Author Topic: Tubag Bohol Medical Corner  (Read 5578 times)

Lorenzo

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Tubag Bohol Medical Corner
« on: November 28, 2012, 11:36:53 AM »
Dear Tubag Bohol,

Ask any medical - related questions here. I will answer your questions to the best of my ability.


Sincerely,
Lorenzo

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Re: Tubag Bohol Medical Corner
« Reply #1 on: November 28, 2012, 12:07:40 PM »
Hello Doc Bran, nganong inig monthly period nako motrigger pod akong ning migraine.. as in, maglabad gyud akong ulo for few days. :(

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Re: Tubag Bohol Medical Corner
« Reply #2 on: November 28, 2012, 12:34:20 PM »
Hello Jenneth,

Thank you for bringing your question here. During a fertile woman's monthly menstrual cycle, there are observable symptoms that the woman will feel. One of the noticeable symptoms are headaches, and even migraine-like headaches. During menstrual cycle there is a change in estrogen and progesterone levels. When estrogen levels drop very low, Jenneth, this will manifest in headaches. The lower the estrogen level, the more profound the headache.

You may try some remedies to help reduce your symptoms:

1) Try putting ice pad on the area of pain (usually around the head or the neck)
2) Exercise; this helps in the reduction of pain
3) If the pain is strong, it is recommended you take NSAIDS (non steroidal anti inflammatory drugs); ibuprofen, naproxen, celebrex

Jenneth, if you have a history of severe migraine-like headaches during your menstrual cycle, you should take NSAIDS some 3 days before the start of your menstrual cycle (this will take some monthly planning on your part!)



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Re: Tubag Bohol Medical Corner
« Reply #3 on: November 28, 2012, 12:46:03 PM »
Dok Lorenz,

Assalam Alay kum!

Kaning mag all by my self ta dok, deli ni makadaut ug permihon?
unsa man gyuy maayong schedule ani? wans a week? tways a week? thrice eveyday a week' deli kaha ni makabuta? :) so on & so parrrrttt... ;)

Pikoy

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Re: Tubag Bohol Medical Corner
« Reply #4 on: November 28, 2012, 12:53:50 PM »
Dok Lorenz,

Assalam Alay kum!

Kaning mag all by my self ta dok, deli ni makadaut ug permihon?
unsa man gyuy maayong schedule ani? wans a week? tways a week? thrice eveyday a week' deli kaha ni makabuta? :) so on & so parrrrttt... ;)

Pikoy

Wa Aleikum, Mohandis!

Hahaha! Make sure you go out once and a while, and have people to talk to there, Mohandz! In moderation lang gud, Mohandz.

On a serious note, it is not healthy to isolate yourself from people. Don't do that because there is a risk of developing depression. Develop healthy hobbies pod ba. 8)

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Re: Tubag Bohol Medical Corner
« Reply #5 on: November 28, 2012, 12:55:20 PM »
Thanks Doc Bran.. will do that next month 8)

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Re: Tubag Bohol Medical Corner
« Reply #6 on: November 28, 2012, 12:58:43 PM »
You're most welcome, Jenneth. You know what also helps? he he he! When my gf had her menstrual periods, she also developed very debilitating headaches! To help reduce her pain ( i don't like it when she takes too much drugs ) , I will buy her chocolates. Incidentally, chocolates stimulates the release of a neuroendocrinal hormone called Serotonin, which is responsible for the "feel good" sensation. It reduced her pain considerably.

Another was massage. I usually massage her body and her feet to reduce her pain.

Mo joke around ni sija nako, "Oh, you're making me fat!"

ha ha ha ha! ;D

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Re: Tubag Bohol Medical Corner
« Reply #7 on: November 28, 2012, 01:01:25 PM »
Wa Aleikum, Mohandis!

Hahaha! Make sure you go out once and a while, and have people to talk to there, Mohandz! In moderation lang gud, Mohandz.

On a serious note, it is not healthy to isolate yourself from people. Don't do that because there is a risk of developing depression. Develop healthy hobbies pod ba. 8)

in ader words Engr... let others do it for you also hahahahaha

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Re: Tubag Bohol Medical Corner
« Reply #8 on: November 28, 2012, 01:03:28 PM »
Wa Aleikum, Mohandis!

Hahaha! Make sure you go out once and a while, and have people to talk to there, Mohandz! In moderation lang gud, Mohandz.

On a serious note, it is not healthy to isolate yourself from people. Don't do that because there is a risk of developing depression. Develop healthy hobbies pod ba. 8)

shukran Sadik Doc ;)



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Re: Tubag Bohol Medical Corner
« Reply #9 on: November 28, 2012, 01:03:52 PM »
Bran, eating too much sweet will give me headaches also.. hehehe

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Re: Tubag Bohol Medical Corner
« Reply #10 on: November 28, 2012, 01:05:24 PM »
Mohandz,

It is normal to do it 3-5 times a week. It is perfectly and physiologically normal. Sexual activity is important for proper hormonal balance.

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Re: Tubag Bohol Medical Corner
« Reply #11 on: November 28, 2012, 01:16:27 PM »
Mohandz,

It is normal to do it 3-5 times a week. It is perfectly and physiologically normal. Sexual activity is important for proper hormonal balance.

sure ka doc? 3-5 ok ra? ahhh...d mada oi!! konsensya man pud ta ana..heheh..de kaha ta magniwang ana pud? pero naa pud uban hiyang manambok hinoon hehehe.. :)

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Re: Tubag Bohol Medical Corner
« Reply #12 on: November 28, 2012, 01:19:00 PM »
sure ka doc? 3-5 ok ra? ahhh...d mada oi!! konsensya man pud ta ana..heheh..de kaha ta magniwang ana pud? pero naa pud uban hiyang manambok hinoon hehehe.. :)

manambok kay inig human sa all by myself mokaon man.. mamawi ug energy.. hehe

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Re: Tubag Bohol Medical Corner
« Reply #13 on: November 28, 2012, 01:20:56 PM »

Hi Doc Lorenz,
Found this thread interesting,basahon ni nako nga thread sa day off, basahon nako from page 1, gusto ko aning discussion nimo about hormones. PCOS patient man gud ko unya ingon akoa OB dili ko tig ovulate.

Thanks.


Hi Joy,

PCOS - polycystic ovarian syndrome - is one of the most common endocrine disorders in reproductive women, with a prevalence of 6-10% among women in the US of reproductive age.

Women with PCOS are also at an increased risk for the following:
1. type 2 DM (diabetes mellitus; insulin dependent)
2. insulin resistance
3. infertility
4. metabolic syndrome - insulin resistance, obesity, atherogenic dyslipidemia, and hypertension

TREATMENT
1. Women are not attempting to conceive: treat with a combination of OCPs, progestin, and metformin (or other insulin-sensitizing agents)

2. Women who are attempting to conceive: Clomiphene + / - metformin is first line treatment for ovulatory stimulation

3. Symptom-specific treatment:
    a. Hirsutism: combination OCPs are first line; antiandrogens (spironolactone, finasteride) and metformin may also be used

    b. Cardiovascular risk factors and lipid levels: diet, weight loss, and exercise plus potentially lipid-controlling medications (e.g., statins).



If you have any other specific questions relating to PCOS, please ask it here, Joy.



Sincerely,
Dr. Lorenz 

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Pikoy

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Re: Tubag Bohol Medical Corner
« Reply #14 on: November 28, 2012, 01:21:18 PM »
in ader words Engr... let others do it for you also hahahahaha

wow!! haha naay abaylabol diha? hehehe

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Re: Tubag Bohol Medical Corner
« Reply #15 on: November 28, 2012, 01:22:08 PM »
sure ka doc? 3-5 ok ra? ahhh...d mada oi!! konsensya man pud ta ana..heheh..de kaha ta magniwang ana pud? pero naa pud uban hiyang manambok hinoon hehehe.. :)

Sure na sure. :)

manambok kay inig human sa all by myself mokaon man.. mamawi ug energy.. hehe

hahaha! sensitib mode diay kon maohon. :P

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Re: Tubag Bohol Medical Corner
« Reply #16 on: November 28, 2012, 02:06:00 PM »
re lolla's problem during mentrual periods... i once suffered the same, terribly, coupled with sinusitis attacks.  during those times i felt murderous.  di gyod ko angay biklon.  my solution?  naayo ko sa acupuncture, done on me by a bonafide medical doctor who also practiced eastern medicine.  i hope doc lorenz will do the same, one day.

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Re: Tubag Bohol Medical Corner
« Reply #17 on: November 28, 2012, 03:37:00 PM »
sure ka doc? 3-5 ok ra? ahhh...d mada oi!!

Naay mga manyakis nga ang sakto 3-5 a day... ;D

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Re: Tubag Bohol Medical Corner
« Reply #18 on: November 28, 2012, 03:43:23 PM »
Naay mga manyakis nga ang sakto 3-5 a day... ;D

kahibawo lagi ka bai hubs usa na guro ka? ;)

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Re: Tubag Bohol Medical Corner
« Reply #19 on: November 28, 2012, 04:03:38 PM »
kahibawo lagi ka bai hubs usa na guro ka? ;)

Bwahaha! Nakatabang ang TB, menos na kaayo ron... ;D

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Re: Tubag Bohol Medical Corner
« Reply #20 on: November 28, 2012, 04:12:29 PM »
Bwahaha! Nakatabang ang TB, menos na kaayo ron... ;D

harumph.  kakuyaw.  unsa man diay ang naa sa tb nga makapakalma ug manyakis?  watsaryu tokin abawt? ::)

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Re: Tubag Bohol Medical Corner
« Reply #21 on: November 28, 2012, 04:19:26 PM »
harumph.  kakuyaw.  unsa man diay ang naa sa tb nga makapakalma ug manyakis?  watsaryu tokin abawt? ::)

Ayg apil2x sa estorya sa mga dagko, oi... ;D

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Re: Tubag Bohol Medical Corner
« Reply #22 on: November 28, 2012, 04:23:42 PM »
Bwahaha! Nakatabang ang TB, menos na kaayo ron... ;D

hehe dakoang bahak hak kung maig an oi..hehe..mayna lang gani kay niay tb kung wapa..manambok gyud.. ;)

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Re: Tubag Bohol Medical Corner
« Reply #23 on: November 28, 2012, 04:38:31 PM »
Menos pud sa gasto. Internet connection ra...

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Re: Tubag Bohol Medical Corner
« Reply #24 on: November 28, 2012, 04:46:58 PM »
Menos pud sa gasto. Internet connection ra...

di pa gyod makadisgrasya ug dunggab ug bugaw. ;D

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Re: Tubag Bohol Medical Corner
« Reply #25 on: November 28, 2012, 04:49:15 PM »
Ayg apil2x sa estorya sa mga dagko, oi... ;D

mga dagkog ulo?  aw, maayo man ug di ta makasabot ana...

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Re: Tubag Bohol Medical Corner
« Reply #26 on: November 28, 2012, 04:50:13 PM »
di pa gyod makadisgrasya ug dunggab ug bugaw. ;D

Lajo ra jamo sa tinaig manok kana nga panghitabo, oi... :P

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Re: Tubag Bohol Medical Corner
« Reply #27 on: November 28, 2012, 06:32:40 PM »
Bwahaha! Nakatabang ang TB, menos na kaayo ron... ;D

ay sikandamosyon...;D

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Re: Tubag Bohol Medical Corner
« Reply #28 on: November 29, 2012, 09:42:22 AM »
ay sikandamosyon...;D

Salamat, Master...;D

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Re: Tubag Bohol Medical Corner
« Reply #29 on: November 29, 2012, 12:30:38 PM »
Salamat, Master...;D

sulondong ulipon ra tawon ko sa tawhanong panginahanglan...;D

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Re: Tubag Bohol Medical Corner
« Reply #30 on: November 29, 2012, 04:42:54 PM »
sulondong ulipon ra tawon ko sa tawhanong panginahanglan...;D

Maalamon ka, higala. Dili makatarunganon nga sungangahon ang mando sa kinaiyahan...

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Re: Tubag Bohol Medical Corner
« Reply #31 on: November 29, 2012, 05:54:40 PM »
morag naghibus ning duha tungod sa mando sa kinaiyahan da. ;D

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Re: Tubag Bohol Medical Corner
« Reply #32 on: November 30, 2012, 12:52:48 AM »
Bitaw, kalma na lang mo duha diha. :P

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Re: Tubag Bohol Medical Corner
« Reply #33 on: November 30, 2012, 07:18:03 AM »
mga dagkog ulo?  aw, maayo man ug di ta makasabot ana...

Oi, di kay ulo ray dako... ;D

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Re: Tubag Bohol Medical Corner
« Reply #34 on: November 30, 2012, 07:18:51 AM »
morag naghibus ning duha tungod sa mando sa kinaiyahan da. ;D

Apil2x na pud bisag wa kasabot, ay... ;D

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Pediatric Mental Health Disorders
« Reply #35 on: January 22, 2013, 02:23:28 PM »
Pediatric Mental Health Disorders

by: Dr. Lorenzo L.


In the field of mental health medicine, the goal of the health care providers is to care for those who are inundated with mental health disorders such as learning disabilities, cognitive disorders, and hormonal imbalances, behavioral disorders (Sadock & Sadock, 2007).  Mental health is defined as a state in “being in balance and harmony with one’s inner self with one’s friends, family and colleagues; with one’s environment; and with one’s spirituality, “ (Seligman & Reichenberg, 2006). This is why therapists emphasize the fundamental importance of patients to experience a sense of unity with one’s self and the world. There is a sense of continuity in regards to children’s mental health and adult mental health because the presence of a positive mental health in youth populations will carry on to their adult years. A presence of negative mental health in children will ultimately carry on to their adult years, naturally (Chuan-Yu, Lawlor, Duggan, Hardy ad Eaton, 2006).


Mental health disorder is a psychological problem that is observed in a change in behavioral that manifests as either distress, disability and outside the cultural norm. Mental disorders are defined as a combination of how an individual perceives reality, the individual’s thinking processes and mannerisms. In regards to mental disorders in children, this is a bit more sensitive than adult mental disorder because the disorders in cognition, mental activity and behavior that are seen in children can affect and shape their social life, which then influences the future of the child (Cohen and Hesselbart, 1993).


There are almost five million children in the United States of America that are suffering from some form of mental illness and many more will be diagnosed every year. It is said that some 20% of American children will be diagnosed with a mental illness (Busch and Barry, 2007). Mental disorders can be quite difficult to identify for health care providers that is why it is essential they are effectively trained in mental health care compliance protocols, ethical situations. In addition they should be licensed to practice in the clinical setting and knowledgeable in the different therapeutic modules in the field of psychology including , but not limited to, classical psychotherapy, cognitive behavioral therapy, psychodynamic psychotherapy, existential therapy (Seligman and Reichenberg, 2006).


The sensitivity of childhood mental disorders is founded on the fact that children differ from adults in that youth experience a varied amount of mental, emotional as well as physical changes as they progress towards adulthood, which is part of normal growth and development. As an individual ages, he or she undergoes personality development, which was espoused by Dr. Erik Erikson, who proposed that psychosocial development continues over the entire life span and results from the interaction of our inner instincts and drives with outer cultural and social demands (Bjorklund and Bee, 2008). Personality development is integral for adult development and for the an individual to develop a stable personality, the personal must move through and successful resolve eight crises or dilemmas over the course of a lifetime. Children with mental disorders such as personality disorders, cognitive disorders, learning disabilities, anxiety disorders, and even eating disorders are unable to progress through the eight stages of psychosocial development (Bjorklund and Bee, 2008). Children mature at their own pace and there is a wide range of behavior and abilities for what are considered normal (Chartier, Walker and Naimark, 2009). The common mental disorders that are observed in children include Attention Deficit Hyperactivity Disorder and Eating Disorders.



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Lorenzo

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Re: Tubag Bohol Medical Corner
« Reply #36 on: January 22, 2013, 02:26:54 PM »
continued





Attention Deficit Hyperactivity Disorder
is a disorder that is characterized by a pattern of diminished sustained attention and higher levels of impulsivity in a child or adolescent than expected for someone of that age and developmental level (Sadock and Sadock, 2007).  ADHD is related to the complex interactions of the neuroanatomical and neurochemical systems. There is an evidence for a genetic contribution for the emergence of ADHD. Children are diagnosed with ADHD of they have six or more of the following symptoms of inattention that has persisted for more than 6 moths: 1) failing to give close attention to details or makes careless mistakes in schoolwork, work, or other activities; 2) often has difficulty sustaining attention in tasks or play activities; 3) often does not seem to listen when spoken to directly; 4) often does not follow through on instructions and fails to finish schoolwork, chores , or duties and fails to finish schoolwork, chores, or duties in the workplace; 5)often has difficulty organizing tasks and activities; 6)often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort; 7) often loses things necessary for tasks or activities; 8 ) is often easily distracted by extraneous stimuli; 9) is often forgetful in daily activities (Sadock and Sadock, 2007).


The treatment for Attention Deficit Disorder is provided for in various community organizations that centers on mental health disorders (Clemans-Hope, 2004).

In an article by Clemans-Hope (2004), the treatment facilities for children with mental health disorders such as ADHD require continuous monitoring either in the form of therapy or psychopharmacology. The medical that is prescribed for children with this disorder include stimulants that stimulate the central nervous system such as Methylphenidate, Dexmethylphenidate and Dextromethamphetamines. Non-medication treatment includes psychosocial interventions such as social skill groups, behavioral intervention therapies (Sadock and Sadock, 2007).

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Lorenzo

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Re: Tubag Bohol Medical Corner
« Reply #37 on: January 22, 2013, 02:29:58 PM »
(continued)


Another very nefarious mental disorder that is quite common in school-bound adolescents is eating disorders. There are very two common types of eating disorders that continue to be a pervasive problem for the children in the United States; Anorexia Nervosa and Bulimia Nervosa.

Anorexia Nervosa is a self-induced starvation to a significant degree and is associated with a relentless drive for thinness or a morbid fear of fatness. This condition is associated with depression in 65 percent of cases, social phobia in 34 percent of cases and obsessive compulsive disorders in 26 percent of cases (Sadock and Sadock, 2007).

The treatment plan for Anorexia Nervosa includes hospitalization when necessary and both individual and family therapy. The best way to treat this condition is through behavioral, interpersonal and cognitive approaches more so than medication (Sadock and Sadock, 2007).

Bulimia Nervosa is a condition in which patients will binge eat and then throw up or take laxatives. The purpose of their actions is to evade in gaining wait. The treatment that is effective for this is behavioral modification therapy and psychoanalysis.

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Re: Tubag Bohol Medical Corner
« Reply #38 on: January 22, 2013, 02:32:38 PM »
i think this is an issue that should be addressed by school officials and health professionals in academic settings. instructors should be educated on these issues as to identify students who are suffering said disorders and thus accommodate the proper resources for said intervention. it is a growing phenomena here in the united states of america, i'm sure it is also of pertinence in the philippines.

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Re: Tubag Bohol Medical Corner
« Reply #39 on: January 22, 2013, 02:37:18 PM »
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