Topic: Do u have any medical question you are afraid or embarrassed to ask your doctor? (Read 226 times)

Ur right Aveatrex im sorry.

Well to talk about Social Anxiety disorder and his medication is important to know the symptoms ur having.
Usually we dont use Xanax for Social Anxiety is well know the first line treatment are Sertraline and paroxetine. They have the best outcomes in clinical trials.
https://www.ncbi.nlm.nih.gov/pubmed?term=15699296

But Remember Psycotherapy it the most important treatment with better results in time.

This is a very important TOOL i recommend u its called  Liebowitz Social Anxiety Scale [LSAS]
https://nationalsocialanxietycenter.com/liebowitz-sa-scale/
Pliz do the test and send me the result DM
ANd your whole medication. BEcause not every patient get better with only 1 medication. And if you tell me the whole story DM would be perfect.

And secondly
The nootropics
I will share with u this article talks very important stuff we all should know about Nootropics there are not magic pills specially in healthy patients. They are not goin to make u get better grades. Are like Pre work out and as u know pre work out can hurt u more than the benefit that they are goin to get u

https://digitalrepository.trincoll.edu/cgi/viewcontent.cgi?article=1060&context=fypapers

Hello doctor, it seems you forgot about my question.I know it's holidays time,sorry for disturbing 

Well let me tell you something  about these topic is very interesting
in the last 20 years theres have been a raise in Erectyle disfunction among young people the incidence is almost 20 % so... there are  a lot of young people around us with this problem..

Erectyle disfunction is not only to get your penis hard.. its having problems to get it hard enough and for enough time to be able to perform the whole sexual intercourse

we can use this calculator to measure our erectile function.

https://qxmd.com/calculate/calculator_377/international-index-of-erectile-function-iief-5

There are some theories  and some of the talks about the abuse of porn. That make us more hard to please
but everyone should be checked  almost 85% of causes are reversible.

it would be nice if he DM me and talk more about this
But let him know 1 of 5 guys under 30 year have this problem so he is not alone.

About the Vitamin C use with medical benefits in the last years have been some meta analysis like this
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5000725/
Who show its really really hard to find benefit in the use of this suplement.
Somme studies show little very little benefit, another one dont show  real benefit.
And the studies that show real benefit the are open label, observational. What im trying to say is we need more studies with better methodological design


And https://www.ncbi.nlm.nih.gov/pubmed?term=24566474 in this Last review of the literature there isnt enough evidence to recommend the use of vitamin C.

this is my cousins problem and he can't talk to doctor maybe he is very shy so i think i can ask here and may pay your amount if he can find the right answer.

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in his younger age he has this erectile problem ,he is only in late 20's but this struggles comes to early so what do you think is the problem?he is normal with good health and active health management .

Yes, I got an injury in my private and now it has a scar that is causing problems. I don't want to bring it up the doctor.

How much truth is there to the Linus Pauling heart disease cure/control? For the moment, my favorite website regarding this disease is https://jeffreydachmd.com/heart-disease-vitamin-c-and-linus-pauling2/.

The doctor who owns this website is Jeffrey Dach, MD. What can you tell us about his veracity?

Thanks.

did you see this kind of post those are good advices but they does not have  any bibliography  once a patient started metrotexate because his neighbour told him it was a good treatment for psoriasis. ( its true ) but the details are importante. the neighbour told him the dose was 5 mg every day. she took it for 2 months... and his bone marrow stopped working because the dose she was taking was excessive.

Try this for two weeks:


Avoid fried foods.

Avoid processed foods as much as you can.

Avoid most meat as much as possible. Eat fish instead... Healthy fishes like, sardine, tuna, wild salmon are good

Gradually reduce your alcoholic intake if you are addicted to alcohol. You could use myrrh oil instead or burn solid myrrh & breath in the smoke, deeply. It could help reduce the pain and probably help you stay off alcohol.

Drink lots of warm water in gulp, in space of 2hrs. Add juice of about 3 oranges (a bit soured oranges) in the warm water and drink. Make sure to drink the water while it's warm.

Fast from morning to noon. Eat only fruits and vegetables while fasting.

Watch what you eat after fasting. I would suggest you avoid eating foods cooked by your parents/wife/servants during the 2 week period.
Eat what you cook so that you'll be sure that what you add in your food while cooking are healthy.

 Add very little salt while cooking and don't use other oil aside olive oil or other healthy oil.
You need to have some pity on your body and eat right.

Buy  foods from local markets, especially foods produced by subsistence farmers or organic foods.



Do this for two weeks and your body will heal gradually. Send me message if you need me to guide you.
 If this doesn't help, you will need to see a good doctor.

 Thats why when i was writing about the relation between autism behavior and the cow milk consumption  i pointed out the weak points of the studies PETA used and compare with another article with a more solid design

the most important thing about medicine articles its about the study design and if the statistical tools they use are the right ones. Even in the most prestigious journal we can find studies with a weak design. and they are published there. 

If u guys want. We also can talk about critical reading

Aveatrex Pliz forgive me im dinning with my parents.. i promise you i will give you a proper answer when i get home

Such a pleasure having a doctor between us.

I think you proved you know your stuff and it looks like you are a real doctor from your writings. I wanted to ask you a question regarding your methodology however. You say you will
find the relevant bibliography / citation to prove something wrong. But since there are two opinions in contrast, does that not mean that you can find two bibliographies, one saying the
way you see it and one saying it the way others see it? How trustable are academic sources and why can we trust them that they provide relevant information?

Is there an effective way to treat social anxiety other than taking prescription drugs that slows down your cognitive abilities or makes you feel numb emotionally or even unmotivated to do anything (Xanax for example?)

Also,I have a question that I just woudn't ask my doctor just because I know the outcome won't please me,what do you think about Nootropics in general?

Hi madfet

Its important to know when u started smoking and how many cigarettes do you smoke every day
you can calculate your pack- year relation
https://shouldiscreen.com/English/pack-year-calculator

Over 10 you are un moderate risk of developing COPD (Chronic Obstructive Pulmonary Disease)
and over 20 you are at high risk
And over 30 you need to be check for LUNG cancer with a  low dose radiation CAT scan
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4849359/

Important things to know

• cigarette smoking is thought to be causal in 85 to 90 percent of all lung cancer https://www.ncbi.nlm.nih.gov/pubmed?term=12527563
• Chest radiograph screening does not reduce mortality from lung cancer, although there are limited data in women. thats why for screening you need a Low dose radiation Cat Scan
• The majority of patients with lung cancer have advanced disease at clinical presentation
  This may reflect the aggressive biology of the disease and the frequent absence of symptoms until locally advanced or metastatic disease is present https://www.ncbi.nlm.nih.gov/pubmed?term=26811226
• Chest pain — Chest pain is present in approximately 20 to 40 percent of patients presenting with lung cancer and is more common in younger compared with older patients https://www.ncbi.nlm.nih.gov/pubmed?term=2992757

Its unlikely for you to have lung cancer or lung failure right now unless you have any genetic mutation.
Its important to know characteristic about the pain :
Like if the pains is always there? or only when you deep breath
or if it was only i time u felt it.
if you have any more question u can easily DM and i will be pleased to help you.

This kind of pain are named Gout flares. Its important to know when was the alst time you checked your uric acid levels.
If they are over 6.8 mg/dl the uric acid easly precipitates and becomes crystal. And those are the one who causes the pain. https://www.ncbi.nlm.nih.gov/pubmed?term=5027604
Long-term success in achieving and maintaining subsaturating serum urate levels ( <6.0 mg/dl) is attended by clinical benefits that include cessation of gout flares, resolution of tophi, and improvement in patient physical function and health-related quality of life.

Important things to know
1 Gout can lead to

• Recurrent flares of inflammatory arthritis (gout flare)
• A chronic arthropathy
• Accumulation of urate crystals in the form of tophaceous deposits
• Uric acid nephrolithiasis
• A chronic nephropathy that, in gouty patients, is most often due to comorbid states

2 About the alcohol intake

• In patients with established gout maintaining goal range serum urate levels(<6.0 mg dl) on pharmacologic urate-lowering therapy, small amounts of alcohol intake are unlikely to trigger flares or promote disease progression.
• Beer, liquor, and wine were all associated with an increased risk of gout flare in patients with established gout and at least one gout flare in the prior year BUT A significant dose-response relationship was found between the amount of alcohol (beer, liquor, or wine) the bigger the dose the higher the risk
• Some studies suggest Wne has lower risk to develop gout flares but the best thing its to avoid it until your serum urate level  reach 6.0 mg/dl

About Hypertension medication

• Hidrochlorothiazide raises serum urate levels with doses over 25 mg a day
• Losartan Lowers serum urate levels with 50 mg or more a day
• calcium-channel blockers have been found to decrease both urate levels and incident gout risk https://www.ncbi.nlm.nih.gov/pubmed?term=22240117

About Diet
 Dietary purine restriction has proven to be an impractical means to manage gout, despite urate being the end product of purine metabolism. Furthermore, with the availability of potent antihyperuricemic drugs, this dietary approach is rarely necessary and infrequently employed, except in individuals with severe renal insufficiency or intolerance of pharmacologic therapy.

About the Gout flare
The treatment of a gout flare is based on 4  key aspects

• serum urate lowering drug (allopurinol or febuxostat)
• Colchicine 0.6 mg twice its important to prevent gout flares can be taken up to 6 months
• Nsaids Like indometacin 50 mg every 8 hours helps inflamation and pain relief
• Hidratation

https://www.ncbi.nlm.nih.gov/pubmed?term=23098865


If u need more information u can easly contact me by DM
I really like doing this.. or you can just give me some merit or something lol i really enjoyed this

i hope this can really help u in something

I drink alcolhol too, sometimes drinking alcohol is just part of our life especially when we go out with friends, going into party, etc.
IMO, gout is cause by lack of exercise and excessive eating of meat,.. .and I think people can avoid eating meat if they want too but if their body is already getting use to alcohol, they'll look for it.

Anyway, I like read some comments from a doctor here regarding that kind of health issue.

Very interesting that you've created a consultation thread.

I'm 24 years old a heavy smoker, recently I had this kind of situation when I cough my upper left shoulder hurts. I would like to know if it will lead to lung cancer or lung failure? Or not related to lung disease?

You are a medical specialist and a doctor by profession but you can still spend time here in forum just to answer questions for 5$?You ca just use your tome facing your clients and may earn more than what youre asking here.

And also medical question concerns health so i dont think people will risk their chances to pay 5$ with no assurance at all than going to ask their doctor about their problems.

I don’t know if there will he someone that needs this service but for me?no i’m not.

Simple but truthful answer ..

Pretty simple really, don't drink alcohol. You don't need a doctor to tell you that.

I have a gout, can you help me how to treat it.
When I drink too much alcohol especially beer, the next day I would feel so much pain, I am still at my 30's now.

What can you recommend to me to live a healthy life and to eliminate this problem?

Maybe it wouldn't be a bad idea if you could prove that you are Jose the Internal Medicine Specialist. Anyone can say anything they want on a public forum.
Posting some proof could get you some costumers maybe. I wish you luck with your thread!