Question 1

I've been having some issues and I'm a bit concerned. I have asthma and a couple of years back it was pretty bad, but after moving I hadn't had an attack for about two years. Last week, though, I started wheezing and coughing again. My ENT prescribed DUOLIN for nebulization, and I started using it twice a day for the last two days. But Ive noticed that right after using it, my heart races, and my hands tremble. I looked it up and saw that these can be side effects of DUOLIN. Ive used Foracort 200 and Asthalin in the past without any problems. I'm just worried if I should stop using it or not. What should I do?

Accepted Answer

Based on your symptoms of increased heart rate and tremors in your hands after using DUOLIN nebulization, it is important to consult your healthcare provider for further evaluation. These symptoms can be potential side effects of DUOLIN, which contains a combination of ipratropium and salbutamol. In the meantime, you may consider stopping the use of DUOLIN and discussing alternative treatment options with your doctor. For your asthma management, you can consider using Foracort 200 (budesonide and formoterol) as a maintenance inhaler and Asthalin (salbutamol) as a rescue inhaler for acute symptoms. However, it is crucial to seek medical advice before making any changes to your asthma treatment regimen.

Question 2

I'm a chartered accountancy student who's prepping for my final exams. I tackled my first attempt in May after a hardcore four-month study spree. But right before that, in April, I started getting these chronic headaches that only went away after lon...

Accepted Answer

Post-Exposure Prophylaxis (PEP) and Treatment for Dog Bite_

Since you were bitten by a dog two years ago and received a tetanus injection one year ago, here are some suggestions:

*Immediate Action*

1. *Wound Care*: Ensure the wound is clean and healed. If you notice any signs of infection, such as redness, swelling, or pus, seek medical attention.
2. *Rabies Risk Assessment*: If you haven't already, consult a doctor to assess the risk of rabies transmission. Even if it's been two years, it's essential to evaluate the risk.

*Medical Consultation*

1. *Consult a Doctor*: Schedule an appointment with your primary care physician or a specialist, such as an infectious disease expert.
2. *Post-Exposure Prophylaxis (PEP)*: Depending on the doctor's assessment, you may require PEP, which includes a series of injections with rabies immunoglobulin and a rabies vaccine.

*Additional Precautions*

1. *Monitor for Symptoms*: Keep an eye out for any symptoms of rabies, such as fever, headache, or flu-like symptoms.
2. *Maintain Good Hygiene*: Ensure you practice good hygiene, including washing your hands regularly, especially after coming into contact with animals.

*Important Notes*

1. *Time-Sensitive*: Rabies PEP is most effective when administered promptly. If you're advised to undergo PEP, follow the recommended schedule.
2. *Individualized Advice*: Consult a doctor for personalized advice, as the risk of rabies transmission and the need for PEP depend on various factors, including the dog's vaccination status and the severity of the bite.

Question 3

I'm a bit worried about this small lump I've noticed under my skin that I think might be a lipoma. It doesn't hurt or feel uncomfortable, but I'm wondering if there are natural ways to get rid of it? I've read different things online, and it's all a ...

Accepted Answer

While there are no proven natural cures for lipomas, some people suggest remedies like apple cider vinegar, turmeric, or flaxseed oil for their anti-inflammatory properties. However, it's important to consult with a doctor before trying any home treatments.

Question 4

I've been really anxious about this HIV thing. I had protected sex with a sex worker, but I was drinking at the time. From what I remember, there wasn't anything risky involved in what we did. Am I still at risk for HIV?

Accepted Answer

no

Question 5

I'm dealing with asthma and I'm really looking for some help on how to manage it better. Could you give me some advice or suggestions, doctor? I'm open to trying anything that might help.

Accepted Answer

Consult a pulmonologist or an allergist for personalized guidance, and consider the following steps to manage asthma: use inhalers as prescribed, identify and avoid triggers, monitor lung function with a peak flow meter, maintain a healthy weight, exercise regularly

Question 6

I'm really struggling with this habit of eating raw rice. I end up eating a handful three times a day, especially when I'm feeling stressed or overwhelmed. It's like I just can't resist it, and I'm not sure how to stop. Could you give me some advice ...

Accepted Answer

This type of craving occur due to deficiency of calcium,iron

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General Physician/ Internal Medicine

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