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Nakushauri utumie hizo dawa au nenda hospital kubwa upate consultation ya Physician

Hii ni Esophageal Reflux Cough mostly inatokea watu wenye GERD Tumia Baclofen 5-10mg twice daily au Gabapentin 300mg twice daily kwa 2-4 weeks unakua poa.

Hii inaonekana kama Lichen Planus Hope ushapata msaada.

Baada ya shower apply Scaboma lotion mwili wote then baada ya 8-12 hours una wash off. Unapply mara moja tu na unaweza kurudia baada ya one week. Kama ikishindikana tafuta Ivermectin 12mg mara moja unaweza kurudia baada ya 2 weeks

Yes that's great advice. Kama zote tatu ni positive then treatment zipo for every single one.

I know about provisional diagnosis and all that but haiwezekani everyday Tanzanians wana those three diseases. That's why kila siku patients wana big issues wakija hospital wanataka kucheck those three things because they are conditioned to do so.

That's a good question because UTI 60 makes no sense at all

No sidhani hao wana vitu tofauti kabisa. Madaktari wa Tanzania sometimes wana disappoint kwenye treatment.

Yeah it's possible(although from years za treating sijawahi kuona) but from my practice Typhoid,UTI and Malaria ni vitu very rare sana Tanzanians wanaumwa vitu tofauti kabisa na everyday wanaambiwa hivyo vitu vitatu

Kama una Anal Fissure Tumia Lactulose syrup 10mls mara mbili kwa siku ili kusoften stool Topical Nitroglycerin 0.4% apply mara mbili Sitz baths(Dettol 20mls kwenye maji ya uvuguvugu kila baada ya kutoka toilet). Unaweza kutafuta Lidocaine ointment Kwa ajili ya maumivu

Yeah haiwezekani kila mtu Tanzania anaugua Malaria, Typhoid and UTI. Ni incompetence tu hiyo because in practice haipo hivyo.

Noted

Possibly ni Raynaud's disease, unaweza kutumia Nifedipine 20m once daily Topical Nitroglycerin 1% apply once daily

Questions Ngozi ya viganja inababuka au inakua nyeupe kabisa? Unafanya kazi na any chemicals? Unatumia cigarettes? Probably unaweza kua na Palmoplantar Psoarisis or pustulosis Raynaud's disease You can use Clobetsaol ointment apply twice in vaseline or Salicylic acid ointment apply twice...

That sounds like Meniere disease Unaweza kutumia Diazepam 5mg au Meclizine 50mg kwa vertigo/kizunguzungu Then Use Betahistidine(Betaserc) 8mg twice daily but hii inatakiwa kutumia kwa muda mrefu kuona mabadiriko atleast 8weeks +Low salt diet + Bendrofulazide 5mg daily Last resort ni Injection...

Nope I have treated people with Gynaecomastia before.

Okay then Possibility ni Migraine Cluster headache Nenda hospital but treatment ni Vasograin(Ergotamine) 1.5mg au Sumtriptan 50mg + dawa yoyote ya maumivu kwa acute relief Then Sodium Valproate or Verapamil kwa prophylaxis ya another attack. Regards.

I mean kama mtoto ametangliza miguu (Breech presentation) delivery inaweza kufanyika bila tatizo. Sio kila mtoto aliyekaa vibaya anageuka before labor.

Hiyo sio TB ya mifupa Probably ana vitu Kati ya hivi Transverse Myelitis Multiple Sclerosis Brain Space Occupying Lesion Anatakiwa kufanyiwa Brain and Spine MRI Lumbar Puncture for CSF Analysis

Kama ni Breech presentation, delivery is possible without any complications.