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question:Hi, i suffer from high blood pressure but I am not taking any medication at the moment. My alcohol intake have increased and I am suffering from stress. I noticed recently that my chest gets flushed or red very easily and sometimes I have difficulty breathing
answer:hi , first of all i sugest you to start anti hypertensive treatment including diet control ,regular exercise , morning brisk walk , weight reduction and drugs. ignored high bp can lead to several complication including kidney failure and even heart failure so start its treatment immediately.now you should also go for ECG and echocardiography, chest Xray and chest examination by a physician. your breathing difficulty can be due to pulmonary edema due to untreated high BP or other cause which will be revealed by chest x ray and if needed then go for pulmonary function test also. discard alcohol immediately and adopt some other measure for stress releaving like yoga and meditation. thanks and take care.
question:Hello Doctorfrom 2-3 Years during summer i am suffering from arms allergy when am sweating. Please tell me some precautions on this............also my skin is very sensitive as no artificial things like earings, bracelets, necklace etc. not suit me. I am also not able to wear watch and belt also.Thanking You
answer:hi, you might be suffering from cholinergic urticaria also known as autologus sweat hypersensitivity.for its management you should avoid hot environment, heavy exercise , hot bath , sun exposure as much as possible. you should stay in AC room if possible to avoid sweating, rather you can use colt water spray or apply wet towel regularly to avoid sweating.you should go for total and differential count of white blood cells for ruling out basophilia.you can use antihistaminic like levocetrizine or loratidine or zileuton an antileukotrenes.. steroidal drugs and omalizumab an anti IgE therapy can be initiated but for that you should consult an immunologist. its other mode of treatment include desensitisation, steroid pulse therapy , danazol and propranol but consult a physician for their proper application. thanks for consulting HCM.
question:I have been getting more bloated on my stomach but my lower left side of my abdomen definitely is more swollen what causes that I've been using a vibe fit exercise machine that can't be causing it ? also a couple of weeks ago anytime I ate I was really feeling pain in my lower chest area
answer:some epigastric hernia might cause such condition!it worsens if intra-abdominal pressure is increased as in case of exercises.you need a USG upper abdomen for confirmation.all the best!
question:Hi I just had hernia surgery on June 1st and on June 11th I started having symptoms of an allergic reaction. Itching and burning all over my entire body and inside my ears, throat, eyes with redness in arms, legs, face and chest. I went back to the surgeon on June 12 and she advised me if it was a reaction to the mesh I would have symptoms immediately after surgery. She then put me on a 6 day treatment of Methylprednisolone 4mg. The itching has stopped but I am still having the burning of the skin, shortness of breath, lightheadedness, and just the feeling of not feeling well. I have not changed anything in my life as to explain this reaction. I am however allergic to pennicillian, amoxicillan...and the such, and the symptoms that I experience with those are similar to what I am experiencing now but 10 times worse. The last two nights I've awoken to the feeling of losing my breath and can't breath.
answer:hi, first of all you should start inhalation of some bronchodilators like salbutamol or fluticasone with salmeterol to improve your breathing. take some anti histaminics like cetrizine , you can also take montelukast and zileuton with these to fasten improvement.meet an immunologist with complete history of all the drugs that were used post operatively .avoid those drugs which are found immunogenic in your case, go for total and differential count of WBC to rule out eosinophilia or basophilia. follow the advice of immunologist for further management. thanks and take care.
question:Dear sirmy father is suffering from food allergies he was prescribed azoran tablet which showed good results but now he is not able to take the tablet as he starts getting vomits as soon as he takes it his allergies have started to show up again is there some other medicine?
answer:hi, actually nausea and vomiting are side effect of azoran , other drugs for immunosupression include methyl prednisolone , methotrexate, ciclosporin, tacrolimus, mitomycin , flurouracil and others but as these have severe side effects so these ehould be taken under strict medical supervision .you should consult your treating physician or an immunologist for using any one or combination of these in appropiate dose. thanks and take care.
question:Hi! I started drinking the body by vi shakes about a month ago. In the last few weeks my asthma has become out of control, it was quite mild to begin with. The shakes were the only change I have made to my lifestyle. Could I be allergic to them? Please help! Thanks!!
answer:hi, vi shakes contain concentrate of proteins and these can be immunogenic to you or you can say that you are allergic to its constituent so you should immediately stop its use any more. to confirm it you may go for its patch test on your back.as your asthma tells about your atopic nature and you might be allergic to several substnces occuring in nature so it is better to avoid it and all those which are allergic to you because then only your asthma can be managed. yoo can go for complete pannel allergen test to get a list of all allergic food to avoid any such episode in future. thanks and take care.