twitter




Sunday, October 25, 2009

Need medical advice?

i had rehumatic fever in my joints,when i was small
( 6year old), and i cured from it, these days i have pain in my joint again , and more i have sound in my back in the area where the ribs contact the spinal cord at thoracic area, when i move it ,(im 27 year now)dose it have relation with RF?
one more things one dr advice me to have one tablets of aspirin every day/dose it help? even that i have stomach ulcer.
thanks alot for every one help me
Answer:
well.. the best medical advice u should have is to go and see a doctor who can then take a thorough physical exam and figure out what鈥檚 u r having..
to be straight, rheumatic fever is nothing that one can mess with.. and the fact that u have already had a bout is an additional reason to get u seek a doctor.. cos the effect of the bouts is cumulative..
what to tell is:
first, the problem with ur ribs has nothing to do with RF.. cos the effect of rheumatic fever on the the joints is temporal.. the main concern is about the heart which may get damaged in the future after several bouts..
second, a daily aspirin! U mean for how long? Cos it seems irrelevant to ur case unless ur doctor is managing something else! Again, there is no fear of blood clots with rheumatic fever.. and what u should take (in case u are still having rheumatic fever at this age) is ANTIBIOTICS (mostly penicillin injections) on a regular basis to prevent further RF attacks from happening and thus saving ur heart from any harm in the future..
and if the aspirin was for the joint pain (not for clots).. it's again wrong to have with ur stomach ulcer and virtually very harmful.. switch to Tylenol (acetaminophin) and if it didn't work, then u have to take some antacid with the aspirin to protect ur stomach.. (but don't keep up with the 'aspirin daily' cos the joint ache is most probably temporal)..
don鈥檛 panic lady! A rheumatic fever bout is no big deal if they are isolate.. cos it needs many of them to do a damage.. which will not show up until very late in life (40-50s).. a doctor鈥?visit is just to be in the safe side.. and I am pretty sure u are fine..
gd Luck..
Try some magnesium
One a day asprin is good for keeping the blood thin to prevent blood clots. If that is a problem for your stumach ulcer, take tylenol.

Its generally thought that most stomach ulcers are caused by a bacteria, not by foods, although acid or peppery food aggravates them. Antibotics cure these ulcers.

From Wikipedia:

Younger patients with ulcer-like symptoms are often treated with antacids or H2 antagonists before EGD is undertaken. Bismuth compounds may actually reduce or even clear organisms.

Patients who are taking nonsteroidal anti-inflammatories (NSAIDs) may also be prescribed a prostaglandin analogue (Misoprostol) in order to help prevent peptic ulcers, which may be a side-effect of the NSAIDs.

When H. pylori infection is present, the most effective treatments are combinations of 2 antibiotics (e.g. Erythromycin, Ampicillin, Amoxicillin, Tetracycline, Metronidazole) and 1 proton pump inhibitor (PPI). An effective combination would be Amoxicillin + Metronidazole + Pantoprazole (a PPI). In the absence of H. pylori, long-term higher dose PPIs are often used.

Treatment of H. pylori usually leads to clearing of infection, relief of symptoms and eventual healing of ulcers. Recurrence of infection can occur and retreatment may be required, if necessary with other antibiotics. Since the widespread use of PPI's in the 1990s, surgical procedures (like "highly selective vagotomy") for uncomplicated peptic ulcers became obsolete.

No comments:

Post a Comment

 
vc .net