Hi @Tuhin this is something that may require creams for treatment, you will need an examination and review with a GP to determine which cream may work best, or consider telemedicine online through one of the applications that provide medication delivery as well - more on this here: https://www.todayonline.com/brand-spotlight/doctor-will-see-you-next-app

@JohnnyDoe  thank you so much for your interest that your chest pain is heart disease or not. All kinds of chest pain is not heart disease. It is caused by hyperacidity or anxiety or other stress like condition.Even though if you are anaemic, you can feel palpitation also.If your age is 26 then your age is not favourable for heart disease rather than any congenital anomaly such as tetralogy of Fallot’s.
If you have confusion then you can do investigations of ECG /Echocardiogram,Lipid profile.
Your resting heart rate 70 beat /minute and during jumping 90/100 beat /minute is completely within normal physiological limit.
Stay safe and healthy. If you have further question,can ask.Thanks a lot again.

Dear @Ian 

I am sorry to hear of your injury. Injuries to the biceps femoris have indeed been reported in isolation or with concomitant injuries to the adjacent ligaments within the knee. You seem to describe a Grade 4 injury - Complete muscle injury with discontinuity and retraction. While surgical repair is generally advocated to restore the native anatomic features to minimize loss of function and strength, there is still no consensus on optimal management with regard to successful return to sport. This is perhaps why you had been advised against surgery.

Hamstring injuries are the most common injury in sports. Unfortunately, they are associated with long rehabilitations and have a tendency to recur. In isolated injuries, he treatment is conservative, with the use of anti-inflammatory drugs in the acute phase followed by a muscle rehabilitation program. Proximal avulsions have shown better results with surgical repair. 

In general, conservative therapy is indicated for single-tendon acute proximal tendon avulsions or multiple tendon lesions with less than 2 cm of retraction. 

Surgical treatment is the best option for ischial apophysis avulsions in skeletally immature patients, avulsions with the HS bone fragment, and proximal avulsions of the entire HS complex. Surgery is also indicated in patients with avulsions in one or two tendons and retractions greater than 2cm. In recreational athletes or inactive patients, surgery is indicated only if the patient is symptomatic.

With the information you have given, you have mentioned a retraction of 70mm = 7cm. You also mention that you are not an elite athlete. Decision for surgery or primary rehabilitation in your case is a difficult and challenging one that needs to be made in a shared and mutual manner with your physician. I hope this helps with some clarification at least.

Hello, sorry to hear about your injury! Inversion injuries (rolling the ankle) are very common injuries. If you felt a pop, then the most frequent issue would be a tear in the lateral ankle ligaments (ATFL). Generally if you can weight bear and the X-rays don’t show any fractures then it should be reasonably safe to continue to rehab and Physiotherapy for now. You may want to return to your physician for a check up in another few weeks to see if things are recovering as planned. Further tests and imaging might be needed if the ankle doesn’t sort itself out by then. 

One other small thing - if the pain on the top of the foot is quite significant then you probably want to get that assessed separately from the ankle as well. This is because sometimes when we roll our ankle we may also injure ligaments or bones in the foot. 

Hi @sickboiboi although muscle aches are part and parcel of exercise, pain is also the first sign an injury may be developing, some of which could permanently impair your ability to exercise. As a general rule of thumb, one should rest during aches like these. If pain persists despite a period of rest, then a consultation and examination with your doctor may be required.
 
It is also best to adapt your fitness regime to your own needs as everyone's body is different. If you find a lot of aching in a certain muscle group with your current regimen, you may want to explore focusing on other unrelated muscle groups and/or cycling between them to facilitate rest (e.g. cardio-legs training, and upper body-strength training). Hope this helps!

@fiona sorry for your present condition. It can be an allergic reaction. Some foods or dust from your home or clothes or insect ocean cause this condition. If the condition is really too much itching and grows very rapidly then it would be Urticaria. In normal allergic condition you need antihistamine or anti allergic medicine.But in Urticaria you must need to take some Low dose steroid with antihistamine drugs.
I would like to suggest you to go nearest GP chamber and take medicine if this condition is intolerable.
Take care.Hope your quick recovery.

@oldancer thanks a lot for your nice question and sorry for someone’s departed soul.May Almighty grant his/her departed soul in peace. Yes it is really very tough to absorb. 
As your above mentioned question- yes chronic stressed can develop Low grade fever and sometimes it may cause psychogenic fever.https://bpsmedicine.biomedcentral.com/articles/10.1186/1751-0759-7-7
Moreover, if you are in stress then cortisone hormone is released which is called stress hormone.
If you are in chronic stress then cortisol hormone will inhibit to release of your good hormone and as a result Many disease may develop.
So take care of yourself and meditation can be a better way to get rid of from some mental stresses. I would like to suggest you todo some regular exercise and meditation everyday as wel as try to deep sleep. 
I wish your good health.

Dear @angella ,

I am sorry to hear of your accident. You indeed have a fractured clavicle (collarbone). I am not quite sure what they meant by a 'fissured scapula'. Clavicle fractures can be treated conservatively - by an arm sling if there no open wounds, skin is not tented and/or if you have no injuries to the blood vessels and nerves in the area. Having said that, there are studies that show that collarbone fractures with significant displacement and shortening will result in some functional deficit (i.e. weakness in shoulder movement etc) if left to heal on their own. I would suggest a repeat X-ray within 2 weeks of the initial injury and a review by an Orthopaedic Surgeon to discuss the progress and the options available to you. I hope this helps!

A very good day to you
GERD is a complex condition that requires  proper investigation into the causes of both the acidity within the stomach and the mechanisms of the reflux of the acid into the stomach.
Thereafter, using this information, the diet and lifestyle modification that is required can be formulated. This goes a long way in relieving the symptoms.
Further to that would be very effective medication that would help with both acid reduction and the anti-reflux mechanism.
It is also important that a gastroscopy is done to confirm the diagnosis and to look for causes and complications of GERD like inflammation, ulcers and pre cancerous changes. To achieve this, it would frequently require biopsies during the gastroscopy. Helicobacter Pylori bacteria within the stomach is also an important cause will be tested for as well. There are other important tests like the pH and pressure monitoring or even the traditional barium swallow that can give further information on the diagnosis and severity of the disease. 
With all this information at hand, it can improve the symptoms and manage GERD very well.

Dear @PG ,

Thank you for your question.

Before medical professional suggest any form of therapeutics, we usually would advise to evaluate to ascertain the cause behind a symptom. In this context, gynaecomastia is a presentation of some possible underlying issue which needs to evaluated for and investigated.

The causes of gynaecomastia are varied and it includes ( list not exhaustive),

Since Liver and Kidney issues could be , at times, be a reason behind gynaecomastia, I would strongly advise you to see your family physician at the earliest before commencing any supplements on your own. The reason being, supplements are processed by the liver and kidneys and we would not want the supplements to negatively affect these two vital organs.

Hope this helps.

 

Dear @joheet 

Thank you for your question. Indeed, sitting for long hours and working is one of the common causes why people develop a stiff and sore back. From the symptoms that you have described, it appears like that pain is limited to the lower back without any radiation of pain or an 'electric' sensation running through the legs, which is good. That means that it is less likely that there is any form of nerve impingement. The fact that you get temporary relief from standing, walking and foam rolling also clues in to the fact that a large component of your pain is muscular in origin.

While it is going to be the new norm that a significant number of people will be working from home, I think it is good to consider augmenting our home environment and our practices to suit this 'new norm'. First of all, I would advise you to take breaks every 1-2 hours or so of sitting to do gentle stretching to 'loosen' your back muscles. Injuries to the back usually happen when the spine is stiff. Sudden movement of a stiff spine often causes injury which results in pain. Pain that leads to even more stiffness. Therefore, in order to break this vicious cycle, regular stretching is useful. You can find some simple stretching exercises on the Internet. Regular yoga  or pilates classes may be useful to improve flexibility too, if you can afford the time. Once you have incorporated the regular stretching to your routine, you can then transit to adding further exercises to strengthen your back muscles. 

Apart from these exercises, having good back care habits are important. For example, bending the knees to lift objects from the floor rather than bending the back. Sitting with a good posture while typing. Having a good back support on your chair.

I hope these tips will be useful for you!

Dear @Aiden 

Thank you for your question and I am sorry to hear of your plight. Am I correct to say that you had made an uneventful recovery since your hip replacement and this pain that you are feeling is something new that you are experiencing in the last 2 months? There can be several causes for the symptoms that you are describing. These can be broadly classified as intra-articular (from inside the prosthetic joint) and extra-articular (from outside the joint i.e. muscles, tendons,  bone spurs etc.). Sometimes while the pain is felt at the hip, the problem can be somewhere else, most commonly the spine. This is what we call 'referred pain'. However, from what you have described in your post it does not see like this pain is of spinal origin. You have not mentioned any redness in the area or fever which is great because we can rule out infection. A physical examination by a doctor and some basic imaging like an X-ray of the joint may be useful as a starting point to evaluate your pain. However, further imaging such as MRI (excellent for soft tissues like muscles and tendons) or CT (excellent for bone and to assess alignment of the hip joint) may be needed if the X-ray do not reveal anything. My advice would be to take a break from the long walks and get the physio to do a basic assessment of the movements of your hip as well as the strengths of the major muscles around the hip joint. It would be best to get the surgeon who did your hip replacement to have a look at you if at all possible. 

Hi @Fiqah thats an interesting question! However, no medications (including antiretrovirals) have been proven in clinical studies to prevent (as relevant to your question) nor treat the COVID-19  virus to date. In fact, patients with HIV can have impaired immune systems, and may be at increased risk of poorer outcomes if they catch the infection.

Hi @Kelly  acne has many contributing factors, including genetics and hormones. Hormones as you alluded to commonly lead to acne in the teen years due to changes around puberty. That aside, hygiene and diets high in processed, suger-rich foods have also been highlighted in the medical literature as contributing causes.

It sounds like you have already adopted extensive hygiene measures, and as for diet, keeping well hydrated and minimising consumption of processed, suger-rich foods like bubble tea would be beneficial. There are several prescription medications that are vitamin A derivatives which can certainly help, however they have some considerations such as not being safe for individuals trying to get pregnant. Ultimately, given the extent of acne and scarring you describe, you may want to visit your GP for a review and detailed discussion about these potential oral treatment options that may help get the condition under control.  Hope this helps!

Hi Jess,

Sorry to hear about your compression fracture! I presume this is a compression fracture of your spine. These fractures usually are healing at 2 months so it would not be usual to be having cold sweats and symptoms at 2 months. It could be because the fracture is not healing well, or complications such as an infection or nerve compression have developed. Would suggest getting it checked by your specialist or a specialist to assess if any of these issues have developed.

Hi @cpg firstly, Im sorry to hear about your ordeal! Piles are abnormally swollen blood vessels towards the end of the colorectal tract. They are actually very common although most patients tend to delay seeking medical attention until they bleed or cause pain. Piles tend to be a chronic recurring condition, and factors such as increased abdominal pressure from constipation (straining to pass motion) or prolonged cough can contribute. If you recently had either of these before the relapse, that could be a cause and the best way to find out would be to visit your GP for an examination.

Colonoscopes are an effective method to diagnose Piles and also to differentiate them from cancer (in fact they are considered the "gold standard" for cancer diagnosis), as the specialist directly examines the entire colorectal region using high resolution scope devices and takes biopsies of any suspicious lesions (a "bite" using the scope, whereby cells are examined under the microscope). Furthermore, cancers are very rare in individuals your age unless you have many blood-related relatives that had colon or other related cancers at an early age.

That being said, if you experience any loss of weight/appetite, narrow or "pencil thin" stools, low energy/giddiness, or repeat episodes of blood loss, it would be prudent to arrange an early review with the specialist that performed the scope for you in order to have another detailed discussion. Hope this helps!

Hi @Iamking Milk Thistle is a type of weed and is sometimes also called "Silymarin" which is a chemical derived from parts of the plant like its seed, and it is believed to help with liver related conditions, particularly with poisoning from some mushrooms that affect the liver ("Hepatotoxic"). However, medical-grade studies of it and the other "liver supplements" have not yielded any conclusive benefits.

That said, you're absolutely spot on! Healthy diet and exercise is the best defence for good liver health, not forgetting also the importance of managing alcohol consumption and drinking only in moderation. More about it at this link here: https://www.healthhub.sg/live-healthy/182/alcohol_health_setting_drink_limits

Other measures you can take to ensure good liver health include safe sex and ensuring your hepatitis vaccinations are up to date, these include hepatitis A vaccination if you are traveling to "high risk" regions. Speak to your GP about this especially if you're traveling to any rural regions or developing countries. Hope this helps!

@igotz99problemz You likely have this condition called cold urticaria. In patients with cold urticaria, the skin cells are sensitive to cold, and an exposure to cold triggers the release of chemicals such as histamine which causes redness and itchiness.
The treatment is simple:
1) Be careful of cold temperatures and environments eg. showering on a cold day, going swimming. Perhaps dip a hand or foot in the swimming pool and see if it causes hives before going into the swimming pool.
2) You can keep some oral antihistamines with you. Take an antihistamine pill before an exposure to cold OR when you develop hives. Common over-the-counter antihistamines are loratadine, cetirizine (Zyrtec) and fexofenadine (Telfast).

You should seek medical advice if your symptoms are persistent despite medication, or if you develop a serious reaction like eye swelling or breathlessness.
It is generally not a worrisome condition and most people learn to cope with it and lead normal lives. 

This website provides more information if you want to find out more.  https://www.mayoclinic.org/diseases-conditions/cold-urticaria/symptoms-causes/syc-20371046

It must be quite troubling to have rosacea symptoms. Have you consulted a doctor or dermatologist already?
Mixing Flagyl tablet with a lotion and applying it to the face is an interesting proposition. Personally, I do not think it is the same as applying metronidazole cream/lotion. 
The other topical cream that will help is called Skinoren cream. It contains Azelaic acid. Some studies show that it is superior to metronidazole cream. I am not sure how easy it is to obtain this cream in your country. I believe consulting a dermatologist is your best option.
Other than medications, identifying and controlling the factors that trigger your rosacea is important. Good skin care - applying a moisturizer regularly, gentle skin cleansing with a mild soap is important too. Applying sunscreen and avoiding sun exposure might also help.
I hope you find a solution to your problem.