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Medical Channel Asia Latest Questions

A sudden change in weather from hot to cold, due to rain, i got joint pain started. mostly at knee and elbow.  what is the reason and case.

  1. Hi Jibran! When the weather changes, especially from warm to cold, some people may experience joint pain. A drop in barometric pressure often accompanies weather changes and can lead to joint swelling, which increases pressure in the joints and causes pain. Additionally, cold weather can make muscleRead more

    Hi Jibran! When the weather changes, especially from warm to cold, some people may experience joint pain.

    A drop in barometric pressure often accompanies weather changes and can lead to joint swelling, which increases pressure in the joints and causes pain. Additionally, cold weather can make muscles and ligaments stiffer, leading to discomfort, particularly in areas of past injury.

    Temperature changes can also affect the synovial fluid in your joints, which acts as a lubricant. When it cools, this fluid may become thicker, resulting in increased friction and pain during movement.

    For individuals with underlying conditions like arthritis, weather changes can exacerbate symptoms. If you have a history of joint issues, the fluctuation in temperature may trigger pain in those areas.

    If your pain persists or worsens, be sure to consult with a doctor for an evaluation and advice for management. In the meantime, keep warm, stay active, and use over-the-counter pain medication as needed to help manage your symptoms.

    Dr Sean Leo
    Orthopaedic Knee Surgeon
    Orthokinetics Singapore

    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

Asslam o alaikum! I am having various symptoms on my right side of the body. The symptoms includes tinnitus, sudden pin and needles in toes, weakness, and restricted jaw opening. These all symptoms are in my right ...

  1. Wa alaikum assalam, I understand your concern, especially when dealing with symptoms that seem unusual or localized to one side of the body. It’s important to address these concerns with the right information and guidance. Understanding Your Symptoms The symptoms you're describing—tinnitus (ringingRead more

    Wa alaikum assalam,

    I understand your concern, especially when dealing with symptoms that seem unusual or localized to one side of the body. It’s important to address these concerns with the right information and guidance.

    Understanding Your Symptoms

    The symptoms you’re describing—tinnitus (ringing in the ear), pins and needles in the toes, weakness, restricted jaw opening, and mild headaches—are indeed concerning, especially since they are all on the right side of your body. These symptoms can be associated with various conditions, not just brain tumors. However, given your concern, let’s explore what could be happening:

    1. Brain Tumor Concerns
      • Focal Neurological Symptoms: A brain tumor can sometimes cause symptoms that are localized to one side of the body, such as weakness, sensory changes, or issues with coordination.
      • Headache and Other Symptoms: Persistent headaches, particularly if they are new, severe, or accompanied by other symptoms like visual changes, nausea, or confusion, can be a sign of something serious. However, your headaches are light, which might not be typical of the severe headaches often associated with brain tumors.
    2. Alternative Causes
      • Nerve Issues: Conditions like cervical radiculopathy (pinched nerve in the neck) could explain the pain in your neck, weakness, and pins and needles in your toes.
      • Temporomandibular Joint (TMJ) Disorder: Restricted jaw movement and neck pain could be related to TMJ issues, which sometimes affect nerves and muscles on one side of the face.
      • Ear Issues: Tinnitus can be related to ear problems, which could also be connected to your jaw or nerves in that area.
      • Circulatory Issues: Poor blood circulation or issues with blood vessels (e.g., transient ischemic attacks) can also cause localized symptoms on one side of the body.

    Steps to Take

    Given the combination of symptoms and your concerns, it’s important to take the following steps:

    1. See a Doctor Promptly
      • Neurological Examination: A doctor, particularly a neurologist, can perform a detailed neurological exam to assess your symptoms and identify any potential causes.
      • Imaging Studies: Depending on the exam, your doctor may recommend imaging tests like an MRI or CT scan to rule out or confirm the presence of a brain tumor or other neurological issues.
      • Referral to Specialists: If needed, you might be referred to an ear, nose, and throat (ENT) specialist for the tinnitus or a dentist specializing in TMJ disorders for the jaw issues.
    2. Monitor Your Symptoms
      • Document Any Changes: Keep track of any new symptoms or changes in existing ones, including severity, duration, and any triggers. This information can be valuable for your healthcare provider.
    3. Stay Calm and Seek Professional Advice
      • Avoid Self-Diagnosis: While it’s natural to be worried, self-diagnosis can lead to unnecessary anxiety. The symptoms you’re experiencing could have multiple causes, many of which are not as serious as a brain tumor.

    Conclusion

    Your symptoms are definitely worth investigating, but it’s important to approach this with a calm and rational mindset. The best course of action is to consult with a healthcare provider who can assess your condition and guide you through the appropriate tests and treatment if necessary.

    Inshallah, with the right medical advice, you’ll get to the bottom of what’s causing these symptoms and find the appropriate 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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Anonymous
Anonymous

I just believe I have Peyronie’s disease as a guy and would like to figure out how to cure it

  1. If you believe you might have Peyronie's disease, here's what you can do to move forward: 1. Consult a Healthcare Provider Specialist Visit: Make an appointment with a urologist. This specialist can diagnose Peyronie’s disease by assessing the curvature, firmness, or pain in the penis during erectioRead more

    If you believe you might have Peyronie’s disease, here’s what you can do to move forward:

    1. Consult a Healthcare Provider

    • Specialist Visit: Make an appointment with a urologist. This specialist can diagnose Peyronie’s disease by assessing the curvature, firmness, or pain in the penis during erections.
    • Physical Exam and Imaging: The doctor may conduct a physical exam or use imaging techniques like ultrasound to evaluate the extent of the scar tissue and curvature.

    2. Understand Your Treatment Options

    • Observation: For mild cases, doctors sometimes recommend monitoring the condition for a few months to see if it stabilizes or improves.
    • Medication:
      • Oral Medications: Some oral treatments may help in reducing the plaque formation, though their effectiveness can vary.
      • Injections: Medications like collagenase (Xiaflex) can be injected into the scar tissue to help break it down and reduce curvature.
    • Shockwave Therapy: This non-invasive treatment uses sound waves to potentially reduce pain and plaque size, though more research is needed on its effectiveness.
    • Surgical Options:
      • Plication Surgery: Shortening the side of the penis opposite the curve.
      • Grafting: Removing or incising the plaque and using a graft to straighten the penis.
      • Penile Implants: These are often considered when Peyronie’s disease is associated with severe erectile dysfunction.

    3. Explore Lifestyle Changes

    • Healthy Living: Maintain a healthy lifestyle, including quitting smoking, eating a balanced diet, and managing stress, as these can improve your overall health and potentially impact the disease progression.

    4. Seek Psychological Support

    • Peyronie’s disease can be emotionally challenging, affecting self-esteem and relationships. Consider counseling or support groups if you feel stressed or anxious about your condition.

    5. Follow Up Regularly

    • Monitoring: Keep regular follow-up appointments to monitor the progression of the condition and adjust treatment as needed.

    If you haven’t already, the most important step is to get a professional diagnosis so that you can receive the most effective treatment for your situation.

    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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Aryank
Aryank

What do swollen lymph nodes feel like, are they noticeable and tender and painful to touch? I have noticed some small bumps on neck but they feel more like spot bumps and aren’t painful or sensitive.

  1. This answer was edited.

    Swollen lymph nodes, also known as lymphadenopathy, can vary in size, texture, and tenderness depending on the underlying cause. Here’s a detailed overview of what swollen lymph nodes feel like and what you might consider doing: Characteristics of Swollen Lymph Nodes Size and Shape: Swollen lymph noRead more

    Swollen lymph nodes, also known as lymphadenopathy, can vary in size, texture, and tenderness depending on the underlying cause. Here’s a detailed overview of what swollen lymph nodes feel like and what you might consider doing:
    Characteristics of Swollen Lymph Nodes

    1. Size and Shape: Swollen lymph nodes can range from small (a few millimeters) to large (several centimeters). They may feel like firm, round, or oval lumps under the skin. In some cases, they can be described as “rubbery” or “hard.”
    2. Location: Common areas for swollen lymph nodes include the neck, armpits, and groin. In your case, since you mentioned noticing bumps on your neck, these could potentially be lymph nodes.
    3. Tenderness and Pain: Swollen lymph nodes can be tender or painful to touch, especially if they are inflamed due to an infection. However, not all swollen lymph nodes are painful. If the bumps you feel are not tender or sensitive, they may not be inflamed, which could suggest a different underlying issue.
    4. Associated Symptoms: Swollen lymph nodes are often accompanied by other symptoms, depending on the cause. For example, if they are swollen due to an infection, you might experience fever, fatigue, or localized symptoms like a sore throat or cough. If there are no other symptoms, it may be less concerning.

    What You Can Do

    1. Monitor the Bumps: Keep an eye on the bumps. Note any changes in size, tenderness, or the appearance of new symptoms. If they remain stable and are not associated with other concerning symptoms, they may not require immediate action.
    2. Consult a Healthcare Professional: It is advisable to see a doctor if:
      • The bumps persist for more than a couple of weeks.
      • They increase in size or number.
      • You develop additional symptoms such as fever, night sweats, unexplained weight loss, or fatigue.
      • You have any concerns about the nature of the bumps.
    3. Medical Evaluation: During your visit, the doctor will likely perform a physical examination and may ask about your medical history and any associated symptoms. Depending on their findings, they might recommend tests such as blood tests, imaging studies (like ultrasound), or a biopsy to determine the cause of the swollen lymph nodes.
    4. Self-Care: While waiting for your appointment, you can manage any discomfort with over-the-counter pain relievers, such as acetaminophen or ibuprofen, if needed. Staying hydrated and maintaining a healthy diet can also support your immune system.

    Conclusion
    Swollen lymph nodes can be a normal response to infection or inflammation, but they can also indicate more serious conditions. Since you mentioned that the bumps are not painful or sensitive, they may not be a cause for immediate concern, but it is always best to consult a healthcare professional for a thorough evaluation to rule out any underlying issues.

    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

Hi I was exposed to blood of a patient with HIV who wasn’t taking medication at hospital via needlestick injury. Day 14 post exposure I developed a fever and sore throat which hasn’t gone away it is day 18 now. ...

  1. Unfortunately you need a formal assessment. It may be nothing or a throat infection. It is unusual for HIV seroconversion to occur at 2 weeks, and we never say never. Remember too that the 4th generation testing is better from day 21 onwards. You could have a false negative at your current day 14. FRead more

    Unfortunately you need a formal assessment.

    It may be nothing or a throat infection.

    It is unusual for HIV seroconversion to occur at 2 weeks, and we never say never.

    Remember too that the 4th generation testing is better from day 21 onwards. You could have a false negative at your current day 14. For diagnosis at day 14, you may have to do a HIV proviral testing. This test is different from the regular HIV viral load PCR testing and maybe hard to find in your home country.

    Let us know how you come along. We are here to support you.

    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

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. 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

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. 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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Anonymous
Anonymous

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. 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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36 year old male here, im thin with no known underlying medical conditions. 2 days ago, I felt pain in my right calf. It feels aching and heavy, and deeper inside than a usual muscle ache. Only ache and no swelling ...

  1. Deep vein thrombosis (DVT) occurs when a blood clot forms in one of the deep veins of your body, such as those in your legs or arms. Left untreated, the clot could dislodge and travel to your lungs, causing a pulmonary embolism - a serious and potentially life-threatening condition. Some key warningRead more

    Deep vein thrombosis (DVT) occurs when a blood clot forms in one of the deep veins of your body, such as those in your legs or arms. Left untreated, the clot could dislodge and travel to your lungs, causing a pulmonary embolism – a serious and potentially life-threatening condition.

    Some key warning signs of DVT include aching pain, swelling, tenderness in tue calf. Pain with walking or movement of the affected area is also common. However, the absence of some characteristic symptoms does not rule out DVT, as some patients may only report mild ache or heaviness in the leg. At the same time, while most leg pains are not due to DVT, it is important to get any concerning symptoms properly evaluated expediently, especially if they persist for days and does not improve in severity. The easiest thing is to put it down to a muscle strain. Risk factors for developing a DVT in the leg include trauma, dehydration, immobility, recent air travel especially long haul and a family history of clotting problems.

    I would not recommend taking aspirin on your own without seeing a vascular specialist first, as that could potentially worsen bleeding risks especially if you have pre-existing conditions such as a stomach ulcer. The best thing to do is schedule an appointment with a vascular surgeon to have your leg examined. We can perform a tailored physical exam and history taking to assess the likelihood of a DVT, and initiate further tests like a Duplex ultrasound scan and blood test marker to diagnose or rule out a DVT. Early detection and treatment are important for preventing longer term complications such as post thrombotic syndrome where the leg can feel particularly heavy when standing or walking for a long time and is associated with skin problems such as ulceration. The earlier you diagnose a DVT, the quicker you can be started on blood thinners and the more likely you can make a full recovery by dissolving all the clot. You can expect an ultrasound scan to be performed on the same day you are seen and and you will be informed whether you have a DVT or not.

    Do make an appointment promptly for an evaluation. If your symptoms significantly worsen or you experience difficulty breathing, chest pain or palpitations, you should seek immediate medical attention. Let me know if you have any other questions.

    Dr Tang Tjun Yip
    Senior Vascular and General Surgeon
    The Vascular & Endovascular Clinic
    https://vascularclinic.sg/
    https://www.facebook.com/theveclinic/
    https://www.instagram.com/theveclinic/

    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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Sorry i think its v embarassing to ask this. I am male, 35yo, n I fluctuate between 98-115kg depending on the time of the year. I am 175cm tall. yes I know I am fat. I have been trying over the ...

  1. This answer was edited.

    Hi Lucian, thank you for your open sharing about your struggles with weight loss. I can certainly empathise with the challenges you've faced, as many of my patients have experienced similarly. As a gastroenterologist, I have experience with various weight loss interventions, including the use of gasRead more

    Hi Lucian, thank you for your open sharing about your struggles with weight loss. I can certainly empathise with the challenges you’ve faced, as many of my patients have experienced similarly.

    As a gastroenterologist, I have experience with various weight loss interventions, including the use of gastric balloons like you asked. The gastric balloon is a deflated silicone balloon that is inserted into the stomach by swallowing grape size ball and then inflated inside the stomach. This takes up space in the stomach, which can help reduce appetite and promote feelings of fullness. In my practice, this balloon does not require surgery or endoscopy for insertion. After 4 months, the balloon will self-deflate and passes out naturally through the body.

    The gastric balloon can be an effective option for many patients who have had difficulties achieving their weight loss goals through lifestyle changes alone. Patients who undergo the gastric balloon procedure lose on average 10-15% of their total body weight over the 16 week period the balloon is in place. If needed, after thorough assessment by doctors, this balloon can be combined with other weight loss therapy such as medication for enhanced weight loss outcomes.

    The best weight management approach is highly personalised and depends on a variety of factors like your individual goals, overall health, lifestyle, personal preferences, and risk factors for obesity. There are a range of effective treatments available, and many people find success using a combination of different interventions over time.

    I would encourage you to have an open discussion with your doctors to review your full health history, understand your specific needs and objectives, and then recommend the right combination of interventions to help you achieve safe, sustainable weight loss. Feel free to reach out to me if you would like to learn more.

    Dr John Hsiang
    Gastroenterologist and Hepatologist
    https://richmondgastro.com.sg/
    FB – Richmond Gastroenterology Centre
    https://www.facebook.com/profile.php?id=61552438412862&mibextid=ZbWKwL
    https://www.tiktok.com/@gastrodoc_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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