Case of a fever in a toddler , effectively treated with Homeopathy.
Dr. Sheetal Doshi Chief Complaints A 2 year old child was presented with cough and fever. He had been coughing for 3-4 days prior to the onset of fever. During fever: The child was extremely dull. He wanted to lie down with eyes closed. He also wanted someone with him constantly. He would hold the attendent's finger or hand constantly and sleep. With slightest sound or noise of anything around him, he would wake up and look around. He was also restless in sleep, (though dull) If the attendent would leave him or go anywhere ,he would demand to be carried by them , wherever they went. Physical Examination Temp: 101°F Chest clear Cough barking sound Diagnosis Viral febrile illness Management Analysis: 1. This child although, being so dull, would wake up with slightest noise or sound, so I took the Rubric: Alert 2. He constantly wanted the attendent's finger or hand and would hold it ,never leaving it, this is CLINGING CHILDREN IN 3. The child wanted the attendent to carry him wherever they go,this is CARRIED DESIRE TO BE CARRIED ,CHILDREN IN + HELD DESIRE TO BE HELD Other rubrics taken where: 4 COUGH BARKING 5. COUGH FEVER DURING 6. DULLNESS FEVER DURING 7. BED REMAIN IN BED ,DESIRE TO 8. RESTLESSNESS HEAT DURING Based on these mental +physical symptoms +observation, PHOSPHORUS 1M was selected Kindly go through the repertory sheet attached. Treatment: Phos 1M single dose. Fever came down within 5mins. Hence no repetition was done. Next day follow up: Parents reported ,that the child has been active since the last meeting and fever didn't recur. Sl continued AUXILIARY MANAGEMENT: Advised enough hydration ,regular feeds,and fruit juices. Thankyou.
Really loved the presentation. This will be good example for Speedy recovery - not all conditions and Indian health systems act slow
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डा शीतल जोशी जी सही समय पर स्टिक औषध का आप ने चुनाव किया है। वैसे तो होम्यो विशेषज्ञ्य ही बता पाएंगे,परन्तु ऐसा कम ही पाया गया है कि मात्र फासफोरस की ऐक मात्रा से ही ज्वर ठीक होता है। उपल्ब्धि सरहाने योग्य है।बधाई।
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Friends today I am discussing about a very serious problem most of the peoples have on change of weather. As weather is changing in these days here value of the content is important. Topic is Allergic bronchitis. Bronchitis is an inflammation in the lining of the bronchial tubes. These tubes in the lung carry air into the lungs from the mouth and nose. The swelling narrows the airway causing a cough and may make breathing more difficult. The irritation can also lead to increased production of mucus, which blocks the airway. Bronchitis can be classified as either allergic, non-allergic, or asthmatic, depending on its cause. Although the symptoms of bronchitis are similar regardless of the cause, there may also be differences, especially in how long a person will feel the effects of the condition. What is allergic bronchitis? Allergic bronchitis Allergic bronchitis occurs when an allergen inflamed the lining of the bronchial tubes. Allergic bronchitis involves inflammation of the bronchi caused by an allergen, or something to which you are allergic. Airway irritants, such as pollen, dust, and mold, can trigger symptoms. Cigarette smoking almost always causes allergic bronchitis. The symptoms of allergic bronchitis may last for a long time or keep recurring. Allergic bronchitis that lasts longer than three months is often called chronic bronchitis. This is a type of chronic obstructive pulmonary disease (COPD). Chronic bronchitis is almost always caused by cigarette smoking. Symptoms of allergic bronchitis include: a cough that produces mucus wheezing chest tightness tiredness Bronchitis can also lead to complications. For example, lung infection, such as pneumonia, can occur. In the most severe cases, pneumonia can lead to an infection in the bloodstream called septicemia. Septicemia is often life-threatening. Chronic obstructive pulmonary disease (COPD) Chronic obstructive pulmonary disease (COPD) Click here to learn more about COPD. READ NOW Non-allergic bronchitis Non-allergic bronchitis occurs because of a viral or bacterial infection. For example, some people develop non-allergic bronchitis after a cold. Although anyone can develop non-allergic bronchitis, older adults have a higher risk of experiencing the condition. People with weakened immune systems and those who smoke also have a higher chance of developing bronchitis after an upper airway infection. Symptoms often improve within a few weeks and are less likely to recur than the symptoms of allergic bronchitis. Non-allergic bronchitis is sometimes called acute bronchitis, as symptoms may onset suddenly and are typically brief. Symptoms of non-allergic bronchitis might include: a cough that produces mucus chills fever What is asthmatic bronchitis? Asthmatic bronchitis Asthmatic bronchitis can occur in people who already have asthma as an underlying condition. Like bronchitis, asthma is a lung condition that can cause breathing difficulties. Asthma can also cause inflammation of the bronchi, but can also lead to narrowing of the muscles around the airways. When bronchitis and asthma occur together, and symptoms overlap, the condition is often known as asthmatic bronchitis. Inflammation that triggers symptoms of asthmatic bronchitis might occur in someone who has underlying asthma after exposure to certain substances, such as pollen, pollution, and cigarette smoke. Some people also develop asthmatic bronchitis because of a change in weather or exercise routine. People with asthmatic bronchitis respond to these environmental triggers by releasing leukotrienes. These are inflammatory molecules. Leukotrienes cause a series of reactions, including narrowing of the airway. Symptoms of asthmatic bronchitis may include: coughing excess mucus production wheezing shortness of breath Diagnosis A doctor will diagnose allergic bronchitis based on several factors. They will review the medical history of the individual with suspected allergic bronchitis, as well as perform a physical exam, usually ask questions to determine how long symptoms have been occurring. The physician may use a chest X-ray to rule out some other causes of breathing problems, such as pneumonia. They may also request blood tests to help determine if an infection is present. The patient may also receive a pulmonary function test. This involves the individual blowing into a special device called a spirometer. The device measures how much air a person can exhale, and how quickly. The test helps doctors to identify the presence of lung diseases, such as asthma and chronic bronchitis. Treatment Treatments for allergic and asthmatic bronchitis are often similar and may include the following: Bronchodilators Bronchodilators are medications that relax the muscles around the airways. As the muscles relax, the airways dilate or widen, often making breathing easier. People take bronchodilators through a metered dose inhaler. Both short-acting and long-acting bronchodilators are available. Short-acting bronchodilators act quickly to decrease symptoms, but the effects do not last. Long-acting bronchodilators do not reduce symptoms as quickly but control symptoms for a longer period. Steroids Steroids may also be used to treat allergic bronchitis. Steroids decrease inflammation in the bronchi. This action reduces coughing and may help air-flow in the lungs. Although steroids can be an intravenous or oral medication, a physician will often administer them through an inhaler in cases of bronchitis. This allows for quicker and more effective delivery of the drugs to the area that requires treatment. Mucolytics A mucolytic drug is a medication that makes the mucus thinner and less sticky. This making it easier to expel mucus from the lungs by coughing. People can take mucolytics either orally or through a nebulizer. A nebulizer is a device that changes a liquid medication into an aerosol. A person can then inhale this aerosol. Oxygen therapy In some instances, allergic bronchitis can interfere with the efficiency of oxygen flow into and out of the lungs. People with severe allergic bronchitis may have decreased levels of oxygen in the blood. If oxygen levels are low, a doctor may prescribe oxygen therapy. This can help restore oxygen levels to normal. Pulmonary rehabilitation classes People with chronic allergic bronchitis may benefit from pulmonary rehabilitation classes. Pulmonary rehabilitation classes involve supervised exercise, along with education on how to breathe better and manage allergic bronchitis. These classes show people how to decrease exposure to allergens that may trigger symptoms. Acute non-allergic bronchitis often does not require treatment. Doctors treat asthmatic bronchitis in a similar way to allergic bronchitis, with bronchodilators, steroids, and oxygen as needed. However, acute non-allergic bronchitis may also be treated with antibiotics if caused by a bacterial infection, though this is uncommon. In some cases, a doctor may also prescribe leukotriene modifiers to treat asthmatic bronchitis. These work by interfering with the chemical reactions that cause the symptoms of asthmatic bronchitis. Home remedies humidifier A humidifier can moisten the air and loosen mucus. Many of the treatments for allergic bronchitis require a prescription. However, there are also steps a person can take at home to reduce the effects of bronchitis. Although home remedies will not cure the underlying cause of allergic bronchitis, they may help to reduce symptoms. These steps including: Using a humidifier: A humidifier will moisten the air. This can loosen mucus and make it easier to expel. It may also decrease wheezing. People with asthma should check with their doctor before using a humidifier. Drinking plenty of fluids: Drinking enough water may help keep mucus thin. Gargling with salt water: The coughing from allergic bronchitis can lead to a sore throat. Gargling with salt water might ease discomfort. Taking a cough drop: A cough drop may keep the throat moist and can provide relief from coughing. Click here to choose online from an excellent range of humidifiers with thousands of customer reviews. Prevention Preventing allergic bronchitis usually involves avoiding irritants, such as chemical fumes, dust, and air pollution. Prevention of asthmatic bronchitis includes both avoiding triggers and managing your underlying asthma according to the plan developed with your doctor. Cigarette smoke is one of the leading causes of allergic bronchitis, so quitting smoking, or not starting at all, is one of the best ways to prevent the condition. If outdoor allergens, including pollen or mold, tend to cause allergic bronchitis, wear a mask when carrying out yard work. This might also prevent symptoms. BEST HOMEOPATHIC MEDICINES FOR ALLERGY Arsenic alb - There is thin watery discharge from the nose with burning sensation, recurrent sneezing one after another with runny nose. Burning and tearing of eyes . There is puffiness around eyes, stuffy nose. The person has an asthmatic tendency with breathing difficulties, and oppression of chest which is generally worse when he lies down. On sitting with a forward bending posture makes the patient little comfort from his asthmatic problem. There is marked wheezing sound during asthmatic affection. The asthma is worse in wet cold weather. Besides that the constitutional symptoms of arsenic alb are anxiety, restlessness, prostration, burning sensation. The anxiety that is found in Arsenic alb is intermingled with fear. The other prominent symptoms are debility, exhaustion, restlessness, with nightly aggravation. Great exhaustion after a slightest exertion. Sulphur – There is itching with redness of eyes in allergic condition. The itching is followed by burning sensation and relieved by cold application. sulphur patient is always irritable, depressed, thin and weak, but good vappetite. He is having forgetful nature, difficulties in thinking. He has many good ideas but cannot implement it. Selfish type person, no regards for others. very lazy person, not cleanness, never look after about his dressing and clothing. Don’t like to take bath. Having of skin diseases always. The skin rashes itch a lot generally in night and warm atmosphere. The person has a feeling congestion or oppression of chest in asthmatic condition.– Natrum mur – Natrum mur is generally well indicated in case of allergic condition which gives the symptoms of more itching of nose, throat, ear with recurrent sneezing one after another. The characteristic discharge from the mucous membranes is watery or thick whitish, like the white of an egg.Natrum mur patient is very sensitive in nature. Every thing he/she takes into the heart. The person is irritable in nature and when in upset does not like any body’s present or giving of any consolation.Consolation aggravated the state of the mind - the melancholy, the tearfulness, sometimes brings on anger. The Natrum mur patient is extremely emotional. The whole nervous economy is in a state of fret (visible anxious like scratching finger on her skin in worry). Completely or desperately in love brings on complaints. The natrum mur patient desire to take extra salt in his diet. Sabadilla- it has good action on mucous membrane of the nose and the lachrymal glands, producing coryza and symptoms like hay-fever. There isspasmodic sneezing one after another. symptoms of hay-fever or allergic rhinitis with itchy nose and fluent coryza. Either nostril stuffed up, inspiration through nose labored, snoring. Violent sneezing is occurred from time to time, shaking abdomen followed by lachrymation. There is runny nose with severe frontal headache and redness of eyelids. Allium Cepa Allium Cepa is one of the most commonly used Homeopathic medicines for Allergic Rhinitis or Hay Fever. It is generally used in the symptoms of severe runny nose that drips from the tip of nose with watery eyes. There is burning of nose due to over secretion mucous. Along with the watery nasal discharge there is watery eye. There is profuse sneezing associated with runny nose and watery eyes. Tuberculinum- The patient is very susceptible to catch cold. The physical constitution is lean and thin like natrum mur, but not obese like calcarea carb. If there is family history of tuberculosis or bronchial asthma then is more suitable to give this medicines in any allergic or asthma condition. The person is very depressed, melancholic, taciturn sulky nature.
Dr. Rajesh Gupta22 Likes30 Answers - Login to View the image
Friends today I am discussing about a common problem known as Allergies. Which can be of any type and severity. An allergy is an immune system response to a foreign substance that’s not typically harmful to your body. These foreign substances are called allergens. They can include certain foods, pollen, or pet dander. Your immune system’s job is to keep you healthy by fighting harmful pathogens. It does this by attacking anything it thinks could put your body in danger. Depending on the allergen, this response may involve inflammation, sneezing, or a host of other symptoms. Your immune system normally adjusts to your environment. For example, when your body encounters something like pet dander, it should realize it’s harmless. In people with dander allergies, the immune system perceives it as an outside invader threatening the body and attacks it. Allergies are common. Several treatments can help you avoid your symptoms. Symptoms of allergies The symptoms you experience because of allergies are the result of several factors. These include the type of allergy you have and how severe the allergy is. If you take any medication before an anticipated allergic response, you may still experience some of these symptoms, but they may be reduced. For food allergies Food allergies can trigger swelling, hives, nausea, fatigue, and more. It may take a while for a person to realize that they have a food allergy. If you have a serious reaction after a meal and you’re not sure why, see a medical professional immediately. They can find the exact cause of your reaction or refer you to a specialist. For seasonal allergies Hay fever symptoms can mimic those of a cold. They include congestion, runny nose, and swollen eyes. Most of the time, you can manage these symptoms at home using over-the-counter treatments. See your doctor if your symptoms become unmanageable. For severe allergies Severe allergies can cause anaphylaxis. This is a life-threatening emergency that can lead to breathing difficulties, lightheadedness, and loss of consciousness. If you’re experiencing these symptoms after coming in contact with a possible allergen, seek medical help immediately. Everyone’s signs and symptoms of an allergic reaction are different. Read more about allergy symptoms and what might cause them. Allergies on skin Skin allergies may be a sign or symptom of an allergy. They may also be the direct result of exposure to an allergen. For example, eating a food you’re allergic to can cause several symptoms. You may experience tingling in your mouth and throat. You may also develop a rash. Contact dermatitis, however, is the result of your skin coming into direct contact with an allergen. This could happen if you touch something you’re allergic to, such as a cleaning product or plant. Types of skin allergies include: Rashes. Areas of skin are irritated, red, or swollen, and can be painful or itchy. Eczema. Patches of skin become inflamed and can itch and bleed. Contact dermatitis. Red, itchy patches of skin develop almost immediately after contact with an allergen. Sore throat. Pharynx or throat is irritated or inflamed. Hives. Red, itchy, and raised welts of various sizes and shapes develop on the surface of the skin. Swollen eyes. Eyes may be watery or itchy and look “puffy.” Itching. There’s irritation or inflammation in the skin. Burning. Skin inflammation leads to discomfort and stinging sensations on the skin. Rashes are one of the most common symptoms of a skin allergy. Find out how to identify rashes and how to treat them. Causes of allergies Researchers aren’t exactly sure why the immune system causes an allergic reaction when a normally harmless foreign substance enters the body. Allergies have a genetic component. This means parents can pass them down to their children. However, only a general susceptibility to allergic reaction is genetic. Specific allergies aren’t passed down. For instance, if your mother is allergic to shellfish, it doesn’t necessarily mean that you’ll be, too. Common types of allergens include: Animal products. These include pet dander, dust mite waste, and cockroaches. Drugs. Penicillin and sulfa drugs are common triggers. Foods. Wheat, nuts, milk, shellfish, and egg allergies are common. Insect stings. These include bees, wasps, and mosquitoes. Mold. Airborne spores from mold can trigger a reaction. Plants. Pollens from grass, weeds, and trees, as well as resin from plants such as poison ivy and poison oak, are very common plant allergens. Other allergens. Latex, often found in latex gloves and condoms, and metals like nickel are also common allergens. Seasonal allergies, also known as hay fever, are some of the most common allergies. These are caused by pollen released by plants. They cause: itchy eyes watery eyes runny nose coughing Food allergies are becoming more common. Find out about the most common types of food allergies and the symptoms they cause. Allergy treatments The best way to avoid allergies is to stay away from whatever triggers the reaction. If that’s not possible, there are treatment options available. Medication Allergy treatment often includes medications like antihistamines to control symptoms. The medication can be over the counter or prescription. What your doctor recommends depends on the severity of your allergies. Allergy medications include: antihistamines like diphenhydramine (Benadryl) corticosteroids cetirizine (Zyrtec) loratadine (Claritin) cromolyn sodium (Gastrocrom) decongestants (Afrin, Suphedrine PE, Sudafed) leukotriene modifiers (Singular, Zyflo) Immunotherapy Many people opt for immunotherapy. This involves several injections over the course of a few years to help the body get used to your allergy. Successful immunotherapy can prevent allergy symptoms from returning. Emergency epinephrine If you have a severe, life-threatening allergy, carry an emergency epinephrine shot. The shot counters allergic reactions until medical help arrives. Common brands of this treatment include EpiPen and Twinject. Some allergic responses are a medical emergency. Prepare for these emergency situations by knowing allergic reaction first aid. Natural remedies for allergies Many natural remedies and supplements are marketed as a treatment and even a way to prevent allergies. Discuss these with your doctor before trying them. Some natural treatments may actually contain other allergens and make your symptoms worse. For example, some dried teas use flowers and plants that are closely related to plants that might be causing you serious sneezing. The same is true for essential oils. Some people use these oils to relieve common symptoms of allergies, but essential oils still contain ingredients that can cause allergies. Each type of allergy has a host of natural remedies that may help speed up recovery. There are also natural options for children’s allergies, too. How allergies are diagnosed Your doctor can diagnose allergies in several ways. First, your doctor will ask about your symptoms and perform a physical exam. They’ll ask about anything unusual you may have eaten recently and any substances you may have come in contact with. For example, if you have a rash on your hands, your doctor may ask if you put on latex gloves recently. Lastly, a blood test and skin test can confirm or diagnose allergens your doctor suspects you have. Allergy blood test Your doctor may order a blood test. Your blood will be tested for the presence of allergy-causing antibodies called immunoglobulin E (IgE). These are cells that react to allergens. Your doctor will use a blood test to confirm a diagnosis if they’re worried about the potential for a severe allergic reaction. Skin test Your doctor may also refer you to an allergist for testing and treatment. A skin test is a common type of allergy test carried out by an allergist. During this test, your skin is pricked or scratched with small needles containing potential allergens. Your skin’s reaction is documented. If you’re allergic to a particular substance, your skin will become red and inflamed. Different tests may be needed to diagnose all your potential allergies. Start here to get a better understanding of how allergy testing works. Preventing symptoms There’s no way to prevent allergies. But there are ways to prevent the symptoms from occurring. The best way to prevent allergy symptoms is to avoid the allergens that trigger them. Avoidance is the most effective way to prevent food allergy symptoms. An elimination diet can help you determine the cause of your allergies so you know how to avoid them. To help you avoid food allergens, thoroughly read food labels and ask questions while dining out. Preventing seasonal, contact, and other allergies comes down to knowing where the allergens are located and how to avoid them. If you’re allergic to dust, for example, you can help reduce symptoms by installing proper air filters in your home, getting your air ducts professionally cleaned, and dusting your home regularly. Proper allergy testing can help you pinpoint your exact triggers, which makes them easier to avoid. These other tips can also help you avoid dangerous allergic reactions. Complications of allergies While you may think of allergies as those pesky sniffles and sneezes that come around every new season, some of these allergic reactions can actually be life-threatening. Anaphylaxis, for example, is a serious reaction to the exposure of allergens. Most people associate anaphylaxis with food, but any allergen can cause the telltale signs: suddenly narrowed airways increased heart rate possible swelling of the tongue and mouth Allergy symptoms can create many complications. Your doctor can help determine the cause of your symptoms as well as the difference between a sensitivity and a full-blown allergy. Your doctor can also teach you how to manage your allergy symptoms so that you can avoid the worst complications. Asthma and allergies Asthma is a common respiratory condition. It makes breathing more difficult and can narrow the air passageways in your lungs. Asthma is closely related to allergies. Indeed, allergies can make existing asthma worse. It can also trigger asthma in a person who’s never had the condition. When these conditions occur together, it’s a condition called allergy-induced asthma, or allergic asthma. Many people with allergies may develop asthma. Here’s how to recognize if it happens to you. Allergies vs. cold Runny nose, sneezing, and coughing are common symptoms of allergies. They also happen to be common symptoms of a cold and a sinus infection. Indeed, deciphering between the sometimes-generic symptoms can be difficult. However, additional signs and symptoms of the conditions may help you distinguish between the three. For example, allergies can cause rashes on your skin and itchy eyes. The common cold can lead to body aches, even fever. A sinus infection typically produces thick, yellow discharge from your nose. Allergies can impact your immune system for prolonged periods of time. When the immune system is compromised, it makes you more likely to pick up viruses you come into contact with. This includes the virus that causes the common cold. In turn, having allergies actually increases your risk for having more colds. Identify the differences between the two common conditions with this helpful chart. Allergy cough Hay fever can produce symptoms that include sneezing, coughing, and a persistent, stubborn cough. It’s the result of your body’s overreaction to allergens. It isn’t contagious, but it can be miserable. Unlike a chronic cough, a cough caused by allergies and hay fever is temporary. You may only experience the symptoms of this seasonal allergy during specific times of the year, when plants are first blooming. Additionally, seasonal allergies can trigger asthma, and asthma can cause coughing. When a person with common seasonal allergies is exposed to an allergen, tightening airways can lead to a cough. Shortness of breath and chest tightening may also occur. Find out why hay fever coughs are typically worse at night and what you can do to ease them. Allergies and bronchitis Viruses or bacteria can cause bronchitis, or it can be the result of allergies. The first type, acute bronchitis, typically ends after several days or weeks. Chronic bronchitis, however, can linger for months, possibly longer. It may also return frequently. Exposure to common allergens is the most common cause of chronic bronchitis. These allergens include: cigarette smoke air pollution dust pollen chemical fumes Unlike seasonal allergies, many of these allergens linger in environments like houses or offices. That can make chronic bronchitis more persistent and more likely to return. A cough is the only common symptom between chronic and acute bronchitis. Learn the other symptoms of bronchitis so you can understand more clearly what you may have. Allergies and babies Skin allergies are more common in younger children today than they were just a few decades ago. However, skin allergies decrease as children grow older. Respiratory and food allergies become more common as children get older. Common skin allergies on babies include: Eczema. This is an inflammatory skin condition that causes red rashes that itch. These rashes may develop slowly but be persistent. Allergic contact dermatitis. This type of skin allergy appears quickly, often immediately after your baby comes into contact with the irritant. More serious contact dermatitis can develop into painful blisters and cause skin cracking. Hives. Hives are red bumps or raised areas of skin that develop after exposure to an allergen. They don’t become scaly and crack, but itching the hives may make the skin bleed. Unusual rashes or hives on your baby’s body may alarm you. Understanding the difference in the type of skin allergies babies commonly experience can help you find a better treatment. Living with allergies Allergies are common and don’t have life-threatening consequences for most people. People who are at risk of anaphylaxis can learn how to manage their allergies and what to do in an emergency situation. Most allergies are manageable with avoidance, medications, and lifestyle changes. Working with your doctor or allergist can help reduce any major complications and make life more enjoyable. Here are common homeopathic remedies for allergies. Find the one that describes your dominant symptoms, and take a low-potency dosage (between 6x and 30c) two to three times a day for two weeks. If you notice that you’re feeling better, continue taking it through the allergy season or until you are symptom-free. If not, work with a qualified homeopath to find the right remedy. Allium cepa Try this remedy when nasal mucus irritates your nose or upper lip; your eyes are runny but the discharge is bland and non-irritating; you feel worse from warm rooms, and better in open air. Arsenicum album Symptoms for this remedy include stuffiness and copious watery nasal discharge that burns the lips; a burning sensation in the eyes, nose, and/or throat (often right-sided); sneezing upon waking, often with a tickle in the nose; anxiety and restlessness; symptoms are better from warmth (hot drinks, warm baths). Euphrasia officinalis Symptoms for this remedy are centered in the eyes: profuse tearing that is acrid and burning in nature; bland, non-irritating nasal discharge. Respiratory symptoms (runny nose, cough) are worse on rising in the morning; symptoms are better in open air and in the dark. Natrum muriaticum Try this remedy when you have a watery or egg-white-like nasal discharge; paroxysms of sneezing; chapped lips and cracks at the corners of the mouth; dark circles under the eyes; headaches. Sabadilla Symptoms for this remedy include an itchy nose; violent, debilitating sneezing; runny eyes that become worse in cold outdoor air and from flower pollen; symptoms are better from warm drinks and warm rooms. Wyethia Try this remedy when you experience extreme itching in the throat and palate that can extend to the ears; or a sore throat with hoarseness. And other can be on the basis of totality of symptoms.
Dr. Rajesh Gupta9 Likes19 Answers - Login to View the image
Covid19 pneumonia 40 years old male patient (bank employee) with a history of coughing for 2 weeks, becomes febrile 2 days before presentation, the fever is responsive to acetaminophen, then chills and myalgia becomes apparent and he develops dyspnea on exertion. when he presented with ill-looking, fever and chills were significant, his vitals were PR 100, RR 20, peripheral O2 sat 85%, BP 140/90, sublingual Temp 39.5. He had DOE and on chest exam, he had coarse crackles all over both lungs. we immediately admitted this patient giving him nasal oxygenation by cannula, IV fluids, paracetamol IV administration , ABG was done pCO2 42, HCO3 22, pH 7.38, paO2 83. we requested a chest CT scan and yup , multiple patchy ground glass opacities infiltrating the peripherals, thus the patient was isolated immediately, multiple nasal swab specimens were sent for rtPCR. CBC was done . mild leukocytosis with no lymphopenia, no thrombocytopenia ... procalcitonin undetectable.. crp 2+ ... renal, hepatic and cardiac markers were all within normal ranges . the patient was then marked as covid19 pneumonia after the second rtPCR test.( first one negative) hydroxychloroquine 400 mg bid then 200 mg bid and azithromycin 500 mg stat and 250 mg daily were continued for 10 days ... no ECG abnormality was noted. the patient remained in a plateau phase, fever disappeared after 5 days, nasal oxygenation discontinued, only some mild dyspnea and mild cough were noted before discharge ( after 10 days) ... He was lucky, as i have seen people with this presentation undergoing intubation and have a poor outcome.
Dr. Harshita Jain53 Likes41 Answers - Login to View the image
29yr old female, 5 month pregnant, Doctor has advise to take gudcef CV 200 bd, sos dolo 650, fever since last 3 days up and down ,every 6 hrs fever upto 101.9fer., also given codeine orally and ceftriaxone 1gm iv 3 doses, pt got relief after these therapy for 1 day but from last night severe coughing not even getting sleep, every 10mins sudden restlessness cough no any other previous history, please treatment and management???...can we give any nebulizer or any other treatment? early 2 days platelet decrease but then increases as shown in below report
Dr. Vijay P3 Likes13 Answers - Login to View the image
8 yrs asthmatic male child c/o right sided chest pain cough and dyspnea since last 3 days fever since 2days. spo2 95%, HR 124/min,f ebrile, bil wheezing and occ crepts heard. his work up done considering his clinical status. plz comment on rcase and further management.
Dr. Sandeep Ghodekar4 Likes12 Answers
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