Last week, a reader question to you mentioned a combination of medicines for benign prostate enlargement. I am 71 years old, weigh 82 kg, exercise a lot, don't smoke, drink moderately, blood pressure around 130/70.
I have a lot of cramps in my feet and legs, especially when I stretch when I'm in bed and when I wake up, it can be so wonderful to stretch, but then the pain is enormous. It must be said that I suffer from vein spatter and I have had it removed 4 times in both legs, but they come back after a while. What can I do?
I'm sorry to bother you again, but I still have a question regarding balance disorder. Every morning I suffer from balance disorder while walking or better fast walking. I run 7,5 km but not fast and have to concentrate not to go left or right. Normally I don't suffer from it so only when walking.
Ask general practitioner Maarten: Medicines against Covid-19
Some time ago I asked you about the correct amounts of Hydroxychloroquine (HCQ), Zinc and Azithromycin. In the unlikely event that I get the first Covid-19 symptoms, I want to intervene immediately. I accidentally deleted my emails.
Question to general practitioner Maarten: Problems with urination due to an enlarged prostate
I had problems with urination even before I came to Thailand, but not bothersome. At the end of 2019 my bladder suddenly 'locked'. I had the urge all day long but nothing came out, so I went to the Sukhumvit hospital in the evening for advice, where my bladder was emptied through a tube (more than a liter). Then tests were done and I was prescribed medication, tamsulosin and finasteride. Brand names: Uroflow 0,4 mg and Firide 5 mg. (This happened a week later).
A sister of my girlfriend who lives in the US (the sister) was diagnosed with breast cancer last year. She was lucky and got rid of it (for now) with a relatively minor operation. This sister was then 49 years old. last week a younger sister (46) here in Thailand had an entire breast plus glands in the armpit removed for the same reason. I don't know if her condition was that much more serious or if people in Thailand are more likely to use the blunt axe?
Ask general practitioner Maarten: Recurrent complaints of a swollen forearm that resembles lymphedema
If you don't mind, I also have a question for my girlfriend. My girlfriend is 30 years old. She has a normal Thai stature (1.60 m. tall and 45 kg heavy). She has had recurring complaints of a swollen forearm for two years. That always lasts about 1 week and then disappears again.
Question to general practitioner Maarten: My girlfriend is in a lot of pain because of rheumatoid arthritis
My girlfriend is 55 years old, blood pressure is 148-65 and has been diagnosed with heart failure. Her weight was 52 kilos but has now dropped below 40
Doesn't drink or smoke. Had a small moving company with a very old pick-up where she lifted many heavy loads. After a few falls about 2 years ago, research showed that a hernia with a sciatica infection or entrapment had occurred but not serious enough to operate or too risky.
I am 65 and live in Thailand, slightly overweight, do not drink alcohol and have not smoked for three years. I received medication here for a slightly elevated blood pressure 142/111 and heart rate 75 and a slightly enlarged prostate. My question is, can I take the medication together ie Amlopine 10 in the morning after meals and Pencor 2 Doxazosin 2mg
Question to general practitioner Maarten: Prostate cancer, which procedure is an option for me?
About 2 years ago I went to a urologist in BKK because of a burning sensation when urinating; he diagnosed a urinary tract infection and gave me a course of antibiotics that actually helped. However, the burning sensation when urinating came back last year when I was on holiday in the Netherlands, the urologist here had an MRI scan made and a prostate biopsy done. This showed that according to the TNM classification I have cancer stage T3 and a Gleason score of 4+3=7.
About 8 months ago I had some stomach problems, a lot of belching, feeling full and air in the esophagus that made swallowing difficult. Sometimes also violent shocks at the stomach entrance. Test indicated reflux, but I don't have an acid problem. But a more difficult phenomenon is as soon as I eat or drink something, I get heart rhythm disturbances a minute later.
Ask your GP Maarten: Medication against menstrual pain
I would like to have information about a certain medicine for my wife. My wife has a lot of trouble with her periods. Now my sister in Belgium has given me the name of a medicine to relieve the pain and burden of menstruation.
I am 74 years old, 1,67 tall and 64 kg. My blood pressure is okay. No diabetes, no alcohol, no smoker. I am taking clopidogrel 75mg, 1 stent LAD since 2016. My question is, I am taking Hytrin 2,5mg to shrink prostate, but sometimes it is hard to find. Can I use Doxazosin 2 mg instead of Pencor 2 mg tablet, 100 tablets box? Will my blood pressure stay good? Now 110/70 sometimes 100/65.
Salty food in Thailand
In the eighties I was medically examined for a new job, which showed that my blood pressure was a bit high. The medical examiner advised me to reduce my salt consumption, in fact, he commented that, as far as he was concerned, salt should never have been “invented”.
Ask general practitioner Maarten: Combination of 2 medicines
I had a severe burnout 11 years ago and I have not yet recovered from it and still have depression. I have been taking the same medication Neutapin 8 mg on prescription from my psychologist for almost 50 years now, then I can sleep well. But recently I also take a medicine Cardura 2mg at night so as not to have to get up several times to urinate. My brother recommended this to me.
Question to general practitioner Maarten: Are these medicines available in Thailand?
Soon, when I have received a corona vaccine, I will go to Thailand with my Thai wife to live there. Now I had a stroke in 2016 and wonder if the meds I'm taking are there?
I have ART treatment from July this year with 3 pills. Tenovavir, Dulutegravir and Lamivir. As of September viral load is undetectable and CD4 count is 917 and CD4 is 41,31%.