Doc Tanjol's Corner

[philipsimbahan]

hi doc ako ulit meron pa kasi ako sintomas pa di lang yun feeling ko laging may nakabara sa lalamunan ko hanggang sa chest ko,para ako palaging nanginginig katawan ko. dati kasi nung bata ako may lumalabas na ewan na kulay puti sa lalamunan ko.ang dami ko na pinuntahan na mga doktor at marami narin ako ininom na gamot.pakiramdam ko nga baka yung nerves ko may problema di ko na alam ang gagawin ko.halos wala na ako pera pampagamot kaya nga sa inyo nalang ako nag seek ng advice hope na matulungan niyo ako sa problem ko.

[philipsimbahan]

iba iba na doktor mga pinuntahan ko, internal medist,gastro,psyche cardio,ent etc etc.... lahat ng mga doktor hindi tugma findings nila.hindi parepareho diagnose nila minsan nga nagalbularyo na ako mawala lang to nararamdaman ko.kaya di ko na alam sino susundin ko.may ibang test nagawa ko na like stresstest,ecg,ctscan.duplex scan.at marami pa sa akin pinagagawa mga doktor na napuntahan ko like kelangan ko ng endoscopy,at sa cardio marami pa.e wala na ako pera.hope you understand.iniwan nako ng asawa ko dinala pa niya anak ko.kasi diko na daw sila mapapakain.nadedepres nako sa sarili ko

[tanjol]

@PHILIP
Thats really sad to hear about your wife and kids. Right now what medication are you taking? rivotril lang ba? i think kaya ka napagastos is because ang dami mong symptoms na sinasabi sa doctor, and when you tell us a specific symptom we usually think of illnesses to correlate with it. What you have been feeling na may nakabara sa throat then nanginginig ka and all the other syptoms na sinabi mo do you feel this all at the same time? For how long have you been feeling this? right now that your undermedication do you still feel these symptoms? Whens the exact time na you felt the first of these symptoms? Did any emotoinal event happen before you felt all these sypmtoms?

[philipsimbahan]

@doc rivotril and clomipramine.yup minsan buong araw ko nararamdaman mga yub nahihirapan n nga po ako e.2009 ko po start na maramdaman tong sakit ko.yup hanggang ngayon nararamdaman ko parin pero kapag nakakainom na ako ng rivotril mejo nawawala pero pag nawala yung effect yun nanaman yung mga symptoms.its been 2 years narin ako under medication at yun parin nararamdaman ko.matagal ko na po eto nararamdaman pero nakakayanan ko pa non kasi konting hilo at sakit ng ulo.wala pa yung ibang symptoms non dati year 2009 lang talaga yung talaga nakaranas ng ganon ibat ibang symptons ng ganon exactly june 8 2009 at 4pm diko makalimutan yun dahil don naging suki na ako ng ibatibang ospital.simula eto nung grabeng symptoms nung magsama kami ng asawa ko nung 2009 at magkaanak.pero 2006 palang nakakaramdam na ako.di naman ako naniniwala na may panis attack ako kasi ako yung taong go with the flow e.hirap na ko doc ubos na yung pera ko.tinatawanan na lang ako kala nila nasisiraan na ako ng ulo.tnx doc.

[philipsimbahan]

@doc ibatiba mga sinasabi ng mga doktor e yung gastro ko sabi wala daw ako anxiety attack pati neuro ko.di naman biro mga ginagastos ko sa kanila di ko na alam sino paniniwalaan ko.ok lang sana kung napupulot ko lang yung pera.wala na nga ako trabaho e may ganito pa ako.hope you help me.tnx

[blue_berrikeyk]

doc, saan ba ang clinic mo? pa shot sana ako for anti hepa a and b. at advisable din po bang magpa vaccine for anti tb and flu? okay lang po ba yun doc?kasama na ba dun ang consultation? may pm po ako sa inyo, wala pa po kayong reply. thanks

Doc, tanong ko lang ano bang gamot for chronic hepa b na usually nirereseta ng doctor sa pasyente nya? Ibat ibang klaseng gamot po ba ito ibinibigay depende sa bagsik or dami ng virus sa isang psyente?

may kakilala po ako sabi ng doctor nya ay kapag ready na sya magpagamot for hepa b, reresetahan sya ng gamot pamuksa sa virus na P350 daw kada capsule once a day daw po ang inom for 4 months. Sa ngayon yung kakilala ko ay nag iipon pa ng pera for Hepa B Dna, may kamahalan kasi at saka sila mag proceed sa gamutan pamuksa ng hepa b virus.

Sa ngayon ay niresetahan muna sya ng doctor nya ng gamot pang protection ng liver may kamahalan din P47/capsule once a day.. iinumim for 3 months habang nag iipon pa sya sa salapi para sa gamutan nila pamuksa hepa b virus.

[muff_puff]

Hi Doc,

Thanks for this thread I just want to ask what kind of doctor should someone consult when he or she experiences lockjaw? My sister woke up the other daw with pain under her ear and mejo masakit daw pag nagsasalita. She spends half of her day in front of the computer and does not practice good posture while sitting. Could this have a connection? Thanks!

[tanjol]

Sorry been busy.. Anyway

@philip
Do you think sa dami ng doctor mo na nakita, if you really have a disease of some sort eh nakita na nila un. In my opinion if rivotril somewhat causes you not to feel these symptoms, is that you take it how your psychiatrist prescribed it. As of now, i think it can ba some sort of an anxiety disorder, but its really hard to say from my point of view since wala talga tayo patient-doctor interaction.

@Blueberrikeyk
Well my clinic is in laguna talaga, but i current am living in manila due to my residency program. ill check your pm later. whats your line of work? how old are you? do you have any current medication that you take as of now? As for the vaccines there no problem with giving you a flu vaccine or hepa A or B. As for TB vaccine wala pong nadedevleop po as of know but there is a pneumococcal vaccine which is for pneumonia.

As for your hepa B question im guessing your posting this for a friend. Once you get infected with Hepa B, its technically uncurable, but as long as there are no "Remissions" so to speak a patient can live and die with hepa B with out even knowing he/she had the disease. Madaming stages of hepa B, there are chronic, active, carrier states and latents states ng disease. As long as your not symptomatic there is no need for treatment of hepa B, Treatment is only based on symptoms and is largely supportive. So unless nag ffever and friend mo or has flu-like symptoms or has high hepa B titers tsaka *** kelangan mag treat. but if wala naman, Essentiale is usually given as a supplement for the liver and is not as part of the treatment. Other things you can take are anti-oxidants such as glutathione, grape seed extracts and the like as this also suports liver function

[tanjol]

@muff puff

You can visit ang ENT specialist for jaw problems, and also you can consider visiting TMJ Dentists. As for sitting in front of the computer with bad posture, i dont think it has any relation with having a lock jaw. Lock jaws usually are due to "paghikab" "Sobrang pagtawa" and usually is due to anatomical defects sa alginment ng jaw.

[philipsimbahan]

doc san po ba clinic nyo para sa inyo na ** magpacheck up para sigurado ** at tuwing kelan tnx doc.gusto ko na kasi talaga gumalimg.

[tanjol]

Bump Bump Bump

[dwardyeeian]

good day doc and pexers! last april 7, 2011, nagpamedical ako for pre-employment purposes. everything went well naman but upon auscultation, the doctor found out that i have a holosystolic murmur grade 1-2 over 6 (pinarinig nya sakin, meron talaga) and erratic yung result ng ecg (sa V1 part). then sinabi nya that i need to undergo 2d-echo with doppler. so ako naman okay lang and medyo nervous narin. ESSENTIALLY NORMAL naman ang result ng test, lahat ng measurements pasok sa normal values. so my questions are:

1. is it normal to have heart murmur?
2. uminom kasi ako ng coffee prior to PE (approx. around 600ml), can that be the cause of murmur?
3. do i need to consult a cardiologist kahit normal ang results?

[tanjol]

@dward
in my opinion their is no need to consult a cardiologist as the 2Decho results were normal. I dont think the 2Decho was warranted pa nga unless you feel anykind of symptom, parang pang palubag loob so to speak yoon to make you feel more at ease.

To answer your question.. yes its normal to have a holosystolic murmurs specially if your athletic. a grade 1-2 holosystolic murmur is almost impossible to hear specially on routine physical. So in my opinoin thats probably physiologic and is just normal ^^

[dwardyeeian]

@dward
in my opinion their is no need to consult a cardiologist as the 2Decho results were normal. I dont think the 2Decho was warranted pa nga unless you feel anykind of symptom, parang pang palubag loob so to speak yoon to make you feel more at ease.

To answer your question.. yes its normal to have a holosystolic murmurs specially if your athletic. a grade 1-2 holosystolic murmur is almost impossible to hear specially on routine physical. So in my opinoin thats probably physiologic and is just normal ^^

thanks doc tanjol! i had doubts din kasi dun sa nagcheck sakin eh, he's not that sure kasi sa sinasabi nya. ang sabi pa nya masyado daw mataas yung grade 1-2 for physiologic murmur. dagdag mo pa yung nurse sa clinic na ayaw ako tantanan na magpa-cardio daw and nagdiagnosed agad na meron daw akong mitral valve regurgitation. akalain mo yun doc? daig pa nya echocardiogram!

[tanjol]

BUMPIN my thread. still lots of lose questions in the main forum ^^ you can still post any qeustion here in this thread or PM me iof nahihiya kayo about the topic ^^

[m0ncapz]

hello po dok dami ko po itatanong po sa inyo sana po ma tyaga po ninyo etong masagot hehehe..im lin 30 yrs old from mandaluyong..ang myra e 400iu po ba anong time po the best pwede syang inumin?? ang guyabano po ba ok lang po ba sya sa my chronic hepa b?? may hepa b chronic po ako healthy carrier. may hepa b po ako pwede po ba ako mag pa vaccine para sa hepa A?? at pwede po ba ako magpa vaccine para sa HPV ba tawag dun para hindi po magcacancer sa cervix??magkano po magpa vaccine para hepa A at B po sa inyo?kasi gusto po magpa vaccine ng bf ko kasi negative po sya sa HBsag nya at para proteksyon narin po nya..yong mga pamangkin ko may vaccine napo sila nung mga baby palang sila may pamangkin ako 10yrs old napo..sabi po kasi ang vaccine hanggang 5 years lang po ang itatagal sa katawan natin..eh pano po yon eh 10 yrs old napo pamangkin ko..syempre ayaw ko naman po sila mahawa..naku ang dami ko ng tanong pasensya napo.sana po masagot nyo po dok.salamat po in advanz

[m0ncapz]

dok may alam po ba kayo murang vaccine sa HPV? at mura pong vaccine sa Hepa A at B..paki pm nalang po dok kung magkano po sa inyo ha or baka may marerecommend po kayo na abot presyo po ang vaccine nila.kasi nagkakanvas pa po ako dok ng mas mura ng mga vaccine na yan.at ng maumpisahan ko pong mapag ipunan.salamat po

[kusiner0]

Good Morning, Doc!
Ang BP ko po ay consistent na 130/90. Wala naman po akong nararamdaman. Nagpa lab test na ako lahat, puro negative. Pati ECG ko normal naman daw.
Ano ba ang dapat kong gawin? Should I start taking maintenance medicine? Ano ba mga bawal na kainin?
Matakaw kase ako. Pero I don't drink and I don't smoke. I'm in my mid 30s.
Thanks.

[amber15]

hi doc, Good morning, question po.. ano po ang drug of choice for patients with typhoid fever?... ang nababasa ko po kasi puro ciprofloxacin pero ang binibigay naman lagi sa patient eh chloramphenicol..

- pano po if *** patient eh may cardiac disease din with typhopid fever... ano po ang drug of choice?
-and for renal problems din po na may typhoid of fever. ano po ang drug of choice?..

.. THanks..

[nervioza16]

hi po ako nanaman....tagal ko napo to prob...yung phlegm ko po instead na sa throat mailabas ayaw po....so parang may halak ako at nasa ngala2x po sya di din ako marunong maglabas eh panu po ba ito