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question:Hello doctor, I have an abscessed tooth and have been on antibiotics for three days. I woke up this morning with an extremely swollen face, should I go to the ER?
answer:Hi. I have gone through your question and I can understand your concern about your toothache and facial swelling. You need IV (intravenous) route antibiotics like Ceftriaxone one gram after allergic test and for that, you must visit either a dentist or an emergency room. After your infection is over either get your teeth root canaled or extracted as per the condition of the tooth and your choice. Grossly decayed tooth. Cellulitis. Periapical periodontal abscess with related space infection. IV route antibiotics after test dose for allergic reaction. Root canal treatment or extraction.
question:Hello doctor, My husband is 36 years old. He is fit and healthy, rarely gets sick. But he is a Meth addict. He missed the vein when injecting in top part of his wrist. The injection site looks like a small ant bite. It formed a water blister that he popped and put Neosporin on. But his hand is red, swollen, throbbing and warm. He is in agony. He refuses to go to the ER. Is he in danger of dying? What should I do? How can I treat this?
answer:Hello. This looks like a cellulitis (attachment removed to protect patient identity), it is an infection of subcutaneous tissue. He needs antibiotics and blood test. Convince him for visit. He will need a hemogram test, and blood culture to look for the extent of infection. In treatment, he will need antibiotics like Amoxicillin Clavulanate combination 625 mg three times a day along with some antacid like Pantoprazole 40 mg once a day. For pain and swelling, you can continue Ibuprofen, you can use Magsulf ointment for local application for swelling. He will need higher antibiotics as it appears severe cellulitis. So my advice is to visit ER soon.
question:Hi doctor,My 8 year old daughter has had quite severe stomach pain since three days. It started in her naval and now in her lower abdomen on the right hand side. She has had on and off low grade temperature and nausea. She has pain in her legs and some pain in her back. Also she has lost her appetite. We have been to our GP who sent us to our local hospital and they discharged us after blood tests were normal. She did have white cells in urine, and told us to come back if she was in agony. She is still having pain and has temperature. My dad is a retired GP and thinks that the pain is where her appendix are. Should I go to another hospital to scan her to make sure? I do not want to leave this to get it worse. I would appreciate your advice. Thank you.
answer:Hi. I can understand your concerns. Revert back with the report to a child health specialist online -->
question:Hi doctor, I am a 15 year old female and have been having RLQ pain for nearly five months. I am physically fit. I do exercise at least six days a week and eat quite healthy. I have a sharp stabbing pain at McBurney's point. I also feel immense pressure at my RLQ like someone is sitting on my stomach constantly. I had an ultrasound to find appendicitis. But, they found enlarged lymph nodes and said they would become normal soon. I did not have cold or anything in the past two to three months before this happened. It stopped hurting for about three days and then started hurting again, this time without the pressure. Within the last two weeks it has become worse than ever it hurts. I am always feeling nauseous, even when it is not hurting. It hurts daily and sometimes causes me to double over for 10-15 seconds. It has nothing to do with monthly cycle at all and does not seem to react with food. This Monday morning I had to stop my fitness training as it was so bad and could not complete the session, which is very unlike to me as I enjoy fitness. I have had two ultrasounds and could not find appendicitis or anything else wrong. Also, I have had two blood tests done for appendicitis and that showed slightly higher amounts of white blood cells, but that is not enough for doctors to diagnose as appendicitis. I went to ER at 3 AM; they did more bloods and sent me home about three months ago. Could this be chronic appendicitis? I do not know what to do and the doctors seem to think that I am making it up. Please help. Thanks.
answer:Hi. After reading your well presented history, I think the following are the possibilities. Urine for microscopy and routine pus cells and crystals. Use proton-pump inhibitors for some time and observe for any relationship between vigorous exercise and pain. Revert back with investigation reports to an internal medicine physician.--->
question:Hello doctor, I am a 28 year old female. Whenever I have indigestion and gas formation in my stomach, I feel pain in the right side of my stomach. So, I did a whole abdomen USG. It shows appendicitis. I did blood ESR test also. Attached are the reports. As per my doctor's suggestion, I am having below mentioned medicines for one week. Folcovit (once a day), Tibrolin (thrice a day), Pan D (once a day), Zocef CV 500 (twice a day). So, I want to ask, whether these medicines are sufficient or not? Do I need to have surgery?
answer:Hi. I had seen your report (attachment removed to protect patient identity) and CBC (complete blood count) is not showing any shift to the left or high total count. You have mild appendicitis infection. For that, medical management will be beneficial. You have been prescribed antibiotic course and probiotic and antacid. Complete the course of prescribed medicines. Your prescription is correct as per mentioned history and report. For more information consult a family physician online -->
question:Hi doctor, I am suffering from malabsorption. All my tests are normal. But, my radiology result reported appendicitis. Can appendicitis cause malabsorption?
answer:Hello. Revert back with the asked details to an internal medicine physician online -->