Question 1

I'm really concerned about this intense burning sensation my dad is experiencing throughout his entire body. It seems to get worse at night, to the point where he finds it unbearable. He's already taking medication for a prostate issue, high cholesterol, and a sleep aid, plus blood pressure medicine. We've found out his calcium, potassium, and sodium levels are really low. Could these low levels be causing the burning sensation, or is it related to his other health conditions? I'm really worried and looking for some advice on what might be going on.

Accepted Answer

Diagnosis*

1. *Blood tests*: Recheck electrolyte levels (calcium, potassium, sodium) and consider additional tests for:
    - Vitamin deficiencies (e.g., vitamin D, B12)
    - Thyroid function
    - Kidney function
2. *Medication review*: Consult the doctor to review the medications and potential side effects.
3. *Neurological examination*: A neurologist can assess nerve function and sensitivity.

*Treatment Advice*

1. *Electrolyte supplements*: Consider taking calcium, potassium, and sodium supplements under medical guidance.
2. *Medication adjustments*: Consult the doctor to adjust or change medications that may be contributing to the burning sensation.
3. *Pain management*: Explore alternative pain management options, such as:
    - Acupuncture
    - Physical therapy
    - Relaxation techniques (e.g., meditation, deep breathing)
4. *Lifestyle modifications*: Encourage the patient to:
    - Stay hydrated
    - Maintain a balanced diet
    - Exercise regularly
    - Manage stress

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 long naps. Now, I'm gearing up for my second attempt in November, and those headaches are back again. They really hit me hard on the sides and the lower back of my skull. I've made sure to get an eye test done, and everything's fine there, no need for specs. I'm at a bit of a loss here. Any insights on what might be causing these headaches and how I can manage them?

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 taking vertin and stemetil for my vertigo just like my doctor recommended, but I'm still having one or two vertigo episodes even with the meds. Plus, it seems to happen more when my stomach's empty. Is this normal? I've also had migraines for 20 years now. Does vertin actually stop vertigo completely?

Accepted Answer

You seem to be suffering from vestibular migraine. You may need long term migraine prophylaxis. Simple anti vertigo medicines are not really useful

My husband's temperature is 96.6 and he has a bad migraine along with a torn MCL while waiting for surgery. He's been taking Tylenol, ibuprofen, and Vicodin should we be concerned and get him checked out

Yes, a temperature of 96.6¬∞F is considered low and can be concerning, especially in the context of a bad migraine and a torn MCL while waiting for surgery. It's important to monitor his condition closely and consider seeking medical advice

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