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Cause for breast enlargement in males - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Men's Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   hi
User :   hi doc
Doctor :   how can I help you?
User :  
Doctor :   yes, Plz proceed
User :  
Doctor :   yes
Doctor :   plz continue
Doctor :   with your query
User :   yes doc i wanted to knw something about man boobs
Doctor :   ok
Doctor :   you mean Gynaecomastia?
User :   yes
User :   but before that i wud like to tell u my history
Doctor :   ok
Doctor :   plz proceed
User :   until 2006 iused to be very much figure conscious
Doctor :   ok
User :   but unfortunately in the mid 2006 , i got a problem called venus thrombosys in my right subclavian vein
Doctor :   ok
User :   so i was given inoxprin shots and was on blood thinners for quiet a long time
User :   nw in 2006 i weighed 70 kilos, but my job had quitea lot of physical labour
Doctor :   ok
User :   i took up my exams n was at home until 2007 aug

Doctor :   ok
User :   since my vascular surgeons had strictly asked me to avoid workouts ... i dint do them
Doctor :   ok
User :   after i cleared my exams until nw i hav been more with mental labour than physical labour
User :   i was very workoholic
Doctor :   ok
User :   but during this period that is since april 2006 until nw i hav been more than too much into alcohol
User :   i had a goof figure in 2006 except for a prminent chest

User :   but nw i have put on a lot of weight all ovr

User :   i almost weigh 110 kilos
User :   so i understand losing weight but wht shud i do regarding man boobs
Doctor :   ok
Doctor :   what is your age?
User :   25
Doctor :   ok
User :   basically doc since aug 2007 on an average am out of india for abt 4 to 6 months and at home for 2 months or so, i over drink only whn am at home.... and at work i rarely drink..... nw its been 2 months am home and during my last pre medicals i was also told to hav fatty liver
Doctor :   previously do you used to work out like. bench press and swimming
Doctor :   ok
User :   no bench press and swimming
Doctor :   ok
User :   i used to run and do a few standing weight lifting workouts
Doctor :   ok
User :   but once i went on for nine days eating nothin other than one fruit a day to build up a six packed abdomen
User :   this was in jan 2006
Doctor :   ok
Doctor :   as you have done a good exercise
User :   then since april 2006 i stopped working out and began to drink a lot
User :   in july i got throbosis
Doctor :   ok
User :   i mean the clot
Doctor :   ok
Doctor :   as you had done good exercises sue to which the chest muscles have been increased in bulk also so it is one of the reasons of your gynaecomastia
Doctor :   i mean it is adding up to your gynaecomastia
Doctor :   are you on any medications at present?
User :   no i had taht kind of chest from the age of 12
User :   i was only trying to improve it
Doctor :   ok
User :   ya, am taking some medicines for fatty liver like silybon
Doctor :   tablet or syrup?
User :   the period i over drank : april 2006 - jul 2007 , jan 2008 - feb 2008, aug 2008 - nov 2008 n nw since last 2 months
Doctor :   ok
Doctor :   silybon tablet or syrup?

User :   tablet silybon 40 and
User :   sorbiline syrup
User :   but am not regular over it , i take it rarely whn i9 dont drink
User :   i also take beconsule capsule at times
Doctor :   ok

Doctor :   any recent investigations that you have performed
User :   i undergo a medical test prior evry departure --- the last one found fatty liver
User :   i also met a liposuction surgeon, to know abt removal of fat by the same.
User :   it dint convince me
Doctor :   ok

Doctor :   there may be various causes of gynaecomastia, ket me name them
Doctor :   *let
User :   i am managing to quit alcohol n smoking but losin so much weight scares me n puts me down
User :   i badly wanna get bk to shape
Doctor :   ok
Doctor :   you are more concerned about gynaecomastia?
User :   also i had a 6/6 eye sight in 2006 , n nw its -1 n -1.5
User :   yes more concerned abt gynaecomastia
Doctor :   ok
User :   and ofcourse hw much has drinkin and smokin put me down????
Doctor :   excessive drinking has damaged your liver
Doctor :   also smoking has no good effects
Doctor :   it will weaken your stamina
User :   hmmm
Doctor :   let me tell you some common causes of gynaecomastia
User :   but is fatty liver a damage or an excersion on the liver
User :   and can i recover myself
Doctor :   it is fatty transformation of the normal liver cells
Doctor :   in a limit it is ok
User :   ok
Doctor :   but if it exceeds than it is difficult to recover
User :   hw wil i knw whether i hav exceeded or no
Doctor :   so in my opinion you should take appropriate precautions
User :   ok during a day genrally when i drink d previous day
Doctor :   by USG or CT Scan of abdomen including liver cuts
Doctor :   ok
User :   i get a puking sensation , i act it out but inturn only saliva comes out
User :   n i feel strain on my liver and stomach
Doctor :   ok
Doctor :   it is due to the dehydration
Doctor :   these are all hangover symptoms
User :   ok
Doctor :   alcohol is a diuretic
User :   wts diuretic
Doctor :   it increases the urine frequency
Doctor :   there are many diuretics like coffe, tea alcohol and some medications also
User :   can u pls tel me the symptoms that hw will i knw the liver is damaged beyond an extent that i can recover
User :   ok
Doctor :   the symptoms will be like
Doctor :   pain in abdomen,
Doctor :   persistent nausea
Doctor :   vomitting
User :   all over d abdomen u mean?
Doctor :   yellowish discoloration of the skin
Doctor :   it can be anywhere in the abdomen
Doctor :   high blood bilirubin levels
Doctor :   tenderness in liver area
Doctor :   weakness
Doctor :   yellowish urination
Doctor :   in my opinion
Doctor :   it is better to take no more than 60 ml of alcohol in two weeks
Doctor :   now regarding your

Doctor :   gynacomastia
Doctor :   there may be various causes]
User :   and is the motion normal?
Doctor :   there may be abnormality with the stools
Doctor :   even the stools may be discolored or clay colored
User :   ok
User :   i genrally hav a loose motion when i drink
Doctor :   no ot will not be like that
User :   ok
User :   i guess am still safe
Doctor :   the lose motions may be due to the excess fluid that you are taking along with the alcohol
User :   hmm ok
Doctor :   or may be due to some spicy snacks with alcohol
User :   ok
Doctor :   the best way to XXXXXXXX the damage early
Doctor :   *judge
Doctor :   is the investigations
Doctor :   like USG abdomen
Doctor :   or CT abdomen
Doctor :   they will reflect the clear picture
User :   ok
User :   do u think i shud get it done even if i quit alcohol n smoking
User :   right now???
Doctor :   yes even then

Doctor :   first in fewdays
Doctor :   after quiting
Doctor :   if it shows some destruction
Doctor :   then the later one can be after several months to monitor the recovery
Doctor :   but if there is no destructon of the liver tissue
Doctor :   then you will not need any more
User :   in nov 2008 , they said thr was no destruction , it was only a fatty is it possible in the last five months it cud hav gone worst?
User :   they jus asked me to loose weight
Doctor :   if any damage is there in last five six months than i should not be something serious
Doctor :   *it

User :   ok
Doctor :   but it is possiblr that there might be some damage
User :   ok
Doctor :   but generally it will not happen
Doctor :   as yu are only 25
User :   ok i hope so
Doctor :   but you should lessen tyopur alcohol intake
Doctor :   *your
User :   yes. i will surely do so
User :   ok
Doctor :   ok
Doctor :   its good
Doctor :   regarding your gynaecomastia
Doctor :   i will tell you some causes
User :   ok
Doctor :   it may be due to obesity
Doctor :   in some thyroid diseases
Doctor :   imbalance of hormonezs
Doctor :   *hormones
Doctor :   due to some drugs
Doctor :   marijuana
User :   nw am obase but i had it even whn i was very slim, am not into drugs, so does tha mean its the hormones in my case
Doctor :   due to skin application of some products which contain lavender or some tea tree oils
Doctor :   it may be due to hormones
Doctor :   confirmation can be done only by some investigations
Doctor :   are you applying any body lotions?
User :   no
Doctor :   ok
User :   its only rarely on the face
Doctor :   ok
Doctor :   in your case it seems to be either due to some thyroid diseases or may be due to some hormonal imbalance
User :   if it were thyroid , i wud hav been caught in my medicals
Doctor :   you had thyroid investigations?
User :   yes but since i was 2 yrs old ....i had asthma until i was 18, but after that it got better
Doctor :   ok
User :   i genrally take asthallin
User :   inhaler that is
Doctor :   by medical you mean the examination to get inside the navy?
User :   yes
User :   they r very strict
Doctor :   ok
User :   and am quite an active person inspite of my weight
User :   but however pls suggest me a test for thyroid?
Doctor :   there concern will be regarding any abnormality which will effect your duties
Doctor :   gynaecomastia may be due to some borderline abnormality
Doctor :   which will not effect you in terms of your activity
User :   ok
Doctor :   so i will advice you to go for both hormonal and thyroid profile
User :   ok
Doctor :   plz fill the feed back form by the time i will type the name of the tests
User :   ok
Doctor :   TSH, T3, T4,
Doctor :   these are thyroid tests
User :   ok
Doctor :   should be done in the hormonal profile
User :   ok
Doctor :   based on the results i will be able to judge the underlying cause
User :   ok doc , as far as i knw myself its hormonal, in that case wht remedy do i have???
Doctor :   and will be able to provide you the medications or will suggest you some other treatment options
User :   r these all bolld tests????
User :   i mean blood tests?
Doctor :   yes these are blood tests
Doctor :   based on the abnormality i will suggest you some medication
User :   shud i go empty stomach?
Doctor :   yes

User :   for hw many hrs?
Doctor :   yes
Doctor :   after overnight fasting
Doctor :   go in the morning
Doctor :   without eating in morning
Doctor :   you can have dinner the previous night
User :   ok ,, for both thyroid and hormonal right????
User :   ok
Doctor :   yes
User :   ok
Doctor :   go for both at one time
User :   ok
Doctor :   Is there any thing else I can help you with?
User :   in case its hormonal, do i hav any way other than surgery?
Doctor :   if it is hormonal then only oral tablets will do
User :   n if thyroid????
Doctor :   than also
Doctor :   oral tablets
User :   ok, yes one last thing doc, i was asked for shipping address when i was registering myself to your site. but y does the site need that after having given them the billing address.. do they also deliver medicines????
Doctor :   no we dont deliver medicines online
User :   can u pls tel me the symptoms of thyroid?
Doctor :   it will depend on the type of abnormality
Doctor :   it may include weight loss and weight gain also
Doctor :   depending on the abnormality
User :   ok
Doctor :   there may be sweating
Doctor :   increased heat in the body
User :   ok
Doctor :   many other symptoms are there
User :   ok
Doctor :   Is there any thing else I can help you with?
User :   thats all for d day....thank u
User :   will get bk to u soon
User :   may i leave?
Doctor :   ok
Doctor :   Have you filled the feedback form?
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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