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 curious about something that's been on my mind. I've had a pattern of catching a cold and fever twice every year, usually when the seasons change, like when winter starts and ends. My doctor always prescribed Azithromycin for it. The funny thing is, during the first year of the pandemic, I didn't get sick at all, but this year, I got the usual cold again.

Now I'm wondering if it might be COVID instead of a regular cold since Azithromycin is still used for COVID treatments. Why are doctors now hesitant to prescribe Azithromycin without a COVID test done first? Is there a risk that I could build resistance to it, and it may not work if I really get COVID later, even though I've always completed my courses? I'm just trying to figure out if taking Azithromycin twice a year when I have a cold and fever is okay. Back in the day, my doctor didn't think twice about prescribing it. Why has the protocol changed?

Accepted Answer

#NAME?

Question 3

I'm dealing with a sore throat from a bacterial infection, and my doctor told me to take Azithromycin 500mg once a day for 3 days. I'm wondering if it's okay to take the first dose at night, or should I wait until tomorrow morning? And if I do take it tonight, when should I take the second one, tomorrow morning or tomorrow night?

Accepted Answer

-You can take the first dose at night. After that, take the second dose the following morning and continue once a day for the next two days as prescribed. Make sure to space the doses about 24 hours apart for best results.

I'm feeling feverish for the past couple of days, and I'm currently on medication for it. Is it okay to sleep in an air-conditioned room while having a fever? Would appreciate any advice.

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