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My Question To Be Answered By Dr XXXXXXX D. Dear

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Posted on Tue, 30 Jun 2020
Question: My question to be answered by dr XXXXXXX d.
dear doctor,
i followed some more tests in detail to reduce myanxiety and stress.
pl see the reports attached.
just now i checked my oxygen leval which was found to be 99%
2.my bp 90-140 which ia at higher side.
3. i am feeling more worried than earlier.really dont know why.
pl see the reports and give yr valuable suggestion.
regards, XXXXXXX
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Follow up: Dr. Dr. Yogesh D (0 minute later)
My question to be answered by dr XXXXXXX d.
dear doctor,
i followed some more tests in detail to reduce myanxiety and stress.
pl see the reports attached.
just now i checked my oxygen leval which was found to be 99%
2.my bp 90-140 which ia at higher side.
3. i am feeling more worried than earlier.really dont know why.
pl see the reports and give yr valuable suggestion.
regards, XXXXXXX
doctor
Answered by Dr. Dr. Yogesh D (19 hours later)
Brief Answer:
BP keeps varying every second, Most results fine, you have some infection.

Detailed Answer:
Dear XXXXXXX

Welcome bakc to Ask A Doctor service.

I carefully studied the reports you have attached.

There are a few observations that need further evaluation and treatment.

1. Your total WBC counts are high, and CRP is high as well, this means that you are currently going through some sort of low grade infection, probably in the last 2 to 3 days.

Do you have any fever, cough, cold, chills and shivering or any pain or burning while passing urine or pain in the tummy or any pain in the teeth or ears?

We have to find the location of infection, then it will be easier to treat.

I would suggest you to get Urine Culture and Sensitivity, blood culture, LFT, WIDAL, Dengue IgM, Dengue NS1, Peripheral smear for Malarial parasite to correctly diagnose the infection.

Once you give the samples for testing, you should start a course of antibiotics empirically and we can change the antibiotic later based on the reports.

I generally prescribe Mahacef-Plus (Cefixime+oflaxacin) to my patients in the clinic in such conditions.

2. Other than this, your ECG looks fine, do not worry about the blood pressure, it is fine, blood pressure keeps varying every second, it should not remain high every time you get it checked and from your previous records it is quite clear that it has gone up only now, that could be because of the stress and anxiety you are going through currently.

Stop worrying about it.

Your kidney is working perfectly fine.

Your lungs are also good.

Your Haemoglobin level is excellent and Oxygen saturation is perfectly fine.

Do get the tests I have mentioned above done as soon as possible and start an antibiotic after getting it prescribed from your local doctor.

Let me know if I have forgotten to address any query of yours.

I hope this information is useful.

My warm regards to you and your family dear XXXXXXX

Take care.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Dr. Yogesh D (0 minute later)
Brief Answer:
BP keeps varying every second, Most results fine, you have some infection.

Detailed Answer:
Dear XXXXXXX

Welcome bakc to Ask A Doctor service.

I carefully studied the reports you have attached.

There are a few observations that need further evaluation and treatment.

1. Your total WBC counts are high, and CRP is high as well, this means that you are currently going through some sort of low grade infection, probably in the last 2 to 3 days.

Do you have any fever, cough, cold, chills and shivering or any pain or burning while passing urine or pain in the tummy or any pain in the teeth or ears?

We have to find the location of infection, then it will be easier to treat.

I would suggest you to get Urine Culture and Sensitivity, blood culture, LFT, WIDAL, Dengue IgM, Dengue NS1, Peripheral smear for Malarial parasite to correctly diagnose the infection.

Once you give the samples for testing, you should start a course of antibiotics empirically and we can change the antibiotic later based on the reports.

I generally prescribe Mahacef-Plus (Cefixime+oflaxacin) to my patients in the clinic in such conditions.

2. Other than this, your ECG looks fine, do not worry about the blood pressure, it is fine, blood pressure keeps varying every second, it should not remain high every time you get it checked and from your previous records it is quite clear that it has gone up only now, that could be because of the stress and anxiety you are going through currently.

Stop worrying about it.

Your kidney is working perfectly fine.

Your lungs are also good.

Your Haemoglobin level is excellent and Oxygen saturation is perfectly fine.

Do get the tests I have mentioned above done as soon as possible and start an antibiotic after getting it prescribed from your local doctor.

Let me know if I have forgotten to address any query of yours.

I hope this information is useful.

My warm regards to you and your family dear XXXXXXX

Take care.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Dr. Yogesh D (1 hour later)
Dear doctor,
i had gone to see the reports to local doctor ,
he prescribed the following medicines
1: Cardorium plus twice a day
2 Celin vitamin c tablets once a day
3.zincovit twice a day
4.cefix200 twice a day.
5.nurokind next -once a day.
6.evion LC twice a day
i dont have cough cold and fever
i dont find difficulty
in passing urine or stool.i have little pain in uppear abdomen
One thing is i experience lightheadedness.ie my brain is not calm at any time.As i told u i take half the tablet of restyl (0.25 mg tablet half of that in the night to have sound sleep.but daily i cant have sound sleep
due to head whirls.
pl suggest the remedy.

Daily i follow the routine but feel depressed.i dont feel like doing anything.if i take half te azolem in a day then i feel fresh.but i did that only once
my leg pain has been reduced to some extent but always feel that i would b sick at anytime .
i hope none of these symptoms are of
corona virus.
regards XXXXXXX
i feel more sweating.
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Follow up: Dr. Dr. Yogesh D (0 minute later)
Dear doctor,
i had gone to see the reports to local doctor ,
he prescribed the following medicines
1: Cardorium plus twice a day
2 Celin vitamin c tablets once a day
3.zincovit twice a day
4.cefix200 twice a day.
5.nurokind next -once a day.
6.evion LC twice a day
i dont have cough cold and fever
i dont find difficulty
in passing urine or stool.i have little pain in uppear abdomen
One thing is i experience lightheadedness.ie my brain is not calm at any time.As i told u i take half the tablet of restyl (0.25 mg tablet half of that in the night to have sound sleep.but daily i cant have sound sleep
due to head whirls.
pl suggest the remedy.

Daily i follow the routine but feel depressed.i dont feel like doing anything.if i take half te azolem in a day then i feel fresh.but i did that only once
my leg pain has been reduced to some extent but always feel that i would b sick at anytime .
i hope none of these symptoms are of
corona virus.
regards XXXXXXX
i feel more sweating.
doctor
Answered by Dr. Dr. Yogesh D (24 hours later)
Brief Answer:
Continue Cefix 200 (Contains cefixime), others not at all useful or required

Detailed Answer:
Dear XXXXXXX

Thank you for writing back to me with the details.

Only Cefix 200 is required, Mahacef Plus I advised is better than that as it contains another antibiotic in addition to Cefixime.

All other medicines prescribed to you are generally a waste of money and they will not help with anything. They just contain vitamins and minerals.

But the first once, Cardorium is a herbal preparation and there is no way of knowing what it contains. So I strongly recommend you to NOT take it.

Rest of them will not cause any harm but they are not useful either.

You can continue to take Alprazolam for anxiety, if it is helping with anxiety, it better to take it daily.

As for depression, my suggestion is to keep yourself occupied with some work or read novels.

If it is getting worse, then please do consult a psychiatrist.

Hope this information is useful.

Apologies again for the delay in responding.

Take care XXXXXXX

Stay positive and stay happy and healthy.

Warm regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Dr. Yogesh D (0 minute later)
Brief Answer:
Continue Cefix 200 (Contains cefixime), others not at all useful or required

Detailed Answer:
Dear XXXXXXX

Thank you for writing back to me with the details.

Only Cefix 200 is required, Mahacef Plus I advised is better than that as it contains another antibiotic in addition to Cefixime.

All other medicines prescribed to you are generally a waste of money and they will not help with anything. They just contain vitamins and minerals.

But the first once, Cardorium is a herbal preparation and there is no way of knowing what it contains. So I strongly recommend you to NOT take it.

Rest of them will not cause any harm but they are not useful either.

You can continue to take Alprazolam for anxiety, if it is helping with anxiety, it better to take it daily.

As for depression, my suggestion is to keep yourself occupied with some work or read novels.

If it is getting worse, then please do consult a psychiatrist.

Hope this information is useful.

Apologies again for the delay in responding.

Take care XXXXXXX

Stay positive and stay happy and healthy.

Warm regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Yogesh D (1 hour later)
Dear doctor,
thx a lot doctor for reply.do take yr time
from yr precious diagnsis it seems that i dont hsve any severe problem 1.my triglycerideis high;150.what should be done to reduce it?
2 Most importantly how many days can i continue aprazolam (restyl)
is it harmful to continue for a month also considering the side effect of the same?
i think and hope my office may start in a couple of weeks & i get busy.
actually i feel more anxious abt taking this medicine as it causes serious side effects
But at the same time i feel better ,calm
and can concentrate on the things i m following.Only i feel my eyes to be tired.
regards,
slpana

default
Follow up: Dr. Dr. Yogesh D (0 minute later)
Dear doctor,
thx a lot doctor for reply.do take yr time
from yr precious diagnsis it seems that i dont hsve any severe problem 1.my triglycerideis high;150.what should be done to reduce it?
2 Most importantly how many days can i continue aprazolam (restyl)
is it harmful to continue for a month also considering the side effect of the same?
i think and hope my office may start in a couple of weeks & i get busy.
actually i feel more anxious abt taking this medicine as it causes serious side effects
But at the same time i feel better ,calm
and can concentrate on the things i m following.Only i feel my eyes to be tired.
regards,
slpana

doctor
Answered by Dr. Dr. Yogesh D (2 hours later)
Brief Answer:
Triglycerides at 150 is not high, Alprazolam for a month is perfectly fine

Detailed Answer:
Dear XXXXXXX

1. Your triglycerides are not too high, don't worry too much about it.

You can reduce the triglyceride levels by being active and regular walking and also by reducing rice eating.

2. You can safely continue taking Alprazolam till this COVID situation improves.

It can be stopped gradually under the guidance of your treating doctor after that.

Don't worry about it, it is helpful for you in these difficult times and that's what is more important.

Hope you understand my logic.

I wish you good health dear XXXXXXX

Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Dr. Yogesh D (0 minute later)
Brief Answer:
Triglycerides at 150 is not high, Alprazolam for a month is perfectly fine

Detailed Answer:
Dear XXXXXXX

1. Your triglycerides are not too high, don't worry too much about it.

You can reduce the triglyceride levels by being active and regular walking and also by reducing rice eating.

2. You can safely continue taking Alprazolam till this COVID situation improves.

It can be stopped gradually under the guidance of your treating doctor after that.

Don't worry about it, it is helpful for you in these difficult times and that's what is more important.

Hope you understand my logic.

I wish you good health dear XXXXXXX

Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Yogesh D

General & Family Physician

Practicing since :2009

Answered : 1130 Questions

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My Question To Be Answered By Dr XXXXXXX D. Dear

My question to be answered by dr XXXXXXX d. dear doctor, i followed some more tests in detail to reduce myanxiety and stress. pl see the reports attached. just now i checked my oxygen leval which was found to be 99% 2.my bp 90-140 which ia at higher side. 3. i am feeling more worried than earlier.really dont know why. pl see the reports and give yr valuable suggestion. regards, XXXXXXX