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question:Hello Doctor , My husband 30+ is suffering from chronic sinusitis . its been 7 months now we have tried homeopathy and he took lots of antibiotics also . He feels very tired all the time mentally and physically there is so much weakness . Discharge from the nose is brownish thick and when it gets worse he sneezzed a lot . He is an IT professional . it seems his immunity and strenght is decreasing day by day . My questions are What kind of Food i should give him to regain the energy ? Should we go for Surgery ?? What is the solution or mendatory precautions ?? Please advice ASAP. Thanks a lot Megha Pune
answer:Hello.. Welcome to HCM.I am Dr Jigar(ID specialist). Chronic sinusitis is a really disturbing condition. Due to nasal congestion and blockadge breathing becomes laborious and incomplete which lead to these king of symptoms.If i would be your treating doctor then i would have done following things.1- Detailed history of patient to have insight into causative or precipitating factors.2- Radiological investigation preferably contrast CT of sinuses.3- Endoscopic evaluation and biopsy for observing lesion and specimen for bacterial and fungal culture. Immunological tests for allergen must be done to prevent exposure to various allergens.4- Treatment initially will be directed to suspected pathogen in form of antibiotics and symptomatic relief.5- if after medical measures it is not relieved then ENT surgeon must be consulted and evaluation should be done for surgery.6- Regarding diet food allergen must be avoided.Only garlic has proven to be beneficial in chronic sinusitis by various studie. So it should be included in diet.I hope i have answered your concern in best possible way. I will be glad to help you further.Regards.Dr Jigar.
question:Barky cough for almost a year. Severe chest pain. Heartburn. Was admitted in children s hospital and diagnosed with a phyclogenic cough, but since i could at night they believe that isnt whats going on. Severe headaches. Taking Prednisone. Negative results on body.
answer:Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Yes, it seems to be allergic cough and durgs provided to you is also a right drug.I advice you to look for the allergen causing allergy to you.Definitive treatment for the condition is to avoid exposure to allergen.Once allergen remains departed to you, there is no need to take the further treatment.Prednisolone is the steroid and suppress the allergic reaction. But it should not be used for long time. For long time it may cause variety of side effects and should be given short gap between the treatment.So in all avoid the allergic exposure and when needed take the prednisolone.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
question:Hi, I am a 34 yr old female....height 5'2, weight is 175... I was diagnosed with HPV a few yrs ago and have been battleing outbreaks periodically ever since. Had an appointment today with my gynocologist, for what i thought was a breakout. However, she tells me that it is cholesterol buildup. Can you tell me more about this?
answer:Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.HPV is the STDs or sexually transmitted infection.It is caused by the human papilloma virus infection. It has nothing to do with the cholesterol built up. Cholesterol is type of fat and can not cause STDs like HPV.There is nothing a outbreak like in this condition. So if you have HPV you should take the treatment as per the disease state and your clinical condition.There are various treatment modalities available like imiquimod, cold laser, phenolic cauterisation. But all have merit and demerit as per the situation of the patients.If your sexual partner have the same infection than avoid the sexual act till you are free from the infection. You can use the condom but better is to avoid the sex act.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
question:My 3 year old has small flaky white things around her anus. Is it possible for her to have a yeast infection there? Or is it a possible worm issue. Plan on taking her to the doctor tomorrow but worried. They do wipe away with a baby wipe. But then more comes out and I wipe them away too.
answer:Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Mostly a white thing in anus of the baby is a fungal infection. But you can confirm the infection with the Grams staining, it will give us the Grams positive yeast cells.Prolong napkin can cause such infection. So avoid using the sanitory napkins for the baby for long time.If it's the fungal infection then taking the antifungal drugs can cure the infection, fluconazole oral suspension or in better part topical application of the fluconazole is the final treatment. Doctors supervision is necessary in this case.Please maintian good local hygiene this will help cure the infection at earliest. Please test the babies blood sugar and HIV status. Unknowingly many babaies my have this issues and so they are infected.Keep the baby open for some times this can make it dry and this dry ness cause fungus to die.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
question:I am 58 yrs old, post-menapausal for 10 yrs. Years ago I was given high doses of steroids due to MS,(optic neuritis)via IV. A few months later I had an abnormal Pap smear. The test was normal a month later. That was 19 years ago. I still wonder about this as my husband and I never had another partner. We were high school sweethearts. Did the steroids have a role in this abnormal Pap? Thank you.
answer:Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.No, short term steroids never causes any such effects on the pap smear. But if you take it for long period than it can cause such effect.Other cause for the abnormal pap is a malignancy. This abnormal pap should be rated with clinical condition or USG examination.If the pap smear grade is very abnormal than you should do hysterectomy.Infection may cause abnormal pap so you can also retest after the infection is cured otherwise diagnosis can be wrong.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
question:My wife was hospitalized with systemic colitis. She was not in an ICU unit, nor being electronically monitored. Due to the pain she was given morphine which put her to sleep. While she was asleep a pulmonary embolism occurred and took her life. I was told that she went peacefully and without knowing what was happening. I still can't help thinking that she was at least partially conscious and suffered great distress at least for a short time. Your opinion please?
answer:Thanks for posting your concern on HCM!In the treatment of systemic colitis a number of drugs like Corticosteroids, Immunosuppressants in addition to ferrous sulfate and folic acid.Corticosteroids and Immunusuppressants are known to decrease the immunity of the patients making them susceptible to a number of bacterial, viral and fungal infections. Some of these infections are difficult to treat and may land up on severe complications like coma and death.Pulmonary embolism can be fatal, it might have occurred due to deep vein thrombosis of the legs because of immobilization.May her soul rest in peace.Take care of your self.