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question:Hi, my 82.5 year old father with a 4- month old pacemaker recently had his gallblatter removed. He was in the hospital for an entire week because he 1) filled up with fluid on his left lung and 2) E. coli was found in his blood. After a week in the hospital he was sent home with a potent antibiotic that is administered via a pic(?). My question....what question(s) should we be asking his infectious doctor and surgical doctors at his one week follow up appointment. Thank you Liz PS. ertapenem IV antibiotic
answer:hi. I have read your query. Its not common to fluid filled lung and E.coli infection after gallbladder removal. Your father's surgery got complicated and he got E.coli infection from the hospital. You should ask the following questions from your Doctor.1. Should we get a diagnostic pleural tap? ( fluid taken from the lungs for analysis)2. Should we get culture and sensitivity test run on the fluid?3.What is the result of the Blood Culture and Sensitivity test?4. Change the antibiotic according to the sensitivity report?5. Ask about a repeat Chest X-ray to see if the fluid has decreased?6. Can your father be put on oral antibiotics according to the sensitivity of E.coli?These are the questions that your doctor should answer as these tests and their results are very important for the health of your father.
question:History since age 17: ibs by age 60 mild inflammatory colitis to cholecystitis, culminating in the removal of a diseased gallbladder in september 2013. Since that time, two months of poor recovery, digestion problems, and 4 months continuing inability to eat normally, and suture not healing, with mild infection. Repeated blood tests show elevated lipase and now alt([pt), Tbil low abn liver function tests, and cbc MO% just above normal H. Doctor has assigned a hepatitis and hepatic function panel, ana, & asma.to be taken friday. Years previous have had + & _ allergy test results and brittle asthma and cardiac svt with long rp yielding angina like symptoms. Turning 70 years in January 2014. Dr. has recommended allergist testing. should i be going to Mayo Clinic?
answer:HelloThanks for the query to H.C.M. Forum.Allergy test will find out sensitivity to certain allergen and usually helpful for asthma and allergy.As you mentioned that raised level of lipase and A L T .As gallbladder already removed so you may got infection of liver also.In my opinion also get in M R I of liver as well as pancreas .In this type of cases usually patient develop pancreatitis , diagnosis can be confirmed by estimation of lipase and amylase .As you mentioned that suture is not healing , so get in HBA 1 C and also blood sugar examination.In my opinion at present you require.1 Allergy test as desired by your doctor .2 Mri of liver 3 Pancreatic enzymatic tests 4 Diabetes rule out.Consult a physician and get his opinion and all tests as mentioned above.Good luck.Dr. HET
question:Hallo sir, MY fathers age is 56 years, he has recently undergone a ultrasound test where its was diagnosed that he is having 2 gallstones 8mm size. He has 4 years ago , undergone an heart surgery . recently he has been complaining about leg pains and also abdominal pain frequently, I would like to know whether gallstones are dangerous and whether he has to undergo surgery? Please do provide your valuable solutions
answer:Hi. Yes the gallstones can turn dangerous due to repeated infections. As your father has undergone heart surgery you have to consult the Cardiologist for fitness for Gall bladder Surgery.
question:my chest goes tight and i stop breathing for a second it happens ones a week some times ones a month very random some times it happens when im exercising some times when im just siting down im 30 years old im a male and ive stoped smokeing for 3 months can you help plz
answer:hello Thanks for posting at HCM. In view of your young age and symptoms of chest tightness and breathlessness, the suspicion points more towards asthma than a cardiac cause. Please do a pulmonary function test which requires you to blow into a machine and your lung capacities are recorded. Next thing recommended is a chest x ray. PFT will show functional capacity of the lungs and x ray will show if there are any associated lung issues.I do not suspect ant cardiac issues here but if you are very concerned you can do a ECG. Please do the above tests and revert back with the results. Wishing you good healthRegards
question:I was diagnosed with gall stones after pregnancy a week ago after several attacks. I will be seeing a doctor on Wednesday the ER said I need surgery. How would I know if I have an infection from it? An infection due to a gall stone clogging a duct.
answer:Hi. Sonography and blood counts and Liver function tests can tell pretty well whether you have gall bladder infection. If infection is present, it is always better to go for surgery as the infection can repeat and become troublesome to carry on pregnancy.
question:Yes, I am having pain in my abdomen (right) which seems to pulse like a heart will. I can actually see it beat Lynn I have severe nausea with some vomiting, have had my gall bladder removed and the pain is not in my lower right side-it is above my waist.
answer:Hi, Pain in abdomen with nausea and vomiting needs consultation with your operating Surgeon and investigations like Ultrasonography of abdomen with blood tests.