Ovarian cysts form when fluid accumulates within a membrane inside an ovary. A cyst is like a sac, a pocket of fluid just like a blister, and the membrane which encases it separates it from the other tissues that surround it. A cyst may contain liquid, the most common type, gas, or a semi-solid material. Whatever it may contain, therefore, a cyst is an abnormality whose nature often requires confirmation.Their size varies considerably, but cysts less than five centimetres in diameter often do not need treatment. Most of the time, ovarian cysts are small, do not produce any symptoms, and are therefore considered harmless, with these types ultimately resolving on their own. At other times, they can rupture or twist, thereby causing significant pain and bleeding through the vagina or both.When it twists in a situation known as torsion, it constitutes a medical emergency often requiring emergency surgery. While cysts occur most frequently during the reproductive years, they can be seen at any age, including among newborn female babies. In rare scenarios, ovarian cancer can present as a cyst. On the other hand, some cysts can become cancerous over time.While most cysts have no symptoms and are usually found when undergoing investigations for other reasons, such an incidental finding nevertheless requires them to be monitored at intervals so that the pattern of growth or resolution can be noted. When a cyst presents with symptoms, they can resemble other conditions like a urinary tract infection, kidney stones, acute appendicitis or ectopic pregnancy.Some of the symptoms of ovarian cysts include changes in menstruation, such as the duration of bleeding, quantity and pain, which may be confined to the lower abdomen or extend to the thigh, lower part of the back, or across the lower abdomen. There may be associated vomiting and a feeling of fullness with resultant bloating. There could also be pain when passing stool, during sex and just before the beginning of menstruation or the end of it.There could also be pressure on the bowels resulting in frequent visits to the toilet even when the stools have a normal consistency. The frequency of urination may also increase, and there could be some unexpected weight gain or pain within the breasts. Typically, the pain is dull in nature except when torsion has occurred.There are two main categories of ovarian cysts. Functional ovarian cysts are the most common type, and they occur around the menstrual cycle. They are not usually cancerous. The other group is categorised as pathological cysts, which are not related to the menstrual cycle.These may be harmless or cancerous in nature. The different types of ovarian cysts will be briefly discussed here; these include a corpus luteum cyst, which forms after an ovary has released an egg but fails to shrink in the usual way and instead fills up with blood.Usually, cysts like this will disappear within a few weeks but can cause much pain if they grow into a large size and may cause vaginal bleeding as well. Follicular cysts, on the other hand, develop when a follicle fails to open and release an egg during the ovulatory period. These are the most common types of cysts, but they produce no symptoms and often disappear within one to three months.Another common type of ovarian cyst is the dermoid cyst, which develops from certain cells that are present in the body right from birth. Because of this origin, they are usually made up of things like hair, nails, mucus, a solitary tongue or a solitary eyeball. They can grow to immense dimensions, cause severe pain and twist suddenly.Then there are those ones called cystadenomas, which are essentially large cysts filled with fluid, and contrast sharply with dermoid cysts. These can also become large, twist, and cause pain or vaginal bleeding. When a diagnosis of cystadenoma is made, treatment can be offered without an operation, as the fluid can be drained using a special kind of needle under ultrasound guidance.Another category is called endometrioma, which is basically endometrial tissue developing over the ovary. Being outside the womb, abnormal menstrual patterns, vaginal bleeding, painful intercourse, and painful menstruation can all result. Another increasingly and commonly diagnosed entity today is polycystic ovary syndrome, in which many small cysts develop over the ovary.This often causes pain and is related to fertility problems. Usually, it also has links to other health problems such as metabolic syndrome and obesity. Most of these are diagnosed during investigations conducted in relation to infertility. Lastly, there is ovarian cancer, which is not very common, occurs typically outside the reproductive period, and must be treated like any other cancer once the diagnosis is made.Ovarian cysts have different causes depending on the type. Hormonal factors and the use of medications aimed at helping women to ovulate can cause either follicle or corpus luteum cysts. During pregnancy, corpus luteum cysts help to maintain the pregnancy by producing and releasing progesterone during the first trimester. This function is gradually taken over by the placenta after the first three months.If the corpus luteum cyst persists after the placenta has taken over its function and is large in size, surgical removal will be required. A patient who has endometriosis is also likely to develop endometriomas. Lastly, any infection affecting the ovary and fallopian tubes makes the development of ovarian cysts much more likely.The diagnosis of this condition is based on taking a good history of the symptoms, certain blood tests, including a pregnancy test, and an ultrasound scan.In some cases, an abdominal CT scan or MRI may be required if a need exists to more properly define the nature of the cyst. The treatment depends on the size of the cyst, whether it involves a woman in her reproductive age or she has undergone menopause. A cyst of five centimetres or less requires periodic monitoring only using ultrasound evaluation.However, if results demonstrate that there is a noteworthy source of concern, the treatment offered will depend on what has been found. For example, evidence of cancer demands the institution of treatment without delay. So, it is vital to confirm the diagnosis by performing a biopsy, the required operation, followed by chemotherapy and radiotherapy if needed. If a torsion has occurred, an emergency operation is required because when a cyst twists, it cuts off the blood supply to the ovary, resulting in terrible abdominal pain.Questions and answersSunday Doctor, please, my son is four years old, and he is always having a cough. I have taken him to different hospitals and seen different doctors. He has even done chest X-rays at different times also, but nothing was found. All the time, they say the chest is clear. One doctor asked me if there were any members of the family that had asthma; I told him no. What could be the problem? Thank you. 0802*******Your son may just be suffering from an irritable airway, which he will grow out of. Children like that will respond like this to a variety of things around them; things like dust, pepper, perfume, paint, rug, feathers, and pets by coughing and sneezing. That is a kind of allergy.Sunday Doctor, I am a 45-year-old single lady. I was recently diagnosed with a left ovarian cyst and fibroid. This was after almost six months of suffering from back and left thigh pains. I will share the scan results with you on WhatsApp. My doctor says I need an operation, but I am scared, especially because I don’t know if I can still give birth. What is your advice, doctor? 0802*******This is a difficult scenario because even without these problems, getting pregnant at your age would have been an uphill task without some form of reproductive assistance. Now, with huge fibroids of 103 by 88mm and left ovarian cysts with the size of 58mm, surgery is your best option. So, do the operation and recover from that first, then you can pursue your fertility options.Sunday Doctor, I am 43-years-old. I had a baby 12 years ago by caesarean section, and since then, I have been trying to conceive. Then three years ago, I had a fibroid operation. So last month, when I started to have severe abdominal pains and heavy flow again, my husband said I should do another scan. I will send you the report. What should I do now? 0803*******Well, the cyst is described as thin-walled with clear fluid. The left ovary is normal. At 34 mm, it is clearly not harmful. As for the fibroids, they can always grow again after surgery, but this one is located at the fundus of the uterus with dimensions of 35 mm by 34 mm. You can get pregnant with this size and carry your baby to term.Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. Their size varies considerably, but cysts less than five centimetres in diameter often do not need treatment. Most of the time, ovarian cysts are small, do not produce any symptoms, and are therefore considered harmless, with these types ultimately resolving on their own. At other times, they can rupture or twist, thereby causing significant pain and bleeding through the vagina or both.When it twists in a situation known as torsion, it constitutes a medical emergency often requiring emergency surgery. While cysts occur most frequently during the reproductive years, they can be seen at any age, including among newborn female babies. In rare scenarios, ovarian cancer can present as a cyst. On the other hand, some cysts can become cancerous over time.While most cysts have no symptoms and are usually found when undergoing investigations for other reasons, such an incidental finding nevertheless requires them to be monitored at intervals so that the pattern of growth or resolution can be noted. When a cyst presents with symptoms, they can resemble other conditions like a urinary tract infection, kidney stones, acute appendicitis or ectopic pregnancy.Some of the symptoms of ovarian cysts include changes in menstruation, such as the duration of bleeding, quantity and pain, which may be confined to the lower abdomen or extend to the thigh, lower part of the back, or across the lower abdomen. There may be associated vomiting and a feeling of fullness with resultant bloating. There could also be pain when passing stool, during sex and just before the beginning of menstruation or the end of it.There could also be pressure on the bowels resulting in frequent visits to the toilet even when the stools have a normal consistency. The frequency of urination may also increase, and there could be some unexpected weight gain or pain within the breasts. Typically, the pain is dull in nature except when torsion has occurred.There are two main categories of ovarian cysts. Functional ovarian cysts are the most common type, and they occur around the menstrual cycle. They are not usually cancerous. The other group is categorised as pathological cysts, which are not related to the menstrual cycle.These may be harmless or cancerous in nature. The different types of ovarian cysts will be briefly discussed here; these include a corpus luteum cyst, which forms after an ovary has released an egg but fails to shrink in the usual way and instead fills up with blood.Usually, cysts like this will disappear within a few weeks but can cause much pain if they grow into a large size and may cause vaginal bleeding as well. Follicular cysts, on the other hand, develop when a follicle fails to open and release an egg during the ovulatory period. These are the most common types of cysts, but they produce no symptoms and often disappear within one to three months.Another common type of ovarian cyst is the dermoid cyst, which develops from certain cells that are present in the body right from birth. Because of this origin, they are usually made up of things like hair, nails, mucus, a solitary tongue or a solitary eyeball. They can grow to immense dimensions, cause severe pain and twist suddenly.Then there are those ones called cystadenomas, which are essentially large cysts filled with fluid, and contrast sharply with dermoid cysts. These can also become large, twist, and cause pain or vaginal bleeding. When a diagnosis of cystadenoma is made, treatment can be offered without an operation, as the fluid can be drained using a special kind of needle under ultrasound guidance.Another category is called endometrioma, which is basically endometrial tissue developing over the ovary. Being outside the womb, abnormal menstrual patterns, vaginal bleeding, painful intercourse, and painful menstruation can all result. Another increasingly and commonly diagnosed entity today is polycystic ovary syndrome, in which many small cysts develop over the ovary.This often causes pain and is related to fertility problems. Usually, it also has links to other health problems such as metabolic syndrome and obesity. Most of these are diagnosed during investigations conducted in relation to infertility. Lastly, there is ovarian cancer, which is not very common, occurs typically outside the reproductive period, and must be treated like any other cancer once the diagnosis is made.Ovarian cysts have different causes depending on the type. Hormonal factors and the use of medications aimed at helping women to ovulate can cause either follicle or corpus luteum cysts. During pregnancy, corpus luteum cysts help to maintain the pregnancy by producing and releasing progesterone during the first trimester. This function is gradually taken over by the placenta after the first three months.If the corpus luteum cyst persists after the placenta has taken over its function and is large in size, surgical removal will be required. A patient who has endometriosis is also likely to develop endometriomas. Lastly, any infection affecting the ovary and fallopian tubes makes the development of ovarian cysts much more likely.The diagnosis of this condition is based on taking a good history of the symptoms, certain blood tests, including a pregnancy test, and an ultrasound scan.In some cases, an abdominal CT scan or MRI may be required if a need exists to more properly define the nature of the cyst. The treatment depends on the size of the cyst, whether it involves a woman in her reproductive age or she has undergone menopause. A cyst of five centimetres or less requires periodic monitoring only using ultrasound evaluation.However, if results demonstrate that there is a noteworthy source of concern, the treatment offered will depend on what has been found. For example, evidence of cancer demands the institution of treatment without delay. So, it is vital to confirm the diagnosis by performing a biopsy, the required operation, followed by chemotherapy and radiotherapy if needed. If a torsion has occurred, an emergency operation is required because when a cyst twists, it cuts off the blood supply to the ovary, resulting in terrible abdominal pain.Questions and answersSunday Doctor, please, my son is four years old, and he is always having a cough. I have taken him to different hospitals and seen different doctors. He has even done chest X-rays at different times also, but nothing was found. All the time, they say the chest is clear. One doctor asked me if there were any members of the family that had asthma; I told him no. What could be the problem? Thank you. 0802*******Your son may just be suffering from an irritable airway, which he will grow out of. Children like that will respond like this to a variety of things around them; things like dust, pepper, perfume, paint, rug, feathers, and pets by coughing and sneezing. That is a kind of allergy.Sunday Doctor, I am a 45-year-old single lady. I was recently diagnosed with a left ovarian cyst and fibroid. This was after almost six months of suffering from back and left thigh pains. I will share the scan results with you on WhatsApp. My doctor says I need an operation, but I am scared, especially because I don’t know if I can still give birth. What is your advice, doctor? 0802*******This is a difficult scenario because even without these problems, getting pregnant at your age would have been an uphill task without some form of reproductive assistance. Now, with huge fibroids of 103 by 88mm and left ovarian cysts with the size of 58mm, surgery is your best option. So, do the operation and recover from that first, then you can pursue your fertility options.Sunday Doctor, I am 43-years-old. I had a baby 12 years ago by caesarean section, and since then, I have been trying to conceive. Then three years ago, I had a fibroid operation. So last month, when I started to have severe abdominal pains and heavy flow again, my husband said I should do another scan. I will send you the report. What should I do now? 0803*******Well, the cyst is described as thin-walled with clear fluid. The left ovary is normal. At 34 mm, it is clearly not harmful. As for the fibroids, they can always grow again after surgery, but this one is located at the fundus of the uterus with dimensions of 35 mm by 34 mm. You can get pregnant with this size and carry your baby to term.Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. When it twists in a situation known as torsion, it constitutes a medical emergency often requiring emergency surgery. While cysts occur most frequently during the reproductive years, they can be seen at any age, including among newborn female babies. In rare scenarios, ovarian cancer can present as a cyst. On the other hand, some cysts can become cancerous over time.While most cysts have no symptoms and are usually found when undergoing investigations for other reasons, such an incidental finding nevertheless requires them to be monitored at intervals so that the pattern of growth or resolution can be noted. When a cyst presents with symptoms, they can resemble other conditions like a urinary tract infection, kidney stones, acute appendicitis or ectopic pregnancy.Some of the symptoms of ovarian cysts include changes in menstruation, such as the duration of bleeding, quantity and pain, which may be confined to the lower abdomen or extend to the thigh, lower part of the back, or across the lower abdomen. There may be associated vomiting and a feeling of fullness with resultant bloating. There could also be pain when passing stool, during sex and just before the beginning of menstruation or the end of it.There could also be pressure on the bowels resulting in frequent visits to the toilet even when the stools have a normal consistency. The frequency of urination may also increase, and there could be some unexpected weight gain or pain within the breasts. Typically, the pain is dull in nature except when torsion has occurred.There are two main categories of ovarian cysts. Functional ovarian cysts are the most common type, and they occur around the menstrual cycle. They are not usually cancerous. The other group is categorised as pathological cysts, which are not related to the menstrual cycle.These may be harmless or cancerous in nature. The different types of ovarian cysts will be briefly discussed here; these include a corpus luteum cyst, which forms after an ovary has released an egg but fails to shrink in the usual way and instead fills up with blood.Usually, cysts like this will disappear within a few weeks but can cause much pain if they grow into a large size and may cause vaginal bleeding as well. Follicular cysts, on the other hand, develop when a follicle fails to open and release an egg during the ovulatory period. These are the most common types of cysts, but they produce no symptoms and often disappear within one to three months.Another common type of ovarian cyst is the dermoid cyst, which develops from certain cells that are present in the body right from birth. Because of this origin, they are usually made up of things like hair, nails, mucus, a solitary tongue or a solitary eyeball. They can grow to immense dimensions, cause severe pain and twist suddenly.Then there are those ones called cystadenomas, which are essentially large cysts filled with fluid, and contrast sharply with dermoid cysts. These can also become large, twist, and cause pain or vaginal bleeding. When a diagnosis of cystadenoma is made, treatment can be offered without an operation, as the fluid can be drained using a special kind of needle under ultrasound guidance.Another category is called endometrioma, which is basically endometrial tissue developing over the ovary. Being outside the womb, abnormal menstrual patterns, vaginal bleeding, painful intercourse, and painful menstruation can all result. Another increasingly and commonly diagnosed entity today is polycystic ovary syndrome, in which many small cysts develop over the ovary.This often causes pain and is related to fertility problems. Usually, it also has links to other health problems such as metabolic syndrome and obesity. Most of these are diagnosed during investigations conducted in relation to infertility. Lastly, there is ovarian cancer, which is not very common, occurs typically outside the reproductive period, and must be treated like any other cancer once the diagnosis is made.Ovarian cysts have different causes depending on the type. Hormonal factors and the use of medications aimed at helping women to ovulate can cause either follicle or corpus luteum cysts. During pregnancy, corpus luteum cysts help to maintain the pregnancy by producing and releasing progesterone during the first trimester. This function is gradually taken over by the placenta after the first three months.If the corpus luteum cyst persists after the placenta has taken over its function and is large in size, surgical removal will be required. A patient who has endometriosis is also likely to develop endometriomas. Lastly, any infection affecting the ovary and fallopian tubes makes the development of ovarian cysts much more likely.The diagnosis of this condition is based on taking a good history of the symptoms, certain blood tests, including a pregnancy test, and an ultrasound scan.In some cases, an abdominal CT scan or MRI may be required if a need exists to more properly define the nature of the cyst. The treatment depends on the size of the cyst, whether it involves a woman in her reproductive age or she has undergone menopause. A cyst of five centimetres or less requires periodic monitoring only using ultrasound evaluation.However, if results demonstrate that there is a noteworthy source of concern, the treatment offered will depend on what has been found. For example, evidence of cancer demands the institution of treatment without delay. So, it is vital to confirm the diagnosis by performing a biopsy, the required operation, followed by chemotherapy and radiotherapy if needed. If a torsion has occurred, an emergency operation is required because when a cyst twists, it cuts off the blood supply to the ovary, resulting in terrible abdominal pain.Questions and answersSunday Doctor, please, my son is four years old, and he is always having a cough. I have taken him to different hospitals and seen different doctors. He has even done chest X-rays at different times also, but nothing was found. All the time, they say the chest is clear. One doctor asked me if there were any members of the family that had asthma; I told him no. What could be the problem? Thank you. 0802*******Your son may just be suffering from an irritable airway, which he will grow out of. Children like that will respond like this to a variety of things around them; things like dust, pepper, perfume, paint, rug, feathers, and pets by coughing and sneezing. That is a kind of allergy.Sunday Doctor, I am a 45-year-old single lady. I was recently diagnosed with a left ovarian cyst and fibroid. This was after almost six months of suffering from back and left thigh pains. I will share the scan results with you on WhatsApp. My doctor says I need an operation, but I am scared, especially because I don’t know if I can still give birth. What is your advice, doctor? 0802*******This is a difficult scenario because even without these problems, getting pregnant at your age would have been an uphill task without some form of reproductive assistance. Now, with huge fibroids of 103 by 88mm and left ovarian cysts with the size of 58mm, surgery is your best option. So, do the operation and recover from that first, then you can pursue your fertility options.Sunday Doctor, I am 43-years-old. I had a baby 12 years ago by caesarean section, and since then, I have been trying to conceive. Then three years ago, I had a fibroid operation. So last month, when I started to have severe abdominal pains and heavy flow again, my husband said I should do another scan. I will send you the report. What should I do now? 0803*******Well, the cyst is described as thin-walled with clear fluid. The left ovary is normal. At 34 mm, it is clearly not harmful. As for the fibroids, they can always grow again after surgery, but this one is located at the fundus of the uterus with dimensions of 35 mm by 34 mm. You can get pregnant with this size and carry your baby to term.Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. While most cysts have no symptoms and are usually found when undergoing investigations for other reasons, such an incidental finding nevertheless requires them to be monitored at intervals so that the pattern of growth or resolution can be noted. When a cyst presents with symptoms, they can resemble other conditions like a urinary tract infection, kidney stones, acute appendicitis or ectopic pregnancy.Some of the symptoms of ovarian cysts include changes in menstruation, such as the duration of bleeding, quantity and pain, which may be confined to the lower abdomen or extend to the thigh, lower part of the back, or across the lower abdomen. There may be associated vomiting and a feeling of fullness with resultant bloating. There could also be pain when passing stool, during sex and just before the beginning of menstruation or the end of it.There could also be pressure on the bowels resulting in frequent visits to the toilet even when the stools have a normal consistency. The frequency of urination may also increase, and there could be some unexpected weight gain or pain within the breasts. Typically, the pain is dull in nature except when torsion has occurred.There are two main categories of ovarian cysts. Functional ovarian cysts are the most common type, and they occur around the menstrual cycle. They are not usually cancerous. The other group is categorised as pathological cysts, which are not related to the menstrual cycle.These may be harmless or cancerous in nature. The different types of ovarian cysts will be briefly discussed here; these include a corpus luteum cyst, which forms after an ovary has released an egg but fails to shrink in the usual way and instead fills up with blood.Usually, cysts like this will disappear within a few weeks but can cause much pain if they grow into a large size and may cause vaginal bleeding as well. Follicular cysts, on the other hand, develop when a follicle fails to open and release an egg during the ovulatory period. These are the most common types of cysts, but they produce no symptoms and often disappear within one to three months.Another common type of ovarian cyst is the dermoid cyst, which develops from certain cells that are present in the body right from birth. Because of this origin, they are usually made up of things like hair, nails, mucus, a solitary tongue or a solitary eyeball. They can grow to immense dimensions, cause severe pain and twist suddenly.Then there are those ones called cystadenomas, which are essentially large cysts filled with fluid, and contrast sharply with dermoid cysts. These can also become large, twist, and cause pain or vaginal bleeding. When a diagnosis of cystadenoma is made, treatment can be offered without an operation, as the fluid can be drained using a special kind of needle under ultrasound guidance.Another category is called endometrioma, which is basically endometrial tissue developing over the ovary. Being outside the womb, abnormal menstrual patterns, vaginal bleeding, painful intercourse, and painful menstruation can all result. Another increasingly and commonly diagnosed entity today is polycystic ovary syndrome, in which many small cysts develop over the ovary.This often causes pain and is related to fertility problems. Usually, it also has links to other health problems such as metabolic syndrome and obesity. Most of these are diagnosed during investigations conducted in relation to infertility. Lastly, there is ovarian cancer, which is not very common, occurs typically outside the reproductive period, and must be treated like any other cancer once the diagnosis is made.Ovarian cysts have different causes depending on the type. Hormonal factors and the use of medications aimed at helping women to ovulate can cause either follicle or corpus luteum cysts. During pregnancy, corpus luteum cysts help to maintain the pregnancy by producing and releasing progesterone during the first trimester. This function is gradually taken over by the placenta after the first three months.If the corpus luteum cyst persists after the placenta has taken over its function and is large in size, surgical removal will be required. A patient who has endometriosis is also likely to develop endometriomas. Lastly, any infection affecting the ovary and fallopian tubes makes the development of ovarian cysts much more likely.The diagnosis of this condition is based on taking a good history of the symptoms, certain blood tests, including a pregnancy test, and an ultrasound scan.In some cases, an abdominal CT scan or MRI may be required if a need exists to more properly define the nature of the cyst. The treatment depends on the size of the cyst, whether it involves a woman in her reproductive age or she has undergone menopause. A cyst of five centimetres or less requires periodic monitoring only using ultrasound evaluation.However, if results demonstrate that there is a noteworthy source of concern, the treatment offered will depend on what has been found. For example, evidence of cancer demands the institution of treatment without delay. So, it is vital to confirm the diagnosis by performing a biopsy, the required operation, followed by chemotherapy and radiotherapy if needed. If a torsion has occurred, an emergency operation is required because when a cyst twists, it cuts off the blood supply to the ovary, resulting in terrible abdominal pain.Questions and answersSunday Doctor, please, my son is four years old, and he is always having a cough. I have taken him to different hospitals and seen different doctors. He has even done chest X-rays at different times also, but nothing was found. All the time, they say the chest is clear. One doctor asked me if there were any members of the family that had asthma; I told him no. What could be the problem? Thank you. 0802*******Your son may just be suffering from an irritable airway, which he will grow out of. Children like that will respond like this to a variety of things around them; things like dust, pepper, perfume, paint, rug, feathers, and pets by coughing and sneezing. That is a kind of allergy.Sunday Doctor, I am a 45-year-old single lady. I was recently diagnosed with a left ovarian cyst and fibroid. This was after almost six months of suffering from back and left thigh pains. I will share the scan results with you on WhatsApp. My doctor says I need an operation, but I am scared, especially because I don’t know if I can still give birth. What is your advice, doctor? 0802*******This is a difficult scenario because even without these problems, getting pregnant at your age would have been an uphill task without some form of reproductive assistance. Now, with huge fibroids of 103 by 88mm and left ovarian cysts with the size of 58mm, surgery is your best option. So, do the operation and recover from that first, then you can pursue your fertility options.Sunday Doctor, I am 43-years-old. I had a baby 12 years ago by caesarean section, and since then, I have been trying to conceive. Then three years ago, I had a fibroid operation. So last month, when I started to have severe abdominal pains and heavy flow again, my husband said I should do another scan. I will send you the report. What should I do now? 0803*******Well, the cyst is described as thin-walled with clear fluid. The left ovary is normal. At 34 mm, it is clearly not harmful. As for the fibroids, they can always grow again after surgery, but this one is located at the fundus of the uterus with dimensions of 35 mm by 34 mm. You can get pregnant with this size and carry your baby to term.Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. Some of the symptoms of ovarian cysts include changes in menstruation, such as the duration of bleeding, quantity and pain, which may be confined to the lower abdomen or extend to the thigh, lower part of the back, or across the lower abdomen. There may be associated vomiting and a feeling of fullness with resultant bloating. There could also be pain when passing stool, during sex and just before the beginning of menstruation or the end of it.There could also be pressure on the bowels resulting in frequent visits to the toilet even when the stools have a normal consistency. The frequency of urination may also increase, and there could be some unexpected weight gain or pain within the breasts. Typically, the pain is dull in nature except when torsion has occurred.There are two main categories of ovarian cysts. Functional ovarian cysts are the most common type, and they occur around the menstrual cycle. They are not usually cancerous. The other group is categorised as pathological cysts, which are not related to the menstrual cycle.These may be harmless or cancerous in nature. The different types of ovarian cysts will be briefly discussed here; these include a corpus luteum cyst, which forms after an ovary has released an egg but fails to shrink in the usual way and instead fills up with blood.Usually, cysts like this will disappear within a few weeks but can cause much pain if they grow into a large size and may cause vaginal bleeding as well. Follicular cysts, on the other hand, develop when a follicle fails to open and release an egg during the ovulatory period. These are the most common types of cysts, but they produce no symptoms and often disappear within one to three months.Another common type of ovarian cyst is the dermoid cyst, which develops from certain cells that are present in the body right from birth. Because of this origin, they are usually made up of things like hair, nails, mucus, a solitary tongue or a solitary eyeball. They can grow to immense dimensions, cause severe pain and twist suddenly.Then there are those ones called cystadenomas, which are essentially large cysts filled with fluid, and contrast sharply with dermoid cysts. These can also become large, twist, and cause pain or vaginal bleeding. When a diagnosis of cystadenoma is made, treatment can be offered without an operation, as the fluid can be drained using a special kind of needle under ultrasound guidance.Another category is called endometrioma, which is basically endometrial tissue developing over the ovary. Being outside the womb, abnormal menstrual patterns, vaginal bleeding, painful intercourse, and painful menstruation can all result. Another increasingly and commonly diagnosed entity today is polycystic ovary syndrome, in which many small cysts develop over the ovary.This often causes pain and is related to fertility problems. Usually, it also has links to other health problems such as metabolic syndrome and obesity. Most of these are diagnosed during investigations conducted in relation to infertility. Lastly, there is ovarian cancer, which is not very common, occurs typically outside the reproductive period, and must be treated like any other cancer once the diagnosis is made.Ovarian cysts have different causes depending on the type. Hormonal factors and the use of medications aimed at helping women to ovulate can cause either follicle or corpus luteum cysts. During pregnancy, corpus luteum cysts help to maintain the pregnancy by producing and releasing progesterone during the first trimester. This function is gradually taken over by the placenta after the first three months.If the corpus luteum cyst persists after the placenta has taken over its function and is large in size, surgical removal will be required. A patient who has endometriosis is also likely to develop endometriomas. Lastly, any infection affecting the ovary and fallopian tubes makes the development of ovarian cysts much more likely.The diagnosis of this condition is based on taking a good history of the symptoms, certain blood tests, including a pregnancy test, and an ultrasound scan.In some cases, an abdominal CT scan or MRI may be required if a need exists to more properly define the nature of the cyst. The treatment depends on the size of the cyst, whether it involves a woman in her reproductive age or she has undergone menopause. A cyst of five centimetres or less requires periodic monitoring only using ultrasound evaluation.However, if results demonstrate that there is a noteworthy source of concern, the treatment offered will depend on what has been found. For example, evidence of cancer demands the institution of treatment without delay. So, it is vital to confirm the diagnosis by performing a biopsy, the required operation, followed by chemotherapy and radiotherapy if needed. If a torsion has occurred, an emergency operation is required because when a cyst twists, it cuts off the blood supply to the ovary, resulting in terrible abdominal pain.Questions and answersSunday Doctor, please, my son is four years old, and he is always having a cough. I have taken him to different hospitals and seen different doctors. He has even done chest X-rays at different times also, but nothing was found. All the time, they say the chest is clear. One doctor asked me if there were any members of the family that had asthma; I told him no. What could be the problem? Thank you. 0802*******Your son may just be suffering from an irritable airway, which he will grow out of. Children like that will respond like this to a variety of things around them; things like dust, pepper, perfume, paint, rug, feathers, and pets by coughing and sneezing. That is a kind of allergy.Sunday Doctor, I am a 45-year-old single lady. I was recently diagnosed with a left ovarian cyst and fibroid. This was after almost six months of suffering from back and left thigh pains. I will share the scan results with you on WhatsApp. My doctor says I need an operation, but I am scared, especially because I don’t know if I can still give birth. What is your advice, doctor? 0802*******This is a difficult scenario because even without these problems, getting pregnant at your age would have been an uphill task without some form of reproductive assistance. Now, with huge fibroids of 103 by 88mm and left ovarian cysts with the size of 58mm, surgery is your best option. So, do the operation and recover from that first, then you can pursue your fertility options.Sunday Doctor, I am 43-years-old. I had a baby 12 years ago by caesarean section, and since then, I have been trying to conceive. Then three years ago, I had a fibroid operation. So last month, when I started to have severe abdominal pains and heavy flow again, my husband said I should do another scan. I will send you the report. What should I do now? 0803*******Well, the cyst is described as thin-walled with clear fluid. The left ovary is normal. At 34 mm, it is clearly not harmful. As for the fibroids, they can always grow again after surgery, but this one is located at the fundus of the uterus with dimensions of 35 mm by 34 mm. You can get pregnant with this size and carry your baby to term.Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. There could also be pressure on the bowels resulting in frequent visits to the toilet even when the stools have a normal consistency. The frequency of urination may also increase, and there could be some unexpected weight gain or pain within the breasts. Typically, the pain is dull in nature except when torsion has occurred.There are two main categories of ovarian cysts. Functional ovarian cysts are the most common type, and they occur around the menstrual cycle. They are not usually cancerous. The other group is categorised as pathological cysts, which are not related to the menstrual cycle.These may be harmless or cancerous in nature. The different types of ovarian cysts will be briefly discussed here; these include a corpus luteum cyst, which forms after an ovary has released an egg but fails to shrink in the usual way and instead fills up with blood.Usually, cysts like this will disappear within a few weeks but can cause much pain if they grow into a large size and may cause vaginal bleeding as well. Follicular cysts, on the other hand, develop when a follicle fails to open and release an egg during the ovulatory period. These are the most common types of cysts, but they produce no symptoms and often disappear within one to three months.Another common type of ovarian cyst is the dermoid cyst, which develops from certain cells that are present in the body right from birth. Because of this origin, they are usually made up of things like hair, nails, mucus, a solitary tongue or a solitary eyeball. They can grow to immense dimensions, cause severe pain and twist suddenly.Then there are those ones called cystadenomas, which are essentially large cysts filled with fluid, and contrast sharply with dermoid cysts. These can also become large, twist, and cause pain or vaginal bleeding. When a diagnosis of cystadenoma is made, treatment can be offered without an operation, as the fluid can be drained using a special kind of needle under ultrasound guidance.Another category is called endometrioma, which is basically endometrial tissue developing over the ovary. Being outside the womb, abnormal menstrual patterns, vaginal bleeding, painful intercourse, and painful menstruation can all result. Another increasingly and commonly diagnosed entity today is polycystic ovary syndrome, in which many small cysts develop over the ovary.This often causes pain and is related to fertility problems. Usually, it also has links to other health problems such as metabolic syndrome and obesity. Most of these are diagnosed during investigations conducted in relation to infertility. Lastly, there is ovarian cancer, which is not very common, occurs typically outside the reproductive period, and must be treated like any other cancer once the diagnosis is made.Ovarian cysts have different causes depending on the type. Hormonal factors and the use of medications aimed at helping women to ovulate can cause either follicle or corpus luteum cysts. During pregnancy, corpus luteum cysts help to maintain the pregnancy by producing and releasing progesterone during the first trimester. This function is gradually taken over by the placenta after the first three months.If the corpus luteum cyst persists after the placenta has taken over its function and is large in size, surgical removal will be required. A patient who has endometriosis is also likely to develop endometriomas. Lastly, any infection affecting the ovary and fallopian tubes makes the development of ovarian cysts much more likely.The diagnosis of this condition is based on taking a good history of the symptoms, certain blood tests, including a pregnancy test, and an ultrasound scan.In some cases, an abdominal CT scan or MRI may be required if a need exists to more properly define the nature of the cyst. The treatment depends on the size of the cyst, whether it involves a woman in her reproductive age or she has undergone menopause. A cyst of five centimetres or less requires periodic monitoring only using ultrasound evaluation.However, if results demonstrate that there is a noteworthy source of concern, the treatment offered will depend on what has been found. For example, evidence of cancer demands the institution of treatment without delay. So, it is vital to confirm the diagnosis by performing a biopsy, the required operation, followed by chemotherapy and radiotherapy if needed. If a torsion has occurred, an emergency operation is required because when a cyst twists, it cuts off the blood supply to the ovary, resulting in terrible abdominal pain.Questions and answersSunday Doctor, please, my son is four years old, and he is always having a cough. I have taken him to different hospitals and seen different doctors. He has even done chest X-rays at different times also, but nothing was found. All the time, they say the chest is clear. One doctor asked me if there were any members of the family that had asthma; I told him no. What could be the problem? Thank you. 0802*******Your son may just be suffering from an irritable airway, which he will grow out of. Children like that will respond like this to a variety of things around them; things like dust, pepper, perfume, paint, rug, feathers, and pets by coughing and sneezing. That is a kind of allergy.Sunday Doctor, I am a 45-year-old single lady. I was recently diagnosed with a left ovarian cyst and fibroid. This was after almost six months of suffering from back and left thigh pains. I will share the scan results with you on WhatsApp. My doctor says I need an operation, but I am scared, especially because I don’t know if I can still give birth. What is your advice, doctor? 0802*******This is a difficult scenario because even without these problems, getting pregnant at your age would have been an uphill task without some form of reproductive assistance. Now, with huge fibroids of 103 by 88mm and left ovarian cysts with the size of 58mm, surgery is your best option. So, do the operation and recover from that first, then you can pursue your fertility options.Sunday Doctor, I am 43-years-old. I had a baby 12 years ago by caesarean section, and since then, I have been trying to conceive. Then three years ago, I had a fibroid operation. So last month, when I started to have severe abdominal pains and heavy flow again, my husband said I should do another scan. I will send you the report. What should I do now? 0803*******Well, the cyst is described as thin-walled with clear fluid. The left ovary is normal. At 34 mm, it is clearly not harmful. As for the fibroids, they can always grow again after surgery, but this one is located at the fundus of the uterus with dimensions of 35 mm by 34 mm. You can get pregnant with this size and carry your baby to term.Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. There are two main categories of ovarian cysts. Functional ovarian cysts are the most common type, and they occur around the menstrual cycle. They are not usually cancerous. The other group is categorised as pathological cysts, which are not related to the menstrual cycle.These may be harmless or cancerous in nature. The different types of ovarian cysts will be briefly discussed here; these include a corpus luteum cyst, which forms after an ovary has released an egg but fails to shrink in the usual way and instead fills up with blood.Usually, cysts like this will disappear within a few weeks but can cause much pain if they grow into a large size and may cause vaginal bleeding as well. Follicular cysts, on the other hand, develop when a follicle fails to open and release an egg during the ovulatory period. These are the most common types of cysts, but they produce no symptoms and often disappear within one to three months.Another common type of ovarian cyst is the dermoid cyst, which develops from certain cells that are present in the body right from birth. Because of this origin, they are usually made up of things like hair, nails, mucus, a solitary tongue or a solitary eyeball. They can grow to immense dimensions, cause severe pain and twist suddenly.Then there are those ones called cystadenomas, which are essentially large cysts filled with fluid, and contrast sharply with dermoid cysts. These can also become large, twist, and cause pain or vaginal bleeding. When a diagnosis of cystadenoma is made, treatment can be offered without an operation, as the fluid can be drained using a special kind of needle under ultrasound guidance.Another category is called endometrioma, which is basically endometrial tissue developing over the ovary. Being outside the womb, abnormal menstrual patterns, vaginal bleeding, painful intercourse, and painful menstruation can all result. Another increasingly and commonly diagnosed entity today is polycystic ovary syndrome, in which many small cysts develop over the ovary.This often causes pain and is related to fertility problems. Usually, it also has links to other health problems such as metabolic syndrome and obesity. Most of these are diagnosed during investigations conducted in relation to infertility. Lastly, there is ovarian cancer, which is not very common, occurs typically outside the reproductive period, and must be treated like any other cancer once the diagnosis is made.Ovarian cysts have different causes depending on the type. Hormonal factors and the use of medications aimed at helping women to ovulate can cause either follicle or corpus luteum cysts. During pregnancy, corpus luteum cysts help to maintain the pregnancy by producing and releasing progesterone during the first trimester. This function is gradually taken over by the placenta after the first three months.If the corpus luteum cyst persists after the placenta has taken over its function and is large in size, surgical removal will be required. A patient who has endometriosis is also likely to develop endometriomas. Lastly, any infection affecting the ovary and fallopian tubes makes the development of ovarian cysts much more likely.The diagnosis of this condition is based on taking a good history of the symptoms, certain blood tests, including a pregnancy test, and an ultrasound scan.In some cases, an abdominal CT scan or MRI may be required if a need exists to more properly define the nature of the cyst. The treatment depends on the size of the cyst, whether it involves a woman in her reproductive age or she has undergone menopause. A cyst of five centimetres or less requires periodic monitoring only using ultrasound evaluation.However, if results demonstrate that there is a noteworthy source of concern, the treatment offered will depend on what has been found. For example, evidence of cancer demands the institution of treatment without delay. So, it is vital to confirm the diagnosis by performing a biopsy, the required operation, followed by chemotherapy and radiotherapy if needed. If a torsion has occurred, an emergency operation is required because when a cyst twists, it cuts off the blood supply to the ovary, resulting in terrible abdominal pain.Questions and answersSunday Doctor, please, my son is four years old, and he is always having a cough. I have taken him to different hospitals and seen different doctors. He has even done chest X-rays at different times also, but nothing was found. All the time, they say the chest is clear. One doctor asked me if there were any members of the family that had asthma; I told him no. What could be the problem? Thank you. 0802*******Your son may just be suffering from an irritable airway, which he will grow out of. Children like that will respond like this to a variety of things around them; things like dust, pepper, perfume, paint, rug, feathers, and pets by coughing and sneezing. That is a kind of allergy.Sunday Doctor, I am a 45-year-old single lady. I was recently diagnosed with a left ovarian cyst and fibroid. This was after almost six months of suffering from back and left thigh pains. I will share the scan results with you on WhatsApp. My doctor says I need an operation, but I am scared, especially because I don’t know if I can still give birth. What is your advice, doctor? 0802*******This is a difficult scenario because even without these problems, getting pregnant at your age would have been an uphill task without some form of reproductive assistance. Now, with huge fibroids of 103 by 88mm and left ovarian cysts with the size of 58mm, surgery is your best option. So, do the operation and recover from that first, then you can pursue your fertility options.Sunday Doctor, I am 43-years-old. I had a baby 12 years ago by caesarean section, and since then, I have been trying to conceive. Then three years ago, I had a fibroid operation. So last month, when I started to have severe abdominal pains and heavy flow again, my husband said I should do another scan. I will send you the report. What should I do now? 0803*******Well, the cyst is described as thin-walled with clear fluid. The left ovary is normal. At 34 mm, it is clearly not harmful. As for the fibroids, they can always grow again after surgery, but this one is located at the fundus of the uterus with dimensions of 35 mm by 34 mm. You can get pregnant with this size and carry your baby to term.Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. These may be harmless or cancerous in nature. The different types of ovarian cysts will be briefly discussed here; these include a corpus luteum cyst, which forms after an ovary has released an egg but fails to shrink in the usual way and instead fills up with blood.Usually, cysts like this will disappear within a few weeks but can cause much pain if they grow into a large size and may cause vaginal bleeding as well. Follicular cysts, on the other hand, develop when a follicle fails to open and release an egg during the ovulatory period. These are the most common types of cysts, but they produce no symptoms and often disappear within one to three months.Another common type of ovarian cyst is the dermoid cyst, which develops from certain cells that are present in the body right from birth. Because of this origin, they are usually made up of things like hair, nails, mucus, a solitary tongue or a solitary eyeball. They can grow to immense dimensions, cause severe pain and twist suddenly.Then there are those ones called cystadenomas, which are essentially large cysts filled with fluid, and contrast sharply with dermoid cysts. These can also become large, twist, and cause pain or vaginal bleeding. When a diagnosis of cystadenoma is made, treatment can be offered without an operation, as the fluid can be drained using a special kind of needle under ultrasound guidance.Another category is called endometrioma, which is basically endometrial tissue developing over the ovary. Being outside the womb, abnormal menstrual patterns, vaginal bleeding, painful intercourse, and painful menstruation can all result. Another increasingly and commonly diagnosed entity today is polycystic ovary syndrome, in which many small cysts develop over the ovary.This often causes pain and is related to fertility problems. Usually, it also has links to other health problems such as metabolic syndrome and obesity. Most of these are diagnosed during investigations conducted in relation to infertility. Lastly, there is ovarian cancer, which is not very common, occurs typically outside the reproductive period, and must be treated like any other cancer once the diagnosis is made.Ovarian cysts have different causes depending on the type. Hormonal factors and the use of medications aimed at helping women to ovulate can cause either follicle or corpus luteum cysts. During pregnancy, corpus luteum cysts help to maintain the pregnancy by producing and releasing progesterone during the first trimester. This function is gradually taken over by the placenta after the first three months.If the corpus luteum cyst persists after the placenta has taken over its function and is large in size, surgical removal will be required. A patient who has endometriosis is also likely to develop endometriomas. Lastly, any infection affecting the ovary and fallopian tubes makes the development of ovarian cysts much more likely.The diagnosis of this condition is based on taking a good history of the symptoms, certain blood tests, including a pregnancy test, and an ultrasound scan.In some cases, an abdominal CT scan or MRI may be required if a need exists to more properly define the nature of the cyst. The treatment depends on the size of the cyst, whether it involves a woman in her reproductive age or she has undergone menopause. A cyst of five centimetres or less requires periodic monitoring only using ultrasound evaluation.However, if results demonstrate that there is a noteworthy source of concern, the treatment offered will depend on what has been found. For example, evidence of cancer demands the institution of treatment without delay. So, it is vital to confirm the diagnosis by performing a biopsy, the required operation, followed by chemotherapy and radiotherapy if needed. If a torsion has occurred, an emergency operation is required because when a cyst twists, it cuts off the blood supply to the ovary, resulting in terrible abdominal pain.Questions and answersSunday Doctor, please, my son is four years old, and he is always having a cough. I have taken him to different hospitals and seen different doctors. He has even done chest X-rays at different times also, but nothing was found. All the time, they say the chest is clear. One doctor asked me if there were any members of the family that had asthma; I told him no. What could be the problem? Thank you. 0802*******Your son may just be suffering from an irritable airway, which he will grow out of. Children like that will respond like this to a variety of things around them; things like dust, pepper, perfume, paint, rug, feathers, and pets by coughing and sneezing. That is a kind of allergy.Sunday Doctor, I am a 45-year-old single lady. I was recently diagnosed with a left ovarian cyst and fibroid. This was after almost six months of suffering from back and left thigh pains. I will share the scan results with you on WhatsApp. My doctor says I need an operation, but I am scared, especially because I don’t know if I can still give birth. What is your advice, doctor? 0802*******This is a difficult scenario because even without these problems, getting pregnant at your age would have been an uphill task without some form of reproductive assistance. Now, with huge fibroids of 103 by 88mm and left ovarian cysts with the size of 58mm, surgery is your best option. So, do the operation and recover from that first, then you can pursue your fertility options.Sunday Doctor, I am 43-years-old. I had a baby 12 years ago by caesarean section, and since then, I have been trying to conceive. Then three years ago, I had a fibroid operation. So last month, when I started to have severe abdominal pains and heavy flow again, my husband said I should do another scan. I will send you the report. What should I do now? 0803*******Well, the cyst is described as thin-walled with clear fluid. The left ovary is normal. At 34 mm, it is clearly not harmful. As for the fibroids, they can always grow again after surgery, but this one is located at the fundus of the uterus with dimensions of 35 mm by 34 mm. You can get pregnant with this size and carry your baby to term.Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. Usually, cysts like this will disappear within a few weeks but can cause much pain if they grow into a large size and may cause vaginal bleeding as well. Follicular cysts, on the other hand, develop when a follicle fails to open and release an egg during the ovulatory period. These are the most common types of cysts, but they produce no symptoms and often disappear within one to three months.Another common type of ovarian cyst is the dermoid cyst, which develops from certain cells that are present in the body right from birth. Because of this origin, they are usually made up of things like hair, nails, mucus, a solitary tongue or a solitary eyeball. They can grow to immense dimensions, cause severe pain and twist suddenly.Then there are those ones called cystadenomas, which are essentially large cysts filled with fluid, and contrast sharply with dermoid cysts. These can also become large, twist, and cause pain or vaginal bleeding. When a diagnosis of cystadenoma is made, treatment can be offered without an operation, as the fluid can be drained using a special kind of needle under ultrasound guidance.Another category is called endometrioma, which is basically endometrial tissue developing over the ovary. Being outside the womb, abnormal menstrual patterns, vaginal bleeding, painful intercourse, and painful menstruation can all result. Another increasingly and commonly diagnosed entity today is polycystic ovary syndrome, in which many small cysts develop over the ovary.This often causes pain and is related to fertility problems. Usually, it also has links to other health problems such as metabolic syndrome and obesity. Most of these are diagnosed during investigations conducted in relation to infertility. Lastly, there is ovarian cancer, which is not very common, occurs typically outside the reproductive period, and must be treated like any other cancer once the diagnosis is made.Ovarian cysts have different causes depending on the type. Hormonal factors and the use of medications aimed at helping women to ovulate can cause either follicle or corpus luteum cysts. During pregnancy, corpus luteum cysts help to maintain the pregnancy by producing and releasing progesterone during the first trimester. This function is gradually taken over by the placenta after the first three months.If the corpus luteum cyst persists after the placenta has taken over its function and is large in size, surgical removal will be required. A patient who has endometriosis is also likely to develop endometriomas. Lastly, any infection affecting the ovary and fallopian tubes makes the development of ovarian cysts much more likely.The diagnosis of this condition is based on taking a good history of the symptoms, certain blood tests, including a pregnancy test, and an ultrasound scan.In some cases, an abdominal CT scan or MRI may be required if a need exists to more properly define the nature of the cyst. The treatment depends on the size of the cyst, whether it involves a woman in her reproductive age or she has undergone menopause. A cyst of five centimetres or less requires periodic monitoring only using ultrasound evaluation.However, if results demonstrate that there is a noteworthy source of concern, the treatment offered will depend on what has been found. For example, evidence of cancer demands the institution of treatment without delay. So, it is vital to confirm the diagnosis by performing a biopsy, the required operation, followed by chemotherapy and radiotherapy if needed. If a torsion has occurred, an emergency operation is required because when a cyst twists, it cuts off the blood supply to the ovary, resulting in terrible abdominal pain.Questions and answersSunday Doctor, please, my son is four years old, and he is always having a cough. I have taken him to different hospitals and seen different doctors. He has even done chest X-rays at different times also, but nothing was found. All the time, they say the chest is clear. One doctor asked me if there were any members of the family that had asthma; I told him no. What could be the problem? Thank you. 0802*******Your son may just be suffering from an irritable airway, which he will grow out of. Children like that will respond like this to a variety of things around them; things like dust, pepper, perfume, paint, rug, feathers, and pets by coughing and sneezing. That is a kind of allergy.Sunday Doctor, I am a 45-year-old single lady. I was recently diagnosed with a left ovarian cyst and fibroid. This was after almost six months of suffering from back and left thigh pains. I will share the scan results with you on WhatsApp. My doctor says I need an operation, but I am scared, especially because I don’t know if I can still give birth. What is your advice, doctor? 0802*******This is a difficult scenario because even without these problems, getting pregnant at your age would have been an uphill task without some form of reproductive assistance. Now, with huge fibroids of 103 by 88mm and left ovarian cysts with the size of 58mm, surgery is your best option. So, do the operation and recover from that first, then you can pursue your fertility options.Sunday Doctor, I am 43-years-old. I had a baby 12 years ago by caesarean section, and since then, I have been trying to conceive. Then three years ago, I had a fibroid operation. So last month, when I started to have severe abdominal pains and heavy flow again, my husband said I should do another scan. I will send you the report. What should I do now? 0803*******Well, the cyst is described as thin-walled with clear fluid. The left ovary is normal. At 34 mm, it is clearly not harmful. As for the fibroids, they can always grow again after surgery, but this one is located at the fundus of the uterus with dimensions of 35 mm by 34 mm. You can get pregnant with this size and carry your baby to term.Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. Another common type of ovarian cyst is the dermoid cyst, which develops from certain cells that are present in the body right from birth. Because of this origin, they are usually made up of things like hair, nails, mucus, a solitary tongue or a solitary eyeball. They can grow to immense dimensions, cause severe pain and twist suddenly.Then there are those ones called cystadenomas, which are essentially large cysts filled with fluid, and contrast sharply with dermoid cysts. These can also become large, twist, and cause pain or vaginal bleeding. When a diagnosis of cystadenoma is made, treatment can be offered without an operation, as the fluid can be drained using a special kind of needle under ultrasound guidance.Another category is called endometrioma, which is basically endometrial tissue developing over the ovary. Being outside the womb, abnormal menstrual patterns, vaginal bleeding, painful intercourse, and painful menstruation can all result. Another increasingly and commonly diagnosed entity today is polycystic ovary syndrome, in which many small cysts develop over the ovary.This often causes pain and is related to fertility problems. Usually, it also has links to other health problems such as metabolic syndrome and obesity. Most of these are diagnosed during investigations conducted in relation to infertility. Lastly, there is ovarian cancer, which is not very common, occurs typically outside the reproductive period, and must be treated like any other cancer once the diagnosis is made.Ovarian cysts have different causes depending on the type. Hormonal factors and the use of medications aimed at helping women to ovulate can cause either follicle or corpus luteum cysts. During pregnancy, corpus luteum cysts help to maintain the pregnancy by producing and releasing progesterone during the first trimester. This function is gradually taken over by the placenta after the first three months.If the corpus luteum cyst persists after the placenta has taken over its function and is large in size, surgical removal will be required. A patient who has endometriosis is also likely to develop endometriomas. Lastly, any infection affecting the ovary and fallopian tubes makes the development of ovarian cysts much more likely.The diagnosis of this condition is based on taking a good history of the symptoms, certain blood tests, including a pregnancy test, and an ultrasound scan.In some cases, an abdominal CT scan or MRI may be required if a need exists to more properly define the nature of the cyst. The treatment depends on the size of the cyst, whether it involves a woman in her reproductive age or she has undergone menopause. A cyst of five centimetres or less requires periodic monitoring only using ultrasound evaluation.However, if results demonstrate that there is a noteworthy source of concern, the treatment offered will depend on what has been found. For example, evidence of cancer demands the institution of treatment without delay. So, it is vital to confirm the diagnosis by performing a biopsy, the required operation, followed by chemotherapy and radiotherapy if needed. If a torsion has occurred, an emergency operation is required because when a cyst twists, it cuts off the blood supply to the ovary, resulting in terrible abdominal pain.Questions and answersSunday Doctor, please, my son is four years old, and he is always having a cough. I have taken him to different hospitals and seen different doctors. He has even done chest X-rays at different times also, but nothing was found. All the time, they say the chest is clear. One doctor asked me if there were any members of the family that had asthma; I told him no. What could be the problem? Thank you. 0802*******Your son may just be suffering from an irritable airway, which he will grow out of. Children like that will respond like this to a variety of things around them; things like dust, pepper, perfume, paint, rug, feathers, and pets by coughing and sneezing. That is a kind of allergy.Sunday Doctor, I am a 45-year-old single lady. I was recently diagnosed with a left ovarian cyst and fibroid. This was after almost six months of suffering from back and left thigh pains. I will share the scan results with you on WhatsApp. My doctor says I need an operation, but I am scared, especially because I don’t know if I can still give birth. What is your advice, doctor? 0802*******This is a difficult scenario because even without these problems, getting pregnant at your age would have been an uphill task without some form of reproductive assistance. Now, with huge fibroids of 103 by 88mm and left ovarian cysts with the size of 58mm, surgery is your best option. So, do the operation and recover from that first, then you can pursue your fertility options.Sunday Doctor, I am 43-years-old. I had a baby 12 years ago by caesarean section, and since then, I have been trying to conceive. Then three years ago, I had a fibroid operation. So last month, when I started to have severe abdominal pains and heavy flow again, my husband said I should do another scan. I will send you the report. What should I do now? 0803*******Well, the cyst is described as thin-walled with clear fluid. The left ovary is normal. At 34 mm, it is clearly not harmful. As for the fibroids, they can always grow again after surgery, but this one is located at the fundus of the uterus with dimensions of 35 mm by 34 mm. You can get pregnant with this size and carry your baby to term.Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. Then there are those ones called cystadenomas, which are essentially large cysts filled with fluid, and contrast sharply with dermoid cysts. These can also become large, twist, and cause pain or vaginal bleeding. When a diagnosis of cystadenoma is made, treatment can be offered without an operation, as the fluid can be drained using a special kind of needle under ultrasound guidance.Another category is called endometrioma, which is basically endometrial tissue developing over the ovary. Being outside the womb, abnormal menstrual patterns, vaginal bleeding, painful intercourse, and painful menstruation can all result. Another increasingly and commonly diagnosed entity today is polycystic ovary syndrome, in which many small cysts develop over the ovary.This often causes pain and is related to fertility problems. Usually, it also has links to other health problems such as metabolic syndrome and obesity. Most of these are diagnosed during investigations conducted in relation to infertility. Lastly, there is ovarian cancer, which is not very common, occurs typically outside the reproductive period, and must be treated like any other cancer once the diagnosis is made.Ovarian cysts have different causes depending on the type. Hormonal factors and the use of medications aimed at helping women to ovulate can cause either follicle or corpus luteum cysts. During pregnancy, corpus luteum cysts help to maintain the pregnancy by producing and releasing progesterone during the first trimester. This function is gradually taken over by the placenta after the first three months.If the corpus luteum cyst persists after the placenta has taken over its function and is large in size, surgical removal will be required. A patient who has endometriosis is also likely to develop endometriomas. Lastly, any infection affecting the ovary and fallopian tubes makes the development of ovarian cysts much more likely.The diagnosis of this condition is based on taking a good history of the symptoms, certain blood tests, including a pregnancy test, and an ultrasound scan.In some cases, an abdominal CT scan or MRI may be required if a need exists to more properly define the nature of the cyst. The treatment depends on the size of the cyst, whether it involves a woman in her reproductive age or she has undergone menopause. A cyst of five centimetres or less requires periodic monitoring only using ultrasound evaluation.However, if results demonstrate that there is a noteworthy source of concern, the treatment offered will depend on what has been found. For example, evidence of cancer demands the institution of treatment without delay. So, it is vital to confirm the diagnosis by performing a biopsy, the required operation, followed by chemotherapy and radiotherapy if needed. If a torsion has occurred, an emergency operation is required because when a cyst twists, it cuts off the blood supply to the ovary, resulting in terrible abdominal pain.Questions and answersSunday Doctor, please, my son is four years old, and he is always having a cough. I have taken him to different hospitals and seen different doctors. He has even done chest X-rays at different times also, but nothing was found. All the time, they say the chest is clear. One doctor asked me if there were any members of the family that had asthma; I told him no. What could be the problem? Thank you. 0802*******Your son may just be suffering from an irritable airway, which he will grow out of. Children like that will respond like this to a variety of things around them; things like dust, pepper, perfume, paint, rug, feathers, and pets by coughing and sneezing. That is a kind of allergy.Sunday Doctor, I am a 45-year-old single lady. I was recently diagnosed with a left ovarian cyst and fibroid. This was after almost six months of suffering from back and left thigh pains. I will share the scan results with you on WhatsApp. My doctor says I need an operation, but I am scared, especially because I don’t know if I can still give birth. What is your advice, doctor? 0802*******This is a difficult scenario because even without these problems, getting pregnant at your age would have been an uphill task without some form of reproductive assistance. Now, with huge fibroids of 103 by 88mm and left ovarian cysts with the size of 58mm, surgery is your best option. So, do the operation and recover from that first, then you can pursue your fertility options.Sunday Doctor, I am 43-years-old. I had a baby 12 years ago by caesarean section, and since then, I have been trying to conceive. Then three years ago, I had a fibroid operation. So last month, when I started to have severe abdominal pains and heavy flow again, my husband said I should do another scan. I will send you the report. What should I do now? 0803*******Well, the cyst is described as thin-walled with clear fluid. The left ovary is normal. At 34 mm, it is clearly not harmful. As for the fibroids, they can always grow again after surgery, but this one is located at the fundus of the uterus with dimensions of 35 mm by 34 mm. You can get pregnant with this size and carry your baby to term.Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. Another category is called endometrioma, which is basically endometrial tissue developing over the ovary. Being outside the womb, abnormal menstrual patterns, vaginal bleeding, painful intercourse, and painful menstruation can all result. Another increasingly and commonly diagnosed entity today is polycystic ovary syndrome, in which many small cysts develop over the ovary.This often causes pain and is related to fertility problems. Usually, it also has links to other health problems such as metabolic syndrome and obesity. Most of these are diagnosed during investigations conducted in relation to infertility. Lastly, there is ovarian cancer, which is not very common, occurs typically outside the reproductive period, and must be treated like any other cancer once the diagnosis is made.Ovarian cysts have different causes depending on the type. Hormonal factors and the use of medications aimed at helping women to ovulate can cause either follicle or corpus luteum cysts. During pregnancy, corpus luteum cysts help to maintain the pregnancy by producing and releasing progesterone during the first trimester. This function is gradually taken over by the placenta after the first three months.If the corpus luteum cyst persists after the placenta has taken over its function and is large in size, surgical removal will be required. A patient who has endometriosis is also likely to develop endometriomas. Lastly, any infection affecting the ovary and fallopian tubes makes the development of ovarian cysts much more likely.The diagnosis of this condition is based on taking a good history of the symptoms, certain blood tests, including a pregnancy test, and an ultrasound scan.In some cases, an abdominal CT scan or MRI may be required if a need exists to more properly define the nature of the cyst. The treatment depends on the size of the cyst, whether it involves a woman in her reproductive age or she has undergone menopause. A cyst of five centimetres or less requires periodic monitoring only using ultrasound evaluation.However, if results demonstrate that there is a noteworthy source of concern, the treatment offered will depend on what has been found. For example, evidence of cancer demands the institution of treatment without delay. So, it is vital to confirm the diagnosis by performing a biopsy, the required operation, followed by chemotherapy and radiotherapy if needed. If a torsion has occurred, an emergency operation is required because when a cyst twists, it cuts off the blood supply to the ovary, resulting in terrible abdominal pain.Questions and answersSunday Doctor, please, my son is four years old, and he is always having a cough. I have taken him to different hospitals and seen different doctors. He has even done chest X-rays at different times also, but nothing was found. All the time, they say the chest is clear. One doctor asked me if there were any members of the family that had asthma; I told him no. What could be the problem? Thank you. 0802*******Your son may just be suffering from an irritable airway, which he will grow out of. Children like that will respond like this to a variety of things around them; things like dust, pepper, perfume, paint, rug, feathers, and pets by coughing and sneezing. That is a kind of allergy.Sunday Doctor, I am a 45-year-old single lady. I was recently diagnosed with a left ovarian cyst and fibroid. This was after almost six months of suffering from back and left thigh pains. I will share the scan results with you on WhatsApp. My doctor says I need an operation, but I am scared, especially because I don’t know if I can still give birth. What is your advice, doctor? 0802*******This is a difficult scenario because even without these problems, getting pregnant at your age would have been an uphill task without some form of reproductive assistance. Now, with huge fibroids of 103 by 88mm and left ovarian cysts with the size of 58mm, surgery is your best option. So, do the operation and recover from that first, then you can pursue your fertility options.Sunday Doctor, I am 43-years-old. I had a baby 12 years ago by caesarean section, and since then, I have been trying to conceive. Then three years ago, I had a fibroid operation. So last month, when I started to have severe abdominal pains and heavy flow again, my husband said I should do another scan. I will send you the report. What should I do now? 0803*******Well, the cyst is described as thin-walled with clear fluid. The left ovary is normal. At 34 mm, it is clearly not harmful. As for the fibroids, they can always grow again after surgery, but this one is located at the fundus of the uterus with dimensions of 35 mm by 34 mm. You can get pregnant with this size and carry your baby to term.Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. This often causes pain and is related to fertility problems. Usually, it also has links to other health problems such as metabolic syndrome and obesity. Most of these are diagnosed during investigations conducted in relation to infertility. Lastly, there is ovarian cancer, which is not very common, occurs typically outside the reproductive period, and must be treated like any other cancer once the diagnosis is made.Ovarian cysts have different causes depending on the type. Hormonal factors and the use of medications aimed at helping women to ovulate can cause either follicle or corpus luteum cysts. During pregnancy, corpus luteum cysts help to maintain the pregnancy by producing and releasing progesterone during the first trimester. This function is gradually taken over by the placenta after the first three months.If the corpus luteum cyst persists after the placenta has taken over its function and is large in size, surgical removal will be required. A patient who has endometriosis is also likely to develop endometriomas. Lastly, any infection affecting the ovary and fallopian tubes makes the development of ovarian cysts much more likely.The diagnosis of this condition is based on taking a good history of the symptoms, certain blood tests, including a pregnancy test, and an ultrasound scan.In some cases, an abdominal CT scan or MRI may be required if a need exists to more properly define the nature of the cyst. The treatment depends on the size of the cyst, whether it involves a woman in her reproductive age or she has undergone menopause. A cyst of five centimetres or less requires periodic monitoring only using ultrasound evaluation.However, if results demonstrate that there is a noteworthy source of concern, the treatment offered will depend on what has been found. For example, evidence of cancer demands the institution of treatment without delay. So, it is vital to confirm the diagnosis by performing a biopsy, the required operation, followed by chemotherapy and radiotherapy if needed. If a torsion has occurred, an emergency operation is required because when a cyst twists, it cuts off the blood supply to the ovary, resulting in terrible abdominal pain.Questions and answersSunday Doctor, please, my son is four years old, and he is always having a cough. I have taken him to different hospitals and seen different doctors. He has even done chest X-rays at different times also, but nothing was found. All the time, they say the chest is clear. One doctor asked me if there were any members of the family that had asthma; I told him no. What could be the problem? Thank you. 0802*******Your son may just be suffering from an irritable airway, which he will grow out of. Children like that will respond like this to a variety of things around them; things like dust, pepper, perfume, paint, rug, feathers, and pets by coughing and sneezing. That is a kind of allergy.Sunday Doctor, I am a 45-year-old single lady. I was recently diagnosed with a left ovarian cyst and fibroid. This was after almost six months of suffering from back and left thigh pains. I will share the scan results with you on WhatsApp. My doctor says I need an operation, but I am scared, especially because I don’t know if I can still give birth. What is your advice, doctor? 0802*******This is a difficult scenario because even without these problems, getting pregnant at your age would have been an uphill task without some form of reproductive assistance. Now, with huge fibroids of 103 by 88mm and left ovarian cysts with the size of 58mm, surgery is your best option. So, do the operation and recover from that first, then you can pursue your fertility options.Sunday Doctor, I am 43-years-old. I had a baby 12 years ago by caesarean section, and since then, I have been trying to conceive. Then three years ago, I had a fibroid operation. So last month, when I started to have severe abdominal pains and heavy flow again, my husband said I should do another scan. I will send you the report. What should I do now? 0803*******Well, the cyst is described as thin-walled with clear fluid. The left ovary is normal. At 34 mm, it is clearly not harmful. As for the fibroids, they can always grow again after surgery, but this one is located at the fundus of the uterus with dimensions of 35 mm by 34 mm. You can get pregnant with this size and carry your baby to term.Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. Ovarian cysts have different causes depending on the type. Hormonal factors and the use of medications aimed at helping women to ovulate can cause either follicle or corpus luteum cysts. During pregnancy, corpus luteum cysts help to maintain the pregnancy by producing and releasing progesterone during the first trimester. This function is gradually taken over by the placenta after the first three months.If the corpus luteum cyst persists after the placenta has taken over its function and is large in size, surgical removal will be required. A patient who has endometriosis is also likely to develop endometriomas. Lastly, any infection affecting the ovary and fallopian tubes makes the development of ovarian cysts much more likely.The diagnosis of this condition is based on taking a good history of the symptoms, certain blood tests, including a pregnancy test, and an ultrasound scan.In some cases, an abdominal CT scan or MRI may be required if a need exists to more properly define the nature of the cyst. The treatment depends on the size of the cyst, whether it involves a woman in her reproductive age or she has undergone menopause. A cyst of five centimetres or less requires periodic monitoring only using ultrasound evaluation.However, if results demonstrate that there is a noteworthy source of concern, the treatment offered will depend on what has been found. For example, evidence of cancer demands the institution of treatment without delay. So, it is vital to confirm the diagnosis by performing a biopsy, the required operation, followed by chemotherapy and radiotherapy if needed. If a torsion has occurred, an emergency operation is required because when a cyst twists, it cuts off the blood supply to the ovary, resulting in terrible abdominal pain.Questions and answersSunday Doctor, please, my son is four years old, and he is always having a cough. I have taken him to different hospitals and seen different doctors. He has even done chest X-rays at different times also, but nothing was found. All the time, they say the chest is clear. One doctor asked me if there were any members of the family that had asthma; I told him no. What could be the problem? Thank you. 0802*******Your son may just be suffering from an irritable airway, which he will grow out of. Children like that will respond like this to a variety of things around them; things like dust, pepper, perfume, paint, rug, feathers, and pets by coughing and sneezing. That is a kind of allergy.Sunday Doctor, I am a 45-year-old single lady. I was recently diagnosed with a left ovarian cyst and fibroid. This was after almost six months of suffering from back and left thigh pains. I will share the scan results with you on WhatsApp. My doctor says I need an operation, but I am scared, especially because I don’t know if I can still give birth. What is your advice, doctor? 0802*******This is a difficult scenario because even without these problems, getting pregnant at your age would have been an uphill task without some form of reproductive assistance. Now, with huge fibroids of 103 by 88mm and left ovarian cysts with the size of 58mm, surgery is your best option. So, do the operation and recover from that first, then you can pursue your fertility options.Sunday Doctor, I am 43-years-old. I had a baby 12 years ago by caesarean section, and since then, I have been trying to conceive. Then three years ago, I had a fibroid operation. So last month, when I started to have severe abdominal pains and heavy flow again, my husband said I should do another scan. I will send you the report. What should I do now? 0803*******Well, the cyst is described as thin-walled with clear fluid. The left ovary is normal. At 34 mm, it is clearly not harmful. As for the fibroids, they can always grow again after surgery, but this one is located at the fundus of the uterus with dimensions of 35 mm by 34 mm. You can get pregnant with this size and carry your baby to term.Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. If the corpus luteum cyst persists after the placenta has taken over its function and is large in size, surgical removal will be required. A patient who has endometriosis is also likely to develop endometriomas. Lastly, any infection affecting the ovary and fallopian tubes makes the development of ovarian cysts much more likely.The diagnosis of this condition is based on taking a good history of the symptoms, certain blood tests, including a pregnancy test, and an ultrasound scan.In some cases, an abdominal CT scan or MRI may be required if a need exists to more properly define the nature of the cyst. The treatment depends on the size of the cyst, whether it involves a woman in her reproductive age or she has undergone menopause. A cyst of five centimetres or less requires periodic monitoring only using ultrasound evaluation.However, if results demonstrate that there is a noteworthy source of concern, the treatment offered will depend on what has been found. For example, evidence of cancer demands the institution of treatment without delay. So, it is vital to confirm the diagnosis by performing a biopsy, the required operation, followed by chemotherapy and radiotherapy if needed. If a torsion has occurred, an emergency operation is required because when a cyst twists, it cuts off the blood supply to the ovary, resulting in terrible abdominal pain.Questions and answersSunday Doctor, please, my son is four years old, and he is always having a cough. I have taken him to different hospitals and seen different doctors. He has even done chest X-rays at different times also, but nothing was found. All the time, they say the chest is clear. One doctor asked me if there were any members of the family that had asthma; I told him no. What could be the problem? Thank you. 0802*******Your son may just be suffering from an irritable airway, which he will grow out of. Children like that will respond like this to a variety of things around them; things like dust, pepper, perfume, paint, rug, feathers, and pets by coughing and sneezing. That is a kind of allergy.Sunday Doctor, I am a 45-year-old single lady. I was recently diagnosed with a left ovarian cyst and fibroid. This was after almost six months of suffering from back and left thigh pains. I will share the scan results with you on WhatsApp. My doctor says I need an operation, but I am scared, especially because I don’t know if I can still give birth. What is your advice, doctor? 0802*******This is a difficult scenario because even without these problems, getting pregnant at your age would have been an uphill task without some form of reproductive assistance. Now, with huge fibroids of 103 by 88mm and left ovarian cysts with the size of 58mm, surgery is your best option. So, do the operation and recover from that first, then you can pursue your fertility options.Sunday Doctor, I am 43-years-old. I had a baby 12 years ago by caesarean section, and since then, I have been trying to conceive. Then three years ago, I had a fibroid operation. So last month, when I started to have severe abdominal pains and heavy flow again, my husband said I should do another scan. I will send you the report. What should I do now? 0803*******Well, the cyst is described as thin-walled with clear fluid. The left ovary is normal. At 34 mm, it is clearly not harmful. As for the fibroids, they can always grow again after surgery, but this one is located at the fundus of the uterus with dimensions of 35 mm by 34 mm. You can get pregnant with this size and carry your baby to term.Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. The diagnosis of this condition is based on taking a good history of the symptoms, certain blood tests, including a pregnancy test, and an ultrasound scan.In some cases, an abdominal CT scan or MRI may be required if a need exists to more properly define the nature of the cyst. The treatment depends on the size of the cyst, whether it involves a woman in her reproductive age or she has undergone menopause. A cyst of five centimetres or less requires periodic monitoring only using ultrasound evaluation.However, if results demonstrate that there is a noteworthy source of concern, the treatment offered will depend on what has been found. For example, evidence of cancer demands the institution of treatment without delay. So, it is vital to confirm the diagnosis by performing a biopsy, the required operation, followed by chemotherapy and radiotherapy if needed. If a torsion has occurred, an emergency operation is required because when a cyst twists, it cuts off the blood supply to the ovary, resulting in terrible abdominal pain.Questions and answersSunday Doctor, please, my son is four years old, and he is always having a cough. I have taken him to different hospitals and seen different doctors. He has even done chest X-rays at different times also, but nothing was found. All the time, they say the chest is clear. One doctor asked me if there were any members of the family that had asthma; I told him no. What could be the problem? Thank you. 0802*******Your son may just be suffering from an irritable airway, which he will grow out of. Children like that will respond like this to a variety of things around them; things like dust, pepper, perfume, paint, rug, feathers, and pets by coughing and sneezing. That is a kind of allergy.Sunday Doctor, I am a 45-year-old single lady. I was recently diagnosed with a left ovarian cyst and fibroid. This was after almost six months of suffering from back and left thigh pains. I will share the scan results with you on WhatsApp. My doctor says I need an operation, but I am scared, especially because I don’t know if I can still give birth. What is your advice, doctor? 0802*******This is a difficult scenario because even without these problems, getting pregnant at your age would have been an uphill task without some form of reproductive assistance. Now, with huge fibroids of 103 by 88mm and left ovarian cysts with the size of 58mm, surgery is your best option. So, do the operation and recover from that first, then you can pursue your fertility options.Sunday Doctor, I am 43-years-old. I had a baby 12 years ago by caesarean section, and since then, I have been trying to conceive. Then three years ago, I had a fibroid operation. So last month, when I started to have severe abdominal pains and heavy flow again, my husband said I should do another scan. I will send you the report. What should I do now? 0803*******Well, the cyst is described as thin-walled with clear fluid. The left ovary is normal. At 34 mm, it is clearly not harmful. As for the fibroids, they can always grow again after surgery, but this one is located at the fundus of the uterus with dimensions of 35 mm by 34 mm. You can get pregnant with this size and carry your baby to term.Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. In some cases, an abdominal CT scan or MRI may be required if a need exists to more properly define the nature of the cyst. The treatment depends on the size of the cyst, whether it involves a woman in her reproductive age or she has undergone menopause. A cyst of five centimetres or less requires periodic monitoring only using ultrasound evaluation.However, if results demonstrate that there is a noteworthy source of concern, the treatment offered will depend on what has been found. For example, evidence of cancer demands the institution of treatment without delay. So, it is vital to confirm the diagnosis by performing a biopsy, the required operation, followed by chemotherapy and radiotherapy if needed. If a torsion has occurred, an emergency operation is required because when a cyst twists, it cuts off the blood supply to the ovary, resulting in terrible abdominal pain.Questions and answersSunday Doctor, please, my son is four years old, and he is always having a cough. I have taken him to different hospitals and seen different doctors. He has even done chest X-rays at different times also, but nothing was found. All the time, they say the chest is clear. One doctor asked me if there were any members of the family that had asthma; I told him no. What could be the problem? Thank you. 0802*******Your son may just be suffering from an irritable airway, which he will grow out of. Children like that will respond like this to a variety of things around them; things like dust, pepper, perfume, paint, rug, feathers, and pets by coughing and sneezing. That is a kind of allergy.Sunday Doctor, I am a 45-year-old single lady. I was recently diagnosed with a left ovarian cyst and fibroid. This was after almost six months of suffering from back and left thigh pains. I will share the scan results with you on WhatsApp. My doctor says I need an operation, but I am scared, especially because I don’t know if I can still give birth. What is your advice, doctor? 0802*******This is a difficult scenario because even without these problems, getting pregnant at your age would have been an uphill task without some form of reproductive assistance. Now, with huge fibroids of 103 by 88mm and left ovarian cysts with the size of 58mm, surgery is your best option. So, do the operation and recover from that first, then you can pursue your fertility options.Sunday Doctor, I am 43-years-old. I had a baby 12 years ago by caesarean section, and since then, I have been trying to conceive. Then three years ago, I had a fibroid operation. So last month, when I started to have severe abdominal pains and heavy flow again, my husband said I should do another scan. I will send you the report. What should I do now? 0803*******Well, the cyst is described as thin-walled with clear fluid. The left ovary is normal. At 34 mm, it is clearly not harmful. As for the fibroids, they can always grow again after surgery, but this one is located at the fundus of the uterus with dimensions of 35 mm by 34 mm. You can get pregnant with this size and carry your baby to term.Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. However, if results demonstrate that there is a noteworthy source of concern, the treatment offered will depend on what has been found. For example, evidence of cancer demands the institution of treatment without delay. So, it is vital to confirm the diagnosis by performing a biopsy, the required operation, followed by chemotherapy and radiotherapy if needed. If a torsion has occurred, an emergency operation is required because when a cyst twists, it cuts off the blood supply to the ovary, resulting in terrible abdominal pain.Questions and answersSunday Doctor, please, my son is four years old, and he is always having a cough. I have taken him to different hospitals and seen different doctors. He has even done chest X-rays at different times also, but nothing was found. All the time, they say the chest is clear. One doctor asked me if there were any members of the family that had asthma; I told him no. What could be the problem? Thank you. 0802*******Your son may just be suffering from an irritable airway, which he will grow out of. Children like that will respond like this to a variety of things around them; things like dust, pepper, perfume, paint, rug, feathers, and pets by coughing and sneezing. That is a kind of allergy.Sunday Doctor, I am a 45-year-old single lady. I was recently diagnosed with a left ovarian cyst and fibroid. This was after almost six months of suffering from back and left thigh pains. I will share the scan results with you on WhatsApp. My doctor says I need an operation, but I am scared, especially because I don’t know if I can still give birth. What is your advice, doctor? 0802*******This is a difficult scenario because even without these problems, getting pregnant at your age would have been an uphill task without some form of reproductive assistance. Now, with huge fibroids of 103 by 88mm and left ovarian cysts with the size of 58mm, surgery is your best option. So, do the operation and recover from that first, then you can pursue your fertility options.Sunday Doctor, I am 43-years-old. I had a baby 12 years ago by caesarean section, and since then, I have been trying to conceive. Then three years ago, I had a fibroid operation. So last month, when I started to have severe abdominal pains and heavy flow again, my husband said I should do another scan. I will send you the report. What should I do now? 0803*******Well, the cyst is described as thin-walled with clear fluid. The left ovary is normal. At 34 mm, it is clearly not harmful. As for the fibroids, they can always grow again after surgery, but this one is located at the fundus of the uterus with dimensions of 35 mm by 34 mm. You can get pregnant with this size and carry your baby to term.Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. Sunday Doctor, please, my son is four years old, and he is always having a cough. I have taken him to different hospitals and seen different doctors. He has even done chest X-rays at different times also, but nothing was found. All the time, they say the chest is clear. One doctor asked me if there were any members of the family that had asthma; I told him no. What could be the problem? Thank you. 0802*******Your son may just be suffering from an irritable airway, which he will grow out of. Children like that will respond like this to a variety of things around them; things like dust, pepper, perfume, paint, rug, feathers, and pets by coughing and sneezing. That is a kind of allergy.Sunday Doctor, I am a 45-year-old single lady. I was recently diagnosed with a left ovarian cyst and fibroid. This was after almost six months of suffering from back and left thigh pains. I will share the scan results with you on WhatsApp. My doctor says I need an operation, but I am scared, especially because I don’t know if I can still give birth. What is your advice, doctor? 0802*******This is a difficult scenario because even without these problems, getting pregnant at your age would have been an uphill task without some form of reproductive assistance. Now, with huge fibroids of 103 by 88mm and left ovarian cysts with the size of 58mm, surgery is your best option. So, do the operation and recover from that first, then you can pursue your fertility options.Sunday Doctor, I am 43-years-old. I had a baby 12 years ago by caesarean section, and since then, I have been trying to conceive. Then three years ago, I had a fibroid operation. So last month, when I started to have severe abdominal pains and heavy flow again, my husband said I should do another scan. I will send you the report. What should I do now? 0803*******Well, the cyst is described as thin-walled with clear fluid. The left ovary is normal. At 34 mm, it is clearly not harmful. As for the fibroids, they can always grow again after surgery, but this one is located at the fundus of the uterus with dimensions of 35 mm by 34 mm. You can get pregnant with this size and carry your baby to term.Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. Your son may just be suffering from an irritable airway, which he will grow out of. Children like that will respond like this to a variety of things around them; things like dust, pepper, perfume, paint, rug, feathers, and pets by coughing and sneezing. That is a kind of allergy.Sunday Doctor, I am a 45-year-old single lady. I was recently diagnosed with a left ovarian cyst and fibroid. This was after almost six months of suffering from back and left thigh pains. I will share the scan results with you on WhatsApp. My doctor says I need an operation, but I am scared, especially because I don’t know if I can still give birth. What is your advice, doctor? 0802*******This is a difficult scenario because even without these problems, getting pregnant at your age would have been an uphill task without some form of reproductive assistance. Now, with huge fibroids of 103 by 88mm and left ovarian cysts with the size of 58mm, surgery is your best option. So, do the operation and recover from that first, then you can pursue your fertility options.Sunday Doctor, I am 43-years-old. I had a baby 12 years ago by caesarean section, and since then, I have been trying to conceive. Then three years ago, I had a fibroid operation. So last month, when I started to have severe abdominal pains and heavy flow again, my husband said I should do another scan. I will send you the report. What should I do now? 0803*******Well, the cyst is described as thin-walled with clear fluid. The left ovary is normal. At 34 mm, it is clearly not harmful. As for the fibroids, they can always grow again after surgery, but this one is located at the fundus of the uterus with dimensions of 35 mm by 34 mm. You can get pregnant with this size and carry your baby to term.Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. Sunday Doctor, I am a 45-year-old single lady. I was recently diagnosed with a left ovarian cyst and fibroid. This was after almost six months of suffering from back and left thigh pains. I will share the scan results with you on WhatsApp. My doctor says I need an operation, but I am scared, especially because I don’t know if I can still give birth. What is your advice, doctor? 0802*******This is a difficult scenario because even without these problems, getting pregnant at your age would have been an uphill task without some form of reproductive assistance. Now, with huge fibroids of 103 by 88mm and left ovarian cysts with the size of 58mm, surgery is your best option. So, do the operation and recover from that first, then you can pursue your fertility options.Sunday Doctor, I am 43-years-old. I had a baby 12 years ago by caesarean section, and since then, I have been trying to conceive. Then three years ago, I had a fibroid operation. So last month, when I started to have severe abdominal pains and heavy flow again, my husband said I should do another scan. I will send you the report. What should I do now? 0803*******Well, the cyst is described as thin-walled with clear fluid. The left ovary is normal. At 34 mm, it is clearly not harmful. As for the fibroids, they can always grow again after surgery, but this one is located at the fundus of the uterus with dimensions of 35 mm by 34 mm. You can get pregnant with this size and carry your baby to term.Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. Sunday Doctor, I am a 45-year-old single lady. I was recently diagnosed with a left ovarian cyst and fibroid. This was after almost six months of suffering from back and left thigh pains. I will share the scan results with you on WhatsApp. My doctor says I need an operation, but I am scared, especially because I don’t know if I can still give birth. What is your advice, doctor? 0802*******This is a difficult scenario because even without these problems, getting pregnant at your age would have been an uphill task without some form of reproductive assistance. Now, with huge fibroids of 103 by 88mm and left ovarian cysts with the size of 58mm, surgery is your best option. So, do the operation and recover from that first, then you can pursue your fertility options.Sunday Doctor, I am 43-years-old. I had a baby 12 years ago by caesarean section, and since then, I have been trying to conceive. Then three years ago, I had a fibroid operation. So last month, when I started to have severe abdominal pains and heavy flow again, my husband said I should do another scan. I will send you the report. What should I do now? 0803*******Well, the cyst is described as thin-walled with clear fluid. The left ovary is normal. At 34 mm, it is clearly not harmful. As for the fibroids, they can always grow again after surgery, but this one is located at the fundus of the uterus with dimensions of 35 mm by 34 mm. You can get pregnant with this size and carry your baby to term.Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. This is a difficult scenario because even without these problems, getting pregnant at your age would have been an uphill task without some form of reproductive assistance. Now, with huge fibroids of 103 by 88mm and left ovarian cysts with the size of 58mm, surgery is your best option. So, do the operation and recover from that first, then you can pursue your fertility options.Sunday Doctor, I am 43-years-old. I had a baby 12 years ago by caesarean section, and since then, I have been trying to conceive. Then three years ago, I had a fibroid operation. So last month, when I started to have severe abdominal pains and heavy flow again, my husband said I should do another scan. I will send you the report. What should I do now? 0803*******Well, the cyst is described as thin-walled with clear fluid. The left ovary is normal. At 34 mm, it is clearly not harmful. As for the fibroids, they can always grow again after surgery, but this one is located at the fundus of the uterus with dimensions of 35 mm by 34 mm. You can get pregnant with this size and carry your baby to term.Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. Sunday Doctor, I am 43-years-old. I had a baby 12 years ago by caesarean section, and since then, I have been trying to conceive. Then three years ago, I had a fibroid operation. So last month, when I started to have severe abdominal pains and heavy flow again, my husband said I should do another scan. I will send you the report. What should I do now? 0803*******Well, the cyst is described as thin-walled with clear fluid. The left ovary is normal. At 34 mm, it is clearly not harmful. As for the fibroids, they can always grow again after surgery, but this one is located at the fundus of the uterus with dimensions of 35 mm by 34 mm. You can get pregnant with this size and carry your baby to term.Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. Sunday Doctor, I am 43-years-old. I had a baby 12 years ago by caesarean section, and since then, I have been trying to conceive. Then three years ago, I had a fibroid operation. So last month, when I started to have severe abdominal pains and heavy flow again, my husband said I should do another scan. I will send you the report. What should I do now? 0803*******Well, the cyst is described as thin-walled with clear fluid. The left ovary is normal. At 34 mm, it is clearly not harmful. As for the fibroids, they can always grow again after surgery, but this one is located at the fundus of the uterus with dimensions of 35 mm by 34 mm. You can get pregnant with this size and carry your baby to term.Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. Well, the cyst is described as thin-walled with clear fluid. The left ovary is normal. At 34 mm, it is clearly not harmful. As for the fibroids, they can always grow again after surgery, but this one is located at the fundus of the uterus with dimensions of 35 mm by 34 mm. You can get pregnant with this size and carry your baby to term.Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. Sunday Doctor, thank you for the good work you are doing. I have a problem which I need your opinion about. I have been on treatment for prostate cancer for about 18 months now. I am now 71-years-old. They first removed my testes and then commenced me on chemotherapy. I have had 6 cycles. My PSA fell from 462 to 35 ng/ml at the time of my 5th session. Now, it has climbed again to 236.5 ng/ml. What could be wrong? 0803*******Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. Thank you very much for your kind words. Chemotherapy can vary from six to nine cycles on average. It depends on the kind of cancer being treated. So, the first thing would be that you should undertake at least two more courses of chemotherapy. If the result does not improve, a change of drug regimen would be in order.Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. Sunday Doctor. My son is six years old now, and he used to have straight legs. Now, all of a sudden, he has started to develop K-legs. What should we do? 0903*******A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. A range of causes is possible. The place to start from is a proper hospital where important examinations will be conducted and a possible referral made to an orthopaedic surgeon. A proper solution will be found that way.Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. Sunday Doctor. Please, what should we do for a woman who has the following results? Blood sugar is 476 mg/dl; blood film says P. falciparum seen and density = 40 parasites /ul; urinalysis says 4 pluses for glucose; Widal test positive with 1: 80 for S.typhi “O”, and PCV (packed cell volume) is 37%. The hospital she went to put her on Metformin, Glibenclamide, Ciprofloxacin and Amlodipine 10mg. I am in Lagos while she is in our village in Akwa Ibom. I am confused now. 0802*******There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. There is no need to be confused. If she was placed on Amlodipine, that means she also has high blood pressure. Unfortunately, you did not disclose her age, but these results show a woman who is seriously ill. She should not have been discharged home with the level of malaria parasites in her blood and the high level of blood sugar. Ensure she gets admitted into a hospital where she can obtain the required treatment and be properly monitored.Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. Sunday doctor. I am a man of 33 years, not married and working in a car dealership. I always have mouth sores. What can I do about it? 0812*******Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment. Well, mouth sores have different possible causes, including a lack of certain vitamins like vitamin B12, iron and folic acid. They can also be caused by viral infections like herpes. Biting your lips or some kind of allergies may also cause such problems. See a doctor for a proper examination, and you will be able to get treatment.