Question 1

I'm getting anti-rabies shots at a government hospital because I was a bit worried that my friend's month-old puppy might have scratched me. The scratch was small, but I'm taking precautions and getting vaccinated. So far, I've had three shots, with two more to go. They're doing it hypodermally with an insulin syringe instead of intramuscularly. I received the last shot on September 2nd, and I've noticed a little swelling each time. But today, there's a noticeable bumpy swelling at the injection site, about 1cm in diameter, and it feels like a tight mass when I press on it. I tried massaging it with ice, but I'm still concerned. Do you think this is something to worry about?

Accepted Answer

As its given intradermally that swelling wpould appear but will subside on its own dont massage it.

Question 2

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 3

I'm feeling pain under my breast and kind of in the lower chest area since this morning. It really hurts when I touch it and even more when I try to take a deep breath. I'm worried about what it could be, but with the current situation, I'm scared to go to the hospital for an X-ray or anything like that. I had the same issue last year, and it got better after taking calcium supplements. Can you suggest what I should do now?

Accepted Answer

Ecg and cardiac markers are advised to the patient.

I'm a bit confused about how to take celine 500 mg tablets. Should I be taking them with water or can I chew them? And is it better to take them before or after a meal? Would really appreciate some advice on this!

Celine 500 mg tablet should be taken with a full glass of water, either with or without food. It is not a chewable or dispersible tablet.

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