Salam

Doktor saya ingin bertanya adakah pengambilan Glucosamine adalah
dibolehkan bagi wanita berusia 28 tahun iaitu menghampiri usia 30-an.
ini memandangkan ada sesetengah artikel yang saya baca menyatakan
Glucosamine hanya diambil oleh wanita yang telah menopous dan ada pula
menyatakan Glucosamine bagus sebagai supplemen bagi membantu kelancaran
pegerakkan sendi.

regars,
lysa

Salaam lysa,

Glucosamine sebagai supplement hanya perlu diambil oleh orang yang sudah separuh
umur 40an ke atas untuk mengelakkan penyakit sendi(osteoarthritis).
Glucosamine yang semulajadi masih banyak bagi orang yang lebih muda.

dr hamid

Hi I am a pre-nursing student starting my Bachelor of Nursing in Feb
08 here in New Zealand.
The reason I am messaging you is for some advice, and if you cant
help me then I hope you will know someone that can.
My father-in-law had a stroke just 4 days ago. He has right side
paralysis, is trying to talk but isnt very responsive. He is in
Mumbai India and I can not be with him but my partner is with him. I
need to know what questions to ask the doctor and what my partner can
be doing to help, eg talking to him, touching him etc. We are afraid
he isnt getting the correct care but dont know what to look for or
what to ask. He had an MRI just today and the doctor said swelling is
there .. bleeding has stopped ... and there is blockage in the
arteries... they may need to operate but will observe him for a week.
They are suggesting they may do an tracheostomy if he is there longer
than 10 days, he is still on ventilator but I am not sure how sedated
he is. How long should he be on ventilator, should the swelling
reduce at what rate? I know these are in a way, unanswerable but any
advice? He can raise his arm when asked but keeps his eyes closed and
remains pretty much non responsive most of th time. Please help in
any advice or anything. My partner is freaking out and although I
have done a lot of reading online I still would like some one on one
advice.
Thanks.
Putali

Dear Putali,

It sounds like your father is suffering from a severe stroke.An elderly patient
suffering from stroke has so many factors to consider in their management.A good
communication with the attending physician is very important.Tracheostomy is
needed for easy management of his airway.

Dr Hamid

Hi Dr Hamid,
I haven't been to any doctor in years, my health has been really bad
though I just kept trying wishing it would fix on its own, its not
going so well though.  I've had really bad problems for a really long
time now with digestion and elimination.  In last few years or so I've
had alot of ballooning I get really full of toxic like gases and can't
eliminate them, its really unpleasant and effects other parts of me also.

Often my ears block up and also sometimes I get headaches really bad
like an intense squeezing pressure, it really makes me feel awful
sometimes I wanna scream, I don't though cause that would be too
embarassing, lol!!

I have alot of bad cramps in stomach and it feels like things really
wanna just all give it keeps holding on though and makes me feel
really sick.  I get funny buzzing like feelings in my tongue and a
cotton like feeling in my throat and often feel really "spacy" it
makes me feel so sick and lately especially when I get too filled up
with gas pressure it makes me vomit alot too, like I mean I feel my
stomach trying it won't though then I start almost suffocating then
vomit often its more just dry though yet I can't stop it feels really
bad and I only get relief if I can expel some of the gastric pressure.

I'm also having trouble with mucus in digestive system often if I'm
blocked and do enemas instead of actual normal matters coming out, I
get like all kinds of white gucky mucus out only if I keep doing more
sometimes I finally get other wastes out almost like the mucus is
there gluing it all in there somehow.

its really uncomfortable and really making things hard for me, I'm
also having trouble with a really bad cough and loosing my voice, see
I used to sing as a passion hobby, like write songs, sing them, go to
karaokee contests win money, sing with band in bar, now I can't say
whole sentence or sing a note without almost dying from caughing all
kinds of gross stuff up.  My voice is really fading not much left of it :(

Unfortunately in June I started smoking again after ten years as a non
smoker I'm really trying to quit its really hard though.

I really need some advice, please help me, I'm in really bad shape.

Thanks so much for providing this, I'm really glad I found this, I'm
so scared to go get looked at I need some help though, thanks so much
for your time, thanks :)

Dear Member,

It sounds like you might be suffering from Irritable Bowel Syndrome.I suggest
you consult your Gastroenterologist to do Upper and Lower Gastrointestinal
Endoscopy to rule out any physical problems before starting you on a trial of
medications.

Dr Hamid

Hey Doctor..I know some members may have already posted numerous
questions and topics about this..but i need to know for myself and
seek some advice b4 i drive myself insane so here goes.
    For the past month or so...I've been having really bad abomdinal
pain even though on both sides, more on the upper and lower right
side of the stomach/abdomen.
   I have had a abdominal Cat-Scan, and a Colonoscopy with Biopsy done
recently and all they told me is that I have irritable bowel syndrom
with constipation and he put me on a muscle relaxer pill to help it..
   Its been helping with the muscles and constipation and
flatuance..but what it is not helping is the bad pain I get at times
and constantly mostly on the lower right side of the abdomen.
    I have had my mom call and ask what it may be, if it may have been
something with appendicitis and all they told her was that a
colonsocopy was used to find out about that as well as what i have
now.
   I have a good time trusting doctors and specialists (well my
gasternerologist), but I am so scared and confused...I trust him, I
just am going nuts driving myself insane..what would u reccommend?
   I have a strogn appetiite, no fever, and am rarely-never nauseous
and never vomiting.

Thank you for your time
Maryann

Dear Maryann,

I suggest you consult a General/Gastrointestinal Surgeon and he may consider
doing A Diagnostic Laparoscopy which can identify a "rumbling" Acute
Appendicitis.He can also proceed to do Lapaorscopic Appendectomy if such a
condition is discovered.

Dr Hamid

Salam
Doktor...saya ingin bertanya...2hari lepas selepas bangun tidur saya
mengalami masalah sakit dilutut terutama ketika ingin membengkokkan
kaki. tetapi masalah sakit ini semakin berkurangan keesokkannya tetapi
apabila saya membengkokkan kaki terutama ketika waktu rukuk di dalam
solat , bunyi seakan-akan meletup.kenapakah lutut saya mengeluarkan
bunyi tersebut. dan saya pun tidaklah berjumpa/merujuk mana-mana doktor
memandangkan sakitnya pun telah hilang. adakah bunyi itu memudaratkan.

sekian terima kasih. harap dapat membantu.

Salaam Member,

Lutut ataupun mana2 sendi akan mengeluarkan bunyi letup apabila ada struktur di
dalamnya yang tidak normal.Anda harus berjumpa dengan Pakar Orthopaedic untuk
dibuat pemeriksaan fizikal dan mungkin juga Arthroscopy untuk mengetahui punca
penyakit.

Dr hamid

Today I experienced ssudden spasms mostly in my legs similar to
chills. I didnt feel cold and I dont feel feverish. Since theyve
passed I feel week in my legs and a little week in my arms.. Other
than that I feel OK. Is this common?

Dear Member,

Feeling spasm and weakness in both arms and legs are not common and they are not
normal.You should always suspect something abdnormal.You should consult a
physician who should examine your limbs locally and also perhaps do some tests
to screen for other systemic problems.

dr hamid

Dear Dr,

I had a myomectomy 6 weeks ago to remove a fibroid of 2.5 cm in
diameter. I saw my gynecologist today and she wants to do an
insemination next week. I am a bit worried as all the websites I read
state that you must wait 4 - 6 months. I mentioned this to the gyne and
she said that I am fully healed after 6 weeks. Please let me know what
your opinion is and whether I should go ahead or wait until January.
(She also burnt "blisters" off of my ovaries (she didn't call it cysts
so I don't know if it was cysts (I'm from South Africa so the closest
word to my home language which she used, will be blisters or sacks).
Will they come back if I wait until January? Your advice will be
appreciated.

Dear Member,

You should get a second opinion from a different Gynaecologist.

Dr hamid

dear dr. hamid i have been having pain in my lower abdomen after i eat
anything. and it seems as if the pain radiates from one place to the
next. i recently had gallbladder surgery and the pain in that area is
gone. i have lost 60 lbs since march of this year without really
trying to could you give me any advice on what it is.

Dear Member,

having lower abd pain and weight loss would require a
surgeon/gastroeneterologist to rule out colonic problem by doing a colonoscopy.

dr hamid

the doctor in chennai miot is saying that i need to undergo a
treatment on correction of deformity and ankle fusion(surgery) . i
will tell my history i met with a seviour bus accident on nov 20th a
major one and doctor in my state had operated and placed a rod in my
leg by removing the plate but doctor in chennai r saying that this rod
should not be kept ankle fusion had been taken place so we had to
correct it by anlke fusion correction can u suggest me wt they r going
to do and how they had to da plz

Dear Member,

The Orthopaedic Surgeon will opt to fuse the ankle joint or any joint for that
matter if the injury has damaged the joint so badly and it is causing a lot of
pain and deformity.In this situation it is better not to have the joint than to
have one.By fusing the joint one will loose the joint but hopefully the symptoms
will also disappear.

Dr Hamid

Dear Dr Hamid

       Hello Dr Hamid. This is my first time see this website. Before
this i have read more about doctor article in the Utusan Malaysia
website. I already have gastric around 7 years, but not very serious.
Last few months, I few gastric around 1 week but not serious pain, just
little pain. So I have seen the doctor for check. The Dr has asked me
to endoscope, but I scared so just ask the doctor give me a medicine.
So the doctor advise me must take the food follow time and can't take
the stimulate food. I also can't simply take food because I¡¯m also a
vegetarian. After take the medicine I feel better. But this few day,
the pain like last time happen again. But this time I can't few which
part pain. Firstly I worry is appendiks, because I have pain around
that part. I try search more about this symptom. Problem, I don't have
the symptom because I not the serious pain. Actually may I know how we
know we get the disease of gastric ulcer and other? As I know, sometime
the disease we have won't give us any signal. May doctor give some
opinion?


yenying

Dear Yen Ying,

The main cause of Gastric Ulcer or Duodenal Ulcer is the bacteria called
Helicobacter pylori.Thats why if a person continues to suffer from tummy pain
especially in the upper part,one should get an endoscopy done.Endoscopy will be
able to detect the ulcer.detect the bacteria and exclude stomach cancer.It is
not painful to have an endoscopy.

If the pain becomes unusual especially is the location is in the right lower
part of the tummy,one should see a doctor quickly for physical examination to
exclude acute appendicitis.

dr hamid

I got pepyloma (bunch of tumors) while i was child at least 20 years
ago. There were 3 consequtive operations on my throat. Thereafter my
voice has been altered and never been normal. Our local doctor did a
video recording of my vocal cords and concluded with comments that my
left vocal cord is totally burnt as I was given heat after operation
of pepyloma in my childhood. In addition, my right vocal cord is
slighty bowing now. Under this circumstances, my voice sounds very
very rough and i feel very hard to speak. Primarily, doctor gave me
some sort of speech therapy but which doesn't help at all. Kindly
suggest me what can I do? I can send you my vocal video file, if you
want. Kindly answer directly to my mail at hossainy@....

Neaz Mahmud Hossainy
year: 25


Dear Mahmud,

I can't help you much but I hope you continue with your speech therapy and you
should also be under the care of either an ENT Surgeon or an Oral Surgeon.

dr hamid

I want to know is there a possibility of change in blood group from AB
negative to A positive in a pregnant woman in 8 months pregnancy
diagnosed with a stillborn.

Dear member,

Blood group is like a genetic identity.it will never change

dr hamid

I had a barium swallow or either an upper gi done Wednesday, 9a.m. at
hospital, 10/10/07.
Immediately afterwards, I got violently sick, throwing up and in
intense pain. Was rushed back to E.R. They gave3 shots, 2 next to
morphine the ER DOC. said for pain and a shot for vomiting and sent me
home.
Having a bowel movement even with drinking plenty of water was very
little. Still suffering, I drank prune juice, took 2 over the counter
suppositories last night. One at 6pm. and another around 11:30 p.m.
Bowels moved some..Felt bloated and hurting today, so gave myself an
over the counter enema around 8a.m. this morning..The pain has shifted
to right up under my chest, going upward. It eases and don't really
hurt until I try to drink something..Painful trying to drink water or
anything, eating is out of the question. I haven't eaten anything since
taking the enema..My bowels moved with the enema, not a much as I would
have liked, but did move and has moved a tiny bit since..
Can you tell me what you think is going on here?
I know I am going to have to at least drink something, but it hurts...

~Linda

Dear Linda,

It sounds like you are having a bowel obstruction?I hope you are already under
the care of a surgeon.If clinically proven bowel obstruction and no known cause
is determined, you may need an operation.If you had an operation on your tummy
before, the obstruction could be due to adhesions(scarring) from the previous
operation and the surgeon might choose to treat you with intravenous fluids and
keeping you fasted for 2-3 days to see whether the obstruction can be resolved
without any operation.Otherwise another operation might still be required to
solve the matter.

dr hamid

Hi, I have recently had an endoscopic craniotomy. The periosteum was
removed around the hole up to about 4cm around the hole. Why was so
much removed? Also, how long until the periosteum regrows and how does
it regrow? Does it regrow from the bone, the remaining periosteum or
from the skin? Thanks

Dear Member,

Periosteum is just a tissue lining the skull bone underneath the scalp.It will
easily grow from the adjacent intact periosteum to cover the defective area over
the hole in the skull bone.

dr hamid

assalamualaikum doktor,

saya ada masalah tentang buasir ...sebelum ini dubur saya ada isi
lebihan maksudnya is yang terjulur keluar dri dubur saya...ini kerana
saya kuat meneran dan memaksa semasa membuang air besar. Isi lebihan
itu sepanjang setengah inci dan tidak menyakitkan buat masa ini. Baru2
ini saya mendapat cirit birit dan isi bertambah sedikit...dan amat
merisaukan saya dan mengganggu hubungan suami isteri....buat
pengetahuan doktor juga, isi itu tidak boleh ditolak masuk kedalam
lagi.

Apakah rawatan yang terbaik buat sakit saya ini doktor? saya amat
berharap bantuan doktor.

Salaam Member,

Buasir begini adlah Buasir Peringkat ke 4 dan ianya perlu dibedah dengan seberapa segera untuk keselesaan puan dan juga untuk mengelakkan daripada komplikasi jangkitan kuman yang boleh jadi bahaya.

Dr Hamid

Please help, my ,mother in law has just been diagnosed with Diabetes
and has since been experiencing severe stomach and side pain (8 out of
10) Ten being labor. She went to local hospital and they did blood
work, urine and a ultrasound and found nothing. She has been living on
pain medication but barely touching it. She is noticably bloated and
has gas. She has had regular bowel movements and was given a stool
softner from hospital. The pain was in her legs earlier and also
recently had surgery on her foot to remove some cists. The healing
seemed slow, stiches have healed but still swollen and painfull as
well. This was done around Aug.15th/07. Her new diet has lowered here
blood sugar but this pain has us concerned. She explains the pain on
her left side wrapping around the front. The doctor at hospital here
did little for us in answering our questions. It has been over a week
and pain is the same if not worse, her complextion is grey at times in
color. Any ideas?

Dear Member,

With abdominal compliants like this which could be due to Peptic ulCer disease
or even colonic problem,I would advise her to under go an Upper and Lower
Gastrointestinal Endoscopies.

Dr Hamid

dr hamid i am fastind in the month of ramdan
and when i fast i have a very bad belly plz reply



                   your sinserly
                                faran cox

Dear Faran,

Severe tummy pain when fasting might indicate there is underlying disease like
Peptic Ulcer.I advise you not to fast untill you undergo Upper Gastrointestinal
Endoscopy by a Surgeon or GAstroenterologist.

Dr Hamid

Hi,

I need some answers before going to the doctor.  I have been dealing
with very painful hemoroids for 2 weeks now.  Very painful to sit,
walk, use the restroom.....  They are bleeding, are external, not sure
if any internally.  I have been using every over the counter
medication I can find but none have helped.  I also purchased some
essential oils online that were supposed to treat my problem and get
rid of them.  Needless to say, they did not help either.  I am in a
great deal of pain and need to know when i should just go to the
doctor and get it over with.  Also, what can i expect to happen at the
doctor's office when I go, if it comes to that.

Thank you for you time,

April

Dear April,

You definitely need to see a Doctor.In fact you need to see a Surgeon as soon as
possible for him to undertake Examination under anaesthesia and if the
haemorrhoids are large and prolapsing, excisions of those haemorrhoids need to
be done.

Dr Hamid

Wanna find out whether you are overweight or underweight? Or do you
want to find out your Body Mass Index? We have it all available for
you, and read a fitness tip daily to learn something new about your
health everyday
http://www.itsmyfunspot.com/health.asp

I just had a ct of a palpable nodule in my neck (5mm). it says it
likely corresponds to a (Cervical) lymph node. it says that there are
also numerous smaller lymph nodes that can be identified in the
posterior triangle bilaterally. It has not changed since i noticed it
10 months ago. the scan says that it's "suggestive of shotty cervical
adenopathy" I have not been recently ill. I do not have HIV. is it
possible this palpable node is nothing to worry about?

Dear Member,

I advise you to undergo some blood tests checking your blood parameters and also
consult an ENT Surgeon to examine your Throat region especially.Quite often
shorty multiple lymph nodes in the neck is due to mere recurrent infections in
the throat.

Dr Hamid

Dear Sir,
         Since last three years my bleeding problem has not recognised
yet. Bleeding comes out from my mouth,I have shown many doctors and
they have done many examination but they haven't found where is the
problem,Where as 3 yrs before I was severly suffered by Gastric problem.
Done endoscopy but doesnt shown any serious poblem.And also done
examination of tuberculosis etc but report shows ok,Now 3 days happened
severe bleeding is happeening and shown to doctor he gave some
examination of tuberculosis,but the report was ok.Please Help me.

Dear Member,

Bleeding from the mouth can be arising from any structure from mouth to throat
and you need ENT examination by an ENT Surgeon and perhaps also an Oral
Surgeon.You will also need a blood test to look for a systemic cause of the
bleeding.

Dr Hamid

Recently, i have had a hard time going #2. This has been going on for 2
days. Today, when I tried to go to the bathroom I noticed blood in the
toilet and on the toilet paper. It wasn't very dark, but it was enough
to notice. It almost looked like the light colour of blood at the
beginning of a woman's period. I have no abnormal pain in my stomach or
when I wipe, I just have the annoying feeling of needing to go #2.
Please help.....what can it be??

Dear member,

Blood in the stool is usually caused by one of the 2 conditions;either
Piles/Haemorrhoids or Bowel Cancer.The only way to know which one is by
undergoing a Colonoscopy.Therefore don't wait,consult your Surgeon now for this
test.

Dr Hamid

Hi Im a 24 year old male - This is a very embaressing issue for me and
i dare not go to my local GP for fear of ridicule- he isnt the most
understanding of doctors unfortunately but last year i found a small
lump growing on one of my testicles and through the course of the year
it has grown bigger and is now a small cherry size - the lump appears
to be quite milky inside and causes me no pain or discomfort at all
but i am unsure as to what to do - can you offer any advice at all
PLEASE any feedback would be fantastic

Dear Member,

Any lump arising from or near the testicle needs specialist evaluation and also
ultrasound.I advise you to consult a Surgeon or a Urologist for further check up
and most probably an operation to remove the lump.The most feared testicle lump
is Testicular Cancer.So don't wait.

Dr Hamid

Dear Sir

My brother, 30 yr old, is about to go for cleft lip surgery, ut we are
not sure of outcomes. He is having no bifurcation of lip, onle a mark
coming from nose to lip in the area where it is about to bifurcate.

Consulting doctor said, he is sure of 90% correction. But things which
i wanted to know that , if the mark would be visible even after
surgery, and do any one would be able to recognise by seeing at his
face that a surgery has been performed after the wounds heal.

sincerely yours

rajesh.

Dear Rajesh,

If the operation is performed well, the scar that forms will not disfigure him
beyond recognition.

Whenever surgery is done, there is always a scar left behind but the Plastic
Surgeon has numerous techniques to hide the scar from obvious visibility.

Dr Hamid

hi i want to know about curing typhoid fever how much time is required
for curing this disease and is cefixime or other antibiotics are
effective ?

Dear member,

I f someone has Typhoid Fever, he has to be under the care of an Internal
Physician.Usually patient will be treated with Ceftrioxine over 1-2 wks.

Dr Hamid

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