Question 1

I'm a 21-year-old woman and I've been struggling with PCOS symptoms like period acne and hair thinning. I took meds for a few months to help with my menstruation, and right now I'm using minoxidil 5% mintop eva for hair loss. I've noticed some new hair growth on my scalp, which is great but also more hair on my face, which is freaking me out a bit since I already had some facial hair. I'm not sure if this is from using minoxidil or just my PCOS acting up. My doctor is away for a few weeks and I don't know whether to stop using minoxidil or what to do. Any advice on this? I'm really confused about what's causing the facial hair growth and how to manage it without losing the hair on my head.

Accepted Answer

It is possible that the increased hair growth on your face is due to the use of minoxidil, as it can sometimes cause hair growth in unintended areas. However, it could also be related to your PCOS, as hormonal imbalances associated with PCOS can lead to hirsutism (excessive hair growth). Since you are already seeing positive results on your scalp with minoxidil, it may be beneficial to continue using it for your hair loss. To address the facial hair growth, you may consider talking to your doctor about adjusting the dosage or frequency of minoxidil application. Additionally, treatments such as anti-androgen medications or topical creams like eflornithine can help manage unwanted facial hair growth in women with PCOS. It's important to discuss these options with your doctor once they are available.

Question 2

I'm a 28-year-old woman working a desk job, and I've noticed my TSH level is at 8.67, even though my T3 and T4 are normal. I usually keep a pretty healthy lifestyleI'm vegetarian and consume a lot of milk-based products, plus I swim four days a week. Im 5 feet tall and weigh 50kgs. Recently, though, I've been off track with my diet, eating whatever whenever. I've had high TSH before but managed to lower it through lifestyle changes. Do you think adding a multivitamin could help if I focus on fixing my diet and sticking to regular exercise? Would love to hear your thoughts.

Accepted Answer

_Possible Causes_

1. _Anal fissures_: Small tears in the anal lining.
2. _Hemorrhoids_: Swollen veins in the anal region.
3. _Skin irritation_: Allergic reactions, eczema, or dermatitis.

_Treatment and Relief_

1. _Warm sitz baths_: Continue using warm water with potassium permanganate (1:10,000 dilution) for 10-15 minutes, 2-3 times a day.
2. _Topical creams_: Apply over-the-counter (OTC) creams or ointments, such as hydrocortisone or lidocaine, to reduce inflammation and pain.
3. _Stool softeners_: Take OTC stool softeners, like docusate, to ease bowel movements and reduce straining.

_Precautions_

1. _Avoid rubbing or scratching_: Gently pat the area dry instead.
2. _Wear breathable clothing_: Loose, cotton underwear can help reduce irritation.
3. _Maintain good hygiene_: Clean the area gently with water and mild soap.

_Consult a Doctor If_

1. _Bleeding or discharge_: Presence of blood or unusual discharge.
2. _Severe pain_: Intense pain or difficulty controlling bowel movements.
3. _No improvement_: Symptoms persist or worsen despite treatment.

Question 3

Diabetes Self Management Patient Education Materials

Accepted Answer

Few education programmes and patient support groups are there from American Diabetes Association.

What foods can diabetics eat freely?

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