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FBN

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Posts posted by FBN

  1. It's the generic drug of exactly the same thing. I just paid 40 baht for 10.

    I'm glad this came up. I just discovered this stuff.

    Tell me-

    Can it be used for intermittent gastritis? I've found it to be effective in a single dosage (40 mg)? It seems to work great that way for me. A couple of doses over 24 hours and it's gone. The literature doesn't talk about that.

    It could be used for this if an antacid won't help. (Gaviscon is one such antacid designed for hiatus hernia). Never use both!

    The usual dose is 20mg and, as with all medications, use the lowest dose that achieves the desired effect.

    All of these drugs are in a group called proton pump inhibitors which basically means it interferes with the chemical reaction in stomach lining cells that produce acid.

    Recent discussions on the longterm use of these drugs on a continuous basis may cause renal damage.

    There is also a possibility that it may mask early symptoms of gastric malignancy so if symptoms continue over a long period of time, a gastroscopy is indicated to rule this out as well as a helicobacter pylori presence which very often aggravates the situation and needs to be treated separately.

  2. There are other options than a dedicated air ambulance; cost for this to the US will be extremely high.

    Depending on the medical condition at the time, transfer on a commercial airliner by stretcher and medical escorts may be possible.

    Try searching the International SOS website for more info; they have an office here in BKK.

  3. Could be gastritis, gastric ulcer or a helicobacter infection..

    If this has been ongoing for a while, you would probably need to see one of those docs with some real diplomas on the wall..

  4. Best to consult a gynaecologist for this. In the mean time, suggest you wait for the bleeding to stop and get your cycle back to normal and then start taking a contraceptive pill. You do risk breakthrough bleeds or inadequate protection if you start taking contraceptive tablets now.

  5. Best not to take anything as you may not know what the particular effect the medicine you take may have on you or how long it may last. Get to sleep early the night before and make frequent stops during the journey; pull over and take a short nap if you do feel sleepy. Coffee and lots of water agreed; the full bladder will result in frequent stops as well...

  6. As posted above..

    Surgery can not be done while the cyst is inflamed as it will result in undue bleeding and may actually spread the infection.

    It is a relatively simple procedure for a 2cm lipoma and can easily be done under local anaesthetic but only after the redness is gone or subdued at least and no other sign of infection. Best to get a consult with a plastic surgeon at any one of the big hospitals.

  7. This is very unlikely to be pain associated with kidneys but it is typical pain for conditions affecting the liver.

    Not enough info given to venture a guess as to what it may be but can be anything from a gallstone to an infectious process.

    Conditions affecting the diaphragm on that side may also be on the list but this will usually be aggravated by breathing.

    Best to have more investigations specific to the liver..

  8. Hopefully the leg is in a cast..

    She should be admitted asap to elevate the leg to reduce swelling prior to surgery. Ideally it should be operated within 7-10 days.

    If flying with a cast, should should get a doctor's certificate to state that she is fit to fly and then a request for wheelchair assistance from the airline. She should fly in business class where she can elevate the leg during the flight; the cast must also be split prior to the flight to accommodate swelling that may occur during the flight.

    Queen Sirikit in Sattahip is probably the best (and cheapest) option.

  9. Fusing 2 disc levels in the neck causes increased stress of movement of the level immediately above and below the fused levels with increased wear and tear on those discs. Hence the recommendation for a disc "replacement" which will not have this side effect as it allows for more mobility.

    The disc is a colloidal sort of structure that will absorb fluid and "swell" again to a relatively normal size if pressure on that level is relieved by traction or taking the weight off that disc in case of the lower back. This, however, may last only temporarily depending on the amount of wear on that disc. So intermittent traction with perhaps a neck brace after to protect the neck and support the weight of the head somewhat may relieve symptoms and perhaps delay the need for surgery a while.

  10. The cause for the ganglion was explained in an earlier post; if the connection to the joint space persists, it is quite logical that massaging it will make it disappear temporarily as the fluid is simply squeezed back into the joint space. Any exercise though that would put some stress on the joint, will make it reappear.

    It is interesting to note that the OP's pain disappeared after massaging the fluid back into the joint space; reason for that is that ganglions may be associated with some form of degenerative joint disease and massaging the nutrient rich fluid back into the joint space has allowed it to do its job ie lubricating and feeding the cartilage and hence, pain reduced..

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