00:00Our dermatologist, Dr. Jean, is here to answer some of the questions that you sent to our FB page.
00:08Good morning to you, doctor!
00:10Good morning, Connie, and of course, good morning to our viewers here at PinoyMD.
00:15Question number one.
00:17Is it normal for a 23-year-old to have a lot of varicose veins?
00:22What can we do to prevent it from growing?
00:26The question is from John Umali.
00:28You know, varicose veins actually start to appear during the mid-20s, 40s,
00:34and as you grow older, the chances of having it increase.
00:39But we can really see varicose veins at that age.
00:45That's why it's really important that once you see those varicose veins,
00:49you can immediately treat it by doing sclerotherapy.
00:53We're injecting sclerosing solution to close those varicose veins so that it won't grow.
00:58And of course, there are a lot of preventive measures so that it won't worsen.
01:02You have to be mobile, always moving.
01:05You can't just sit for two hours, stand for two hours, and not move.
01:10You have to continually move those muscles in your legs.
01:13And of course, when you're sleeping, you can put up your legs,
01:17for example, on one or two pillows, to relieve the pressure in your legs.
01:22For women who are doing hormonal therapy,
01:26well, we have to be careful because we may be more prone to develop varicose veins.
01:30And of course, you have to lose weight to avoid having varicose veins.
01:35Let's go back to the question of our viewers.
01:37Doc, what is the medicine for bloated water?
01:41From Jaira Zurica.
01:43Actually, the medicine for that is,
01:45number one, if you're having a fever, which is very common.
01:50You'll have a fever first, then you'll have those rashes.
01:54If you have a fever, then you can take paracetamol.
01:56It's called symptomatic treatment.
02:00And of course, you need an antiviral, which is a cyclovir.
02:04That's the one that we give to control the growth of those viruses.
02:11And of course, if you also have rashes,
02:13we put already antibiotic creams to prevent a secondary infection.
02:18And sometimes, if there's water,
02:21we put what we call saline compress,
02:24or it could be a mixture of salt and water,
02:28so that the pimples will be removed.
02:31But of course, if you're already having pimples,
02:35or if you're peeling those lesions,
02:37you're still very contagious.
02:39And you should really avoid pimples.
02:42You should avoid getting infected.
02:44And those marks that are left by the chicken pox,
02:48that's the one that actually bothers most of the patient.
02:51Because the marks are deep.
02:53So you can go to a dermatologist when it's already swollen,
02:57because there are laser treatments and injections
02:59that will help clear those scars away.
03:02Back to our Facebook question,
03:03Dr. Jean, is there a medicine for ingrown?
03:06That's a question that was sent by Kent Pasadas.
03:09If a person has ingrown toenails,
03:11the nail plate,
03:13actually, it's pressing on the nail bed.
03:20So there's swelling because it's pressing on the nail bed.
03:24And of course, sometimes, there's an infection.
03:29So usually, when patients come to us,
03:31those ingrown toenails are already swollen and infected.
03:35So what we do is we give anti-inflammatories like paracetamols
03:39or ibuprofens or NSAIDs.
03:42And of course, we give them antibiotics.
03:45And then after that, when it's swollen,
03:48then we can actually remove those ingrown nails.
03:53So we can remove them by nail abulsion.
03:56That's a minor surgical procedure using local anesthesia.
04:01So we can remove them.
04:03And of course, it will grow again.
04:05Avoid cutting those nails too much.
04:10You will actually allow the nails to grow a little bit.
04:13It will hang a little bit.
04:16Not too much.
04:17So there's space between the nails and of course, the nail bed.
04:24So we should avoid cutting our nails too much.
04:29And let's avoid tight shoes.
04:32Here's our last question for you, Dr. Jean.
04:35What's the problem with her son's skin?
04:38What's the best medicine for this?
04:41All right.
04:42What we're seeing now is white patches.
04:46So I'm not really totally sure if this is what's called Fetiriasis Alba
04:52or which is just like a faded, whitish patch
04:56that can occur in people who have dry skin,
05:01who have Atopic Dermatitis or Asthma of the Skin.
05:05But there is also a possibility that could be Fetiriasis Alba.
05:10We should really take a closer look at this.
05:12We usually use a dermatoscope or an illuminated magnifying gadget
05:21to really see the depth of this white patch.
05:25But as I see it now, maybe it's between Fetiriasis Alba,
05:31which is not really dangerous.
05:34This could also be because of the dryness of the skin.
05:39If you have dryness of the skin,
05:41the scaly patch that you have actually does not penetrate the sun.
05:47So the areas that are normal are the ones that turn black
05:50and the areas that are dry turn white.
05:53The sun does not penetrate.
05:55That's why there are uneven skin colors that turn white.
05:58Especially, this occurs actually after a sun exposure.
06:02For example, when you go to the beach, it suddenly becomes obvious.
06:05If this is vitiligo, we will have to also examine the hairs.
06:10If the areas of the hairs turn white,
06:13this could be vitiligo.
06:16Thank you for tuning in to Pinoy MD.
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