Questions and answers

Hello. The child has been suffering from ARVI for a week. All symptoms (fever, nasal congestion) gradually subside, but coughing is very disturbing. It is especially aggravated at night - productive, the child cannot clear his throat for a long time. Can you please tell me if this is considered as deterioration? Maybe we should already start drinking antibiotics? Thank you
Answer: 28.05.2021

Hello! A child's nighttime cough is not considered a worsening or complication of the current illness. Most often in children, this is a sign of rhinosinusitis, postnasal drips, which can bother the child for a long time. Most likely, there are no reasons for prescribing antibiotic therapy, especially since the child has no fever or worsening of the general condition. For a more correct and accurate consultation, the child should be examined by a pediatrician, and in case of a prolonged nighttime cough, also by a pediatric otolaryngologist.

Syirbu Tatyana Vladimirovna
Head of the Pediatric Unit, pediatrician. The first qualification category. Work experience is 10 years.
Hello. The child is 6 years old, a planned visit to all doctors is needed for a certificate to school. Can you please tell me if a pediatrician at your clinic can make such a certificate? And is it possible to see all the doctors in one day?
Answer: 28.05.2021

Hello! All pediatric specialists work at ON Clinic, the consultation of which is necessary for a child upon admission to educational institutions. The pediatrician, on the basis of advisory opinions, issues a form of primary accounting documentation No. 086, as well as a form No. 063 for registration in the school.

Syirbu Tatyana Vladimirovna
Head of the Pediatric Unit, pediatrician. The first qualification category. Work experience is 10 years.
Hello. The child is 1.5 years old - there is not a single vaccination yet - we are sick all the time, we are plagued by ARVI. The district pediatrician puts a medical exemption. Can you please tell me if you can undergo a complete examination of the child and draw up an individual immunization schedule?
Answer: 28.05.2021

Hello! Frequent ARVI should not affect your child's vaccination, he/she needs vaccination, perhaps even more than children who are not sick. To clarify the child's immune status, general condition before vaccination, you need to carry out laboratory diagnostics, namely: clinical blood and urine tests, as well as immunogram, and after examination by a pediatrician, if there are no contraindications, draw up individual vaccination schedule. All this can be done in the ON Clinic pediatric department.

Syirbu Tatyana Vladimirovna
Head of the Pediatric Unit, pediatrician. The first qualification category. Work experience is 10 years.
Hello. My daughter is 2 years old. Recently, we began to notice that she always keeps her mouth open - she did not breathe through her nose at all. A little wheezing in a dream, but not always. Otherwise, she is an ordinary, cheerful child. We were advised to see a doctor to rule out adenoids. Can you please tell me if we can undergo such examination at your clinic and what is needed for this?
Answer: 28.05.2021

Hello! Normally, the child’s nasal breathing should be free. If a problem arises with this, then the patency of the nasal passages should be restored, after finding out the cause. To do this, you need to contact the pediatric otolaryngologist of our medical center, who will carry out all the necessary diagnostic procedures to clarify the diagnosis.

Syirbu Tatyana Vladimirovna
Head of the Pediatric Unit, pediatrician. The first qualification category. Work experience is 10 years.
Hello! My son is 2 years 9 months. For several days he refuses to eat - cries and points to his mouth. I found a white pimple on the inside of his lower lip, he said it hurts a lot. There is a slight temperature. Please tell me what it can be and should we see a doctor? Thank you
Answer: 28.05.2021

Hello! If a child is restless, crying and his appetite decreases, then this, of course, is already a reason for concern and a visit to a doctor. Problems arising in the oral cavity must first of all be shown to the dentist. Most often, the correct treatment will resolve the issue already at this stage.

Syirbu Tatyana Vladimirovna
Head of the Pediatric Unit, pediatrician. The first qualification category. Work experience is 10 years.
Hello! I was recently diagnosed with psoriasis of the scalp. I would like to consult with you as another specialist to confirm the diagnosis. I am 41. About 2 months ago, I began to notice as if dandruff on the head, severe itching. If I scratch, it bleeds, and the dandruff itself is of some strange color. Tell me, could it be psoriasis or something else? Thank you!
Answer: 27.05.2021

Yes! The diagnosis "Sebopsoriasis" at this time is an integral symptom in the psoriasis manifestation. To make a diagnosis, a method for determining the psoriatic triad and dermatoscopy are carried out, a scraping is taken for pathogenic fungi, after which a diagnosis is made.

Rozhkova Natalya Viktorovna
Doctor-dermatovenereologist, trichologist. The second category. Work experience is 22 years.
Hello! I am 56 years old, and after the death of my husband, receing hair formed on my head. These bald spots are mostly on the back of the head, and no hair grows on them at all. I tried rubbing in garlic and pepper tinctures, took vitamins for hair growth, but nothing helped. Maybe you can tell me some remedy for baldness? I don't want to wear a wig all the time!
Answer: 27.05.2021

It is possible to suspect a diagnosis of alopecia areata, but to make an accurate diagnosis, you need to visit trichologist with undergoing the trichoscopy, further examination and consultation of related specialists.
 

Rozhkova Natalya Viktorovna
Doctor-dermatovenereologist, trichologist. The second category. Work experience is 22 years.
Hello, doctor! I am 30 years old, I have fair skin and a lot of moles on my body. There are so many of them that I cannot track the possible changes that may occur to them. When I take sun bathes (I do this very rarely), new moles may appear, and this scares me. Please tell me, how often do I need to see dermatovenerologist to be calm about melanoma, and how does this examination go?
Answer: 27.05.2021

It is recommended for you to visit to dermatologist once a year, necessarily with examination (dermatoscopy) of each neoplasm. In the spring-summer period, you need to avoid sun exposure, and also use professional dermato-cosmetics with SPF protection 50+ for open areas.
 

Rozhkova Natalya Viktorovna
Doctor-dermatovenereologist, trichologist. The second category. Work experience is 22 years.
Hello! Yesterday, during the pedicure, the pedicurist noticed that I had a wart on my sole. I didn’t even know about it, as it doesn’t hurt or itch, it doesn’t bother me to walk. But the pedicurist said that it is necessary to remove it, because if you accidentally touch it, there may be an overgrowth or warts can go all over the leg. She said that you can just buy a special plaster at the pharmacy and stick it on, and it will fall off by itself. But I'm a little bit scared to deal with this myself. Tell me, how do you remove warts?
Answer: 27.05.2021

Hello. You need an offline visit to dermatologist with dermatoscopy to make a diagnosis. Due to the depth of the warts, conservative treatment methods are ineffective and may even provoke the spread of the process. Removal is carried out by the device "Fotek". We work with modern equipment with minimal pain and trauma to the skin.
 

Rozhkova Natalya Viktorovna
Doctor-dermatovenereologist, trichologist. The second category. Work experience is 22 years.
Hello! I need a consultation with a gynecologist. I am 32 years old, I recently finished breastfeeding my son and now I want to start taking hormonal contraceptives. Can you please tell me how to choose them correctly and what tests should be done beforehand? I have minor problems with excess weight and increased oily hair, can COCs somehow help me with this?
Answer: 27.05.2021

Hello! Hormonal contraception is a modern and reliable method of preventing pregnancy. Before prescribing hormonal contraceptives, it is necessary to consult a gynecologist. An individual approach is required, taking into account the age of the patient, her state of health. A gynecological examination, ultrasound of pelvic organs, mammary glands, smears for microflora and cytology are necessary, it is necessary to assess the blood coagulation system, measure blood pressure. All this will allow determining which method of contraception is right for you.

Yarkovaya Olga Valentinovna
Obstetrician-gynecologist. The second category. Work experience 9 years.
Hello. I had unprotected sex with a guy yesterday. This was on the 11th day of the cycle. Tell me, is there a chance that I got pregnant? I took Postinor and now I don't know what to do! My chest is a little swollen and I feel nagging pain on the lower abdomen. Should anything happen, will I be able to make appointment for a medical abortion and when is it better to do it?
Answer: 27.05.2021

Hello! You did the right thing by using emergency contraception after unprotected intercourse. Let's hope it will be effective. Medical abortion is the safest and most effective method of terminating a pregnancy. In case of unwanted pregnancy, it is important to consult a gynecologist at the slightest delay in menstruation in order to undergo the necessary examination. Medical abortion at our medical center is carried out up to 49 days from the first day of the last menstruation.

Yarkovaya Olga Valentinovna
Obstetrician-gynecologist. The second category. Work experience 9 years.
Hello! I would like to consult. I read that the intrauterine device is one of the most modern and almost 100% methods of contraception. COCs are not suitable for me due to hormonal disorders and the risk of thrombosis. Please tell me about the installation procedure of this device and what examinations do I need to undergo for this? Thank you!
Answer: 27.05.2021

Hello! Yes, an intrauterine device is a reliable and convenient method of contraception. But there are a number of contraindications for its use. These are inflammatory and oncological diseases of female genital organs, cervical dysplasia. The intrauterine device is inserted into the uterine cavity during menstruation. Before the introduction, it is necessary to undergo an examination. This is a gynecological examination with taking smears for microflora and cytology, ultrasound of pelvic organs, examination for hepatitis B and C, HIV, syphilis, complete blood count (it is necessary to determine the level of hemoglobin).

Yarkovaya Olga Valentinovna
Obstetrician-gynecologist. The second category. Work experience 9 years.

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