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Asthma, on medications, tonsillitis, pre-diabetic, recurrent oral thrush - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Asthma and Allergy
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
User :   Hi, may I answer your health queries right now ? Please type your query
Doctor :   hi
User :   hello how are you today
Doctor :   Dr AAAAAAA here
Doctor :   how can I help you?
Doctor :   please proceed with your health query
User :   great, i have a two part asthma question
Doctor :   sure..please proceed
User :   i have has asthma for 20 yrs. i use an albuterol inhaler almost every day, i have been prescribed advair, but it is too expensive right now for me to take regularly, i know this doesnt hepl, anyways...... i constantly get "white tongue" and a sore throat.. i rcently noticed that my left tonsil is swollen and has 2 white patches on other symptoms, also my tongue is white toward the back.......
Doctor :   let me read what you have typed
User :   i was diagnosed as pre diabetic the lasttime i was hospitalized for my asthma, cand frequent thrush/yeats infections be a symptom of prediabetes as it is for type 2?
User :   can oral thrush cause tonsillitis?
Doctor :   yes, frequent thrush or yeast infections are associated with diabetes. also the inhalers sometimes can give you thrush after long term use
User :   are the symptoms of pre diabetes simialar to those of type 2?
Doctor :   the tonsils are like security guards in the mouth, they help to filter out infections of oral cavity. so they get swollen due to infection and inflammation in oral cavity
Doctor :   yes, the symptoms of pre-diabetes can be similar to Type2 diabetes
Doctor :   what were your last time sugar values?
User :   my last fasting was 128
Doctor :   was Glycosylated hemoglobin or HbA1C test done? this test tells about your sugar control over last 2-3 months time
User :   no
User :   i have a follow up with my primary care for that
Doctor :   ok, so in your follow-up visit, I would recommend you to discuss about repeat sugar levels done with these tests: FBS, PPBS, HbA1C
Doctor :   take treatment for the thrush
Doctor :   also to avoid thrush further, follow these steps
User :   i have diflucan, is that suitable?
Doctor :   1) gargle with warm salt water daily 2-4 times a day
Doctor :   It can be used, but confirm with your PCP about its use, you might need a higher one if the infections are recurrent
Doctor :   2) avoid having carbonated and caffeinated beverages
Doctor :   3) clean the inhaler once a week
Doctor :   by taking the medicine canister out, and soaking the instrument in hot water for 5-10 minutes
Doctor :   have you followed what I have said?
User :   ok, thank you soo very much doctor, i do have one last question..... will the tonsillitis subside one the thrush is gone, or do i need to sek treatment for that also, it is not painful, i just noticed them when i was looking in the mirror at my tongue
Doctor :   the tonsillitis should subside with the treatment for thrush. if it persists, you might need to take antibiotics
Doctor :   so continue with gargling everyday even when infection subsides for atleast 2 times a day
Doctor :   also the regular warm salt water gargling will help prevent tonsillitis
User :   no i have not been doing that aftercare, but i will from now on because i need to prevent this from ocurring
User :   ..
Doctor :   so continue with gargling everyday even when infection subsides for atleast 2 times a day
User :   should i continue to check my blood levels at home? they are not always that high
Doctor :   you should monitor them atleast once a week for few weeks, or whenever you have symptoms
Doctor :   or monitor them once a month
Doctor :   keep a note of sugar levels
Doctor :   follow diet with low carbs and low fat
Doctor :   along with good exercise levels, atleast a brisk walk 2 times a day each for about 20-25 minutes
Doctor :   these will help with better and long lasting sugar level control
Doctor :   have you followed what I have said?
User :   thank you i will add this to my regimine, i have lost about 14 lbs since i stopped talking the perdnisone
Doctor :   is there anything else you would like to ask me?
User :   is there anything i can do while taking prednisone as not to be as suseptible due to the medicine weakening my immune system and to prevent weight gain
Doctor :   these are known side effcts
Doctor :   you can eat healthy and take precautions to avoid common infections
Doctor :   try adding a multivitamin sullpement with trace minerals in them to help
Doctor :   *supplement
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