Medical Consultant: Ask The Doctor
Q. Does soy milk have side effects for men? I heard that soy milk can affect on testestrone levels for men is that true
A. Like most food, there are both positive and negative attributes to soy consumption. In order to review your particular case, and whether soy milk should be added to your diet, it will be important for you to schedule an appointment to meet with your doctor to discuss this issue. It may even be helpful to speak with a nutritionist.
Having said that, soy is a good source of protein, does not contain lactose, and is vegetarian, so can act as a good alternative to those who are lactose intolerant or do not eat meat. It may also have an effect in reducing the risk of developing heart disease and prostate cancer. On the other hand, recent studies have shown some negative effects of eating soy in high quantities, particularly for men.
Two compounds in soy act like estrogen, and can lead to side effects such as breast develop and decreased sperm count in men. It can also exacerbate erectile dysfunction in men who have this condition, as it can decrease testosterone levels in the body. There is also a study that shows a link between significant soy consumption and the development of dementia, although this needs to be confirmed by repeat studies.
The key factor in this topic is how much soy constitutes a level that produces these negative effects, and as of yet, this has not been determined. In general, it is best to maintain a balanced diet, and that can include soy-based products (soy is actually in a lot of products at the grocery store that you might not think of).
However, I would advise against eating high quantities of this food. Again, in order to determine how soy should fit into your individual diet, it would be useful to make an appointment to speak with your doctor and/or a nutritionist.
Q. What to do if my 18 son got his 1st HPV shot and won't ever get his 2nd and 3rd HPV shots? Hi, please answer me this for they say at the hospital that my son went and got his second and third shots but he never did. So they won't let my son take his second and third shots and I want to know what are the consequences of not letting my child have his second and third shots of HPV. Please answer me this question as soon as possible! Thank you so much! This is great to have this place to ask real Docs about anything, thank you for this awesome site!
A. Hello, I am glad to hear that your son got the HPV vaccine. It is fairly recent that the vaccine is recommended in both men and women to prevent the spread of HPV, as the vaccine works very well against some strains of this virus. The vaccine he most likely received is called Gardasil and you are correct that it comes in a series of three. Although this sounds like a difficult situation, my recommendation would be to obtain formal documentation about the vaccines, as the vaccine really works best after you receive all three shots. You could also get his primary care doctor or pediatrician involved, as they may be able to advocate for insurance covering the next two shots if you are quite sure he didn't receive them. I would advise you to speak to his doctor about this.
That being said, studies have shown that you do have some immune response (meaning that your body makes defenses against the virus) after just the first dose of the vaccine. Given that he hasn't had the whole series, and just for general health, you or someone else who is comfortable doing so, should speak to your son about having protected sex always. Condoms are the best protection against sexually transmitted infections, and your son should use this regardless.
Q. I got married 4 months ago, but we are not being able to conceive. What can we do? I make a marriage but my wife no pregnant what problem I need check up? Problem is that every month my wife menses start my hope is broken.
A. I would suggest that your wife schedule an appointment with her OB/GYN to further discuss this issue. Generally speaking, I should say that it is not uncommon for a couple to have difficulty achieving pregnancy if they only tried for a few months. In fact, most fertility specialists will not initiate a work up for infertility until a couple has tried for at least 12 months unsuccessfully to achieve pregnancy. In general, most doctors recommend that a couple have intercourse about every other night starting just after the woman's period for about 10 days to two weeks.
The idea here is to have intercourse at some point around the time of ovulation which typically occurs on day 14 of a woman cycle. You and your wife could consider using an ovulation detector which could help determine what day you should have intercourse. An ovulation detector which can be purchased at most pharmacies and detects the level of the LH hormone which is a hormone that spikes just prior to ovulation. Thus when the ovulation detector becomes positive, that is the date you should have intercourse.
This can help especially if your wife is somewhat irregular. If after eight more months you're still on able to achieve pregnancy then you should be worked up by a fertility specialist. The initial workup usually consists of a semen analysis, hormonal testing in the woman, and imaging of the uterus and fallopian tubes. Good luck.
Q. Do I have fibromyalgia? I have a variety of symptoms, and I would go to a doctor but for the fact that I've been to so many and I'm beginning to feel like a hypochondriac. I'm 22 years old, I've had tension migraines for a couple of years and normal migraine medications don't help. I have anxiety and depression which I've been treating for a couple of years through medication, a variety of pain disorders (varginismus from trauma being one), anemia, chronic infections and I go through periods where I get low-grade fevers at night. Most of these symptoms started when I was around 19.
In the last few weeks, I've started getting this horrible pain on the inside of my elbows and knees in the middle of the night. It wakes me up, and I never feel like I've had enough sleep. I also am started to get the elbow pain during the day. I once had a doctor say they thought I may have an autoimmune disorder, but it was in Spain and I left before having a chance to be checked for one.
A. Fibromyalgia is a type of myofascial pain syndrome that is extremely common in the US. Typical symptoms of fibromyalgia include muscle pain in multiple areas because usually including the back and oftentimes the shoulders, arms, and legs. People with fibromyalgia often complain of migraine headaches. Anxiety and depression are very common. In addition, people feel like they are usually getting very poor sleep. While the information you provided certainly sounds like you could have fibromyalgia, there is not enough information here to be sure.
Thus, you will still need to be evaluated by a doctor. I suggest that you first schedule an appointment with your primary care physician. Your physician can perform a special physical exam to look for specific areas of tenderness or trigger points. We use these areas to diagnose fibromyalgia if there are enough of them.
In addition, you can get information on treatment if your doctor thinks that this is what you have. People to get diagnosed with fibromyalgia always have to undergo some testing to look for inflammatory or autoimmune disorders that can present in a similar way. Treatment for fibromyalgia starts with establishing an exercise program it also involves the use of certain medications to help calm down the pain. Good luck.
Q. How long will the pain last after breast cancer surgery? I had a lumpectomy done on my right breast and feel a lot of pain. I am 32 and have been given medication.
How long will the pain last?
Are there exercises that can help it go away sooner?
A. Post-surgical pain can be very frustrating for patients. In general it can be hard to predict exactly how long someone's pain and discomfort will last post-surgery, as each person is different and the exact nature of specific surgeries can affect the healing process. You should be having close follow-up with the surgeon who performed your lumpectomy and he or she should be able to give you a sense of how much tissue was removed during your lumpectomy.
In addition, whether or not you underwent a lymph node dissection can also influence how much healing your body will need to do. Although the pain can be very frustrating in the beginning, it is important to remember that the healing process starts the minute the surgery is over, and so you should begin to feel better--little by little--every day.
Managing post-op pain is also a very important part of the healing process. You should feel comfortable using the pain medications your physician has prescribed. If the medications are not working (or if they are making you feel too sedated) you should get in touch with the office because there are many different types of pain medication available. Also, as you mention, using your arm and trying to stay active can also be very helpful in managing pain. The more you use your body and get back to regular activity, the more you can help accelerate the healing process. While there are not specific exercises per se for lumpectomy pain, resuming gentle activity as cleared by your surgeon can help get you feeling back to your normal self.
Q. I've been having a burning-like sensation in the middle and left part of my chest that radiates to my arms, left arm most.
What should I do?
Age: 22, Female, Weight: 135. Not allergic to anything I know of other then coconut but only if I eat too much of it. Been having a burning-like sensation in the middle & left part of my chest that radiates to my arms, left arm most. Was concerned it might be heart-related so I went to hospital twice. They did blood work & cat scan & told me everything looks healthy.
Doctor said was probably inflammation on my chest wall from overdoing myself. They sent me home & it went away for few days but came back. Second time it came back it hurt in center of my chest when I swallow but went away after an hour. (thinking it might be something with my esophagus) Wasn't concerned about it being heart-related ignored it & waited it out & got better again.
Now my chest is acting up yet again, this time my upper/mid back hurts, feels a bit stiff. I'm scared, don't know what is wrong with me. Just want other doctors opinions that might put my mind at ease.
A. As a young woman, it is very unlikely that you have a problem with your heart, lungs, or blood vessels, especially since you have already been the hospital and gotten checked out. It's great that you did that and given that you are having ongoing symptoms it is a good idea to make an appointment to see your primary care doctor to deal with this problem over time.
There are many things that can cause chest pain including muscle or joint pain - this is called costochondritis, it hurts with movement or pressure, and can be made better by taking motrin or aleve. If you have burning pain under your chest bone, especially after eating, this can be heart burn. Try avoiding foods that irritate the stomach, including chocolate, coffee, and spicy foods. Over the counter antacids including tums, maalox, or prilosec can help with this.
Finally, another important cause of chest pain can be anxiety, which can cause a feeling of chest pressure, rapid heart beat, and a feeling of a lump in your throat or even dizziness or light-headedness. Talking about your concerns with your primary care doctor and figuring out an approach to this problem makes the most sense and will help you begin to sort out what might be going on.
Q. Why is there blood coming from my teeth? During brushing of teeth in the morning, I observed blood coming form teeth.
A. Blood coming from your mouth is definitely not normal and you should see a dentist to be examined. The skin on your gums is thin and especially sensitive. Bleeding when you are brushing can be a sign of gingivitis which is a condition where your gums are inflamed. Gingivitis is caused by poor oral hygiene. Poor oral hygiene leads to bacterial overgrowth which can cause inflammation. Inflammation then weaken the skin integrity, which increases the risk of bleeding.
Routine oral hygiene should include brushing at least twice a day with good circular motion over each tooth. It should also include flossing between each tooth to minimize the amount of plaque buildup which can cause gingivitis. You can also use mouth wash. Again, you should make an appointment with a dentist to have your mouth examined.
The dentist can guide in terms of how you can further take care of your teeth. You should also consider making an appointment with a primary care doctor. They can also evaluate the bleeding in your mouth to determine if you need any further lab tests. Some patient have bleeding conditions such as having low platelets or disorders in clotting factors. These conditions could be investigated with basic lab tests. If you have any signs of bleeding in your stool, urine, vomit, you should go to the emergency room.
Q. What is causing a recurring white sore on my tongue?
I have a recurring white sore on the top of my tongue. It is roughly 5mm in size and is oval shaped. It feels lumpy to touch and is sore when pressed or if talking, eating etc. Its on the top of my tongue almost right in the centre (just off to one side slightly). There is no visible redness around it or anywhere else on my tongue. I had it for several weeks earlier this year and went to GP. She referred me for HbA1c as I have had gestational diabetes previously - this showed I am pre diabetic.
However she didn't give me any advice on whether this was likely to be related. The sore cleared up of its own accord not long afterward but returned a few weeks ago in the exact same location, and isn't showing any sign of clearing up again. What could this be? As a bit of background, I'm a 32yo female with: Asthma Pre diabetes Possible epilepsy (currently under investigation) Chronic sinusitis, nasal polyps and allergic rhinitis Mild eczema
A. I am sorry to hear that you have a recurrent white bump on your tongue that has you worried, and that you are unsure what it might be. I will give you some of my initial thoughts as to what might be going on, but I am ultimately going to recommend that you make an appointment with an ENT (Ear Nose Throat) physician to get evaluated. They are well trained in dealing with oral pathology, including both benign and malignant (i.e. cancers) lesions within the oral cavity.
Ultimately they may decide to perform a biopsy if they are concerned about what it might be. There are a number of different causes for a recurrent bump on your tongue. Sometime one of the taste buds can get inflamed and swollen from recurrent trauma and can become large and irritated. Also, leukoplakia (or whitish plaque like lesions on mucosal surfaces) can show up on different areas of the tongue.
They are generally benign (non cancerous), although there are some precancerous lesions (dysplasia) that can look similar, which is why it is important to get evaluated by someone that deals with oral pathology a lot. They will be able to tell you if the lesion is concerning enough to perform a biopsy. To my knowledge, there is no association with any of these oral lesions and diabetes. I hope that this information is helpful and that you get the answers you want from the ENT. Best of luck.
Q. Why does my vagina smell?
So I used to have this really bad fishy smell 3 years ago and I used to get made fun of for it. Ever since then I've worn a pad every single day for 3 years. I always have discharge and it smells pretty bad, but not always like fish. I used to wash and wipe back to front because no one told me any different, but I've recently changed that. I used to wash inside the lips with soap pretty roughly also. But now I just wash the outside, but I feel that doesn't clean enough.
How do I get to smell better down there? ( I'm a virgin, but I have put my fingers down there before.)
A. It sounds like you have been experiencing malodorous vaginal discharge from years and I recommend that you speak with an OBGYN.
From your description, it is possible that you are experiencing a condition called bacterial vaginosis which is an overgrowth of bacteria in the vagina. It can cause white to clear discharge that can smell fishy at times. It doesn't cause much pain or discomfort but it can cause some itching. Bacterial vaginosis is not known to be transmitted sexually. It is most likely caused by an imbalance of "good" and "bad" bacteria in the vagina. All women have lactobacillus, which is a type of bacteria, in the vagina.
They help create an acidic environment in the vagina that kills off other organisms; thus, the vagina is known to be a self cleaning system that does not need "extra" cleaning. If you do clean it with harsh soaps or other cleaning reagents, it can kill the beneficial lactobacillus. The vagina will no longer have the acidic environment that protects it from other organisms. This often leads to overgrowth of other bacteria or yeasts that can cause problems. You should may an appointment with an OBGYN doctor to have it examined to ensure there are no concerning medical conditions that is contributing to your condition.
Q. I am 45 years old male suffering from severe sneezing, what can I do?
I am suffering from acute sneezing and followed by running nose during early morning.
A. Thank you for your question, and I am sorry to hear about your frustrating symptoms. I would recommend that you meet with your primary care physician for further evaluation and management, but here are some general thoughts. The symptoms you are describing are most consistent with something called "rhinitis," which refers to inflammation of the mucosa in the nose.
The most common cause is allergic rhinitis, which can be caused by outdoor allergens (usually seasonal such as trees, grass, and pollen) or indoor allergens (such as dust mites, cockroaches, and fur) and results in nasal stuffiness, itching, and prominent sneezing. Non-allergic rhinitis is also possible, although stuffiness is the predominant symptom and sneezing is less common. Finally, there are other less common causes of rhinitis (occupational exposures, medication-induced, manifestations of systemic disease) that can be worked up in the right clinical context. If your symptoms are being caused by allergic rhinitis, which I suspect they are, you would probably benefit from steroid nasal sprays or antihistamine medications. These help to limit the immune response to allergens and therefore minimize symptoms.
Of course, you should meet with your primary care physician to discuss your symptoms further and determine if this course of action would be best for you. I hope that this was helpful!
Q. Will wearing my glasses improve my vision?
Hello, I recently discovered that I have -0.5 power in both eyes, making me slightly myopic. Thus, from now, I will have to wear glasses. However, my optician tells me that this is merely temporary. If I wear my glasses for at least six months, he tells me, about six hours per day, my eyesight will become normal again.
My question thus, is that, is this correct? If so, what else steps can I take to restore my vision? Or will I become more and more dependent on my glasses? Also, should I wear my glasses while studying? I have no problem whatsoever in reading a book in front of me. So will wearing my glasses while studying spoil my eyes?
A. I recommend that you speak with your doctor again. It is generally considered that wearing glasses will not restore the native function of the eyes. Myopia is due to an abnormal shape of the eyeball, which leads to imperfect focusing of light rays on the posterior aspect of the eye. The abnormal shape of the eye is not improved with glasses, and is a common phenomena that happens as individuals age.
However, the condition will stabilize in some individuals and progress over time in others. Therefore, some people can go many years with the same glasses prescription, while others may require different optics every several years. Wearing glasses corrects this imperfection of focusing light rays, and this will improve your vision. However, the more one wears his or her glasses, the eyes adjust to the correction and therefore when the glasses are removed, the vision may seem more blurry than it has prior to the use of glasses. If the glasses are removed for a sufficient period of time, the eyes and brain will readjust the vision close to its prior state. Wearing glasses while studying should be done if it improves your vision, and it will not spoil your eyes as the brain is capable of readjusting when the glasses are removed.
When speaking with your eye doctor, it may be possible that a miscommunication occurred, and I recommend that you re-discuss the use of your glasses as your doctor knows your particular case and can provide you with the appropriate information and continued care.
Q. I'm taking testosterone pills, but did not see any results. Is it safe to buy another testosterone supplement?
If I'm taking M 14 ment they are testosterone pills on the bottom it says to take it or 4 weeks on and 8 weeks on I did not see any results is it safe for me to buy another testosterone supplement and take them
A. In general, I do not recommend taking any supplements without the recommendation of your physician. Many supplements are not tightly regulated by the FDA and can even contain known toxins. Based on your question, I cannot determine if you are taking a prescribed testosterone supplement due to low testosterone levels or are taking testosterone supplements of your own accord.
In general, testosterone supplementation is a controversial topic. Even under the guidance of a physician, testosterone levels can vary widely and vary based on the performing laboratory. Data are also equivocal as to whether attempting to increase a low testosterone level is indicated. Without knowing more about your medical history, I cannot make specific recommendations about testosterone supplementation in general, so I recommend you discuss this with your physician.
Testosterone supplements are associated with multiple side effects, including some related to your endocrine system such as hair loss, gynecomastia, testicular shrinkage, and acne. Additionally, there is concern that testosterone supplementation can cause an increased risk of prostate cancer. If you are using testosterone as an anabolic steroid, you are at increased risk for cardiac complications. Given the potential dangers of supplementation, I strongly recommend you discuss this further with your primary care physician.
Q. How do I lose weight?
I am female and 5'4" and weigh 132 lbs. I know this isn't fat but I would like to have a flatter stomach and weigh a little less like 120 would be nice. I currently am on a diet. I am vegetarian but I do eat fish. I don't do many milk products besides greek yogurt and cottage cheese. I eat alot of fruits and vegetables, nuts (especially almonds), beans, eggs. I drink water and an occasional hot chocolate.
I excercize about three times a week. I don't know if im doing this right or there is a better way for me to loose weight and look good. I need results and I don't know what or who to trust out there! Thank you :)
A. I would suggest that you schedule an appointment with your primary care doctor. Generally speaking, weight loss at its core is very simple. In order to lose weight, you must burn more calories than you consume. This simple equation of intake versus output, is the only equation that has any relevance when it comes to weight loss. With that said, the most important thing that you can do to modify the equation is to alter your diet.
A diet with lots of fruits and vegetables is more likely to contain less calories than that which contains a lot of red meat and carbohydrates. Your diet seems to be a pretty good start. Meat doesn't have to be completely left off the menu, because the high-protein meals do tend to make people feel full faster. This results in a reduction in calories consumed. This is not the case with carbohydrates that do not make us feel full as quickly.
The other side of the equation is exercise. Exercise can increase the amount of calories that you burn and results in the burning of fat. The only people that I have ever met that have had great success with weight-loss are those that tried to modify both sides of the equation. Again, I would suggest that you schedule an appointment with your primary care doctor. You can ask for a referral to a nutritionist. This type of healthcare worker has the expertise to help you choose the foods that will hope you lose weight the fastest.