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Free medical advice by doctors
- Thread starter kelumnk
- Start date
Qualified Doctors? 
How can we believe
Besides Doctors are commonly known as Money suckers. So just wondering why the hell they want to do a free service
(Sorry wal bada.. All are not the same)
A site with a lot of google ads...
This is mainly to earn money by fooling the innocent people in Sri Lanka.
How can we believe
Besides Doctors are commonly known as Money suckers. So just wondering why the hell they want to do a free service
(Sorry wal bada.. All are not the same)
A site with a lot of google ads...
This is mainly to earn money by fooling the innocent people in Sri Lanka.
1. If you run a site which gives medical advice, that's something serious.. and member's will have to know where the advice are coming from! so all doctors who gives thier advice must reveal their identities!
2. You talk like your site already established and got many "foreign" members!
I dont think so...
here's your sites traffic report.. this is quite poor.. I dont see any significant number of visitors at all from any country, so please CUT THE ACT!!
********************
3. If you really mean what you say you are qualified doctors and this site is a service.. right? Guess what your domain expires this October!!! Dealing with doctors and don't only manage to buy domain for 1 year? doesn't really stack up dude!!!
*****************************
4. You are in trouble if you cheat people!!!
5. Last but not least you've already violated the rules of this forum by putting a SL link without taking permission from the Admins!
2. You talk like your site already established and got many "foreign" members!
I dont think so...
here's your sites traffic report.. this is quite poor.. I dont see any significant number of visitors at all from any country, so please CUT THE ACT!!
********************
3. If you really mean what you say you are qualified doctors and this site is a service.. right? Guess what your domain expires this October!!! Dealing with doctors and don't only manage to buy domain for 1 year? doesn't really stack up dude!!!
*****************************
4. You are in trouble if you cheat people!!!
5. Last but not least you've already violated the rules of this forum by putting a SL link without taking permission from the Admins!
well,
we started this site only 2 months back and it was down for the past 2 weeks.
from the members, most are foreign.we know that because sometimes they correspond with us.
we do not intend to give you medicine online
what we want is to answer the questions people have.
we do not endorse any doctor or hospital.
we are having this on a free place because we do not have money to move it to a paid server yet.
we do not cheat people.
have we asked for anything from you so far?
anyway, thanks for the comments.
we started this site only 2 months back and it was down for the past 2 weeks.
from the members, most are foreign.we know that because sometimes they correspond with us.
we do not intend to give you medicine online
what we want is to answer the questions people have.
we do not endorse any doctor or hospital.
we are having this on a free place because we do not have money to move it to a paid server yet.
we do not cheat people.
have we asked for anything from you so far?
anyway, thanks for the comments.
hi,
there are other sites in other countries which attracts lots of people aimed at giving medical advice.some of them require payment as well as you may never find who owns it even.(example-www.healthboard.com)
and we intend not to give you direct medical advice but to mediate fruitful discussion and give medical information.
just wanted to help the people here since our public do not have very good knowledge about certain diseases.
we want to help develop a healthy tomorrow for mother lanka.
it is disheartening at times to see people laughing at an effort that we started with a noble mind.
after all it is true that there are some asses who act like that.
but we know that the majority in this froum would endorse our act once they get to know about it.
thaks a lot for the comments.
please get to know about what we are doing without simply laughing at us.
it would be for the betterment of all of us.
we would have answerd all your queries if you had asked.
there are other sites in other countries which attracts lots of people aimed at giving medical advice.some of them require payment as well as you may never find who owns it even.(example-www.healthboard.com)
and we intend not to give you direct medical advice but to mediate fruitful discussion and give medical information.
just wanted to help the people here since our public do not have very good knowledge about certain diseases.
we want to help develop a healthy tomorrow for mother lanka.
it is disheartening at times to see people laughing at an effort that we started with a noble mind.
after all it is true that there are some asses who act like that.
but we know that the majority in this froum would endorse our act once they get to know about it.
thaks a lot for the comments.
please get to know about what we are doing without simply laughing at us.
it would be for the betterment of all of us.
we would have answerd all your queries if you had asked.
meebo.ts said:No Bro.... Maybe MBBS (Mason Bass ta Badhaama Service)
Please don't insult this precious degree; and the profession.
No one in this world 100% healthy at all the time.
Anyone born will have to be treated atleast once a life time and the same applicable to you also if you a living creature.
If you remember the incidents happend within the last few days; you will realize that how doctors are valuable and their real SERVICE.
LOL.. out of all the ppl I think you need to visit this site ASAP... look if there is any help for a disease like "making-an-ass-out-of-myself"...sri_lion said:1. If you run a site which gives medical advice, that's something serious.. and member's will have to know where the advice are coming from! so all doctors who gives thier advice must reveal their identities!
2. You talk like your site already established and got many "foreign" members!
I dont think so...
here's your sites traffic report.. this is quite poor.. I dont see any significant number of visitors at all from any country, so please CUT THE ACT!!
3. If you really mean what you say you are qualified doctors and this site is a service.. right? Guess what your domain expires this October!!! Dealing with doctors and don't only manage to buy domain for 1 year? doesn't really stack up dude!!!
4. You are in trouble if you cheat people!!!
5. Last but not least you've already violated the rules of this forum by putting a SL link without taking permission from the Admins!
m26k9 said:
As long as people like you who has diseases like "I-eat-any-sh*t" these sites will work fine!Besides I'm not very surprised on your comment, because you should know that you also fall into the category of "I-will-leech-while-others-keep-the forum-alive"
Contribution to the forum = 30+ posts in 18+ months (wow.. now that's some contribution
)
Last edited:
Managing SLE
Hi,
Here is the answer to your question.
Hope you got enough information.Feel free to ask more questions.
Systemic lupus erythematosus (SLE) is a systemic autoimmune disease.An autoimune disease is where your body makes antibodies to fight against your own tissues(this is not the 100% correct medical definition, but a definition catered to make it understandable to the general public.)
The aetiology of SLE is not known
as yet and the pathogenesis is complex, involving immuno-
logical, genetic, hormonal and environmental factors. Dam-
age to tissues and cells results from pathogenic autoantibod-
ies and immune complexes. It affects predominantly women
in their reproductive years. The median age of onset in Asia of
SLE is 24.5 years and the sex ratio (F:M) is 11:1
Remissionsand relapses characterize the disease. The clinical manifesta-
tions and their severity in individual patients may vary con-
siderably and, therefore, the treatment strategy needs to be taoilred accrodingly.
There is no permanent cure for SLE. The goal of treatment is to relieve symptoms and protect organs by decreasing inflammation and/or the level of autoimmune activity in the body. Many patients with mild symptoms may need no treatment or only intermittent courses of antiinflammatory medications. Those with more serious illness involving damage to internal organ(s) may require high doses of corticosteroids in combination with other medications that suppress the body's immune system.
Patients with SLE need more rest during periods of active disease. Researchers have reported that poor sleep quality was a significant factor in developing fatigue in patients with SLE. These reports emphasize the importance for patients and physicians to address sleep quality and the effect of underlying depression, lack of exercise, and self-care coping strategies on overall health. During these periods, carefully prescribed exercise is still important to maintain muscle tone and range of motion in the joints.
Nonsteroidal antiinflammatory drugs (NSAIDs) are helpful in reducing inflammation and pain in muscles, joints, and other tissues. Examples of NSAIDs include aspirin, ibuprofen (Motrin), naproxen (Naprosyn), and sulindac (Clinoril). Since the individual response to NSAIDs varies among patients, it is common for a doctor to try different NSAIDs to find the most effective one with the fewest side effects. The most common side effects are stomach upset, abdominal pain, ulcers, and even ulcer bleeding. NSAIDs are usually taken with food to reduce side effects. Sometimes, medications that prevent ulcers while taking NSAIDs, such as misoprostol (Cytotec), are given simultaneously.
Corticosteroids are more potent than NSAIDs in reducing inflammation and restoring function when the disease is active. Corticosteroids are particularly helpful when internal organs are involved. Corticosteroids can be given by mouth, injected directly into the joints and other tissues, or administered intravenously. Unfortunately, corticosteroids have serious side effects when given in high doses over prolonged periods, and the doctor will try to monitor the activity of the disease in order to use the lowest doses that are safe. Side effects of corticosteroids include weight gain, thinning of the bones and skin, infection, diabetes, facial puffiness, cataracts, and death (necrosis) of large joints.
Hydroxychloroquine (Plaquenil) is an antimalarial medication found to be particularly effective for SLE patients with fatigue, skin, and joint disease. Side effects include diarrhea, upset stomach, and eye pigment changes. Eye pigment changes are rare, but require monitoring by an ophthalmologist (eye specialist) during treatment with Plaquenil. Researchers have found that Plaquenil significantly decreased the frequency of abnormal blood clots in patients with systemic SLE. Moreover, the effect seemed independent of immune suppression, implying that Plaquenil can directly act to prevent the blood clots. This fascinating work highlights an important reason for patients and doctors to consider Plaquenil, especially for those SLE patients who are at some risk for blood clots in veins and arteries, such as those with phospholipid antibodies (cardiolipin antibodies, lupus anticoagulant, and false positive VDRL). This means not only that Plaquenil reduces the chance for reflares of SLE, but it can also be beneficial in 'thinning' the blood to prevent abnormal excessive blood clotting.
For resistant skin disease, other antimalarial drugs, such as chloroquine (Aralen) or quinacrine, are considered, and can be used in combination with hydroxychloroquine. Alternative medications for skin disease include dapsone and retinoic acid (Retin-A). Retin-A is often effective for an uncommon wart-like form of lupus skin disease. For more severe skin disease, immunosuppressive medications are considered as below.
Medications that suppress immunity (immunosuppressive medications) are also called cytotoxic drugs. Immunosuppressive medications are used for treating patients with more severe manifestations of SLE with damage to internal organ(s). Examples of immunosuppressive medications include methotrexate (Rheumatrex, Trexall), azathioprine (Imuran), cyclophosphamide (Cytoxan), chlorambucil (Leukeran), and cyclosporine (Sandimmune). All immunosuppressive medications can seriously depress blood cell counts and increase risks of infection and bleeding. Other side effects are peculiar for each drug. For examples, Rheumatrex can cause liver toxicity, while Sandimmune can impair kidney function.
In recent years, mycophenolate mofetil (Cellcept) has been used as an effective medication for lupus, particularly when it associated with kidney disease. Cellcept has been helpful in reversing active lupus kidney disease (lupus renal disease) and in maintaining remission after it is established. It's lower side effect profile has advantage over traditional immune suppression medications.
In SLE patients with serious brain or kidney disease, plasmapheresis is sometimes used to remove antibodies and other immune substances from the blood to suppress immunity. Some SLE patients can develop seriously low platelet levels, thereby increasing the risk of excessive and spontaneous bleeding. Since the spleen is believed to be the major site of platelet destruction, surgical removal of the spleen is sometimes performed to improve platelet levels. Other treatments have included plasmapheresis and the use of male hormones. Plasmapheresis has also been used to remove proteins (cryoglobulins) that can lead to vasculitis. Endstage kidney damage from SLE requires dialysis and/or a kidney transplant.
Most recent research is indicating benefits of rituximab (Rituxan) in treating lupus. Rituximab is an intravenously infused antibody that suppresses a particular white blood cell, the B cell, by decreasing their number in the circulation. B cells have been found to play a central role in lupus activity, and when they are suppressed, the disease tends toward remission.
SLE is undoubtedly a potentially serious illness with involvement of numerous organ systems. However, it is important to recognize that most patients with SLE lead full, active, healthy lives. Periodic increases in disease activity (flares) can usually be managed by varying medications. Since ultraviolet light can precipitate and worsen flares, patients with systemic lupus should avoid sun exposure. Sunscreens and clothing covering the extremities can be helpful. Abruptly stopping medications, especially corticosteroids, can also cause flares and should be avoided. Patients with SLE are at increased risk of infections, especially if they are taking corticosteroids or immunosuppressive medications. Therefore, any unexpected fever should be reported and evaluated.
The key to successful management of SLE is regular contact and communication with the doctor, allowing monitoring of symptoms, disease activities, and treatment side effects.
Hi,
Here is the answer to your question.
Hope you got enough information.Feel free to ask more questions.
Systemic lupus erythematosus (SLE) is a systemic autoimmune disease.An autoimune disease is where your body makes antibodies to fight against your own tissues(this is not the 100% correct medical definition, but a definition catered to make it understandable to the general public.)
The aetiology of SLE is not known
as yet and the pathogenesis is complex, involving immuno-
logical, genetic, hormonal and environmental factors. Dam-
age to tissues and cells results from pathogenic autoantibod-
ies and immune complexes. It affects predominantly women
in their reproductive years. The median age of onset in Asia of
SLE is 24.5 years and the sex ratio (F:M) is 11:1
Remissionsand relapses characterize the disease. The clinical manifesta-
tions and their severity in individual patients may vary con-
siderably and, therefore, the treatment strategy needs to be taoilred accrodingly.
There is no permanent cure for SLE. The goal of treatment is to relieve symptoms and protect organs by decreasing inflammation and/or the level of autoimmune activity in the body. Many patients with mild symptoms may need no treatment or only intermittent courses of antiinflammatory medications. Those with more serious illness involving damage to internal organ(s) may require high doses of corticosteroids in combination with other medications that suppress the body's immune system.
Patients with SLE need more rest during periods of active disease. Researchers have reported that poor sleep quality was a significant factor in developing fatigue in patients with SLE. These reports emphasize the importance for patients and physicians to address sleep quality and the effect of underlying depression, lack of exercise, and self-care coping strategies on overall health. During these periods, carefully prescribed exercise is still important to maintain muscle tone and range of motion in the joints.
Nonsteroidal antiinflammatory drugs (NSAIDs) are helpful in reducing inflammation and pain in muscles, joints, and other tissues. Examples of NSAIDs include aspirin, ibuprofen (Motrin), naproxen (Naprosyn), and sulindac (Clinoril). Since the individual response to NSAIDs varies among patients, it is common for a doctor to try different NSAIDs to find the most effective one with the fewest side effects. The most common side effects are stomach upset, abdominal pain, ulcers, and even ulcer bleeding. NSAIDs are usually taken with food to reduce side effects. Sometimes, medications that prevent ulcers while taking NSAIDs, such as misoprostol (Cytotec), are given simultaneously.
Corticosteroids are more potent than NSAIDs in reducing inflammation and restoring function when the disease is active. Corticosteroids are particularly helpful when internal organs are involved. Corticosteroids can be given by mouth, injected directly into the joints and other tissues, or administered intravenously. Unfortunately, corticosteroids have serious side effects when given in high doses over prolonged periods, and the doctor will try to monitor the activity of the disease in order to use the lowest doses that are safe. Side effects of corticosteroids include weight gain, thinning of the bones and skin, infection, diabetes, facial puffiness, cataracts, and death (necrosis) of large joints.
Hydroxychloroquine (Plaquenil) is an antimalarial medication found to be particularly effective for SLE patients with fatigue, skin, and joint disease. Side effects include diarrhea, upset stomach, and eye pigment changes. Eye pigment changes are rare, but require monitoring by an ophthalmologist (eye specialist) during treatment with Plaquenil. Researchers have found that Plaquenil significantly decreased the frequency of abnormal blood clots in patients with systemic SLE. Moreover, the effect seemed independent of immune suppression, implying that Plaquenil can directly act to prevent the blood clots. This fascinating work highlights an important reason for patients and doctors to consider Plaquenil, especially for those SLE patients who are at some risk for blood clots in veins and arteries, such as those with phospholipid antibodies (cardiolipin antibodies, lupus anticoagulant, and false positive VDRL). This means not only that Plaquenil reduces the chance for reflares of SLE, but it can also be beneficial in 'thinning' the blood to prevent abnormal excessive blood clotting.
For resistant skin disease, other antimalarial drugs, such as chloroquine (Aralen) or quinacrine, are considered, and can be used in combination with hydroxychloroquine. Alternative medications for skin disease include dapsone and retinoic acid (Retin-A). Retin-A is often effective for an uncommon wart-like form of lupus skin disease. For more severe skin disease, immunosuppressive medications are considered as below.
Medications that suppress immunity (immunosuppressive medications) are also called cytotoxic drugs. Immunosuppressive medications are used for treating patients with more severe manifestations of SLE with damage to internal organ(s). Examples of immunosuppressive medications include methotrexate (Rheumatrex, Trexall), azathioprine (Imuran), cyclophosphamide (Cytoxan), chlorambucil (Leukeran), and cyclosporine (Sandimmune). All immunosuppressive medications can seriously depress blood cell counts and increase risks of infection and bleeding. Other side effects are peculiar for each drug. For examples, Rheumatrex can cause liver toxicity, while Sandimmune can impair kidney function.
In recent years, mycophenolate mofetil (Cellcept) has been used as an effective medication for lupus, particularly when it associated with kidney disease. Cellcept has been helpful in reversing active lupus kidney disease (lupus renal disease) and in maintaining remission after it is established. It's lower side effect profile has advantage over traditional immune suppression medications.
In SLE patients with serious brain or kidney disease, plasmapheresis is sometimes used to remove antibodies and other immune substances from the blood to suppress immunity. Some SLE patients can develop seriously low platelet levels, thereby increasing the risk of excessive and spontaneous bleeding. Since the spleen is believed to be the major site of platelet destruction, surgical removal of the spleen is sometimes performed to improve platelet levels. Other treatments have included plasmapheresis and the use of male hormones. Plasmapheresis has also been used to remove proteins (cryoglobulins) that can lead to vasculitis. Endstage kidney damage from SLE requires dialysis and/or a kidney transplant.
Most recent research is indicating benefits of rituximab (Rituxan) in treating lupus. Rituximab is an intravenously infused antibody that suppresses a particular white blood cell, the B cell, by decreasing their number in the circulation. B cells have been found to play a central role in lupus activity, and when they are suppressed, the disease tends toward remission.
SLE is undoubtedly a potentially serious illness with involvement of numerous organ systems. However, it is important to recognize that most patients with SLE lead full, active, healthy lives. Periodic increases in disease activity (flares) can usually be managed by varying medications. Since ultraviolet light can precipitate and worsen flares, patients with systemic lupus should avoid sun exposure. Sunscreens and clothing covering the extremities can be helpful. Abruptly stopping medications, especially corticosteroids, can also cause flares and should be avoided. Patients with SLE are at increased risk of infections, especially if they are taking corticosteroids or immunosuppressive medications. Therefore, any unexpected fever should be reported and evaluated.
The key to successful management of SLE is regular contact and communication with the doctor, allowing monitoring of symptoms, disease activities, and treatment side effects.
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