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Attention: Thailand

There is no country in the world where you can not go, but for each destination there are rules and features that are important to know. If you are going to warmer climes, we have prepared a cheat sheet especially for you together with the doctors of the Clinic of Tropical Medicine.

Today we are talking about Thailand.

P.S. It would not be superfluous to visit the clinic before your trip - doctors will introduce you to the specifics of a particular region, help you assemble a first-aid kit, instruct you on first aid issues, prescribe the necessary vaccines and, if necessary, will be in touch with you online or by phone.

After the trip, they will help to eliminate asymptomatic tropical infections, so that the vacation will be remembered for exceptionally friendly elephants, exotic fruits and the azure ocean.

1. Malaria

A life-threatening disease that is transmitted through the bites of infected female Anopheles mosquitoes.

Symptoms: fever, headache and chills.

Distribution: in the provinces bordering Burma (Myanmar), Cambodia and Laos, as well as in the provinces of Kalasin, Krabi (Plai Phraya district), Nakhon Si Thammarat, Narathiwat, Pattani, Phang Nga (including the city Phang Nga), Rayong, Sakon Nakhon, Songkhla, Surat Thani and Yala. Isolated cases of the disease have been reported in the areas of Phuket, Phang Nga, KHO Koh Samui and KHO Pha Ngan.

Prevention: antimalarial drugs (after consultation with a doctor), the use of repellents.

2. Leptospirosis

An acute infectious disease caused by the bacterium Leptospira, the source of infection is rodents. Infection occurs through contact with rodent-infested soil or water.

Symptoms: fever, severe headache and muscle pain, chills, redness of the eyes, abdominal pain, jaundice, hemorrhages in the skin and mucous membranes, vomiting, diarrhea and rash.

Distribution: in urban slums due to insufficient sewage disposal and water purification.

Prevention: avoid contact with freshwater bodies (canals, swamps, lakes, rivers, waterfalls).

Treatment: antibacterial agents.

3. Helminthiasis

Parasitic diseases caused by helminths (worms). Infection most often occurs when eating foods contaminated with eggs or helminth larvae, as well as through contact with contaminated water, soil, or insect bites.

Symptoms: diarrhea, abdominal pain, decreased appetite, general malaise and weakness, possibly fever.

Prevention: wash fruits and vegetables thoroughly before eating, and avoid thermally unprocessed meat, fish, and crustaceans.

Treatment: anthelmintic drugs.

4. Hepatitis A

Acute infectious disease caused by hepatitis A virus (HAV). Transmission of the infection occurs through contaminated food, water, or beverages, as well as from person to person. Affects the liver.

Symptoms: jaundice (yellowing of the skin and eyes), nausea, lethargy or drowsiness.

Prevention: food hygiene and vaccination.

Treatment: there is no specific treatment

5. Rabies

One of the most dangerous infectious diseases of a viral nature, it occurs with severe damage to the nervous system and ends, as a rule, with a fatal outcome. In 99% of human rabies cases, domestic dogs were the source of infection.

Symptoms: fever with pain and unusual or unexplained tingling or burning at the wound site. Further, progressive and fatal damage to the brain and spinal cord develops.

Prevention: administration of two doses of rabies vaccine before the trip.

Treatment: after biting, scratching, and salivation, animals are given an emergency rabies vaccine with or without rabies immunoglobulin.

6. Dengue fever

It is one of the most common infectious diseases in Thailand. It is a viral infection transmitted through the bites of Aedes aegypti mosquitoes. Hemorrhagic form can have fatal complications.

Symptoms: severe flu-like condition

Distribution: throughout the rainy season (from May to October) in both urban and rural areas, with an increased risk in the northeastern part of the country.

Prevention: the use of repellents.

7. Japanese encephalitis

An acute viral infectious disease transmitted through insect bites. It mainly affects the brain.

Distribution: in the northern region of Thailand (Chiang Mai Valley), with seasonal peaks from May to October.

Prevention: protection from mosquito bites and vaccination (for those who stay in endemic areas for more than one month).

Treatment: there is no effective antiviral treatment.

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Questions and answers

Nonbacterial Prostatitis
For over a year now I have suffered with nonbacterial prostatitis. I am 65 years old and my prostate is 50 cubic cm. I have treated this every way possible to no avail. As I understand it, there are only 2 possibilities: 1) Daily painkillers and sleeping pills which leave me in a drug-induced stupor. 2) Radical
prostatectomy, although I don't have cancer and my PSA is around 1. I don't live in Russia and it isn't possible to have a radical prostatectomy here. Can I have this operation in your center? Because of the severe inflammation, I can only sit and walk for limited amounts of time. I am near insane from the constant pain and sleeplessness.
...more
As with all civilized urologists in the civilized world, we COMPLETELY remove the prostate ONLY in cases of prostate cancer. At the same time, if you would like to be seen by us for assistance, at your convenience we can examine you and treat your problem.
Both knees
I would like to get MRT and diagnosis for my knees. Left has old trauma and right is hurting now permanently. An English or German speaking doctor would be an advantage. KR Florian
Dear Florian. Be sure you'll get all the answers for your questions. We have MRI and English-speaking staff including knee surgery specialists. Our assistants will contact for further instructions. Kind regards.
Laser surgery for removal of varicose veins
Does you clinic offer laser surgery for removal (or correction) of varicose veins on the legs? I would like to learn about both the aesthetic and medical side of the issue.
Our clinic performs the most common and advanced methods of varicose veins’ treatment. This includes classic phlebectomy, injection sclerotherapy, and foam sclerotherapy (the most common method of treatment in Europe). The method of treatment depends on certain medical conditions. If the disease manifests itself as
small spider veins, the laser correction could be performed by a surgeon-phlebologist or a dermatologist. But each case is always individual. You need to make an appointment for a consultation to discuss all the issues in more detail.
...more
Cancer of the thoracic spine
I have cancer of the thoracic spine. According to the MRI, I have wedge-shaped vertebrae, and small fractures in some places, with the absence of normal bone. Is it possible to undergo a vertebroplasty if the lumbar region is also affected? Will the lumbar vertebrae be able to support the thoracic vertebrae after
this procedure?
...more
It is necessary to analyze the MRI scans in this case. Metastatic vertebral bodies are treated with radiation and chemotherapy according to our principles. Vertebroplasty is possible, but it is difficult to say anything specific without seeing the scans.
Hernia-related pain
Hello, I had hernia-related pain about one month ago. With abrupt leg and foot movements, I experience pain in the cervical segment of the spine, radiating into my arm. MRI test result: degenerative-dystrophic changes of the cervical segment, spondylosis, osteophytosis of C5-C6 segment, posterior hernia of C4-C5
segment with a tendency to sequestration. Could the hernia growth be stopped? What do I do?
...more
If the MRI data shows a disk protrusion (small hernia) which does not cause dural sac compression and you have no clinical manifestations of the disease, you need to undergo physical therapy and therapeutic physical training aimed at strengthening the muscles of the cervical segment of the spine. In order to make the
decision, you must make an appointment and show the MRI results to a neurologist or neurosurgeon, who will give you recommendations for further action. You can get all necessary assistance at our center.
...more

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