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Doctor insights on: Pertussis Sound Clip

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My left ear has a ringing sensation.I hear heartbeat like sound. lub dub.I cleaned ear using earbud,no difference. I dont listen to loud music.advise?

My left ear has a ringing sensation.I hear heartbeat like sound. lub dub.I cleaned ear using earbud,no difference. I dont listen to loud music.advise?

Ear pulsing: Greetings. What you are describing is pulsatile tinnitus. This should be worked up by your ENT doctor. He/she may do an audiogram/tympanogram to assess your ear and eardrum as well as an imaging study. Good Luck ...Read more

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My 3 yo is a loud breather. Usually through mouth. He's not struggling. Has had echo, ekg, tubes, chest x-rays. Adenoids and tonsils removed. Ideas?

My 3 yo is a loud breather. Usually through mouth. He's not struggling. Has had echo, ekg, tubes, chest x-rays. Adenoids and tonsils removed. Ideas?

Airway anatomy: If your child is fine, sleeps well, no day fatigue, growing and developing fine, you need to back off. You've had checked all the major things. If he is symptomatic during day, then see a pediatric sleep specialist. If no daytime or long-term symptoms, then put a breath-right nasal strip on him at night and let him be loud. He will outgrow this in time. ...Read more

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2wks ago cleaned up (i think) black mold w/o adequate respiratory ppe.Have had a nonproductive cough since.Throat burns.Should i worry or do anything?

2wks ago cleaned up (i think) black mold w/o adequate respiratory ppe.Have had a nonproductive cough since.Throat burns.Should i worry or do anything?

Mold allergy: You might have become allergic to the molds leading to upper and/or lower respiratory illnesses. If this persists for another 2 weeks or getting unbearable , see an allergist. ...Read more

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C/o Doppler heartbeat sound in left ear worse with turning head but stops when pressing on carotid artery. Ent says ears are perfect?

C/o Doppler heartbeat sound in left ear worse with turning head but stops when pressing on carotid artery. Ent says ears are perfect?

Vascular prob or BP: Your ears ARE perfect - they are hearing the quiet sounds of your heartbeat in the internal carotid artery (next to ear). When you turn your head or press on your neck, you are restricting that flow, hence the changes in the intensity of the sound. The most common cause for this is high blood pressure (BP) or hypertension. Other vascular causes are rare. Get your BP checked & keep a log book of Sx ...Read more

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Can pulsatile tinnitus be a boom boom sound like a drum or thumping instead of the typical swoosh sounding. ?

Can pulsatile tinnitus be a boom boom sound like a drum or thumping instead of the typical swoosh sounding. ?

Pulsatile tinnitus: Hello, the answer is yes. A pulsatile tinnitus could sound il, e a drum, thumping, boom boom, or swooshing. See your ENT doctor. I see that you have had inner ear surgery and this may be an important symptom that he/she needs to be aware of. Good luck. ...Read more

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3yr w/ear tubes, left falling out. - just failed 2 OAE tests in left (used 2 pass).. bone cond. = ok, air = 25db left, 10db. does this mean hear aids?

3yr w/ear tubes, left falling out. - just failed 2 OAE tests in left (used 2 pass).. bone cond. = ok, air = 25db left, 10db. does this mean hear aids?

Not necessarily: It means there is could still be a hole in the ear drum that hasn't healed yet even though the tube has fallen out, thus some decrease in hearing. There also could be some fluid behind the drum as well. You need to discuss this with your ENT or pediatrician. ...Read more

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Can mitral valve's sound be heard in mid upper side of the chest? I hear a thick sound at S1 and I think it's aortic abnormal sound.

Can mitral valve's sound be heard in mid upper side of the chest? I hear a thick sound at S1 and I think it's aortic abnormal sound.

Mitral valve murmur: is usually a blowing sound heard best at about the nipple line just left of the sternum and radiates to the left side. It is difficult to say what you are hearing, and the best thing would be to have an exam by your family doctor or a cardiologist if this is concerning to you or you are having symptoms. What you are hearing may be a normal sound. ...Read more

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Does "exploding head syndrome" ever involve innocuous sounds that wake you up? Like alarms, rings, beeps, or creaks? I feel plagued.

Does "exploding head syndrome" ever involve innocuous sounds that wake you up? Like alarms, rings, beeps, or creaks? I feel plagued.

Headaches: I'm a little but powerful way you describe your headaches I would suggest that you see a neurologist as quickly as possible. You should get a CT scan of the head first and maybe an MRI after the CT scan results are available. A full and complete examination especially neurological examination would be very important at this time ...Read more

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19 months baby, fluctuating fever - 36 to 38. Has stopped coughing. 20 breaths per minute. Stuffy nose causing snoring. Teething. Can it be pneumonia?

19 months baby, fluctuating fever - 36 to 38. Has stopped coughing. 20 breaths per minute. Stuffy nose causing snoring. Teething. Can it be pneumonia?

Possibly: The normal respiratory rate makes pneumonia unlikely. With fever it would normally rise by 5-10 breaths per minute but these would still be within the normal range for age. An exam would determine if any other studies would be needed to confirm or exclude this diagnosis. I find your numbers don't support that label. ...Read more

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I'veused terra cortril ear ointment 2 weeks back.now i can hear a drumming sound from that ear and feels like wind is blowing in my ear.Is it normal?

I'veused terra cortril ear ointment 2 weeks back.now i can hear a drumming sound from that ear and feels like wind is blowing in my ear.Is it normal?

Need to be checked: What for did you use Terra Cortril.It is not normal to hear drumming sound and like wind blowing I will suggest you get it checked from your doctor or an ENT Specialist ...Read more

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Can a high pitched sound like scream (editing for a broadway play) in headphones cause hearing loss? Its uncomfortable, is it permanent?

Can a high pitched sound like  scream (editing for a broadway play) in headphones cause hearing loss? Its uncomfortable, is it permanent?

Hearing loss : Acoustic trauma is commonly seen in machinery operators or musicians exposed to loud music. It can cause permanent hearing loss. Check with an ENT (ear nose throat specialist). Prevention of further loss is the key, . ...Read more

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My sister started obsessively making this loud whistling, breathing sounds with her mouth that sound like a wave. She says it's anxiety ?

My sister started obsessively making this loud whistling, breathing sounds with her mouth that sound like a wave. She says it's anxiety ?

Obessive mouth noise: This is a problem that needs medical evaluation. There are many possibilities including obsessive disorders, tourette's syndrome, movement disorders etc. Call her doctor for an appt. To be evaluated for the cause. ...Read more

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 friends 7yr old boy started throat clear, eye blink, squeal tics. Has full blown strep, could this be panda? Transient tic? What expert handles this?

 friends 7yr old boy started throat clear, eye blink, squeal tics. Has full blown strep, could this be panda? Transient tic? What expert handles this?

Depends ..: The hallmark trait for pandas is sudden acute & debilitating onset of intense anxiety and mood lability accompanied by obsessive compulsive-like issues and/or tics in association with a streptococcal-a (gabhs) infection that has occurred immediately prior to the symptoms. Therefore, if this is an abrupt change in behavior, then pandas is possible. See http://pandasnetwork.Org to find a provider. ...Read more

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The last 3 days, my 7mo olds head feels really hot, highest temp read 100.9. Runny nose, cough, spitting up more than normal. Would it be teething?

The last 3 days, my 7mo olds head feels really hot, highest temp read 100.9. Runny nose, cough, spitting up more than normal. Would it be teething?

Not teething: If these symptoms have lasted for more than 3 days, then it is probably not teething. Teething symptoms typically do not include a cough, runny nose and excessive spitting up. Teething symptoms can include a low grade fever (less than 100.7) however it should not last for more than 3 days. ...Read more

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Is there a difference in the breathing sounds of someone with croup compared to pertussis?

Is there a difference in the breathing sounds of someone with croup compared to pertussis?

Breathing sounds: With severe croup, you may hear stridor, which is an inspiratory sucking or squeaking sound. This is a sign of severe tracheal narrowing and warrants immediate medical attention. With pertussis, there are many coughs in a row (>5) which makes it hard to breath in between. Sometimes there's a whooping sound after the cough attack. For both conditions, the child should be evaluated. ...Read more

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How do I know if I have pertussis?

How do I know if I have pertussis?

Suspicion/duration: Since most adults have not bothered to get a pertussis booster, they represent a target of opportunity.Pertussis germs can ride into town in an international traveler or someone from the west coast & spread it to you (or your susceptible kids).In adults, it often seems to be a mild cold until you get past the initial phase, then the persistent "hundred days cough" sets in. Dx from test is possible. ...Read more

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What system is affected by pertussis?

What system is affected by pertussis?

Respiratory: pertussis. I'd whooping cough. Is basically a respirstory tract system illness with prolonged coughing and sometimes other respiratory issues ...Read more

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Could you tell me what is the targeted system of pertussis?

Could you tell me what is the targeted system of pertussis?

Respiratory tract: The germ targets the upper and lower respiratory tract, producing an outpouring of thick mucous that leads to the chronic cough.Affected infants can cough so hard they develop brain injury and or die during the process. Adults often have an intractable cough lasting 3 months or more. ...Read more

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Any support groups for pertussis?

Any support groups for pertussis?

Why?: You don't usually need a support group for an acute infection that you recover from. Support groups are for people with chronic infections. And if everyone got vaccinated, there would be no pertussis. ...Read more

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How can I avoid pertussis in infant?

How can I avoid pertussis in infant?

Vaccinate: You vaccinate the mother during pregnancy or soon thereafter, as well as any adult in routine contact.You also vaccinate the kid as soon as they are old enough. ...Read more

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Do people with pertussis have a lot of pain?

Do people with pertussis have a lot of pain?

Can't say: Patients struggling with the worst cases of whooping cough are generally under a year of age and cough so hard they get strokes & brain damage. They are not conversational at that point but i'm sure it's not pleasent. Older kids or adults don't have it so bad, but the "100 days cough" surely wears them out. It is described as a moderate bronchitis in that group. ...Read more

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What are the symptoms of pertussis in a toddler?

What are the symptoms of pertussis in a toddler?

See below: Pertussis begins with mild respiratory symptoms similar to common cold (catarrhal stage), followed by paroxysmal stage characterized by paroxysmal cough and whoop often followed by vomiting. This stage often lasts 6 to 8 weeks. Severe cough spell and apnea (cessation of breathing) especially in young children can result in rectal prolapse, subconjunctival hemorrhage, and seizure. ...Read more

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Has anyone experienced an outbreak of pertussis locally?

Has anyone experienced an outbreak of pertussis locally?

Yes: Yes, in my area we are in the midst of a serious outbreak, mostly in school age kids and adults. Rarely have infants been diagnosed currently. The mix includes underimmunized patients needing booster updates, not immunized at all and occasionally immunized patients where the vaccine apparently did not "take". ...Read more

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What is the difference between pertussis and the common cold?

What is the difference between pertussis and the common cold?

Pertussis vs URI: Although the initial symptoms of a common cold and pertussis are very similar, their causes are not. Pertussis is caused by a bacterial infection, has three distinct stages, is dangerous in young children, lasts up to weeks and can be prevented with vaccination. Common colds are viral in nature, usually not dangerous, do not respond to antibiotics, and resolve on their own in a few days. ...Read more

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How often can I need a DPT shot to remain immune to pertussis?

How often can I need a DPT shot to remain immune to pertussis?

Tdap at11yrsThen10yr: These days all children who have had 5 doses of DPT Vaccine up to the age4to6.Are advised to get a Tdap Adult vaccine at age 11 and a booster after 10 years,So far only one booster of Tdap is recommended and then DT every 10 years to protect against Diptheria and Teatanus So if you have not had Tdap booster.You should get it as immunity to Pertussis goes down and you are at risk of getting Pertuss ...Read more

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I might have pertussis, been coughing a lot; how do I get checked?

I might have pertussis, been coughing a lot; how do I get checked?

Make some calls: The proper testing can be done in many outpatient settings.Your doctor, a local urgent care clinic, a county health center , or emergency room can get a specimen and send it for PCR testing. Results are usually available within a few days. Depending on exposure history, some are treated before the results are known. ...Read more

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Should the grandparents of my children be inoculated against pertussis?

Should the grandparents of my children be inoculated against pertussis?

Yes: The latest research demonstrates that approximately 60- 70% of infants with documented whooping cough or pertussis have been infected by contacts with family members. If the grandparents have not been recently vaccinated with the tdap vaccine, they should receive one asap.Remember that pertussis can be deadly in infants. ...Read more

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How do you know if you've got real pertussis and not just usual bronchitis?

How do you know if you've got real pertussis and not just usual bronchitis?

Whooping cough: Just listening to a child's cough may differentiate pertussis (whooping cough) from bronchitis. Children often get infected by adults and tend to "whoop" more than them. More commonly, they are indistinguishable especially in adults. The whoop is produced by air hunger between prolonged fits of coughing. A PCR test can be performed to diagnose pertussis. ...Read more

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I have pertussis at the moment. Will I need a booster afterwards? I am 58 & usually in good health

I have pertussis at the moment. Will I need a booster afterwards? I am 58 & usually in good health

Depends: You will develop protective antibodies to re-infection by pertussis during your recovery.These would protect you from re-infection for at least 5 years if not more.After that interval, if you were involved in the care of a newborn baby or young infant, it might be reasonable to have a booster.These infants are at risk and by boosting all the adults around them it keeps them safe. ...Read more

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A DPT shot about 9 years ago. If there is an epidemic of pertussis, am i still covered or should I seek another one?

Not Clear: There is not clear evidence for your age, but current recommendation is that you should have received at least 1 pertussis booster in your teen years or later.I believe that a booster would not hurt. ...Read more