FBN

Sounds like post herpetic neuralgia that can persist or recur sometimes without the accompanying rash every time.

May be worthwhile to take some acyclovir at the next onset; if this reduces the pain and duration, it probably is PHN.

The fact that the blood became darker may indicate that the bleed occurred deeper in the lung tissue and it could indeed mean a repeat embolism or rupture of a vessel.

This needs urgent attention at a proper facility and by a qualified pulmonologist.

You may be confusing this with a bone density scan: http://www.nlm.nih.gov/medlineplus/ency/article/003833.htm

Seems likely to be shingles. Antiviral medication like acyclovir can help shorten the duration and also reduce the pain during and after.

There is some urgency here but be sure that there is not a complete blockage to airflow otherwise you may not be fit to fly..

A single dose should be fine..

Posts deleted with inaccurate and irrelevant content.

"Trying out" medication suggested on an open forum for someone who has been diagnosed and treated with specific medication is irresponsible of both the poster and the patient.

The OP has indicated he will seek the appropriate medical advice suggested by a poster on this thread and I suggest we hear from the OP of any outcome which may be of benefit so people out there with similar problems; advising unproven alternative and possibly even dangerous medication in this particular case is of no benefit to anybody.

It seems from the opening post that this diagnosis is not a confirmed one from a dermatologist. Psoriasis usually occurs in patches and seldom "all over the body". Would be worthwhile getting a proper diagnosis before applying steroid ointments or creams; these, especially applied over large areas, can be absorbed in significant quantities with systemic side effects and would also be extremely expensive. There are sulphur based applications available developed for application over extensive areas.

Sheryl and I was posting at the same time!

My comment is supplement to that of Sheryl, not at my dear colleague!!

This thread is not about the pros and cons of circumcision. If you really feel the need to discuss this, start another thread.

The OP asked for a referral close to Mukdahan.

If you could provide this info, please do so.

Irrelevant and inflammatory posts deleted.

If you have a relevant and civil comment to make on this thread, please contribute, if not...

Post with photograph deleted.

We have asked before in this forum to keep posts on medical and health issues related to Thailand and not to post links to news articles or other controversial or sensationalist "research" topics..

Probably trigger fish; they are very aggressive and protective of their nesting areas and will attack any intruder irrespective of size; ask most scuba divers in these waters!

Any bite inflicted in sea water needs to be monitored closely as they easily become infected.

Salt water snakes are rear fanged and have extremely small mouths and only really able to bite on fingers; most of these recorded in the Philippines in locals who catch them to sell.

Please don't attempt the "book" method or aspiration as the cyst will invariably recur and the leak of the joint fluid into tissues may cause a tissue reaction. The ganglion develops from a weakness in the joint fibrous support of the wrist joint and the viscous fluid in the joint then blows out the membrane lining the joint through this weak spot; the ganglion is filled with this fluid. The thin connection of the cyst to the joint must be identified during surgery and properly tied off and perhaps a repair done to the fibrous sheath as well to prevent recurrence. The surgery should be performed in a "bloodless" field (with the help of a tourniquet) to be able to clearly identify the anatomical structures. Minor surgery but needs to be done properly.

First thing to exclude would be severe carpal tunnel syndrome. A physical/neuro exam by a good orthopedic surgeon followed by an EMG would reliably confirm the diagnosis.

Most patients suffering from this usually presents with a complaint that they can not wring out a washcloth due to weakness in the hands; with or without numbness.

If so, carpal tunnel release surgery would be effective treatment.

The correct advice here remains to have it checked out; irrespective of whether it "may be" inconclusive. At least then any serious medical condition would have been excluded. The advice given assumes ethical management of the individual and can not be changed based on "possible" overcharging or inappropriate and costly tests that "may" be incurred.

Imagine this happening to the OP on the next flight at altitude; which it very well may if it is an intermittent or incomplete bowel obstruction or overnight in a country with inadequate medical services..

The frequency of scopes really depends on your age as well as the nature of the polyp. Those with a higher potential for malignancy requires more frequent scopes.

Please start a new thread on this; it is a useful topic to discuss here..

Just go see a doctor, it's not difficult.

To be fair, if no pain at the moment, very hard for a doctor to diagnose.

He needs to be in a hospital while it is hurting so they can view which area is inflamed/infected.

Still worth a visit.

A simple abdominal ultrasound, which is non-invasive, and a thorough physical exam which should include a detailed history, may very well bring to light a condition that may result in a medical emergency down the line if not managed proactively.

Gastritis, which is the underlying cause for the symptoms of hiatus hernia (GERD) is an inflammation of the lining of the lower end of the oesophagus and sometimes also the upper part of the stomach. The cause of this is hyperacidity.

People with A+ blood groups are especially prone to this as well as duodenal ulcers; they typically do not tolerate acids very well and especially citrus based acids.

To suggest acids as a course of treatment for this may result in a condition, which is at very high risk of bleeding anyway, progressing to a medical emergency status with profuse bleeding (hematemesis) which is extremely difficult to manage and may be life threatening.

It seems really, like a no-brainer...

To propose treatments on this forum which may actually precipitate severe aggravation of medical conditions by lay persons, can simply not be tolerated.

Please let sanity prevail, not ego.

Impossible, and even irresponsible to try and venture a diagnosis with info given on a forum such as this.

Appendix, intermittent bowel obstruction due to various reasons and even hernia may all cause these symptoms. It seems to be recurring and needs to be investigated. Please consult a reputable surgeon.

According to the CDC (http://www.dpd.cdc.gov/DPDx/HTML/Myiasis.htm) it does not occur in SEA.

Hiatus hernias can be sliding, rolling or mixed types. The OP most likely has the "rolling" type which commonly causes the chest pains and shortness of breath he describes. Good animation here: http://www.bupa.co.uk/individuals/health-information/directory/h/hiatus-hernia#textBlock401569

Rolling type hernias were actually more easily diagnosed in the days before gastroscopy when Barium swallows were routinely performed; this procedure was more likely to show the rolling hernia as barium would collect in the part of the stomach entrapped in the chest cavity. This procedure is also explained in the link provided above and would be a good procedure to discuss with your physician.

When omeprasole is started as a treatment for symptomatic gastritis, it is usually recommended to take a 6 week's course of 20mg per day to allow the inflammation to heal; then reduce or stop. Lifestyle changes as described in the thread by other sufferers need to be introduced at the same time. Overweight is a major cause of a hiatus hernia to become sypmtomatic.

One note on Omeprasole use in this region where diarrhoea due to infectious causes are relatively common; stomach acid is an extremely important defence against gastro-intestinal infections and, if the level of acid is reduced by drugs like omeprasole, there is a slightly higher risk of contracting these.

Six month old babies have immature immune systems and would, normally, rely on antibodies in the mother's breast milk for protection; vaccination at this age is not useful although babies do get Hep B and BCG vaccinations and at 6 mths usually polio.

Look at the CDC recommendations here: http://www.cdc.gov/vaccines/parents/downloads/parent-ver-sch-0-6yrs.pdf

Just a caution against using commercial oxygen; this is not filtered or controlled for purity and vapour content and may cause lung infections.