Question 1

I'm really worried about my mom. She had typhoid a week ago and was on Levolab 500 mg for those 7 days. Her fever went away after just 3 days, which is good, but she's still feeling super weak. And now she's been having trouble going to the bathroom, like she hasnt had a bowel movement in 3 days, though her urine seems normal. Is this something we should be concerned about, or is it a normal side effect after typhoid? What can we do to help with the bowel issues?

Accepted Answer

Vertigo and Dizziness: Addressing Long-Term Symptoms and Recent Exacerbation_

I understand your concern for the individual's prolonged struggle with vertigo and dizziness. Given the current treatment regimen and recent exacerbation, here are some suggestions:

_Possible Causes of Exacerbation:_

1. _Inadequate medication dosage_: The current dosage of Stugeron and Dytor might not be sufficient to control symptoms.
2. _Medication tolerance_: Long-term use of Stugeron might lead to tolerance, reducing its effectiveness.
3. _Underlying condition progression_: The underlying condition causing vertigo and dizziness might have progressed, requiring adjustments to the treatment plan.

_Recommendations:_

1. _Consult a specialist_: Schedule an appointment with an ear, nose, and throat (ENT) specialist, a neurologist, or a vestibular specialist to reassess the condition and adjust the treatment plan.
2. _Medication adjustments_: The specialist might recommend adjusting the dosage or switching to alternative medications, such as betahistine or vestibular suppressants.
3. _Vestibular rehabilitation therapy (VRT)*: A physical therapist specializing in VRT can help the individual develop exercises to improve balance and reduce vertigo symptoms.
4. _Lifestyle modifications*: Encourage the individual to make lifestyle changes, such as:
    - Avoiding triggers like caffeine, nicotine, or certain foods
    - Maintaining a consistent sleep schedule
    - Engaging in regular exercise, like yoga or tai chi, to improve balance and reduce stress

_Monitor and Seek Immediate Medical Attention if:_

1. _Sudden worsening of symptoms_
2. _Severe vomiting or inability to keep fluids down_
3. _Double vision or difficulty speaking_
4. _Severe headache or confusion_

Question 2

I'm concerned about my health because my bilirubin level has reached 6.2, and despite having a normal MRI of my abdomen, my bilirubin keeps rising. Can you help me understand why this might be happening? I have my blood test report if you need any specific details from it.

Accepted Answer

Yes, you can take Dolo 650 (paracetamol) and Cetirizine together.

No known significant interactions between the two.

However, always follow dosage instructions and consult a doctor if:

- You have pre-existing medical conditions
- Taking other medications
- Exceeding recommended doses

Question 3

I have gallstones measuring 21 mm, 14 mm, and 9 mm wall thickness do I need surgery or laparoscopy? If my gallbladder is damaged and has to be removed, what are the risks involved? What would you suggest?

Accepted Answer

sx is option only.

More Gastroenterology/GI medicine Health Queries

I'm concerned about my health because my bilirubin level has reached 6.2, and despite having a normal MRI of my abdomen, my bilirubin keeps rising. Can you help me understand why this might be happening? I have my blood test report if you need any specific details from it.

I have gallstones measuring 21 mm, 14 mm, and 9 mm wall thickness do I need surgery or laparoscopy? If my gallbladder is damaged and has to be removed, what are the risks involved? What would you suggest?

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