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Stabroek News



Doctor's advice - Lonely and depressed
published: Saturday | June 14, 2008

  • Q. I am a troubled young woman desperately seeking your help. I believe I may be depressed. For a long time now, I have lost interest in socialising with my friends and partaking in activities with the rest of the world. I have a whole page of regrets in my life. That is what is making me so sad and lonely. I am also drinking far too much.

    A. I am really sorry to hear about this. From the general tone of your sad email, I believe there is little doubt that you are seriously depressed.

    That is very common in young people. It is caused from an imbalance of chemicals in the brain. Please note that alcohol can worsen this imbalance!

    I urge you to see a doctor. Do not delay. The doctor will almost certainly put you on antidepressant medication for a while.

    Although there has recently been some criticism of these drugs, the fact is that when young persons are depressed, a short course of antidepressants can often lift them out of misery.

    I hope the doc will also put you in touch with a counsellor, who can aid you to review your life and approach life positively.

    Don't despair. I am sure you can be helped. Do not take any sudden decisions in the next few weeks (apart from deciding to go to the doctor, of course). One should never make an important decision when depressed. Good luck.

  • Q. I am a young guy who has been suffering from muscle pain and weakness for the past two years. I also suffer from coughing, bringing up mucus regularly. Do you know what the problem is?

    A. One thing that's obvious is that you have something wrong with your lungs. A young guy should NOT be coughing up mucus like this.

    Are you a smoker? If so, then please stop! I think you should go to a doc soon. Depending on what the physician finds, the doctor may want you to take an X-ray.

  • Q. I am 16, and I never eat fruit. Is this OK?

    A. No, it is unwise! If you do not eat any fruit at all, you will not get enough vitamin C and other nutrients. There is a lot to be said for the idea that everyone should have around FIVE portions of fruit a day. Try it now! After all, fruit is not exactly bad-tasting, is it?

  • Q. I am a 17-year-old girl and sometimes I put in two tampons at the same time to stem the flow. Is this OK, Doc?

    A. Not really. Women who have to 'use' two tampons at once are invariably bleeding more than they should. This heavy flow will probably give you anaemia. Let your doctor examine you. He or she will tell you whether you are already anaemic and will advise you on lessening the menstrual flow.

  • Q. I got kicked in the scrotum last week, playing football. It looks like I might lose a testicle. A friend has told me that I could get a new one. But would it work as good as the old one?

    A. Well, let us hope that you will not lose your testicle. If you do, surgeons would be able to insert a false one for you, if you wish. However, this replacement testicle would not actually work. It is just a plastic thing that is there to make it seem like you have two testicles in your scrotum. Nevertheless, the good news is that your uninjured testicle will almost certainly take over the work of the missing one. So you should still be able to have sex, and you should be able to be a babyfather.

  • Q. Since this year, I have put on 10 pounds. Everywhere I go, people keep calling me fat. In fact, a guy who saw me buying food told me to stop eating and go on a diet - because I am too fat. Doc, I would like to know how to stop gaining weight and lose belly fat. I need your help before it begins to depress me.

    A. Sorry to hear about this. One thing you need to do is to rule out any physical cause for your sudden weight gain. So you should go to a doc, and ask the pysician to check you for thyroid trouble. This is because a hyperactive thyroid gland quite often makes people put on weight.

    However, I must say the odds are that the guy who spoke to you in the food shop was right. Most people who put on weight do so because they are eating too much and taking too little exercise. When you see the doc, ask her for a strict diet sheet, and also for advice about regular daily exercise.

  • Q. How many times should a guy shave per day? My new boyfriend has to shave four times for the day, and I have never encountered anything like that before.

    A. It doesn't matter how many times per day a guy shaves. Some men only need to shave around once per week. Others, like your new boyfriend, do it four times a day. There is a link between beard growth and the output of testosterone hormone. So the likelihood is that your boyfriend's body generates a lot of that male hormone.

  • Q. Doctor, my clitoris seems to be slightly hidden under a small 'hood' of pink flesh. Is this normal?

    A. Yes, indeed. The clitoris is slightly shielded by a little fold, which is the equivalent of the male foreskin. When a women gets sexually excited, the hood goes back a little, and the clitoris emerges a few millimetres.

  • Q. I disagree with the information you gave to a young man with phimosis (a tight foreskin). Instead of having a circumcision, he could correct his phimosis by retracting the foreskin as far as painlessly possible, each time he toilets and each time he bathes. This will gently stretch the opening in the foreskin over a period of time.

    In the three or four cases of men, who I have helped with this condition, all reported success - and no circumcision was necessary.

    A. Thank you for that. I have received a couple of emails from the US on this subject. That's not surprising ‹ because the operation of circumcision is still used far too often in America. A lot of guys are understandably resentful about being circumcised unnecessarily. I would just repeat that fairly recent research work in Cambridge, England, suggests that putting a tiny amount of hydrocortisone cream on the foreskin - under a doc's supervision - can help it to stretch.

    Email your questions to editor@gleanerjm.com or fax 922-6223, Attention Doctor's Advice.

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