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Questions and answers p. 14

Since last summer I started to have small pimples on décolleté, shoulders and back. The hotter it is outside, the more of them appear. Literally on every millimeter.
Answer: 08.08.2013

Hello! These complaints may be caused by disorders of sebaceous glands, streptodermia (because of sweating, there are perfect conditions for Streptococcus), reaction to ultraviolet (fotodermatitis). The success of treatment depends essentially on an accurate diagnosis. Come for internal consultation of a dermatologist. We will be glad to help!

We have the following problem. My father is 74 years old. During the past six months he began to show an unhealthy attraction to women. My mother died 15 years ago. He has been living alone since then, and then it started. He runs after every petticoat. The urologist we turned to said the following, "Let your dad f…k before death". No test were done. Of course, he goes to the toilet often at night, in all the rest, he is very perky. Can we turn to an adequate doctor? Or you will also tell us to go and have fun? Thank you
Answer: 08.08.2013
Hello! A sharp increase in sexual desire is a result of testosterone release. Taking into account the age of the patient, first of all, prostate cancer should be considered. If your father has a specific complaint for volumetric formation of the prostatic gland, it is an adenomatous node at best, but examination is necessary. Make an appointment, urologists-andrologists of ON Clinic will be happy to help! Initial examination will necessarily include prostate ultrasound. Even on the basis of this study we will be able to make preliminary conclusions. If necessary, blood is taken to determine the tumor marker (PSA). As a result, you will have a detailed consultation on diagnosis and further behavior.
Reprintsev Vladislav Leonidovich
Urologist. The first category.
Hello! I am 60 years old. The clinic information says that non-surgical treatment of prostate adenoma is possible only in the early stages. 1. Do you determine the stage of adenoma during the initial examination (consultation)? 2. In the case of not early stage of adenoma, do you give recommendations for further actions? Thanks for the answer.
Answer: 08.08.2013
Hello! Yes, conservative treatment of benign prostatic hyperplasia (adenoma) is carried out in our clinic only in the early stages. The final diagnosis will be made during the initial survey. Taking into account the age, we may require exclusion of cancer pathology (to do this, the test (PSA marker) is made) and repeated (free) consultation of a doctor. In those cases, if treatment is not possible in our clinic, the urologist will give detailed recommendations on further tactics (if surgery is needed, its scope, possible consequences, etc., appropriateness of the maintenance therapy), referral for hospitalization, if necessary.
Reprintsev Vladislav Leonidovich
Urologist. The first category.
Hello! I have hemorrhoids and fissures after childbirth. I am breastfeeding. Is treatment possible for women who are breastfeeding? After all, most medications have contraindications when breastfeeding. Thanks.
Answer: 08.08.2013
Hello! Yes, during lactation the list of therapeutic actions is quite limited. Despite the relative safety of many drugs, using of them at this time it is not recommended. But you must not ignore treatment. Make an appointment with a proctologist. After examination the doctor will select an optimal scheme of herbal medicine, give advice on diet, etc. This will eliminate the possibility of an acute inflammation, improve quality of life, and after cessation of lactation you will need to address the issue of full radical treatment, if required. In cases of threat of onset of profuse bleeding, infringement or necrosis of hemorrhoids, an instrumental intervention may be conducted (for health reasons). In this case, the doctor will do everything possible to minimize the pharmacological load. Do not worry! Do not delay with treatment! We will be glad to help!
Khudynets Mykhailo Mykhailovych
Proctologist, surgeon. First category.
For half a year I have had problems in the anal area. Gripings, burning, sometimes it hurt so bad that it is impossible to sit. When emptying the bowel there is bleeding. What is this, hemorrhoids or something more serious? If hemorrhoids, which stage?
Answer: 08.08.2013
Hello! It is impossible to diagnose in absentia. Bleeding, even if not systematic, but only during defecation, is a terrifying symptom and definitely requires sigmoidoscopy. Gripings and burning are characteristic of hemorrhoids and fissures of the rectum (pain may be aggravated during defecation due to mechanical trauma by dense fecal lump, or because of irritation by the aggressive chemical environment). Stage of the process is determined based on certain data, but bleeding is a clear indication of at least 2-3 stage (both AT and G). It is strongly recommended not to postpone the visit to a proctologist. We will be glad to help!
Kutepova Ekaterina Vladimirovna
Proctologist, surgeon. The first category. Candidate of Medical Sciences. The higest category.
Hello. I am 26 years old, after delivery it is hard to defecate. I often use enema. It feels like I have a very narrowed passage. Which methods can be used in this situation? Thank you in advance.
Answer: 08.08.2013

Hello! Pathology of the rectum accompanies up to 50-70% of all pregnancies and childbirths. The choice of a method of treatment must be individual, first of all, it must be based on objective data. From your complaints, you can tell about the presence of internal hemorrhoids, proctitis and anusita (less likely), functional disorders of the intestine of neurological nature (if you had an injury of pelvis or coccyx during delivery). Based on the final diagnosis, the doctor will give treatment, again taking into account the characteristics of your peculiarities (conservative treatment, minimally invasive intervention, supportive therapy, if you are currently breastfeeding). Do not postpone a visit, the sooner the treatment is started, the more chances you have to minimize treatment and its cost. We will be glad to help!

Kruts Sergiy Mykolayovych
Proctologist, surgeon. The highest category.
Good afternoon! I've been doing bodybuilding and "thanks" to it I have hemorrhoid. Is it possible to be treated in your clinic?
Answer: 08.08.2013
Hello! Systematic heavy exercise is one of the leading factors in development of hemorrhoids. If you are taking specific medicines or abusing protein diet and proteins, it is worth paying attention to the condition of the liver and portal vein system – portal hypertension is a factor of development of varicose veins, including hemorrhoids. In our clinics, we conduct minimally invasive treatment with the use of modern equipment and treatment schemes, and proctology doctors have vast experience in this field. Therefore, we will select a complex treatment, and not only removal of the external problems – knots; following of recommendations will minimize the risk of recurrence. Important explanation – for the period of treatment and rehabilitation it will be necessary to limit drastically the amount and intensity of your workouts. Contact us! We will be glad to help you!
Khudynets Mykhailo Mykhailovych
Proctologist, surgeon. First category.
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