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Your question, doctor’s advice – Fulcrumy Health Tip

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I have had diabetes for 11 long years. Moderately controlled, but occasionally more than 10 millimoles. My problem is burning and tingling in the soles of my feet at night. Bite the leg. What is the solution? –Shyamoli Saha, Mirpur, Dhaka

Its name is diabetic neuropathy. Chronic diabetes damages the nerves in the limbs. To get rid of this you must control sugar. If the three-month average HBA is less than 1C6, you will understand that it is under control. In addition, to reduce foot irritation, you can take Gabapentin, Pregabalin, Amitriptyline etc. on the advice of a doctor. Regular foot care should be taken. If you feel numbness in the feet, you will not feel pain, infection, blisters etc., so check your feet daily. Wear comfortable shoes.

My mother is 55 years old. Patients with diabetes. He almost suffers from stomach problems. Problems such as bloating, indigestion, stomach bites, diarrhea, etc. What should be done? –Anisur Rahman

This is due to autonomic neuropathy or neurological complications in patients with chronic diabetes. Disruption of normal bowel movement and contraction. As a result, after playing a little, the stomach may become bloated, sometimes diarrhea and sometimes constipation may occur. Some of the medications used by diabetics can cause bloating and indigestion. Such problems require some changes in eating habits. For example, not eating more than once, eating small portions, avoiding foods that cause digestive problems, not going to bed immediately after eating, etc. Some medications can be taken to reduce the symptoms. It is also important to know if this is happening due to side effects of any medicine. You tell your diabetes doctor about the problems.

I am diabetic. I take insulin twice. Occasionally the sugar goes down around noon. Then the chest throbs, sweats, the head becomes light. For this you often have to eat sugar. Then the sugar rises again. What is the salvation from this? –Abdul Matin, Pabna

Eliminate the cause of low blood sugar or hypoglycemia first. One of the reasons is not eating the right amount at the right time. Those who take insulin should take food at least six times a day. Eat fruit or light snacks from 11 am to 12 noon after breakfast, then sugar will not be excessively reduced in the afternoon. Again in the afternoon and at bedtime eat breakfast twice more. If you have hypo in the afternoon, you can tell your doctor to reduce the morning insulin level a little. Again there are some modern insulins to reduce hypo, you can take them. Kidney and liver problems cause recurrent hypoglycemia. Check these out. Remember that repeated hypoglycemia is not good. It damages neurons in the brain, impairs memory and increases the risk of heart disease. Falling can cause accidents. Take care not to have hypoglycemia.

Suggested:Dr. Indrajith Prasad, Associate Professor, Department of Hormone and Diabetes, Dhaka Medical College.

I am 18 years old. Weight 6 kg. I have been suffering from hair loss for several years now. Dandruff also occurs with. The hair is falling out. Why is this happening? How can I benefit? –Win, Mymensingh

Hair loss is usually due to heredity. Use antidandruff shampoo twice a week to get rid of dandruff. Hair falls for dandruff. Do not use towels, pillows, combs etc. used by others.

Suggested:Professor Dr. Md. Asifuzzaman, Dermatology Department, Green Life Hospital, Dhaka.

I am 19 years old. I have been using glasses since 2011. At first the power was 2.75, later in 2014 it increased to 4.00. My head, eyes and ears hurt a lot after using glasses for so many years. So I don’t want to use glasses. I would like to use contact lenses. So should lenses be used? And will it be right to do LASIK in future? –Saad Chowdhury

From 2014 to 2018 your power is minus 4 (-4.00). That means your power is in a stable state. This is a very good sign. Your first problem is eyes, ears, headaches. Eyes, ears, headaches are just for wearing glasses, but that’s not right. Many of these problems occur when people work on mobile or computer screens for a long time, or when they are awake at night studying, watching TV, Facebooking, etc., or who have migraine problems. There are a few things you need to adhere to. Such as not staying on the digital screen for long periods of time unless necessary; Sleeping before bed at night; Drinking water frequently and doing regular sports or physical work etc. If you have migraine or headache, you can take paracetamol pills. This type of pain is often due to sinusitis. In that case you need to take the advice of a nose, ear and throat specialist.

The second issue is contact lenses. You can wear contact lenses, but only with the help of an eye specialist. However, contact lenses cannot be worn all the time. It can be used for any part of the day or for a limited time. As a result, you have to wear glasses as well. And wearing contact lenses will relieve your headaches, eye pain, etc., but it is not right.

The latest issue is LASIK. Since you are over 18 and have had the same spectacles for the last four years, you can get LASIK. LASIK glasses can be an alternative.

Suggested:Dr. Md. Chhayedul Haque, Ophthalmologist and Surgeon, Ideal Eye Care Center, Shyamoli, Adabar, Dhaka.

I have never had a period, which happens in adolescence. I don’t have any other physical problem except this unusual thing. My family once took me to the doctor because of this problem as a child, I don’t know what the doctor said. However, I was never taken to a doctor again. Growing up I wanted to seek medical attention many times, but I could not go because of shame, discomfort. What is the name of this physical problem? Is there a cure? –Reluctant to reveal name

Didn’t mention how old you are now. However, if the period does not start after the age of 18, then you must seek the help of a doctor. In addition to seeing if the uterine ovaries are OK and if there are any hormonal problems, even chromosomal analysis may have to be done. Bangabandhu Sheikh Mujibur Rahman Medical University, Bardem, Dhaka Medical College and almost all government medical colleges have endocrinology or hormone departments. You should contact any such medical institution immediately.

– Advised Dr. Indrajith Prasad, Associate Professor, Department of Endocrinology, Dhaka Medical College.

I am 18 years old. For four years my two toes were broken. Occasionally there is a sharp blow to the forehead with a sharp weapon. Sometimes it is itchy on the finger and itching, after itching it bursts and water comes out. It hurts a lot. The first was on one toe of the right foot, then spread to all the toes. What should I do? –Shoaib Tasin

You probably have eczema. However, it can also be psoriasis. Steroid ointment should be taken orally in consultation with a dermatologist. You can take antihistamine pills for itching. However, you should seek the advice of an expert without relying on conjecture.

Professor advised Dr. Md. Asifuzzaman, Head of Department, Department of Dermatology, Green Life Medical College.

I am twenty five years old. I mainly have problems with my teeth and gums. I can’t take cold water in my mouth for a year or two. Shirshir. For six months I couldn’t chew anything hard. Shirshi is felt and it lasts for quite some time. Eating hard and dry foods, such as toast, patties, etc., irritates the gums and palate. I used to brush my teeth for a long time but now I finish brushing in one to two minutes. What to do? –Nazrul Islam, Debiganj, Panchagarh.

It seems that you are suffering from chronic periodontitis. From here, the bond between teeth and bones becomes weak, resulting in pain during the bite. On the other hand, the gums move and the roots of the teeth become exposed.

In this case, get treatment for scaling and gum disease quickly without delay on the advice of a dentist. With this very simple treatment, if necessary, you will get well if you follow the proper rules of medicine and oral care. However, if the tooth coating becomes more eroded, filling may be required.

– Advised Dr. Md. Asafuzzoha Raj, Founder, Raj Dental Center, Kalabagan, Dhaka.

Formula – the Prothom-alo