Sheryl

1. There is no right to import pharmaceuticals by mail, and in fact it is illegal without an FDA license. 2. Pharmaceuticals are not exempt from import tax. In fact significant duty is levied on imported medications which is why they are so costly in Thailand. Medical appliances also are not exempt from import tax...regardless of how necessary they may be.

The problem is that these machines are oftn uncalibrated and inaccurate.

Not a public kiosk. But pharmacy staff have machine (in the case of real pharmacies staffed by actual pharmacists) Yes, Fascino would be worth a try Boots and Watsons here sell mainly cosmetics and toiletries. Tiny pharmacy counter with only very limited supply.

Many larger pharmacies will do this for you. Real pharmacies, not Boots/Watsons etc.

It is normal to feel run down for months after dengue, and this is what is usually meant by Post Dengue Syndrome. However sounds like your situation involves more than that. The onset and/or flare-ups of Fibromylagia is often preceded by a viral infection. Many different viral infection have been so linked and, as the mechanism is probably related to the immune response, the specific virus is not that significant. No reason to think Fibromyalgia onset after Dengue is any different than after Epstein-Barr etc. Dysphagia is a symptom, not a disease. What is the cause of your dysphagia? I have never heard of any linkage between pulmonary fibrosis and dengue. That is an odd assortment of diagnoses you seem to have (Fibromylagia, pulmonary fibrosis etc). Where, by whom and how where these diagnoses made? Especially the pulmonary fibrosis? Are you a smoker? How old are you?

Stand alone skin clinics here are focused on cosmetic procedures and acne. Definitely not skin cancer. Skin cancer is rare in Thais and few dermatologist here have expertise in it. This doctor at CM Ram is one of the exceptions, having trained and practiced in US https://www.chiangmairam.com/searchdoctor1?major_id=main_type8&doctor=43

There really isn't much market for counterfeit saw palmetto here. Not enough for it to be worth anyone's while. ED drugs etc yes this sort if supplement, no. I buy supplements like fish oil, calcium etc online all the time. Never had a problem. But I don't see Permixon brand in Lazada or Shopee.

No and that pharmacy (Chula) is a good choice for actual pharnaceuticals. However what you are taking is an hetbal supplement (Saw Palmetto). These are usually best bought online from Lazada or Shoppee. Dose equivalence may be an issue. I don't think you can find Permixon brand hete.

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Several inappropriate/unhelpful posts have been removed. @Mason45 If you are certain they are warts (as opposed to hemorrhoids, fissures etc) then Pulse Clinic as other poster suggested, is a good choice. If not sure then need to see a colorectal specialist.

Moved to appropriate forum

Any large pharmacy that is staffed by a first grade pharmacist at all times. Try one of the 2 Fascino branches to start with. Or this pharmacy https://www.facebook.com/PharmakonThongJiTungPhesachakornPrasit/ They will limit how much they sell at one time. And might ask for ID (by law they are supposed to keep record of sales)

Doctors: https://www.bumrungrad.com/en/doctors/sarawut-summachiwakij Clinic: https://www.pulse-clinic.com/andropause-symptoms-treatment-in-bangkok-chaing-mai-pattaya-phuket

Would likely depend on how long you had been in US, and also on the size of the claim. When you get the policy you have to state duration of the trip to US. If you still have a valid Thai visa and have been in US not more than the indicated length of your trip I doubt there would be a problem.

Be sure to bring copies of sll records from Myanmar with you. Especially biopsy report, operative note from the biopsy procedure, mammogram, lab tests and any scans. Try to bring scans/filns on DVD not just the report.

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Health emergencies can strike unexpectedly and medical care in the US is astronomicslly expensive. ...even for more minor ailments which he would also want to be able to get treatment for as needed.

There are more than 10 brands of Naproxen in Thailand. Just ask for Naproxen, any pharmacist will know. Brands of esomeprazole are: Nexium Axiago Esomeprazole Mylan Esomeprazole is expensive. Omrprazole is much chesper, available in several locally made brands.

Neither necessary nor advisable to take these very strong bowel preps regularly. Among other things will indeed upset gut flora. And in any event OP seems to have constant, severe constipation needing some sort of assistance on weekly basis. Which is not normal.

P.S. while using s PPI will help reduce gastric irritation ftom NSAIDs, other risks and side effects remain especially if use is prolonged and daily. These include liver and kidney toxicity, risk of bleeding (especilly if also on a blood thinner) etc. And regular/prolonged use of PPIs also carries usadvantages/risks.

Yes I know the actions. As I explained, naproxen n is an NSAID and esomeprazole is a PPI (proton pump inhibitor). Since NSAIDs can irritate the gastric lining it is common to take a PPI when on them. 2 different drugs and no need to pay extra/import to have both in 1 tablet. Just take the 2 types of drug separately. If you want to save money, can use omeprazole instead of esomeprazole. As for the NSAID, many choices: ibuprofen, diclofenac, naproxen etc.

Local guys, I would prefer an experienced contractor but none available out here. Will have to buy the washer. I'll try to get as long a hose as is affordable to minimize need to walk on tiles.

If you must use an enema make it a pre-made small one (Fleets or dimilar). High up enemas, soap suds etc not a good idea on a regular basis. Have you tried glycerine suppositories? Are you taking on opoid (would explain it).

Thanks. Unfortunately there is no secondary roof or membrane.