Question 1

I'm really worried because I've been having this fever that just won't go away. I had it originally on February 10th, took some medicine, and felt okay, but then it came back on the 19th, and even after seeing a doctor and taking the prescribed meds, the fever's still hovering around 100F or 101F. I even had some tests done like the Typhidot Igm and blood cultures which came back negative, and my CBC was normal, but the fever didn't stop. I was put on TaximO and Calpol 500, which seemed to help for a bit, but after three days, the fever returned. Now, with my regular doctor unavailable, I switched to another one who ran more tests like the thyroid panel and CRP, and turned out the CRP is positive. They also found my bilirubin to be a bit high and ALT levels at 79. The new doctor's prescribed Dolo 650 and Pantocid, and I'm noticing that the fever goes down after taking paracetamol, but it just comes back after a few hours. What's going on with me? Is there something serious causing the fever to keep coming back?

Accepted Answer

*Hormonal Influence*

1. _Hormonal fluctuations_: Changes in estrogen and progesterone levels during the menstrual cycle can exacerbate acidity.
2. _Prostaglandins_: Increased prostaglandin levels during menstruation can cause stomach contractions, leading to acidity.

*Dietary Modifications*

1. _Avoid trigger foods_: Identify and avoid foods that trigger acidity, such as citrus fruits, tomatoes, chocolate, and spicy or fatty foods.
2. _Ginger and aloe vera_: Consume ginger tea, ginger ale, or aloe vera juice to help alleviate acidity.
3. _Small, frequent meals_: Eat smaller, more frequent meals to reduce symptoms.

*Over-the-Counter (OTC) Medications*

1. _Antacids_: Take antacids like Tums, Rolaids, or Mylanta to neutralize stomach acid.
2. _Acid reducers_: Use medications like ranitidine (Zantac) or famotidine (Pepcid) to reduce acid production.
3. _Proton pump inhibitors (PPIs)_: Consider taking PPIs like omeprazole (Prilosec) or lansoprazole (Prevacid) to reduce acid production.

*Natural Remedies*

1. _Yoga and relaxation techniques_: Practice stress-reducing techniques like yoga, meditation, or deep breathing to help manage symptoms.
2. _Heat or cold therapy_: Apply heat or cold packs to the abdomen to help alleviate discomfort.

*Menstrual-Specific Relief*

1. _Over-the-counter pain relievers_: Take OTC pain relievers like ibuprofen (Advil) or naproxen (Aleve) to help manage menstrual cramps and acidity.
2. _Hormonal treatments_: Consult your healthcare provider about hormonal treatments like birth control pills to help regulate menstrual cycles and alleviate symptoms.

Question 2

I'm feeling a bit concerned about a swollen lymph node under my chin. It's tender to touch and has been swollen for about 45 days. This isn't the first time it's happened  its come up once or twice a year in the same spot but eventually goes away. Im just really tired of dealing with it. I had a head cold about three weeks ago but other than that, I'm a healthy 27-year-old and take pretty good care of myself. Can you help me figure out what's going on?

Accepted Answer

Persistent urinary symptoms can be frustrating.

_Test results:_

1. _Normal sugar test_: Rules out diabetes.
2. _Normal urine routine and culture_: No signs of urinary tract infection (UTI).
3. _Normal abdominal ultrasound_: No visible issues with kidneys, bladder, or urinary tract.

_Current treatment:_

1. _Pyridium 200_: Relieves burning sensation.
2. _Citra soda and K cit syrup_: Helps with urinary alkalization.

_Possible causes:_

1. _Interstitial cystitis (IC)_ : A chronic condition causing bladder pressure and urinary frequency.
2. _Overactive bladder (OAB)_ : A condition leading to frequent urination.
3. _Urethral stricture or narrowing_: A possible cause of urinary frequency and burning sensation.

_Next steps:_

1. _Consult a urologist_: Discuss your symptoms and test results with a urology specialist.
2. _Further testing_: Your urologist may recommend additional tests, such as:
    - Cystoscopy
    - Urodynamic studies
    - Imaging tests (e.g., CT scan)
3. _Alternative treatments_: Your urologist may suggest alternative treatments, such as:
    - Bladder training
    - Pelvic floor exercises
    - Medications for IC or OAB

Question 3

I've been dealing with a normal fever, cough, and cold, and I'm feeling pretty weak. I've heard about a medication called 'oncet cf' and I'm considering taking half a tab three times a day. I also came across Clavam 375, which is 1 tab twice a day, and Dolo 650, half a tab twice a day. Do you think this is a good course of action for my symptoms? Are there any side effects or interactions I should be worried about with these meds?

Accepted Answer

continue the same medication

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