Questions and answers

Good afternoon, I spend a lot of time at the computer, my eyes get very tired in the evening, I checked my eyesight, they said that everything is in order, but it would be better to order glasses for working on PC. I wonder if there is any benefit or harm?
Answer: 28.09.2021

Hello! There is no harm, but if you spend 10-12 hours at the computer, the glasses will not save you from feeling tired and uncomfortable. When working at a computer for a long time, it is recommended to give eyes a rest, to carry out the simplest exercises for the eyes, all these recommendations can be given by ophthalmologist after the examination.

Hello. For two weeks I was constantly wearing a lens that did not fit me, and my vision deteriorated. Now I can hardly see small text and focus on objects for a long time. The lens was worn to protect the eye on the doctor’s instructions. Is there any way to fix this?
Answer: 28.09.2021

Hello! You need to see an ophthalmologist as soon as possible to exclude acute pathology. During the visit, the doctor will conduct a full examination, make an accurate diagnosis and then be able to give recommendations, prescribe treatment if necessary.

Hello. Left eye – atrophy of the central zone of the retina, vision cannot be corrected. But peripheral vision is normal. Right eye -2, most often corrected with contact lenses. Will I be able to get a driving license of category B, provided that the vision of the right eye is corrected with a lens to 100% of vision?
Answer: 28.09.2021

Hello! To answer your question, the first thing is to know the visual acuity of the left eye, the second is to check whether your vision is binocular. For this, it is recommended to consult an ophthalmologist, during the visit the doctor will conduct a full examination, and only then will he/she be able to answer your question.

Good afternoon! I have moderate myopia in both eyes, progressive. I was ordered to wear glasses for distance -1.75. I want to wear contact lenses. Can I wear them?
Answer: 28.09.2021

Hello! In this case, there are no contraindications so that lenses cannot be worn. You need to see an ophthalmologist who can help you choose your lenses.

Hello! I'm 17. In the summer of 2019, I had an operation to eliminate the converging concomitant strabismus (right eye squint). Now the vision of the right eye is 0.2. Recently I noticed that my left eye also squints a little (inward). What to do in this case?
Answer: 28.09.2021

Hello! First, it is necessary to undergo examination, exclude neurological pathology, examination by an ophthalmologist, since to understand the cause it is necessary to “see” a person. And if the cause of the deviation is in refraction, you can do without surgery. In addition, it is necessary to see a specialist periodically in order to prevent a worsening of the situation.

Hello. My husband has had itchy skin for several years now. We have visited so many clinics. We visited an allergist, a gastroenterologist, a therapist. We did tests. Nobody can make a diagnosis. There are no rashes on the skin, just itching, which just bothers him. Tell me what can be the cause and what tests would you advise to do?
Answer: 13.07.2021

Good afternoon. Itching often becomes one of the main symptoms of many diseases. Sometimes it implies ordinary skin dryness or severe oncological diseases, often at the same time causing insomnia and psycho-emotional discomfort of a person. First, you need to come to the appointment with all the test results that you have on hand. To choose the strategy of further treatment, it is necessary to study carefully the patient's entire history.

Petrusha Maxim Alexandrovich
Family doctor. Work experience is 5 years.
Good afternoon! I'm 28. I don't smoke, I don't drink. For a whole week, the temperature has been 37.1-37.2 and the accompanying state of body aches and headaches. Sore throat. Periodic nasal congestion is also present. A very bad sleep. Tell me, what tests do I need to undergo?
Answer: 12.07.2021

Good afternoon. Such symptoms can be characteristic of both coronavirus and thyroid diseases or exacerbation of chronic tonsilopharyngitis. You need to visit your family doctor or therapist for a referral for analysis for COVID-19. If the result is negative, the family doctor will order follow-up examinations to determine the cause of your condition. If the test is positive for coronavirus, appropriate treatment will be prescribed.

Petrusha Maxim Alexandrovich
Family doctor. Work experience is 5 years.
Hello! My eyes bother me. I can’t look at the light, move my eyes – it’s painful and uncomfortable. The pain irradiates to the back of the head and I have a feeling of constriction inside the head. I don’t understand what’s wrong with me. Please advise.
Answer: 12.07.2021

Good afternoon. You shall certainly undergo examination by an ophthalmologist with the measurement of ocular tension and fundus, check-up arterial tension, ECG. Such problems can be of both ophthalmic and neurological nature.

Petrusha Maxim Alexandrovich
Family doctor. Work experience is 5 years.
Hello! On Monday I had a temperature of 38.4, a slight sore throat. I took a triple dosage of dietary supplements "Ant tree bark". The next day everything was all right. On Saturday, sensations appeared as with intercostal neuralgia in front of the left. It hurts in some body positions. Could this be a symptom of pneumonia? These 3-4 days I also have low blood pressure. Which specialist should I visit?
Answer: 08.07.2021

Good afternoon. These data are insufficient to determine any diagnosis. You need to see your family doctor/therapist for examination and further tests.

Petrusha Maxim Alexandrovich
Family doctor. Work experience is 5 years.
Help me, please. During 2 months the temperature is about 37.5. I underwent an ultrasound of the thyroid gland, abdominal cavity, an ultrasound of cervical lymph nodes, an X-ray of lungs – everything is normal. Three times in two months I did a clinical blood test, biochemistry, test for cp-protein, T4, TSH, common urine test, Nechiporenko urine test, test for glucose, procalcitonin – everything is normal. Gynecology – no infections and HPVs found. HIV – not detected. What could it be? What else do I need to undergo?
Answer: 08.07.2021

Good afternoon. Subfebrile condition of unknown origin can hide many diseases:

  1. Infectious diseases: an infection caused by Epstein Barr virus, cytomegalovirus infection, extrapulmonary tuberculosis, leptospirosis, Lyme borreliosis.
  2. Non-infectious inflammatory diseases: rheumatoid arthritis, NPC, arteries, etc.
  3. Preclinical manifestations of oncological diseases.
  4. Taking certain medications and so on.

In this case, it is necessary to visit a family doctor to collect a detailed history, physical examination and consider a further plan for diagnostics and treatment.

Petrusha Maxim Alexandrovich
Family doctor. Work experience is 5 years.
I have a question for a dermatologist. Is it possible to have online consultation if I have psoriasis? I was prescribed ointments and pills but they do not help me. Can you please tell me what to do?
Answer: 22.12.2020

Online consultation is possible for any disease. But in the case of unsuccessful treatment of psoriasis, a personal consultation with the additional examination is still desirable.

Vitsinskaia Olena Ihorevna
Dermatologist-trichologist. Higher category. Work experience 28 years.
Do I need a doctor's consultation if I bruised the glans penis during intercourse? Nothing hurts now, but a cyanotic spot has appeared. Is there a reason for concern? Perhaps I can get an online urologist consultation? I live in the suburbs of the city.
Answer: 22.12.2020

Of course, a doctor's consultation is necessary for injuries or bruises of the genital organ. If it is not possible to visit us, then you can have an online consultation. Perhaps, based on the examination results, it will be necessary to prescribe medicines for external use.

Parasunko Taras Grigorovich
Urologist. The highest category. Work experience 16 years.