Diabetes and the Feet

Good evening Doc, Please I need your advice on a matter. I have someone who has Diabetes(for more than 10 years).About 2 weeks ago he started having pains on the heel of his foot.He is about 60years old.What can be done to help him, Sir? Thanks Raliat Ranko, Degema Dear Raliat, Bad bad news. Any one with diabetes who gets pains on the feet must be very careful and wary of diabetic foot ulcer and therefore should quickly see his doctor/diabetologist as quickly as possible. Diabetics tend to get small vessel disease including retinopathy (in the eye--cannot see well); impotence, kidney damage and non healing ulcers (in the feet) -- that lead inevitably to amputation of such areas of the feet because gangrene sets in and begins to spread to other parts of the body if care is not taken. Special care of the feet is important for all diabetics and if their doctor has not instructed them about this, they ought to seek such information fast. Hurry up and follow above advice. Cheers

Stop Sex For Now!!!

Stop Sex For Now!!! Dear Doctor, My boyfriend & I both had sex then I found out that I started having stomach pain. My navel began to pain me then to the left side of my tummy then below my chest region which resulted to vomiting, high body temperature & loss of weight. We used a condom. I am 19 while he is 22yrs old. What do you think is the cause of the mentioned symptoms above? How can I gain my weight back within a week? I've even thought of stopping to have sex completely so please your advice & prescription is highly needed urgently. Dear JFX, Listen JFX-- you asked for my advice-- so let me tell you the truth, the whole truth and nothing but the God-help-me truth-- YOU HAVE NO BUSINESS HAVING SEX-- AT ALL!! and, straight away, I can think of 5 things that can be responsible for your symptoms 1. is plain old fear-- anxiety neurosis, we call it. Fear of -- no, not pregnancy since you used condoms, but fear that you are too young to be having sex. This fear or anxiety is what is responsible for your subsequent resolve to go off sex. I mean If you were 29-- or even 19-- and finished all your studies--or even if not graduated yet-- but were married --and this problem occurred-- would you ever think of stopping to have sex? Not very likely!!! So, --like the ubiquitous new advert says, "sex is worth waiting for, so zip up!!!" 2.Endometriosis 3.PID-- (Pelvic Inflammatory Disease). Both these two will cause you to have pain with sex and the second one -- PID -- will make you have fever too; 4.Coincidental Peptic Ulcer symptoms 5.No Reason -- which is often a way of saying the reason is not in the physical or mental -- it is in the spiritual. Magun, for example is a spiritual principle whereby the partner to the magun- carrying partner begins to have symptoms that may culminate in death. In this case the magun would be on your boy-- and it could even be on you. The purpose of magun ("don't climb" --as in sex) -- is not to do it-- don't have sex ( with the magun carrier) -- which is still saying the same thing I was saying which you yourself seems to have apprehended already -- "Zip up; wait; don't". The summary? I agree with you. My prescription? Stop sex for now; okay? Cheers

Boils on the Genitals

Dear Doctor, I've been reading your responses to people's questions to regarding their health situation,I must say that I'm glad so far. Please doctor, for sometime now, I've been having some boils around my private parts --the groin to be specific. It appears like pimples.It's actually like pimple, because any time it's ripe, it does brings out some whitish substance like that of pimple. Please help me out. Expecting your reply through this medium if possible. Thanks. Yours Sege Dear Sege, Your question is very relevant because you find a lot of folks with the same concern--boils, pimples, bumps or some hard nodules or papules near, at or on their genitals. What could it be? The best approach is to ask yourself the question--what is the origin? Did it just begin or has it been coming and going for a long time? If it began a long while ago, how did it start--just after sex with a particular person--or what? Because --here is the first major distinction that will give you peace of mind--if it is a question of nonsexual contact at all then it is very likely to be nothing to write home about . General, non sex related causes of boils are bad hygiene and diabetes as well as kidney infection and generally lowered immunity. Then talking non sexually again you must understand that the genitals, like the armpits, the face the buttocks and some other parts of the body where skin lies on skin and there is likely to be friction contain a lot of oily glands;sweat glands and so on and are prone to have these boils--yes they are just ordinary boils--naturally. It is nothing to worry about.The hair follicle could get infected because the hair has grown inside on its itself --called ingrown hair follicle. It could also be a cyst --these ones tend to extrude some whitish or liquid stuff when pressed.They are inconsequential. Incidentally these boils are all likely to be caused by the ubiquitous germ --ever p[resent on the skin well known and referred to as Staphylococcus aureus--harmless really unless it gets deep into tissues like the prostate, brain, inner lining of the heart or lungs or causes food poisoning. Having said this I must warn that you always need to see a doctor to actually look see any skin problem because to assume could be deadly.Particularly if there is a recent history of sexual exposure you will need to rule out things like syphilitic chancre, genital warts, herpes and molluscum contagiosum; and Behcet's Syndrome and so on and so forth. These sexually transmitted or sexually associated conditions need to be thoroughly assessed by doctors trained to do so. If you stay in a capital or city or University town your best bet is to go and see a dermatologist at the University teaching hospital or Federal Medical Centre or even the General Hospital.There you will find dermatological evaluation which, really is the best for you Cheers