Question 1

I've been noticing these white patches popping up on my skin again. I had one near my eye when I was 17 but it went away after treatment. Now, a couple of years later, they're on my elbows and knees. I've tried some remedies and theyve shrunk a bit, but I'm worried. What could these white patches be and should I be doing something different to get rid of them completely?

Accepted Answer

Valproate CR 300 twice a day is a common dosage for epilepsy management.

_Triglyceride Level:_
The elevated triglyceride level (260) could be related to Valproate, as it's a known side effect. Other factors, such as diet, lifestyle, and genetics, may also contribute.

_Other Possible Side Effects:_
1. Weight gain
2. Hair loss
3. Tremors
4. Dizziness
5. Nausea
6. Increased liver enzymes

_Stopping the Medicine:_
It's essential to consult your neurologist or doctor before stopping or adjusting your medication. Suddenly stopping Valproate can lead to:

1. Seizure recurrence
2. Withdrawal symptoms

Given your history of epilepsy attacks, it's crucial to work with your doctor to:

1. Monitor your triglyceride levels
2. Adjust your diet and lifestyle
3. Consider alternative medications or dosage adjustments

Do not stop taking your medication without consulting your doctor.

Question 2

I'm a 31-year-old guy and I've been experiencing sharp pains in my head since this morning. The pain keeps shifting around to different areas like the back, upper side, left side, and even onto my face and shoulders. It's really got me worried. What ...

Accepted Answer

Stomach Pain and Gas Issues

_Possible Causes_

1. _Gastritis_: Inflammation of the stomach lining.
2. _Functional Dyspepsia_: Recurring stomach pain and discomfort.
3. _Irritable Bowel Syndrome (IBS)_: Abdominal pain, bloating, and gas.
4. _Gastroesophageal Reflux Disease (GERD)_: Stomach acid flows back into the esophagus.

_Symptom Management_

1. _Avoid trigger foods_: Identify and avoid foods that exacerbate symptoms.
2. _Eat smaller meals_: Reduce symptoms by eating smaller, more frequent meals.
3. _Stay hydrated_: Drink plenty of water to help with digestion.
4. _Avoid lying down after eating_: Wait at least 2-3 hours after eating before lying down or sleeping.
5. _Manage stress_: Engage in stress-reducing activities, such as meditation or deep breathing.

_When to Seek Medical Attention_

1. _Severe pain_: If pain is intense or persistent.
2. _Vomiting blood or black tarry stools_: If you experience vomiting blood or black tarry stools.
3. _Difficulty swallowing_: If you have trouble swallowing food or liquids.
4. _Fever_: If you have a fever over 101.5F (38.6C).

Question 3

Hey, I'm a bit worried about something. My liver has been described as a "fetty lever" or something like that. I'm not sure what this means, but should I be concerned about it? Is it something that could be harmful to my liver? And if it is, what kin...

Accepted Answer

it is due to high cholestrol storage in the liver. avoid high fatty items

Question 4

I'm feeling a really sharp pinching pain right when I start to have a bowel movement. I've dealt with constipation before, but this pain is new to meand it first happened even when I wasnt constipated. There's no medication I'm taking that could expl...

Accepted Answer

That could be due to hard stools consume plenty of water and fibre rich diet to avoid constipation,if its becoming worse visit physician for appropriate management

Question 5

I'm trying to understand my urine test results and could use some guidance. The report mentions occasional epithelial cells and pus cells with a specific gravity of 1.010. I'm a bit concerned and wondering if it's necessary to start taking Martifur 1...

Accepted Answer

take tablet

Question 6

I've been dealing with this persistent cough for several days now, and it just doesn't seem to be improving. I've tried using bisolvon cough forte, but it hasn't really helped. What else can I do to get some relief? Should I be worried about this?

Accepted Answer

Try doing salt water gargling twice daily and drink only warm water.  If there is no relief then please consult a doctor who can examine you and advise accordingly.

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General Physician/ Internal Medicine

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