For several years now I have noticed that I can hardly eat anything in the evening, otherwise I will only sleep a few hours.

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Unfortunately, I am tied to sleeping pills to get a healthy night's sleep. In the more than 25 years that I lived in Spain, I was able to buy Stilnox 10 mg (zolpidem) sleeping tablets at the local pharmacy, which charged 30 euros for 4 pieces and were even reimbursed by my health insurance.

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I can't buy Tamsolusin anywhere! Now I have a question, since I'm getting more and more dizzy every day and I don't have to go to the urologist until next month, which I don't like to do! I have read that there are also things like Prostatpro for sale. Is that or something like that? They don't appear to be "drugs". They don't seem to be medicines but a kind of vitamins.

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Can a hygienic anal shower with a powerful jet cause a perianal abscess? If not?… what else can cause these very difficult painful complaints and operations?

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In May 2019 I used Teevir for 1 month. After 1 month I got yellow skin and stopped taking medication. The hospital then prescribed me Legalon 140 (silymarin) which I also used for a while.

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I am 83 and recently suffered a stroke. Other than that I don't smoke and drank a beer now and then. 20 years ago I had a heart attack. I have no further complaints.

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I am 80 years old, healthy, a little overweight, blood test results good, but I have had chest pains for years and it is getting worse. The strange thing is that I only feel that pain at night when I'm trying to sleep. What could be the cause of that?

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I spend most of the year in Thailand and a few months a year in the Netherlands. When I'm in Thailand I always have to go to the toilet about 3 times at night. When I'm in the Netherlands it doesn't bother me, at most once a night.

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I am 60 and have type 2 diabetic. My meds are glucophage, diamicron and Forxiga. I have been suffering from itching and rashes on my genitals for quite some time now. Can't be STD. I am also circumcised. Now I read that this can be caused by the Forxiga.

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Currently residing in Cambodia, am 71 years old. Arrived January 60th and wanted to go back after four months. I am taking medicines Lixiana 25mg and Metoprolol 2mg. Now the Lixiana is finished and the hospital here gave me Walfarin XNUMX mg.

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Ask general practitioner Maarten: Bump in the anus

By Submitted Message
Posted in Health, General practitioner Maarten
Tags:
29 September 2020

Since about 10 days I have a small bump in the anus, about 1 cm in the anus subcutaneously, soft, no bigger than orange seed, not sensitive, normal stools. Absolutely no problems and can only be felt with a finger. Can it hurt?

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A week ago I slipped during a rain shower and have a severe ankle sprain on my weak foot. Also because I use wafarin I immediately cooled my foot with ice, several times the first 2 days.

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Question to GP Maarten: My potency is low

By Submitted Message
Posted in Health, General practitioner Maarten
Tags: ,
27 September 2020

I am 72 years old and have always had a sometimes excessive potency. I'm on quite a few medications. This medication I suspect that my potency is now at a very low level.

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Maarten Vasbinder lives in Isaan. His profession is general practitioner, a profession that he mainly practiced in Spain. On Thailandblog he answers questions from readers who live in Thailand. Do you have a question for Maarten and do you live in Thailand? Send this to the editor: www.thailandblog.nl/contact/ It is important that you provide the correct information, such as: Age Complaint(s) History Medication use, including supplements, etc. Smoking, alcohol Overweight Possibly: laboratory results and other tests Possibly blood pressure …

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25 years ago when I still lived in Belgium I had a stomach ulcer. Now 2 weeks ago due to stress I have problems again. Rising acid, sometimes when I go to sleep I have to put my head a little higher and then I feel better. I dread going to the clinic for an endoscopy.

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I've had a twitching muscle in the back of my neck for about four weeks. Is this serious? Do I need treatment or will it go away on its own?

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In a week I will have an MRI / ultrasound Fusion Biopsy done on the advice of my urologist. Suppose that in the best case scenario the nodule is not aggressive. So what is the wise thing to do without getting into an endless and costly follow-up treatment with no guarantee that the problem will be solved permanently?

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