text:
Feminal capsules are a natural remedy containing red clover dry
extract. The active ingredient of the extract are phytohormones,
substances of plant origin with effects similar to estrogen, thus
reducing menopause problems (sweating, hot flushes, tension,
insomnia, etc.)
Since the use of hormones can have a negative impact on your base
condition, lupus, we think you should also avoid the plant
hormones, i.e. phytohormones.
Although phytohormones have a milder effect than synthetic
hormones, their effect on lupus patients has not been researched,
so we cannot guarantee its safe use in your case.
Best regards,
JGL Counseling
Dear Madam,
after the treatment with antibiotics and Lactogyn capsules, it
is recommended to continue with the use of Lactogyn peroral
capsules 1x1 for another 2-3 weeks.
Like you mentioned, the recovery and stabilisation of vaginal flora
takes a certain amount of time.
Lactogyn capsules can be taken for preventative purposes, 1x1
during 4 weeks, and discontinued when you are not experiencing
symptoms. In case of discomfort, tingling, dryness, etc., you can
repeat the probiotic treatment several times a year.
The balance of vaginal flora is affected by bacterial and viral
infections (diagnosed by the gynaecologist), as well as by stress,
unhealthy diet, inadequate intimate hygiene soap, tight
We recommend using Lactogyn soap (with lactic acid, calendula and
chamomile) for your intimate hygiene.
Best regards,
JGL Counseling
premenstrual syndrome or PMS is very common, however, its
unclear cause has led to a wide range of advice for the treatment
or alleviation of symptoms.
PMS is often connected with stress (within family, in the workplace
or society in general), which is why the first step is reducing the
impact of stress. This can be accomplished through meditation,
yoga, exercise, massage or quick walking (calming and relaxing
It is necessary to pay attention to the diet, seeing as research
has discovered a negative impact of certain foods on PMS
(chocolate, caffeine, sodas, candy, pastries, baked goods, hard
cheese, milk, ice cream, red meat, alcohol, salty snacks). It is
interesting that women with severe PMS symptoms crave these
particular products.
Meals should be regular, more frequent, smaller and healthy, which
will maintain the blood glucose level, as a precondition for
hormone stability. On the other hand, unhealthy meals such as candy
cause a sudden increase of blood glucose levels and sudden insulin
release, followed by a rapid decrease of blood sugar leading to
unwanted symptoms (hunger, weakness, confusion, headache,
Cow milk can be replaced by soy, rice or oat milk.
Daily diet should include grains, fruits and vegetables.
We recommend eating foods that contain tryptophan, an amino acid
known for its beneficial effect on mood: oatmeal, bananas, fish,
sesame, chickpea, sunflower and pumpkin seeds and poultry
(particularly turkey).
It is also useful to include foods rich in iron (liver, tuna,
oysters, soy, pumpkin, oats, peas, yeast, figs, spinach) and zinc
(clams, crabs, turkey, tuna, organ meats, brewer's yeast, soy,
pumpkin seeds, peas).
We recommend the following food supplements: calcium citrate with
magnesium, ginkgo biloba (our Ginkalin capsules), Mega Omega 3
capsules 1x1 for 3 months.
If your symptoms are not reduced, we suggest that you contact your
gynaecologist, who can recommend birth control pills for the
regulation of your menstrual cycle and the alleviation of
Since your wedding date is still relatively far away, your cycle
can move on its own, which would make postponing of your period
unnecessary. We recommend that you contact your gynaecologist with
regard to this issue in the beginning of August.
Best regards,
It is estimated that Helicobacter pylori affects around 80% of
people, however, it only causes health issues (excess acid,
gastritis, peptic ulcers, pain, weight loss, nausea, etc.) in
certain people.
It is necessary to stop smoking and drinking alcohol,
and a healthy diet can help reduce the symptoms. Meals should be
smaller and taken more frequently and regularly, and processed food
(dried meat products, pastries, fresh bread, milk, black coffee,
chocolate, sugar, candy, sodas, canned food, processed soups,
sauces, etc.) should be excluded from the diet.
It is recommended to eat cooked vegetables and meat, fish, rice,
apple compote. Fresh fruits and vegetables should be avoided for
the duration of the symptoms. If the symptoms improve, your son can
try eating ripe fruits after a meal - never on an empty
Which vegetables to eat? Unfortunately, there is no ideal diet
suitable for all patients. Each person should write a food diary
and create a list of foods that he or she can tolerate based on
personal experience.
Food should be chewed for a while in order to soften and mix with
saliva, so that it is tolerated better in the stomach. Hot and cold
food should be avoided; medium food temperatures are advised.
We recommend the following teas for your son: chamomile, mint,
yarrow, fennel, thyme.
If a healthy diet does not alleviate your son's problems, he should
contact a doctor.
Best regards,
you should continue treatment with Canesten 3 cream for vaginal
candidiasis like your gynaecologist recommended.
You should also continue treatment with Lactogyn oral capsules,
2x1 in the first week, and 1x1 for the next 3 weeks. The
stabilisation of vaginal flora and the settlement of useful
probiotics which act against fungi and bacteria take a certain
amount of time.
We advise you not to eat candy, pastries, fresh bread, hard
cheeses or processed meat during treatment, because these products
stimulate candida growth. You can treat yourself to these foods
occasionally after the treatment, however, you should try to eat as
healthy as possible.
Best regards,
unfortunately, infection with the herpes virus is chronic and
lifelong. Once the virus enters the body (through the infected skin
or mucosa), it stays dormant in the ganglions which are connected
to the sensory nerves on the skin surface. This is the why the
first symptom manifests as tingling and itching.
The latent virus waits for suitable conditions to break out and
cause acute symptoms. Its reactivation can be caused by fatigue,
low temperatures, as well as sun exposure, wind, viral infections,
menstruation (hormonal changes), loss of immunity and stress.
Therefore, a lot of circumstances help its outbreak.
For prevention purposes, we advise immediate reaction to even the
smallest of symptoms and the use of acyclovir ointment on the
infected place (in your case, the upper lip) every hour. You should
use cotton swabs (ear buds) for application to prevent the transfer
of viruses on your fingers and the ointment. Make sure not to
transfer the virus on other places when washing your face. During
the acute phase, we recommend using only damp cotton wools. It is a
good idea to apply lip balm with UV protection during increased UV
radiation. Paying attention to your diet and eating a lot of fruit
and vegetables is certainly beneficial. However, you should not
drink lemon juice on an empty stomach because it can irritate the
gastric mucosa.
From our range of products we recommend Mega Omega 3, which has a
beneficial effect on inflammatory conditions, resilience and skin
changes. Take 1 capsule after lunch during 3 months.
Best regards,
Recently we have launched our new product Aqua Maris ectoine
spray, a natural product without preservatives, which is very
important for people suffering from allergies. Preservatives
additionally irritate the nasal mucosa already damaged by the
allergens. Aqua Maris ectoine spray contains two active components:
ectoine which coats the mucosa in nasal airways and prevents the
direct contact of antigens with cell membranes, thus reducing the
allergic reaction, and seawater which reduces the swelling of the
mucosa and clears the nose passage. In addition, sea water contains
microelements which recover the mucous epithelium and accelerate
its recovery. The Aqua Maris Ektoin spray can be used on its own
for therapy and prevention. This spring it will have a therapeutic
influence on your husband, seeing as the allergic reaction has
already occurred, but next year he can take it for prevention, i.e.
prior to the bloom and the symptoms of allergic rhinitis. If your
husband uses antihistamines or corticosteroids, he can use the Aqua
Maris ectoine spray to help reduce discomfort and accelerate
recovery in a natural way. Aqua Maris ectoine spray should be
sprayed into each nostril 15 minutes after taking the standard,
prescribed treatment. It can be combined with our Meralys spray
0.1% (which contains sea water in addition to the drug
xylometazoline), by spraying Meralys spray two times daily every 12
hours, followed after 15 minutes by spraying the Aqua Maris ectoine
spray, which can also be used throughout the day.
Meralys spray is used for 5 days, and Aqua Maris Ektoin can be used
throughout the allergy season for therapy and prevention.
Furthermore, patients with allergies can use Aqua Maris irrigation
system for the nose and sinuses (the system and preservative-free
salt sachets are enriched with myrtle and immortelle oils). The
system is used to rinse out the allergens from the nasal airways,
preferably 2-3 times a week (in the evening, before bedtime), which
helps reduce allergic reactions. For patients who do not wish to
irrigate their nose with this system, we recommend Aqua Maris nasal
spray, 100 ml which can be carried in a pocket or a purse and
sprayed into both nostrils throughout the day, followed by blowing
the nose completely. Prior to standard treatment and Aqua Maris
ectoine treatment we recommend cleaning the nose, so that the
therapeutic substances can remain on the nasal mucosa as long as
Best regards,
JGL Counseling
We do not have free samples of probiotics seeing as they have to
be kept in a refrigerator until use, which makes their storage more
difficult. Besides, all probiotics have a positive influence,
regardless of their kind (Prolife, Normia, Lactogyn). They should
be taken for a specific period of time in order to notice an
effect. You should ask the pharmacist for advice or contact
us at email@example.com regarding your current difficulties in
order to choose the best probiotic for you.
Each probiotic has certain indications (conditions for which it is
recommended) and instructions for use.
Best regards,
JGL Counseling
The thyroid is a very important gland that affects the
metabolism (exchange of substances in the body) and has a large
influence on fertility and the proper course of pregnancy (possible
cause of miscarriages). Hypothyroidism signifies that the thyroid
has a reduced function, for which you have received hormone
replacement. Hormone checks are required regularly in order to
determine if your Euthyrox dose is adequate.
We recommended regular physical activity, with the aim of speeding
up the metabolism, and a healthy diet (fruit, vegetables, fish,
whole grains, poultry, legumes and beans) rich in fibers to help
improve digestion. Foods with the most beneficial effect on the
thyroid that should be consumed often include carrots, spinach,
apricots, asparagus, olive oil, avocado, sunflower seeds, whole
grains, bananas and fish oil.
Foods which impede iodine absorption, and should therefore be eaten
only 2-3x a week, include cabbage, kale, broccoli, mustard, lima
beans, flax seeds, sweet potatoes, peanuts and soy products.
Caffeine and theine drinks (coffee, coca-cola, black tea) should
also be avoided because they affect the normal thyroid function.
Alcohol and tobacco also affect the thyroid negatively. Physical
activity (quick walking, exercise, swimming etc.) reduces stress
and has a beneficial impact on the thyroid function. It is a good
idea to increase the daily intake of water in order to improve the
secretion of toxins. Taking medication regularly, physical
activity, stress reduction and a healthy diet can improve the
thyroid function and ultimately help you to conceive.
Best regards,
JGL Counseling
In addition to the treatment of the sensitive skin of your face,
you can use Holyplant vitamin E+ concentrate, 15 ml on the scar on
your stomach by applying it and massaging it in gently. Use
Holyplant almond oil on the rest of your body. The C-section scar
will eventually change (become softer and fade). You can use
Holyplant almond oil (in spray or bottle) on your whole body
(stomach, breasts and thighs), seeing as it is also enriched with
vitamin E. Regular application will make the skin soft, smooth and
In addition to the local treatment of skin we also recommend
everyday physical activity (quick walking, exercises for abdominal
muscles) which will accelerate the strengthening of the entire
abdominal wall.
Best regards,
JGL Counseling
If you are experiencing an infection and secretion, we recommend
performing a gynaecological exam in order to establish the cause of
the infection (fungi, bacteria). Your gynaecologist will recommend
a treatment (vaginal tablets or vaginal cream). If you have a
strong infection, in addition to the vaginal antibiotics or
mycotics, you should take one Lactogyn vaginal capsule daily (1x1)
for 7 days, and two Lactogyn oral capsules daily (2x1) for 7 days,
followed by only one Lactogyn oral capsule daily (1x1) for 3 more
weeks. Probiotic treatment (with Lactogyn) will therefore last 4
weeks. If the secretion is caused by a hormonal imbalance
(menopause), we recommend taking only one Lactogyn oral capsule
daily (1x1) for 4 weeks. Treatment with Lactogyn oral capsules once
daily (1x1) during 4 weeks in order to maintain an optimal balance
of vaginal flora is recommended for preventative purposes every few
Best regards,
JGL Counseling
The portfolio of our non-prescription programme includes
Holyplant gum drops, a product against toothache. It is used to
treat the inflammation of gums which results in the exposure of
tooth necks, causing toothache and sensitivity to hot and cold
stimuli and touch.
You can find them at pharmacies, especially our pharmacy chain
Best regards,
JGL Counseling
Taking Normia probiotics with your antibiotic treatment was an
excellent choice, seeing as they protect the intestinal
flora. Unfortunately, antibiotics destroy not just the
harmful bacteria, but also the beneficial bacteria in the
intestines and vagina. We agree with your doctor's advice to
continue the probiotic treatment. With regard to the dilemma
between Normia bags and Normia capsules, you are free to choose the
more practical solution. Normia bags are intended for people who
find it difficult to swallow medication. Both forms contain the
same probiotic strains: Lactobacillus rhamnosus GG® and
Bifidobacterium BB-12® which protect the intestinal flora in the
small and large intestine. We advise you to continue using Normia
capsules once daily (1x1) for the next 4 weeks. For more
information you can contact us at JGL Counseling.
Best regards,
JGL Counseling
There are two kinds of Vizol S eye drops on the market. One kind
(with 0.21% hyaluronic acid) is intended for contact lens wearers,
and the other (with 0.4% hyaluronic acid) is intended for people
with severe dry eye disorders and for application over night. You
should use the 0.21% concentration which also helps moisturise and
lubricate the area between the lens and the eye. Unfortunately, you
have been given the wrong product at the pharmacy.
JGL Counseling
Babies can be treated with Aqua Maris Baby nasal drops (in a 10
ml bottle), i.e. isotonic seawater (equally salty as tears, so it
does not irritate the gentle nasal mucosa). AQM Baby drops keep the
nasal mucosa moist and maintain the hygiene of the nasal cavity
prior to breastfeeding or bottle feeding. The drops also help
during infections of upper airways (colds, viral infections,
allergies, ear infections), seeing as infections hinder normal
breathing through the nose. Aqua Maris Baby drops clean the nose
mechanically, and seawater with its microelements also has a
favourable impact on the superficial layer of the mucosa
(epithelium), regenerating the cilia which further clean the nasal
airways. If the skin surrounding the nose is red or inflamed (often
seen in babies), we suggest that you use Aqua Maris nasal ointment
(with vitamins A and E and d-panthenol).
Best regards,
JGL Counseling
The antiarrhythmic drug Disopyramide tbl will not be produced in
the future. We suggest that your mother contacts the family doctor
for a referral to the cardiologist and a change of treatment.
Best regards,
JGL Counseling
It appears you may be overweight, but we cannot say anything
with certainty without knowing your height.
Please contact us with this information in order for us to
determine your BMI. This is important because obesity causes burden
on joints, cardiovascular system and the heart, which often causes
high blood pressure. We recommend you change your diet and reduce
the intake of food.
Also, it is essential you reduce the intake of salt, because salt
also causes high blood pressure. Fast food, cured meats, snacks and
sweets contain a lot of salt, which is detrimental to our
After you have completed the treatment, have your urine checked
(bacteriological test) to see if you have cured the bacterial
infection. Long bladder infections that are left untreated may
spread to the kidneys. The kidneys are very sensitive and prone to
permanent damage, which also leads to high blood pressure.
We recommend you take up daily exercise and walking, because the
sedentary lifestyle also affects blood pressure and weight.
In the meantime, control your blood pressure; if it continues to
be elevated, you should take additional tests as recommended by
your family doctor (CBC, urine, liver function tests, urea,
Best regards,
JGL Counseling
Seeing as how your grandson has no allergies, he does not have
to rinse allergens out of his nasal passages. We believe that
regular application of the Aqua Maris isotonic nasal spray would
help recover the nasal mucosa.
The irrigation system is used 2 times a week, unlike the spray,
which can be used several times a day (5x is enough to moisturize
the mucosa, remove any dirt and add micro-nutrients essential to
the revitalization of the tender epithelium).
The Aqua Maris spray is practical because the boy can put it in
his pocket, carry it to school and use it during recess.
Best regards,
JGL Counseling
Latanox drops, which are a glaucoma medication, are transported
to pharmacies in a refrigerator. Before opening, they are stored in
refrigerators, and after they have been opened, they are kept at
room temperature.
If you need to transport them over several hours, and air
temperature is above 8°C, put a frozen gel wrapped in fabric at the
bottom of the carton bag, place some paper on the gel and finally
put paper-wrapped Latanox on top. Thus it will be in a cold
environment, but will not freeze.
Best regards,
JGL Counseling
Contact your family doctor, who will probably recommend you
speak to a gynaecologist. You should visit the gynaecologist with
your mother. Support is very important.
You have a shortened menstrual cycle, which is why you cannot
recover from the bleeding (you must do blood tests to exclude
anaemia; if you do have anaemia, you must take medications). Also,
you are undernourished, which is another reason to visit a
You may take acidofilus and Lactogyn vaginal capsules (which you
insert into the vagina at night, over seven days)
Seeing as you experience frequent infections and imbalance of the
vaginal and intestinal flora, after you have used the entire
acidofilus, we recommend you continue taking oral Lactogyn capsules
1x1 for another 4 weeks.
Lactogyn gel moisturises the vagina and the genital area. You may
use it as necessary.
If you once again start taking antibiotics, you should definitely
use probiotics (such as Normia 2 capsules a day) at the same time.
If you take the antibiotic every 12 hours, it is best to take the
probiotic in between taking the antibiotic.
Best regards,
JGL Counseling
According to your description, the discharge may be caused by
candida. The diagnosis can be confirmed by a gynaecologist after
examining a sample under the microscope. However, if you wish to
solve the problem yourself, here's some advice.
Cut all sweet foods (cookies, ice-cream, bagels, chocolate, etc.),
ready-made juices, cured meat products, fresh bread and hard cheese
from her diet. As far as dairy products are concerned, your
daughter may take cottage cheese, yoghurt, etc. This will prevent
the growth of candida, which thrives on sugar and yeast fungi
(present in yeast, cured meats and hard cheeses). She should also
pay attention to clothes. She should wear cotton pants, stockings
and underwear and comfortable clothes.
Also, your daughter may take a 4-week course of Lactogyn peroral
capsules 1x1, after breakfast. Probiotics contained in Lactogyn
have a positive effect on vaginal flora and thus reduce the
predominance of candida (which is a normal inhabitant of the
vagina, albeit in smaller quantities).
Your daughter may also use the Lactogyn gel for intimate hygiene,
once a day after bowel movement.
For additional information contact our Couseling centre at 01 30
10 946 on Monday, Wednesday and Thursday between 3 and 7 p.m.
Best regards,
JGL Counseling
Pregnant women may use AQM products, including the throat and
nose spray.
The pharmacist recommended a bigger packaging of the isotonic nose
spray. The contents of the isotonic spray can in theory pour into
the throat if you throw your head back. However, this quantity is
smaller than when you apply the spray directly.
A throat spray may be isotonic, but may also be hypertonic
(stronger). We suppose that the ear, throat and nose doctor
recommended an isotonic nose spray and a hypertonic throat spray if
you have both a congested nose and a throat infection.
Also, every one of these sprays has an appropriate pump - spray
nozzle, which is another reason why you should take separate
products for nose and throat.
Best regards,
JGL Counseling
There is an increasing amount of research and evidence in the
literature that proves that small amounts of alcohol (1-2 dcl of
white or red wine) have a positive effect on cardiovascular system,
reducing the frequency of heart attacks etc. There is also evidence
that more than 2 dcl a day can be harmful, resulting in high blood
pressure and heart weakening in heart patients. I'll repeat
what I tell my patients who consume wine - 1 dcl is good for your
heart, 2 dcl is neutral, and more than that can be harmful.
Exceptions are patients with arrhythmia attacks (atrial
fibrillation) related to the consumption of alcohol and patients
with advanced heart failure to whom I don't recommend alcohol
Sandro Brusich, MD
Pregnancy causes various changes in the system. The blood volume
increases, especially to the damage of plasma, which results in
relative anaemia in the blood count due to a higher amount of
fluid. Hormonal changes, changes of renal function etc. also occur.
All of these changes can lead to fluid retention with the increase
of blood pressure and weight gain. After giving birth, there is a
gradual normalisation of blood pressure in most women within a few
months. It is very important to regain your normal body weight and
to regularly exercise (3045 min. of walking a day - not necessarily
at once). Women with these issues in pregnancy are more susceptible
to high blood pressure during their next pregnancy as well. If high
blood pressure persists for more than 6 months after the pregnancy,
this indicates that it is caused by other mechanisms , and not
pregnancy, for example by obesity, diet high in salt, lack of
physical activity etc. You should deal with these factors in order
to normalise your blood pressure.
Sandro Brusich, MD
Cardiomyopathy is a general term we use for heart muscle
disease, typically manifested by the dilation and weaker
contractions of the heart. Its most common cause is ischemic heart
disease (clogging or stenosis of blood vessels of the heart), toxic
(usually long consumption of large amounts of alcohol) or innate
reasons. Besides the term itself, the severity of disease is also
important - it is necessary to perform a heart ultrasound which
will determine ejection fraction (force of contraction - in the
test results it is indicated in %), size of the heart, competence
of heart valves (do they malfunction and to what extent) etc. If it
hasn't significantly advanced, cardiomyopathy can be successfully
treated by changing your lifestyle and by taking medication your
entire life.
Sandro Brusich, MD
Atopic dermatitis (dermatitis atopica, AD) occurs in persons
with hereditary atopic constitution, with a tendency to allergic
reactions to different allergens. The examination of patients
includes allergy testing (for children - Clinical Hospital Rijeka -
Department of Paediatrics, Kantrida). Approximately 50% of children
recover by the age of 8, and about 80% by the age of 12. However,
some children develop asthma or allergic rhinitis later in
The approach to atopic dermatitis treatment depends on the
patient's age and clinical manifestations of the disease. Since
certain inhalation and alimentary allergens cause deterioration of
atopic dermatitis, it is necessary to take appropriate measures for
suppressing and eliminating house dust, dust mites, animal fur and
feathers from the immediate surroundings of the patient and to
eliminate foods to which the patient is hypersensitive.
Basic clinical features of atopic dermatitis include dryness of
the skin accompanied by severe itching, so it is extremely
important to take proper care and hydration of the skin. During
bathing and showering it is necessary to use oil baths or showering
oils, and to apply emollients to the skin daily. Use other
topic treatments (corticosteroid preparations, immunomodulators)
upon consultation with your dermatologist.
Professor Marija Kaštelan, MD
Since children's ointment is usually intended for everyday
protection and care of delicate skin in infants and children, you
can freely use it up to several times a day.
Prof. Marija Kaštelan, MD
Pantexol lotion nourishes, maintains normal skin moisture and
provides protection to dry and damaged skin. It contains B5 vitamin
and pantothenic acid that additionally nourish the skin. It is
important to apply it several times a day when you start using it.
As far as MegaOmega3 is concerned, it primarily has a beneficial
effect on cardiovascular diseases.
Professor Marija Kaštelan, MD
You can use artificial tears all the time, and occasionally
Vizol drops as well, but no longer than three days. If longer
treatment is necessary, you can use them again after 3 to 5 days.
If the redness persists or some other symptoms appear, you should
definitively see an ophthalmologist.
Maša Mikuličić, MD
You can freely use Oculoplus capsules with your other
medication. For the prevention of cataracts, it is recommended to
take Vitalia oculoplus capsules twice a year for three months,
bearing in mind that one treatment has to be taken during the
summer months.
Maša Mikuličić, MD
Since I do not have access to your medical documentation, it is
difficult for me to determine the cause of your problem. The
precondition for a patient to undergo laser dioptre correction
surgery is that the dioptre has not changed for minimum of 1 year.
I hope this was true in your case as well. As far as pregnancy is
concerned, there is a small possibility of hormones influencing the
change of dioptre. You can use contact lenses.
Maša Mikuličić, MD
Everything you mentioned can contribute to severe headaches, and
it is also believed that omega-3 and magnesium can reduce the
intensity of headaches. Numerous women experience severe headaches
during their menstruation, and fight them in a number of ways.
Avoiding stressful situations, and quiet, calm surroundings can
have a positive effect on headaches. Finally, if nothing of the
above reduces pain, the only thing left is treatment with
Prof. Alemka Brnčić Fischer, MD
As menopause approaches, and especially in postmenopause,
vaginal dryness occurs as a result of oestrogen loss. Lactogyn
vaginal capsules could help you, but the oral form of Lactogyn has
the same effect as its vaginal form, provided that you use it for
two months, which is recommended for achieving optimal
stabilization of vaginal flora.
Prof. Alemka Brnčić Fischer, MD
Nowadays it is considered that there is a conception problem if
a woman does not get pregnant within a year of continuous
unprotected intercourse. I recommend that you continue with tests,
and if they confirm the conception problem, I suggest you try the
method of assisted insemination. Healthy diet, no smoking and alike
are all praiseworthy life habits, but in your case assistance
should be sought in a specialised fertility clinic.
Prof. Alemka Brnčić Fischer, MD
Your problems are probably caused by a deficiency of an enzyme
secreted by the intestinal mucosa, whose purpose is to decompose
milk sugar (lactose). Mild damage of intestinal mucosa cells is
possible as a result of chemotherapy. People with such symptoms can
often freely consume fermented milk products because the bacteria
that ferment milk and turn it into yoghurt, cheese etc. use the
very milk sugar for their functions, so cheese, for example, does
not contain it. You can certainly try to take the Normia probiotic
because the bacteria in the preparation will partially "consume"
lactose, alleviating, and possibly completely eliminating your
symptoms. The symptoms will probably depend on the amount of milk,
so we can assume that smaller amounts of milk won't cause any
problems for you.
Goran Hauser, MD
Members of the same family are often simultaneously infected
(infection is transmitted by contact), so the transmission from one
family member to another is possible, but is not always the case.
This happens very often, and after a family member is cured, new
infection is possible because immunity that develops after an
infection is short-lasting and inefficient. After receiving the
planned treatment (at least two weeks after the last Nexium
tablet), it is important that you check the treatment success and
repeat it if it was unsuccessful. Normia is certainly a good
supplement for infection treatment because it reduces the side
effects of antibiotics, and probably increases treatment
Goran Hauser, MD
Given your ailments, it is very likely you have gastritis with
oesophagus inflammation (GERB). You can choose a treatment with
medication for reducing stomach acid. For persons up to 50 years of
age without symptoms of weight loss or anaemia, it is possible to
prescribe the medication "offhand" and if efficient, it can be
considered as both diagnosis and treatment. However, for persons
over the age of 50 it is necessary to perform gastroscopy for an
underlying more serious stomach or oesophagus disease.
In Rijeka you have to wait 30 days for a gastroscopy, so I don't
believe you will have to wait longer in Zagreb. If you experience
ailments impossible to endure while waiting for your examination,
you can start taking the medication for reducing acid until the
The issue of calcium and medicine is not that important, certainly
for persons who are experiencing difficulties and who need this
Goran Hauser, MD
In your case the underlying problem is probably a mild
irritation of the conjunctiva, which is induced by air-conditioning
and long driving when blinking is less frequent. Specifically,
air-condition (dry air) and rarely blinking affects the quality of
the tear film. During the long drives you can use artificial tears
to avoid eye irritation. If your eyes are still red - then you can
shortly use Vizol drops. Vizol constricts the blood vessels in the
conjunctiva of the eye thus making them white. If the redness
persists, or new symptoms occur, I recommend an ophthalmologic
Maša Mikuličić, M.D.
Lutein helps prevent the progression of degeneration of yellow
spots and cataract but there is no evidence that lutein affects the
prevention or progression of glaucoma disease. What I suggest is to
adhere to your prescribed therapy and have regular check-ups with
your ophthalmologist.
Maša Mikuličić, M.D.
For the prevention of cataracts it is recommended to take
Vitalia oculoplus capsules twice a year for three months, bearing
in mind that one treatment has to be taken be during the summer
Maša Mikuličić, M.D.
Vitalia MegaOmega3 is excellent for the prevention of
cardiovascular disease and she should continue taking it. If the
values of cholesterol and triglyceride are normal, I would not
recommend any other preparations, only a proper diet.
Sandro Brusich, M
It is difficult to assess your overall cardiovascular risk
because I do not have enough data. It is normal for women to have
high blood pressure 5-10 years after menopause, when it becomes
equal to that of men. Your body weight is normal, waist
circumference does not exceed 88 cm, blood pressure is usually not
high, you exercise regularly, all of which suggests that you do not
face elevated cardiovascular risk. Additional risk factors that
should be taken into account are smoking, genetic predisposition (a
close family member who had a myocardial infarction or a stroke -
men younger than 55 and women younger than 65), blood fat levels,
diabetes, proper nutrition.
Sandro Brusich, MD
According to the guidelines of the European Society of
Cardiology which provide the framework for Croatian guidelines for
treating heart patients, Pigrel tablets are prescribed for a year
after the patient suffers acute coronary syndrome (possible heart
attack), after which the treatment can be stopped. Cardiologists
often do not tell their patients to stop taking them if they
tolerate them well because there are no conclusive studies on their
effect after one year, or whether it is better to take it or not.
In your case, I would stop taking it because I think you are not a
high-risk patient.
Sandro Brusich, MD
You can use calendula balm every day, and it is especially
efficient if you apply it several times a day and as often as
Professor Marija Kaštelan, MD
Fibroma are benign tumours of the connective tissue. After a
electrocoagulation procedure they may leave small scars, depending
on the depth of the procedure. After the changes heal, you can
Professor Marija Kaštelan, MD
The children's paste can be used several times a day, but it is
very thick and hard to wipe off the skin. For multiple daily usage
I would recommend children's ointment with balm.
Both Prolife and Normia have a similar effect, but given the
convenience and the possibility that, due to various factors,
diarrhoea can still occur, I would go with Normia ORS packets. They
contain packets of oral rehydration salts (ORS) and packets of
Normia probiotics. With diarrhoea it is necessary to
compensate for lost fluids and electrolytes, which will be achieved
by taking a solution of ORS. Packets of the Normia probiotics
will contribute to a shorter duration of diarrhoea and a faster
recovery of intestinal flora. Since you are travelling for a
longer period of time, I think it would be helpful to take more
than one pack of ORS Normia. I would also recommend medical
charcoal, Carbo medicinalis, which should be taken immediately and
according to the instructions, every two hours after Normia packets
in case of diarrhoea. Do not forget that eating unpeeled
fruit and raw, only washed vegetables and drinking anything other
than packaged beverages certainly leads to disease...
Goran Hauser, MD, PhD
You probably contracted the acute or so-called traveller's
diarrhoea. The usual treatment is exactly what you did (tea, toast,
etc.), and probiotics can certainly be beneficial, which you
yourself have noticed. They are usually taken for about 10 days
during the acute stage, and now I think that there is no need for
them unless you still have episodes of diarrhoea. Also, if the
symptoms have stopped, further tests will not provide any new
Goran Hauser, MD, PhD
The feeling you get after eating is the body's way of adapting
to the new physiology, that is, to the fact that you have lost a
substantial portion of the stomach. Due to the rapid influx of food
into the small intestine and the fact that normal processing in the
stomach is not possible, sometimes the body reacts the way you have
described for 1-3 hours, depending on the type of food. This is due
to an increased secretion of insulin and decrease of blood sugar
levels. For some people this may take on more drastic forms and
lead to full-blown hypoglycaemia with sweating, palpitations and
fainting. As for "being horizontal": your doctor is right, because
it may allow the food to re-enter the oesophagus. However, if you
do not have a sense of acid reflux when you lie down, I think you
need not fear GERD. So, if being tired after a meal is a problem,
but you do not have a burning sensation and do not burp when you
lie down, I think you can continue with the usual practice of
"being horizontal".
Antibiotics have many positive characteristics, but also lead to
some undesired side effects. As for the digestive tract in
children, these side effects occur in up to 30% of children taking
antibiotics, while this percentage is lower for adults. He should
definitely take a probiotic from the beginning of the antibiotic
treatment and for two weeks after the treatments (this is the
approximate period in which antibiotics can cause side effects).
The recommended dosage is 1 Normia tablet a day, as indicated in
the brochure.
Professor Mladen Peršić, MD
Various probiotics have proven to be beneficial for acute
diarrhoea, especially if it is caused by the Rota virus. However,
in your situation I would recommend your daughter take probiotics
for a longer period of time since the child is "prone" to
diarrhoea; in other words, the intestinal flora is obviously
disturbed and for this reason she is more prone to recurrences of
the problem. Clearly, it is necessary to test her for some other
diseases, such as celiac disease, etc., which should be done
by your paediatrician. For a more precise diagnosis, the doctor
must take an exhaustive anamnesis, thoroughly examine the child
(percentile curves ...) and if necessary order laboratory tests. I
have already given a partial answer to your second question about
the probiotic, but Prolife has proven to be very effective! I
recommend your daughter take an ampoule of Prolife every morning
for 6-8 weeks.
Professor Mladen Peršić, MD
Lactogyn liquid soap for intimate care will not dry out the
vagina because of its degree of acidity (pH) and can be safely used
for the overall intimate hygiene. It is important not to rinse the
vagina (the so-called vaginal shower) because then you also wash
out the beneficial bacteria.
Alemka Brnčić Fischer, PhD
In 99.7% of all cases the HPV virus is the cause of premalignant
cervical changes (the so-called CINs). CIN 1 is the lowest degree
of change and usually only monitoring is suggested (especially in
young women). Doctors also recommend colposcopy, based on which
your doctor concluded that there is no need for a biopsy because
the results of the test probably indicate a low degree of change
consistent with CIN. A condom is recommended as long as their is a
change in the Pap test. Crio therapy is a procedure used to freeze
the surface of the cervix and destroy the tissue. The problem with
crio therapy is that it does not yield a sample for a
histopathological analysis.
Your question is too complex for me to answer this way. In any
case, your nephew needs a more complex and most probably hospital
treatment (with a gastroenterology subspecialist).
If the vagina is colonized with a considerable amount of fungi
(usually it is Candida albicans), this is detected during the part
of a regular gynaecological examination performed with a speculum,
when the doctor notices patchy white deposits with no odour.
Obviously, this was not your case, or the doctor would have told
you so. Pap tests also routinely analyse the degree of purity and
are used to detect increased concentrations of fungi, which is
indicated in the result. The intake of yoghurt and kefir in no
matter which amounts does not help establish the balance of vaginal
flora because they do not contain probiotics that colonize the
vagina or have an effect on its flora, which is why doctors
recommend Lactogyn. If you gynaecologist has not prescribed it, I
would not recommend the use of Canesten for prophylactic
Alemka Brnčić Fischer, PhD
If you still have a visible manifestation of clinical disease,
condylomas should be treated with either electrocauterization,
cryotherapy, or by applying some local preparations. New local
therapy includes immunomodulators like imiquimod. Regarding the
transmission of infection, use condom during sexual
Professor Marija Kaštelan, PhD
You can also use Pantexol cream and ointment, and if changes
persist, contact your doctor for further treatment.
Professor Marija Kaštelan, PhD
Besides corticosteroid topical preparations, psoriasis can be
treated with other topical preparations such as calcipotriols,
retinoids, etc. Systemic drugs can be used for more severe forms,
naturally under supervision of a dermatologist. It is wise to use
neutral preparations like Pantexol lotions, ointments or other
similar preparations. The application of local corticosteroids is
possible during pregnancy. However, any form of treatment,
including topical preparations, must be supervised by a
Professor Marija Kaštelan, PhD
Regular checks for glaucoma are essential. As far as Oculoplus
capsules are concerned, they contain lutein and zeaxanthin, which
may reduce the risk of occurrence and progression of macular
degeneration and senile cataracts. Feel free to take them.
Ophthalmologist Maša Mikuličić, MD
It would be good to use artificial tears every day because of
the type of work that you do, especially in winter when we spend
most of the time in dry, warm areas.
Ophthalmologist Maša Mikuličić, MD
The urea breath test should be administered two weeks after
completing therapy with a proton pump inhibitor. This is a drug
which, in contrast to the two antibiotics, is taken for 4 weeks.
After this therapy, wait for at least two weeks before having the
test. Normia will not affect the result of urea breath test.
Goran Hauser, PhD
Bad breath should primarily be reported to a dentist. If there
is nothing wrong with your mouth cavity, the next step is to
undergo gastroscopy. Unfortunately, sometimes all these tests
remain inconclusive. I am not sure that probiotics would help,
especially if a specific cause has not been found.
Goran Hauser, PhD
Fatty liver is not solely related to excessive alcohol
consumption. It is actually common in people who do not drink
alcohol, or those who consume small amounts. Another name for the
disease is non-alcoholic steatohepatitis (non-alcoholic fatty liver
disease, abbreviated - NAFLD). Possible causes are numerous, and
are often associated with excessive weight, abnormal blood lipid
values, diabetes, or viral liver disease. If routine liver probes
are normal, no further tests are necessary, but your weight and
blood lipids should be checked. In general, the disease is
relatively harmless and does not lead to serious consequences,
unless caused by alcohol or viral disease.
Goran Hauser, PhD
Given that the thrombosis was induced by surgery and rest, and
that you had no complications, it is likely that you will
eventually be able to terminate therapy. But this decision must be
made by your doctor, depending on your risk for complications and
on ultrasound findings of the lower leg. The circulation is
stimulated by exercise - walking, and other measures recommended by
your phlebotomist who is more knowledgeable about the indicated
treatment (hot/cold baths, elastic stockings, etc).
Sandro Brusich, MD
Genetics is one of the factors which increase the risk of
disease, but if other risk factors are regular (blood pressure,
lipids, smoking), then the overall risk is low. The risk can also
be determined from relevant tables, so please consult your doctor
about it.
Sandro Brusich, MD
Atenolol and other beta-blockers can induce a feeling of fatigue
and drowsiness, especially if blood pressure is lower. If the
dosage is small (12.5 - 25 mg) you doctor may discontinue the
medicine, and in case of a higher dose, the dosage should be
reduced by half. Discontinuation of the drug depends on several
factors: on whether the rate is normal or accelerated - the
decision about discontinuation depends on the symptoms - it is a
symptomatic therapy. If there is some underlying heart disease like
angina pectoris, heart failure, it would be better to continue the
treatment with this drug.
Sandro Brusich, MD
Lactogyn has no effect on cervical dysplasia (CINs). Infection
with HPV is not dangerous for the child and does not require
delivery by C-section.
Alemka Brnčić Fischer, PhD
Infections of the lower genital tract, which include vaginal
candidiasis, are one of the most common reasons for gynaecological
visits. The reason is that they recur frequently, while treatment
requires patience and persistence. Lactogyn can definitely help you
before your gynaecological examinations, but you have to see a
doctor, since this may be caused by another infection.
Alemka Brnčić Fischer, PhD
Unfortunately, I cannot determine the reason for your
infertility in this manner. It is necessary to perform a number of
diagnostic procedures which would determine the reason for your
infertility. You should definitely contact your gynaecologist who
should run the necessary tests.
Alemka Brnčić Fischer, PhD
It is possible that your child has allergic rhinitis, or more
frequently, an inflammation of the third tonsil, which requires an
examination by a paediatric allergist and an ENT specialist.
Professor Mladen Peršić, PhD
I think it is common to have frequent viral infections at their
age, especially in kindergarten children. The possibility of
catching a cold from the elderly is small, but it will not hurt to
make throat swabs like you suggested. I reckon that this is not an
unusual or dangerous situation for the health of your
Professor Mladen Peršić, PhD
There is a chance that this is the case of so-called Renal
nanism - i.e. all chronic diseases, including chronic kidney
disease can lead to slower growth. If the situation has improved,
it takes time to see whether growth will accelerate to reach normal
height. Otherwise other causes of slow growth have to be looked
into, which is, in my opinion, less likely.
Professor Mladen Peršić, PhD
The basic answer to your question is WHY CHANGE SOMETHING THAT
IS EFFECTIVE? But curiosity never ends, so, here is an additional
remark. Respiratory infection, and the drugs that are often, too
often, prescribed in these cases cause changes in intestinal flora.
This is why taking probiotics is very important for the prevention
or treatment of this imbalance (disorder) when administered later.
Even though we are trying to establish specific probiotics, it is
usually very difficult or simply theoretical. Prolife was effective
for your child, so it should not be replaced. Normia is a
good-quality probiotic (combination of probiotics) and can be used
in this case as well, so if necessary, you can try giving your son
Normia for preventive/treatment purposes.
Professor Mladen Peršić, PhD
Viruses can cause respiratory and digestive difficulties.
Respiratory symptoms are often treated with medicine (unfortunately
more and more with antibiotics) that can cause further problems in
the digestive tract, due to an imbalance of intestinal flora. This
is why it is necessary to take probiotics which can also improve
respiratory symptoms (even if digestive symptoms are not present).
Hence, your consideration and inclination for preventive use of
probiotics in the course of respiratory illnesses is entirely
Professor Mladen Peršić, PhD
There are no contraindications to applying Aqua Maris nasal
drops before cleaning. However, I would advise you to slow down
feeding (if possible) or perhaps feed the child smaller quantities
more frequently, because the child probably has a gastroesophageal
reflux, which is still physiological at that age, but can lead to
the "problems" indicated. Clearly these disorders require no
special diagnosis.
Professor Mladen Peršić, PhD
I think your doctor gave you great advice since the side effects
of antibiotics can be prevented. A possible effects on the child
can only be positive.
Professor Mladen Peršić, PhD
Pain in the legs (joints) in children can occur during growth,
and we call them growing pains. But given the family history, I
think it is necessary to make an appointment with your
paediatrician to conduct some basic tests. Provided laboratory
tests are not fine or if the pain increases, contact a
paediatrician at the rheumatology department in a children's
Professor Mladen Peršić, PhD
Your husband is at an age when short-sightedness can occur, but
it is also necessary to control ocular pressure. I definitely
recommend a complete ophthalmologic examination. The examination
will show what your husband really needs.
Ophthalmologist Maša Mikuličić, MD
I recommend regular ophthalmological examinations as well as
adherence to the prescribed therapy. To slow down cataracts you can
take formulations specially prepared for the eyes. I would advise
taking Mega Omega 3 for 3 months, followed by a 3 month break and
permanent use of Oculoplus capsules.
Ophthalmologist Maša Mikuličić, MD
I would recommend a fundus exam (dilatation of pupils) to detect
potentially weak spots on the retina.
Ophthalmologist Maša Mikuličić, MD
I think at your age the best thing would be to get progressive
glasses. You can see well with them at all distances. If you want
to remove dioptre, your lens would be removed in surgery, and
replaced by an artificial multifocal lens, ensuring good eyesight
for all distances.
But prior to surgery, you have to undergo a preoperative
ophthalmological examination to determine whether this type of lens
can be implanted in your case.
Ophthalmologist Maša Mikuličić, MD
Lutein can be taken throughout the year, but since you are
taking it for prevention, you can stop taking it for a while.
Ophthalmologist Maša Mikuličić, MD
Several studies have shown a positive effect of lutein and Omega
3 on eye health, and in 2008 a major study called AREDS2 was
initiated. The study is aimed precisely at researching the impact
of lutein and Omega 3 in the treatment of macular degeneration and
cataract. The results are expected in 2013 or 2014.
Ophthalmologist Maša Mikuličić, MD
The conization was probably performed because of dysplastic
cervix changes (CIN 1, 2, 3) caused by high risk HPV. After the
removal of the dysplastic changes and a regular Pap smear control
upon consultation of your gynaecologist, there are no obstacles to
your pregnancy.
Alemka Brnčić, MD, DSc
Exercise can not solve every problem linked to lowered bladder.
Exercise assists in solving some milder problems. Your
gynaecologist should definitely instruct you on which form of
treatment is the most adequate and how it is performed. If the
urinoculture finding is sterile and there is no inflammation in the
vagina, Lactogyn capsules can definitely help in maintaining the
stability of the vaginal microflora.
Alemka Brnčić, MD, DSc
I believe that you previously consulted your gynaecologist, but
that the problem persists. Lactogyn capsules might help you restore
and establish balance of the vaginal flora, and there is also
Lactogyn gel which prevent dryness.
Alemka Brnčić, MD, DSc
In any case, I recommend you to undergo a gynaecological
examination and possibly, if necessary, have bacteriological smears
taken. Lactogyn capsules can help you with the renewal of vaginal
flora, however, in order to achieve a complete effect, they should
be taken for two months.
Alemka Brnčić, MD, DSc
According to the symptoms you state, and also considering the
fact that Controloc is not helping you, I am not sure whether this
is a stomach disease after all, and especially if it is a disease
caused by increased secretion of stomach acid. These stress-related
problems seem to me more like irritable bowel syndrome.
If your gastroenterologist, however, still prescribes you an
antibiotic therapy against Helicobacter pylori, I would recommend
you to take Normia (probiotic) with your antibiotic in the dose of
2x1 a day for 30 days.
D.Sc. Goran Hauser, MD
All measures which aid to calm you down and relieve you of
stress are good and you may freely continue to apply them. It is
well known that women have a far greater frequency of physical
manifestations as a consequence of stress. They are most frequently
manifested as chest contractions, rapid heartbeats, loss of air,
numbness of various body parts, stomach pain etc. There are also
cases when they lead to clear changes of ECG, which may look
similar to the changes in "real" heart patients. Apart from the
measures you are already taking, I also recommend a physical
activity, which frequently causes stress relief and alleviates the
Sandro Brusich, MD
Longitudinal grooves on nails (onychorrhexis) may accompany some
rheumatological diseases, like yours, but also hypovitaminosis,
iron deficiency or hyperthyreosis.
D.Sc. Goran Hauser, MD
In persons under 50 years of age with the suspicion of GERD
(disease of esophageal mucosal inflammation caused by acid coming
up from the stomach), experimental treatment can be performed with
medications against stomach acid, e.g. Larona 2x 30 mg for 7 days,
and if the troubles are reduced after a couple of days, it can be
continued with 1x30 mg for 6 to 8 more weeks. Gastroscopy is
usually definitely the best way of proving esophageal and stomach
diseases. There are also some other ways, but they nowadays already
belong to the history of medicine.
D.Sc. Goran Hauser, MD
I personally do not have much experience with food tests,
because most of them are non-specific and too general. Food intake
disturbances are probably a consequence of your disease and the
surgical procedure. On my opinion, the activity of your disease is
far more important here. If you are undernourished, I believe it
would be necessary to consult your gastroenterologist, in order to
establish the activity of the disease and correct the therapy. If
the inflammation is calmed, I believe that the food "intolerance"
will disappear.
D.Sc. Goran Hauser, MD
I would primarily recommend to you Carbo medicinalis (medicinal
charcoal), at best in granules, but the tablets are more simple to
carry. Rehydration powders should definitely be used in addition.
These powders are stirred in water and drank in case of profuse
diarrhoea. They contain electrolytes which are lost in the case of
strong diarrhoea. You can definitely take probiotics in the case of
diarrhoea, however, as much as I know African agents, I am not sure
how effective they will be in the acute stage. They will be far
more useful in the stage of recovery from a possible
D.Sc. Goran Hauser, MD
There are no specific limitations in taking probiotics. I most
frequently recommend patients to take the Normia therapy (2x1 a
day) for 30 days, which can be repeated several times a year.
D.Sc. Goran Hauser, MD
The WPW syndrome belongs to the preexcitation syndromes. It is a
disease with an anomalous connection between the auricles and the
ventricles in the heart, for which reason the impulse does not
spread through the heart in the normal way. Most of these persons
have no troubles, while a smaller number have arrhythmia attacks.
Most persons with arrhythmia suffer from less dangerous arrhythmia,
while only a small number of persons suffer from life endangering
arrhythmia. Warning signs which demand examination and treatment
are rapid heartbeat attacks accompanied by dizziness or loss of
consciousness - in this case, he should consult a cardiologist
arrythmologist. Treatment consists of taking medicine or, upon
necessity, electrophysiological treatment - this aberrant streak is
then "scorched" by electricity.
Sandro Brusich, MD
High blood pressure only at the doctor's office, called "white
coat hypertension", is a known and proved condition, which is,
however, not as frequent as some patients might desire. I believe
that your doctor is aware of this. However, there are many more
persons with mild hypertension, who experience additional leaps of
blood pressure at the doctor's office above the level they usually
have at home, and I believe your doctor thinks that this is your
condition. In order to solve this dilemma, you can take the
examination called KMAT - continuous blood pressure measuring for
24 hours, by means of which you will objectively prove your daily
range of blood pressure.
Sandro Brusich, MD
A rapid pulse is usually found in younger girls with an
otherwise healthy heart, for no particular reason (we perform the
examination in order to exclude some underlying disease). I usually
recommend treatment if the person has some problems in terms of
heart palpitations or shortness of breath, otherwise not. We often
try to explain such a condition with increased stress levels,
persons who are vegetatively unstable (sensitive) are more
susceptible to it, however, this has not been scientifically
proved, and most frequently passes over time. If you experience
shortness of breath or find it difficult to stand an effort, it
would be useful in any case to perform an ultrasound of the
Sandro Brusich, MD
There are several types of adrenal gland tumors. If the tumour
is active and secretes substances which elevate blood pressure,
then its removal will also cause the regulation of blood pressure.
However, this can also be a non-active tumor or a tumor secreting
some other substances, in which case there will be no regulation of
blood pressure - which is unfortunately the most frequent kind.
Endoscopic (as I presume, laparoscopic) surgery has the advantage
of a smaller incision and a much faster recovery of the patient. A
classic surgery provides the surgeon with a better overview and the
possibility to more radically remove the formation - the decision
is on the surgeon - while it may also occur that the surgeon begins
an endoscopic surgery, but for some reason (bleeding or
intraoperative finding) has to switch to classic operation.
Sandro Brusich, MD
Actinic keratoses are the most frequent precanceroses occurring
in consequence of cumulative yearlong UVB ray exposure. They are
treated with cryotherapy, the application of cream with 5%
fluoride-uracile or with photodynamic therapy. They occur more
frequently in persons of a lighter complexion and those who spent
their working life outdoors. Relapse is possible. Photoprotection
is important in the prevention, along with the application of
protective creams with SPF50. If you have noticed a renewed
appearance of such a change, have a dermatological examination for
the purpose of applying appropriate therapy.
Professor Marija Kaštelan, MD, PhD
Hereditary factors, hormones and a specific type of bacteria
play an important role in the occurrence of acne. The therapy
depends on the form of acne, and local and systemic therapy is used
depending on the gravity of the disease. As diet does not influence
the occurrence and deterioration of the disease, you may therefore
freely re-introduce milk products into your diet.
Professor Marija Kaštelan, MD, PhD
It is not visible from your question whether this is a
hypertrophic scar or a keloid. If it is a keloid, therapy with
highly potent corticosteroid preparations with occlusion or
intralesional application of corticosteroids might be considered.
Combusten cream is intended for skin treatment from lower degree
burns and sunburns.
Professor Marija Kaštelan, MD, PhD
I recommend the usage of antiseptic lotions immediately after
depilation and of Pantexol cream more times a day. Should the
problems persist, I recommend a dermatological examination.
Professor Marija Kaštelan, MD, PhD
It is desirable to wear sunglasses, because excessive sun
exposure might cause damage to the cornea, lens and retina. Wearing
sunglasses which follow the form of the face almost completely
blocks UV rays. If you can not acquire the habit of wearing
you should wear a hat or a baseball cap. As regards the dryness of
your eyes, it is most likely the consequence
of long work in front of the computer.
Maša Mikuličić, M.D.
As your mother suffered from yellow spot degeneration, you have
a somewhat higher probability for the occurrence of this disease. I
advise you to undergo regular ophthalmological examinations in
order to notice the first symptoms of the disease in time.
Antioxidants reduce the advancement of the dry form of the disease,
as well as its transition into the milder, more aggressive
Maša Mikuličić, M.D.
Longer work in front of the computer, as well as spending time
in air conditioned rooms, affects the tear film. I recommend the
application of artificial tears without BAK preservatives, more
frequent blinking and
moistening of the room. Should the problems persist, I recommend
an examination by an ophthalmologist.
Maša Mikuličić, M.D.
Fish oil is actually vitamin D, which is required in the first
year, as well as in the winter months of the 2nd and 3rd year. You
should try it; however (as she refuses new foodstuffs), it would be
good to consult a psychologist, in order to prevent stronger
feeding disorders.
Professor Mladen Peršić, MD, DSc
You can instill AM, but if the ORL recommended to perform an
adenotomy, then I advise you to do it as soon as possible.
Professor Mladen Peršić, MD, DSc
I believe your child has a functional disorder very frequent at
that age, and related to hard stool and mild constipation. He might
possibly also have a mildly "damaged" anus in the form of a
fissure, and for a start, an examination is required. Regarding the
therapy, along with diet containing extra fruit and vegetables,
plum juice etc., a probiotic therapy should be attempted (e.g.
Prolife), and if defecation is still hard, Portalak should also be
introduced. Occasional administration of Prolax is not damaging,
but does not solve the problem on the long run. You can thus begin
with probiotics and a more adequate diet, whereas you should
consult your doctor for further therapy.
Professor Mladen Peršić, MD, DSc
Any patient older than 18 and with a stable dioptre can be a
favourable candidate for laser dioptre correction, but they must
previously undergo a detailed ophthalmological preoperational
examination, in order to see whether there are any
contraindications for the surgery. The dioptre of your daughter can
be corrected by laser.
An absolute contraindication for this surgery is keratoconus, a
corneal disease characterized by a thin and deformed cornea.
Other contraindications are: glaucoma, dry eyes, pregnancy, any
active eye disease, any active autoimmune disease, diabetes.
The complications in this procedure might be a partial return of
the dioptre (10 % of the preoperative dioptre) or the occurrence of
a scar which can be cleared by instilment of corticosteroid
For the intake of lutein, it is important not to exceed the
prescribed daily dosage.
Maša Mikuličić, M.D.
A slightly clouded lens means the beginning of cataract. With
respect to the age of your mother, this is nothing unusual or a
cause for concern. Performed studies show that the intake lutein
and omega-3 capsules may slow down the advancement of cataract. I
definitely recommend regular controls because of glaucoma.
Maša Mikuličić, M.D.
Candida is a usual present of the vaginal flora. Problems occur
when their total number grows, causing an imbalance between the
so-called "good" and "bad" vaginal bacteria. Your gain in physical
weight during pregnancy is ideal. Candidiasis does not affect the
intrauterine development of the fetus. The treatment of ailments is
sometimes lengthy and requires persistence. The Lactogyn capsules
might help you as a supplement to the treatment recommended by your
Alemka Brnčić, M.D., D.Sc.
Urogenital infections are the most frequent reason for visiting
gynaecologists. In a very high percentage, the infections reappear
because of the unfavourable micro-environment in the vagina. The
application of suppositories removes the cause of infection, but
also destroys the so-called good bacteria, which are a constituent
part of the normal vaginal flora. In order to populate the vagina
with healthy micro-organisms, it is recommendable to use Lactogyn
capsules for two weeks. Should the problems persist, a
gynaecological examination is necessary.
Alemka Brnčić, M.D., D.Sc.
In postmenopause, the vaginal epithelium becomes thinner, while
the muscles lose their tone. The wall of the vagina is pale, with
weaker blood circulation, the glycogen level and the quantity of
lactobacilli drop, while the pH grows. When this protection is
lost, the vaginal wall becomes permanently susceptible to
inflammations, ulcerations and injuries. A gynaecological
examination also represents a trauma for such a sensitive mucosa,
and, consequently, the feeling of pain after the examination is not
a rare occurrence. The Lactogyn capsules aid in populating the
vagina with lactobacilli and the creation of a favourable
micro-environment in the vagina. We recommend taking Lactogyn
capsules for two months, which means for six more weeks. Use
Lactogyn gel to prevent dryness.
Alemka Brnčić, M.D., D.Sc.
The tilt table test attempts to induce the reflex of loss of
consciousness in persons considered to suffer from reflex fainting
(the so-called neurocardiogenic syncope). It is a painless test
during which you lie down on a special table which can be put in a
vertical position and has fastening belts for fixation to prevent
possible falling down and injury in case you faint. After your have
been fastened, you are set up to a position of about 60-70 degrees,
your blood pressure is measured and your heartbeat is monitored on
a screen for 45 minutes. The test is interrupted if you lose
consciousness or if nothing happens after 45 minutes. In some
protocols, medications are also administered, e.g. nitroglycerin,
under the tongue after approximately 20 minutes (which may cause a
slight headache afterwards). If you lose consciousness, the test is
positive, proving that the fainting is reflex in nature. If the
test is negative, it has no special meaning whatsoever. The test is
painless, but may be unpleasant if you lose consciousness - the
same feeling you usually have when fainting.
Sandro Brusich, MD
Medications for high blood pressure are recommended only to
persons with high blood pressure, if the administration of general
measures during couple of months has not regulated blood pressure.
A difference is made between the blood pressure levels to be
reduced, depending on the associated diseases. In persons without
any other diseases, the recommended blood pressure level is <
140/90 mmHg. However, if the person is a kidney patient, has had a
stroke or heart attack, or is diagnosed with diabetes with any
complication, a more rigid blood pressure control and values <
od 120/80 mmHg are recommended. Thus, if you do not have associated
diseases and your blood pressure is lower than 140/90 mmHg, I do
not recommend any medications for the treatment of high blood
Sandro Brusich, MD
A natural means of reducing blood pressure, which should be the
beginning of every treatment, is to avoid salt in diet, regulate
body weight and regular exercise. This is also the most effective
and best way of reducing blood pressure. If the above measures do
not lead to favourable results, then medication therapy is
introduced. There are six basic groups of medications used in the
treatment of high blood pressure. One group is beta blockers, which
may have impotence as a side effect. It might be recommended to
your husband to take a medication from any of the other five groups
without the above side effect. Other preparations (ginkgo, omega-3
etc.) do not lower blood pressure.
Sandro Brusich, MD
You cannot influence the genetic aspect, but the right life
style significantly lowers your overall cardiovascular risk. It is
important to eliminate risk factors such as smoking, elevated
concentrations of fat in the blood, elevated blood pressure, etc.
Seeing that you have no other risk factors, I would not recommend
any dietary supplements other than a regular diet. Physical
activity is the most efficient way of releasing the accumulated
stress, so keep it up.
Sandro Brusich, MD
Epidemiological research has shown that the presence of fish
polyunsaturated Omega-3 fatty acids in our diet coincides with a
lower risk of cardiovascular diseases, so we recommend them for
patients with an increased risk of cardiovascular diseases, and
particularly for patients who have had a myocardial infarction. If
you are at a higher risk of cardiovascular diseases (blood pressure
is one of the factors), you would certainly benefit from Omega 3
products such as Vitalia MegaOmega. If you have elevated levels of
fat, you might also consider taking other medications (statins)
before Omega 3.
Sandro Brusich, MD
In your mother's case mushy stool is a consequence of having had
a part of the intestine removed (you have not specified which
part), so the intestine is shorter. That is why excess fluid is
lost through stool, which is then mushy or watery. So, the changes
in the stool consistency are a consequence of the surgery and
unfortunately, probiotics would not be of much use in this case. If
you do decide to try a probiotic, it will do no harm, because these
are safe medications with hardly any side effects.
D.Sc. Goran Hauser, MD
Probiotics play a significant role as one of the hygienic
dietary measures to improve the bowel rhythm (along with the intake
of fresh fruits and vegetables, plenty of fluids and exercise). You
may repeat the 30-day course of Normia more than once a year and it
should have a positive effect on bowel movements. Traditional
laxatives should be avoided as much as possible.
D.Sc. Goran Hauser, MD
We usually recommend that patients take Normia for 30 days if
taken together with the triple therapy for eradication of H.
pylori. In theory you cannot overdose, particularly not if you take
it over a longer period of time. H. pylori infection is very
common, and it is estimated that approximately 65-70% of adults in
Croatia have it. It is transmitted by contact, so family members
are frequently infected. It should be stressed that testing
positive for HP does not necessarily mean that you have to
eradicate it (take therapy), or that it is always responsible for
symptoms in the digestive tract. Also, the way you were tested
(type of test) which yielded a positive result is also
questionable. Please note that serological testing (providing blood
samples) is unreliable and should not be used as it often provides
false positive results.
D.Sc. Goran Hauser, MD
Psoriasis is a chronic inflammatory disease that can affect the
skin, scalp and nails. The specific cause of psoriasis is not fully
known, but it is assumed that the disease occurs due to the
interaction of hereditary factors and different environmental
factors. Regarding the inheritance of psoriasis, if one parent
suffers from the condition, the risk of occurrence of the disease
in the offspring is 28%. Helio-marine therapy or sunbathing and
swimming in the sea is highly effective in treating the disease. On
the basis of the data provided, which is very scarce, it is
difficult to determine what this is. Therefore, I advise as
dermatological examination for your child to establish the
diagnosis and, if necessary, appropriate treatment.
Prof. Dr. Marija Kaštelan, MD
Skin cancers, basalioma and spinalioma appear in mid age,
usually between the ages of 50 and 70. A cumulative dose of UVB
rays or prolonged exposure to UV rays which goes on for years plays
a part in its onset. Therefore, if you are normally cautious about
sun exposure there is no reason for concern. I recommend that
during the summer, when the intensity of UVB rays is the strongest,
you avoid excessive exposure to sun between 11 am and 5 pm and
apply the appropriate photo-protective preparations with a
combination of UVA and UVB filters.
Prof. Dr. Marija Kaštelan, MD
In chronic forms of non-allergic dermatitis, skin damage occurs
as a result of cumulative effects of substances that are harmless
in a single application. In this way, the protective barrier of the
skin is gradually changed and damaged, above all the protective
lipid film on the surface of the corneous layer, the acidic pH of
the film, and the corneous layer of skin itself. Pantexol Plus
cream contains 5% dexpanthenol and chlorhexidine digluconate (it
does not contain corticosteroids), it has antiseptic effect,
nourishes, protects and renews dry, sensitive and damaged skin. It
is recommended as a form of neutral therapy for chronic eczema
which restores the oiliness of the skin, and with it, its
resistance. I recommend multiple applications during the day.
Prof. Dr. Marija Kaštelan, MD
CIN 1, CIN 2 and CIN 3 changes indicated by the Pap test cause
no visible symptoms. For men there are no analogue changes in the
Pap test, so there is no need for treatment. Of course, in order to
prevent a HPV infection it is recommended to use a condom, although
it does not provide complete protection (virus is not transmitted
only through penetration, but also by skin contact). Vitamins and
particularly probiotics specific to vaginal microflora can help
maintain the stability of the vaginal microflora. However, they do
not affect the healing of the already present changes discovered by
the Pap test. Further regular check-ups are necessary; if the CIN 3
change persists, the infection is treated surgically.
D.Sc. Alemka Brnčić-Fischer
Today it is considered that almost 80% of women come in contact
with the HPV virus during their sex life. In almost 50% of the
cases we are dealing with high-risk HPV virus which can cause
changes shown by the Pap test. However, it is important to stress
that in 90% of the cases these infections are temporary and pass on
their own, without leaving any trace or without us even knowing we
had them.. CIN 1 is the mildest degree of pre-malignant changes in
the cervix that the Pap test can reveal. In 50% of the cases CIN 1
regresses spontaneously. Regular visits to the gynaecologist are
necessary in order to detect a possible progression to a higher
degree of changes (CIN 2, CIN 3) over time. Lactogyn capsules will
help restore the vaginal flora, populate the vagina with healthy
micro-organisms and thus reduce the impact of the "unfavourable
micro-environment" in the vagina, which commonly accompanies
changes indicated by the Pap test.
D.Sc. Alemka Brnčić-Fischer
The effect of probiotics on skin diseases is extensively
investigated in numerous studies, but so far the data from the
literature has been contradictory. There is proof of positive
effects, but some studies have observed no effects. Much depends on
the strains of probiotics used, because not all strains affect the
same symptoms and diseases. According to the "Recommendation
for the use of probiotics" from 2008, published by Yale University
in USA, LGG and BB12 strains are recommended as the strains whose
effects rated well in the treatment and prevention of atopic eczema
associated with allergy to cow's milk. I have no personal
experience with the use of probiotics in the treatment. In your
husband's case it would be good idea to perform tests in order to
clarify the cause of eczema and establish the necessary therapy in
which probiotics may play a role as well.
Prof. Dr. Marija Kaštelan, MD
Due to reduced secretion of oestrogen and progesterone, one of
the symptoms of menopause, changes in the structure and appearance
of the skin occur. Skin becomes dry, it is thinner and loses its
elasticity; new wrinkles are formed and the existing ones become
deeper, while hair becomes thinner and loses its shine. Daily care
of such skin is extremely important, as it helps improve its
humidity, restore the lipid layer, and strengthen the defensive
function of its corneous layer. It is recommended that you use
soap-free syndets, showering oils or oil baths and apply
emollients, which make the skin soft and smooth. Preparations with
5-15% of urea or those with omega fatty acids have a very good
hydrating effect.
Prof. Dr. Marija Kaštelan, MD
In many European countries the screening for colorectal cancer
begins at the age of 50, regardless of the history of disease in
the family. Hence, considering your age, you are certainly a
candidate for colonoscopy. If an immediate family member had colon
cancer after 60 - this is not considered an additional risk.
Additional genetic risk exists for people whose family members
contracted cancer before the age of 50. In that case, it is
recommended that screening be done five years earlier than the
cancer appeared in the family (for example, if a sick member was 40
years old at the time of diagnosis, his or her children need to
have a colonoscopy at 35). You can contact departments of
gastroenterology in a number of hospitals in Zagreb.
D.Sc. Goran Hauser, MD
I usually recommend treatment with Normia for approximately 30
days 2x1 a day. If the patient shows a positive response to
treatment, but his or her ailment reoccurs, it is a good idea to
repeat treatment with Normia after a while and to do so 3 to 4
times a year. Most patients do not respond well to the triple
therapy for eradication of Helicobacter pylori, so I usually
prescribe Normia during and after antibiotic therapy.
D.Sc. Goran Hauser, MD
By all means, you should (and I dare say must) give your child a
probiotic in addition to antibiotic protection, particularly since
in your child's case the side effects of antibiotics are clear. You
may give him Prolife ampoules while administering the antibiotic
2x1, and after the antibiotic course 1x1 for the next 15
Prof. D.Sc. Mladen Peršić, MD
Definitely - feel free to give your little girl Aqua Maris
products for children. Although the incidence of colds is not
etiologically related to them, you might also consider testing for
Prof. D.Sc. Mladen Peršić, MD
Congratulations, this the only effective way of lowering blood
pressure, but also the hardest. Besides lowering the blood
pressure, you have reduced your overall cardiovascular risk, which
is even more important than the blood pressure values. For
now it is enough to occasionally check blood pressure.
Unfortunately, ageing blood vessels become stiffer and it is
possible that in future, despite these measures, your blood
pressure will increase (above 160/90), in which case it would be
advisable to take high blood pressure medication. In
conclusion, you have resolved your blood pressure problem, so
continue with these measures. Once again,
Sandro Brusich, MD
Atopic dermatitis (dermatitis atopica, AD) is a chronic or a
chronic-relapsing inflammatory skin disease characterized by
general dryness of the skin, severe itching, excoriations and
lichenification. It occurs in people with a hereditary atopic
predisposition, with a tendency to cause allergic reactions to
different allergens. The treatment of atopic dermatitis depends on
the patient's age and clinical manifestations of disease.
Since the fundamental features of atopic dermatitis are general
dryness of the skin accompanied by severe itching, it is extremely
important to take proper care of the skin and to keep it hydrated.
Regarding the use of probiotics in the treatment of AD,
professional data sources are contradictory, and there is
insufficient evidence to support the use of probiotics in treatment
of AD in children in clinical practice. I personally have no
experience with the use of probiotics in the treatment of AD.
Prof. Marija Kaštelan, MD, PhD
Before you start taking Omega 3 you should have your child
examined to eliminate other possible causes (like Celiac disease
which can have the same symptoms, or liver diseases - M.
Wilson ...), and the child would certainly need to be examined by a
psychologist. The supplements you mentioned are not a
contraindication, on the contrary, there are many papers discussing
the positive effects of omega3 acids on mood and concentration, but
it is necessary to exclude organic or psychogenic causes of these
Prof. Mladen Peršić, MD, PhD
At present there is growing evidence that the triple therapy for
eradication of H. pylori should include probiotics to alleviate an
imbalance in the intestinal flora caused by taking two types of
antibiotics. It is not too late to take Norma 2x1 for 30 days
and I think that it will help normalize your stool.
Goran Hauser, MD, PhD
Giving probiotics over a slightly longer period of time (2-4
months) can only have beneficial effects on respiratory
symptoms. However, it is necessary to exclude allergy as a
cause and to check whether adenoids or tonsils are the cause of
these disorders (ENT exam), while severe immunological causes are
unlikely since the child has a regular growth and development
pattern. To conclude, the use of probiotic - yes, I recommend one
to two Normia bags a day, but it is necessary to undergo an exam by
an ear, nose and throat specialist and an allergologist during the
Prof. Mladen Peršić, MD, PhD
In postmenopausal women vaginal mucosa is thinner, due to which
less glycogen and acid is produced. They are produced with help of
lactobacilli in the vagina, and have a protective purpose.
There are strains of probiotics with the ability to populate the
interior of the vagina, stick to the walls and secrete hydrogen
peroxide, bacteriocins, lactic acid, and create favourable
conditions for the recovery of vaginal flora. The time needed to
stabilize the vaginal system or the time necessary for the vagina
to be populated by protective microorganisms is approximately 2-6
weeks. The role of probiotics is to stabilize vaginal flora, to
prevent urogenital infections, and to support treatment. Naturally,
regular gynaecological exams are also recommended. Healthy vaginal
flora is the best natural protection for women against infection,
but if the amount of "good" bacteria is insufficient, then its role
in preventing the development of pathogen infection is diminished,
which it is a good basis for developing the disease. This is
another reason to use Lactogyn. Use Lactogyn gel to prevent
Alemka Brnčić, MD, PhD
Lactogyn vaginal pills and Lactogyn capsules, which are taken
orally, are probiotics. For faster colonization of the vagina with
lactobacilli it is advisable to start therapy with vaginal pills
for one week and then continue with oral Lactogyn tablets.
To maintain a balance of urogenital flora it is advisable to take
one capsule a day, preferably with a meal. As an aid in the
treatment of pre-existing vaginal conditions and during and after
antibiotic therapy the recommended dose is two capsules a day.
Improvement of the vaginal flora quality is expected after two
weeks of taking 1 capsule a day, and at the latest after 4-6
Alemka Brnčić, MD, PhD
Dry-eye syndrome is a common problem, particularly in advanced
age. Usage of artificial tears, frequent blinking and air
humidification can alleviate the symptoms. I recommend an
ophthalmological examination in any case, to establish the type and
severity of the condition.
Maša Mikuličić, MD
Psoriasis is a chronic inflammatory skin disease characterized
by the appearance of red spots covered with scales. Depending on
severity of the disease, mild forms of psoriasis are treated
locally, while severe forms of the disease are treated both locally
and systemically. Sunbathing and swimming in the sea, also called
helio-marine therapy, is very effective in the treatment of
psoriasis. Omega 3 fatty acid have demonstrated certain efficiency
if taken in an appropriate dose - as a concomitant therapy in case
of various dermatologic diseases such as atopic dermatitis,
psoriasis, acne vulgaris, etc... It is fine to use 1-2 capsules a
day for the period of several months. We recommend Mega omega-3
since they contain 65% of omega-3 acids in one capsule. They should
be used as concomitant therapy with local or systemic therapy as
recommended by a dermatologist. Application of omega 3 capsules
without adequate dermatological treatment will not cure the
Prof. Marija Kaštelan, MD, PhD
It is believed that only 30-40% of women have a healthy vaginal
flora. Stress, a weakened immune system due to various
diseases, common cold or more serious conditions, use of
medications such as antibiotics or birth control pills, all can
lead to an imbalance of vaginal flora. About 300 million women
around the world today get some kind of urogenital infection, most
of which are bacterial vaginosis (a vaginal microflora imbalance: a
significantly reduced number of lactobacilli and an increased
number of anaerobic bacteria, especially Gardnerella vaginalis) and
vaginal candidiasis. Problems are manifested as itching,
burning and increased discharge from the vagina, often accompanied
with an unpleasant odour. Infections can often be
asymptomatic, but if left untreated complications such as
sterility, inflammation of pelvic organs, premature birth and
others can develop. It is important to emphasize that such
infections frequently reoccur. Infection therapy includes the use
of antibiotics or antifungal drugs that destroy pathogens.
But these drugs also have an adverse effect on the protective
microorganisms in the vagina. Therefore, in addition to
standard therapy, and for the protection of vaginal flora, we can
add probiotics - micro-organisms with a positive effect on the
health of the host. It is important to know that all
probiotics are not the same and do not have the same effect.
The time needed for stabilization of the vaginal system or the
time necessary for the vagina to be colonised by protective
microorganisms is approximately 2-6 weeks. Therefore,
probiotics not only stabilize vaginal flora and prevent urogenital
infections, but also support treatment. In case there are signs of
infection, Lactogyn may be taken as supplemental therapy along with
that prescribed by a doctor (antimycotics, antibiotics), for at
least two to six weeks. To achieve healthy vaginal flora it
is best to use Lactogyn vaginal pills as well during the first week
(apply one a day). In case of repeated infections it is recommend
taking one capsule a day for several months. In case of repeated
infections it is recommend using one capsule a day for several
Alemka Brnčić, MD, PhD
Chronic constipation is one of the most persistent problems in
gastroenterology. Once you take all hygienic and dietary
measures, which you did from what I can gather, then the only
recourse left is medication. The problem with medicines is
that they do not stimulate the stool physiologically, which is why
they should be avoided or applied to the minimum possible
extent. Probiotics should also be considered, since they have
a stronger physiological effect than laxatives. Although they are
prescribed primarily for diarrhoea, probiotics have shown to help
with constipation as well. I would recommend taking Normia for 30
days, which can be repeated 3-4 times a year.
Goran Hauser, MD, PhD
Oculo plus capsules can slow the progression of cataracts
because they contain powerful antioxidants. They are taken
once a day. I suggest that you get an ophthalmological examination
to establish the degree of lens clouding. Since you also have
diabetes, it is important to get a fundus examination at least once
a year.
Since Lacotgyn are supposed to be used only one week, we suggest
that you don't take during the period (use it before or after the
bleeding). If you use them during your period, most of the
probiotics would be excreted with the menstrual blood and the
effect would be weaker. During the period you can take the oral
capsules, 1x1 a day.
Vaginal capsules act more quickly and are advised for acute
conditions, with stronger disturbances. After a week of vaginal
capsules administration it is good to continue with Lactogyn oral
capsules 1 a day, for 1-3 weeks. In case of antibiotic treatment it
is possible to combine 1 Lactogyn oral capsule a day after
breakfast, and insert 1 Lactogyn vaginal capsule at bedtime for a
period of 7 days, then continue the treatment with 1 oral capsule a
day for another 3 weeks.
JGL Counselling
Sometimes, in the time of ovulation, in the middle of the cycle
a slight bleeding appears but it cannot be affected with Lactogyn
capsules. However, it would be beneficial to use them for the
regulation of vaginal flora during and after antibiotic treatment
and in times of increased stress.
During the intercourse and ejection of the semen, pH in the
vagina changes which can lead to changes in the flora and an
unpleasant odour. We recommend to use 1 Lactgogyn vaginal capsule a
day before bedtime in duration of for 7 days. In addition, take
Lactogyn oral capsules and use 1 a day for 4 weeks. By this means
you will enter the lactobacilli in the vagina which will regulate
flora and reduce or solve your problems. We suggest that your
partner makes urethra swabs in order to exclude possible
Dear Madam;
You can take Lactogyn capsules with the treatment you received
from a gynaecologist, there is no contraindication. Take 2 Lactogyn
capsules a day for a period of 2 weeks, and then continue with one
capsule a day for 6 weeks. They will stabilize the vaginal flora.
As far as your weight is concerned it is almost perfect. But, if
you could put an effort and loose 5 kg in the next 6 months, it
would be a relief for the heart and the veins. Try to eliminate
candies from the menu. Include more fruits and vegetables.
We suggest that you contact the Pablo pharmacy, where you can
get testers and talk to our professional staff.
The form of Prolife probiotic is designed for a specific
children age and mode of application. A suspension which can be
mixed with tea (cooled down to room temperature, high temperatures
would destroy the probiotic) is intended for children. Probiotic
powder is protected in a capsule for reason and it is not advised
to open it. The content of one bottle is sufficient for your kid,
mix it with half-decilitre of the tea which the child usually
drinks, offer him the drink half an hour before breakfast. It would
be advisable to carry out the treatment for 10 days.
Carry out the treatment with Normia powder for 4 weeks, 1
bag a day with breakfast (or any other meal that you can control).
It would be good to eliminate pre-cooked meals and snacks, because
they are full of additives (preservatives, flavour enhancers,
colour), eggs and milk from a child's menu for the duration of the
rash. Rice milk is recommended as substitution Soy milk is not
recommended due to common allergic reaction to soy. Also do not
wash the girl's garments with conditioner.
Dear Mr. Đono,
The administration of loratadine (Contral) is effective in
treatment of allergies and alleviates the symptoms you specified,
it has a rapid onset, a simple application (taken once a day) and
non-sedating effects. However, since this is not a seasonal
rhinitis, and the allergy to dust mites is present all year round,
it is necessary that you consult your doctor (allergist) about the
duration of the treatment.
Dear Madam; Aqua Maris can be used without fear both by pregnant
and lactating women because it is a natural medicinal product.
Dear Mrs. Crljen
Developing a product Holyplant Antiox cream we considered the
expert facts to use the vitamin E in a form of tocopheryl acetate.
It is known that vitamin E in the form of tocopherol has a stronger
antioxidant activity on the skin, however, the given fact is
compensated by using higher concentrations of tocopheryl acetate,
which is proven in the literature to have the antioxidant activity
in the used concentration. In addition, the vitamin E in the form
of tocopheryl acetate is incorporated into the cream in the form of
"water in oil", which means that the fat (oil) phase is the one in
direct contact with the skin which makes the cream to stay longer
on the site of application giving the tocopheryl acetate more time
to interact with the skin. There is a variety of dermatological
studies confirming that the tocopheryl acetate is absorbed into the
surface layers of the skin, and after the absorption it transfers
into the form of tocopherol. An additional fact which influenced
the choice of this form of the vitamin E in Holyplant AntiOx cream
is the fact that tocopherol has a stronger irritation potential
than tocopheryl, which means that it is more likely to cause side
effects such as redness, itching, peeling of the top layers of
skin, etc. Also an important issue is that the tocopheryl form of
vitamin E has a longer shelf life and with its use in the Holyplant
AntiOx cream we be sure that tocopheryl acetate
concentrations remained unchanged during the full shell life. It
should be noted that the antioxidant activity on the skin is not
achieved only by the form of the vitamin E but its combination with
vitamin C, which is also an ingredient in Holyplant Antiox cream.
In conclusion, we can say that Holyplant AnitOx cream which
contains the vitamin E as tocopheryl acetate has an antioxidant
activity provided during the whole declared period of the product
validity, and that the product is safe for use.
If you have any further questions, please do not hesitate to
contact us.
Aleksandar Posavec, prof.
Brand Manager, Consumer Health Programme
Dear Madam; Lactogyn capsules can be taken regularly, without
interruption even during menstruation.
Dear Madam; probiotics should be used during an antibiotic
treatment, but at least 2 hours before or after the antibiotic. In
addition, if you decide to take Lactogyn capsules we suggest to
take 2 capsules a day for 2 weeks, and then one capsule a day for
at least another two weeks. It is advisable to eliminate sweets,
sugar, honey, yeast, and processed meat products from the menu
because they alter pH, and stimulate the growth of candida.
Dear Madam; Lactogyn capsules are helpful in treating a
bacterial, fungal and viral vaginal infection. They are taken over
a longer period of time. At least 4 weeks in mild candidiasis, and
with infection with HPV for months, until the smear test becomes
Dear Madam, please go to see a gynaecologist, because it is
necessary to determine why you have the pins. Besides, it should be
seen whether this discharge is normal - if the composition adequate
for a certain period of the menstrual cycle and contains if it
contains the bacteria that need to be treated. In any case, we
suggest taking the two Lactogyn capsules for 2 weeks, and then one
capsule a day for 6 weeks, in order to regulate the vaginal
Dear Madam; infection with Candida often returns, because the
Candida is a usual inhabitant in the vagina and intestine. However,
in some situations it rapidly multiplies, disrupt the flora in the
vagina and the intestines and causes the inflammation. Treatment is
time-consuming, requires a lot of patience, changing of habits, and
reduction of stress. It is necessary to implement a strict
anticandida diet (eliminate sugar, white flour, sweets, honey,
processed meat, yeast, dried fruits, alcohol). Take two Lactogyn
capsules a day for a month, and then 1 capsule a day for 2 more
months. Of course, it is adjuvant therapy to the drugs that you get
from your gynaecologists. You should give up sex for at least 4
weeks. Your partner should use Canesten cream for external
application as described in the leaflet. Every time you take
antibiotics, it is desirable to take a probiotic (Normia 2x1 - 2
hours before or after antibiotics) to maintain normal gut flora.
Because, if a gut flora is impaired the problems occur in the
vagina (due to closeness near). Lactogyn capsules have no effect on
increased body weight.
Dear Madam, your Croatian is great. You said that you took
Lactogyn capsules taken as a adjuvant therapy, which is correct.
You would have to take an antifungal medicine in form of vaginal
pills, and your partner in a form of a cream. These medicine can be
prescribed by a gynaecologist. Take 2 Lactogyn capsules a day for
two weeks, then 1 capsule a day for another 6 weeks. Avoid fresh
bread, pastries, processed meat products and sweets.
Dear Petra, Lactogyn capsules are an aid in candida treatment.
This means that you should take them along with the treatment
prescribed by your gynaecologist. However, Lactogyn capsules should
be continued after a local therapy (with a vaginal tablets or
cream). We suggest that you take two capsules a day for two weeks
and then another 1 capsule a day for 6 more weeks. Pay attention to
diet, eliminate sweets, fresh bread, processed meat, because they
stimulate the growth of candida. It would be advisable to carry out
a treatment with quality vitamins to increase general immunity. For
more info you can contact us in our counselling centre by
Dear Mrs. Vlatka, we suggest that you contact the pharmacy Pablo
where our expert staff would suggest an appropriate care for you
face. You can also get the testers there.
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