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Questions and answers p. 8

I have a lot of acnes on my back. What could cause it and how can it be treated? I have already made a lot of tests but still the treatment failed. I would like to consult a dermatologist from Kyiv.
Answer: 03.12.2020

Аcne is a chronic disease of sebaceous glands. There are plenty of initiating agents ranging from endocrine profile disorders to unhealthy diet and inadequate skin care. Genetic predisposition (heritability) proves rather essential. Indeed, there may be no significant deviations in the tests in case of acne. The doctor will select the proper care, local or systemic treatment, give recommendations on nutrition and (if necessary) prescribe additional examinations, consultations by related specialists. Unfortunately, it is impossible to choose an effective treatment regimen without personal consultation and, moreover, it is unsafe.

Ozirska Nataliia Serhiivna
Dermatovenerologist, trichologist. First category.
Does garlic help with helminthiasis? The fact is that our child attends kindergarten and it is possible that it was there that he became infected. Now we treat him with folk methods, but we do not want history repeating. What examinations do we need to undergo?
Answer: 25.11.2020

Garlic is a folk remedy! By itself, garlic does not destroy the helminth shell. In order to understand what helminths are and whether they exist at all, it is necessary to do tests: blood for antibodies to helminths, complete blood count, liver function tests, feces analysis for helminth eggs and protozoa, and consult infectious disease specialist. Self-medication is extremely dangerous.

Kurpas Tetyana Leonidivna
Infectious disease physician. The highest category.
Recently, I began to notice that my skin turns yellow, I want to sleep constantly and I don’t want to do anything at all. At first, I thought that it was just with the onset of autumn that apathy came. But the symptoms do not go away and it seems to me that I am getting worse. Tell me, what am I sick with?
Answer: 25.11.2020

Before establishing your diagnosis, you need to undergo additional examination and a thorough collection of complaints. First of all, I would advise to exclude hepatitis, helminthiasis, obstructive jaundice. Exacerbation of chronic herpesvirus infection is also possible. It is necessary to do additional tests, to undergo an ultrasound. I advise you to seek the medical attention of an infectious disease specialist, a gastroenterologist. If obstructive jaundice is detected during an ultrasound, see the surgeon.

Kurpas Tetyana Leonidivna
Infectious disease physician. The highest category.
I still can't figure out if I need to wear a mask on the subway? Some people are always with a mask on their chin and they don't get sick, everything is fine. Why should I wear a mask if I'm not sick at all?
Answer: 25.11.2020

In Ukraine, on November 19, 2020, the President of Ukraine has signed a decree on the mask regime, for failure to comply with which a fine is imposed. The mask can help reduce the risk of contracting infections transmitted by airborne droplets, including coronavirus infection. The mask helps protect you if you meet a sick person and also protects other people from infection if you are sick. A person in the incubation period is also contagious to others, although he/she does not have symptoms of the disease.

Kurpas Tetyana Leonidivna
Infectious disease physician. The highest category.
A small pink spot appeared in the arm pit. I didn't pay attention, now this spot has formed a circle 1 cm in diameter and began to peel off. It itches very badly and the itching does not stop. But this is only at night, during the day it does not itch. What it is? Which doctor should I visit in order to understand what tests to do?
Answer: 25.11.2020

Hello! In order to determine the nature of the spot, it is necessary to do tests, at least, complete blood count, antibodies to borreliosis, scraping for fungus. Based on the description, it can be Gibert’s disease. But differential diagnostics with Lyme disease should still be carried out. To make a diagnosis, I advise you to visit a dermatologist. And if excluding the dermatological pathology - infectious disease specialist.

Kurpas Tetyana Leonidivna
Infectious disease physician. The highest category.
The child has cloudy urine and frequent urination. We tried to treat with folk methods, but there was practically no effect. Please tell me where to start treatment and what examinations need to be done?
Answer: 24.11.2020

Having these complaints, it is necessary to carry out a differential diagnosis between inflammatory changes in the waterworks organs and metabolic disorders. Cloudy urine can be caused by the following: leukocyturia (increased content of leukocytes in the urine) is a manifestation of inflammation; saluria (high content of salts in urine) is a manifestation of metabolic disorders. In this case, you need to consult a pediatric nephrologist; as for examinations, you must do the following:

  • complete blood count;
  • clinical urine test;
  • sterility urine test (optional, its duration – from 5 to 7 days); 
  • ultrasound of kidneys and bladder;
  • for girls - consultation by pediatric gynecologist (to exclude abnormal development of external genital organs, inflammatory changes - vulvitis, vulvovaginitis), for boys - consultation by a pediatric urologist (to exclude abnormal development of external genital organs, phimosis, inflammatory changes - balanoposthitis).

Treatment is ordered by a pediatric nephrologist, depending on the examination results: in the presence of inflammatory changes (cystitis) - antibacterial therapy, prescription of uroantiseptics; for metabolic disorders - litholytic therapy. Treatment of children with folk methods is not used (brewing herbs, herbal baths), since this method has no evidence base and is not recorded out in the protocols. Moreover, thermal procedures are prohibited for children (during thermal procedures, vascular distention occurs and the infection spreads further).

Urologist, pediatric urologist. Highest qualification category.
Hello! My 8-month son has severe rashes on the chest more than a week. I have exhausted every possible solution: I changed the milk formula, I used to give Malysh and Malyutka, but now I started to give fermented milk Nutrilon; I applied the following onto his chest: Bepanthen, Sudocrem, Dermalex, Puder Plin. I gave the following medicine: Edem, Suprastin. However, nothing helped, it seems to get even worse. Why does it happen and what am I supposed to do?
Answer: 16.11.2020

Stop feeding with Nutrilon milk formula, as it might provoke the rashes. The examination by dermatologist is mandatory. Before visit to dermatologist do not apply anything and do not wet it, as some additional tests are possible. Do tests for intestinal dysbacteriosis. Consultation by pediatrician is also necessary.

Hello! Could you please advise me: during pregnancy, about 6-7 month, I started to lose my hair in very large quantities (my hair used to be thick and long), I have tried everything within 7-8 years (shampoos, masks, vitamins, visits to dermatologist, but all these were never help… I still keep on losing my hair ((.. Why does it fall out and what should I do?
Answer: 16.11.2020

Consult a trichologist in order to do trichoscopy of the scalp to clarify the diagnosis and appropriate treatment. There are many reasons for hair loss and treatment approaches are different, including not only medicinal preparations, but also medicinal cosmetics. Make an appointment and we will help you solve your hair loss problem.

My child is 6 years old and he has flat-foot, we noticed it about 2 years ago. Can flat-foot be cured? And how will flat-foot affect the quality of life of our child?
Answer: 16.11.2020

It can be treated well up to 6 years. It can be corrected up to 10 years. Flat-foot interferes with normal movement, it forms incorrect posture over time, deforms the bones of the foot, lower extremities. It is the cause of severe spine diseases (arthritis, arthrosis, scoliosis, osteoporosis, varicose veins, chronic headache). Flat-foot also cause pain when walking and during physical exercises, which affects overall health.

Boyko Iryna Viktorivna
Pediatric orthopedic traumatologist. The highest category.
Is it better for a small child to walk at home in shoes or barefoot? Because I read a lot of different literature and it gives different information everywhere. Our son walks both in shoes and barefoot. Maybe we need to buy some kind of a mat for the child to walk on?
Answer: 16.11.2020

The child should wear preventive shoes (hard back, instep support). Mat - after examination of the child by a doctor.

Our child has clubfoot in any shoe, the right leg is more or less ok, and the left one is very tightly crooked. So the question is whether the child needs corrective insoles? And how to choose them?
Answer: 16.11.2020

Yes, he does. The insoles need to be chosen by a doctor, since there are 10 varieties of them.

I began to notice that the child often tilts his head to the left when sitting or lying on his back. Tell me, should we raise alarm? Is this perhaps some kind of disease?
Answer: 16.11.2020

If these signs are detected, you should see a doctor as soon as possible. If measures are not taken in time, then the child may experience such consequences as disproportionate development of the skull, asymmetric position of the eyes, mouth and other parts of the face. Scoliosis develops over time.

Boyko Iryna Viktorivna
Pediatric orthopedic traumatologist. The highest category.
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