Question 1

I've been experiencing a rise in my body temperature, along with muscle pain and a mild headache for the past three days. I don't have chills or that sunken feeling, but it's really persistent. I took paracetamol and augmentin, and while they seemed to help at first, the symptoms keep coming back. What could be going on with me?

Accepted Answer

Persistent Anal Itching

_Possible Causes_

1. _Hemorrhoids_: Swollen veins in the anal region can cause itching, discomfort, and bleeding.
2. _Anal fissures_: Small tears in the lining of the anus can lead to itching, pain, and bleeding.
3. _Eczema or dermatitis_: Skin conditions can cause itching, redness, and inflammation in the anal region.
4. _Fungal or bacterial infections_: Infections like candidiasis or bacterial vaginosis can cause anal itching.
5. _Dietary factors_: Consuming spicy, acidic, or high-fiber foods can irritate the anal region.
6. _Gastrointestinal issues_: Conditions like diarrhea, constipation, or irritable bowel syndrome (IBS) can contribute to anal itching.

_Recommendations_

1. _Consult a doctor_: Schedule an appointment with your primary care physician, gastroenterologist, or proctologist to determine the underlying cause.
2. _Keep the area clean and dry_: Continue practicing good hygiene, and consider using a mild soap and warm water.
3. _Avoid scratching_: Scratching can further irritate the area and make symptoms worse.
4. _Try over-the-counter treatments_: Apply hydrocortisone cream or witch hazel to the affected area to reduce itching and inflammation.
5. _Dietary changes_: Avoid trigger foods, increase fiber intake, and stay hydrated to promote digestive health.

Question 2

I'm just dealing with a fever right now and noticing it's getting better after taking Dolo. Should I stick with this or maybe think about getting a blood test done? What do you suggest?

Accepted Answer

you're experiencing fever that's responding to Dolo (Paracetamol), you can continue taking it as directed. However, consider the following:

*General Guidance*

1. *Monitor fever*: Keep track of your temperature and watch for any signs of fever returning or worsening.
2. *Dolo dosage*: Ensure you're taking the recommended dose (500-1000 mg every 4-6 hours) and not exceeding the maximum daily limit (4000 mg).
3. *Duration*: If fever persists beyond 3-4 days or worsens, seek medical attention.

*Blood Test Considerations*

Consider a blood test if you experience:

1. *Severe headache*
2. *Confusion or disorientation*
3. *Difficulty breathing*
4. *Severe abdominal pain*
5. *Vomiting or diarrhea*
6. *Fever above 103F (39.4C)*
7. *Fever lasting more than 4 days*

Question 3

I'm really concerned about my uncle who's 60 years old. He's been occasionally running a fever for the past month and has lost weight. He was 78 kg, but now has reduced a bit over the last few months. The chest CT scan results and AFB test both came back negative. Can you help me understand what might be causing these symptoms?

Accepted Answer

do CBNAAT to confirm Tuberculosis

Patient is advised tab augmentin 625mg orally,thrice daily for 5 days,tab levocetrizine 10 mg bedtime ,orally for 5 days and syrup salbutamol 10ml thrice dailly for 5 days is advised to the patient.

More General Physician/ Internal Medicine Health Queries

I'm just dealing with a fever right now and noticing it's getting better after taking Dolo. Should I stick with this or maybe think about getting a blood test done? What do you suggest?

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