Saturday, November 1, 2008

Psoriasis

Psoriasis is a skin disorder characterised by thick, red patches of skin that are covered by white or silvery scales. It usually appears between the ages of 20 and 30, and it tends to run in families. It is not infectious although the patient can go into remission by treatment on spontaneously. Psoriasis, even in mild causes severe embarassment, shame and social isolation. Psoriasis, cannot kill easily but ruins people's lives.

Symptoms
  • Raised red patches of skin, covered with dry white or silvery scales. The patches usually appear on the elbows, knees, nails (fingers and toes) scalp, and trunk.
  • Itch, in some cases.
  • Pitted, cracked, or deformed nails; loose nails.
  • Profuse shedding of dead skin (looks like dandruff when on the scalp), in severe cases.
  • Cracked painful skin, blisters on the palms and soles.

Complications
  • Arthritis (inflammation of the joints), in severe cases.
  • Impaired use of hands or feet.
  • Depression due to social isolation and anxiety.

Cause
Not yet fully known, but is associated with:
  • The overproduction of new skin cells (10 times as fast as normal), leading to the buildup of live cells (the cause of thickened patches) and profuse shedding of the outer skin layer.
  • A combination of factors have been implicated including hereditary factors, stress, after physical illness or infection.
  • Immunologic.

What you can do
  • Sunbathe for 15-30 minutes daily, but not to the point of being sunburnt. A sun (ultraviolet) lamp is an alternative.
  • Apply petroleum jelly to the affected areas.
  • Avoid ingestion of alcohol.
  • Avoid or learn to manage stress.
  • Proper stress management and follow a healthy lifestyle. Keep a healthy body weight.
  • Consult a doctor if you suspect psoriasis. He will help you control the disorder.

What your doctor can do for you
  • Explain the condition; counsel.
  • Recommend cream, ointment, or other treatment to clear the psorisis (eg coal targel).
  • Prescribe anti-inflammatory medicine for arthritis.
  • Recommend ultraviolet treatment.

Helplines
Psoriasis Association of Malaysia 03-254 6160

For other products see Skin medicated soaps/cleansing agents/gloves page 501

PRODUCT GUIDE
BE-PROSALIC K H Hoe
Ointment 15 g, 450 g (871164A)
Contains Betamethasone dipropionate 0.064%, salicylic acid 3%.
Uses Relief of skin inflammations, eg psoriasis, dermatitis & seborrheic dermatitis.
How to use Wash & dry the affected area. Apply the ointment sparingly to the affected areas & rub-in twice daily, or as prescribed by the doctor.
Precaution For external use only. If symptoms persist, consult your doctor. This medicament is to be used only for your present condition. Do not allow use by other person & discard unused ointment after healing is complete. Caution in use if to be applied to large areas, particularly in children. Avoid prolonged use & contact with eyes. Burning sensation, irritation, skin eruptions, dryness & changes in skin color may occur.

BEPROGEL K H Hoe
Topical solution 0.5 mg x 30 ml [913399A]
Contains Betamethasone dipropionate 0.064%
Uses Treatment of skin inflamation, eg eczema, dermatitis, seborrheic dermatitis & psoriasis.
How to use Wash & dry the affected area. Apply the topical solution sparingly to the affected areas & rub-in once or twice daily, or as prescribed by your doctor.
Precaution For external use only. If symptoms persist, consult your doctor. This medicament is to be used only for your present condition. Do not allow use by other person & discard unused solution after healing is complete. Caution in use if to be applied to large areas, particularly in children & in occlusive dressing. Avoid prolonged use.

BEPROGENT K H Hoe
Cream 1.5 g, 450 g (871377A)
Ointment 450 g (871378A)
Contains Per g Betamethasone dipropionate 0.64 mg, gentamicin sulphate 1.7 mg
Uses Treatment of eczema, dermatitis, seborrheic dermatitis & psoriasis aggravated by secondary bacterial infection.
How to use Apply the cream or ointment to the affected area twice daily.
Precaution For external use only. If symptoms persist, consult your doctor. This medicament is to be used only for your present condition. Do not allow use by other person & discard unused cream/ointment after healing is complete. Caution in use if to be applied to large areas, particularly in children & in occlusive dressing. Avoid prolonged use & contact with eyes. Deafness, burning sensation, irritation, skin eruptions, dryness & change in skin color may occur.

BEPROSOL K H Hoe
Ointment 15 g (940218A)
Contains Betamethasone dipropionate 0.064%
Uses Treatment of skin inflammation, eg eczema, dermatitis, seborheic dermatitis & psoriasis.
How to use Wash & dry affected area. Apply the ointment sparingly to the affected area once or twice daily, or as prescribed by your doctor.
Precaution For external use only. If symptoms persist, consult your doctor. This medicament is to be used only for your present condition. Do not allow use by other person & discard unused ointment after healing is complete. Caution in use if to be applied to large areas. Avoid prolonged use.
Warning Do not use in chicken pox, acne, viral, bacteria or fungal skin infections, on the eye or occlusive dressing.

BEPROSONE K H Hoe
Cream 15 g, 450 g (870597A)
Ointment 450 g (870596A)
Contains Betamethasone dipropionate 0.064%
Uses Treatment of skin inflammation, eg eczema, dermatitis & psoriasis.
How to use Apply the cream/ointment to the affected area as prescribed by your doctor.
Precaution Caution in use in applying to large skin areas, particularly in children & in occlusive dressing. Burning sensation, skin irritation, dryness, changing in skin color & skin eruptions may occur.

BETNOVATE
Glaxo Wellcome
Cream 5 g x 12's, 15 g x 12's, 100 g [860146A]
Ointment 5 g x 12's, 15 g x 12's, 100 g [870601A]
Contains Betamethasone valerate 0.1%
Uses Treatment of eczema, psoriasis, seborrheic dermatitis & other skin inflammations not due to virus, bacteria or fungi.
How to use Apply a small amount of cream or ointment to the affected area 2 or 3 times daily until there is an improvement.
Special Instruction occlusion may be applied, using a plastic film in severe cases.
Precaution Avoid prolonged use, especially in infants & children. Thinning of the skin may occur.
Warning Do not use in acne, chickenpox & mouth ulcers, viral, fungal or bacterial skin infections.

Keep all medicines safely out of reach of children.

BETNOVATE SCALP APPLICATION
Glaxo Wellcome
Scalp application 30 mL [870598A]
Contains Betamethasone valerate 0.1%
Uses Treatment of hair scalp infections eg psoriasis & severe dandruff.
How to use Apply a small amount to the scalp night & morning until there is an improvement.
Precaution Avoid contact with the eyes or use near an open flame. Avoid prolonged use.
Warning Do not use if there is scalp infection.

BETNOVATE-N
Glaxo Wellcome
Cream 5 g x 12's, 15 g x 12's, 100 g [871159A]
Ointment 5 g x 12's, 15 g x 12's, 100 g [871152A]
Contains Betamethasone 0.1%, neomycin sulphate 0.5%
Uses Treatment of eczema, psoriasis. Also helps relief insect bites, sunburn, prickly heat, itching arround the skin of the anus & external ear infections.
How to use Apply a small amount of cream or ointment to the affected area 2 or 3 times a day until there is an improvement.
Special Instruction Occlusive may be applied , using a plastic film in severe cases.
Precaution Avoid prolonged use, especially in infants & children. Thinning of the skin may occur.
Warning Do not use in acne, chickenpox & mouth ulcers, bacterial, viral or fungal skin infections. Do not use if you have a perforated or injured ear drum.

CELESTODERM-V
Schering Plough
Cream 15 g, 450 g [870619A]
Contains Betamethasone valerate 0.1%
Uses Relief of skin inflammations, eg eczema, dermatitis, seborrheic dermatitis & psoriasis.
How to use Apply a thin film of cream to the affected area 1-3 times a day.
Precaution For external use only. Avoid contact with eyes or mucous membranes, prolonged use or occlusive dressing, particularly in infants & children. Disconue use if irritation or rash occurs & consult your doctor.
Warning Do not use for bacterial, viral or fungal skin infections.

CELESTODERM-V WITH GARAMYCIN
Schering Plough
Cream 15 g, 450 g [871375A]
Contains Per g Betamethasone valerate 1 mg, gentamycin sulphate 1 mg
Uses Treatment of skin inflammations or allergy, eg eczema, pruritus (severe itch), dermatitis, seborrheic dermatitis & psoriasis.
How to use Apply a small amount of cream to the affected area twice daily, or as prescribed by the doctor.
Precaution For external use only. Avoid contact with eyes or mucous membranes. Caution in use when applying to large surface areas or under occlusive dressing.
Warning Do not use in bacterial, viral or fungal skin infections.

CELESTODERM-V WITH NEOMYCIN
Schering Plough
Cream 15 g [871173A]
Contains Per g Betamethasone valerate 1 mg, neomycin sulphate 5 mg
Uses Relief of skin inflammations eg psoriasis, eczema, dermatitis & seborrheic dermatitis.
How to use Apply a thin film of cream to the affected area 2 or 3 times a day.
Precaution For external us only. Avoid contact with eyes or mucous membranes, open wounds or damaged skin, prolonged use or occlusive dressing, particularly in infants & children. Irritation, burning sensation, dryness or deafness may occur.
Warning Do not use for bacterial, fungal or viral skin infections.

CLODERM SCALP APPLICATION
K H Hoe
Scalp application 30 mL [930240A]
Contains Clobetasol propionate 0.05%
Uses Treatment of hair scalp inflammation, eg psoriasis & eczema.
How to use Wash & dry the affected area. Apply the scalp application sparingly to the affected area & rub-in twice daily, or as prescribed by your doctor.
Precaution If symptoms persist, consult your doctor. This medicament is to be used for your present condition only. Do not allow use by other person & discard unused scalp application after healing is complete. Caution in use in children, large surface areas & long-term treatment. Avoid contact with eyes. Burning sensation, irritation, dryness, skin eruptions & changes in skin color may occur.
Warning Do not use in children below 1 yr, infection of scalp & dermatitis.

DAIVONEX Leo
Ointment 50 ug/g x 30 g [921382A]
Contains Calcipotriol
Uses Treatment of psoriasis vulgaris.
How to use Apply the ointment to the affected area twice daily, up to a maximum of 100 g weekly.
Precaution Avoid contact with the face since it may cause facial irritation. Wash hands carefully after application.

DERMOVATE
Glaxo Wellcome
Cream 5 g x 12's, 15 g x 12's, 100 g [870583A]
Ointment 5 g x 12's, 15 g x 12's, 100 g [870584A]
Contains Clobetasol propionate 0.05%
Uses Treatment of psoriasis, eczemas & other conditions which do not respond to less active steroids.
How to use Apply the cream or ointment sparingly to the affected area once or twice daily until there is an improvement.
Special Instruction Occlusion may be applied, using a plastic film in severe cases.
Precaution Avoid prolonged use, especially in infants & children. Thinning of the skin may occur.
Warning Do not use in acne & mouth ulcers, in children under 1 yr & in nappy rash, chickenpox & fungal, viral or bacterial skin infections.

DIPROCEL, DIPROGENTA, DIPROSALIC, DIPROSONE
All by Schering Plough, see page 466

EGOPSORYL TA Ego
Cream 30 g, 500 g [913162X]
Contains Sulphur 0.5%, coal tar 1%, phenol 0.5%
Uses Control of general psoriasis & psoriasis of the scalp. Chronic dermatitis.
How to use Apply 2-4 times daily. As the condition improves, reduce the number of times of application gradually.
Special Instruction Do not stop application suddenly. For enhanced effect, apply petroleum jelly over Egopsoryl TA.
Precaution For external use only. Irritation, acne-like eruptions on the skin & sensitivity to light may occur. Discontinue use if irritation occurs.
Warning Do not use on acutely inflammed or weeping skin. Do not use for a long time without consulting a doctor. If you are using another medication inform your doctor.

ESPERSON Hoechst
Ointment 0.25% x 30 g [870492]
Contains Desoximetasone
Uses Treatment of eczema, psoriasis, severe skin infections, burns, sunburn, insect bites & stings.
How to use Apply the ointment to the affected skin areas & if possible, rubbed in slightly 2 0r 3 times a day at the beginning of treatment. If there is improvement, the frequency of applications may be reduced. To prevent the disease to recur, treatment should be continued for some time even after the complete disappearance of symptoms.
Precaution Caution in use for infants & small children; long-term treatment & application to large area or near eyes.
Acne, changes in skin pigmentation may occur.

FLUCIDERM K H Hoe
Cream 15 g [913400A]
Contains Fluocinolone acetonide 0.025%
Uses Treatment of skin inflammation, eg eczema, dermatitis, seborrheic dermatitis & psoriasis.
How to use Wash & dry the affected area. Apply the cream sparingly to the affected areas & rub-in once or twice daily, or as prescribed by your doctor.
Precaution For external use only. Avoid contact with eyes. Caution in use in large areas or occlusive dressing. If symptoms persist consult your doctor. This medicament is to be used only for your present condition. Do not allow use by other person & discard unsed cream after healing is complete. Caution in use in children & in large areas of the skin. Burning sensation, dryness of skin, changes in skin color & skin eruptions may occur.
Warning Do not use in acne, chickenpox, viral, bacterial or fungal skin infections.

H-S-C K H Hoe
Ointment 450 g [871319A]
Contains Per g Hydrocortisone 10 mg, salicylic acid 20 mg, strong coal tar solution 30 mg
Uses Treatment of psoriasis.
How to use Apply the ointment thinly to the affected area once or twice daily depending on the seriousness of the condition. When use in scalp disorders, a small amount of ointment should be rubbed gently into the roots of the hair.
Precaution Avoid prolonged use or occlusive dressing, or when using on large areas especially in children. Caution in use when exposed to sunlight. For external use only. Not for use on the eyes. Burning sensation, dryness, change in skin color & skin eruptions may occur.
Warning If you are sensitive to sunlight, consult your doctor first before using this medicament.

K H HOE HYDROCORTISONE
K H Hoe
Cream 450 g [870471A]
Ointment 450 g [870472A]
Contains Hydrocortisone 1 %
Uses Treatment of skin inflammations, eg eczema, dermatitis & psoriasis.
How to use Apply thinly the cream or ointment to the affected area 1-4 times a day, depending on the seriousness of the condition. Occlusive dressing may be used when treating psoriasis.
Precaution For external use only. Avoid prolonged use or contact with eyes. Caution in use when applying an occlusive dressing, in children. Burning sensation, dryness of skin, changes in skin color & skin eruprions may occur.

NERISONE Schering AG
Cream 10 g, 50 x 10 g [900556A]
Fatty ointment 10 g, 50 x 10 g [900558A]
Ointment 10 g, 50 x 10 g [900557A]
Contains Diflucortolone valerate 0.1%
Uses Skin infections, eg in dermatitis, eczema, psoriasis, burns, sunburns & insect bites.
How to use Apply the cream or ointment thinly to the affected area 2-3 times daily.
Special Instruction Use the cream for weeping skin conditions; ointment for skin that is neither weeping nor very dry; fatty ointment for very dry conditions.
Precaution Avoid application to large areas of the skin or for prolonged periods. Avoid contact with the eyes.
Warning Do not use if you have viral diseases, eg chickenpox, shingles.

NEUTROGENA T/GEL SHAMPOO
Neutrogena
Shampoo 4.4 fl oz, 8.5 fl oz [911817X]
Contains Solubilized coal tar extract 2%
Uses Helps control psoriasis, seborrheic dermatitis & dandruff.
How to use Wet hair thoroughly. Massage liberal amount into the scalp. Leave lather on scalp for several minutes. Rinse well & repeat.
Precaution For external use only. Do not apply to inflammed or broken skin. If irritation develops, discontinue use & consult your doctor. Discoloration of gray, blonde, bleached or tinted hair may occur.

PINETARSOL BATH OIL
Ego
Bath oil 200 ml [912398X]
Contains Pine tar 2.3%
Uses Dry, itchy, inflammed, or flaky skin conditions. Supplementary relief of the symptoms of dry skin, eczema & psoriasis.
How to use Adults Bath Add 10-15 mL to a lukewarm water & bathe for 5-10 minutes daily, more often in severe cases. Shower Wet skin, then smooth a small amount onto the skin. Leave on for 2-3 minutes, then rinse off. Pat skin dry. Patients in bed, elderly patients Add 3 ml to a basin of water & wash skin gently. Pat skin dry. Infants Add 3 ml to a baby's bath. Pat skin gently dry. Do not rub.
Precaution For external use only. Avoid contact with eyes. Skin irritation may occur.

PINETARSOL/PINETARSOL GEL
Ego
Gel 100 g [912381X]
Solution 200 mL, 5 L [912380X]
Contains Gel Pine tar 1.6%, glycerin 5% Solution Pine tar 2.3%, triethanolamine lauryl sulphate 6%
Uses Relief of itch & inflammation associated with dermatitis, psoriasis & eczema, chicken pox, heat rash & eruptions in the napkin area of various origins.
How to use Gel : Use as an alternative for shower use & patients in bed. Apply to wet skin & gently smooth over affected area. Leave on for 2-3 minutes & rinse. Pat skin dry.
Solution : Bath Add 15-30 ml to a lukewarm bath (3 ml to a baby's bath) & bathe for 5-10 minutes daily, more often in severe cases. Pat skin dry. Shower Wet skin & spray on a small amount. Leave for a few minutes, then rinse. Pat skin dry. Patients in bed Add 15 ml to 3 L of water & sponge freely. Pat skin dry.
Avoid using with Soap on inflammed areas skin. Precaution For external use only. Avoid contact with the eyes & nostrils. Skin irritation & acne-like eruptions may occur.

PSORIGEL Galderma
Gel 4 oz [920445X]
Contains Coal tar solution 8.8% (equivalent to 1.75% coal tar)
Uses Controls skin itching, flaking & scaling associated with psoriasis.
How to use Apply to the affected areas 1-4 times daily or as directed by a doctor. Rub in well, let dry & remove any excess by patting with tissue paper.
Avoid using with Utltraviolet radiation treatment, other medicines for treating psoriasis. Precaution For external use only. Avoid contact with eyes. Upon contact, flush eyes with water. Do not use this medicament in or arround the rectum, the genital area or groin except on medical advise. Do not use on highly inflammed or broken skin. Avoid exposure to direct sunlight after applying this medicament. If undue irritation develops, discontinue use & consult your doctor/pharmacist.

SEBITAR Ego
Liquid 250 mL [912421X]
Contains Pine tar 1%, coal tar 0.2%, salicylic acid 2%, undecylenamide 1%
Uses Relief of itch, inflammation & flaking skin conditions associated with dandruff, seborrhea, eczema & psoriasis of the scalp.
How to use Wet hair, apply to the affected area & massage well. Apply to the remainder of the scalp & hair & work into a lather. Leave for 5 minutes, rinse thoroughly.
Precaution For external use only. Avoid contact with eyes, nostrils & broken skin. Skin irritation & acne-like eruptions may occur.

TRAMSONE K H Hoe
Cream 15 g [913401A]
Contains Triamcinolone acetonide 0.1%
Uses Treatment of skin inflammations, eg eczema, dermatitis, seborrheic dermatitis & psoriasis.
How to use Wash & dry affected area. Apply the cream sparingly to the affected area & rub-in once or twice daily as prescribed by your doctor.
Precaution If symptoms persist, consult your doctor. This medicine is to be used for your present conditon only. Do not allow use by other person & discard unused cream after healing is complete. Avoid contact with eyes. Caution in use in children & if to be applied to large areas or when under occlusive dressing. Burning sensation, dryness & skin eruptions may occur.
Warning Do not use in skin viral infection, eg chickenpox, acne & skin tuberculosis.

Are you in the habit of eating fast? If you are, you may tend to overeat! This is because your body takes 20 minutes to tell your mind that it's satisfied. Try to chew your food well, eat slowly and enjoy every bite. This way, your body will have time to tell your brain that you've had enough!

This article is reffered to Malaysia Healthcare Guide - The family health guide MIMS 2nd edition 1997 page 464-468

7 comments:

Yasmin's Mummy said...

apahal asyik tulis pasal penyakit je ni..

nida said...

ha..aa la cy, cerita ceriti pasal yg boleh digelak ketawala pulok...

Ibu WA Alim said...

Kan dah jwb soalan awak ni Ym.. kat tajuk diabetes d bwh tu..
Gi ko rumah Aida hari tu..?
Mujo Cy decide tunggu Ida hari tu..kalu tak..mana tau kot tak dan jumpa before fly..
Oo..tajuk2 ilmiah tak minat nak baca ya..? Nantilah, Cy blm dpt feel lagi nak tulis kisah2 realiti..
Tak berapa sihat ni..sedari pulang dari rumah Aida hari tu..mcm demam selsema dan demam urat je..sakit2 badan dan sakit tulang belakang..seram2..bkn seram takut2 tp seram2 mcm nak dtg demam..Ayah Chik pun sama..

nida said...

moga cy cepat2 sembuh. ida lambat lg fly, che abang pi dulu sorang2..

Ibu WA Alim said...

Tk. Dah pi klinik dah mlm tadi..bila ckp kat doktor sakit kat bhg bwh perut kanan hampir dgn paha kanan, tidak selesa d bhg tgh perut d bwh dada..mcm kembung/ada angin.., sakit2 d bhg belakang badan, tak rasa mcm nak buang air besar..mula2 dia ingatkan ependix..tp bila dia tekan bhg perut yg sakit tu tak sakit la pulak..maknanya bkn apendixla katanya..lps tu dia suruh ambil sampel air kencing dan uji..katanya ada kuman dan sikit darah, gula ok..tp darah tu mungkin sbb Cy baru habis period..doktor ketuk2 bhg belakang badan Cy..adalah sikit rasa sakit kat bhg tulang belakang d paras pinggang..
So dia bagi ubat lawas kencing, sembelit, angin dan sakit perut..
Dah makan mlm tadi semua tu sepulang dr klinik..tp sakit di bhg bwh perut dan tak selesa d bhg bwh dada tu menjadi2..so panaskan tungku yg dibeli dr Aida..sambil meletakkan beg tungku tu di bhg2 perut yg sakit..sambil dok rasa nak menangis..ckp kat Alim..adik, ibu sakit..doa kat Allah spy ibu tak sakit..dia jwb..ibu dan Alim sama2 doalah..Cy baring sblh dia d biliknya ketika itu..pukul 10 lbh..
Sblm lena mlm tu..sakit2 tu reda..
Pagi ni..bila bgn tak rasa mcm nak buang air wp dah makan ubat lawas buang air besar tu..tp bangkit dgn rasa mcm gelong ke nak demam ke tak taulah..
Pegi bilik air nak mandi..dudukla atas toilet bowl..tunggu2 kot ada benda nak keluar..masa tu barula dtg rasa sikit2 mcm nak buang air besar..sambil nak teran tu..masa tu naik rasa mcm nak pitam..dok berlawanlah antara rasa nak meneran dgn rasa mcm nak pitam tu..sambil berpeluh2..masa tu terfikirla jugak..dpt ke aku melepasi saat getir ni..
Sbnrnya bkn pertama kali menghadapi situasi begini bila nak buang air besar..adalah 4,5 kali dah mcm ni..masa kecil dulu sekali..8 thn kot masa tu..lps tu masa kat Trg..yg lain2 tu masa kat rumah ni..pernah pitam 2, 3 minit di masa sdg bersahur sendirian.. thn lps kot..krn sakit perut juga..
Rasanya mok dan Cn pernah/biasa mengalami situasi mcm Cy ni..
Wp Da mungkin nak fly 4, 5 bln lagi..tp Cy tak ada jaminan dpt jumpa Da lagi dlm tempoh itu..sbb tu Cy kata mujo dpt jumpa Da tempohari..

nida said...

Kesian kat cy, harap2 x de apa2 yg serius..

Ibu WA Alim said...

Cy pun hrp mcm tu lah..wp rasa suspen gak..
Sakit2 di bhg bwh perut yg rasa mcm nak menangis mlm tadi tu dah takde hari ni..setakat tgh hari ni..wp dah ready dok kelek tungku Aida tu ke sana ke mari..mmg dah makan ubat pukul 8 pagi tadi..ni tgh tunggu nak makan pulak pukul 2 ni..tp rasa tak selesa mcm ada angin dan tak cukup/puas bernafas tu masih ada..
Ambil tungku dr Aida tu Ahad baru ni je..dan buat testing pd Selasa mlm..mmg keadaan masa tu memerlukan..masa tu sakit yg plg ketara ialah sakit d bhg belakang..seluruh belakang dan tulang belakang..tulang punggung juga..tak selesa di bhg bwh perut dan dada tu dah ada tp tak ketara..agaknya sbb diatasi oleh sakit2 d belakang tu..
Hari sblmnya tak teringat kat tungku tu pulak..
Masa guna tungku tu hari Selasa tu rasa tak puas..rasa mcm panasnya tak masuk ke dlm badan mcm kalu kita guna tungku batu..jadi slps tungku gel tu dah tak panas..Cy panaskan tungku batu pula..dptlah redakan sakit2 di bhg belakang badan tu..
Tp Rabu mlm (mlm tadi) tu pulak..semasa sakit di bhg depan badan pulak ketara..tungku gel tu dah dpt redakan sakit2 di bhg bwh perut dan bwh dada Cy..dgn bantuan ubat klinik tu la kot..dan dgn izin Allah swt..