Dear Doctor Reno
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sumtimes if pain is too much to handle, can consider pills/painkillers. u feel cold cos u jus recovered rite? body regulatin mechanisms thing..Originally posted by starblue:erm... excluding pills (i dun take them lah), wad are the more effective things i can do ah??? warm packs sometimes work only... other times, the pain goes on like they are bent on killing you....
and also, i will also feel exceptionally cold during those days.. why ah???
but for more info n detailed explanation, ask doctor
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my mum got make dang gui for me, suposed to boost the female's immunity system to prepare for The Week. but urk... it tastes so..... revolting. aiya, i dunno lah.. i've sort of ren ming already, just taking it everytime it comes... and besides, i can ming zhen yan shun de skip church also... haha...Originally posted by rainee:I will usually hold hot bottle against my tummy, or I will lie down if the pain is extremely bad...
Or you can eat the Chinese medicine which is supposed to help menstruation one... -
Prostagladins (a bodily chemical) are the main cause for the symptoms of dysmenorrhea (painful menstruation). These are produced by the body and found in the uterine lining (also present in gastric mucosa).Originally posted by starblue:erm... excluding pills (i dun take them lah), wad are the more effective things i can do ah??? warm packs sometimes work only... other times, the pain goes on like they are bent on killing you....
and also, i will also feel exceptionally cold during those days.. why ah???
When the lining (the endometrial wall) starts to shed with menstruation, they follow suit and get released. They then cause the uterus (muscular layers responding to prostaglandins) to contract forcefully, which is the reason for much of the cramping itself.
The prostaglandins also cause vasodilatation. The blood vessels expand, so the blood gets pooled up and remain stationary instead of circulating. This leads to pelvic congestion (blood pooling in the pelvis) and this itself causes discomfort and heaviness.
It may also cause a decline in the blood pressure and therefore, the reason you feel cold, clammy and lightheaded is because of diversion of the blood.
In some women, it also causes contraction and spasm of the smooth muscle of the gastro-intestinal tract. This leads to nausea, vomiting and diarrhea. -
cooked and eat with chicken drumstick, wun taste so badOriginally posted by starblue:my mum got make dang gui for me, suposed to boost the female's immunity system to prepare for The Week. but urk... it tastes so..... revolting. aiya, i dunno lah.. i've sort of ren ming already, just taking it everytime it comes... and besides, i can ming zhen yan shun de skip church also... haha...
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oh yah.. talking about being cold.. my fingers and toes are usually very cold in air con rooms.. it is due to a lower than usualy blood pressure right? how do you correct it???
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Functions of prostaglandins in the body
There are many types of prostaglandins, in labor PGE1, in abortion or contraction of the uterus to arrest postpartum hemorrhage - PGF2a and many more lar...
They have wide and varied functions... but here are some:-
Activation of the inflammatory response, production of pain, and fever. When tissues are damaged, white blood cells flood to the site to try to minimize tissue destruction. Prostaglandins are produced as a result.
Blood clots form when a blood vessel is damaged. A type of prostaglandin called thromboxane stimulates constriction and clotting of platelets. Conversely, PGI2, is produced to have the opposite effect on the walls of blood vessels where clots should not be forming.
Certain prostaglandins are involved with the induction of labor and other reproductive processes. PGE2 causes uterine contractions and has been used to induce labor.
Prostaglandins are involved in several other organs such as the gastrointestinal tract (inhibit acid synthesis and increase secretion of protective mucus), increase blood flow in kidneys, and leukotriens promote constriction of bronchi associated with asthma.
The one highlighted in italic form explains why NSAIDs causes gastritis... -
erm.. dear Dr reno ah.. i know about prostaglandins lah....
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replying for e acne post:
for e facial cleanser horz..i tried 'clean n clear' before, but i got break out after tat...'simple', made my skin itch...(only gave me complications! =p) 'neutrogena' its v drying..really those squeaky clean...din like it..currently using cetaphil oily skin cleanser..but its damn ex lik some 25bucks per 125ml bottle..then not available anywhere..have to see doc for it..
topical i using dalacin-T...both tis n e retin A....after awhile, got immuned le..then not tat useful already..so i have to stop n wait for a mth before i start using again..(meanwhile all e commodones n blackheads get clogged up already) plus..freckles form v easily when i m under e sun..not taking any oral retinoids..cos of e fear of liver probs..
anyway, my acne has gone down already (due to hormonal imbalance..tat time was exam period..i jus lost my cool) ..but now i have some scar tissue..dunno how to get rid of it..its lik those scars where u fall on ur knees, n recover with white tissue...think its called keloids or something..
i wash twice daily, sometimes even 3x...but no use lehz..skin too oily le..within 2hrs can shine face already =p sigh...i scrub using a facial brush, but not when i had acne or sunburns...anyway e prob now is: jus cant find something to control e oil... -
No... this is not due to low blood pressure... this is called Raynaud's Phenomenon, assuming that your fingernails turns bluish as well, and then upon coming out from the air conditioned room and outside to a warm environment, it returns to normal...Originally posted by starblue:oh yah.. talking about being cold.. my fingers and toes are usually very cold in air con rooms.. it is due to a lower than usualy blood pressure right? how do you correct it???
Females are more prone in getting this and it is particularly prone to occur in places where the blood vessels are tiny. They blood vessels are sensitive to a change in environment, hence it goes into vasospasm and causing lack of blood perfusion to the distal part of the fingers and toes, leading to coolness, numbness and even bluish in color.
There is no treatment to give if it is not causing any discomfort. -
Ok... for your case, it's highlighted in bold... in case you were wondering why prostaglandins have anything to do with contraction pains...Originally posted by starblue:erm.. dear Dr reno ah.. i know about prostaglandins lah.... 
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i had to take a really strong type of pain killers called vicodin, which can also be substituted for hydrocodone. this was due to a minor knee op, and it just starts hurting to bad at night, probably due to the pressure change. it hurt so bad at night i couldnt sleep at all for nights in a row until i gave up and decided to get pain killers from the doc.Originally posted by alexkusu:Actually I take i take ibuprofen for headaches..under the name Nurofen since i find panadeine n aspirin quite weak. -
I think you are suffering from one of those conditions called seborrhoeic dermatitis where oil forms rapidly under a hot weather condition... there is a treatment for it, but you have to see a dermatology for the special treatment...Originally posted by alfagal:anyway e prob now is: jus cant find something to control e oil...
I may not be right with the diagnosis, but from your history, it sounds like that, I have a friend who has it, but the medication he has is just suffice to control his symptoms when the breakout happens... -
erm.. no, my fingers are bright red... lots of blood comes up to the capillaries and jsut stay there dumbly and lets the heat out... the body is supposed to constrict your capillaries entering the capillary beds so that less blood flows to the surface to reduce heat loss.. but mine does the opposite and that is why i wondered if it is due to low blood pressure...Originally posted by renorenal:No... this is not due to low blood pressure... this is called Raynaud's Phenomenon, assuming that your fingernails turns bluish as well, and then upon coming out from the air conditioned room and outside to a warm environment, it returns to normal...
Females are more prone in getting this and it is particularly prone to occur in places where the blood vessels are tiny. They blood vessels are sensitive to a change in environment, hence it goes into vasospasm and causing lack of blood perfusion to the distal part of the fingers and toes, leading to coolness, numbness and even bluish in color.
There is no treatment to give if it is not causing any discomfort. -
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yeah..but comes money prob..spent over 1K to slove my acne from last yr...Originally posted by renorenal:I think you are suffering from one of those conditions called seborrhoeic dermatitis where oil forms rapidly under a hot weather condition... there is a treatment for it, but you have to see a dermatology for the special treatment...
I may not be right with the diagnosis, but from your history, it sounds like that, I have a friend who has it, but the medication he has is just suffice to control his symptoms when the breakout happens...
guess i m jus one of e unlucky ones w bad genes..
yes..my skin is nv oily when i got overseas w cold climate.. -
Hmm... there is no pain at all?Originally posted by starblue:erm.. no, my fingers are bright red... lots of blood comes up to the capillaries and jsut stay there dumbly and lets the heat out... the body is supposed to constrict your capillaries entering the capillary beds so that less blood flows to the surface to reduce heat loss.. but mine does the opposite and that is why i wondered if it is due to low blood pressure...
I don't think it has anything to do with alterations in the blood pressure...
The fact about capillaries that you have explained is correct, but the thing is the capillaries in the fingers are substituted by endarteries (blood vessel with no endings), so it's characteristics may not be similar to those of the capillaries...
Tell me more about this symptoms... -
yea, I think my skin used to be quite oily back home, but when I come over here, it got reduced a lot...Originally posted by alfagal:yeah..but comes money prob..spent over 1K to slove my acne from last yr...
guess i m jus one of e unlucky ones w bad genes..
yes..my skin is nv oily when i got overseas w cold climate.. -
You went to a dermatologist to sought out treatment for your acne or GP?Originally posted by alfagal:yeah..but comes money prob..spent over 1K to slove my acne from last yr...
guess i m jus one of e unlucky ones w bad genes..
yes..my skin is nv oily when i got overseas w cold climate.. -
went to Gp first, but it got worst..cos i think e doxycyline wasnt strong enough..it got out of control le..then after that when i finished my exams i went to derm..(2 weeks in between)Originally posted by renorenal:You went to a dermatologist to sought out treatment for your acne or GP? -
Problem with skin disorders is that it is chronic and management of it costs a lot of money and a lot of time as well...Originally posted by alfagal:went to Gp first, but it got worst..cos i think e doxycyline wasnt strong enough..it got out of control le..then after that when i finished my exams i went to derm..(2 weeks in between)
Follow ups and compliance on the medication (be it tropical or oral) can be a hussle at times... -
my fingers just get super cold super quickly... (indeed, i often grab my friends arms and make them jump from their seats. lolz) and no matter what i do (rubbing hands together, drink warm drink, hot onto to warm water bottle etc), they get cold very soon after... and it's only at the finger tips(last segment), the palm not so cold... my toes the same thing....Originally posted by renorenal:Hmm... there is no pain at all?
I don't think it has anything to do with alterations in the blood pressure...
The fact about capillaries that you have explained is correct, but the thing is the capillaries in the fingers are substituted by endarteries (blood vessel with no endings), so it's characteristics may not be similar to those of the capillaries...
Tell me more about this symptoms...
i've consulted other doctor friends and biologists. they all gave me diff answers also lah.. but the most common one is low blood pressure (i think i have lah).... but i also not sure how low the blood pressure must get to before this happens.. cos cannot be most females have low blood pressure mah...
my blood pressure is about 55/90 the last time i measured it... -
90/55 mmHg is pretty low... well... cold is detected by the nerve endings in the skin and what happens is that the blood vessels will tend to counteract this by preserving more heat with vasoconstriction, the blood vessels in the fingers and toes are super-sensitive towards this change in temperature... But by implying vasoconstriction, that means your fingers would be pale... Yours being reddish means it is vasodilating...Originally posted by starblue:my fingers just get super cold super quickly... (indeed, i often grab my friends arms and make them jump from their seats. lolz) and no matter what i do (rubbing hands together, drink warm drink, hot onto to warm water bottle etc), they get cold very soon after... and it's only at the finger tips(last segment), the palm not so cold... my toes the same thing....
i've consulted other doctor friends and biologists. they all gave me diff answers also lah.. but the most common one is low blood pressure (i think i have lah).... but i also not sure how low the blood pressure must get to before this happens.. cos cannot be most females have low blood pressure mah...
my blood pressure is about 55/90 the last time i measured it...
So my next question would be:-
Is there anyone in your family who is having the same problem? -
exactly!! that is why i think it is low blood pressure mah.. the restricted blood flowing into the finger tips are slow in flowing back into the veins mah.... that is why the fingers are red... -_-" trust my body to mix things up.Originally posted by renorenal:90/55 mmHg is pretty low... well... cold is detected by the nerve endings in the skin and what happens is that the blood vessels will tend to counteract this by preserving more heat with vasoconstriction, the blood vessels in the fingers and toes are super-sensitive towards this change in temperature... But by implying vasoconstriction, that means your fingers would be pale... Yours being reddish means it is vasodilating...
So my next question would be:-
Is there anyone in your family who is having the same problem?
my cousin has a serious sweaty palms problem, so serious until ah, in the air con room, you can see the droplets starting to collect and can drip on loh.
but i guess that is not the same as mine lah... i have slight sweaty palms only... and the sweat only comes out when i rub my palms 9cos of the cold)...
but somehow, maybe the sweat evaporating from my fingers is also making them cold lah.. aiya, i dunno lah.. there are so many answers i got now i am confused...
the cold fingers wun kill me lah. but their mobilty is greatly reduced when they are cold mah... cannot even concentrate on the lecture cos have to keep putting my hands under my thigh to keep them warm... super irritating... -
oh, and the 55/90 bp is taken one week after my menses.. my bp always drops in that week following that.... other times it should be 60/100....
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Are you also having symptoms of
Palpitations
Shortness of breath
Eye symptoms (Blurring of vision)
Tremors
Easily irritable
Hot-tempered
Increased appetite / Decreased appetite
Poor weight gain or Increased weight gain
Difficulty in swallowing
Changes in voice
Slowing in movement
Feeling lethargic most of the time
Depressed / Low mood
No motivation
Diarrhea / Constipation
Increase / Decrease sexual desires
Irregular menstruation or heavy flow or spotting of blood per vaginum
Muscle wasting or accumulation of yellowish deposits over the lower limbs
Any difficulty getting up from a crouched position