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question:hi doctor i have this insect bite on the side of my hand and its been there for several days and doesnt seem to improve and still hurts alot. my question is that last night i woke up with sever stomach pains that felt like my stomach was swollen of full about to pop i was wondering if the bug bite could be the cause of if its something else?

answer:if the site of bug bite is not improving in several days you should consult a physician as soon as possible because it can get infected as well as toxic substance of bug can cause necrosis.your stomach ache is also may be due to that bug bite because you may be suffering from stress induced gastritis.

question:Hi my husband was taking procardia xl 90mg and valstran 320/12.5 as well as carvidilo 12.5 for a while just this week he began to feel light headed cardiogist told him to bring carvidiol down to 6.25 2xs a day just as he did with the 12.5 today i took him to see general md close to our home she said we should stop procardia bec that and the valstran do the same thg but i hv been reading an some say vallastran and carvidiol should not be taken together can u helpmy hysband is 48 210lbs thks i reall concerned

answer:Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. If he is a ischemic heart disease patients then Procardia XL is not much useful. Procardia and Valsartan both are anti hypertensive drugs but not a same group of drugs. If he is having no cardiac problem he can take both no problem. If he is having cardiac problem stop Procardia XL because calcium channel blockers not much useful . If he is suffering from giddiness means may be he is having hypotension or BPPV or autonomic neuropathy etc. Until examination is done it is difficult to say what it is. Hope I have answered your query. Let me know if I can assist you further.

question:I have had fever, chills, slight headache, stiffness, and a burning stomach for 4 days now and it's not really getting much better. I also have peripheral neuropathy and it has caused my nerves to flare up with burning pins/needles sensations off and on. There is no vomiting or diarrhea although my stomach has been a little rumbly. Is this some kind of flu or virus going around? Thanks.

answer:Hello, I read your question carefully and i can understand your concern very well. If i were your treating physician, i would suspect viral infection and i would recommend you to go for few work ups like blood CBC, PS for MP, RBS, creatinine and SGPT. I would have advised you to take antibiotics (like cefixime for 5 to 7days), paracetamol (to control fever and headache), Antihistaminics (like cetrizine) and pantoprazole (for stomach upset). Because most of these medicines are prescription medicines, you can meet your local doctor and confirm it. You can come back to me after all the reports anytime, so i can guide you further. If the condition does not improve or if it gets worse, then you need to further work up to rule out various other causes. Take healthy diet, take proper rest and avoid any kind of strenuous physical or mental work. Don't worry, you will be alright within few days. Hope this will help you and feel free to ask any of your further follow up queries.

question:My father (age 52) was diagnosed with weakly positive malaria 2 months back as well as typhoid and he was given arthemeter tablet. The major symptoms he was suffering from are fever all day long and trouble in bowel movement and stomach irritation. The temperature changed again and again. Also he feels his head spinning as the temperature rises. He also took sulphadoxin for malaria. The doctors stressed on typhoid and he took stronger antibiotics monocef for it for 10 days. His problem in the stomach was cured and today his typhoid reports were negative but he is now diagnosed with vivax malaria . He had given up cereals in his diet and is now on a very low diet and his weight has drastically reduced. Now he has taken primaquine and is now looking for a medicine that works against the resistive strain of vivax. Please help me in right diagnosis and cure.

answer:If symptoms are in favor of Malaria and as u told investigation is also positive for malaria(Confirm by antigen malaria card test) take 3 days medicines in combination kit(lumerax 80 mg tab) twice a day plus cap Doxy 100 mg twice a day for 3 days.If Still He not cured go for Artesunate injections 120 mg in dose of 0 12 24 and Od(Once a day)plus same dose of doxy.

question:I ve been taking several antibiotics and cough meds. to treat flu/pneumonia symtoms for a week and a half and I have this constant cough that keeps me awake all night long. I was given Prometh/cod 6,25-10 syp. by mouth every four hours as needed for cough and it doesn t work. I have also tried over the counter Robitussin. Finally out of desperation I have been taking Hydroco/apap 7.5-325 mg tablets, which I had been taking for a Frozen Shoulder I have been battling for over six months. If nothing more, they have made me sleep, so I don t cough. Another thing that has been bothering me, other than the aches from flu like symptoms is the soreness in my mouth. My tongue is swollen (red in color) and it hurts to eat. I don t have the symptoms commonly associated with Thrust . Any suggestions, I don t want to take drugs that interact with each other causes horrible pain and discomfort.

answer:Hi I did review your concernThe root cause of all your trouble seems to be the nagging cough. since it has been occurring for quite sometime now i would advice a complete analysis for that.My recommendation would be to consult a pulmonologist and get yourself evaluated. If there is sputum, culture and microscopy for that and a CT scan if dry cough or wet cough for lesion determination.I hope this helpsWish you all the best

question:Lately my breasts are itchy, especially around the nipple area, and on one of them there seems to be a slightly inflammed montgomery gland with redness around it...is there a natural remedy? I don't want to take antibiotics. I also have an antibiotic cream that has some cortizone in it as anti-itch for exema that was on my arm, can I put this on it?

answer:Hi,It seems that there might be having some local skin infection like dermatitis giving this problem.due to itchinmg there might be having some bacterial infection as well.Apply the cream you are having for few days.If pain or swelling and redness persisted then you might require one course of antibiotic medicine.Ok and take care.

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