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Dr. Andrew Rynne

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Suggest treatment for rashes throughout the body, nausea and weakness

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Dr. Salah Saad Shoman

Internal Medicine Specialist

Practicing since :2004

Answered : 1571 Questions

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Posted on Wed, 9 May 2018 in Medicines and Side Effects
Question: I may a rash from Epsom salt. I used it for my sore knee. The rash is all over my body. I have felt nausea in the stomach and weakness.
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Answered by Dr. Salah Saad Shoman 1 hour later
Brief Answer:
About Allergic reaction

Detailed Answer:
Dear sir, I have gone through your question and I understand your concerns

It seems that you are having an allergic reaction. I would recommend that you take an antihistaminic as Cetirizine 10mg once daily before going to bed for three days to abort the allergic attack...

If the rash did not resolve after three days or you develop more severe symptoms as shortness of breath, palpitations or hypotension then please seek immediate medical attention to get a prescription for Intravenous corticosteroids and antihistaminic...If nausea continues then you might need to add Tab. Metoclopramide 10mg three times daily...

I hope you find this helpful.

Regards


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Dear doctor,

I'm a 50 yr old male, 1m78 height and weight dropped
from 72 kg to 55 kg in the last 4 months.
I hope you will be so kind to read my entire disease
report as I'm really desperate because I'm feeling
extremely sick for four months now and I have the impression
that our small local Belgian clinics and their doctors are
limited in their knowledge compared to what I read from USA healthcare online.

I have a 30 yr history of taking pain medications, (mainly paracetamol and
codein) sleep medication, (bromazepam, flunitrazepam, zopiclone)
anxiety medication (alprazolam, dixyrazin and similar drugs) and
stomach acid medication (cimetidine, omeprazole and others)
I consumed excessive amounts of alcohol between my 15 and 22 years of age,
then 18 years not a single drop of alcohol and now since ten years again
excessive amounts of alcohol all in combination with the above mentioned
medications.

Mid may 2011 I woke up feeling extremely sick, the symptoms were severe,
never had a condition that even came close to this :
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unbearable bloating in the upper stomach area, very pale diarrhea about 7 times/day,
severe pain in the right abdomen, the liver/galbladder area, (this I had already for a few days)
total impotence/lack of sex-drive, on/off going tinitus/echoing in right ear,
pression on both ears, severe headache, blurry vision, total confusion, desorientation..

Taking a paracetamol-codein painkiller seemed to aggrevate the condition even
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with the exeption of 3mg bromazepam and 40 mg omeprazole daily
and of course total abstinence from alcohol.

My general practice doctor gave me an injection with metoclopramide wich brought
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The following week I had several more injections with metoclopramide as it was
the only medication that brought some relief for a maximum of half a day.
The pale diarrhea lasted for more than 10 days and during that same period
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After about ten days the diarrhea gradually stopped and whitin the folowing
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My appetite also increased slowly to a more or less normal level, but my weight
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A gastro-enterologist and a neurologist did the following investigations :

Blood test, deviating values : (ranges included)
AST 43 (ALT 123 (GGT 120 (10-49)
Albumin 53.9 (35-52)
White blood count 11630 (4300-11000)
Bilirubin direct 0.4 (Bilirubin total 1.4 (Immuno Globulin M 910 (50-300)
Lipase 72 (Cholesterol 244 (Other minor deviations in Monocytes, granulocytes, MCH, Lipase.

I have to mention that in the last 15 to 20 years on every blood-test
the inflammation values as sedimentation and CRP are elevated to
approx. 4 to 5 times the max. value and the IGM between 3 and 5 times
the max. value and bilirubin on the upper edge or approx 40% higher.
Also in the last 10 years since I started drinking again there were
always elevated AST-ALT-GGT levels, once even more than ten times
the max value, besides elevated lipase and amylase values.

Ultrasound abdomen :
Fatty liver
A few bigger gallstones in the gallbladder.

CT-scan abdomen :
Minor inflamed gallbladder

MR scan pancreas : (Had acute alcoholic pancreatitis in 2009)
Benign calcifications of the pancreatic ducts
Spasms of the pancreatic ducts

MR scan brain :
No abnormalities

EEG :
No abnormalities except beta activity in front.

Ultrasound duplex cervical :
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RX Thorax :
Lungemfysema (I'm a smoker)

Endoscopy stomach and part of small intestine :
Esophagus reflux grade B
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Colonoscopy :
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Triglycerides absorbtion test :
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Mid july my condition seemed to improve after a ten days
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continuous weight loss, extreme fatigue, can sleep for a max.
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felt as if I took the whole box.

On august 8th I had a coloscopy of the large bowel under
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The 3 days following my sexual potence was enormous despite I felt
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Begin september the results of my pancreas triglycerides absorbtion test came in negative
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Meanwhile my condition worsened and more and more I can't walk straight
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I have been put on Metoclopramide 5 mg, i was told by my local pharmacy that i could take my fiorecet (butalbital/apap/caffeine tabs), but I ve notcied that fiorecet is listed on the list of items not to take with this medicine. Have i read it wrong?