Question 1

I take Tazloc Trio 40 mg in the morning right after breakfast, and I've noticed that about 10-15 minutes later, when I start driving to work, I get this drowsy feeling. It's a bit concerning, especially because I do an intense workout on my bike for an hour before breakfast, and my heart rate is usually around 145-150 bpm. Sometimes I don't sleep well at night because of restless legs, but I still push myself to cycle every morning before taking my medication. My blood pressure used to be pretty high at 160120, and my doctor switched me from CETANIL M 50 to Tazloc Trio. Could this drowsiness be related to the medication or my morning routine? What should I do about it?

Accepted Answer

According to the World Health Organization's (WHO) new guidelines, the number of doses required for the rabies vaccine has been reduced.

- *Pre-exposure prophylaxis*: 2 doses of rabies vaccine are recommended for individuals at high risk of exposure, given on days 0 and 7 .
- *Post-exposure prophylaxis (PEP)*: For individuals who have not been vaccinated against rabies before, 4 doses of rabies vaccine are recommended over 2 weeks, given on days 0, 3, 7, and 14. Additionally, rabies immunoglobulin is recommended on the day of the first dose or soon after .
- *Intradermal vaccination*: WHO recommends a one-week, 2-site intradermal PEP schedule with 0.1mL of vaccine injected on days 0, 3, and 7 .

It's essential to consult with a healthcare professional for personalized advice on rabies vaccination.

Question 2

I'm 20 days postpartum after a normal delivery. My external stitches have dissolved, but the internal vaginal stitches haven't yet. How long does it typically take for these internal stitches to dissolve?

Accepted Answer

Typically, internal vaginal stitches from a normal delivery take around 4-6 weeks to dissolve, but can vary from 3-8 weeks; if you're concerned or experiencing discomfort, discharge, or other symptoms, consult your healthcare provider or obstetrician for a check-up and guidance.

Question 3

I've been dealing with serious acidity issues and once I start vomiting, it just won't stop easily. It's pretty badI've been feeling dizzy and fatigued, not really wanting to do anything, and I can't sleep properly at night. Today, I've been throwing...

Accepted Answer

Colicky pain below the abdomen can be concerning.

Possible causes:

1. *Kidney stones*: Pain can radiate from the flank to the groin.
2. *Appendicitis*: Typically starts near the belly button and shifts to the lower right abdomen.
3. *Ovulation pain* (in women): Mid-cycle pain, usually on one side.
4. *Gastrointestinal issues*: Constipation, gas, or inflammatory bowel disease (IBD).
5. *Urinary tract infection* (UTI): Pain while urinating, frequent urination.

What to do:

1. Stay hydrated
2. Apply a warm compress to the area
3. Avoid heavy lifting or bending

Seek medical attention if:

1. Pain intensifies or becomes constant
2. Fever, nausea, or vomiting occur
3. You experience difficulty urinating or bloody urine

Consult a doctor for a proper evaluation and diagnosis.

Question 4

I got bitten by some insect on my thigh on Tuesday, and it started to swell, so I went to a general physician who assured me there was nothing to worry about and gave me a tablet. But today, it's hurting again, and when I used a pin to check the area...

Accepted Answer

You may have inadvertently drained an abscess or a hematoma that formed as a result of the insect bite, and while it may provide temporary relief, it's essential to consult the general physician again or visit an urgent care center to assess the wound, prevent infection, and receive proper treatment, such as antibiotics or further drainage, to promote healing and avoid complications.

Question 5

I'm really struggling with a mouth ulcer that's been bothering me for a week now and the pain's becoming unbearable. I first tried smily cream for a couple of days but it didn't help at all. Then a friend gave me some kenacort gel and I've been using...

Accepted Answer

Excessive Belching (Burping)_

1. _Swallowing air_: Gulping down food, drinking carbonated beverages, or eating too quickly can lead to swallowing air, which contributes to belching.
2. _Digestive issues_: Conditions like gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS), or small intestine bacterial overgrowth (SIBO) can cause excessive belching.
3. _Food intolerance_: Lactose intolerance, gluten sensitivity, or fructose malabsorption can lead to belching, bloating, and discomfort.
4. _Hormonal changes_: Hormonal fluctuations during menopause, pregnancy, or thyroid disorders can affect digestion and lead to belching.

_Stomach Protrusion (Protruding Abdomen)_

1. _Visceral fat accumulation_: Excess fat around the abdominal organs can cause the stomach to protrude.
2. _Muscle weakness_: Weak abdominal muscles can contribute to a protruding abdomen.
3. _Digestive issues_: Conditions like ascites, hernias, or intestinal obstruction can cause abdominal swelling.

_Recommendations_

1. _Consult a gastroenterologist_: Schedule an appointment to discuss your symptoms and determine the underlying cause.
2. _Dietary changes_: Avoid trigger foods, eat smaller meals, and incorporate low-FODMAP foods to alleviate digestive discomfort.
3. _Probiotics and digestive enzymes_: Consider adding probiotics and digestive enzymes to support gut health and digestion.
4. _Exercise and physical activity_: Engage in regular exercise, such as core strengthening and aerobic activities, to improve overall health and reduce visceral fat.
5. _Manage stress_: Practice stress-reducing techniques like meditation, yoga, or deep breathing exercises to help alleviate digestive issues.

Question 6

I'm really worried about my dad. For the past few days, he's been complaining of severe back pain and just seems super tired. He's also been having trouble breathing normally, like he has to take deep breaths and it's kinda like he's struggling. Plus...

Accepted Answer

That could be GERD, visit Gastroenterologist for appropriate treatment.

Related Questions

I'm 20 days postpartum after a normal delivery. My external stitches have dissolved, but the internal vaginal stitches haven't yet. How long does it typically take for these internal stitches to dissolve?

I've been dealing with serious acidity issues and once I start vomiting, it just won't stop easily. It's pretty badI've been feeling dizzy and fatigued, not really wanting to do anything, and I can't sleep properly at night. Today, I've been throwing...

I got bitten by some insect on my thigh on Tuesday, and it started to swell, so I went to a general physician who assured me there was nothing to worry about and gave me a tablet. But today, it's hurting again, and when I used a pin to check the area...

I'm really struggling with a mouth ulcer that's been bothering me for a week now and the pain's becoming unbearable. I first tried smily cream for a couple of days but it didn't help at all. Then a friend gave me some kenacort gel and I've been using...

I'm really worried about my dad. For the past few days, he's been complaining of severe back pain and just seems super tired. He's also been having trouble breathing normally, like he has to take deep breaths and it's kinda like he's struggling. Plus...

General Physician/ Internal Medicine

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