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What Causes Dizziness With Strep Throat And Fever?

Posted on Sat, 16 Aug 2014

Question: so my dizziness has not gotten any better I'm on antibiotic and some other med and i have strep throat and fever and no voice. and chill. should I can my doctor awnser service. I'm not sure if I should. they are close. and my belly been hurt .and feel very nauseous too what should I do I need help .

Answered by Dr. Naveen Kumar Nanjasetty (2 hours later)

Brief Answer:
Dehydration and electrolyte imbalance

Detailed Answer:
Hi

Thanks for posting the query; I'll try my best to help you with this problem.

First of all, I would like to reassure you that the dizziness mentioned in the query is not something serious.

Dizziness is commonly noticed during an attack of Upper Respiratory Tract Infection (URTI). The reasons being dehydration and inadequate supply of oxygen to the brain.

Commonly during URTI, the affected individual consumes less water and other fluids, thus causing electrolyte imbalance and dizziness. Secondly, during URTI, there will be nasal block and strenuous breathing. This retains carbon di oxide in the body and reduces the oxygen supply to the brain, inducing dizziness.

In your case, dizziness may not require medicines. You can try the following measures:
1. Drink plenty of warm water, to reduce the congestion in the throat and nose.
2. Do steam inhalation 3-4 times a day for just 2 minutes.
3. Avoid chilled food and beverages, coffee, smoking and fried food.

If the symptoms do not subside within a couple of days, consider changing the antibiotics after consulting your doctor.

Hope I have answered your query; I'll be available for the follow up queries.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Naveen Kumar Nanjasetty (3 hours later)

I do not do any of number of 3

Answered by Dr. Naveen Kumar Nanjasetty (6 hours later)

Brief Answer:
Get Haemoglobin levels checked...

Detailed Answer:
Hi

Thanks for writing back.

It's good to know that you are not doing all those mentioned in No. 3 of the previous response. At the same time, I would also suggest you to get your Haemoglobin levels in the body checked up. Reduced haemoglobin in the body can also cause dizziness.

I wish you good health.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Naveen Kumar Nanjasetty (6 hours later)

thank you but I a on doctor for my doctor office but he said just let virse take it course .I'm not sure if I should go med point or er.

Answered by Dr. Naveen Kumar Nanjasetty (27 minutes later)

Brief Answer:
Visit ER

Detailed Answer:
Hi

Welcome back

I would recommend you to visit ER, rather than going around to clinics without any relief. I doubt it to be a viral infection. If that was the case, then it should have been subsided within 3-4 days. Secondly, why was the antibiotics started if it were to be only a viral infection.

Hence, I would strongly recommend you to visit ER and get evaluated completely.

Wish you good luck and good health.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Naveen Kumar Nanjasetty (3 hours later)

Because he whated be safe then sorry and I have strep throat and i have barely any voice .

Answered by Dr. Naveen Kumar Nanjasetty (6 minutes later)

Brief Answer:
Streptococcus is a bacteria and not a virus...

Detailed Answer:
Hi

Thanks for writing back

I do understand the situation. Just for your information, the streptococcus is a bacteria and not a virus. If you are still at home, do steam inhalation and drink plenty of warm water, give voice rest and avoid straining of the voice.

Please keep me informed about your visit to the ER.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Naveen Kumar Nanjasetty (29 minutes later)

I do not know about go to er .I trust those doctor there .I like my better.

Answered by Dr. Naveen Kumar Nanjasetty (1 hour later)

Brief Answer:
Please continue with the medications

Detailed Answer:
Hi

Thanks for writing back

It's good to know that you trust your doctor very much...

My sincere advice to you is, to continue with the medications and the household remedies I mentioned in my first response.

Good luck

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Naveen Kumar Nanjasetty (15 minutes later)

Ok .I do not have anyone to take me to er so if they gave me anything I cannot drive home.

Answered by Dr. Naveen Kumar Nanjasetty (9 minutes later)

Brief Answer:
Good decision...

Detailed Answer:
Hi

Welcome back

I do understand your concern and I am extremely sorry for your situation. It's also wiser not to drive alone when you are having dizziness.

Please have faith in god, you will recover soon. Kindly, follow the instructions and I can assure you quick relief.

Regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Naveen Kumar Nanjasetty (1 hour later)

thank you I also believe in God and i have to work torrmow no matter what and how o feel or how my voice is .

Answered by Dr. Naveen Kumar Nanjasetty (9 hours later)

Brief Answer:
Steam inhalation, will get back your voice

Detailed Answer:
Hi

Thanks for writing back

I would like to stress again, please do steam inhalation at least 3 times a day for 2 minutes. The voice will become normal soon.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Naveen Kumar Nanjasetty (13 hours later)

I what thank you what you tell me and I still running fever and no voice and dizzy and i think this antibiotic is not the right one.

Answered by Dr. Naveen Kumar Nanjasetty (10 minutes later)

Brief Answer:
Request your doctor to change the antibiotics

Detailed Answer:
Hi

Welcome back

I too feel, you require a change in the antibiotics. Request your doctor to consider changing to broad spectrum antibiotics and also, add on a short course of oral steroids to reduce the vocal cord congestion.

If you can do gargle with dilute povidone iodine; it will reduce the bacterial load and thus throat discomfort.

Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Naveen Kumar Nanjasetty (1 hour later)

Ok that what I that .I am go call in the morning and ask to see my doctor and it shallow also

Answered by Dr. Naveen Kumar Nanjasetty (6 hours later)

Brief Answer:
A wise decision...

Detailed Answer:
Hi

Welcome back

I think you have taken the right decision of meeting the doctor. Please keep me informed.

Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Naveen Kumar Nanjasetty (2 hours later)

Ok what I thought. I don't like being sick all I what to is sleep and can't even do that very well.

Answered by Dr. Naveen Kumar Nanjasetty (15 minutes later)

Brief Answer:
Ongoing issues and anxiety reduces your sleep...

Detailed Answer:
Hi

Thanks for writing back

I do understand your concern and appreciate the positive effort you are making to fight with the present situation. Also, because of your ongoing issues, your anxiety levels will be increased, which will not give you sound sleep.

Secondly, the edema over the vocal cords will also add on to the ongoing stress and make your sleep difficult. Hence, when you visit your doctor, request him to examine your vocal cords.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Naveen Kumar Nanjasetty (3 hours later)

Ok I well do that .thank you for you help

Answered by Dr. Naveen Kumar Nanjasetty (2 hours later)

Brief Answer:
Good Luck...

Detailed Answer:
Hi

Welcome back

Hope I have been helpful to you in dealing with this problem. Take care... God bless you.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Naveen Kumar Nanjasetty (9 hours later)

so I what back to my doctor I still have strep throat and upper rep. Infections. so I'm glad I what back and ear infection too.

Answered by Dr. Naveen Kumar Nanjasetty (12 hours later)

Brief Answer:
Did your doctor change the antibiotics?

Detailed Answer:
Hi

Welcome back

So, the bacterial infection is still uncleared. Did your doctor change the antibiotics for you? How do you feel now? Has your voice got better?

Regards
Dr. Naveen Kumar
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Naveen Kumar Nanjasetty (1 hour later)

Yes he did and my breath is not right which I have inhale for which is not helping. so I'm going call today.

Answered by Dr. Naveen Kumar Nanjasetty (2 hours later)

Brief Answer:
Detailed information regarding the medicines...

Detailed Answer:
Hi

Thanks for writing back

Could you kindly provide me the details of the medicines you are taking. It will be of great information to help you to deal with this problem.

Regards
Dr. Naveen Kumar
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Naveen Kumar Nanjasetty (23 minutes later)

omeprazole tompax clindamycin doc-q-lace oxycodone/Acetaminophen Vento line hfa Nasonex imitrex and still no voice .I wish you had office in Elkhart in you have been very helpful.

Answered by Dr. Naveen Kumar Nanjasetty (15 hours later)

Brief Answer:
I am glad, I am of some help to you...

Detailed Answer:
Hi

Thanks for writing back and providing all the necessary details. Also, I apologize for keeping you waiting for this long.

1. I really wonder, why, you have been given three medicines to relieve your anxiety or stress (Topamax, Imitrex and Oxycodone). These medicines used for stress, will make you feel weak and leave you dizzy.

2. Secondly, Clindamycin is not the drug of choice for streptococcal infection. Penicillin group of drugs is the first line of treatment and most of them do respond well for this medicine. A combination of Amoxycillin-clavulanic acid has been the first choice worldwide, to treat the Streptococcal infection.

3. In your query, there is no mention of Asthma or Lower Respiratory Tract Infection (evidenced by respiratory distress). So, I doubt whether ventolin would be of any benefit in your case.

4. Omeprazole 40mg to be taken before breakfast, this relieves the Laryngo-pharyngeal reflux and thus edema of the throat and vocal cords.

If I were to treat you, after going through your inputs, I would suggest you the following medications:
1. Diclofenac or Ibuprofen for pain (if there is no evidence of Asthma).
2. Amoxycillin clavulanic acid (an antibiotic, to treat Streptococcal infection)
3. Omeprazole to treat acid reflux
4. Povidone iodine throat gargles or spray (to reduce the bacterial load in the throat)
5. Steam inhalation
6. Voice rest
7. Consuming plenty of warm water

Most of my patients get better with the above set of treatment.

I feel sorry for you and I wish I could have helped you in a better way.

Wish you good health

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Naveen Kumar Nanjasetty (1 hour later)

Amoxicllin I can not take because I'm get very very sick from it.

Answered by Dr. Naveen Kumar Nanjasetty (8 minutes later)

Brief Answer:
Alternatives are mentioned below

Detailed Answer:
Hi

Other suitable alternatives are:
1. Ampicillin
2. Erythromycin
3. Clarithromycin

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Naveen Kumar Nanjasetty (1 hour later)

Ok they try all of those with me those do not help

Answered by Dr. Naveen Kumar Nanjasetty (3 hours later)

Brief Answer:
You can continue with clindamycin

Detailed Answer:
Hi

Thanks for writing back

Oh! It's very unfortunate that all the first line of drugs are not sensitive to the bacteria in your throat. In that case, you can continue with clindamycin itself.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Naveen Kumar Nanjasetty (16 minutes later)

I wish you were my doctor is your office in Elkhart Indiana .ok I wish you gave me something for it.

Answered by Dr. Naveen Kumar Nanjasetty (9 minutes later)

Brief Answer:
I wish you recover soon...

Detailed Answer:
Hi

Welcome back

I too feel the same from my end. I wish, I could have examined you thoroughly and managed the problem accordingly. Please, keep yourself relaxed. I can assure, you will get better soon.

Wish you speedy recovery.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Naveen Kumar Nanjasetty (22 minutes later)

if do not mind me asking were is your office.

Answered by Dr. Naveen Kumar Nanjasetty (21 minutes later)

Brief Answer:
Muscat, Sultanate of Oman

Detailed Answer:
Hi

Thanks for writing back

I work for Apollo Medical Centre (Associated with Apollo Group of Hospitals, India), Muscat, Sultanate of Oman.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Naveen Kumar Nanjasetty (21 minutes later)

Ok thank you to bad you can not Come to to Elkhart for for Vist .I wish you could doing .but I'm go see nulg.ent torrmow

Answered by Dr. Naveen Kumar Nanjasetty (1 hour later)

Brief Answer:
Good Luck

Detailed Answer:
Hi

Welcome back

Wish you Good luck and Good health. Please keep me informed.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Naveen Kumar Nanjasetty (10 minutes later)

yea he I have been having trouble pooping and going to the bathroom but he gave me med for that which I'm still having trouble doing. I'm not sure why .and my pee is is still brown color and little bit of red in and it not period because it not not time for it.

Answered by Dr. Naveen Kumar Nanjasetty (25 minutes later)

Brief Answer:
Reduced hydration is the cause...

Detailed Answer:
Hi

Thanks for writing back

Both of your problems seem to be related to dehydration. Darker urine is seen when there is reduced hydration in the body. At the same time, the stools also get harder and one has to strain really hard to relieve the bulk.

Red color in the urine may be because of the medicines you are taking.

I would suggest you to take plenty of warm water; I can bet this will reduce most of your problems in the body. Also, consume plenty of fresh fruits and vegetables; this will form roughage and helps in easy clearance of the stools. Fruits and vegetables are rich source of vitamins which will boost your immunity.

Hope this answer was beneficial to you.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Naveen Kumar Nanjasetty (6 minutes later)

with med in on which rich vitamins can I take. I have been drinking alots of water and to the point where I get fuller and hurt to go to the pee .

Answered by Dr. Naveen Kumar Nanjasetty (19 hours later)

Brief Answer:
Multivitamins

Detailed Answer:
Hi

Thanks for writing back

Its good to know that you are consuming adequate amounts of water. Three litres of water a day is ideal for an adult. You can try taking multivitamins; which contains all the essential nutrients required for your body.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Naveen Kumar Nanjasetty (26 minutes later)

I'm see Urology today

Answered by Dr. Naveen Kumar Nanjasetty (54 minutes later)

Brief Answer:
Good Luck

Detailed Answer:
Hi

Thanks for writing back

Hope everything turns out to be normal. Wish you good luck.

Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Naveen Kumar Nanjasetty (1 hour later)

hey said he could not see anything that would make me belly hurt and hey gave me same med to relax the bladder to see if that helps and he what see me in three months.

Answered by Dr. Naveen Kumar Nanjasetty (4 hours later)

Brief Answer:
A XXXXXXX of relief...

Detailed Answer:
Hi

Thanks for writing back

Great! As I told you, there is nothing to worry about your urinary system. A XXXXXXX of relief! Please follow the instructions of your doctor, you will feel good.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Naveen Kumar Nanjasetty (30 minutes later)

He put me on bladder relax med

Answered by Dr. Naveen Kumar Nanjasetty (13 hours later)

Brief Answer:
Is it oxbutynin

Detailed Answer:
Hi

Welcome back

If I'm not wrong is it oxbutynin (Ditropan).

If so, the side effects from this medicine are dry mouth and occasionally constipation.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Naveen Kumar Nanjasetty (1 hour later)

Yes that right one he put something up there to see if I pee correctly and then when I need pee again I didn't have this med hurt wrose still does how long does it take for this med to work. I sart taking it yesterday

Answered by Dr. Naveen Kumar Nanjasetty (18 hours later)

Brief Answer:
6-8 weeks

Detailed Answer:
Hi

Welcome back

The drug is absorbed within one hour and has an elimination half-life of 2 to 5 hours.

You may notice some improvement in your symptoms within the first 2 weeks of your treatment. However, it may take 6–8 weeks to experience the full benefit of oxybutynin.

Consult your doctor if your symptoms do not improve at all within 8 weeks.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Naveen Kumar Nanjasetty (3 hours later)

Ok can I can you other questions I have hard period all my life. and even snice my sugery that they put tube in my ear. the put me under I bleed heavy sometime and b light and etc belly belly is still the i see a n.on Monday would he be able to tell what I should do .8 ham seeing foe headache belly lower back etc.

Answered by Dr. Naveen Kumar Nanjasetty (6 hours later)

Brief Answer:
Both are unrelated...

Detailed Answer:
Hi

Wecome back

I think both of them are totally unrelated. Disturbance in menstrual cycle is not related to the tube insertion in the ears. Stress, can be one of the prime cause of disturbance in menstrual cycle and thus the abdominal pain.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Naveen Kumar Nanjasetty (1 hour later)

would neurology specialist help with belly etc and sunis i infections acute because my eat has try everything. the reason I'm see is for headache that I get that why I'm got see him.im on med for headache. one the perv. headache and stopper and i can the stop er is not working very well.

Answered by Dr. Naveen Kumar Nanjasetty (15 hours later)

Brief Answer:
All your problems seem to be inter-related

Detailed Answer:
Hi

Thanks for writing back

I'm extremely sorry for the delay in answering your queries, as I am on a training program till August 2nd. I'll definitely answer all your queries, but, sometimes it may get delayed, kindly bear with me.

With all the discussions which has happened with you till now, I have realized one thing; all your problems seem to be inter-related.

1. Sinus related problems: Recurrent nasal infections cause blockage of the sinus, thus giving rise to headache.

2. Due to recurrent sinusitis the Eustachian tube gets obstructed, thus fluid in the ears and reduced hearing.

3. Sinusitis can also coexist in people having Migraine. Thus migraine can worsen sinusitis and vice versa.

4. Both Sinusitis and Migraine are stress inducers. Hormonal derangement happens during stress. Hence, the irregularities in the menstrual cycle.

5. During irregular menstrual cycle, abdominal cramps are bound to happen.

6. Also, stress can cause constipation.

Thus, all your symptoms are inter-related. I really doubt whether your neurologist can help you to reduce your abdominal related issues.

Yes, your neurologist can help in de-stressing your nerves.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Naveen Kumar Nanjasetty (18 minutes later)

I hurt my back last month and i am seeing him for my headache and some other.and try feel better because I'm always sick .

Answered by Dr. Naveen Kumar Nanjasetty (7 hours later)

Brief Answer:
Hope you will feel better after this visit...

Detailed Answer:
Hi

Thanks for writing back

Hope you will feel better after visiting your neurologist.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Naveen Kumar Nanjasetty (38 minutes later)

Me too. I'm still i
on antibiotic for my throat. which I took at 2pm and it got stuck not in throat but down after I try drink more water. what can I do

Answered by Dr. Naveen Kumar Nanjasetty (43 minutes later)

Brief Answer:
It would have passed off from the food pipe...

Detailed Answer:
Hi

Thanks for writing back

Do not worry! The pill can't be stuck there in the food pipe for a long time. It would have either disintegrated or passed off from the throat, leaving behind the sensation.

Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Naveen Kumar Nanjasetty (5 minutes later)

it hurt pretty bad .I use my inhale because there's was not much air coming that help and. there is alot of pain when I shallow. I can tell it there's

Answered by Dr. Naveen Kumar Nanjasetty (15 minutes later)

Brief Answer:
Don't panic...

Detailed Answer:
Hi

Please do not panic. The pill would have traumatised the area if crico-pharyngeal sphincter. The area adjoining the food pipe and the wind pipe.

I'm sure, it can't go down into the wind pipe. Have some banana or other soft foods, it will help in reducing the pain by pushing down the pill (if at all, it's stuck in the throat).

Regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Naveen Kumar Nanjasetty (11 minutes later)

Ok thank you .

Answered by Dr. Naveen Kumar Nanjasetty (7 hours later)

Brief Answer:
Hope you get out of all these problems soon...

Detailed Answer:
Hi

Thanks for writing back

Hope you recover from these problems soon... Good luck.

Regards
Dr. Naveen a Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Naveen Kumar Nanjasetty (11 hours later)

He put me on different headache me and he send the headache med could help with me low back. probably

Answered by Dr. Naveen Kumar Nanjasetty (3 hours later)

Brief Answer:
What was that medicine?

Detailed Answer:
Hi

Thanks for writing back

Could you please let us know the name of the medicine prescribed by your neurologist.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Naveen Kumar Nanjasetty (5 hours later)

Amitriptyline 25 mg and Rizatriptan benzoate 10 mg and i was wondering if I can take my ciprofloxacin with which is for sunis infections I have take because I do not know how it well be with med.

Answered by Dr. Naveen Kumar Nanjasetty (5 hours later)

Brief Answer:
There is no major drug interactions...

Detailed Answer:
Hi

Welcome back

Relax! There are no major drug interactions with ciprofloxacin and other medicines. Rizatriptan and Amytriptalin are prescribed to reduce the stress and headache.

Have you ever got CT scan of the paranasal sinuses done to rule out the extension of the sinus infection and polyps if any.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Naveen Kumar Nanjasetty (4 hours later)

Yes that way my throat head ear doctor what do sugery. ok that you

Answered by Dr. Naveen Kumar Nanjasetty (27 minutes later)

Brief Answer:
CT scan of paranasal sinuses is pre-requisite...

Detailed Answer:
Hi

Welcome back

CT scan of the paranasal sinuses is prerequisite for planning for surgery. Depending on the extent of the disease, the requirement of surgery can be decided.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Naveen Kumar Nanjasetty (7 minutes later)

yea he said aute suis. and can my oxycodone / Acetaminophen with this other med I think I'm call my reg doctor back and tell him back is still hurting

Answered by Dr. Naveen Kumar Nanjasetty (4 hours later)

Brief Answer:
Once you finish treatment get CT scan

Detailed Answer:
Hi

Thanks for writing back

If it's acute sinusitis, finish of the treatment course and later, you can get CT scan done. Please, continue with the pain relievers.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Naveen Kumar Nanjasetty (6 minutes later)

Ok I had CT scan and he show me the scan and it difficult show the is alot of infection there and need to be clean.

Answered by Dr. Naveen Kumar Nanjasetty (1 hour later)

Brief Answer:
Please continue with the present medicines...

Detailed Answer:
Hi

Welcome back

I do understand now... Please continue with the present medications. But, do not forget to do steam inhalation.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Naveen Kumar Nanjasetty (7 minutes later)

Ok my ear doctor specialist he did CT .

Answered by Dr. Naveen Kumar Nanjasetty (25 minutes later)

Brief Answer:
Could you please upload the CT scan result

Detailed Answer:
Hi

Welcome back

Could you please upload the CT scan reports. Hope I can help you further in this regard.

Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Naveen Kumar Nanjasetty (42 minutes later)

I do not have cope my doctor XXXXXXX does.

Answered by Dr. Naveen Kumar Nanjasetty (14 hours later)

Brief Answer:
It's just a matter of time...

Detailed Answer:
Hi

Thanks for writing back

Do not worry! It's just a matter of time. Everything will fall in place soon.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Naveen Kumar Nanjasetty (15 hours later)

so I had physical with my reg doctor back in may found out i had yeast infection then and now I think I have back because with all antibiotic I been on and i do not have strong med for my back or left side hurt with the ribs.

Answered by Dr. Naveen Kumar Nanjasetty (6 hours later)

Brief Answer:
Where was the yeast infection?

Detailed Answer:
Hi

Thanks for writing back

In which part of your body was the yeast infection detected.

Secondly, the pain you were complaining below the left ribs and the back could be due to gastritis. This pain does not get relieved with pain killers.

Instead of Omeprazole you can try Esomeprazole which is more effective than the former.

So, how is your voice now?

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Naveen Kumar Nanjasetty (4 hours later)

my voice back as and my throat still down there .I do not gastritis. but my still hurt with should hurting and rib.

Answered by Dr. Naveen Kumar Nanjasetty (4 hours later)

Brief Answer:
Silent acid reflux...

Detailed Answer:
Hi

Welcome back

It's good to know that your voice has become normal.

With so much of stress, I am sure, you will be having silent acid reflux. Please try with Esomeprazole you will definitely feel better.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Naveen Kumar Nanjasetty (1 hour later)

that I'm my ear doctor put on the couple of months

Answered by Dr. Naveen Kumar Nanjasetty (2 hours later)

Brief Answer:
Were you feeling better?

Detailed Answer:
Hi

Welcome back

Was your throat better when you were taking that medicine? Secondly, were you taking the medicine alone or with any prokinetics?

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Naveen Kumar Nanjasetty (5 hours later)

no I was not taking prokinetics and i am on different med and my throat is not any better I have been do the salt water gur. it.i well you what them med I'm now when you answer back and i do have yeast infection too.so my on call doctor put me on med. for it.

Answered by Dr. Naveen Kumar Nanjasetty (4 hours later)

Brief Answer:
Prokinetic is required...

Detailed Answer:
Hi

Thanks for writing back

I do feel, we are missing some important clues. You have already been on various medicines but without any relief.

I strongly feel, you should start with Esomeprazole and a prokinetic along with that. You need to take this combination for at least a month. Later on, Esomeprazole alone will suffice. And, the same should be used for at least 3-4 months and gently tapered before stopping the medicine.

After so much of useful discussion with you, I have never come across any symptoms described by you which gives an impression of yeast infection.

A thorough examination by an apt ENT specialist is required.

Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Naveen Kumar Nanjasetty (11 hours later)

Because of antibiotic and aute sunis infections

Answered by Dr. Naveen Kumar Nanjasetty (2 hours later)

Brief Answer:
May be...

Detailed Answer:
Hi

Welcome back

I do understand the antibiotics for sinus infection could have caused all this mess. Do not worry! If you follow all the instructions I gave you for sinusitis, you will definitely do well.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Naveen Kumar Nanjasetty (22 hours later)

yea I have try everything my ear doctor say.

Answered by Dr. Naveen Kumar Nanjasetty (11 hours later)

Brief Answer:
Short course of oral steroids...

Detailed Answer:
Hi

Thanks for writing back

I think you start on a course of oral steroids and intranasal steroid spray for a couple of months. This can make you feel better.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Naveen Kumar Nanjasetty (6 hours later)

yea I have the spray and we try oral steroids and it did worked and yesterday I was mowing and i fall down and i put my hand down first which I should not have done.bc now my back hurts wrose and shoulder and elbow hurt.and I have hurt my shoulder before.

Answered by Dr. Naveen Kumar Nanjasetty (3 hours later)

Brief Answer:
Get yourself checked before it's too late...

Detailed Answer:
Hi

I'm extremely sorry for the things happening with you. I don't understand why these things happen with you itself. Please get yourself checked before it turns to become worse.

I do wish you recover from all these problems very soon.

If you were feeling better with steroid spray, please restart it again. Most of your symptoms will reduce with it. Also, oral steroids for 3-4 days will hasten the healing process by reducing the edema.

Wish you speedy recovery.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Naveen Kumar Nanjasetty (3 hours later)

thank you

Answered by Dr. Naveen Kumar Nanjasetty (10 hours later)

Brief Answer:
Wish you good health...

Detailed Answer:
Hi

Welcome back

I wish you recover from all these problems very soon. Wish you good health and good luck.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Naveen Kumar Nanjasetty (19 hours later)

yea he has Me on that plus med for it.

Answered by Dr. Naveen Kumar Nanjasetty (3 hours later)

Brief Answer:
Good to know, you are on right medicines...

Detailed Answer:
Hi

Welcome back

That's nice to know that the desired medicines have been advocated. Hope it works this time. Good luck.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Naveen Kumar Nanjasetty (8 hours later)

right and having alot drainage too come from my ear and nose.too and snice i hurt my shoulder I'm see my doctor for it because I have hurt in the pass and it does not seem right.

Answered by Dr. Naveen Kumar Nanjasetty (1 hour later)

Brief Answer:
Now ear discharge???

Detailed Answer:
Hi

My goodness! Do you have discharge from the ear too? I do see, the main cause of all your miseries are your nose and stress. Please take care of your nose, use steroid and saline nasal spray. Avoid water getting into the ear. You will definitely feel better.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Naveen Kumar Nanjasetty (8 minutes later)

right the drainage from the inside go down throw my nose

Answered by Dr. Naveen Kumar Nanjasetty (16 hours later)

Brief Answer:
That is normal...

Detailed Answer:
Hi

Thanks for writing back

Normally the discharge from the ear drains into the nose, but for you, there could be post nasal drip which is giving this sensation. If it is discharging from outside the ear, then, its a problem.

With the present medicines hope you will feel better.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Naveen Kumar Nanjasetty (8 hours later)

so I what to the doctor for my shoulder and arm etc.and I have sprain shoulder and chronic back pain for rest of my life and i find a lump on my back i noice that is was the last night .but I'm not sure of i should wait or call and tell him and i think I need be test for blood suger .because after a hour of eating because I need to eat again because I can tell when it is low. I'm not sure if I should call him or not.

Answered by Dr. Naveen Kumar Nanjasetty (3 hours later)

Brief Answer:
Please see the answer below...

Detailed Answer:
Hi

Welcome back

It's good to know that it was just a shoulder sprain. Also, it would be wiser to get the swelling examined in the initial stages.

Secondly, I doubt you are having sugar related issues. You can get the investigations done, and I'm sure, the reports will turn out to be normal.

Don't worry about the backache. That will become normal with good physiotherapy.

Try to de-stress yourself with meditation and relaxation exercises.

I pray god to give you quick relief from all your problems. Good luck.

Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Naveen Kumar Nanjasetty (1 hour later)

my mom is one and so is my grandma and i found bump on my back and it hurt it not very big. so should I tell my doctor and we're it is it little red

Answered by Dr. Naveen Kumar Nanjasetty (26 minutes later)

Brief Answer:
The swelling could be a lipoma

Detailed Answer:
Hi

Welcome back

The swelling could be a lipoma (sac filled with fatty contents). Please do inform the doctor about the swelling, just to be on a safer side.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Naveen Kumar Nanjasetty (2 hours later)

right I told my doctor nurse about it and for me get my blood sugar test to.

Answered by Dr. Naveen Kumar Nanjasetty (5 hours later)

Brief Answer:
I'm sure the sugar levels will be normal...

Detailed Answer:
Hi

Welcome back

That would be fine... Atleast, your anxiety will be relieved, once the sugar levels are reported as normal.

Wish you good health and good luck

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Naveen Kumar Nanjasetty (8 hours later)

I did ask my nurse to tell him.

Answered by Dr. Naveen Kumar Nanjasetty (1 hour later)

Brief Answer:
Request the doctor to examine and suggest...

Detailed Answer:
Hi

Thanks for writing back

You have done the right thing... Request the doctor to examine it thoroughly and suggest the best remedy. Good luck..

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Naveen Kumar Nanjasetty (15 minutes later)

they are going to finger test to see were it is and i am going them back to set up a time.

Answered by Dr. Naveen Kumar Nanjasetty (27 minutes later)

Brief Answer:
Manual examination will be followed by USG

Detailed Answer:
Hi

Welcome back

Initially, they will be palpating the mass, after that, they may order for an ultrasound (USG) to identify the contents inside.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Naveen Kumar Nanjasetty (28 minutes later)

I do not know the what to do blood sugar test. Because after hour after I eat I have eat again because I sart to shake

Answered by Dr. Naveen Kumar Nanjasetty (2 hours later)

Brief Answer:
Please see the answer below...

Detailed Answer:
Hi

Welcome back

I do understand that you need to get Fasting Blood Sugar (FBS) and Post Prandial Sugar (PPBS) levels checked. FBS is done in the empty stomach and PPBS one hour after taking the food. This will assess the blood sugars during two instances.

Regards

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Naveen Kumar Nanjasetty (1 hour later)

He what to fasting one first then he well go from there and I'm ask him about my knee bad knee run in my family and i think I have arthis in my right knee and i think I have it my left knee because there hurt little bit when it is XXXXXXX then when it rain hurts wrose.do you think I need to tell him about my knee.

Answered by Dr. Naveen Kumar Nanjasetty (14 hours later)

Brief Answer:
Please see the answer below...

Detailed Answer:
Hi

Thanks for writing back

I think, you need to tell him about all your problems, rather than revealing them one after the another. Many of the times, the problems are inter-related and it gives an opportunity for the doctor to manage appropriately.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Naveen Kumar Nanjasetty (4 hours later)

My suger was fine but I just what to know why I sart shake after hour of eating and my suger level was 85.byt I did not see him for just the nurse.i wish I Could of see him .

Answered by Dr. Naveen Kumar Nanjasetty (1 hour later)

Brief Answer:
Post Prandial hypoglycemia

Detailed Answer:
Hi

Welcome back

It's good to know that your sugar levels have been reported normal.

The present symptoms of tremors following consumption of meal is known as Reactive hypoglycemia, or postprandial hypoglycemia. Recurrent episodes of symptomatic hypoglycemia occurring within few hours after a high carbohydrate meal in people who do not have diabetes. It is thought to be due to excessive insulin release triggered by the carbohydrate meal.

Further evaluation has to be carried out to find out any other related problems. Talk to your doctor about this.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Naveen Kumar Nanjasetty (21 minutes later)

yea I what to but he did not do the ever when I eat salad I still have it

Answered by Dr. Naveen Kumar Nanjasetty (18 minutes later)

Brief Answer:
Get HbA1c test done...

Detailed Answer:
Hi

Welcome back

For diagnosis, HbA1c test has to be done. This is to measure the blood sugar average over the past 2–3 months. Additionally, a 6-hour glucose tolerance test will chart blood sugar during the past six hours.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Naveen Kumar Nanjasetty (6 minutes later)

the one they did is fast for 8 hours.but I do not know if the well test me after what they test me today.what do I say to them. I wish I Could talk to my doctor about it .I'm just tired of fell this way after I eat healthy .what should I say. and i twist my legs well sart to that.what should I tell them I just I could talk to my doctor. which I was not abb. too yoday.do you think I should make appointment with him and tell him how I feel.

Answered by Dr. Naveen Kumar Nanjasetty (32 minutes later)

Brief Answer:
You need to talk to your doctor...

Detailed Answer:
Hi

Welcome back

Yes, you need to make an appointment with the doctor and tell him you are having Post Prandial Hypoglycemia. Also, tell him about your body pains and the mass in the back. I feel, he will oblige to see you. If he is unable to treat you, request him to refer you to a higher centre.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Naveen Kumar Nanjasetty (1 hour later)

Ok it well not be problem see him and he see me for back pain but not for lump.nd I saw him for my shoulder he said I sprain it .still hurts.

Answered by Dr. Naveen Kumar Nanjasetty (10 hours later)

Brief Answer:
Visit a higher centre...

Detailed Answer:
Hi

Welcome back

I do understand your difficulties. I would still prefer you to be referred to a higher centre for a complete evaluation. In a higher centre, you will have multiple specialties and a complete evaluation can be done, rather than, visiting your local doctor very often.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Naveen Kumar Nanjasetty (19 hours later)

yea I have ear specialist and nug. specialist to and ung. specialist too. I'm not sure which one I should go too.

Answered by Dr. Naveen Kumar Nanjasetty (4 hours later)

Brief Answer:
Both ENT and Orthopedician...

Detailed Answer:
Hi

Thanks for writing back

You need to consult both ENT specialist and an Orthopedician, as you require detailed examination of the both systems.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Yogesh D