General information from a verified clinician, not a diagnosis. Ordered by how many clinicians concur.
If it doesn't improve, I would recommend a review with your doctor to evaluate why and whether there may be other causes. This can either be done at a GP clinic near your home, or potentially online via apps that provide video-based consultations, and the attending doctor would be able to prescribe medications and have them delivered to you. If you would like me to see you online for this, you can reach me via the Raffles connect or Doctorworld applications on Sunday/Monday morning. Here is a link that shares more about this: https://www.todayonline.com/brand-spotlight/doctor-will-see-you-next-app
Hi @WangXiuYing89 thats a great question! Eye care professionals recommend eye checks every 1 to 2 years depending on your background and age. If you experience eye tiredness, headaches after prolonged visual tasks (like reading, using the computer), or find yourself straining to read books or items at a distance (bus number, street signs, etc) you may want to visit an Optometrist to check your eye sight earlier. When in doubt, always good to speak to your GP or eye care professional to have a recommendation based on your individual needs.
Hi @Rachel thank you for this important question. Aside from a lump detected by a practitioner or the patient themself during breast self exam, other possible symptoms include certain forms of nipple discharge, skin changes over the breast such as puckering of the skin, changes to the nipple itself, and undue breast swelling/redness. However, as the saying goes - prevention is better than cure. It would be good to sign up for breast cancer screening as recommended by practitioners in your country. For Singapore, subsidies are available for this screening. More information about this at these links, hope they help!
https://www.singaporecancersociety.org.sg/get-screened/breast-cancer/mammogram.html
https://www.singaporecancersociety.org.sg/events/campaigns/breast-cancer-campaign.html
Hi @Me 3-5 days is the quick answer to your question - after catching the infection, symptoms can take 3-5 days to surface.
That being said, patients with HFMD can transmit the infection to others for weeks, although transmission is rare after 1 week. This usually occurs through contact (with the fluid in blisters) or respiratory droplets from (coughing/sneezing). It can rarely also occur through contact with fecal material.
HFMD is a common infection caused by several viruses that can have rare but severe consequences such as infection in the brain. If you are worried about possibly having caught this infection, do have a more in-depth consultation with a doctor at a clinic or using a teleconsultation app such as DoctorWorld.
Hi @crystalbell this problem warrants a more detailed assessment and testing to identify the root cause and narrow down the likely tests required to tailor a management plan for you.
You will need to visit a doctor for a detailed discussion (including history of any prior procedures, implants/IUCD, etc) as well as a thorough examination. You can see your GP for the initial assessment, although depending on their findings you may be referred for specialised tests from a Gynaecologist or at a hospital.
Hi @miles that is absolutely right, you may have a fracture and your condition requires a physical examination with a doctor for them to make that determination and create a management plan tailored to your needs accordingly.
Given the pain is very severe every time you rest your weight per what you describe, depending on the doctor’s findings on examination he may need to arrange an XRay for you to check if there is a fracture. If there are no open wounds and other major injuries you can consider going to most A&E departments although the waiting time may be considerable.
There are however a few GP clinics that have XRay capabilities which you can consider as well, including where I work in RMH. Hope this helps!
Dear @xty, while smoking is certainly bad for health, no one can say this for certain yet as long-term studies on the effects of vaping have yet to be conducted. Vaping is a relatively new and heterogeneous trend whereby many suppliers have created their own unique mixtures. It is illegal in countries like Singapore and unregulated in many other countries, which means the supply chains do not undergo the regular checks and may not be subject to the same health/product standards common for the smoking/tobacco industry. There have also been a spate of lung-related disease and deaths reported in many countries with ongoing investigation. When in doubt, best to play safe and avoid both smoking and vaping! See a doctor to discuss latest options for smoking cessation options that may be of help in this regard.
Hi @Lammmmmyyyy influenza is a type of virus with many strains. The influenza vaccine is regularly updated by medical authorities based on the relevant strains in epidemiologic studies. Therefore, it is possible that if you were vaccinated in the past but not recently this year, that your vaccination was not updated, i.e. you may be infected with a new/less common strain of influenza that you do not have immunity against. Hope you feel better soon!
Hi @miss_understood absolutely agree with @DR_TAN_YAN_YUAN ! Taking Vitamin C pills and other general measures to boost immunity like plenty of sleep and staying hydrated will also help protect you against the infection. The trouble with the n95 mask is also that it can be uncomfortable and difficult to manage properly, in which case surgical mask matched with avoiding crowded areas as suggested by Dr Tan would be instrumental. Take care, and happy lunar new year!
Hi @igotz99problemz there are many great OBGYNs in Singapore, and PCOS is a relatively common condition that most could help with! Was there a specific problem related to the condition you wanted to address?
Ive revently had a friend with this condition who sought help for fertility-related issues with Dr Loi and had a great experience. Perhaps someone to consider if that is the problem you hope to address, her website here:
https://www.mountelizabeth.com.sg/doctor/obstetrics-gynaecology/loi-shen-yi-kelly/6c074a73-49bf-63ee-ab9a-ff0000dba087
Such an extensive, and prolonged quarrantine can have many unintended effects. For example, it may place many casual workers and daily-wage individuals in a desperate financial situation, in which they may choose to overlook symptoms and continue working in an effort to feed families (presenting late - spreading to more people along the way). This will be detrimental to essential public health efforts such as contact tracing to fight the infection.
Ultimately, public health measures (like quarrantine/social distancing) are most essential to "flatten the curve" - that is primarily to reduce the RATE of new infections and not the NET NUMBER when the former gets too high. The reason for this is that health systems have fixed capacity to attend to cases at any one time. If the RATE is too high i.e. people are disseminating the infections quickly and the new cases are presenting quickly and all at the same time, healthcare services will be quickly overwhelmed.
To achieve their intended effect, public health measures need to be tailored based on many factors about the target population, some of which may be dynamic in the context of an unfolding outbreak (e.g. daily inter-city transport/mobility of the population, capacity of existing healthcare services, availability of financial support, proportion of incident cases identified through contact tracing, etc). Quarrantine is a targeted measure to reduce spread from high risk individuals, however more evidence is required to justify prolonging beyond the 2 weeks, given the potential detrimental effects of extended quarrantines. More important is for individuals to be empowered in being responsible and present early to medical professionals once they are symptomatic.
For instance, quarrantine measures or even a temporary lockdown for the duration of 2 weeks (covering the incubation period reported in over 90% of reported cases) applied at the time that infections are rising quickly can be a timely response to help to reduce the RATE of infection and thereby the speed of incident cases as they turn symptomatic in the following two weeks, in certain populations. These can help to regulate the case load such that the health system would be better positioned to attend to those that are falling ill. More about this at this link: https://www.cdc.gov/csels/dsepd/ss1978/lesson1/section11.html
If there are no other symptoms and you feel otherwise well, you may want to consider hydration and rest to observe for some time. However, if you are having other symptoms such as those highlighted above, or if the thirst/ gastric symptoms persist or progresses, you should have a physical review with a doctor. One of the tests they may consider is a fasting blood glucose test. So if you do proceed for a review, try to see them early in the morning and fast for 8 hours from the night before (avoid oral food/drink intake apart from plain water) in case they assess you and determine that you may need to go for testing.
Before you leave, check your vaccination records and bring the latest ones along with you if you can (specifically check "Tetanus" vaccine or "DTP" vaccine if you have them). Hope this helps!
The CDC echoes this uncertainty, and has also shared about a possible case of spread from humans to tigers/lions in a New York zoo here: https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/animals.html
As you rightly pointed out, you are younger than the usual patient with heart problems as well, although there can always be exceptions. However, I would personally err on the side of caution for ominous symptoms like chest pain with palpitations, and recommend for a review with your GP to consider whether the investigations can help to assess whether there may be anything to worry about. Hope this helps!
Colonoscopes are an effective method to diagnose Piles and also to differentiate them from cancer (in fact they are considered the "gold standard" for cancer diagnosis), as the specialist directly examines the entire colorectal region using high resolution scope devices and takes biopsies of any suspicious lesions (a "bite" using the scope, whereby cells are examined under the microscope). Furthermore, cancers are very rare in individuals your age unless you have many blood-related relatives that had colon or other related cancers at an early age.
That being said, if you experience any loss of weight/appetite, narrow or "pencil thin" stools, low energy/giddiness, or repeat episodes of blood loss, it would be prudent to arrange an early review with the specialist that performed the scope for you in order to have another detailed discussion. Hope this helps!
Otherwise, other possible causes include problems with your vision or inflammation in the eye. A review with an Optometrist or Ophthalmologist for an examination would be a good place to start to get to the bottom of it. Hope this helps!