FBN

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.

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...

Keep in mind that sperm leaks out during intercourse and pregnancy can occur even if ejaculation takes place outside.

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.

Guys, out of respect to the OP, please take personal conversations offline and keep posts on topic.

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..

Not health related and several posts deleted with religious references as well as posts quoting it.

Topic closed

This resurrected topic is now all bled out and closed.

Lyme's disease is only transmitted by tick bites and only a certain kind of tick at that.

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.

Ticks don't/can't bite on thick skin surfaces like the sole of the foot or palms; they go for thin skinned areas.

Vaccination jabs don't leave scars. Chicken pox is really the only one that leaves the familiar scar.

The benefit of vaccination far outweighs the risk of a tiny scar..

For updated prices on these suggest you call the Travel Medicine clinic at Bangkok Nursing Home; number available from the BNH website.

Tick borne diseases are caused by the bite of an infected tick and the bite alone.

You have no risk of any disease.

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..

This thread has now careered off topic with much momentum.

The OP is clearly improving....

The right of a person to choose the way he approaches any event in life is sacrosanct and will be respected on TV. So is freedom of speech unless it infringes on statement no 1..

Thread closed.

Trephination and bloodletting were also common practices, once...

Ganglions are removed mostly for cosmetic reasons as they never are the cause of significant pain or discomfort.

They are, however, associated with degenerative joint disease such as arthritis and this is probably the cause for the pain. Doubtful if simple aspiration of the fluid will relieve the pain.

Perhaps a simple X-ray would help to clear this up..

Proper surgery is the only effective treatment for a ganglion. The ganglion forms when a weakened part of the connective tissue covering the wrist joint gives way and allows the synovial membrane which is the capsule sealing off the joint space to protrude through the weakened area. This "pops up" under the skin as a ganglion but is still connected to the joint and filled with joint fluid.

Removing the liquid will not achieve anything as it will fill up again quite quickly. "Bursting" the ganglion is not appropriate as the joint fluid then leaks into the surrounding tissue.

The proper surgical technique is to isolate the ganglion, find the thin connecting "tube" into the joint and then tie that off. The ganglion capsule must be removed without being broken, ideally..

The 20% failure rate in treatment for giardia is partly or mostly due to drug resistance when treated with Metronidazole so if the infection flares up again a switch of drug is usually advisable.

If there is improvement, no need to change but, if after 4-6 weeks it flares up again, Tinidazole is probably the way to go..

It has less gastrointestinal side effects and is a convenient single dose.

The fatigue is as result of the infection; the parasite destroys intestinal lining leading to mal-absorption; hence also the unpleasant flatulence..

Inguinal hernia is a defect in the connective tissue over the inguinal canal. Surgical repair as soon as it is diagnosed is appropriate as it will prevent a potentially fatal situation if a loop of bowel becomes strangulated.

Surgical repair is the only option and can only be done under spinal block or general anaesthesia. The amount (dose) for a local anaesthetic for this procedure would probably be lethal and the local swelling induced by the volume of fluid injected in the operating field would distort the anatomy so much that the repair would likely fail.

Theoretically, it certainly is possible that activated charcoal may absorb some of the active ingredients of an antibiotic; I could not find any literature to support that though but it would make sense to start taking activated charcoal after the course of antibiotics. It will certainly help with the flatulence.

There is about a 20% failure rate for treatment with metronidazole but re-infection via fecal/oral route is common.

The dose for Flagyl (metronidazole) is 250mg three times daily for at least 7 days.

Alternate treatment is Tinidazole as a single oral dose of 2g which, in the OP's case is advisable.

This topic was ill-defined at best and this thread has now gone way off topic.

It is now closed.

There are no lymph nodes "between chest pecs" ; assuming you mean between the pectoral muscles on the chest, on the breast bone. This must be some swelling due to a different reason.

You have tested negative for HIV; the sensible thing to do would be to have another test in three month's time as you clearly still have much anxiety over this.

Consider counselling, not just for HIV but for your general anxiety about this whole unfortunate episode.

Several posts have been removed from this thread. They were considered to be inflammatory and of a personal nature.

This is a Health Forum, not one for personal conversations of the type taken out of the thread.

Keep the topic on the medical aspects of the case; personal conversations of this type do not add value and should be done offline.