Yittz's Clinic!!

[Han Solo]

thanks han....its my right hand...so what do i do with it if it be one of those potential causes? i dun have pictures...its pretty much the same just that its slightly swollen...my left hand feels pain too but very much slighter than that of my right hand n it is not swollen...is it possible that one cause may be too much writing?

Couldn't be due to writing.

Since, i can't really diagnose it without seeing it, go see a doctor, and in the meantime take some anti-inflammatories such as indomethacin.

Han SOlo

[big master]

Couldn't be due to writing.

Since, i can't really diagnose it without seeing it, go see a doctor, and in the meantime take some anti-inflammatories such as indomethacin.

Han SOlo

i wish i cud show u a pic but got no devices for it thanks han, its really cool of u to be of help...im going to see a doctor today..skipped work..

[big master]

han, i went to see the dr today n he advised me to have a blood test coz his assumptions are either uric acid or if not, i may have sprained it unconciously....he gave me painrelivers like u said thanks pal

[Suet Seung]

How much food should be given to little kids?
Obviously adults have different appetites and amounts/portion they should eat. Sometimes I think adults don't know how much kids should eat before its too much and they're over fed and sometimes they're not fed enough that they get anorexic. So what's the proper portion for kids? Any idea, Han?

[duguxiaojing]

Hello Doctor Han,

I had another question. I have a bump under my left ear, kinda just above my jaw line. It dosent really bother me, but is it something I should get checked out right away? or would it be cool if I waited(say a bit over 3 weeks when my exams are over)?

Oh, just wanted 2 add that I noticed it about 3 weeks ago and its still kinda there..you cant see it, but I can feel it with my hand.

[yittz]

Is it painful? How big is the lump? Do you feel unwell?

Does it affect your exam performance? ()

[HuangYushi]

Han, I hope you don't mind if I answer this question.

How much food should be given to little kids?
Obviously adults have different appetites and amounts/portion they should eat. Sometimes I think adults don't know how much kids should eat before its too much and they're over fed and sometimes they're not fed enough that they get anorexic. So what's the proper portion for kids? Any idea, Han?

SS: Some resources which I used in a course that I attended a couple years ago on nutrition for kids.

1. A summary of food groups/types and portion sizes for infants and kids up to 12 years old.
2. Building Blocks for Fun and Healthy Meals, the almost-full online version of the document from which item #1 came from.
3. Menu Magic for Children (something quick and fun).

These will probably answer most, if not all, of your questions on portion sizes for kids. But portion sizes are not the only factor when it comes to overfed/overweight or underfed/anorexic kids. The types of food eaten (or not eaten) and the regularity of meals play important roles too.

HYS

[LuNaR]

hey dr han, quick question... is chewing gum bad? cause i heard they made gum with oil and stuff

[Han Solo]

hey dr han, quick question... is chewing gum bad? cause i heard they made gum with oil and stuff

Quick search at Pubmed using the terms of chewing gum, and then chewing gum and adverse effects.

Good
1) Chewing of gum following meals protects the teeth from dimineralisation, and also protects your gum
2) Chewing gums reduces apetite for sweets and snacks
3) Chewing gums may increase your sense of alertness, and decrease your sense of sleepiness.
4) Chewing gums may decrease post-operative ileus.


Bad
1) Chewing gum should not be advised in post-tonsillectomy patients as it increases pain (duh!) and delay resumption of normal oral intake.
2) One case report from 1978 in which a sorbitol containing chewing gum may be responsible for a case of prolonged diarrhoea.

Inconclusive
1) Chewing gums may or may not help context-dependent memory strategies.

Han Solo

[Suet Seung]

Quick search at Pubmed using the terms of chewing gum, and then chewing gum and adverse effects.

Good
1) Chewing of gum following meals protects the teeth from dimineralisation, and also protects your gum
2) Chewing gums reduces apetite for sweets and snacks
3) Chewing gums may increase your sense of alertness, and decrease your sense of sleepiness.
4) Chewing gums may decrease post-operative ileus.


Bad
1) Chewing gum should not be advised in post-tonsillectomy patients as it increases pain (duh!) and delay resumption of normal oral intake.
2) One case report from 1978 in which a sorbitol containing chewing gum may be responsible for a case of prolonged diarrhoea.

Inconclusive
1) Chewing gums may or may not help context-dependent memory strategies.

Han Solo

What happens if someone swallows their chewing gum, what happens to the gum or how does it get digested in your system?

[duguxiaojing]

RE:Yittz

hmmm answering questions in order..., does not hurt, the bump is a bit smaller then the size of my thumb, I feel great as of Apr 02, 2007 4:11 mountain time, and no effect on exam performance so far(I do bad with our without the bump =P).

[yittz]

Most lumps are harmless, I can't be sure lol. Probably best to wait to wait for Han Solo's answer.

Is it getting bigger? And what is the consistency of the node - what does it feel like ie liquid filled? hard/soft? rubbery?

If you do bad w/wo the bump, I am sure going to the doc won't change the outcome either

[spyefox]

What happens if someone swallows their chewing gum, what happens to the gum or how does it get digested in your system?

I did swallow chewing gum some years ago and I am still alive today. So don't worry about it

p/s. i did panic then but after a few days, nothing happened. Since then, I rarely chew gums anymore.

[Aphraeleiss]

Chewing gums may decrease post-operative ileus.

Ah, but the sample size was only 15 or something, so they kinda threw it out the window.

[Han Solo]

Ah, but the sample size was only 15 or something, so they kinda threw it out the window.

15 is a lot for surgical trials.

Some of them have not even heard of RCT yet.

Han Solo

[Han Solo]

Most lumps are harmless, I can't be sure lol. Probably best to wait to wait for Han Solo's answer.

Is it getting bigger? And what is the consistency of the node - what does it feel like ie liquid filled? hard/soft? rubbery?

If you do bad w/wo the bump, I am sure going to the doc won't change the outcome either

Yittz what is your differentials?

Han Solo

[yittz]

Yittz what is your differentials?

Han Solo

It's gonna be embarrassing in front of you two, give it a go anyways.

Benign cyst/mass

Infections (nodes not painful though, and no systemic signs)

Primary lymph node malignancy (unlikely)
Lymphoma
CLL

Secondary malignancy (very unlikely)
Whatever that spreads there - lung, throat?

And my favourite - idiopathic enlargement of lymph nodes associated with pre-exam syndrome

I would like to know if it's getting bigger, the consistency of the enlargement, any other enlargement of nodes elsewhere. And probably observe for a while before doing any tests (I guess an FBC wouldn't hurt and screen for infections, but no nodal excision).

[soccerfeva]

Hi Han, I wanna ask you something.

Is there any difference between the olive oil we use for cooking and the olive oil ear drops for the ear? So can I use the olive oil we use for cooking as ear drops for the ear?

[Han Solo]

It's gonna be embarrassing in front of you two, give it a go anyways.

Benign cyst/mass

Infections (nodes not painful though, and no systemic signs)

Primary lymph node malignancy (unlikely)
Lymphoma
CLL

Secondary malignancy (very unlikely)
Whatever that spreads there - lung, throat?

And my favourite - idiopathic enlargement of lymph nodes associated with pre-exam syndrome

I would like to know if it's getting bigger, the consistency of the enlargement, any other enlargement of nodes elsewhere. And probably observe for a while before doing any tests (I guess an FBC wouldn't hurt and screen for infections, but no nodal excision).

Duguxioxing,

whatever you have, if it is ok now, then it's bound to be harmless.

Yittz,

1) The location that duguxiaojing describes is under the left ear, and above the jaw line. - which triangle of the neck is that? and what anatomical structure can reasonably cause such a lump?

2) The differentials that you gave presumes that it is a lymph node. What are the characteristics that you will use to distinguish a lymph node versus other lumps and bumps?

3) quick note on infection and lymph nodes- you can get reactive lymph nodes in a viral infection and this is not tender to touch. Also with infection, you forgot about the possibilities of mycobacterium.....

Trying to get yittz to do my work,
Han SOlo

[Han Solo]

Hi Han, I wanna ask you something.

Is there any difference between the olive oil we use for cooking and the olive oil ear drops for the ear? So can I use the olive oil we use for cooking as ear drops for the ear?

Should be the same.

HAn SOlo