Question 1

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 2

I'm dealing with something called polycystic and I'm not exactly sure what that means. Could you give me some advice on what exercises or foods might help with this condition? I'm really looking for some guidance here.

Accepted Answer

Consult a doctor or urologist for proper guidance. They may recommend:

1. Topical creams or ointments to loosen the foreskin.
2. Gradual stretching exercises.
3. Preputioplasty (a minor surgical procedure).
4. Circumcision (as a last resort).

Avoid forcing the foreskin back, as it can cause further injury and scarring.

Question 3

I've noticed that both sides of my parotid glands have been swollen for the last five years. There's no pain, but I've been to an ENT specialist who did an MRI, an ultrasound, and some blood tests. Everything came back normal, except that he said my parotid glands are enlarged and mentioned it might be something I was born with. What's got me worried is that I've observed these glands getting bigger every year. I've been trying to maintain a good diet, avoiding oily foods, and doing regular exercise, yet my face remains swollen. Should I be concerned about this and consider seeing another specialist?

Accepted Answer

1. Drink plenty of water to help dislodge the object.
2. Eat a banana or something soft to help push it down.
3. Cough vigorously to try and expel the object.
4. If the object is stuck and you're experiencing difficulty breathing, call emergency services immediately.
5. Visit an ENT specialist or an urgent care center for further assistance.

Why does insulin blind diabetics?

Diabetic retinopathy is a condition caused by high blood sugar due to diabetes. Over time, having too much sugar in your blood can damage your retina the part of your eye that detects light.

More Endocrinology Health Queries

I'm dealing with something called polycystic and I'm not exactly sure what that means. Could you give me some advice on what exercises or foods might help with this condition? I'm really looking for some guidance here.

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