Doctor insights on:
Treatment For Ehrlichiosis
Depends: Treatment depends on the age and stage of illness. If you are an adult and come from a high risk area for lymes disease then usually a 14 day course of Doxycycline is used. If the patient is pregnant or a young child Amoxicillin is used as an alternative . For late stage treatment hospitalization is usually required, antibiotics given through veins and other symptoms managed. ...Read more
Suspicion: There are different types of ehrlichiosis in the us: monocytic ehrlichiosis, ewingii ehrlichiosis and granulocytic anaplasmosis. All are caused by rickettsiae bacteria carried on ticks . The disease is diagnosed by history and exam and examining the white cell count and other common labs. There are antibody tests to confirm but can take time and rarely unreliable. It is better to begin treatment. ...Read more
Different Germs: Two totally different germs. Erilichiosis is caused by a ricketsial bacteria lyme is caused by a borellia spirochete. They both may have very similar symptoms, can be spread by the same ticks, and have similar treatment. Erlichiosis does not cause the classic ecm bullseye lyme rash. ...Read moreSee 1 more doctor answer
YES!: Lyme disease can affect every organ of the body. 66% of patients with early disseminated lyme disease have elevated liver enzymes (see http://www.Ncbi.Nlm.Nih.Gov/pubmed/8675158). Even more patients infected with ehrlichiosis (80%) have elevated liver enzymes and it can even rarely cause liver failure- see http://cid.Oxfordjournals.Org/content/34/9/1206.Long. ...Read moreSee 1 more doctor answer
Is the severe abdominal pain a effect of ehrlichiosis? Pain not like nausea but more pain like? How old does that pain last once on the dixoy.
I agree with Dr. Fox: Cognitive behavioral therapy is excellent for dealing with anger problems. Anger management classes can teach you healthier ways to express anger. Getting physical through aerobic activity is an excellent way to help keep anger in check. There are more serene ways to do it – including tai chi, qi gong, acupuncture, massage & meditation. Avoid drugs & don't look alcohol as a solution. ...Read moreSee 2 more doctor answers
Therapy vs repair: Not all rotator cuff tears are treated the same. Factors such as age of patient, age of the tear, size of tear, location of the tear, and most importantly the symptoms of the patient all help determine the best course of treatment. A trial of nonoperative management with therapy and perhaps an injection is the usual 1st line of treatment. Surgery may be indicated if nonoperative treatment fails. ...Read moreSee 2 more doctor answers
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