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General Medicine

General Medicine Online Doctors Consultation — page 734

7339 questions

Experience the Precision of Evidence-Based Medicine in Managing General Health Concerns Through Our Online Consultations Discover reliable, science-backed solutions for a variety of general health concerns with our online consultations. Our platform connects you with experienced medical professionals specializing in evidence-based treatments to address common illnesses and maintain overall health. We handle conditions such as fever, fatigue, headaches, joint pain, digestive discomfort, minor infections, body aches, and general wellness concerns. Through confidential and accessible consultations, our doctors provide personalized recommendations and treatment plans based on the latest clinical research. Early intervention can prevent complications, improve recovery times, and enhance your quality of life. Whether you’re experiencing mild symptoms or need guidance on preventive healthcare, our team is ready to provide expert support and solutions tailored to your needs. Our evidence-based approach ensures accurate diagnoses and effective treatments, with both free and paid consultation options available. Without requiring site registration, our licensed practitioners deliver professional and anonymous advice, all from the comfort of your home. Take control of your health today—consult an evidence-based medicine specialist online!

Questions about General Medicine

Asphyxiation and how it affects oxygen levels in the body

28 days ago
1 answers

I recently read about asphyxiation and how it can be dangerous, but I don’t fully understand what happens in the body when someone is deprived of oxygen. From what I gathered, asphyxiation occurs when there is an inability to get enough oxygen to the brain and vital organs, but what are the most common causes? I know choking on food or inhaling toxic gases can lead to asphyxiation, but can it also happen due to medical conditions like asthma or sleep apnea? I also read that asphyxiation can cause unconsciousness within minutes—how long does it take before brain damage occurs, and is there any way to reverse the effects if oxygen is restored quickly? I also wonder how first responders determine if someone is suffering from asphyxiation and what treatments they use to revive them. Can CPR or oxygen therapy help, or does the cause of asphyxiation determine the best treatment approach? If someone survives an episode of asphyxiation, are there long-term health risks, such as brain damage or lung issues? Lastly, are there any warning signs that asphyxiation is happening slowly, such as in cases of carbon monoxide poisoning, where symptoms might not be immediately obvious?


Dr. Evgeny Arsentev
27 days ago
Asphyxiation is indeed a serious condition that occurs when there is a lack of oxygen supply to the body, particularly affecting the brain and vital organs. The body’s tissues start to suffer once oxygen levels fall, leading to cell death if the deprivation continues. The most common causes of asphyxiation include: 1. Choking: Obstruction of the airway by food or objects. 2. Suffocation: Inability to breathe due to environmental factors, such as being trapped or covered. 3. Toxic Gases: Inhalation of harmful gases like carbon monoxide, which displaces oxygen in the blood. 4. Medical Conditions: Conditions like asthma, severe allergic reactions (anaphylaxis), chronic obstructive pulmonary disease (COPD), and sleep apnea can lead to episodes of asphyxia by obstructing or compromising the airway. When it comes to the timeline of oxygen deprivation, brain cells begin to suffer irreversible damage after around 4 to 6 minutes without oxygen. However, this can vary based on individual circumstances, and quicker restoration of oxygen can mitigate the impact. If oxygen is restored promptly, especially within a few minutes, there is a possibility of reducing or reversing some effects, but the extent of recovery often depends on the duration and severity of the deprivation. First responders evaluate asphyxiation by assessing the patient’s airway, breathing, and circulation and looking for signs such as cyanosis (bluish skin), unresponsiveness, and inability to speak or breathe. Treatment typically involves: - Assisting Airway Breathing: Techniques like the Heimlich maneuver for choking or removing any obstruction. - Cardiopulmonary Resuscitation (CPR): If the person is unresponsive and not breathing, CPR is crucial for circulatory support until emergency help arrives. - Oxygen Therapy: This can help restore oxygen levels, particularly in cases of toxic gas inhalation or respiratory issues. The management approach might vary based on the cause of asphyxiation. For example, specific antidotes might be used for carbon monoxide poisoning, along with oxygen therapy. Regarding long-term risks, survivors of asphyxiation may experience: - Brain Damage: Depending on the duration of oxygen deprivation, cognitive and motor skills may be impaired. - Respiratory Issues: Conditions like chronic bronchitis, asthma exacerbation, or long-term lung damage can result, particularly in individuals with pre-existing conditions. Warning signs of slow asphyxiation, such as those seen in carbon monoxide poisoning, can include: - Headache - Dizziness or lightheadedness - Nausea or vomiting - Confusion or impaired judgment If you suspect someone is experiencing any of these slow-developing symptoms, especially in an enclosed space or where carbon monoxide generation may occur, it’s critical to ensure fresh air is accessed and seek immediate medical assistance. If you have specific concerns about your health or those around you, I recommend consulting a healthcare professional for personalized advice and assessment.
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Influenza A – Why Do I Have a Fever, Body Aches, and Extreme Fatigue?

45 days ago
1 answers

For the past three days, I’ve had a high fever, chills, severe body aches, and fatigue. I thought it was just a cold, but my symptoms feel much worse. I went to the doctor, and they said I might have Influenza A. What’s the difference between Influenza A and Influenza B, and why does one strain seem to cause more severe symptoms? How long does Influenza A last, and is there any specific treatment besides rest and fluids? Should I be taking antiviral medications like Tamiflu, or do they only work in the early stages? I also have asthma, and I’m worried about developing complications like pneumonia. What are the signs that my flu is turning into something more serious? Also, how can I prevent getting Influenza A in the future—is the flu vaccine effective, or are there other ways to boost immunity?


Dr. Evgeny Arsentev
43 days ago
Influenza A and B are both strains of the flu virus, but Influenza A is typically more severe. This is because it can lead to more widespread outbreaks and has a greater ability to mutate, making it harder for the body to fight off. The symptoms you're experiencing, such as high fever, body aches, and extreme fatigue, are common with Influenza A. Influenza A generally lasts 5-7 days, but symptoms like fatigue can persist longer. Rest, fluids, and over-the-counter medications to reduce fever and body aches are typically the best approach. Antiviral medications like Tamiflu can be helpful if started early in the course of the illness (within 48 hours), but they are not necessary for everyone. Your doctor will decide if they are right for you, especially given your asthma. Since you have asthma, it's important to monitor for signs that the flu may be developing into something more serious, like pneumonia. Symptoms to watch for include increased shortness of breath, chest pain, confusion, or a high fever that doesn't improve. If any of these occur, seek medical help immediately. The flu vaccine is effective in reducing the risk of getting the flu and can also lessen the severity of symptoms if you do get sick. In addition to the vaccine, washing your hands regularly, avoiding close contact with sick individuals, and maintaining a healthy lifestyle can help boost your immunity.
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What are the symptoms and treatments for goiter disease?

80 days ago
1 answers

I recently noticed swelling in my neck, and my doctor mentioned it could be related to goiter disease. What exactly is goiter disease, and how is it connected to thyroid function? What are the common symptoms of goiter disease, like difficulty swallowing or a visible lump in the neck? Are there specific causes of goiter disease, such as iodine deficiency or thyroid disorders like hypothyroidism and hyperthyroidism? What are the best treatment options for goiter disease, and do all cases require surgery, or can it be managed with medications or lifestyle changes? If you’ve experienced goiter disease, I’d love to hear how it was diagnosed and treated.


Dr. Evgeny Arsentev
75 days ago
A goiter refers to an enlarged thyroid gland, which is located in the front of your neck. The thyroid is responsible for producing hormones that regulate many body functions, including metabolism. A goiter can form when the thyroid gland is underactive (hypothyroidism), overactive (hyperthyroidism), or when there's a lack of iodine in your diet. It can also be caused by autoimmune diseases like Hashimoto's thyroiditis or Graves' disease. Common symptoms of goiter include a visible lump or swelling in the neck, difficulty swallowing or breathing, and sometimes discomfort or tightness in the throat. Depending on the size of the goiter, symptoms may range from mild to more noticeable. Treatment for goiter depends on the underlying cause. If it’s caused by iodine deficiency, increasing iodine in your diet or through supplements may help. For thyroid disorders, medications can be prescribed to balance thyroid hormone levels. In cases where the goiter is large, causing significant discomfort or difficulty breathing, or if there are signs of cancer, surgery may be necessary. I recommend discussing with your doctor whether blood tests to check thyroid hormone levels or an ultrasound of the neck would be appropriate. Most cases of goiter can be managed with medication and lifestyle changes, but it's important to follow your doctor's advice for the best outcome.
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What is hypothermia, and how does it affect the body?

49 days ago
1 answers

I recently read about hypothermia, and I was surprised to learn how dangerous it can be. I want to understand its causes, symptoms, and treatments. What exactly is hypothermia, and how does it happen when body temperature drops below normal levels? What are the most common causes—does it only occur in cold weather, or can it happen due to immersion in cold water or medical conditions? What are the early symptoms of hypothermia—does it always start with shivering, confusion, and fatigue, or can it develop suddenly? How is hypothermia diagnosed, and what are the best first-aid treatments—should warming methods like blankets, warm fluids, or body heat be used? Also, what are the long-term effects of severe hypothermia, and how can it be prevented in cold environments?


Dr. Evgeny Arsentev
48 days ago
Hypothermia occurs when the body’s core temperature drops below 95°F (35°C), which can happen when exposed to cold weather, immersion in cold water, or even due to certain medical conditions that affect body temperature regulation. When the body loses heat faster than it can produce it, the body’s systems begin to shut down, and this can be life-threatening. Common causes of hypothermia include prolonged exposure to cold temperatures, getting wet in cold conditions, or being unable to move or get warm. It can happen not only in cold weather but also in water, as water conducts heat away from the body much faster than air. Early symptoms often include shivering, confusion, slurred speech, and fatigue. However, in severe cases, it can develop rapidly, without warning, and may not involve noticeable shivering. Hypothermia is diagnosed by measuring body temperature, and first-aid treatments focus on gradually warming the body. This can include using warm blankets, applying warm (not hot) fluids, and using body heat by skin-to-skin contact. It’s important to avoid warming the body too quickly, as it can cause complications like shock.
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Permethrin Cream Uses

40 days ago
1 answers

I was prescribed Permethrin Cream, and I want to make sure I’m using it correctly. I know it’s used for treating scabies and lice, but how exactly does it work? Does Permethrin Cream kill the parasites instantly, or does it take time?? I also read that Permethrin Cream is applied to the whole body, not just the affected areas. Why is that necessary? If scabies or lice are only in one spot, wouldn’t it be enough to just treat that area?? Another thing I’m wondering—how long should Permethrin Cream stay on the skin before washing it off? Some sources say 8 hours, while others say overnight. Does leaving it on longer make it more effective, or is that dangerous?? And what about side effects? I have sensitive skin, so I’m worried about irritation or burning. Are there any ways to reduce skin reactions while using Permethrin Cream?? For those who’ve used Permethrin Cream, did it work the first time, or did you have to apply it more than once? And did you take any extra precautions, like washing all clothes and bedding??


Dr. Evgeny Arsentev
38 days ago
Permethrin Cream works by killing the parasites (like scabies mites or lice) through contact. It doesn’t kill them instantly, but it works by disrupting their nerve function, which eventually leads to their death. It may take up to 24-48 hours to fully kill the parasites after application. When treating scabies or lice, it’s necessary to apply Permethrin Cream to the entire body (or scalp, if treating lice) because the parasites can spread to areas that aren’t immediately visible. For scabies, the mites may be all over the body, even in areas you might not notice, so treating the whole body helps ensure that you’re targeting any hidden mites. The cream should generally stay on the skin for about 8 hours before washing it off, which is why many people apply it before bed and wash it off in the morning. Leaving it on longer than recommended doesn’t increase its effectiveness and may cause skin irritation, especially if you have sensitive skin. If you experience irritation or burning, try applying a small amount of the cream to a small patch of skin first to test for sensitivity. If you continue to experience irritation, consult your doctor for advice on how to manage this.
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Liver function

41 days ago
1 answers

I recently had a liver function test, and it made me curious about how important the liver actually is. What exactly does the liver do, and why is it involved in so many different body processes? From what I read, the liver has over 500 functions, including filtering toxins, producing bile, regulating blood sugar, and processing medications. But how does the liver handle all of this without getting overworked? And what happens if it starts malfunctioning? I also learned that liver diseases like fatty liver, hepatitis, and cirrhosis can cause major health problems. What are the early warning signs that the liver isn’t working properly? Does someone always feel symptoms like fatigue, jaundice, or nausea, or can liver disease go unnoticed until it’s serious? Another thing I wonder is whether liver function can be improved naturally. Do things like drinking water, eating a healthy diet, or taking supplements like milk thistle actually help, or is that just a myth? For those who have had liver problems, what was the first symptom you noticed, and what treatments worked best?


Dr. Evgeny Arsentev
40 days ago
The liver plays a crucial role in maintaining overall health. It helps filter toxins, produces bile to aid digestion, regulates blood sugar, and processes medications. Despite handling all these tasks, the liver is quite resilient and can perform its functions efficiently, as long as it’s not overwhelmed by diseases or excessive alcohol use. Liver problems like fatty liver, hepatitis, or cirrhosis can develop gradually and may not show obvious symptoms until the liver is severely damaged. Early warning signs can include fatigue, jaundice (yellowing of the skin or eyes), and unexplained nausea, but many people don’t experience noticeable symptoms until the disease progresses. As for improving liver function, adopting a healthy lifestyle is key. Drinking water, eating a balanced diet, and avoiding excessive alcohol are essential. While some supplements like milk thistle are promoted for liver health, the evidence on their effectiveness is limited. It’s best to focus on overall health habits, such as eating nutrient-dense foods and staying active.
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What is the difference between sympathetic and parasympathetic nervous systems?

67 days ago
1 answers

I recently heard about the autonomic nervous system, but I don’t fully understand how the sympathetic and parasympathetic nervous systems function differently. What exactly is the sympathetic nervous system, and how does it prepare the body for action? Is it responsible for the fight-or-flight response, increasing heart rate, blood pressure, and energy levels? How does it affect digestion, breathing, and blood flow? How does the parasympathetic nervous system work? Why is it called the rest-and-digest system, and how does it slow down body functions after stress? How do activities like deep breathing, meditation, and eating activate the parasympathetic system? What happens if there is an imbalance between these two systems? Can chronic stress, anxiety, or nervous system disorders cause overactivity of the sympathetic system, leading to high blood pressure, digestive issues, and sleep disturbances? What are the best ways to improve balance between the two, such as exercise, relaxation techniques, or lifestyle changes?


Dr. Evgeny Arsentev
66 days ago
The sympathetic nervous system is often referred to as the "fight-or-flight" system. It prepares your body for action when you're under stress. It increases heart rate, blood pressure, and energy levels, while redirecting blood flow away from digestion and towards muscles to help you respond quickly to a threat. It also speeds up your breathing to provide more oxygen and can reduce digestive function, leading to slower digestion during times of stress. In contrast, the parasympathetic nervous system is known as the "rest-and-digest" system. It works to calm the body down after the stress response, slowing down heart rate and breathing, while promoting digestion and other recovery functions. Activities like deep breathing, meditation, and eating activate the parasympathetic system, helping the body relax and recover from stress. An imbalance between the two systems can cause issues. Chronic stress or anxiety can cause prolonged activation of the sympathetic nervous system, leading to problems like high blood pressure, digestive disturbances, and sleep issues. To restore balance, it’s important to focus on relaxation techniques, like regular exercise, mindfulness, and proper sleep habits. These practices help activate the parasympathetic system and reduce the harmful effects of prolonged stress.
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What is Fourderm cream used for, and how effective is it?

55 days ago
1 answers

I recently bought Fourderm cream for a skin issue, but I realized I don’t fully understand what it treats. The packaging says it contains multiple active ingredients, but I’m not sure how they work together. What exactly is Fourderm cream used for? Does it only treat fungal infections, or can it help with bacterial skin conditions as well? Also, what makes it different from other antifungal or antibacterial creams? How effective is Fourderm cream, and how long should it be used? Should it be applied for a specific duration even after symptoms improve? Also, are there any side effects, like skin irritation or sensitivity, that I should be aware of?


Dr. Evgeny Arsentev
54 days ago
Fourderm cream is typically used for treating various skin conditions, including fungal infections, bacterial infections, and inflammatory skin issues. It contains a combination of an antifungal (like clotrimazole), an antibiotic (like gentamicin), and a corticosteroid (like betamethasone), which work together to reduce inflammation, fight infections, and promote healing. This combination allows it to treat both fungal and bacterial infections, which makes it more versatile than single-ingredient treatments. The effectiveness of Fourderm depends on the specific condition you're treating, but it generally works well for conditions like fungal rashes, eczema, or dermatitis. It's important to follow the recommended duration of use, which is typically a few weeks, even after symptoms improve. This ensures the infection is fully treated and reduces the risk of it returning. As for side effects, some people may experience skin irritation or sensitivity. If this happens, it's important to stop using the cream and consult your doctor for advice. If you have concerns about how it’s working for you, or if you notice any side effects, I recommend speaking with your healthcare provider for more tailored guidance.
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What are the key differences between vaginal delivery and C-section, and how do they affect recovery?

52 days ago
1 answers

I’m expecting my first baby, and I’m trying to understand the differences between vaginal delivery and a C-section. What are the key differences between vaginal delivery and C-section? How does the recovery process compare—does one method cause more pain or require a longer healing period? What are the risks and benefits of each delivery type? Can a woman choose to have a C-section even if there are no medical complications, or is it usually only recommended in high-risk pregnancies? Also, how do these methods affect future pregnancies?


Dr. Evgeny Arsentev
52 days ago
Vaginal delivery and C-sections are both common methods of childbirth, but they differ significantly in terms of the process and recovery. Vaginal delivery is the natural method, where the baby is born through the birth canal. It typically allows for a quicker recovery, with most women feeling better within a few days to weeks. The pain during recovery is generally from perineal tearing or episiotomy, but this can often be managed with pain relievers. A C-section, or cesarean section, is a surgical procedure where the baby is delivered through an incision in the abdomen and uterus. The recovery process for a C-section is usually longer and can involve more pain due to the abdominal incision. Women may need several weeks to fully recover, and there is an increased risk of infection and longer hospital stays. The decision to have a C-section is usually based on medical factors like the baby's position, maternal health, or complications during labor. However, some women may opt for a C-section even without medical reasons, though this should be discussed thoroughly with your doctor, as it carries its own risks, such as a longer recovery time and potential complications in future pregnancies.
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