Question 1

I'm feeling really confused and worried right now. I had a fever and took a paracetamol tablet at night, then ended up sweating a lot. I thought it might be some reaction to the tablet, but the next morning I woke up feeling really cold. I decided to go to the hospital, and the consultant told me its because of viral fever. Ive always thought that the main symptom of a viral infection would be a runny nose. Am I wrong about that? I got a blood test done, and the results were all normal, but the doctor still wants me to come back in two days to check my platelets. What do you think is going on?

Accepted Answer

Dengue fever concerns:
 
 *Immediate Action:*
 
 1. Hospitalize your sister if possible, especially with severe symptoms.
 2. Consult the doctor who diagnosed her for guidance.
 
 *Temperature Management:*
 
 1. Continue Paracetamol (PCM) and Pan (anti-pyretic) as prescribed.
 2. Monitor temperature closely.
 3. Consider IV fluids and medication in a hospital setting.
 
 *Platelet Count (2lacs):*
 
 1. Closely monitor platelet count.
 2. Transfusion may be necessary if count drops below 1 lac.
 
 *Dietary Advice:*
 
 1. Fluid-rich foods:
 - Soups
 - Broth
 - Coconut water
 - Fresh fruit juices
 2. Easy-to-digest foods:
 - Porridge
 - Idlis (steamed rice cakes)
 - Toast
 - Plain rice
 3. Avoid:
 - Spicy foods
 - Heavy meals
 - Fried foods
 
 *Body Pain and Burning Sensation:*
 
 1. Follow doctor's advice on pain management.
 2. Use cool compresses or wet towels to reduce fever.
 
 *Solo (Paracetamol) Dosage:*
 
 1. Consult the doctor before administering another dose.
 2. Typically, 1 tablet every 4-6 hours, not exceeding 3 tablets in 24 hours.
 
 *Worry Signs:*
 
 1. Severe abdominal pain
 2. Vomiting
 3. Bleeding gumsnose
 4. Difficulty breathing
 5. Platelet count below 1 lac

Question 2

I've had a couple of HIV tests after possible exposure. At 3 months, both the 4th gen rapid test and HIV antibody test from the lab came back negative. Then I waited until 5 months and did another 4th gen CMIA test for p24 AG and antibodies, and that...

Accepted Answer

Post-COVID-19 Recovery Symptoms

_Your Symptoms_

1. _Low-grade fever_: Mild fever, usually less than 101F (38.3C).
2. _Body pain_: Mild muscle and joint pain.
3. _Stuffy nose_: Nasal congestion.

_Possible Causes_

1. _Residual inflammation_: Lingering inflammation from the COVID-19 infection.
2. _Post-viral fatigue syndrome_: A common condition after viral infections, characterized by persistent fatigue, muscle pain, and other symptoms.

_Medication and Self-Care_

1. _Over-the-counter pain relievers_: Acetaminophen (Tylenol) or ibuprofen (Advil) for body pain and fever.
2. _Decongestants_: Pseudoephedrine (Sudafed) or phenylephrine (Sudafed PE) for stuffy nose.
3. _Rest and hydration_: Prioritize rest, drink plenty of fluids, and maintain a balanced diet.
4. _Monitor symptoms_: If symptoms worsen or persist, consult your doctor.

_Consult Your Doctor_

1. _Schedule a follow-up appointment_: Discuss your symptoms and receive personalized guidance.
2. _Report any severe symptoms_: If you experience difficulty breathing, chest pain, or severe headache, seek immediate medical attention.

Question 3

I'm currently 34 weeks pregnant, and my ultrasound is showing the baby's growth as being 37 weeks. Why could this be happening? I had my glucose tolerance test (GTT) in December, and the results were normal. Can anyone shed some light on this?

Accepted Answer

Risks of Using Abortion Pills (Misoprostol) Without Medical Supervision

_Possible Risks and Complications:_

1. _Incomplete abortion_: Retained fetal tissue can lead to infection or bleeding.
2. _Heavy bleeding_: Prolonged or severe bleeding can lead to hemorrhage or anemia.
3. _Infection_: Bacterial infections, such as sepsis, can occur if the abortion is incomplete or if the pills are not used correctly.
4. _Uterine rupture_: Rare but life-threatening, especially if the woman has had previous uterine surgery.
5. _Future pregnancy complications_: Potential risks include:
    - Preterm labor
    - Low birth weight
    - Placental abruption
    - Uterine scarring

_Long-term Effects on the Body:_

1. _Hormonal imbalance_: Repeated use of abortion pills can disrupt hormonal balances.
2. _Reproductive health issues_: Potential risks include infertility, ectopic pregnancy, or chronic pelvic pain.

_Immediate Action Required:_

1. _Consult a doctor_: Schedule an appointment with a gynecologist or a primary care physician to discuss the situation and potential risks.
2. _Get a check-up_: Undergo a thorough medical examination to rule out any complications or infections.

Question 4

I'm experiencing a burning sensation after I pass stools, and it's happened twice just last week. The stool seems normal, and it's usually after I've had some spicy food. Should I be worried about this, or is it just the spicy food causing it?

Accepted Answer

Chondromalacia patella, also known as runner's knee, is a condition where the cartilage on the underside of the kneecap deteriorates and becomes soft. Unfortunately, chondromalacia patella is not permanently curable .

The good news is that symptoms can be managed with treatment, and in some cases, people can experience significant relief. However, the condition can be progressive, meaning it can worsen over time if not properly managed.

Given that you've been under treatment for over a year and haven't experienced the desired relief, it may be worth exploring alternative treatment options or seeking a second opinion from a specialist.

In terms of adjusting your lifestyle, it's great that you're thinking proactively. Considering your history with sports, you may need to modify your activities to reduce stress on your knee joint. Low-impact exercises like cycling or swimming might be more suitable options for you.

Question 5

I'm really curious about Ashwagandha and if it can actually help someone grow taller. Are there any side effects I should be worried about? Also, are there any home therapies you would recommend for increasing height?

Accepted Answer

Ashwagandha is an herb that is commonly used in traditional medicine for various health benefits, but there is no scientific evidence to support the claim that it can increase a person's height. As for side effects, Ashwagandha is generally considered safe for most people when taken in appropriate doses. However, some people may experience side effects such as upset stomach, diarrhea, and vomiting. There is no proven home therapy to increase height. Height is largely determined by genetics and factors such as nutrition and overall health during childhood and adolescence. If you have concerns about your height, it is best to consult with a healthcare provider for personalized advice.

Question 6

I'm having this issue where after I eat anything, my throat gets filled with phlegm and I struggle to breathe properly because my air flow feels blocked. Plus, I can't seem to burp at all after eating, which is really uncomfortable. It's getting part...

Accepted Answer

Consider consulting an ENT specialist or a gastroenterologist to rule out underlying conditions like acid reflux, sinusitis, or food allergies, and in the meantime, try antacids, proton pump inhibitors, or histamine-2 blockers, and avoid trigger foods, especially non-veg items, to alleviate severe phlegm and breathing difficulties.

Related Questions

I've had a couple of HIV tests after possible exposure. At 3 months, both the 4th gen rapid test and HIV antibody test from the lab came back negative. Then I waited until 5 months and did another 4th gen CMIA test for p24 AG and antibodies, and that...

I'm currently 34 weeks pregnant, and my ultrasound is showing the baby's growth as being 37 weeks. Why could this be happening? I had my glucose tolerance test (GTT) in December, and the results were normal. Can anyone shed some light on this?

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General Physician/ Internal Medicine

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