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Infectious Diseases

Infectious Diseases Online Doctors Consultation — page 11

124 questions

Experience the Precision of Evidence-Based Medicine in Managing Infectious Diseases Through Our Online Consultations Discover science-backed solutions for a wide range of infectious diseases with our online consultations. Our platform connects you with experienced medical professionals specializing in evidence-based treatments for bacterial, viral, fungal, and parasitic infections, ensuring timely and accurate guidance. We address conditions such as influenza, COVID-19, tuberculosis, malaria, dengue fever, hepatitis, urinary tract infections (UTIs), sexually transmitted infections (STIs), fungal infections, and more. Through confidential and accessible consultations, our doctors provide personalized recommendations and treatment plans based on the latest clinical research. Early medical intervention can prevent complications, control the spread of infections, and improve recovery outcomes. Whether you’re experiencing fever, chills, persistent cough, fatigue, skin rashes, or other symptoms of infection, our team is ready to provide expert support and solutions. Our evidence-based approach ensures accurate diagnoses and effective treatments, with options for both free and paid consultations. Without requiring site registration, our licensed practitioners deliver professional and anonymous advice, all from the comfort of your home. Take control of your health and fight infections effectively—consult an evidence-based medicine specialist online today!

Questions about Infectious Diseases

Skin infection

1 day ago
100 INR (~1.18 USD)
2 answers

I have severe skin infection - ringworm I went many doctor they precribed levo Cetrazine, keto b cream, terbinafine sometimes itraconozoke not curing this problem not curing please give me correct one


Dr. Mayuri Kakoti
1 day ago
Hi Sudharsan, if both Terbinafine and Itraconazole haven’t worked, this may be a case of resistant fungal infection. Here’s what you can do: 1. Recheck with dermatologist for: • Fungal culture or KOH test to identify the exact strain • Consider Griseofulvin or Fluconazole, which may work where others failed 2. Continue topical antifungal like Luliconazole or Sertaconazole twice daily for at least 4–6 weeks. 3. Strict hygiene: • Wash clothes, bedsheets, towels in hot water daily • Avoid reusing clothes without washing • Avoid steroid creams (they worsen the infection) 4. Treat family members or close contacts if they have any signs—re-infection is very common.

COVID-19 and how it continues to affect health

25 days ago
1 answers

I’ve been hearing a lot about COVID-19, but I don’t fully understand how it’s still spreading and whether it’s as dangerous as it was before. From what I read, COVID-19 has changed over time with different variants—does that mean it’s getting weaker, or are some strains still just as severe? I also saw that people can get reinfected—does immunity from a previous infection or vaccine last long, or do antibodies fade quickly? Another thing I’m wondering about is whether symptoms are still the same—does COVID-19 still cause severe breathing issues, or is it more like a regular cold now? I also read that long COVID can affect people for months—what symptoms last the longest, and is there a treatment for it? Another thing I’m curious about is whether vaccines still work against new variants—do people need booster shots regularly, or is one vaccine enough? Also, are some people still more at risk, like those with health conditions, or has the risk become lower for everyone? I just want to understand how COVID-19 continues to impact health and whether precautions are still necessary.


Dr. Evgeny Arsentev
24 days ago
COVID-19 still poses a threat, primarily due to the emergence of various variants, which can change its transmissibility and severity. While some recent variants may lead to milder disease in the vaccinated population, others can still cause significant illness, especially among vulnerable groups. Regarding immunity, studies indicate that while antibodies from natural infection or vaccination will wane over time, the immune system retains memory, which can expedite a response to future infections. However, reinfections can occur, particularly with variants that partially evade immune responses. Current research suggests that vaccine-induced immunity can provide robust protection against severe disease, hospitalization, and death, although booster shots may enhance and prolong this protection, especially against newer variants. Symptoms of COVID-19 can vary significantly. While some individuals still experience severe respiratory issues, many infections can now resemble more typical cold or flu symptoms, such as sore throat, fatigue, or mild fever. It's important to note that severe cases still occur, especially among unvaccinated individuals and those with certain health conditions. Long COVID, which refers to ongoing symptoms following the acute phase of infection, can last for months or more. Common long COVID symptoms include fatigue, cognitive dysfunction ("brain fog"), shortness of breath, and persistent cough. Treatment options are evolving, but often include a multidisciplinary approach tailored to the individual's symptoms, such as physical rehabilitation for fatigue or cognitive therapy for brain fog. Vaccines remain effective against most variants, significantly reducing the risk of severe disease. Different health authorities recommend booster shots depending on factors such as age, health status, and the time elapsed since vaccination. It's wise to stay updated with official health guidelines regarding vaccination in your area. High-risk groups, including older adults and those with underlying health conditions (such as diabetes, heart disease, or weakened immune systems), continue to face a greater risk of severe illness, even with the evolving nature of the virus. Continued adherence to public health recommendations, including vaccinations and preventive measures such as mask-wearing in crowded or high-risk settings, is important for protecting both oneself and others. If you have further concerns or specific symptoms, consider reaching out to your healthcare provider for personalized guidance and recommendations based on the latest evidence-based data.
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Mumps virus

21 days ago
1 answers

A few days ago, I started noticing some swelling on the sides of my neck, just under my jaw. I didn’t think much of it at first, but it quickly became more noticeable, and the pain in that area got worse. My neck felt sore, and when I touched it, it was tender. I also started feeling a bit feverish, and I thought it might just be a regular cold, but the swelling didn’t go away. After doing some research, I’m starting to wonder if it could be something more serious, like the mumps virus. I know that mumps virus causes swelling of the salivary glands, which is exactly what I’ve been experiencing. I’m in my late 20s and I’ve been vaccinated against mumps as a child, but I’ve read that it’s still possible to get infected even with the vaccine. The problem is, I don’t know if my symptoms are severe enough to be considered the mumps virus, or if it’s just a mild infection. I’m not sure if I need to go to the doctor right away or wait to see if the symptoms get worse. The swelling in my neck feels uncomfortable, and I’ve had some difficulty swallowing because of the pain, but I haven’t had any issues with breathing or anything like that. I’ve also had a bit of a headache and muscle aches, but I didn’t know if those were just from the fever or if they were signs of the mumps virus spreading. I’ve read that mumps virus can cause other complications, like orchitis (inflammation of the testicles) in men, and that concerns me because I’m not sure if this could happen to me, even though I’m not feeling any pain in that area. I’m also a little worried about how long it will take to recover from mumps virus if that’s what I have. From what I’ve seen online, it can take a week or two to recover, but I’m hoping it won’t last that long. I’m really just trying to figure out if I should see a doctor immediately, or if I can manage this at home and wait it out. If it is mumps virus, what are the best ways to manage the symptoms at home? Are there any treatments that can help speed up recovery, or do I just have to let it run its course? How do I know if I’m getting the mumps, especially since I’ve already had the vaccine as a child? Lastly, should I be worried about spreading the mumps virus? I know that it’s contagious, but I’ve been trying to stay away from others to avoid that. How long should I stay home before I can return to my regular routine?


Dr. Evgeny Arsentev
20 days ago
Given your symptoms of swelling in the neck under the jaw, pain, tenderness, fever, headaches, and muscle aches, there's a possibility that your condition could be viral in nature. While mumps is one potential cause, especially since you have swelling in the salivary gland area, it is important to approach this situation carefully. Since you are fully vaccinated against mumps, the risk of contracting the virus is reduced, but not entirely eliminated. Mumps can present similarly to other viral infections, including viral infections of the throat or lymph nodes, which can also cause swelling in that area. Given that you are experiencing difficulties with swallowing and have a fever, these factors warrant further evaluation. You should seek medical attention promptly, especially since your swelling and discomfort are worsening. Contact a healthcare professional to discuss your symptoms in detail. In-person evaluation can help determine if you need diagnostic tests, such as a throat culture or blood tests, to establish the cause of your symptoms. For symptomatic management while you await further evaluation: 1. Stay hydrated by drinking plenty of fluids, which can help with discomfort and fever. 2. Use over-the-counter pain relievers like acetaminophen or ibuprofen to help alleviate pain and reduce fever. Follow the dosing instructions on the package or consult a healthcare provider for guidance. 3. Rest adequately to allow your body to recover. 4. Apply a warm compress to the swollen areas to relieve discomfort. In terms of contagion, mumps is spread through respiratory droplets or direct contact with an infected person's saliva. If you develop a confirmed case of mumps, it is generally advised to stay home for around five days after the onset of swelling to minimize the risk of spreading the virus to others, though that can vary based on public health recommendations. If your symptoms worsen or you develop new concerning symptoms, such as difficulty breathing or significant swelling, seek emergency medical care immediately. Early intervention is critical if complications arise. Keep monitoring your symptoms closely, and don't hesitate to reach out to a healthcare provider for guidance.
Accepted response

GBS

34 days ago
1 answers

I recently came across the term GBS, and I wasn’t sure what it meant. I found out that GBS stands for Group B Streptococcus, but what exactly is it, and how does it affect the body? Is it the same as the streptococcus bacteria that cause strep throat?? From what I read, GBS is a type of bacteria that can live in the digestive and reproductive tracts of healthy adults without causing problems. But why does it sometimes lead to serious infections, especially in newborns and pregnant women? How does it get transmitted during childbirth?? I also saw that GBS infections in newborns can cause conditions like sepsis, pneumonia, and meningitis. How do doctors screen for GBS in pregnant women, and what happens if the test comes back positive? Does every pregnant woman with GBS need antibiotics during labor?? Another thing I’m wondering—can GBS cause infections in adults too? I read that it can lead to urinary tract infections, bloodstream infections, and even soft tissue infections in people with weakened immune systems. How do doctors diagnose and treat GBS infections in adults?? For those who have had experience with GBS, how did you find out? Were there any symptoms, or did it only show up through a routine test??


Dr. Evgeny Arsentev
33 days ago
Group B Streptococcus (GBS) is a type of bacteria that naturally lives in the digestive and reproductive tracts of many healthy adults without causing harm. It’s not the same as the bacteria that causes strep throat. However, GBS can sometimes cause infections, especially in pregnant women and newborns, as their immune systems are more vulnerable. GBS is typically transmitted during childbirth, when the baby comes into contact with the bacteria in the birth canal. This can lead to serious infections like sepsis, pneumonia, or meningitis in newborns. Pregnant women are usually screened for GBS between 35-37 weeks of pregnancy. If the test comes back positive, antibiotics are often given during labor to reduce the risk of passing the bacteria to the baby. Not all women with GBS will need antibiotics, but it’s common practice to treat those who test positive. In adults, GBS can cause urinary tract infections, bloodstream infections, and soft tissue infections, especially in people with weakened immune systems. Doctors diagnose these infections through cultures or other tests, and they treat them with antibiotics.
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Leucocytes

21 days ago
1 answers

For the last few weeks, I’ve been feeling really off. It started with just feeling more tired than usual, but then I began getting these low-grade fevers in the evenings. Nothing crazy, but enough to make me feel uncomfortable. My appetite has been weird too—some days I barely feel hungry, and others I just feel nauseous after eating. Then a few days ago, I noticed my throat feeling sore, but not like a normal cold. It’s more like a dull ache that doesn’t go away. I went to my doctor, and he ordered some blood tests. My CBC came back with elevated leucocytes, which he said could mean some kind of infection. But I don’t even know what kind of infection we’re talking about. I don’t have a cough, and my nose isn’t runny, so it’s not like a normal flu. Could an increase in leucocytes be caused by something more serious? He mentioned that sometimes high leucocytes could mean something like an autoimmune condition or even a blood disorder, which has me freaking out a little. Another weird thing is that my urine test also showed some leucocytes, but I don’t have any burning when I pee or anything like that. Could that mean a silent infection in my kidneys or bladder? I’ve had UTIs before, but they were always obvious because of the pain. This time I don’t feel anything like that. Now I’m wondering what my next step should be. Should I ask for more specific tests to figure out what’s causing the increase in leucocytes? Could this be a viral thing that’ll go away on its own, or do I need to be worried about something more serious? And how long does it take for leucocytes to go back to normal? I just don’t want to ignore something that could be a bigger problem later on.


Dr. Evgeny Arsentev
20 days ago
It’s understandable to feel concerned given your symptoms and the recent lab findings. Let's break down your situation and explore actionable next steps. 1. Your symptoms of fatigue, low-grade fevers, appetite changes, and a dull sore throat could indeed suggest an underlying infection. Elevated leukocyte (white blood cell) counts typically indicate your body is responding to some form of stress or inflammation, which can be due to infection or other causes. 2. The presence of leukocytes in your urine without the typical symptoms of a urinary tract infection (UTI) raises the possibility of a more silent infection or inflammation. Conditions such as interstitial cystitis or even a mild kidney infection can sometimes present this way. However, the absence of typical UTI symptoms is reassuring but does not exclude infection. 3. Since your doctor has already ordered blood tests and noted the elevated leukocytes, it would be wise to follow up with them about additional testing. You may consider asking for: - A repeat complete blood count (CBC) to see if leukocyte levels change. - A comprehensive metabolic panel to assess kidney function and electrolytes. - A urine culture to check for specific bacteria that might not cause typical symptoms. - Further tests like inflammatory markers (e.g., CRP or ESR) or specific tests for autoimmune conditions if your symptoms persist or escalate. 4. Viral infections can indeed cause elevated leukocyte counts and may resolve on their own. However, given your ongoing symptoms, including the unusual sore throat, further investigation is advisable to rule out bacterial infections or other more serious conditions. 5. The timeline for leukocytes to return to normal can vary significantly based on the underlying cause. If it’s related to infection, once an effective treatment is initiated, it may return to normal within a few days to weeks. If it’s due to something else, this may take longer depending on the condition. 6. Given the complexity of your symptoms and the blood test findings, maintaining close communication with your healthcare provider is paramount. If your symptoms worsen—such as developing significant pain, persistent fever, or changes in urination—it would be important to seek medical attention immediately. Make sure to reach out to your doctor soon with these thoughts and discuss what additional tests might be helpful given your symptoms and the current lab results. Monitoring your symptoms closely will also help guide any urgent needs for intervention.
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Black fungus cases in India and why they increased

26 days ago
1 answers

During the peak of the COVID-19 pandemic, I kept hearing about a rise in black fungus cases in India, but I don’t fully understand what caused the outbreak. Why did so many people develop black fungus after COVID-19? Was it mainly due to weakened immunity, or did steroid treatments and high blood sugar levels play a role? Is black fungus contagious, or is it an environmental infection that people get from exposure to certain fungi? Also, what are the early symptoms—does it start with sinus congestion, facial swelling, or something more severe? I read that in some cases, black fungus required surgery to remove infected tissue. Are there antifungal medications that work against it, or is surgery the only effective treatment? Also, should people with diabetes or weakened immune systems still be concerned about black fungus today, or was it only a major risk during the pandemic? I need a clear explanation of why black fungus cases in India increased and how the infection is treated.


Dr. Evgeny Arsentev
25 days ago
The rise in cases of black fungus, known medically as mucormycosis, during the COVID-19 pandemic, particularly in India, can be attributed to several interconnected factors. Primarily, these cases were seen in individuals who had recovered from or were undergoing treatment for COVID-19. Key contributors included: 1. Weakened Immunity: COVID-19 itself can compromise the immune system, making individuals more susceptible to opportunistic infections like mucormycosis. 2. Steroid Treatments: Steroids, commonly used in COVID-19 management to reduce inflammation, can suppress the immune response. When patients are overly reliant on steroids or receive them at high doses, it can significantly increase the risk of fungal infections. 3. High Blood Sugar Levels: Many COVID-19 patients, particularly those with pre-existing diabetes or poorly controlled blood sugar levels, were more prone to develop this infection. Mucormycosis thrives in high glucose environments, and hyperglycemia compromises the immune response, further elevating risk. Regarding your question about contagion, mucormycosis is not contagious. It is caused by environmental fungi found in soil, air, and decaying matter. People typically become infected through inhalation of spores or direct contact with contaminated surfaces. Early symptoms of mucormycosis can vary but typically start with symptoms such as nasal congestion, sinus pain, facial swelling, and headache. As the infection progresses, it might lead to more severe manifestations like vision loss, black lesions on nasal tissue, or signs of respiratory distress if it spreads to the lungs. In terms of treatment, both antifungal medications and surgical intervention can be necessary. Antifungal drugs like amphotericin B and newer agents such as posaconazole or isavuconazole are used, but they may not be effective on their own if there is extensive tissue necrosis. Surgery may be required to remove dead or infected tissue to effectively control the infection. People with diabetes and weakened immune systems should still be cautious about mucormycosis. Although the initial surge in cases was noted during the peak of the pandemic, the underlying risk factors remain relevant. Continued management of blood sugar levels and immune health, along with awareness of environmental risk factors, remain essential. In summary, the increase in black fungus cases during COVID-19 was driven by a combination of weakened immunity, steroid usage, and uncontrolled blood sugar levels. Treatment involves antifungal medications and often requires surgical intervention. Ongoing vigilance is advisable for those at higher risk.
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Blood Infection Causes

28 days ago
1 answers

A friend of mine was recently hospitalized due to a blood infection, and I had no idea how serious these infections could be. Now I’m trying to understand the blood infection causes and what makes them so dangerous. From what I read, blood infections happen when bacteria, viruses, or fungi enter the bloodstream. But how does this usually happen? Can something as simple as a minor cut or dental procedure lead to an infection in the blood? I also saw that sepsis is one of the most severe complications of blood infections. How can you tell if a regular infection is turning into something more dangerous like sepsis? Are there early warning signs to look out for? Another thing I’m wondering about is who is most at risk for blood infections. Are people with weakened immune systems more likely to develop them, or can they happen to completely healthy individuals too? If someone is diagnosed with a blood infection, what is the usual treatment? Does it always require hospitalization, or can it sometimes be treated with oral antibiotics? I just want to understand the blood infection causes and how to prevent them. Are there any specific hygiene practices or lifestyle changes that can lower the risk of developing a blood infection?


Dr. Evgeny Arsentev
27 days ago
Blood infections, also known as bacteremia or sepsis when associated with systemic illness, can indeed be quite serious, leading to severe complications. Here’s a detailed look at the causes, risk factors, symptoms of progression to sepsis, and treatment options, along with prevention strategies. Blood infections can occur when pathogens such as bacteria, viruses, or fungi enter the bloodstream. Common entry points include: - Minor cuts or wounds: While these are usually self-limiting, any break in the skin can potentially allow bacteria to enter. This is especially true if the area is not cleaned properly. - Dental procedures: Procedures that disturb the gums can introduce bacteria into the bloodstream, particularly in those with existing dental disease or certain heart conditions. - Invasive medical devices: Catheters, IV lines, and other devices can serve as conduits for bacteria to reach the bloodstream. - Existing infections: Infections in other areas of the body, such as pneumonia or urinary tract infections, can also lead to blood infections if the pathogens enter the bloodstream. Sepsis is indeed a severe complication of blood infections, and recognizing early warning signs is critical. Common symptoms that may indicate progression from a regular infection to sepsis include: - Fever or hypothermia: A significant fever (over 101°F) or a lower than normal body temperature (under 95°F). - Increased heart rate: Persistent tachycardia (heart rate over 90 beats per minute). - Confusion or disorientation: Changes in mental status such as confusion or not being alert. - Shortness of breath: Difficulty breathing or a sense of extreme fatigue. - Extreme pain or discomfort: Severe pain or discomfort that feels different than typical illness. If these symptoms develop, it’s essential to seek immediate medical attention, as early intervention is critical for successful treatment. Certain populations are at higher risk for blood infections, including: - Individuals with weakened immune systems: This may include those with chronic illnesses, those on immunosuppressive therapy, or patients with cancers or other conditions affecting immunity. - Older adults: The elderly often have a diminished immune response. - Individuals with chronic conditions: Conditions such as diabetes, liver disease, or chronic lung disease can increase susceptibility. - Healthy individuals: While less common, blood infections can still occur in otherwise healthy people, especially after an invasive procedure or if they have a significant skin breach. Treatment for blood infections typically involves: - Antibiotics: Intravenous antibiotics are often required initially for severe infections, particularly if sepsis is suspected. The specific antibiotic is tailored based on the organism identified through blood cultures. - Hospitalization: Many patients will need hospitalization for observation and to receive IV antibiotics, especially if they are severely ill. - Oral antibiotics: In cases of milder bacteremia where the patient is stable, oral antibiotics may be sufficient, but this is determined based on individual circumstances. Prevention of blood infections focuses primarily on good hygiene practices: - Hand hygiene: Regular, thorough handwashing is essential, especially after using the bathroom or before preparing food. - Wound care: Clean and properly care for wounds and monitor them for signs of infection. - Dental hygiene: Regular dental visits and good oral care can prevent infections that might lead to bacteremia. - Avoiding unnecessary invasive procedures: Only undergo procedures that are essential and ensure strict sterile techniques are followed. Understanding these factors can help in recognizing risks and early signs of serious illness, which is essential for ensuring prompt medical care when required. If you have specific concerns about risk factors or experiences related to blood infections, consulting a healthcare professional would help achieve a better understanding tailored to your personal situation.
Accepted response

mouth infection medicine

33 days ago
1 answers

A few days ago, I started feeling pain and swelling inside my mouth, and now it’s getting worse. I think I might have an infection, but I don’t know what kind. What is the best mouth infection medicine, and how do I know if I need antibiotics? I read that mouth infection medicine depends on the cause of the infection. If it’s from a tooth abscess, would antibiotics be required, or can it heal on its own? What if it’s something like oral thrush—would antifungal medication be the best option? Another thing I’m worried about is whether I should see a dentist or a general doctor for mouth infection medicine. If the infection is in my gums or tongue, does that mean it’s more of a dental issue, or should I see a regular doctor? I also want to know if there are home remedies that help. Would saltwater rinses or hydrogen peroxide help fight the infection, or do I need actual medication? For those who have had a mouth infection, what mouth infection medicine worked best for you? Did it go away with treatment, or did you need something stronger?


Dr. Evgeny Arsentev
33 days ago
Mouth infections can be caused by various factors, such as tooth abscesses, gum disease, or fungal infections like oral thrush, and the treatment will depend on the cause. If the infection is from a tooth abscess, antibiotics are usually required to prevent the infection from spreading. However, the abscess will likely need to be drained by a dentist as well. For oral thrush, antifungal medications like nystatin or fluconazole are typically the treatment of choice. If the infection involves your gums or tongue, it’s best to see a dentist first, as they can evaluate for dental-related issues like abscesses or gum disease. If the problem seems more generalized, your general doctor may be able to help as well. Home remedies like saltwater rinses can help soothe the area, but they won’t cure the infection. Hydrogen peroxide may also help disinfect, but it’s important to get proper treatment from a healthcare professional.
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Levofloxacin tablet uses and side effects – Should I continue or switch?

40 days ago
200 INR (~2.35 USD)
1 answers

I’ve been prescribed Levofloxacin tablets for a urinary tract infection (UTI), and I’m currently on the 5th day of my 10-day course. While I do feel like the infection is improving, I’ve started to experience some side effects that I’m concerned about. I’ve been feeling mildly nauseous, and my stomach feels a bit off, which I know is a potential side effect of Levofloxacin. I wanted to ask: is this normal, or should I be worried? I’ve read that nausea and stomach discomfort are fairly common with this drug, but I just want to make sure it’s not a sign of something more serious. I’ve also been reading conflicting information about whether I should stop taking Levofloxacin if I feel better before finishing the full course. I understand that antibiotics are meant to be taken until the prescribed amount is finished, but I’m curious to know if it’s ever okay to stop early once symptoms improve. I don’t want to risk the infection coming back, but I’m also wondering if the side effects I’m experiencing are worth pushing through the full 10 days. Another concern I have is with food and drink while on Levofloxacin. I’ve heard mixed things about dairy products and certain foods affecting the absorption of the medication. Should I avoid milk, cheese, or other dairy while on this medication, or does it not really make a difference? I’ve been trying to stay hydrated and drink plenty of water, but I’m unsure about the best diet to follow while on antibiotics like Levofloxacin. Should I also be worried about other medications I’m taking alongside it? Lastly, I’m just generally concerned about the long-term effects of Levofloxacin. I know it’s not the first-line treatment for UTIs in some cases, but given that I’ve had recurrent infections in the past, I wanted to make sure I’m taking the right medication. I’m also wondering if there are any alternative treatments I could try in the future that might not have as many side effects. I’d really appreciate any advice from a doctor. Should I be concerned about the side effects I’m experiencing, or are they expected with Levofloxacin? How should I adjust my diet, and is it safe to stop the medication early if I’m feeling better? And what are the risks of taking Levofloxacin long-term?


Dr. Evgeny Arsentev
39 days ago
Nausea and stomach discomfort can indeed be common side effects of Levofloxacin. These symptoms typically subside as your body adjusts to the medication, but if they become more severe or unbearable, it’s important to discuss this with your doctor. In some cases, they may recommend adjusting the dosage or switching to a different antibiotic. Regarding your question about stopping the medication early, it’s crucial to complete the full 10-day course as prescribed, even if you're feeling better. Stopping antibiotics early can lead to the infection returning or even becoming resistant to treatment, making it harder to treat in the future. As for food, it's best to avoid dairy products within 2 hours of taking Levofloxacin, as calcium can interfere with the absorption of the medication. Staying hydrated is great, but try to avoid taking your antibiotic with milk, cheese, or other dairy during this period. Lastly, long-term use of Levofloxacin can have side effects, including tendon damage or nerve issues, but these are rare and usually occur with prolonged use. For recurrent UTIs, you might want to discuss alternative treatments or preventive strategies with your doctor.
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Hepatitis and how it affects the liver

26 days ago
1 answers

I recently heard about different types of hepatitis, but I don’t fully understand how they affect the liver. What are the main causes of hepatitis, and how do Hepatitis A, B, and C differ in terms of severity and transmission? Is it true that Hepatitis A is mostly from contaminated food, while B and C spread through blood and bodily fluids? Can someone get hepatitis without realizing it, or do symptoms always appear? What are the early warning signs of hepatitis? Does it start with general fatigue and nausea, or does jaundice appear first? Are there specific tests that can detect hepatitis early, or does liver damage only show up in later stages? Also, if someone has hepatitis, can it be completely treated, or does it always lead to chronic liver disease? I’ve heard that vaccinations are available for Hepatitis A and B, but not C—why is that? What are the best ways to prevent getting hepatitis, especially for people who travel or are exposed to bloodborne risks? Also, if someone already has hepatitis, what kind of diet and lifestyle changes can help manage it?


Dr. Evgeny Arsentev
25 days ago
Hepatitis refers to inflammation of the liver, and it can be caused by various factors, including viral infections, alcohol consumption, certain medications, and autoimmune diseases. Here, I will clarify the main types of viral hepatitis and their differences, potential symptoms, and management strategies. Hepatitis A, B, and C are the most common types: 1. Hepatitis A: - Transmission: Primarily through consumption of contaminated food and water, particularly in areas with poor sanitation. It can also spread through close personal contact with an infected person. - Severity: Generally considered self-limiting, meaning most people recover fully without long-term liver damage. - Symptoms: Common early symptoms include fatigue, nausea, and abdominal discomfort, with jaundice potentially appearing later in the course of the illness. 2. Hepatitis B: - Transmission: Spread through blood and bodily fluids, including sexual contact and sharing of needles. - Severity: It can be acute or chronic. While many people recover from acute hepatitis B, a significant proportion can develop chronic liver disease, which can lead to cirrhosis and liver cancer. - Symptoms: Similar to Hepatitis A, with potential for more severe outcomes and longer duration. Jaundice may occur, but not all patients exhibit its presence. 3. Hepatitis C: - Transmission: Primarily through blood, with sexual transmission being less common. - Severity: Often leads to chronic infection, which can result in progressive liver damage and cirrhosis. Some may remain asymptomatic for years before symptoms develop. - Symptoms: Early symptoms can be very mild or absent; when present, they may include fatigue and mild abdominal discomfort. Regarding your question about asymptomatic infections, it is indeed possible to have hepatitis—particularly B and C—without experiencing noticeable symptoms. Many individuals may not realize they are infected until they develop complications or undergo routine blood tests. Early Warning Signs of Hepatitis: - Symptoms often start with fatigue, nausea, loss of appetite, and mild abdominal pain. Jaundice (yellowing of the skin and eyes) may develop later but is not always present. Testing: - Blood tests can detect hepatitis infections before significant liver damage occurs. For instance, tests for hepatitis A antibodies (IgM) indicate recent infection; hepatitis B surface antigens (HBsAg) and hepatitis C antibody tests help diagnose B and C infections, respectively. Liver function tests can indicate liver damage but are not specific for hepatitis. Treatment: - Hepatitis A usually resolves on its own, and there is no specific treatment. - For Hepatitis B, antiviral medications can manage chronic infection, but some people may require long-term treatment. - Hepatitis C is highly treatable with direct-acting antiviral medications that can often lead to a cure in a high percentage of cases. Vaccinations: - Vaccines are available for Hepatitis A and B, reducing their incidence and spread. Hepatitis C does not have a vaccine because of the virus's complex nature and variability. Prevention: - To prevent hepatitis A, practice good hygiene, including handwashing, and consume safe food and water, especially when traveling. For hepatitis B, vaccination, avoiding sharing personal items like razors or needles, and safe sex practices are key. - Hepatitis C prevention focuses on avoiding exposure to infected blood. Diet and Lifestyle Changes for Managing Hepatitis: - A well-balanced diet rich in fruits, vegetables, and whole grains while avoiding alcohol and illicit drugs is beneficial. Staying hydrated and managing weight can support liver health. Regular medical follow-ups and monitoring liver function are essential. For anyone with concerns about hepatitis or related symptoms, seeking evaluation and guidance from a healthcare professional is strongly recommended to assess liver health, conduct timely testing, and determine potential management strategies.
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