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Questions and answers p. 12

Hello, my child says that he often hears ringing in his ears, what can it be and which doctor should we see?
Answer: 29.11.2019

Good afternoon. There may be cerumen impactions. Consultation by an ENT-specialist is recommended to exclude inflammation and cerumen impactions. You may need to be consulted by a neurologist.

Trubnikova Larisa Mikolaivna
Children's otolaryngologist. The highest category.
A baby (11 months old) has a watery eye, and only outdoors – there is no such thing at home. Tell me how to deal with this?
Answer: 04.10.2019

Perhaps this is a normal variant. Then this condition will occur less often and disappear with age. And if lacrimation and discharge from a conjunctival cavity is observed from the first days of a baby's life, it is necessary to consult an ophthalmologist to exclude pathology.

Gorbacheva Olena Volodymyrivna
Ophthalmologist. The highest category.
The 6 month-child began to crawl and fell off the couch – he cried a little and stopped, but there was a clour on his forehead. Do I need to go to the doctor or is it okay?
Answer: 04.10.2019

A clour on the head after a fall is a superficial head injury; it does not exclude intracranial injury. It is necessary to pay attention if there is vomiting, changes in the child’s behavior – these symptoms may indicate the presence of craniocerebral trauma and require additional consultation by a neurosurgeon.

Boiko Tetiana Vasylivna
Pediatric neurologist. The highest category.
From what age is it possible to prescribe contraceptives?
Answer: 01.10.2019

The prescription of hormonal contraceptives to adolescents should be carried out by a gynecologist, considering their physiological maturity and characteristics of sexual behavior. The main criteria for prescription of hormonal contraception to young patients are the following: regular sex life, absence of organic pathology on the part of the cardiovascular system, kidneys, liver, absence of blood clotting disorders.

What should we do if the boy is 11 and the foreskin has not yet opened?
Answer: 19.09.2019

If the glans penis does not open at the age of 11, then this condition is called phimosis. Treatment can be both operative and non-surgical conservative. In order to choose the treatment strategy, visit a pediatric urologist.

Urologist, pediatric urologist. Highest qualification category.
Why do my eyes hurt after working with a computer? I work all day with the computer and in the evening my eyes hurt a lot. Special glasses for work with a computer do not help. Tell me what to do? How to save both eyesight and work?
Answer: 11.09.2019

Working at a computer for a long time develops computer syndrome (dry eye syndrome). This leads to the cornea overdrying, the tear film does not rupture in a timely manner, as a result of which pain appears in the eyes. It is possible to use artificial tear drops, for example, Tealoz Duo gel, 1-2 drops, 2-3 times a day. It is important to pre-consult with an ophthalmologist.

Ohanezova Siuzanna Ovanesivna
Ophthalmologist. The highest qualification category.
hat to do in case of age-related hyperopia? After 40, my eyesight began to deteriorate – I can't read, because I can't see it close. What to do? Is it already a verdict to wear glasses?
Answer: 09.09.2019

After 40, the presbyopia begins to develop (a decrease in the accommodative ability of the eye, which leads to a change in focus at a close distance. Correction is possible, unfortunately, only with glasses, but you can delay wearing glasses, doing training to strengthen the eye muscles. Consultation and diagnostics by an ophthalmologist is necessary for the proper selection of treatment.

Ohanezova Siuzanna Ovanesivna
Ophthalmologist. The highest qualification category.
Can myopia be cured? The child has myopia – he sees poorly even sitting at the 1st desk. How to cure myopia – do we need glasses or some procedures?
Answer: 09.09.2019

Myopia is a condition when an image is formed not on the eye retina, but in front of it. Myopia with progression can lead to the development of serious complications. The ophthalmologist may recommend eyeglass and/or contact correction after a detailed examination. Often this is only part of a treatment aimed at stabilizing the process and strengthening the eye's ability.

Gorbacheva Olena Volodymyrivna
Ophthalmologist. The highest category.
Can astigmatism in a child be treated? The child was diagnosed with astigmatism and myopia in one eye. The second is 100%. He was ordered to wear glasses with occluder, but for a year – no result. Is it generally treated or are we just torturing the child?
Answer: 09.09.2019

Astigmatism in children is most often congenital. Properly selected correction (determined by the doctor: glasses or contact lenses) in combination with stimulating treatment are aimed at developing and strengthening all functions of the visual organ. Early detection and long-term treatment are very important for the harmonious development of the whole organism and the child’s personality as a whole.

Gorbacheva Olena Volodymyrivna
Ophthalmologist. The highest category.
What should I do if a child has belching? A 6-year-old child often burps after eating, and not only air but with food elements. I thought it would pass with age, but no. Why is this happening and what to do?
Answer: 09.09.2019

Belching can be associated with diseases of ENT organs, nervous system disorder, or gastrointestinal tract diseases. It is necessary to consult a specialist to find out the cause. You can start from the examination by a gastroenterologist.

Should I come to the doctor with ready tests, or can they be taken at the clinic?
Answer: 13.06.2018

Good afternoon. All tests can be taken immediately in the clinic in the manipulation room. This process is fine-tuned for quick diagnostics and treatment, if necessary. Medical Center “ON Clinic” works with proven laboratories, and we are confident in the results that our patients receive. All laboratory tests are carried out as prescribed by the attending physician and then interpreted by the doctor.

Hello! I have the following problem – I used to have a strong sexual attraction before, erection was always stable and ejaculation was rapid. Now the sexual attraction is decreased, erection is not always stable, ejaculation is fast and is not as rapid as before, sperm kind of flows out in parts from the penis, but it used to shoot before; what can it be and how serious is it?
Answer: 30.01.2014
Hello! Reduced libido together with erectile dysfunction is a reason to examine hormones. Also, the erectile dysfunction may be due to vascular disorders, CNS disorders. To make preliminary conclusions and make a plan of examination, you need to know medical history, personal history. The list of compulsory primary tests: prostate ultrasound - Doppler of blood vessels of the penis – STD test - determination of concentration of testosterone in blood. In our clinic, a complete cycle of diagnostic measures is performed, after which urologists-andrologists make a final diagnosis, and after that it will be possible to speak about treatment and to make prognosis.
Reprintsev Vladislav Leonidovich
Urologist. The first category.
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