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question:Hello Doc. Samuel here. I've a brother who was beaten by a dog over three weeks ago but nobody knew except him. Now, he's extremely sick and in dire condition. He gets so irritated when he sees water or is invited to drink. Doctors said that it is clearly "Hydrophobia" (Rabies) and nothing to do as it's long over due. Is there anything that can be done to cure? Any hope for him to get well? What will be his next fate?
answer:Hello Unprovoked infected dog bite is dangerous and if no precautionary measures and immunization is taken then it may lead to development of Rabies and consequent hydrophobia. Diagnosis in most cases is made on the basis of clinical history along with history of dog bite. Its very sad to say but so far there is no cure of Rabies Hydrophobia. Best you can do is prey and provide him symptomatic treatment. Recently in United States a study was done on mice and it was found that ketamine (anesthetic medicine) has potential to inhibit virus. This result in introduction of induced coma in treatment of Rabies and so far 2 patients have been saved by this treatment. The treatment is named as Milwaukee Protocol. Hope it helps you. Thanks Dr. Seikhoo Bishnoi, MD
question:Hi, I am Partha from Guwahati. My father has been suffering from Alzheimer's Dementia for the last 5 years and hypertension for about two decades. Present medication- Admenta 10mg (memantine hydrochloride) twice daily, Stamlo beta (Amlodipine+atenolol) in the morning and stamlo 2.5 mg in d evening. His BP is under conrol but mental ability is deterirating day by day. What should be our next line of treatment?
answer:Hello Alzheimer's dementia is most common form of dementia in elderly. Hypertension is also very common in advancing age. You have mentioned that his BP is under control of medicines but his mental abilities are deteriorating day by day. He is on Admanta 10 mg twice a day. His progressive deterioration of mental abilities is due to psycho pathological changes of Alzheimer's disease. Other medicine like Donepezil can be added to his prescription. It help in slowing the progression of dementia. If he is getting aggressive and violent any antipsychotic drug in low doses can be added to his prescription like Resperidone. It will not only decrease abnormal behavior and aggression but will also decrease the progression of dementia. So I would advise you to please take him to a good Psychiatrist for proper evaluation. Thanks Dr. Seikhoo Bishnoi, MD
question:I have a dog who had 7 puppies inside our home. We put them in the laundry room about the size of a restroom. After the puppies got 2-3 months old they were pooping and peeing at 1st on puppy pads but as they grew there was so much excrement in there it made my eyes burn and took my breath but while in there I kept the door shut and the longer i stayed in there the more difficult simple tasks became and I had an episode where I stayed in there at the end of a long day of going back and forth I stayed shut in there for 3 hours because i became confused and too tired to move. Can that cause confusion and hallucinations and after 911 came and ran oxygen for a while I cleared up and I want to know can being shut up in there with no fresh or moving air cause that? Can it cause further damage?
answer:Hello and welcome to Healthcare Magic. Thanks for your query. Unless you have been in a completely closed room, totally shut off from any air supply for a few hours together, it sounds improbable that the incident of staying in that room could have caused you hallucinations and confusion. Moreover, it again sounds improbable that spending some time in that room would have caused you to become immobile for 3 hours, so as to not be able to get out of that room. There are two things which are concerning to me. Firstly, your hallucinations, confusion, etc. which needs further evaluation. Secondly, such a scenario of harbouring such unhygeinic conditions inside your house and your behaviour of shutting yourself inside that room for hours also seems concerning to me. Please see a psychiatrist for a detailed evaluation and psychological assessment. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist
question:Hi, My dad is 60 years old and his "Nerves are Bad", or at least thats what he calls it. When he was a teenager he was put into a mental hospital because of his panic attacks. They treated him poorly and gave him a very powerful medication that had unwelcome side effects and did not help. Because of this he refuses to see a doctor. He has been on social security/disability ever since and has not been able to hold a job my entire life. My father avoids most social situations and any situation where he may have to speak to someone and answer questions, in fact, I must be careful speaking with him, because even discussing the possibility of a job interview or a doctors visit can trigger a panic attack. He even gets incredibly irritable, nervous, anxious and angry if a stranger like a tax consultant or insurance broker or someone will be coming to the house later. I have noticed that when forced to be social, a few beers is all it takes for him to act pretty much normal. He is still a bit shy, but no panic attacks, and he will even tell jokes and perhaps even make friends. This tells me that the condition must be treatable (although obviously not with alcohol). Other symptoms include shaking his feet a lot and vigorously rubbing his hands together. He also would spend a lot of time pacing around the house drinking coffee. Now that he is getting older I am extra worried about his health since he is afraid to see a doctor so I am looking for somewhere to turn. Do you have any advice?
answer:Hi friend, Welcome to Health Care Magic There is no alternative to Psychiatric consultation... family and friends must convince him... A bad experience, once, is no excuse to avoid it. If one is hit by an auto-mobile, it is no excuse to avoid auto-mobile for ever - as a matter of fact, he should look for and catch one (say, an ambulance), to go the hospital for treatment. Psychiatry is well advanced and he has an excellent chance of improvement. Discuss with local social organisation or his friends methods to convince him / if necessary compel him? Wishing speedy recovery God bless Good luck
question:Hai sir , I am sai koushik , A Mechanical graduate from a university of kanchipuram. I am a 2012 passed out and from that time,I am trying for job through government exams. I have one to many problems, I will explain you here briefly.Thank in advance for solution.I am an average student for my school but scored around 65% in 10th and 83% in intermediate finally, I finish my BE with 84 %. I usually work hard in learning but subject's leave from my mind much more faster than the time that I spent for reading. People told me that I am mugging up and suggested me many procedure's in reading. Another good point those idea's helped me in getting good score in my curriculum. I went to gate coaching and studied hard each and every topic almost for 10 month in count of not less 16 hours in a day. But unfortunately in this gate exam the subject which left for the god, kicked me out form the qualifying list. I got almost 30 bit from that stream (out of 6o bits ). Until i get result's, I enjoyed well like watching tv,social network sites and many more..once after getting,I had applied for another govt.exam ISRO which is usually tough. I try to study but am unable my environment changed completely.I addicted to porn 100% and tried and got tied of comming out of it.Now my time reached peak my parents asking me to join in Mtech through managemant cota but i don't want such a study. I want to join in ISRO and I am trying to study but when i open a book In the morning's almost 2hours time i can concentrate but later mind stop and start thinking about food,porn,messaging,many more other than studied. I got only 29 days left for the exam. I can say surely that if i studies for like before 100% i will join in ISro. when i open a book i get following thoughts after 1 hour " make a paln and study(I am following plan ie,making a plan rest of the dAYS and leaving and next make an other ), food, think of 10 mins break which will turn into 10hours break ,fight my brother , etc please suggest me something
answer:Hello Welcome to Health Care Magic I have read your elaborate and detailed description of symptoms. There is no shortcut in studies. You are spending more and more time in watching pornographic materials, messaging, TV, social networking sites etc. Loss of concentration and inattention may be a problem that is significant but this is happening because of your mind which is diverted on different side. Memory problems are common in Dementia but that is a disease of elderly. Poor concentration may be seen in depression but other symptoms like loss of interest in activities, sadness etc are also see. So please concentrate on your goals and don't waste your time in useless things. If problem persist then visit a psychologist for counseling. Thanks Dr. Seikhoo Bishnoi, MD
question:I FORGOT TO MENTION IN MY YESTERDAY'S QUERY THAT MY ECG AND PULSE COMES OUT NORMAL.I am a female of 48 years age . At times my hands start trembling and I get the feeling as if my heart is running very fast. This happens only for a few moments and I become alright in a couple of minutes. I have normal BP and Thyroid. However blood sugar fasting remains around 110 to 117 since last 10 years and PP sugar is always in normal range. My mind gets triggered to a depressive stage very fast to a level wher I try to commit suicide. Have tried atleast 20 times in the last 20 years but was counselled and saved by husband. My friends consider me very sweet and humble but I start getting extremely negative thoughts as soon as I hear someone even routinely commenting adverse remarks regarding me. These thoughts keep building up leading to a stage where I want to commit suicide. So I have 2 problems - 1. My hands tremble at times (2-3 times a year) with feeling of my heart running like a vehicle engine. 2. Getting emotional triggers leading to suicidal tendencies. - from India
answer:Hello and welcome to Healthcare Magic. Thanks for your query. I had answered your previous query. This additional information that your ECG is normal, confirms the fact that your problems are due to a psychological cause and not due to any medical disorder. Please visit a psychiatrist to have a detailed psychological assessment, so that further treatment and therapy can be planned. It is important that you realize that you need help and therefore take sincere and dedicated efforts to overcome your problems and improve yourself . Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist