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Frequently Asked Questions

My father-in-law has been suffering from diarrhea for the past two days. I have given him ORS (oral rehydration solution), but unfortunately, he has not found relief from it. Is it possible for me to give him a probiotic medication?

A clinical condition characterized by frequent bowel movements that may be loose or watery is known as diarrhea. Signs of diarrhea include pain in the abdomen, stomach cramps, nausea, vomiting, fever, presence of mucus or blood in stool, frequent and multiple motions, dehydration, etc. Common causes of diarrhea include viral infections, bacterial infections, lactose intolerance, food allergies, medications, bowel diseases, etc.

Doctors Response: Hello, It appears that he has an infection causing diarrhea. In such a case, I suggest you give him the tablet Ofloxacin 200 mg + Ornidazole (twice daily) for five days after a meal, and the tablet Pantoprazole 40 mg + Domperidone 10 mg (twice daily) for five days before a meal. If he experiences a fever, I suggest him to take a tablet of Paracetamol 500 mg (twice daily) for two days after a meal, in addition to the above medications. Remember to stay hydrated by consuming plenty of liquids, including water and fresh lime juice. He should start feeling better within one to two days after beginning the medication. Please give these tablets only if he is not allergic to them. If you notice any adverse reactions, please seek immediate follow-up. This professional advice provided by me stands subject to the actual examination of the report or image and is based entirely on inputs provided to me. It should be correlated with clinical findings. And we strongly advise not to take any medicine before consulting with your doctor physically or visit us at Sanyu hospital and have our doctors examine the patient plus carrying out examination Thanks and regards.

I had protected sex with a call girl four weeks back and do not know about her HIV status. I heard from her, she lost weight in recent months...

Hello doctor, I am having some queries on HIV (Human Immunodeficiency Virus). I had protected sex with a call girl four weeks back and do not know about her HIV status. I heard from her, she lost weight in recent months and also has cough. After two weeks, I got diarrhea, itching and feverish feeling. I then consulted a doctor and he said it is food poisoning. I checked HIV through P24 combo test and the result was negative. Again, on the 23rd day, I checked through Rapid test and result is negative. From the last four days, I am having itching, twice bowel movement, and headache from yesterday. Again, the doctor told it is food poisoning. I am worrying, is this sign of HIV? When do I need to be tested again? What are the symptoms?

Doctors Response: All call girls are high-risk group for HIV infection. Your complaint of diarrhea and fever may be due to anxiety causing increased bowel movements and increased core temperature causing fever. Rapid tests will be negative for 45 to 90 days. It is too early to have diarrhea and fever from HIV infection. Get tested for HIV tests after 45 days.

My son has been having vomiting, diarrhea, and now pain during urination. Could these symptoms be connected, and what steps should I take? Thank you.

Doctors Response: I read your query and understand your concern. Vomiting and diarrhea can lead to dehydration, causing painful urination. Keep him hydrated (at least eight cups daily). If the pain persists, consider a urinary tract infection. Confirm with a urine analysis and treat with antibiotics. For vomiting, I suggest using Metoclopramide (Metoclopramide hydrochloride monohydrate 5 mg), and for diarrhea, I suggest capsule Imodium (Loperamide 2 mg). Consult your doctor and take the medicines. I hope this helps. And please remember to visit our sanyu hospital for further examination and guidance

I have had vomiting, diarrhea, and abdominal pain every time after the periods. I always vomit after having food. What could be the reason? Kindly help.

Doctors Response: I understand your concern. There might be some hormone that is disturbing your abdomen and responding by vomiting and diarrhea. How long have you been on antacids? The acidity might be a responding to menstrual hormones. I would suggest the following: Have cold milk before going to bed and right after getting up. Include vegetables and fruits in your diet. Do regular exercise. Maintain a healthy BMI (body mass index). Consult with a doctor for other health-related issues as well and visit us at sanyu hospital for further test and guidance Tablet Metronidazole 400 mg thrice for five days.

I am six months pregnant. I have swollen feet and ankles. It hurts when water runs over them. I also have lower back pain and some dizziness. Kindly help.

Doctors Response: A pregnant woman usually has edema (swollen lower extremities) especially if she has been standing quite long. However, it is never tender but just heavy. It spontaneously resolves when she places her feet at least two pillows higher than her body or only by little elevation. In your case, we must rule out the possibility of cellulitis. Its is a condition such as how you described, swollen feet or ankle, usually pinkish or erythematous and tender to touch, sometimes warm to touch. Your symptoms are not the usual finding on a pregnant woman and must be seen immediately at the emergency room to give you first aid of a possibility of infection. It is also best that you have your blood pressure taken since the pregnant patient with edema usually has elevated blood pressure. And i hope you have already begun your antenatal visits. if not please make sure to begin attending antenatal as soon as possible. you can also visit Sanyu hospital and begin your routine antenatal visits and examination as you prepare to receive your precious baby.

I missed my period for 12 days, and I did a pregnancy test after four days of my period, and it was negative. What is the reason? Is there a risk of pregnancy?

Doctors Response: I understand your concern. Since your urine pregnancy test is negative, there is nothing to worry about. The delay could be because of hormonal changes due to stress and strain, anxiety, work pressure, change of place, change in climate, or low blood count. However, if you have a doubt, then get a blood test for pregnancy done to ensure that you are not pregnant. Do get back to me with reports so that I can guide you further. I hope this information will help you. Thank you.

I and my 19-year-old girlfriend had sex with no penetration but rub, four to five days before her ovulation day. She always has regular periods, but this time she had periods for just two days and had very less blood...

Hello Doctor: I and my 19-year-old girlfriend had sex with no penetration but rub, four to five days before her ovulation day. She always has regular periods, but this time she had periods for just two days and had very less blood. There were a normal amount of blood clots and the color was also regular, it is just the blood that was less. She also had mild cramps which were bearable, usually, she does get strong cramps. After this two-day period, she said she has been having pain in her legs. She recently started swimming too, three days prior to her periods, and during her periods she discontinued. We did not have sex and she's a virgin. She also said that she is gaining some fat around her breast and body in general. What are the chances of her getting pregnant?

Doctors Response: I read your query and understand your concern. The occurrence of your periods is a clear indication that the pregnancy is not there and there is no possibility of getting pregnant. As far as the duration of the period is concerned as she was having normal bleeding but it lasted only for two days still it would be considered your normal period and there is no need to do any tests or to worry about the pregnancy. The leg cramps that she is experiencing after the periods are basically due to weakness or it may be due to anemia which is also causing the decreased duration of the periods I would suggest she take more dairy products like yogurt, and milk and get some exercise like raising the legs 10 times or she can have a walk daily for at least 30 minutes. She should also include in a diet green leafy vegetables along with some fruits like apples. The cause of decreased duration of the period may be due to hormonal imbalance, anemia, or thyroid dysfunction. Please get a complete blood count and thyroid profile done and review the reports. I hope I have cleared all your doubts. please you can as well visit us at Sanyu hospital and have further tests and examination

I am 38 weeks pregnant and I have been suffering from swelling in my feet for the past week. I have tried all ways to reduce the swelling but nothing is working, and it is now becoming painful. Please help.


Doctors Response: I read your query and can understand your concern. I am sorry to hear that you are experiencing swelling in your feet during your pregnancy. Swelling in the feet is a common symptom during pregnancy due to the increased pressure on the blood vessels in the lower part of the body. You should ask your doctor to measure your blood pressure. Here are some tips that may help reduce the swelling in your feet: 1. Elevate your feet: Lie down on your left side and elevate your feet above your heart for 20 to 30 minutes at a time, several times a day. 2. Wear comfortable shoes: Avoid tight-fitting shoes and wear comfortable shoes with good arch support. 3. Stay hydrated: Drink plenty of water to help flush out excess fluid from your body. 4. Avoid standing or sitting for long periods of time: Take breaks to move around and stretch your legs and feet. 5. Wear compression stockings: Consider wearing compression stockings, which can help improve circulation in your legs and reduce swelling. and hope you have been attending your antenatal visits frequently and you are prepared to give birth. you can visit us at Sanyu hospital for all your maternal and child health care. Thanks.

I am a 19-year-old female, and weigh about 58kg. I have bad period pain on the sides of my lower back, which has been happening since my period started four days ago...

Hello Doctor: I am a 19-year-old female, and weigh about 58kg. I have bad period pain on the sides of my lower back, which has been happening since my period started four days ago. My flow is normal, and my periods are relatively regular, but the pain has not been this bad for this long before. I have been on Panadol for the first two days and Ibuprofen today and yesterday. I have also had urethral pain at the end of urinating for the last six or so days, so I am not sure if the pain in my back is period pain or if it is from my kidneys. I have not had these symptoms earlier. Please help.

Doctors Response: I am very sorry about your medical condition. I am here to take care of you. Regarding your symptoms, I propose you have developed a urinary tract infection (UTI) with dysmenorrhoea. Ibuprofen and Panadol (Acetaminophen) is not the drug of choice for such symptoms. The pain is a period pain and not the kidney, as this is related to your menstrual cycle. Please take the following for the pain and infection: Tablet Diclofenac 100 mg twice daily after food. Capsule Piroxicam 40 mg once daily. Tablet Metronidazole 400 mg twice daily after food. Capsule Co-Amoxiclav (Amoxicillin and Clavulanic acid) 625 mg twice daily after food. Consult a specialist doctor, talk to them, and then take the medication. If your symptoms persist, please do thorough medical exam, you can as well come to Sanyu Hospital and our doctors examine and manage you. Thanks and i hope this helps.

This is regarding my friend's dad, aged 76-years-old. He has had recurrent urinary tract infections in the past three months, and every time the culture shows up...

Hello Doctor: This is regarding my friend's dad, aged 76-years-old. He has had recurrent urinary tract infections in the past three months, and every time the culture shows up, some bacteria, I guess, E Coli. He also strains while passing urine and has weak power (stream). He has also already taken Nitrofurantoin, Augmentin duo, and Levobact 750 mg, but the recent culture still shows E coli. He has had high blood pressure and diabetes for the past 20 years, but well-maintained fasting blood sugar is usually between 80- 100 mg/dL, and BP is usually between 120- 130 mm Hg. He does not have a burning sensation while urinating, fever, pain in the back and has never seen blood in the urine. He is currently taking Urimax 0.4, Telma AT, Amlong 5 mg, and Glucomet tablets. Our doctor said there can be some blockage or obstruction and has suggested some tests like PSA and CT Urography. Please go through the attached reports and please clear our doubts, Why is he always having infections and RBC in his urine? Why is it not going away after taking powerful and costly antibiotics? How to treat early renal parenchymal disease as seen on Ultrasound? He has albumin 80, creatinine 50, and Serum creatinine is 1.2 in urine. What does it signify, and how to treat it? Should we also do PSA and CTU as costly tests? What treatment do you advise?

Doctors Response: I will answer your questions. He is always having infections and RBC (red blood cells) in urine, which means whenever he is having UTI (urinary tract infection), pus cells and RBC are bound to come. Sometimes the organism is resistant to oral antibiotics, so we have to switch to injectables. Moreover, sometimes antibiotics have to be taken for an extended period, say three months. The treatment of early renal parenchymal disease as seen on ultrasound is by strict control of diabetes or hypertension as well as proper UTI treatment. Albumin can occur in UTIs and diabetics. Once it gets settled, albumin should also get corrected. Sometimes even very good control of diabetes albumin can come. Urine and serum creatinine levels are normal. Lastly, I think you should have these tests done as all pathologies can not be picked in ultrasound. 6) What treatment do you advise? If there is a recurrent UTI, I will further investigate him based on CT (computed tomography) and switch to an injectable plus oral antibiotics combination. His post-void residual urine is significantly high, so I suggest you take tablet Urimax D HS (Tamsulosin 0.4mg and Dutasteride 0.5mg) for lifelong. Thank you.

I am not sure if I have asthma or not but I do think I have it. I have a medical history that includes having constant...

Hello Doctor: I am not sure if I have asthma or not but I do think I have it. I have a medical history that includes having constant allergies and I have been diagnosed with allergic reactions to smell, chest tightness, whistling sounds when I breathe, and after physical activity, I get a cough with phlegm. Kindly help.
Doctors Response: Thank you for your query. I understand your concern. I understand your symptoms and they are more likely due to asthma- wheeze sound when you breathe out. But anemia can increase your problem. Practicing yoga and meditation will be of great help to you to improve your physical health and mental health. I hope this has helped you. Thank you.

I am a woman, 23. I am 70kg. I am currently taking Cetirizine. I have been coughing badly for the past 5 months since...

Hello Doctor: I am a woman, 23. I am 70kg. I am currently taking Cetirizine. I have been coughing badly for the past 5 months since I got my new job at a preschool. I went to the doctor, he prescribed me cetrizine drug. Although, when it gets really cold, I cough phlegm and other times a dry cough. I would like to have a second opinion on what I should do because I am tired of coughing.
Doctors Response: In addition to Cetirizine you need to take a bronchodilator medicine that will help bring out the phlegm (Thick mucus) better. Salbutamol (Albuterol) is an excellent drug that helps widen the small airway passages and bring out the mucus. It is available in the form of inhalers. Take 2 puffs thrice daily and gradually taper over a period of 2 weeks. Whenever the climate changes or you start coughing start on the inhaler. Second, when there is excessive mucus, in addition to the inhaler take ambroxol hydrochloride medicine also. It is available in syrup and tablet formulations. You require 30 mg. If the phlegm is green in color and tastes bad, you may require a short course of antibiotic. It is also advisable you wear masks when you go outside, avoid cold air in the mornings and late evenings, take plenty of warm fluids (adequate hydration), use a multivitamin temporarily, have healthy diet rich in vegetables and fruits. Taking garlic is helpful as it is known to have ingredients that help relieve asthma and associated bronchoconstriction.

I had protected sex with a sex worker for the first time in my life and the last one. Can I be in contact with the virus? After two weeks...

Hello Doctor: I had protected sex with a sex worker for the first time in my life and the last one. Can I be in contact with the virus? After two weeks I have some pain under the ribs on the left and right side, and stomach pain but not every time.
Doctors Response: Hi, I read your query and understand your concern. If it is a protected sex then these symptoms may occur due to other reasons. The pain in the mid-abdomen is mostly due to peptic acid disorder or peptic ulcers. Do not worry as it is not due to HIV (Human mmunodeficiency Virus) infection. You should stop eating junk food, fried and spicy food for some time. You should eat regularly. Eating habits should be proper such as eating something every three hours. Medicine: Esomeprazole and sustained release Domperidone, twice daily. Once before breakfast and once before dinner for seven to 10 days. Tablet Ofloxacillin and Ornidazole, twice daily. Once after lunch and once after dinner for five days, these medication will be helpful and please remember to consult with your doctor before taking the above medication or you can as well visit us at Sanyu Hospital for further tests and examination.

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