Doctor insights on:
What Kind Of Pills Or Treatment Can Somebody Get For Pcp
ID doc consult...: Standard therapy for pcp (p. Jirovecii) is trimethoprim-sulfamethoxazole (tmp-smx). Depending on the degree of infection, Prednisone may be used, to control inflammation. People with sulfa allergies can alternatively receive Clindamycin + Primaquine or Atovaquone (mepron). Ensure that a "g-6-pd test" is done and is normal, or else a rapidly developing anemia can ensue with the use of tmp-smx. ...Read moreSee 2 more doctor answers
How could a person live that long without treatment. then all of a sudden get pcp pneumonia thrush and be in critical condition?
PCP: Are we talking about HIV/AIDS. if that's the case then it is important for HIV positive patients to be under care of an HIV specialist to monitor their CD4 count and HIV viral load. All patients with HIV need to be on Antiviral medications and also base on their CD4 count on prophylactic Antibiotics. Immune system can go down very fast if patient is not on the right treatment. ...Read more
My pcp send me home without treatment or anything after reviewing my echo that showed moderate pulm HTN 42,57 mmhg, and said don't worry.. Is that ok?
Lung hypertension: At your age you should not have any pulmonary hypertension and the pressures you reported should be looked into. See a pulmonologist that works with pulmonary hypertension. Be sure your bring a copy of theECHO on a disc with you and the report as well. ...Read moreSee 1 more doctor answer
TSH is elevated, 5.2 in Dec., 4.6 in April. Steadily rising since 1st test in 2009 (2.91). PCP wants to just watch. Should I push for treatment?
TSH: The TSH numbers are not too bad. If you don't have any symptoms related to TSH, wait till August for a follow up. ...Read more
I am Hep C pos. No VL.(0). Have HPV pos and are risk for High cells. Does this mean I do Not need treatment because VL is 0. ? Per PCP.
Cleared: You have cleared Hep c. You do not need treatment. Congratulations. ...Read more
My iron serum is 222(h), iron sat-59(h), tibc-374, uibc-152.Hereditary hemochromatosis-negative.Need for further treatment?Pcp &gastronologist say no.
Watch it: There are a variety of iron-overload syndromes (the gene that was tested is only the most common of many), and if you'd recently taken an iron tablet this may have something to do with the high iron. I very much doubt that you have hemochromatosis but you can revisit this in a few years without any risk to your health, or consider a serum ferritin now. ...Read more
Pcp gave me zithromax for cough.Many studies are suggesting this as ineffective treatment.I'm concerned about antibiotic resistance. What should I do?
Confusing question: In years of practice I have never given anyone antibiotics for a cough. If they had a rhino-sinusitis, bronchitis or early pneumonia, they would be treated as needed. Zithromax would be an appropriate treatment. If you were really offered it for just a cough, your concern is well placed.Antibiotic resistance is not a likely problem for you personally, but over time, it effects germs in the future. ...Read moreSee 1 more doctor answer
Constant burning/tightness in face; effects quality of life. Saw PCP & Neurologist; they have no treatment options. Any suggestions? Thanks you.
I went to my PCP yesterday for treatment of a sinus infection, noticed throid was enlarged on one side. Ordered blood work and ultrasound. What could it be?
Hi my pcp found a calcified lung granuloma in my upper left lobe, confirmed by the pulmonologist (found on xray). The pulmonologist pretty much blew it off and says it's no big deal and no treatment necessary. However my chest has been hurting in this e
Pcp recommended therapy & prescribed meds for depression.After 3 sessions, the therapist said i was not ready. Now what?
Ask for explanation: Please ask your therapist to explain why s/he feels you are "not ready for therapy." there are many types of psychotherapy. If a therapist is skilled and experienced, s/he will have multiple ways of working with people, from whatever point they begin. However, some people are unwilling to discuss their issues at all, or to consider their own impact on their lives. Does this describe you? ...Read moreSee 3 more doctor answers
Pcp prescribed meds &recommended therapy for depression.Meds are working. After 3 sessions, therapist stated i was not ready for therapy sessions?
Ask for explanation: Please ask your therapist to explain why s/he feels you are "not ready for therapy." there are many types of psychotherapy. If a therapist is skilled and experienced, s/he will have multiple ways of working with people, from whatever point they begin. However, some people are unwilling to discuss their issues at all, or to consider their own impact on their lives. Does this describe you? ...Read moreSee 1 more doctor answer
I have osa and am on cpap therapy, my pcp just prescribed me Ambien (zolpidem) 5mg. Is it safe to take Ambien (zolpidem) with osa ? If not what are the risks?
FATIGUE WITH OSA: Provigil iand nuvigil help with energy and fatigue Also adderal/Ritalin/Starttera. Start a gluten free diet WEIGHT LOSS IS CRITICAL .Wholeapproach.com gut loss.com. If CPAP or BIPAP is poorly tolerated seek ENT CONSULT for UPP/ vs Hyoid suspension. Limit use of sedatives/hypnotics like ambien/lunesta/rozerem. D/W your doctor all options if RLS is present neurontin/Topamax may help ...Read moreSee 3 more doctor answers
I take Paxil and Effexor (venlafaxine) for anxiety and their effects have markedly stopped working. Would a benzodiazepine therapy be worth asking my pcp about? I'm a 22 year-old male.
Psychiatric Eval ?: While anxiety can be helped by medication, there are often psychological issues involved. Many times a combination of medication and psychotherapy can be very useful. It is also often best to get started on such treatment when you are young; A psychiatrist should be able to do a full evaluation and work out a treatment plan with you. ...Read moreSee 1 more doctor answer
Muscle pain on left leg right below knee going all the way down to the ankle.No issues on XRay. PCP said physical therapy. Too much pain. Specialist?
Leg pain: Might want to consider Orthopedic specialist consult. ...Read more
Rhinorrhea: Rhinorrhea (runny nose) is quite common and is most often due to viral or allergy causes. Symptomatic relief such as antihistamines are often the best means of dealing with this problem. Although I am loathe to use sprays, sometimes nasal spray (afrin) at bedtime can control the rhinorrhea enough to allow for easy breathing at night. Topical steroids (nasonex) works for nasal symptoms of allergy. ...Read more
No pills: do surgery: This defect can lead the intestines to twist on themself & cut of their flow & blood supply, die & leak causing blood poisoning & death. It can also begin bleeding & that blood loss be deadlly. The best surgical out come comes from elective removal in a stable patient with decreasing success as an unstable emergency. It can be confirmed & reoved thru a laparoscope (tube) with minimal complications. ...Read moreSee 2 more doctor answers
COPD: COPD has many treatments -- first and foremost, the patient must quit smoking (if they are a smoker). The next line of treatment includes inhalers. There is a newer pill that is available to prevent COPD exacerbations, but this is often not used first line. Oxygen supplementation is used in the more severe forms of copd. ...Read moreSee 1 more doctor answer
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