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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Headache, Neck Pain, Chest Pain And Loss Of Appetite

32/female.Severe headache x2/7 not relieved by paracet/codeine. Fever. Dysuria. Loss of appetite. Symptoms of bact vaginosis which usually comes after antibiotic regime. Hx of root canal, peritonsilar abscess in the last week. Txed with azithromax x3/7 and resolved. Symptoms associated with constipation suspects from too many painkiller (avr 3g/day for a week). Some chest pain.. On exam, mild pallor, pyrexial, some neck tenderness. Not sure how to proceed. I m medical student and this is a family member.
Tue, 10 Mar 2020
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General Surgeon,  's  Response
Hello,

If there is no temperature run over thermometer that means, the underlying infection is cured and these are the side effects of prescribed antibiotics only. If there is recordable fever above 99 degree F, means that there is residual infection which is not controlled by previous antibiotics. Kindly get a temperature measures with complete hemogram lab report for further guidelines.

Till that time:
- Consume more liquids in sessions
- Avoid rest of analgesics apart from paracetamol or acetaminophen for avoidance of constipation and appetite issues
- Add proton pump inhibitor as esomepraozle or rabeprazole to take care of chest pain (might be related to gastritis), intestine soothing
- Intake of pro and pre biotics (as fresh yogurt or else) to return back to previous flora at an early stage

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Suggest Treatment For Headache, Neck Pain, Chest Pain And Loss Of Appetite

Hello, If there is no temperature run over thermometer that means, the underlying infection is cured and these are the side effects of prescribed antibiotics only. If there is recordable fever above 99 degree F, means that there is residual infection which is not controlled by previous antibiotics. Kindly get a temperature measures with complete hemogram lab report for further guidelines. Till that time: - Consume more liquids in sessions - Avoid rest of analgesics apart from paracetamol or acetaminophen for avoidance of constipation and appetite issues - Add proton pump inhibitor as esomepraozle or rabeprazole to take care of chest pain (might be related to gastritis), intestine soothing - Intake of pro and pre biotics (as fresh yogurt or else) to return back to previous flora at an early stage Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon