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Doctor insights on: Vigilon Primary Wound Dressing Medication

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What medication should be used to treat a bullet wound?

What medication should be used to treat a bullet wound?

Surgery?: That is a rather broad question. Please have this condition evaluated as soon as possible by a physician. ...Read more

Dr. Scott Bolhack
802 doctors shared insights

Wounds (Definition)

Wound = injury to tissue. May include ...Read more


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What are the primary dressings and secondary dressings in wound care?

What are the primary dressings and secondary dressings in wound care?

Dressings: Primary is what is on the wound directly; secondary is what is on top of the primary dressing. ...Read more

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How effective is honey as a wound dressing compared to conventional dressings?

How effective is honey as a wound dressing compared to conventional dressings?

Dressings: As dr bolhack explained, fortunately we now have many choices of dressings for the wounds. People used to order wet to dry dressing!?. But that time is far gone. Honey (called medihoney) which is quite pricey too but it has its own place for some wounds. ...Read more

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Which changing wound dressing need sterile condition and which need clear condition ? Completely answer help me a lot . With tnx

Basics of Wound Care: For surgeries, burns, and other "acute" wounds that have no contamination or people with compromised immune systems, sterile dressing changes are the way to go. For wounds that have been exposed to outside contaminants, or have not healed in a "normal" time/fashion, ("chronic wounds"), arguably, sterile really does not exist as air, dust, etc are not sterile. ...Read more

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What is the primary medication for patients in cardiac arrest?

What is the primary medication for patients in cardiac arrest?

Depends...: The medications given during resuscitation of a cardiac arrest patient depends on the heart's rhythm on the heart monitor. It also depends on the age of the cardiac arrest patient since the protocols are different for adults and children. One medication commonly used is epinephrine but it really does depend on the factors described! ...Read more

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What can I do to itch under a wound dressing?

What can I do to itch under a wound dressing?

Treat the cause: As wounds heal, the inflammation may cause increased sensation which can be interpreted as pain, numbness and itching. Scratching the wound can cause more damage to it so this is not a good idea. Use of an anti-itch medicine such as benadry, Atarax (hydroxyzine) or something stronger is probably the best idea though use of a topical anti-itch on adjacent skin will help. Avoid steroids. ...Read more

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Had anal fislotomy on 6th march. Wound has healed up but feeling itching since 2 days. Is it normal. Should i take any medications?

Had anal fislotomy on 6th march. Wound has healed up but feeling itching since 2 days. Is it normal. Should i take any medications?

Pruritus ani: It has a name but may require casting around for a cure. Try meticulous hygiene with wet wipes, even between movements. Cortisone creams may help. After that see a dermatologist or a knowledgable FP. It could be just the result of healing and require time. ...Read more

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Post op at home I had a small wound and the gave me dilodid for pain and it is not helping very much what other pain medication do you think will help?

Post op at home I had a small wound and the gave me dilodid for pain and it is not helping very much what other pain medication do you think will help?

Call your surgeon: Sometimes, medications in the same class can have better or worse outcomes for pain relief. Call your surgeon and ask for something different, even if it is the same or similar class of drug. Sometimes this can help . Best of luck for a speedy recovery! ...Read more

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My son 1& half years took hot porridge & got some wounds on the lips.Which medication should i get him because am worried he may be with wounds inside?

My son 1& half years took hot porridge & got some wounds on the lips.Which medication should i get him because am worried he may be with wounds inside?

Consider function: If he is able to drink fluids without difficulty the mouth injury is likely minimal.If troubled, have him checked.There is no specific meds to use.The saliva has some enzymes that suppress germs so most of these exposures self heal.Ibuprofen as a general pain measure, chilled applesauce or Popsicle pieces are sometimes helpful.Avoid acidic juices like orange/grapefruit. ...Read more

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What medication can I use for cat bite/puncture wound to reduce swelling?

What medication can I use for cat bite/puncture wound to reduce swelling?

Go to ER for eval.: Infection rate from cat bites is high. You may need antibiotics. If you haven't had a tetanus shot in the last 10 years or your don't know - then you will a need another tetanus shot. Get prompt care. This can quickly become a serious problem. ...Read more

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What pain medication is best for wound and stitches healing? And is "apligraf" something I can buy from dischem?

What pain medication is best for wound and stitches healing? And is "apligraf" something I can buy from dischem?

Wound healing: I'm not familiar with pain medication helping with wound healing. They might help you to tolerate the pain of an open wound. Secondly, I'm not familiar with apligraf being sold from a pharmacy since you need to be familiar with how to apply it. ...Read more

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My primary dr. Asked me to stop taking my thyroid medication. He thinks my body is producing enough and will test me again in 6 weeks. Is this ok?

My primary dr. Asked me to stop taking my thyroid medication. He thinks my body is producing enough and will test me again in 6 weeks.  Is this ok?

Stopping thyroid: Be sure to mark your calendar and get an appointment for your thyroid tests to be repeated in 6 weeks, to see whether or not your body needs thyroid supplementation.
Meanwhile take note if you feel any different off the thyroid than you did while you were on the thyroid. ...Read more

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Is it possible to get prescribed ADHD medication such as adderall online as I have no primary doc?

Is it possible to get prescribed ADHD medication such as adderall online as I have no primary doc?

Not from any site: Such medications are class 2 controlled substances monitored closely by the feds. Providing you with any of these without a proper physician/patient relationship,history & physical with supportive documentation of need can end the physicians career. They would risk loss of ever prescribing controlled meds in the future and loss of license. Your "need" is a poor reason for such a risk. ...Read more

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Im a medical student and should change wound dressing and need know how change all kind off dreesing specificly would you please send me ppt or book?

Unanswerable: This is a request and question that is very much out of bounds for the purpose of this simple application. I would believe that you will learn these techniques in medical school. There are many resources for the information you are requesting, this is just not one of them. ...Read more

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What medications are most often prescribed for type 2 diabetes? What are the primary side effects?

What medications are most often prescribed for type 2 diabetes? What are the primary side effects?

Holy cow: Hi. In no absolute order of use, insulins, sulfonylureas & meglitinides, biguanide, TZD's, GLP-1 receptor agonists, SGLT-2 inhibitors, bile acid binding resins, bromocriptine, amylin analog. Look up side effects...not enough room here. Eat healthily and exercise regularly. Control your diabetes, blood pressure, and lipids, and DON'T SMOKE! ...Read more

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What medications are most often prescribed for type 2 diabetes? What are the primary side effects?

What medications are most often prescribed for type 2 diabetes? What are the primary side effects?

Type 2 diabetes: There are at least 12 different drugs for management of type 2 diabetes and that list does not include insulin. Don't worry about side effects before your doctor prescribes your medication - yes side effects may occur but they are usually not major and if that happens you must contact your doctor as soon as you can. Metformin is the least expensive and is most often used first. ...Read more

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Can you tell me which medications are most often prescribed for type 2 diabetes. What are their primary side effects?

Can you tell me which medications are most often prescribed for type 2 diabetes. What are their primary side effects?

Metformin: Metformin is the drug of choice for type 2 diabetes. Common side effects are abdominal discomfort: gas, diarrhea...There are different formulations for metformin that can improve tolerability. Glumetza is best. ...Read more

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What is the typical treatment for a muniscus tear is there surgery involved? What kind of pain medication and how long is recovery?

What is the typical treatment for a muniscus tear is there surgery involved? What kind of pain medication and how long is recovery?

Hello. : Hello. I don't know the extent of your injury. Often, arthroscopic surgery is done to the knee. This means that the surgery is done internally, without filleting the knee open. Without knowing more about your injury it is hard to say how long the recovery would be. If there is a small tear and that is removed, your recovery time could be four to six weeks. (this doesn't mean you need to lie in bed for four to six weeks; but you wouldn't want to be playing sports).
It the doctor only needed to remove loose bodies from the joint space, that recovery might take two to four weeks. It the meniscus requires repair, it could take four months or longer for a full recovery. Often patients are prescribed non-steroidal anti-inflammatory medications. Narcotics are often prescribed post operatively to control pain. ...Read more

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When my lips get dry the corner of my lips tear Wats is the cause n what is it called. Is there medication to prevent it?

When my lips get dry the corner of my lips tear Wats is the cause n what is it called. Is there medication to prevent it?

Angular cheilitis: This condition is multifactorial and it can be caused by infections, mechanical factors, nutritional deficiencies, or skin conditions. I suspect yours may be mechanical in nature. Use lip moisturizers and correct any underlying vitamin deficiencies. ...Read more

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Is it ok to have careful anal sex after a month from the anal tear healing? A month of medication & wait another month to make sure the tear is safe?

Is it ok to have careful anal sex after a month from the anal tear healing? A month of medication & wait another month to make sure the tear is safe?

Ask your surgeon: The tear may be related to trauma, constipation, and scarring. Best to talk with your doctors who treated your anal tear. They know your case best and will give you best advise on decreasing your risk for recurrence. ...Read more

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Hi I am seeking help I cannot find primary care with my insurance I have been seen at urgent care she wrote me for the wrong medication I almost died ?

Hi I am seeking help I cannot find primary care with my insurance I have been seen at urgent care she wrote me for the wrong medication I almost died ?

You need to call: your insurance company and ask them for the names of primary care providers who are on your plan. If you have internet access you should be able to obtain the same information off of their website. They will help you. ...Read more

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I am worried about the psychiatric medications I am taking. Primarily Ritalin (methylphenidate). I have asked for reduction in dose but he does not agree. Male 5'8 went from 130 now 105 lbs?

I am worried about the psychiatric medications I am taking. Primarily Ritalin (methylphenidate). I have asked for reduction in dose but he does not agree. Male 5'8 went from 130 now 105 lbs?

Seek Consultation: In the face of significant weight loss, Ritalin (methylphenidate) and medications like it can cause weight reduction. I suggest you immediately see another psychiatrist and /or your family physician as soon as possible. ...Read more

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I need my medication filled as soon as possible and to establish a primary care physician.

I need my medication filled as soon as possible and to establish a primary care physician.

Try HealthTap PRIME: PRIME doctors see and treat you, via smartphone, tablet, or laptop. They can see photos you upload into your FILES. You can send images while in the middle of a live PRIME consultation. PRIME can be accessed from anywhere in the world, and patients just have a monthly subscription fee. Some drugs can be prescribed to U.S. pharmacies but not controlled substances, Viagra/Cialis/Levitra, and others. ...Read more