ThaiPauly

44 minutes ago, Eff1n2ret said:

Are you on medication for that? I only ask because at a check-up nearly 3 months ago I was diagnosed having high blood sugar, borderline type 2 diabetes. The doc prescribed metformin (Glucophage 1000mg). Over the next 6 weeks I suffered headaches and 3 bouts of stomach pain and severe diarrhoea. The leaflet with those pills mentions gastric upsets as a common side effect, also that they are largely ineffective for over-75s and not recommended. I am 78. I stopped taking them and have been fine ever since. I have a follow-up appointment in just over a week and will tell the doc that if there is no alternative chemical, then I will reduce my blood sugar as best I can.

Just another possible cause to consider. I hope you get better.

My doctor reduced my dose of Glucophage from 1600 to 800 mgs a day.

Really has not made any difference.

That was about 10 days ago  so cannot be sure  it may not have registered in my gut yet.

16 minutes ago, Sheryl said:

Should have led with that, as UC flare up could be  the culprit. Though I am puzzled by your statement that the colonoscopy "found nothing wrong" -- UC should be evident on colonscopy and if it was not then that diagnosis may be in question.

 

UC is very rare in Thais so few doctors here have much expertise in treating it. Unfortunately I do not know of a single one in Chiang Mai. In Bangkok, this doctor seems the most experienced:

 

Assoc.Prof. Sathaporn Manatsathit

https://zeekdoc.com/en/doctor/assoc-prof-sathaporn-manatsathit-252?clinic_id=98

can be seen at https://www.vichaiyut.com/en/profile_doctor/dr-sathaporn-manatsathit/

or

https://chaophrayahospital.com/?doctors=sathaporn-manatsathit-md

or

Siriraj Hospital - he is nto listed on their private wing web site but you could call and ask https://www.siphhospital.com/en

 

 

You should definitely consult him (especially given what is now doubt re accuracy of your UC diagnosis) but I can appreciate right now would be difficult with the uncontrolled diarrhea.

 

in the interim best option in CM appears to be:

 

https://sriphat.med.cmu.ac.th/en/doctor/detail/63

Who is there tomorrow

 

 

By the way, what medications are you on and have there been any recent changes i nthese (drug or dose)?

 

Thank you Sheryl

I was on 1700 mgs of Glucophage 

But the doctor has cut this dose in half.

Salofalk, normally 1 x 500mg daily but now 4x 500mg.

Then there is heart meds Like Avrostatin 2mg, Blopress 4mg Apolet blood thinner.

It was tge specialist at Sriphat that carried out the endoscopy, they results show everything is normal, but he took a biopsy, and don't know why?

I am seeing him for follow up in 10 days.

I'm seeing my GP this afternoon to discuss further action including perhaps getting meds in case it could just be a parasite.

I have had them before and the meds cured me.

We will see where we go from here

Thanks so much for your imput

2 hours ago, In the jungle said:

I have never liked greens since I was a child but still eat them.

 

Yummy, broccoli again ????

I don't  mind Brocolli and normally eat it several times a week

53 minutes ago, ThaiPauly said:

Thanks,

 

I contacted my local pharmacy and they do not have any

Do you happen to know the name?

I will try my doctor  next

My doctor has them

1 hour ago, Lacessit said:

The reason I raised the possibility of a parasite was my former boss acquired giardia on a trip to the USA, and his symptoms were identical to yours.

It's also worth noting it took doctors in Australia about 3 months to diagnose his illness correctly, with one highly qualified physician claiming it was psychosomatic.

Thanks,

I contacted my local pharmacy and they do not have any

Do you happen to know the name?

I will try my doctor  next

21 minutes ago, Denim said:

Apart from what you eat , has the time you eat changed and if you skip a meal does it effect you ?

I try and eat 3 times daily, but small portions.

I was on a  keto diet with time restricted eating (18/6) 2 months before all this started.

Don't know if that could have anything to do with it?

53 minutes ago, Lacessit said:

What are you eating?

Has anyone analysed a stool sample?

It sounds to me like you may have acquired a parasitic infection, such as giardia or cryptospiridia. Such infections AFAIK are not treatable with conventional antibiotics, in fact they may make the diarrhea worse.

I would suggest asking Sheryl.

Yes a stool sample was the first thing they asked for  but initially I went about the stomach pain  and the stool analysis was OK then, but I have not given one since the dioreah  commenced.

Think I will have to have one in my next visit to the hospital.

I have had Ulcerative Colitis for ten years.

I take Salafalk every day but have increased my dose ×4

My gastro doctor suggested this  but it does not seem to have made any difference

8 minutes ago, Lacessit said:

Apart from the eggs, a high carb diet. Not good for Type 2 diabetes.

It's what Google recommends I eat for my problem

My diebetis is under control

3 minutes ago, nigelforbes said:

Alcohol?

None since I came down with this

5 minutes ago, 3NUMBAS said:

whats ya diet now ?? and safe water ,,,any electrolyte ??

Diet is eggs, white bread, mashed potato, bananas.

My wife filters the water  but I prefer to drink bottled water.

Yes taking electrolyte once a day as I feel quite week, I can't even walk round my moo Baan right now  before I got sick I could do it four times

I have had the runs for six weeks.

Also have bad stomach ache frequently.

Went to see the gastro doc at BK Hospital here in CM .

Initially she put me on 2 lots of antibiotics for 3 weeks  Cevit being the main one.

The tablets did not cure the problem so she gave me a CT Scan and said the results were "unclear" and I needed a "special" endoscopy that was only available  at Shriphat Hospital. This endoscope can apparently see what other endoscopy in CM cannot  and costs 30k.

So I had it done Monday, doc said in a very brief conversation that he could find nothing wrong, but had taken a biopsy just to check.

But I still have acute dioreah and stomach pain.

He said I did not need a colonoscopy  as I only had one 20 months ago.

So what now?

I am pretty much housebound, I have to sit down to pee as I "go" when I pee.

Anybody with similar experience  or ideas of what to do next?

I am due to see the doctor at Shriphat again Monday week  but I can't wait that long  and he is not my usual gastro doctor.

I had no idea that Baclofen could be used in this way!

I have been prescribed it for stomach pain, and was told not to drink until my symptoms are better.

Though I did wonder, being a daily drinker why I found temptation very easy to resist.

For people that need it in Chiang Mai then Dara Pharmacy , nearly opposite McCormick Hospital have it and it's not dear, although I am unsure of the exact price

1 hour ago, xylophone said:

Oh, mate, I am so sorry to hear this as I had no idea that you had this bladder leakage problem.

 

So what was the last procedure you had done TP??

 

As the thread is about the Rezum treatment/procedure, I suppose we had better get back on that track shortly. ATB.

Hi X

Because I have a urethral stricture the scar keeps hardening which makes it difficult to pee.

So he has to go in and stretch it so I can pee freely again.

This procedure  costs me around 150,000 including a 2 night stay in hospital.

Coming up to the anniversary of my last intervention  I can still pee freely but I get a constant pain.

I have pleaded with him to do a uroplasty operation but he says my stricture is not the right kind  to perform it on.

So I just have to hope month by month that I can still keep peeing

I have to put up with the pain, but thankfully it's not as bad as when I needed morphine to control it, now I can get by with one Ultracet on the days it's bad.

Talk about bad luck for both if us!!

Good luck buddy

16 hours ago, xylophone said:

Well then you are obviously well acquainted with this Dr/urologist, and yes he is good, however as it happens TP, he couldn't do anything for me as regards getting the bladder to start working again, because the nerves don't seem to be functioning inside it, and these are required to operate to get the whole system to work in unison.

 

I have no feeling that my bladder is full or a need to pass water, apart from a "full" feeling somewhere in my lower stomach when it needs emptying, so it's left up to me to decide when and if I pay a visit to a toilet, which is why I take great satisfaction in being able to use a catheter at night before I go to bed, because I know I'm going to get a good nights sleep with an empty bladder!

 

I would dearly love to get the whole lot working again, and was investigating something akin to a little pacemaker (InterStim) which is fitted under the skin and connected by thin wires to the nerves which can stimulate them to get the bladder to empty, however this does involve surgery, and my local urologist here despite seeming keen to try that at one time, is now not so keen at all for some reason?

 

So buddy, I'm in limbo land at the moment and although I did look at rezum and others, it's not the prostate which is playing up, otherwise I would have it done.

 

I hope your situation is improving since we last made contact – – all the very best you TP.

I'm sorry to hear this buddy.

You and I certainly seem to be on a constant treadmill with our discomfort and pain.

I find that I have urethral pain almost every day and there really isn't anything to be done.

Charispong rings me once a month just to check up on me but he really doesn't offer any practical advice on how to deal with the constant bladder leakage which requires me to still be wearing diapers 11 months after the last procedure he carried out on me.

So it looks like we are in this together long term.

Good luck buddy, talk again soon.

TP

4 minutes ago, ThaiPauly said:

Thanks a lot Sheryl

I can see this being useful x

She has been to the Thai run hospital where I believe they gave her too much of the wrong medication that has contributed to her current sorry state.

Hundreds of people there when we have been, Doctors are under severe pressure.

Two or three years ago, we shan't return

1 hour ago, Sheryl said:

There is a government pysch hospital but she is likely to just get short doctor visit and anti-depressant medication there  rather than the type of counseling you have in mind (bear in mind that this is nto really a Thai "thing" and Thais do not always take well to the concept)  https://www.suanprung.go.th/index2559/e_service.php

 

This place is Christian-run (but not evangelizing and has a couple of Thai counselors on staff  https://www.ccfthailand.org/staff/

 

This place is fairly new, I have no feedback on it but it has Thai counselors who look well qualifiedhttps://counsellingthailand.com/native-english-and-thai-speaking-therapists-in-thailand/

Thanks a lot Sheryl

I can see this being useful x

46 minutes ago, NancyL said:

There are councilors in the Mental Health Department of Bangkok Hospital Chiang Mai.  I'm surprised the doctor prescribing the medication for the OP's wife isn't already engaging in 1 on 1 therapy. 

Hi Nancy

We have been under BK Hospital physiologists and neurologists for 2 years now but her symptoms are just getting worse.

She gets 20 minutes of 1 to 1 counseling  once a month and lots of drugs that I believe do not interact with each other well according to my research

Her current doctor said he would get outside counseling  for her and would call with a name, but he never did.

This is why I am looking for outside help now

My wife has unfortunately  developed Physcomotor Retardation.

It's a horrible thing and medication is not working.

She has been attending Bangkok Hospital here for some time to receive medication , but this is not working.

I think she needs 1 to 1 therapy to help her deal with this depressive disorder.

Can anyone recommend a decent councilor that she can see on a regular basis in CM?

Many thanks

#Admin   please close this thread now

He has operated on me twice.

Glad that everything went well for you buddy

On 11/19/2022 at 4:21 PM, jerrymahoney said:

Update: I received my WrLife premium quote for my 2nd year after a big claim during my first year.

 

Policy increase: 3%.

 

 

That's very good Jerry

Did they pay the hospital  directly?

I need some good news about WR.

I would like to take out a policy with them but am a bit skeptical as they are so cheap and pay up for ore existing conditions. 

I have many

Cheers

On 11/14/2022 at 10:56 AM, xylophone said:

Sorry to hear about your troubles, although I can sympathise because I have been down a similar route over the years, and it's now got to the stage where I can't pass any water, so self catheterisation is both my saviour and my concern.

 

I did go to Bumrungrad hospital to see what they could do but despite the urologist being top-notch, and doing all of the tests he could, the outcome was that the nerves in my bladder had stopped working, and there appeared to be no solution to it (well there is one, but that's another story).

 

Whilst I was at Bumrungrad I did see that they were advertising the Rezum treatment and had all the equipment there to carry it out, so maybe that would be your first port of call, especially as they have your medical records there.

 

This would have been about three months ago or more, so perhaps worth giving it a try??
 

What urologist did you see at Bumrungrad  buddy?

Bangkok Airways are very accommodating  so I can't imagine it will be an issue

However if it was Air Asia .....?