THURSDAY |AUGUST 28, 2008 | PHILIPPINES

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‘Having AIDS is like having a death sentence hanging over your head.’

Queries from readers


Is HIV/AIDS transmitted by kissing?

Experts say that HIV infection is not transmitted by kissing (as long as the mucus membrane is intact) or holding hands, or (intact) skin to skin contact, but mucous membrane contact with blood or body fluids of someone infected with HIV, unprotected sexual intercourse with AIDS victim can definitely transmit this deadly disease. The best behavior is to avoid partners that are at high risk of having HIV, but if this is not possible, use condoms. One must be cautious to make sure the condom is durable, intact and not have a hole in it. One could get the HIV infection even after only one, yes just one, sexual encounter. Remember, having AIDS is like having a death sentence hanging over your head.

Will repeated x-rays cause cancer?

No, this is not true. An annual chest x-ray will not cause cancer. The dose of radiation that one gets with a chest x-ray is so minimal, about 30 millirems, which is even less than the radiation exposure one gets from travelling by air (where you will be nearer the sun) for a 4-hour flight, say to another Asian country. The cut-off safety limit per year is 5000 millirems, which would be equivalent to about 166 chest x-ray exposures. A chest x-ray once a year, or even 20 such radiation exposures in a year, is safe. The basic rule is, of course, the lesser radiation the better, but if it is medically necessary, chest x-ray or other x-rays should be performed without worry.

Chest pains: Should I worry?

Chest pains could be due to a variety of causes, not necessarily coronary heart disease. However, if it happens fairly regularly, especially on exertion, and/or if you have a family history of heart disease, it is prudent for you to have a medical check-up and at least a Stress Test. Chest pains should never be ignored. In the United States, Chest Pain Clinics have sprouted if only to underscore the seriousness with which chest pains are considered. And this pays dividends in the form of early detection and lowering the mortality rate from coronary heart disease. If prevention has been neglected, early diagnosis is the next best thing to a better survival in almost all medical conditions.

Does salt increase risk for stroke?

Table salt, patis, soy sauce, bagoong, or anything salty, like salted fish or bacon or cured meat, when ingested, increases the sodium content in our body. This causes fluid retention (sodium attracts water), through various mechanisms in our body, and increases our blood/fluid volume. If you increase the volume in a system that already has a high pressure, it is easy to understand why the pressure gets up higher. The better choice for patients with hypertension is to use spices, instead of table salt, etc., (in cooking) to make food taste better. Staying away from salt and salty food will lead to a better controlled (treated) high blood pressure, and reduces the chances of developing complications like stroke.

What causes Honeymoon Cystitis?

If a couple just got married, the bladder infection would be what is popularly known as "honeymoon cystitis," where bladder infection had developed following foreplay and sex. Obviously, physical trauma and hygiene play a big role in this situation. This type of infection is common, even among those women, and rarely in men also, who have been married for sometime, with or without children. This is why we recommend that partners take a shower or a bath, wash their hands thoroughly, etc., before (and after) sex, and be reasonably gentle and not violent during the act. If the symptoms persist for more than a day, consult your physician, who will evaluate your condition and most likely prescribe the appropriate antibiotics for your urinary infection. Be careful because repeated infection could lead to more serious complications.

How does one avoid Sore Eyes?

Sore eyes (conjunctivitis) is an acute inflammation of the inner lining of the upper and lower eyelids, caused by adenoviruses, bacteria or allergy. They eyes becomes painful, burning, reddened and sticky with secretions. Conjunctival irritation with dust, smoke, wind and other air pollutants may be associated, or accompanying the presence of a common cold or measles. Avoidance of close contact with someone with sore eyes or touching any items touched by the patient, and maintaining good hygiene (washing hands often after contact) are most essential to minimize the chances of getting infected.

What causes Amebic Dysentery?

Amebiasis is disease caused by a protozoa, Entamoeba histolytica. It is usually asymptomatic but diarrhea, mild to severe, may occur. This disease is caused by poor hygiene where the food or water consumed is contaminated by human feces, either by unsanitary handling or direct contamination. Proper hand washing is most important. Since it tends to recur, stools should be re-examined one month, three months and six months after a full course of treatment. Serious complications of amebiasis could affect the liver, the brain, the lungs and other organs. If in doubt, consult your physician.

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