Question 1

I'm really concerned about this habit I've developed of inserting my finger into my anus. I did it yesterday, and a couple of hours later, when I did it again, I noticed this slimy, jelly-like stuff on my finger. There's no blood, pain, or any other symptoms, but this always seems to happen when I do it again soon after the first time. Is this slime supposed to be there? Does the fingering cause it? I've read online that other people who've done anal fingering have noticed it too, so is it always present? I really want to stop this habit, and I'm feeling worried. Please guide me on what to do.

Accepted Answer

Rabies Vaccination and Post-Exposure Prophylaxis (PEP)

_Timing of Vaccination_

1. _Immediate vaccination recommended_: The World Health Organization (WHO) recommends immediate vaccination after exposure to rabies, ideally within 24-48 hours.
2. _Vaccination during incubation period_: If vaccination is administered during the incubation period (before symptoms appear), it can still be effective in preventing rabies.

_Your Situation_

1. _Delayed vaccination_: You received vaccinations 6-7 years after the initial exposure.
2. _Multiple vaccinations_: You have taken a total of 17 vaccinations from 2008-2016.

_Reassurance and Recommendations_

1. _Low risk of rabies_: Given the long incubation period and the fact that you have not shown any symptoms, the risk of rabies is low.
2. _No need for further vaccinations_: You have already received multiple vaccinations, and further vaccinations are unlikely to provide additional benefits.
3. _Consult a doctor for reassurance_: Schedule a consultation with a doctor or a rabies expert to discuss your concerns and receive reassurance.
4. _Address anxiety and depression_: Consider seeking professional help to manage your anxiety and depression related to the fear of rabies.

Question 2

I'm feeling a bit worried about my recent bilirubin test results. The direct photometry reading was 0.36 mgdl when it should be between 0 and 0.30, and the indirect calculated bilirubin was at 1.6 mgdl, higher than the normal range of 0 to 0.9. My total photometry was 1.96 mgdl, outside the 0.30 to 1.20 range too. Could you help me understand what these numbers mean? Also, I'm wondering if these levels might affect my health in any way, particularly when it comes to having intercourse. Should I be concerned about anything specific?

Accepted Answer

Its not significant no need to worry maintain healthy lifestyle and consume healthy food,and its not related to intercourse.

Question 3

I've been having acid reflux in my stomach lately and it gets worse when I eat or lie down to sleep. Could this be related to gallstones? Do I need to consider surgery for this?

Accepted Answer

Yes, gallstones can sometimes be linked to acid reflux, especially if they cause inflammation of the gallbladder. The presence of gallstones can lead to a buildup of bile in the stomach, increasing pressure and potentially stimulating acid production, which can contribute to acid reflux symptoms. However, acid reflux can also have other causes, such as Gastroesophageal Reflux Disease (GERD), certain foods, or being overweight.

Orthopedic opinion is advised to the patient.

More Gastroenterology/GI medicine Health Queries

I've been having acid reflux in my stomach lately and it gets worse when I eat or lie down to sleep. Could this be related to gallstones? Do I need to consider surgery for this?

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