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question:Hi Doctors, My father is 65 years old and suffering from severe asthmetic symptoms (not able to sleep at night) and not able to breathe properly since last 15 days after getting cold being wet in field under rains and low tempertaure.. Please guide how to deal now...
answer:Hello,Thank you for asking at HCM.I went through your father's history and would like to know more about him like - how frequent are his asthma symptoms? what are his nose symptoms? what are the medications is he taking? does he have any other medical conditions? does he take any other medications frequently/regularly? does he have any allergies? etcAbove suggestions will be helpful to know about your father better and therefore to make more specific suggestions for him.At present, I would like to make suggestions for him based on your provided information as follows:1. I usually prescribe my such patients inhaled salbutamol/levosalbutamol to be used on as-and-when-needed basis for asthma symptoms. If symptoms are frequent, he may need inhaled corticosteroids regularly.2. If he has nose symptoms like nose obstruction, sneezing, running nose, etc, I would also add levocetirizine + montelukast to above treatment.3. Regular steam inhalation will also help him for nose symptoms.4. In general, I would suggest him to avoid exposure to dusts, smokes, cold air and air pollution as much as possible.5. I would also suggest him allergy testing for common air-borne allergens such as house dust mites, pollens, molds, insect proteins, animal dander, etc. This will help him to identify the substances causing allergies to him and also to know the measures to avoid them.6. Regular physical exercise including breathing exercise as well as a healthy nutrition rich in vitamins & minerals would also help him in a long run by improving his lung capacity and immunity respectively.Hope above suggestions will be helpful to him.Should you have any further query, please feel free to ask at HCM.Wish your father the best of the health ahead.Thank you & Regards.
question:Hi, may I answer your health queries right now ? Please type your query here... HI! my name is Steve and I live in Chile and my blood work came back pretty good. However, one test shows IgE Total 196 IU/mL and the chart says that for my age 41, this is high, yes?
answer:Hello Steve,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. Yes, 196 IgE is high but it is not that high that you should worry too much.2. To derive conclusion, I would like to know whether you have any symptoms. If you do not have any symptoms and IgE was only a lab finding, you should not worry at all and I usually suggest my such patients repeat test after 6 months.3. If you have symptoms of allergies (allergic rhinitis, asthma, atopic dermatitis, etc), I would suggest you allergy testing for specific allergens (allergy causing substances).Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead.Thank you & Regards.
question:Hello my daughter is in India doing prac work for her Uni degree. She has been there one day and has woken up with eyes that look like she has been punched (all bruised). She is gluten sensitive and feels sick after eating dairy. With this reaction what is the food which would have likely caused this? Thank You Leanne
answer:Hi,Gluten is a protein mainly found in wheat and bread is a rich source of gluten.If she is allergic to gluten then she must avoid foods made from wheat or its related grains,also avoid bread and meat like chicken,beef etc..Allergy can be diagnosed only on the basis of patient's history although food allergic testing is done in laboratory but its not reliable and also adds cost to the patient.The best way to cure allergy is to avoid contact with that particular allergen.She can go to dermatologist and ask for antiallergic drugs like steroids and antihistamines.
question:Just in the past two years I ve been having a few strange problems, including shortness of breath, excessive dizziness and strange discolouration and pain in my legs. I saw many doctors who checked my blood, heart and lungs but nothing has come up, I even saw an internist. Just last night I was laying on my side and I was just started to get tired when suddenly my heart jumped and seemed to this against my ribs. It felt like it was twisting and grinding against the left side of my ribcage. It continued for a few beats and then it seemed like it stopped beating altogether. I got scared and felt for my pulse and couldn t feel it for at least a second or two. But then it started to beat steady again. After it returned to normal, I felt a wave of heat come over me and I started feeling flushed and kinda sweaty. I kind of want to tell my parents but they think I m being a wimp because the doctors haven t found anything.. Any ideas on what is wrong with me? Thanks
answer:Hi,After going through your question,I would suggest you must consult cardiologist because this is could be due to paroxysmal supra ventricular tachycardia ( PSVT) or premature atrial or ventricular contraction or ectopic beat or LBBB/ RBBB.Above terms are medical terms,may be you won't be able to understand but if you are facing this symptoms then you must rule out above causes first.Non- cardiac causes like anxiety, hypoxia,asthma,drug induced etc..As I said first thing is to rule out cardiac causes then consult accordingly since you have consulted many doctors already.
question:I had a new tattoo done 16 days ago. I had an allergic reaction on the tattoo due to some cat hair. (I am severely allergic to cats) The tattoo became infected and I was prescribed keflex. I have been off the antibiotics for 3or 4 days now and obviously the tattoo is very faded, but my skin is till kind of rough and the outer edge of the tattoo is slightly raised and it still itches all over. How long should it take before my skin is smooth again?
answer:HIWell come to HCMI really appreciate your concern, in fact if the condition being treated with proper drugs then this would come around within two or three days, if this is taking longer than enough time then this could be not correct medicine or slow response, in such case this may take couple of weeks, take care.
question:I have what seems to be some fever on the right side of my head. very slight pressure on the back of the eye...it does NOT affect my vision. some soreness on the right side of my throat and a tenderness on the right side of my head. I also feel a slight sensitivity in my right ear. age 58 225 No alcohol/drugs 6 1 Generally excellent health no recent trauma for the past couple of days a slight increase in anxiety which I normally NEVER have.
answer:Hi,As per your symptoms it could be due to upper respiratory infection( pharyngitis, laryngitis,tonsillitis, epiglotitis etc) or middle ear infection, sinusitis etcYou should undergo routine blood investigations and after that you may take antibiotics ( quinolones or macrolides group) with antipyretics and analgesics with other symptomatic treatment according to underlying cause.You consult ENT surgeon for further advise.