Question 1

Lately, I've been having this recurring fever for about a month and a half now, and along with it, there's been this nagging joint and body pain. It's really starting to worry me. Could you advise on what kind of tests I should consider getting done?

Accepted Answer

Get a complete blood count (CBC) test to check for any signs of infection or inflammation in your body. Additionally, a test for dengue fever or chikungunya may also be considered based on your symptoms. Please consult with your healthcare provider for further evaluation and management.

Question 2

I'm in good health and don't have any ailments, but I've been told I need a medical certificate for my swimming lessons. Do I need to schedule an appointment just for this, or is there a simpler process to get a certificate when you're perfectly healthy?

Accepted Answer

consult nearby general physician

Question 3

I'm experiencing a fever that started yesterday, and while my overall body temperature is elevated, I've noticed that my hands and feet feel even hotter than the rest of me. Could this be an indication of something specific?

Accepted Answer

Recovering from jaundice requires patience and careful monitoring.

_Possible Reasons for Mild Fever and Nausea_

1. _Residual liver inflammation_: Although your bilirubin levels have normalized, your liver might still be recovering, causing mild inflammation and fever.
2. _Medication side effects_: Liv 52, Ulsys 300, and Nirocil syrup can cause nausea and mild fever as side effects.
3. _Gastrointestinal issues_: Nausea and mild fever can be symptoms of gastrointestinal issues, such as gastritis or irritable bowel syndrome (IBS).
4. _Relapse or re-infection_: Although unlikely, it's essential to consider the possibility of a relapse or re-infection, especially if you're not following proper hygiene and dietary guidelines.

_Test Results_

1. _Bilirubin 0.7_: Within normal range (0.1-1.2 mgdL).
2. _SGOT 90 and SGPT 65_: Slightly elevated liver enzymes, indicating some residual liver inflammation.

_Next Steps_

1. _Consult your doctor_: Discuss your symptoms and test results with your doctor to determine the best course of action.
2. _Monitor your symptoms_: Keep track of your fever, nausea, and any other symptoms to share with your doctor.
3. _Adhere to your treatment plan_: Continue taking your prescribed medications and following your dietary guidelines.
4. _Stay hydrated_: Drink plenty of water to help your liver function properly.

Question 4

I'm 6 weeks pregnant and recently had an internal ultrasound at around 5 weeks 4 days, but it only showed the sac without the fetus pole. They're asking me to come back in 2 weeks for another ultrasound, and honestly, I'm a bit worried. I'm 34 and ta...

Accepted Answer

Given your situation, it's essential to follow your doctor's guidance. Since you're already taking folic acid and Susten 200 (progesterone), continue with these medications as prescribed.

*Additional Recommendations*

1. *Progesterone support*: Your doctor may consider additional progesterone support to help maintain the pregnancy.
2. *Fetal development monitoring*: Regular ultrasounds will help monitor fetal development and detect any potential issues early.
3. *Prenatal vitamins*: Ensure you're taking prenatal vitamins containing essential nutrients like iron, calcium, and vitamin D.
4. *Stay hydrated*: Drink plenty of water throughout the day to help maintain a healthy pregnancy.

*Addressing Your Concerns*

1. *50-50 chance*: Your doctor's assessment is likely based on the initial ultrasound findings. However, it's essential to remain hopeful and focus on supporting your pregnancy.
2. *Lack of nausea*: Not experiencing nausea or sickness during pregnancy is relatively common, especially in the early stages.
3. *Age-related concerns*: As you're 34 years old, your doctor may discuss age-related risks and recommendations for your pregnancy.

*Next Steps*

1. *Follow-up ultrasound*: Attend your scheduled follow-up ultrasound to reassess fetal development.

Question 5

Could you let me know how I should be taking Gutsium tablets along with LesurideMPS? Should I use them before or after food? I'm really curious to get this right.

Accepted Answer

_Broken Condom and Plan B: Assessing Pregnancy Risk and Next Steps_

Given the situation, here's a summary of the risks and recommendations:

_Pregnancy Risk_

1. _Low risk_: Although the condom broke, your partner had not ejaculated, and he had urinated multiple times after his last ejaculation, reducing the likelihood of sperm being present.
2. _Pre-cum risk_: Pre-ejaculatory fluid can contain sperm, but the risk of pregnancy from pre-cum is relatively low.

_Plan B Effectiveness_

1. _High effectiveness_: Plan B (levonorgestrel) is highly effective in preventing pregnancy when taken within 72 hours of unprotected sex.
2. _Repeated use_: Although you've taken Plan B multiple times, its effectiveness remains high. However, it's essential to consider alternative birth control methods to avoid frequent emergency contraception use.

_Next Steps_

1. _Wait for your period_: Monitor your menstrual cycle and wait for your period to confirm that you're not pregnant.
2. _Consider alternative birth control_: Discuss alternative birth control methods with your partner, such as hormonal contraceptives, IUDs, or condoms with a higher failure rate.
3. _Consult a healthcare provider_: Schedule an appointment with a healthcare provider to discuss your birth control options and any concerns you may have.

_Important Notes_

1. _STI risk_: Although you used protection, it's essential to consider the risk of sexually transmitted infections (STIs). Discuss STI testing with your healthcare provider.
2. _Regular check-ups_: Regular health check-ups and open communication with your partner are crucial for maintaining a healthy relationship and addressing any concerns that may arise.

Question 6

How can I treat the early stages of piles? Is it possible to cure them, and what steps can I take to get rid of this problem as soon as possible? I'd really appreciate some advice on this.

Accepted Answer

Initial-stage piles (hemorrhoids) can be cured with conservative treatments, such as increasing fiber intake, staying hydrated, exercising regularly, and practicing good bowel habits consider warm sitz baths, stool softeners, or laxatives to alleviate symptoms, but if symptoms persist or worsen, consult a proctologist or gastroenterologist for further guidance.

Lately, I've been having this recurring fever for about a month and a half now, and along with it, there's been this nagging joint and body pain. It's really starting to worry me. Could you advise on what kind of tests I should consider getting done?

Lately, I've been having this recurring fever for about a month and a half now, and along with it, there's been this nagging joint and body pain. It's really starting to worry me. Could you advise on what kind of tests I should consider getting done?

Related Questions

I'm in good health and don't have any ailments, but I've been told I need a medical certificate for my swimming lessons. Do I need to schedule an appointment just for this, or is there a simpler process to get a certificate when you're perfectly healthy?

I'm experiencing a fever that started yesterday, and while my overall body temperature is elevated, I've noticed that my hands and feet feel even hotter than the rest of me. Could this be an indication of something specific?

I'm 6 weeks pregnant and recently had an internal ultrasound at around 5 weeks 4 days, but it only showed the sac without the fetus pole. They're asking me to come back in 2 weeks for another ultrasound, and honestly, I'm a bit worried. I'm 34 and ta...

Could you let me know how I should be taking Gutsium tablets along with LesurideMPS? Should I use them before or after food? I'm really curious to get this right.

How can I treat the early stages of piles? Is it possible to cure them, and what steps can I take to get rid of this problem as soon as possible? I'd really appreciate some advice on this.

General Physician/ Internal Medicine

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