Sheryl

More likely your bladder had just become de-sensitized to fullness.

They will surely have ond or more urologists, all hospitals do, but I can't recommend a specific one. Really suggest you see the doc I recommended at Bangkok hospital. As you have already gotten a PSA only likely test is a urinalysis which in inexpensive. Whetever you go, don't buy medication at the hospital, these meds ard sold without prescription at pharmacies.

I have not heard of people being asked to show return ticket if traveling from Thailand but technically IATA database says you need it if you don't already have a visa. If you want to be completely surdle of no hassle get an e-visa. Extremely easy to do. Siem Reap these days has more range in restaurants and accommodation. If you will be there after the end of the rainy season a visit to one of the islands is worthwhile.

Yes a one time 30 day extension of tourist visa is possible and almost any travel agent can do it for you. If you are going to get a tourist visa can get it online. Costs about $5-6 dollars more but saves a whole page in your passport and time on entty. You can also get ordinary (non-tourist) visa on arrival and then get longer (up to 1 year) extension for retirement if aged over 55y. This allows mutiple entries.

Where jn Thailand are you located?

P.S.Forgot that old stand-by, prunes. Available on most supermarkets. Try 3-5 pieces daily along with more fiber.

There are 2 classes of medication used for BPH: 1. Alpha blockers like tamsulosin, doxazosin and other "...osins". These work by relaxing the neck of the bladder making it easier for urine to pass. Takes effect almost at once. These drugs tend to lower blood pressure so if you are onBP medx may need to adjust dosage. 2. Finasteride/dutasteride and related drugs reduce prostate size over time. Takes 6 months or more to see results but will help prevent progressiln of yhe condition. Usual to take both tipes of drug. There are preparations that combine them into 1 tdblet but this is more expensive than taking two separate pills.

I recommend yhe Senna tablets you can get in any 7-11 in the section with Thai herbal treatments. Not for daily use either, but gentler than ducolax. You should also adjust your diet to get more fiber, or take a fiber supplement. even just a bowl of oatmeal daily will help.

Many -- I would even guess most -- AN members are on medication for benign prostatic hypertrophy (BPH) which is most llkely what you have (but need sowcialidt to xonfigm). In terms of CM urologists I havd had good feedback on https://www.bangkokhospital-chiangmai.com/en/doctor/dr-wittawat-rawiyotai-m-d/

As you get older the risks of the procedure vs potential benefits change. Most doctors would agree that for a 79 year old if all prior colonoscopies were normal, can cease doing them. But you could do periodic flstool tests for occult blood.

No, they don't. They do their best to just translate what the doctor or other personnel have said. I have occasionally seen them privately give money saving tips to the patient. The main drawback is that the translator/facilitators are usually not medically trained so do not always fully grasp what doctor said/meant, so detailed discussions around diagnosis, treatment alternatives, prognosis etc can be difficult. Not a big issue for English speakers as doctors willing and able to go into that level of detail and shared decision- making almost always speak English well. But can be a big problem for speakers of other languages. In particular, Cambodian, Lao, Vietnamese Bangladeshi, Nepalese etc often get only the most cursory (and sometimes garbled) explanations.

As many have answered, no, the involvement of facilitator would not have affected the charge. But being a foreigner (especially if classified by the hospital as a tourist), may have.

Fine as long as in clearly labrlled prescription bontainer of dome dory. Rule is now 30 days supply but as @Lorry said, not strictly enforced. Have a doctor letter/medical summary with you not only in case questioned by customs (unlikely, but not impossible) but also in case you need to consult a doctor while here.

I can find no data on taking Losartan in divided doses as you suggest. If I understand correctly you are mostly taking just 25 mg Losartan a day. That is such a low does that I wonder if you need it at all. What is your BP like on 25mg Losartan a day. and have you tried seeing what it is on none? Are you on other medications with a BP lowering effect? Have you lost weight? (Wondering why the change) Addendum: just noticed fro man early post that you seem to be on Doxazosin for prostate. This in itself has a blood pressure lowering effect. If your hypotension started after `you began (or increased) thsi medication, it is the likey explanation. Possible you do not need to take a separate BP med at all (buit if you stop, monitor your BP to be sure).

Recommended dosing of losartan is once a day. I can find no data on taking it in divided doses as you suggest. Also, the divided doses you would be taking are at sub-theraputic amounts. Why are you thinking of a change? What is your BP like with Losartan 75 mg once a day as prescribed?

Why on earth do you assume you will "suffer side effects"? Most people do not. I think you know very well the substantial risks of leaving your BP untreated.

You should discuss with your doctor as there may have been a specific reason for putting you on a calcium channel blocker. If there was not then yes could switch to an ARB like Losartan. Readily available in Thailand and inexpensive. However at 50mg dose sometimes effect does not last full 24 hours i.e. your BP may rise later in the day.

Chances are that at 55 you have moved into a new 5 year age bracket hence the big increase. Will likely drop back to just inflationary increases until 5 years from now when you'll see another "bump" and so on. You can if you wish decrease your premium by taking a larger deductible or combination of deductible and copay. Just make sure you can easily cover the deductible and/or copay

3 different medications of which class/type? If you experience side effects with one BP medication, likely will do so with other medications of the same or related class. In the case of valsartan, it is an ARB and these in turn are closely related to ACE inhibitors. So should try something not in either class.

Vast majority of people do not experience this. As with most side effects, just an unlucky minority.

Agree. Elevate that TV screen to eye level. And add a lumbar support pillow.

Exactly and without seeing a doctor he cannot be sure which he has.

Trying to resolve with company first is standard advice, anywhere. General conditions of any policy will specify complsint procedures and appeal channel. @traveldan ask to see Genseal Conditions. I suspect same whether policy purchased from their Guernsey or Bekgium office but you can verify.

Open abdominal hysterectomy maybe 150-200k. Laparoscopic or vaginal, maybe 250-300k. Before I recommend please verify re fertility desires and whether want open or other procedure, makes a big difference. If she is wanting to preserve fertility would be altogether different procedure.

Is your friend wanting to have (or retain the option to fave) children in future? As treatment of fibroids is complex only when there are fertilith concerns. Otherwise a simple hysterectomy sllfes it and any Ob-Gtn can do that. What exactly is the issue she is having in US? Medical or insurance?