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Blepharitis,high BP,drowsiness,itchy skin - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Vision and Eye Disorders
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   hello
Doctor :   Hi
Doctor :  
how can i help you?
User :   I have a heanth isue to be solved
Doctor :  
please proceed with your health query
User :   I has sexual contact with a girl in 2003 and from then i am facing the problem
Doctor :  
ok
Doctor :  
what are the problems that you are facing
Doctor :  
was the girl known to you or was she a stranger?
User :   Stranger
Doctor :  
ok
Doctor :  
was it a protective sexual intercourse? or unprotected?
User :   We had a very close contact like deep ip kissing, unproterted inter course we has a contact almost 7 times during 12 days.
Doctor :   ok
User :   I realised that the girl wanted to harm me and she was playing a lot of tricts
Doctor :  
ok
Doctor :  
so after that you were not in contact with her?
User :   I am not in contact with her now
Doctor :  
ok
User :   i have consulted many Dcotors done a lot of test like HIV, HEPb Hep C herpes VDRL
User :   all are negative
Doctor :  
ok
User :   Here are the current symptome
User :   Symptoms 1) Always Warm Temperature, 2) Pulse rate above 98, 3) BP always above 150/90, 4) Feeling weakness and always feeling sleepy (13-14 hours a day) 5) Do not feel fresh even after 10 hours of sound sleep 6) Itching on palms , Shoulders and chest 7) Mood Swing atleast once a day 8)Burning sensation in the eyes 9)Redness in the eyes (mostly when Exposed to Sunlight) 10)Intermittent Red Spots on the body when exposed to sun 11) Hair Loss 12) Hands becomes red with any little pressure
Doctor :  
when were all these tests done? how long back were these tests done?
User :   this was done in 2004 and also in 2009
Doctor :  
ok
Doctor :  
when was your last sexual contact?
User :   in 17 may 2003
Doctor :  
after that you have not had any more sexual relations with anyone?
User :   i got married in 2007 so only my wife
Doctor :  
ok
Doctor :  
does your wife have any of these symptoms?
Doctor :  
do you have any problems with having the sexual intercourse?
Doctor :   is these any pain/burning or itching after sexual contact?
User :   She is been diagnosed with Blepharitis, MGD chronic dry eye and Scarring in the eyes
Doctor :  
ok
User :   No there is no pain in sexual intercourse
Doctor :  
these are all related to her eyes.is she on any treatment for these?
User :   on zaha and restsisis eye drop
Doctor :  
ok
Doctor :  
are you working with/on computers?
User :   and also i am diagnosed with Blepharitis
User :   no not much
Doctor :  
ok
User :   i am basically a Yoga teaher
User :   and i am in the most relaxing job
Doctor :  
so your symptoms of Burning sensation in the eyes, Redness in the eyes (mostly when Exposed to Sunlight) are due to the blepharitis and photosensitivity
User :   my wife did not have any eye problem before marriager
User :   yes but as Blephaitis is only a condition
Doctor :  
and you will need further investigations and treatment for these
User :   i am on eye treatment with a cornea curgean
Doctor :   Blepharitis is eye disease characterized by chronic inflammation of the eyelid margins.
User :   yes that i know
Doctor :  
Blepharitis causes redness of the eyes, itching and irritation and gritty sensation that may occur, however lubricating drops do little to improve the condition.

User :   what about the other symptom
Doctor :   The single most important treatment principle in this is a daily routine of lid margin hygiene
User :   that i am following
Doctor :   i will explain al your symptoms and possible causes and what you will need to do
Doctor :  
let me first finish with your eye symptoms
User :   ok
Doctor :  
what steps are you following for the eye hygiene?
User :   I use a Gaunson baby shampoo dilated to clean the eyelids with waym water 2 times a day
Doctor :  
ok
User :   and applying warm cloth on the eye 10 minutes also the doc has given a eye drop to be used once a day
Doctor :  
ok
Doctor :  
are you having any antibiotic ointment for eyes to be used?
User :   no
Doctor :  
to be used on the eyelid margins?
Doctor :   ok
Doctor :  
the blepharitis being a chronic condition needs proper attention and treatment
User :   ok
Doctor :  
this treatment comprises of 4 dimensional approach
User :   i have managed Blephatitis as i am under the Reputed cornea surgean
Doctor :  
1)Warm compresses 3-4 times a day
User :   ok
User :   what about the other condition
Doctor :  
2) lid scrubbings
User :   ok
Doctor :  
3) antibiotic treatment
User :   ok
Doctor :  
and 4) anti-inflammatory treatment
Doctor :  
so as per information povided by you, you are lacking in step 3 and 4.
Doctor :  
*provided
User :   what
Doctor :  
so i would like you to go through this particular link in your leisure time
User :   ok
Doctor :  
and know more on treatment and other options
Doctor :  
and talk to your eye surgeon
User :   ok
Doctor :  
about the proper treatment options
User :   What about the other symptoms that i am facing
Doctor :  
WWW.WWWW.WW User :   ok
Doctor :   go through this to know more and please speak to your concerned eye specialist for proper resolution of the eye symptoms
Doctor :  
now coming to other symptoms...
Doctor :  
when the blood tests were done for you in 0000, was the 'complete blood panel' was done for you?
User :   what about the other symptoms
Doctor :  
was your hemoglobin levels and blood cell counts and smear checked?
User :   ok
Doctor :  
was cholesterol levels or a LIPID profile done for you?
User :   I did a complete health check up all were normal
User :   all normal
Doctor :  
are you on any medications for blood pressure?
User :   Do you want the complete history
Doctor :  
when was the last blood pressure reading checked?
User :   yeaterday
User :   it was 160/90
Doctor :  
i would like to know the all the tests results if you have them with you now
User :   yes
User :   i have
Doctor :  
ok please provide your age, height and current weight.
User :   32 5 10 wt 72
Doctor :   ok
User :   i have taken many treatment since 2003 do you need the details
Doctor :  
for your height, your weight is fine
User :   ok
Doctor :  
your BMI is 23 which is normal
User :   ok
Doctor :  
but your your age, the blood pressure is high
User :   yes
User :   is this got any relation that i had in 2003
Doctor :  
and you will need to check it daily two times, morning and evening and maintain a record/diary
User :   what is the couse
Doctor :  
and if consistently found high over a weeks time
User :   cause
Doctor :  
you will need to be started on treatment for it
Doctor :  
no this Blood pressure has nothing to do with the 2003 relationship
Doctor :  
unless ofcourse you are still stresed about it
Doctor :  
so , now coming to your health check up results
Doctor :  
could you detail out your reports?
User :   see many doctors have checked the reports al is normal
Doctor :  
i would like to know the values of the blood tests and other tests that were done for
Doctor :  
you
User :   what
User :   are u there
Doctor :  
yse i am here
Doctor :  
i was waiting that you would give the reports of your tests
User :   how do i give
User :   u want via chat or scan
Doctor :   you could type the reports here in the chat window

User :   CBC
User :   ESR
Doctor :   especially the hemogram report and other blood tests
Doctor :  
i would like you to tell me the values that were found for each test.
User :   heamoglobin 15.8
User :   rbc 5.66
User :   hematocrit
Doctor :  
ok
User :   44.9
User :   all are in range as checked by all specialist
Doctor :  
what is the ESR value?
Doctor :  
what does the peripheral smear report say?
User :   6
User :   esr
User :   peripheral smear report was not ap art on the test
Doctor :  
ok
Doctor :  
what was the LIPID profile, LFT and BUN, Creatinine levels?
User :   creatinine 1.2
Doctor :  
ok, this is on higher side, though still within normal range.
Doctor :  
so this could be one reason that you are always feeling tired and sleepy
User :   can you let me know based on my symptoms am i suffering from any disease
Doctor :   do you snore while sleeping? has your wife told you that you snore when sleeping?
User :   no
Doctor :   ok
User :   i get a lot of itching on my skin
Doctor :  
the symptoms of tiredness, weakness, sleepiness could be due to the little high creatinine levels.
User :   during sumer
Doctor :   i would like you to tell me the reports that i have asked you to have a better corelation with your symptoms
User :   can we contine this chat later today
Doctor :  
ok, what time do you want to have this chat appointment?
Doctor :  
are you busy with something right now?
User :   at 800 pm today
User :   yes
Doctor :  
ok. My collegue will carry forward this discussion from here at that time
Doctor :  
as my timing will be over by then
Doctor :  
i can fix your chat appointment at 8pm if you wish
User :   yes
Doctor :  
ok.
User :   sure
Doctor :  
Please fill the feedback form say done when done.
Doctor :  
i have fixed your chat appointment at 8 pm today.
Doctor :   you can continue to dicuss your problem at that time
Doctor :  
please keep your reports in hand and provide the necessary information asked
Doctor :  
Have you filled the feedback form?
Doctor :   are you there?
Doctor :  
are you there?
Doctor :  
I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.
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