Sheryl
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2 hours ago, Yorkshire Tea said:Make an appointment to see Dr Morgan at the Healthcare Medical Centre that is almost directly across the road from Geriatric hospital.
For the kind of non-specific feeling well OP describes this is an excellent suggestion. Dr. Morgan is one of the few doctors in Thailand who provide GP-like services and she can do some additional tests/exams, rule out some problems and then help direct you to the most appropriate specialist if needed.
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Moved to health forum.
Retinal detachment is an emergency.
However from what you say, you might just have age-related floaters. These are common and usually require no treatment (and as annoying as they seem, your brain will soon learn to ignore them).
New onset of floaters does warrant a retinal exam but it is not as super urgent as classic signs of detachment would be (flashes of light, reduction in visual field, blurred vision). If any of the former occur, go straight to an emergency room of a large hospital.
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Everyone doe not have h. pylori. But it is common, current estimate is 35 - 40% of the world's population.
https://www.gastrojournal.org/article/S0016-5085(23)05687-1/fulltext
Prevalence is higher in developing countries due to poorer hygiene conditions. Can be as high as 95% there.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6632043/
HP infection can vary by severity. When they test for it, either by biopsy or breath test, the results give an indication of the bacterial count (often just shown as plus signs). The higher the count the more likely to be symptomatic.
Prevention is basic hygiene and safe water. Especially important is hand washing before food preparation and before eating.
Treatment has already been discussed in this thread and OP is already on treatment. It is strongly recommended to repeat test for HP after completing treatment as there is sometimes resistance and re-treatment may be necessary.
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41 minutes ago, miaclarkson03 said:They took a photocopy of our passports? Will the office not complete without a tm30?
Then they may have filed a TM30. Only way to find out is to ask them. If they did not, ask them to do so. And print out screenshot.
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20 hours ago, scubascuba3 said:
Read Tomaz's posts on this thread, they are the best
"Type 2 is insulin resistance. Meaning there is insulin in the body, but cells can't use it to absorb glucose from blood. Again, while sugar and carbohydrates cause spikes in glucose, they are not the main reason for insulin resistance, which often can be reversed (increasing insulin sensitivity), and there are several quite successful programs for it, which include cutting out fats, blaming them for "clogging" cells and therefore starving them of energy. Type 2 diabetes patients are generally very slim, although they consume large amount of foods. Improving sensitivity to insulin can lower the glucose levels without medication, although it requires significant lifestyle changes, where many people rather take medication like Metmorfin, or even resort to insulin injection"
Although type 2 patients are not generally very thin, generally they are overweight, maybe he's referring to Thailand
Insulin resistance and Type 2 Diabetes are not the same thing, though Insulin resistance can eventually lead to T2D.
All over the world, obese people are more likely to develop T2D. However it is possible for people of perfectly normal weight to also develop it if they have a genetic pre-disposition.
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15 minutes ago, Dancer57 said:
My wife suffered from this and it was discovered with an endoscopy procedure.
The specialist told us that when left untreated it can lead to cancer.
Perhaps Sheryl can confirm?
Yes, it is a risk factor for gastric cancer.
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3 hours ago, MeaMaximaCulpa said:
Stomach acid protects against this and other bacteria, so keep the carbs low and try to avoid antacids for reflux, which seems to more often than not be caused by low acid, not too high.
H. Pylori is adapted to be able to live in stomach acid, unfortunately. A unique feature of it.
Eradication of HP requires temporary use of acid suppressjng drugs (usually a PPI) along antibiotic combination.
In OP's case he was on PPI anyway for an esophageal condition.
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2 hours ago, Neeranam said:
I am taking Omeprazole, I didn't know it helped with this bug.
Treatment of H. Pylori requires triple or quadruple therapy. Omeorazole (or similar) plus 2-3 antibiotics.
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3 hours ago, Neeranam said:
Interesting, thanks.
Just wondering if I get rid of it with my antibiotics and my wife has it , could I get it again easily?
Yes, you could get re-infected via food she prepares.
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An inappropriate post has been removed
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More or less as above except not sole cause of ulcers. It is, however, the most common cause.
Easily spread through contaminated food. Many people acquire it in childhood, it can be present a long time before causing obvious symptoms, and indeed in many peopke remains asymptomatic, reason unclear.
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5 hours ago, KannikaP said:
Does drinking water really thin your blood down? And it is taken from an artery, not a vein.
With the exception of blood gases (mainly done in an ICU), virtually all blood tests are taken from veins or by peripheral fingerstick. Definitely not from an artery.
It is not that drinking water "thins" the blood. It is that dehydration will make the blood more concentrated, sometimes skewing lab results.
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17 minutes ago, superal said:
It was the young doctor who told me to fast . All the doctors who take care of walk in patients in my local government hospital are straight out of medical school and are expected to diagnose every malady . They must be making mistakes and they are not supervised .
I would reconsider going there for other than really simple, clearcut issues.
Where ard uou located? It is usually worth a bit extra travel to attend a higher level hospital.
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13 hours ago, Microwave said:
Thank you Sheryl! By off market do you mean that it's no longer prescribed and not used in Thailand even by hospitals?
It means the manufacturer no longer supplies this drug to Thai distributors. . Typically a financial decision based on low sales.
If a hospital still has unexpired product in stock their doctors may continue to prescribe it but once they run out (or it expires) the hospital will not be readily able to get more.
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7 minutes ago, superal said:
Hi Sheryl , your opinion on the following please .
When ever I attend a Thai hospital , private or government , as soon as you walk in they want to take your blood pressure . My local hospital often involves walking from the car park ( !00 meters ) in hot weather , up a steep slope to the hospital entrance, on arrival , told by the nurse to use the automatic b/p machine which always give an elevated b/p reading . So I tell her give me 5 minutes and I will do the test again . Results are then OK . I was always led to believe that you have to sit and relax for 5 minutes to do a b/p test . But does not happen for me in Thailand .
Yes, you should first rest and relax if you just had a steep walk or other physical or mental exertion.
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Moved to health forum.
It is illegal to buy this over the counter. Only hospitals and clinics.
It is also now off market in Thailand. But some hospitals may still have stock.
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On 4/16/2024 at 3:40 AM, arithai12 said:
It depends on the kind of blood test. If they told you that, best follow their instructions. If you want(ed) to argue, then better find out first exactly what tests they are going to carry out.
The "instructions", unless given specifically by the doctor ordering the test, tend to be boilerplate and err on the side of excessive restriction.
I cannot offhand think of a single test that would preclude drinking plain water.
Taking not even water for 12 hours (which may be much more by the time the blood is drawn) risks dehydration, especially in this hot weather. Which may in fact skew some test results.
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On 4/16/2024 at 7:19 AM, superal said:
If its a Thai government hospital , good luck with an 8 am appointment . I had the same last week . Was given an appointment at 8 am for a CBC . No food for 12 hours .
There is no need for any type of fasting before a CBC, if that is all that is being tested.
Lab appointment slips here tend to say the same thing regardless of test. And hospital staff (not doctors) may tend to just reflexively say no food etc without stopping to check what test and what is really needed. If in doubt ask the doctor ordering the test, not the lab staff or clerks issuing the appointment.
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Bickering/flaming posts have been removed. Please keep it civil and constructive.
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Please show some respect for the deceased, his partner and his family who may be reading this.
Some insensitive posts have been removed.
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Please keep it civil.
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17 hours ago, garet said:
I know what your getting at, but why would I do that? I'm not travelling in Mexico and nowhere near it.
Nor can one, even if near thd border, be assurred of being stable enough to cross it.
And of course a foriegner is not "covered" in Mexico; they have to pay for care. Certainly it costs less than in US but it is not free. And for best quality care/complex treatments would need to travel quite some distance from the border.
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11 hours ago, newbee2022 said:
It's all a matter of belief. Which study you like to believe as well.
What is scientifically proven is that by drinking milk or by an intake of other protein sources (steak, as I mentioned) or fish you'll get creatine. In addition your body creates Creatine in liver, pancreas and kidneys eg.
So, if you get healthy food it's not necessary to buy any creatine as supplement.
For those who consume sufficient animal protein relative to their metaboluc needs there is obviously usually no need to supplement creatine or amino acids etc.
However for vegetarians it can be a good idea.
The elderly are another group of concern as it is now known that protein needs increase in old age while overall caloric needs (and, often, food intake) decreases.
Personally, being both elderly and a vegetarian (and having osteopenia) I think it wise to take it in modest dosage.
Many hody builders seem to find it useful as well.
Certainly this is not something most people need to supplement but to suggest it cannot benefit anyone is going too far.
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1 hour ago, G_Money said:
Why is Bangkok Pattaya to be avoided?
OP probably said this due to its usually very high costs
Detached retina treatment
in Health and Medicine
Posted
As it sounds like more than a single floater and occurred suddenly I suggest you go directly to Rutnin in Bangkok. It is a dedicated eye hospital.
Out of curiousity did you actually go to A&E at BPH or just call? The people who field phone calls are usually just clerks without medical training and making appointments is about all they do.