Sheryl

An insensitive post has been removed. No reason to assume this is an STI. Non-STI vaginal infections are extremely common. All women get them fom time to time and they can indeed be very uncomfortable. Conversely, STIs are often asymptomatic in women.

No, cold does not cause pneumonia. Pneumonia is an infection which can be due to many different organisms: viruses, bacteria fungi. The influenza virus is one of many viral causes of pneumonia. In temperate climates, influenza is most common in the winter months. In SE asia, influenza is most common in the rainy season.

They are different drugs though with similar action. Brilinta (ticagrelor) is slightly more effective.

If her sexual partners are asymptomatic, vaginitis may be more likely than an STD. But if not - or if this fact cannot be ascertained - then STDs must also be kept in mind. Putting STIs aside, there are many type of vaginal infections a woman can have and treatment for each differs. Excluding STIs, the main types are fungal (candida), trichomonal and bacterial. There are some "3 in one" preparations to be had which can be useful when it is nto clear which type is present, as follows: Gynecon Neo-Penetran Forte and some others. No presecription needed. These are vaginal suppositiories, to be inserted before bed. Use up the full pack. Please ignore the suggestion for Amoxicillin Clavulanate (clamoxil) as this is not effective treatment for vaginitis and indeed can make some types worse. If above treatment does not work then there is nothing for it but to see a doctor. Ditto if an STI is suspected.

I like https://rsuhealth.com/ On Sukhumvit around Soi 31. No need to get a full package, can just request what you want https://www.brianet.com/en/labolatory/ is also good but not so convenient location

Locally made brand is Ticata. I don't know cost, perhaps others could advise. Will be less than Brillnta brand.

There are currently 4 types of vaccine available which each address specific types of pneumonia. There remain other types for which there is no vaccine, so it is not the case that anyone with pneumonia necessarily failed to get a vaccine. For that matter, people can still get specific infections despite vaccination, but severity and risk of death will be much less. These vaccines are mainly or especially recommended for the elderly and those with underrlying risk factors like heart disease, diabetes, asthma/COPD. Some of them are also recommended for infants/young children (pneumonia mortality is highest in the very young & very old). 1. Influenza vaccine: needs to be given annually. There is a special high dose version for the elderly. 2. RSV vaccine: single dose for adults aged over 70 or with rusk factors 3. COVID vaccine - once a year if new vaccine available 4. Pneumoccocal vaccine - schedule varies depending on immunization history https://www.cdc.gov/pneumococcal/hcp/vaccine-recommendations/index.html

Pneumonia had nothing to do with temperature and is just as common in hot clmates as cold ones.

You should go yo thd hosputal. This is not something to try to self treat.

Chat GPT like other AI programs just regurgitates back content that appears somewhere on the web -- accurate or not. It is not a reliable way to research anything. Aspirin in any dose is a category D drug in Thailand and can be sold without prescription provided the pharmacy has a grade 1 pharmacist always on duty. Records are supposed to be kept of sales. Vast majority of medications in Thailand are category D. However enforcement of the category D requirements (grade 1 pharmacist, record keeping etc) is rather selective and mainly done for just drugs of particular concern (which csn chslange over time). There is concern about regular dose aspirin being used for fever in patients of any age due to its adverse effects in dengue, and aspirin is contraindicated in febrile children and teenagers (risk of Reyes syndrome).

Fear and hate mongering on Facebook and other social media sites are stirring this up. In both countries. Ironically has worsened since the ceasefire.

Stand alone skin clinics are almost always cosmetic in focus. Dermatologists in the outpatient skin clinics at hospitsls are s mix if cosmetic & skin disease in focus. The fotmer more numeroys than the latter but most large hospitals will have st least 1 dermatoligist focused on skin diseases. In addition some hodpitals have specialized pefiatric dermatologists which may be more appropriate if OP's daughter is young. https://www.samitivejhospitals.com/center/detail/pediatric-dermatology-clinic

You have the right website. System is to send them a message via Messenger, stating what you need.

All of the medicationd mentioned are sold OTC without prescription in Thailand and this has not changed. They do, however, have to be sold by a pharmacy which always has a grade one pharmacist on duty (true of most drugs). Likely the specific online source you use, just no longer carrirles them. Or else a bug in the software. Tty a different supplier. Medisafe is good option.

Is this for routine screening or a specific oroblem? Makes a difference.

If you will maintain a permanent residence in your home country and plan to be in Thailand just a year, and if you are OK with only being covered for emergencies, then a travel policy would suit, and cost far less than regular health insurance. Some will cover for up to a year. What is your country of residence?

I don't know of any insurer who asks about visa type. But misrepresenting where you actually live can be an issue. Some travel policies will do direct payment for inpatient care. How much of the year are you usually in Thailand for? Are there specific hospitals you are likely to use? (Direct payment arrangements are hodpital specific)

Infrequent isolated PVCs usually do not need treatment. But they would also usually not cause the symptoms you originally described. If the symptoms persist may need to look for other cause.

No one suggestd he go to the UK. Just that he get another opinion. Here as elsewhere, individual doctors vary greatly in their competence and thoroughness.

I don't know that they (or anyone) asked the Chinese to be involved but (assuming the Chinese want a peaceful resolution, and I cant see why they wouldn't) it is good that China has stepped in. This situation seems to need a powerful outside party's intervention and only China has the necessary clout and influence in the region to be able to intervene effectively. Its financial and military influence over both countries is substantial.

Small HHs are often missed on endoscopy, especially small sliding HHs , this is true. Barium swallow is actually better for diagnosis of this. You should still get the full report. In particular you want to see the description of the esophageal mucosa. Whether or not you have an HH is far less important than whether or not your reflux is causing changes to the esophageal lining.

They were looking for physical signs of having recently delivered a baby. Easily determined with brief exam. Had they gone about it more delicately and respectfully, explaining the situation , asking for consent, conducting the exams gently with plenty of privacy (and fully clothed except for removal of panties, with plenty of drapes etc, and kind reassuring female nurse/doctor), would have been nowhere near as traumatic. But sounds like they were rough and brutal in manner, not unusual among police in that part of the world. Another option is they could have just gotten mouth swabs for DNA, would take time but would ultimately prove if any of them were the mother. Could have given the female patients the option of either (1) a gyn exam to immediately clear them and let them go on their way OR (2) DNA cheek swab and have to wait a few days for results before continuing their journey. Had it all been done politely with tact and sensitivity, both the law enforcement needs and the rights and dignity of the women could have been met. Not sure how much (if anything) the airline could have done about this,though, as it was a police action. Hopefully the respective ambassadors lodged a complaint with the Qatari government.

This is precisely my concern for the OP. In his 50's, benign enlargement would usually not cause the degree of symptoms he reports, he needs to rule out infection. It can be difficult to confirm infection in the prostate.

Gastritis is not a permament condition so nothing surprising in having had it in the past and not having it now. Re the HH I suggest you get a copy of the actual report of the endoscopy you just had. It will have far more detail than the verbal nurse report. You might well find that it mentions a small HH. Often a verbal "everything's fine" just means "we didn't find anything serious/anything needing immediate treatment". I'vd had tests that showed small sliding HH and no one mentioned it, I just know from getting copy if the actual full report. Most HH do not require any treatment other than some life style adjustments ( weight loss, elevate head of bed etc) to reduce reflux and, if these don't suffice, medications to reduce the acidity of the stomach contents. (Of which Miracid is one). There are surgeries to correct HH but pretty major so done only in severe cases The import thing with reflux is to check for damage/ pre-cancerous changes to the lining of the esophagus. Presumably they did not find any but do get the full report to read yourself.

Chula has a specialized heart center if needed https://kcmh.chulalongkornhospital.go.th/en/ec/the-cardiac-center-en/