Doctor insights on:
Medicine For Legionellosis
Right antibiotic is: Very importenat. The mortality at the original american legion convention in 1976 was high (34 deaths in 180 infected individuals) because the antibiotics used (including penicillins, cephalosporins, and aminoglycosides) had poor intracellular penetration. Mortality has plunged to less than 5% if therapy is started quickly. Delay in giving the appropriate antibiotic leads to higher mortality. ...Read more
The most useful test:
To detect the bacteria in sputum,
find legionella antigens in urine samples (due to renal fibrosis), or the comparison of legionella antibody levels in two blood samples taken 3 to 6 weeks apart. A urine antigen test which is simple, quick, and very reliable will only detect legionella pneumophila serogroup 1, which accounts for 70% of disease cause by l. Pneumophila. ...Read more
Fever, Chills, cough: Patients with legionnaires' disease usually have fever, chills, and a cough, which may be dry or may produce sputum. Some patients also have muscle aches, headache, tiredness, loss of appetite, loss of coordination (ataxia), and occasionally diarrhea and vomiting. Confusion and impaired cognition may also occur as can a so-called 'relative bradycardia' in spite of high fever. ...Read more
Uncommon, not rare: Legionnaires disease was discovered from an outbreak of pneumonia at a hotel in philly of veterans. The bacterium was found in the air-condition/heating ducts. Old, uncleaned, poorly filtered ducts are still a common source of infection by inhaling the organism. Fortunately, it is quite treatable. Symptoms would be the same as any pneumonia. Fever, shaking chills, prouductive cough, chest pain... ...Read more
Quinolones, Macrolide: Current treatments of choice are the respiratory tract quinolones (levofloxacin, moxifloxacin, gemifloxacin) or newer macrolides (azithromycin, clarithromycin, roxithromycin). The antibiotics used most frequently have been Levofloxacin and azithromycin. Macrolides are used in all age groups while tetracyclines are prescribed for children above the age of 12 and quinolones above the age of 18. ...Read more
For high BP: Eprosartan is used alone or in combination with other medications to treat high blood pressure. Eprosartan is in a class of medications called angiotensin ii receptor antagonists. It works by blocking the action of certain natural substances that tighten the blood vessels, allowing the blood to flow more smoothly. ...Read more
Seek Urgent Care: Take them to the emergency room.Get a more detailed answer ›
Please suggest the best OTC medicine (s) for sinus symptoms management (esp. The headache) and can be used regularly.
OTC meds for Sunuses:
Pseduephedrine (Sudafed) is the main decongestant sold OTC, but due to its potential for abuse, it is now stored behind the shelf and u need to ask for it. It can cause increased heart rate and insomnia.
u can use nasal sprays to decongest while avoiding the insomnia caused by oral decongestants. Anti allergy meds
can be used if they are adding to the congestion otherwise u can skip these ...Read more
Took statin drugs 9 years side effects made me stop the drug will the 9 years I was on statins be a credit when I get into my 70s and 80's?
Cholesterol karma: Lets start by saying statins simply control a risk factor (hypercholesterolemia). There is no evidence that they extend your life. The more important question would be, what are your current risk factors? Are you eating right? Exercising? What's your bmi. What's your blood pressure? What's your cholesterol now? Talk to your doc. They can assess your risks and set you on the right course if action. ...Read more
My sister committed suicide from a drug/alcohol overdose. I know it depends on the drug (s) & amount of alcohol. Would this been a painful death?
Usually not: People who have witnessed such deaths describe them as peaceful. I'm very sorry about your sister and whatever it was that caused her to decide life wasn't worth living. Our minds play tricks on us, and each of us has times when we are not ourselves. I hope you'll cherish the memories that you had together, and live your own life richly and well. ...Read more
I'm 38 I have plan to make a baby any medicine did I take to easy to pregnant me thank you and my husband he 's 47 yrs old so that's why I ask
Pregnancy: You need to know when you ovulate. If you have a 28 day cycle, you will ovulate on day 14 of the cycle. That is your prime time to get pregnant. To see how your ovarian reserve is, you need to have a fsh level drawn in your doctor's office. ...Read more
I'm confused, was diagnosed over year ago with spontaneous onj now in grade/stage 4a. Why do some dr. S only believe get it if u taken osteo drugs & etc?
Clarification….: Comment a little more on your question, please? I'd love to answer, but am not clear about your question. Were you diagnosed with onj without taking any medications and wonder why doctors are asking or assuming your history of bone-treating drug use? ...Read more
Depends: Depends on what type of IBS you have… Constipation type we have a few different medications, for diarrhea type there are fewer options. Before diagnosing yourself with IBS though, make sure you have colonoscopy and EGD and labs done and an examination as IBS is what we call a diagnosis of exclusion, where we "rule Out" other causes then call it IBS. ...Read more
Drugs frm India safe: F from US asks: Are the drugs from India as safe as the drugs from the U.S? ANS: Some are some are not and some dangerous. I do not recommend them unless all else has failed. You don't want to be playing "You bet your Life" with them. ...Read more