Sheryl

Thanks for the update. Did you go through private or public channel?

Could be the reason. Stop all the meds you can and repeat the labs.

I usually know what tests may be needed. If I do not, or the doctor recommends test(s) I have not had I usually get it done at the hospital unless it is something unusually expensive. Which is infrequent. There is no problem to be candid with a doctor about cost concerns. Ask how much tests will cost. It will usually not save money once in a doctor consultation to leave and go to a lab outside as that would entail 2 separate paid doctor visits whereas usually get charged just once if you are sent to hosputal lab and return right after. Makes sense only if the test is something that won't yield results quickly.

Fatty liver is common in people who are overweight and weight loss will indeed usually resolve it. It is usually asymptomatic so the fact that you feel well does nto in itself mean anything. Please see https://my.clevelandclinic.org/health/diseases/15831-fatty-liver-disease Fatty liver does not always cause a problem but in some cases it can lead to liver damage which is why it is advisable to address it. However if I read your post correctly you have nto yet had an ultrasound so do nto know if in fact you have fatty liver. Regardless of whether or not you have fatty liver, the amount of increase in just a few months is unusual, and elevations in the range you have are more often medication-related. Cialis does in some cases adversely affect the liver. Have you been taking it for a long time and at the same level of frequency, or did you start or increase its use recently? And when did you start the tribulus and horny goat weed? There are some reports of liver toxicity from tribulus https://apjmt.mums.ac.ir/article_15318.html Horny goat weed, while itself not known to be toxic to the liver, can alter the metabolism of Cialis in a way that increases the risk of liver damage from Cialis. If I were you, I would stop the Tribulus and horny goat weed (the efficacy of both is in any event not well established), keep the Cialis use to minimum necessary and repeat the labs in a month or so. Quite possible levels will be back down. If not then get the ultrasound. And regardless, do try to lose weight. While I doubt fatty liver (if in fact you have it) accounts for the increase in enzymes that occurred in just a few months, over time fatty liver can indeed hurt your liver function and excess weight in general has many adverse effects on the body, It is unclear if low testosterone is a risk factor for fatty liver or not. But I would hesitate to jump to the conclusion that your testosterone is low based on a single test when prior levels were normal. I would suggest first repeating the T level when you repeat the liver enzymes.

It tends to be chronic. Mild Cases can be treated with topicsl drugs (ointments etc).

OP could you clarify exactly how much time passed between the 2 sets of lab results? Your post mskes it sound like just 1 month but it would be unusual to repeat those labs after duch a short intervsl unless you had started a medication. Which leads to second question: what medications (including supplements) do you take? Had you taken anything for sleep the nighf before the test?

It tajes 6 years post high school to complete a medical degree in Thailand. People do indeed becomd doctors ar 23 or so here. Specialty training takes longer of course. Yes I would include motorcyce as a bike. When you see the doctor find out what medications (if any) he is prescribing. Whrn you arrive st cashier tell them right away you do not need the medications. If they give you flak stand your ground. By law hospitals cannot require you to buy medications from their pharmacy.

It never works calling or emailing s government hospiral. You have to just go and as early in the morning as possible. Recommend having a Thai speaker with you as it will be crowded snd confusing.

Certainly not 80. He graduated 46 years ago which would make him probably sbout 68. I have the impression though that though his originsl qualugication was urology hd branched out more into general durgrry. Before going anywhere get PSA and urinslysis done at Lifecare kabs, and bring results with you will save money. Avoid bike riding and sexual activity for 48 hours before the PSA test for most accurate results. And don't get medications at thr hospital, buy at outside pharmacy.

You are thinking of Siriraj not Samitivej. Siriaj is arguably the best govetnment university hospital in the country. It is huge and has specialized clinics for about everything. Located near the riverfront on the Thonburi side. Besides its public channel, which is very crowded, it has a separate attached private hospital https://www.siphhospital.com/en/home More expensive thsn the public channel but unlike the gormer you can choose your doctor and directly see the senior professors. Samitivej on the other hand is a private hospital owned by BDMS with main branch in the heart of Bsngkok and several smaller branches. Little reason to use its smaller branches but the main hospital on Bangkok has some good doctors, though expensive. It is completely private and Deinitely not the place the doctor was describing to you

The best eye facility in Issan is the Eye Clinic at Khon Kaen University Hospital (Srinagarind). There are a variety of treatment approaches to detached retina and it needs a retinal expert to determine the best approach for a specific case.

Did the foctprs know thst? As eith Eluquis udually only need yo stop one day before minor durgicsl procedure. From what was told to you (stopping gor 2 weeks) they wete thinking of warfarin. I suggest you discuss issue with your cardiologist and perhaps have him call the clinic at Chula.

There is a work around to th anticoagulant issue though a bit complicated and not 100% risk free. That is to switch from warfarin to an injectable low molecular weight heparin (e.g. Clexane). These are short acting so usually need to only skip 1 dose before procedure. Down side is you have to give yourself daily injections for about 2 weeks and the switch from warfarin to LMWH has to be done under close medical supervision. And on day of procedure you'll be unprotected clot-wise. If anticoagulatoon was your only contraindication fir DBS you might like to discuss this possibility with your cardiologist

That is a considetable exaggeration and not what I said. Palliative care here is weak but it would be unusual to "die in excrutiating pain". More accurate to say that one may have to die in a hospital in order to get parentetal pain relief and if in a government hospital will likely experience some breakthrough pain between doses, and pain management will be less than optimal.

Cambodia only sells codeine and tramadol OTC. Mot stronger opiods. Tramadol is also available OTC in Thailand. If brnging codeine from Cambodia need to get FDA petmit in advance. This is do-able but hardly necessary for cancer pain as for thay ulu can certainly get codeine or even morphine (oral) prescribed here. As I have explained tbe difficulty comes when oral meds no longer suffice or patient is unable to take them.

First of all, you should not have self medicated with antibiotics, can greatly confuse the clinical picture and make accurate diagnosis difficult or even impossible, as well as upset your gut flora, perhaps unnecessarily. You should also avoid immodium except when absolutely essential (e.g. have to make a lengthy trip) as the diarrhea is your body's way of removing pathogens or irritants Actovated charcoal - available at any 7-11 (CA-R-BON) may help with the diarrhea. Viral gastroenteritis can occasionally last as long as 2 weeks but not much beyond that, if that is what it is, should pass within another few days. If it persists beyond that there is no choice but to see a doctor, might be giardiasis or a bacterial infection and you need a stool test. (The antibiotics you took will make culturing bacteriam difficult). The main stay of managing something like this is: 1. Stay well hydrated and replace electrolytes (can get powdered electrolyte drinks at any 7-11). You can gauge how well hydrated you are by the color and amount of your urine. It should be clear or just very kight yellow and in usual amount or more than usual if you are drinking a lot, as advised, will be more than usual and that is fine). 2, Rest 3. Activated charcoal can be taken and may help (will naturally make your stool black). 4. Eat bland foods (dry toast etc) and avoid any foods that seem to trigger it. Some people find it best to avoid dairy at such times. See doctor if: - there is fever - there is blood or mucuous in the stool -there is severe abdominal pain (beyond normal diarrhea cramps) - you are unable to keep fluids down, or unable to stay hydrated (urine is darker than normal in color) - the diarrhea is prolonged If it is really 2 full weeks you already meet the last criteria. Food poisoning will usually pass in a few days at most. Viral gastroenteritis seldom lasts more than 14 days.

Scoop refers to a spoonful with reference to a specific spoon or similiar implement. There is no uniform size, different scoops have different sizes. When instructions refer to a "scoop", the scoop spoon should be supplied. Lacking that, does the packaging say anything about how many mg per gram? And what dode are you aiming fior? Please also fully spell out what the medication is, I assume Niacinamide?

Yes. And: How old is the child? Have you discussed how you feel with your wife?

The post is not about viral infection but about an autiomimmune condition 6 months after the infection resolved. There is absolutely no evidence for using papaya extract for this and no reason why it would work.

A post advocating an unproven quack remedy with no possible application to chronic chikgununyga arthritis has been removed. Chikungunya arthritis is commonly treated with NSAIDs and either gabapention or pregbalin. It is sometimes necessary to use immunosuppressants (steroids or others). This needs to be managed by an experienced rheumatologist. What medicatiosn is he currently on and what type of doctor is treating him?

Most hospitals would not be able to do this. Indeed many non-tertiary upcountry hospitals will nto have heard of it. It is also of little practical benefit. A positive result does not mean you can't get shingles and a negative result does nto mean you cannot get shingles as sometimes, if you had chickenpox very long ago, the antibody level can be undetectable.

Because no manufactirer has applied to register it in Thailand, and the Thai FDA has not approved naltrexone except in normal dose for treatment of addictions. Indeed, use of naltrexone for other than addcition is still off-label in most Western countries and I don't offhand know of any approved LDN formulations yet (though some are in the works, still in clinical trial phase). People who get it, are usually having it specially compounded. This is very, very new.

It is indeed not allowed to post links to Thaiger (their rule not ours) and even also not allowed to cut and paste exact quotes without attribution . I have edited both your posts accordingly. I think people can still get the gist i.e. that diclofenac gel can be used for keratoses and is worling well for you. Which is useful info. How long did you have to use it and how many applications a day?

How far South do you mean? In the far South the best facility is Prince of Songkhla hospital. Go through the after hours clinic. Can advise better once there is a diagnosis.

https://www.bangkokhospital.com/en/doctor/dr-potjana-jitawatanarat https://www.bumrungrad.com/en/doctors/Tanawat-Jirakulaporn https://www.bumrungrad.com/en/doctors/Harit-Suwanrusme https://www.bumrungrad.com/en/doctors/Suthida-Suwanvecho https://www.bangkokhospital.com/en/doctor/dr-bundarika-suwanawiboon The first listed doctor's US training was the most recent (2014) and I find that is important.Lots of Thai doctors here who trained abroad many decades ago, they tend to get un-acculturated after a while. Also may or may not keep up to date.