Hello! I have been a doctor for 21 years. My name is Georgy Olegovich Sapego. This article will again be a collection of questions.
Question: Why does the throat tickle, but there is no phlegm? What to do about it?
Answer: When there is a perspiration, but there is no sputum, then a neurologist sometimes does this. If a person can spit phlegm, then it is guaranteed to be there. This is done by ENT. Some causes of perspiration and phlegm somewhere in the larynx are treated for months. The ENT will look into the throat with a laryngoscope and see or not see phlegm. If the ENT does not look into the throat with a laryngoscope, then you need to look for another ENT.
Question: Why are betahistine and treatment for allergies prescribed for dizziness from Meniere's disease? After all, allergy is the action of histamine, and betahistine is histamine.
Answer: Betahistine is not histamine. In case of allergies, they block type I histamine receptors. There are four types of histamine receptors. Betahistine affects different histamine receptors in different ways with different results. This is if you think about histamine. There is one more explanation. Sometimes allergies are manifested by swelling and polyps in the paranasal sinuses. Edema is water. Excess water in the front of the head can disrupt the functioning of the vestibular apparatus. From this, dizziness can begin even without any Meniere's disease.
Question: I have had vision problems for a long time. Defined as farsightedness, wrote out plus points. That's all the treatment. And over the years, you only change lenses for more powerful ones. Why am I not being treated?
Answer: You seem to have presbyopia. This is age-related hyperopia. The lens loses its ability to become convex. Presbyopia progresses for a while and then stops. It cannot be corrected because it is part of the natural aging process.
Question: They picked me up glasses, but I still don't always recognize my acquaintances. Why?
Answer: More often the problem is in the eyes, but there are literally problems with recognition. Just like there are problems with writing letters or pronouncing words. This is what neurologists do.
Question: How to live with kidney cysts? Do cysts reduce kidney function?
Answer: A single cyst usually means nothing. Two or more cysts are monitored. If there are a lot of cysts (hereditary polycystic disease), then the kidneys may stop working. Even one cyst under unfavorable conditions can fester and damage the kidney.
Question: Is it necessary to puncture a large kidney cyst?
Answer: It's not about size. There is a special algorithm and four, it seems, types of cysts, which radiologists distinguish by some of their subtle features. There are tactics for each category of cysts. They will do a bunch of MRIs and only in some rare case will be punctured.
Question: How many people wash their hands after using the toilet?
Answer: About one in five people wash their hands after using the toilet.
Question: Why wash your hands in the country? You need to be in contact with different microbes. It is good for immunity.
Answer: If you collect roundworm eggs from the garden, then these are not only your personal problems. You will distribute them, and then someone will get sick more seriously from this. You can also get sick with diarrhea, with which they will not have time to take you to the city. That happens. For two hundred years, doctors persuaded the dense inhabitants to wash their hands, and at the beginning of the 21st century, the circle closed - people decided that it was useful not to wash their hands.
Questions: Why do you write "poop"? Is that jargon?
Answer: Poop is feces or feces. Derived from the verb "poop" - to defecate. This is the norm of colloquial speech in Russian. Both that, and another, and the third means the normal waste of life. So don't be embarrassed.
