your symptoms, including when they occur, their duration, and any triggers you notice. This information will be helpful for your healthcare provider.
    3. Communicate with Your Doctor: When you see your doctor for your breathing issues, make sure to discuss all of your symptoms, even if they seem unrelated. It’s important for your doctor to have a complete picture of your health.
    4. Consider a Neurological Evaluation: Depending on your doctor’s assessment, they may refer you to a neurologist for further evaluation, including imaging studies (like an MRI or CT scan) and possibly other tests to assess your cognitive function and neurological health.
    5. Avoid Self-Diagnosis: While it’s natural to look for explanations for your symptoms, it’s important to avoid self-diagnosing. Only a healthcare professional can provide an accurate diagnosis and appropriate treatment plan.

    Conclusion

    Your symptoms are concerning and warrant immediate medical evaluation. Please prioritize seeing a healthcare provider who can assess your condition comprehensively. Early diagnosis and treatment can significantly improve outcomes for many neurological and other health conditions.

    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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Amber Lam
Amber Lam
Asked: July 1, 2024

My dad just had a gallbladder surgery and he’s recuperating fine. Just wondering if there is anything specific I should be looking out for him or supporting him in recovery. Heard he can’t eat oily food? Can he still ...

  1. HELF AI
    HELF AI

    I'm glad to hear your dad's surgery went well. Here are some general guidelines for post-gallbladder surgery recovery: Dietary Adjustments: Avoid fatty and oily foods: Since the gallbladder helps digest fats, without it, the liver will still produce bile, but in smaller, continuous amounts. To helpRead more

    I’m glad to hear your dad’s surgery went well. Here are some general guidelines for post-gallbladder surgery recovery:

    1. Dietary Adjustments:
      • Avoid fatty and oily foods: Since the gallbladder helps digest fats, without it, the liver will still produce bile, but in smaller, continuous amounts. To help with digestion, it’s best to avoid greasy, fried, and high-fat foods for a while. Gradually reintroduce fats to see how his body tolerates them.
      • Small, frequent meals: This can be easier on the digestive system than large meals.
      • Fiber-rich foods: Help prevent constipation, but increase fiber intake gradually to avoid bloating.
      • Alcohol: It’s best to avoid alcohol in the early recovery period. Later, moderate consumption may be allowed, but it’s important to consult with the surgeon or doctor about when it’s safe.
    2. Monitoring for Complications:
      • Digestive issues: It’s common to have some digestive changes, like diarrhea, after the surgery, but these usually improve over time.
      • Infection signs: Watch for signs of infection like fever, increased pain, redness, or swelling at the incision site.
      • Bowel movements: Ensure normal bowel function returns. Severe constipation or diarrhea should be reported to the doctor.
    3. Activity Levels:
      • Rest: Encourage him to rest and gradually resume normal activities.
      • Avoid heavy lifting: For at least a few weeks, he should avoid lifting anything heavy or doing strenuous activities.
    4. Follow-up Appointments: Make sure he attends all scheduled follow-ups with his surgeon.

    It’s great that he’s recuperating well. Encourage him to follow his doctor’s specific advice, as they can provide the most personalized guidance for his recovery.

    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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Becky Chai
Becky Chai
Asked: June 27, 2024

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. HELF AI
    HELF AI

    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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Anonymous
Anonymous
Asked: June 24, 2024
Bacne product recco

My husband has been getting some acne on his back. We’re not quite sure what’s the trigger but maybe because the weather has been hot recently. I help to put some benzoyl peroxide cream but I hate that it ...

  1. HELF AI
    HELF AI

    For back acne (bacne), an acne body wash could be a good solution, especially if it contains ingredients that target acne effectively. Here are some options and general tips: 1. Acne-Fighting Body Washes: Salicylic Acid Body Wash: Salicylic acid is a great option for mild to moderate acne. It helpsRead more

    For back acne (bacne), an acne body wash could be a good solution, especially if it contains ingredients that target acne effectively. Here are some options and general tips:

    1. Acne-Fighting Body Washes:

    • Salicylic Acid Body Wash: Salicylic acid is a great option for mild to moderate acne. It helps exfoliate the skin and clear out pores, reducing breakouts. Popular options include Neutrogena Body Clear Body Wash and CeraVe SA Body Wash. These are generally more affordable and effective.
    • Glycolic Acid Body Wash: Glycolic acid can help exfoliate the skin and fade hyperpigmentation. Look for products like Mario Badescu AHA Botanical Body Soap or Glytone Exfoliating Body Wash.
    • Tea Tree Oil Body Wash: Tea tree oil is a natural antiseptic with antibacterial properties. Products like The Body Shop Tea Tree Body Wash might help with breakouts.

    2. Benzoyl Peroxide Alternatives:

    • If you want to avoid the bleaching effects of benzoyl peroxide, adapalene gel (Differin) is a good topical alternative that doesn’t bleach fabrics. It helps with acne and hyperpigmentation, though it can take a few weeks to see results.

    3. Additional Tips:

    • Exfoliation: Regular exfoliation (once or twice a week) with a gentle scrub can help prevent clogged pores. Be cautious not to overdo it, as it can irritate the skin.
    • Moisturizing: Look for non-comedogenic moisturizers that won’t clog pores. Keeping the skin hydrated can aid in healing and reduce hyperpigmentation.

    4. Hyperpigmentation:

    • Niacinamide: This ingredient can help with inflammation and reduce the appearance of dark spots.
    • Azelaic Acid: It’s effective for both acne and fading hyperpigmentation.

    Before purchasing a more expensive product like the Medicube body wash, it might be worth trying more affordable options like the salicylic acid body washes. If his skin doesn’t respond, you could consult a dermatologist for more targeted treatment.

    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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