claude

question:Hi I have intermittent dull chest pain, deep intermittent muscle pain in shoulders, general fatigue, intermittent deep shoulder blade pain, leg weakness, and night sweating. I had borderline EKG this past Tuesday at walk in clinic and sent to ER with EKG that had S wave issue that was concerning. Troponin was normal - went home because my insurance not cover Observation. Still have these issues off and on. My GP has not gotten back to me, and my heart Dr. scheduled appointment for March 20. I don t want repeat of Tuesday, not being able to stay for observation as recommended to me. Should I just wait for a heart attack?

answer:Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would like to tell you that this dull intermittent pain can be because of underlying heart disease which requires a basic cardiac check up for proper treatment. Kindly get an echocardiography and a treadmill test done. Consult a cardiologist with reports for further management. And avoid excessive physical exertion. Hope to have been helpful. Kind Regards Dr. Bhanu Partap

question:Hey doc. I have hpv. I got rid of genital warts about a year ago. I recently started using anabolic steroids(testosterone enanthate) and two weeks into it the genital warts came back in increased number. I read online about similar cases. Could you explain why?

answer:Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.It is true that having wart and steroid use has correlation.When you start using the steroids they cause immunosuppression, it is the fovorable condition for the HPV virus to grow and to cause warts.I suggest you can o stop such anabolic steroid until you are all free from the warts. Once you are clear from the infection you can start with the steroids.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist.

question:Recently diagnosed with strep- white blisters on tonsils, fever, chills. Started amoxicilin 2 days ago. Also have noticed red blisters on the bottom of my feet. Not itching, somewhat painful, and appear to be slowly getting worse. Is this something I need to be concerned with, considering I am already on an antibiotic?

answer:Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion you should change to other antibiotics. As fron the symptoms this antibiotics is not responding to the bacteria.I suggest you to start with vancomycin antibiotics under your doctors guidance.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist.

question:Hi Doctor, my wife is suffering from Typhoid for past 2 days, as prescribed by doctor we are taking tablets OFLOX-200 + Dolo + Cifran 250. Also she continue to take WOMENS HORLICKS with milk to feed 2 months old baby. Please advise : 1. Whether good to take womens Horlicks during typhoid. If no, advise which drink is good to increase mothers milk. 2. Best diet food to take during typhoid. 3. Is it ok to take CIFRAN 250 tab ?

answer:Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion you should continue with the women's Horlicks. There is no harm in taking it.You can take either tab. Cifran or oflox. Taking both is not essential.In typhoid high protein diet and fat free diet is adviced. Never dump intestine with heavy eating. It can cause a perforation in typhoid ulcer. Taking a small but frequent diet is adviced. Also do not eat spicy foods.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist.

question:Sir unknown dog bytes me on 19-10-2014 and i am taking 5 injection first on 19-10-14 second 0n 22-10-14 please confirm me next 3 injections dates ...................is there any side effect s of injection enen if dog is alive after 10 days my mail id is YYYY@YYYY

answer:Hello,Welcome to HCM,As you were bit by a dog which is known to transmit rabies,which is 100 % fatal but it is 100% preventable by proper and adequate treatment.As you were bit on 19-10-14 and taken first shot on the same day, remaining shots to be taken on following days over the deltoid muscle.Day 0- 19/10/14Day 3 - 22/10/14Day 7- 26/10/14Day 14 - 2/11/14Day 28 - 16/11/14.The anti rabies vaccines should be taken of aforementioned dates.Thank you.

question:I had Chickengunia fever in August, 2014. The fever went away in 3 days. But I started feeling pains in my hand,arms and to some extent in feet. The doctor advised me to take Saaz-DS (Salfasalazine)1 g tablet/day. I have been taking this medicine for the last 8 days but with little improvement. What do you rercommend? Thanks

answer:Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion you should continue with the provided treatment.Chikunguniya have severe joint pain which cannot be counteracted by the routinely prescribed painkillers.I suggest you to take low dose steroids like prednisolone. But remember never continue steroid treatment for prolong period as it has some side effects on long terms.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist.