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Questions and answers p. 10

Recently I had been ill with Covid-19 and after the illness began heart problems, it hurts, then it beats irregularly, that I want to cough. Do I need to sound the alarm already? What could is it?
Answer: 24.09.2020

You must  definitely consult a doctor If such complaints appear, because these can be manifestations of the complications of Covid-19, which can lead to serious consequences if treatment is not timely.

Please tell me, I`m doing sports, I go to the gym, I do cardio workouts twice a week. Recently, pains have begun to appear in the lower arms, neck, jaw and chest. Should I give up training? Do I need examination?
Answer: 24.09.2020

Yes, you need to temporarily stop training, because such complaints may "speak" of heart disease. Therefore, you need to consult a doctor as soon as possible, who, after an examination, will prescribe an electrocardiogram and other necessary examinations to establish a diagnosis and prescribe treatment.

Sometimes it is pricked in the left side of the chest, as if needles were piercing and given to the left hand. Is it just some kind of muscle or a heart? Do I need to be examined?
Answer: 22.09.2020

One of the most common reasons for visiting a cardiologist is discomfort in area of the heart. But not every heart pain is caused by a disease of the cardiovascular system. There are extracardiac, non-cardiac causes of chest discomfort. This is a disease of the musculoskeletal system (for example, osteochondrosis), stomach ulcers, thyroid pathology, and other. Pain in myocardial ischemia is pressing, compressive, paroxysmal, radiates to the left arm, scapula, arises after physical or emotional stress and decreases at rest. Differential diagnosis of a cardiologist is recommended, the doctor will assess the work of the heart, if necessary, conduct an ECG and EchoCG (ultrasound of the heart).

Cardiologist.
The child underwent an X-ray of hip joints, and now (2 months later) they assign to do an X-ray of the lungs. I am afraid that there will be a large dose of radiation during the X-ray. How harmful the X-ray is, what are the consequences?
Answer: 08.09.2020

Doses on different devices may be different. There are no groups of the radiation-receiving population as in adults identified for children. X-ray images should be digital, and of course, taken strictly according to indications. There will be no consequences under such loads (2 images). The main thing is to decide on the indications and on the correct diagnosing for the correct prescription of treatment.

Hello, can you recommend me the way how to be free of constipation and abdominal distention? I have strong hair loss gain in weight rapidly but I don’t feel enough energy to do something about it – I feel weakness in the body and persistent nausea.
Answer: 18.08.2020

Hello. In your case, an integrated approach is needed, as well as consultation not only by the endocrinologist, but also by the gastroenterologist who can establish a cause of constipation and distention. An excessive hair loss and weight gain may be indicative of hormonal imbalance. An experienced endocrinologist will refer you to do the required tests and based on their results it will be possible to understand the cause and to prescribe a specific treatment. There is also a trichologist at DoctorPRO who can conduct a consultation and digital trichoscopy, will help to select treatment or special hair care products.

Golovchenko Olena Valeriivna
Endocrinologist. First category.
Can you recommend me how to lose weight? I eat healthy food, do sport, do not eat sugar and disused sweets. Why can’t I lose excess pounds?
Answer: 18.08.2020

Hello. If a diet and suitable physical exercises have no effect, you should check your endocrine profile for possible pathologies. In this case, it is recommended to visit an endocrinologist who will refer you to do the required tests for hormones, undergo ultrasonography of the thyroid gland in order to identify the causes of weight gain.

Golovchenko Olena Valeriivna
Endocrinologist. First category.
3 years ago I had 2 blood strokes in a row, I have been suffering from diabetes for 15 years, I have a recovery now, sugar in normal condition. I am 57. Is it possible to restore sexual vigor completely? Thank you in advance for your reply.
Answer: 18.08.2020

Hello. In this situation, we can’t talk about an absolutely complete restoration of sexual vigor, although it is possible to restore the circulation. You need diagnostics and medical consultation.

I started to have some discharges from the penis, especially blood discharges during sexual intercourse. What may this blood from the penis be indicative of?
Answer: 18.08.2020

Hello. In this case, a patient needs to obtain the medical attention of a urologist without delay. In case of blood in semen, a patient will be examined, first of all, interviewed, then a patient will undergo an ultrasonic test of penis and scrotum. Also, the following tests can be referred to: prostate secretion test, prostate culture, complete blood count. In this situation – self-medicate by no means. Only a skilled doctor can establish a diagnosis and order a proper treatment strategy.

Hello. Recently I have noticed a lump in the groin area. The ball under my skin does not hurt and does not bother me. Should I take care of this lump in my groin? What doctor should I see?
Answer: 18.08.2020

Hello. In order to establish a proper diagnosis, a doctor needs to examine and do an ultrasonic test. Your description is indicative of groin hernia or it can be also inflammation of lymphonodus. We offer to make an appointment to a urologist at our clinic to establish a proper diagnosis and to order treatment.

What to do at home when your stomach hurts? Paroxysmal abdominal pains, not very severe, occur mainly after eating.
Answer: 16.07.2020

The causes of abdominal pain can be the following: ingestion of spicy and salty food, acute or exacerbation of chronic gastritis, pancreatitis, spasm of the biliary tract. You can take antispasmodic at home. And then seek for medical help to find out the causes of this condition.

Stupar Natalia Mikolaivna
Family doctor. The highest category.
I cannot sleep at night. What can be the cause? Even when I fall asleep, I often wake up at night. And in the afternoon, on the contrary – I constantly want to sleep. And I can't refresh myself without coffee.
Answer: 16.07.2020

Good afternoon. You have natural biorhythms disorder. The causes can be different: psycho-emotional stress, tension, stress. In order to identify all the causes that led to this condition, it is necessary to visit a family doctor.

Stupar Natalia Mikolaivna
Family doctor. The highest category.
Help me please, what should I do in case of diarrhea? Are there any pills for diarrhea? What to eat with diarrhea? Only diarrhea, fever, no vomiting, we ate everything fresh.
Answer: 14.07.2020

It is necessary to increase the amount of liquid (drink a lot), in some cases it is possible to take antidiarrheal drugs (smecta, loperamide), to take a sorbent (atoxil, enterosgel, bionorm, carbon). If the condition worsens, the body temperature rises, consult a doctor. The reasons may be: a food poisoning, an acute intestinal infection.

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