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MP Antigen Health Feed

I have typhoid and tested negative for malaria but my doctor has prescribed combither forte tab 1×2 for 3 days is it safe to take it.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
No details about duration, symptom details and actual investigation reports this query was sent to me after 3 weeks. Only treatng physicain can clarify why the particualr tablet was necessary. The tablets have some known side effects and are given under supervision only.
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I am 26 years old and ever since my teenage age I have always had constant malaria and typhoid which never seems to heal. At the moment I have used several drips, antibiotics etc, yet there is no healing. I would feel alright for like 2 weeks after medication after which the whole symptoms appears again.

MD - Bio-Chemistry
General Physician, Tirupati
I am 26 years old and ever since my teenage age I have always had constant malaria and typhoid which never seems to h...
Dear Lybrate reader probably you are having wrong impression about malaria&typhoid--simply because you get fever frequently assuming that it is malaria or typhoid is not correct. Once proper treatment is given typhoid gererally does not recur, you may be having some other recurrent infection. Get proper investigations done -consult a general physician.
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My son (age 15 years) was having fever on 5th, 6th and 7th november where the temperature was fluctuating between the range of 100 to 102. To rule out any signs of malaria or dengue, the doctor suggested blood report. Malaria and dengue test was negative but wbc count dropped. There is no fever / temperature in the past four days 8th to 11th and he is feeling better and active but today on 11th nov he is feeling little weak and sleepy. During this course of time we did two more cbc blood test on 8th and 10th november but still the wbc count is not improving. We are concerned about it and need to know 1. Reasons behind low wbc count. 2. Does wbc count drop during fever? 3. How much time does it take for the wbc count to recover to normal range? 4. Some advice on what to do next and when to do next cbc test. 5. Any other test needs to be performed? Here are the test results 6th nov dengue serology test (elisa) - negative (observed value 2.92 panbio units) malarial parasite - negative sgpt - observed value 36 haemoglobin - 14.8 rbc count - 5.31 mill/cmm wbc count - 2900 ul platelets - 203000 8th nov haemoglobin - 13.6 rbc count - 4.93 mill/cmm wbc count - 2200 ul platelets - 213000 10th nov haemoglobin - 13.5 rbc count - 5.09 mill/cmm wbc count - 2500 ul platelets - 184000 thank you.

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
My son (age 15 years) was having fever on 5th, 6th and 7th november where the temperature was fluctuating between the...
Having a higher or lower number of wbcs than normal may indicate an underlying condition. A wbc count can detect hidden infections within your body and alert doctors to undiagnosed medical conditions, such as autoimmune diseases, immune deficiencies, and blood disorders. This test also helps us monitor the effectiveness of chemotherapy or radiation treatment in people with cancer.
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Mosquito Bite - How To Handle It In Monsoon?

MD - Internal Medicine, MBBS, Nephrology
General Physician, Roorkee
Mosquito Bite - How To Handle It In Monsoon?
Monsoon is happily welcomed by one and all after a hot summer. But the immunity of the body is reduced in this season as it makes our body defenceless to a lot of diseases that are generally associated with the monsoon season. The temperature at a place goes down when it rains, but it brings along uninvited mosquitoes. Hence, our body immunity must be boosted so that it becomes resistant to any disease. The most prevalent diseases that occur due to a mosquito bite are dengue, malaria, brain fever and filaria.

Methods to treat mosquito bites in monsoon

Water stagnation is caused due to rain and the stagnated water acts as an excellent breeding ground for mosquitoes. Even any pond with still water can produce mosquitoes easily in just 4 days. Mosquito coils and repellents are not that very effective, and they cannot captivate these invaders totally. It is best to make use of home remedies that are helpful as well as harmless than using mosquito repellants that contain chemicals in them.

Effective and simple remedies to treat mosquito bites

The after effects of mosquito bites are not only annoying but also very harmful and it is better that mosquito bites are treated by use of home remedies:

1. The most effective anti-itch remedy that can be used to treat a mosquito bite is the use of Ammonia. The acidity or the pH of the skin is changed and ammonia is known to oppose chemical reactions that cause the itching. Dry cotton can be moistened by use of Ammonia and applied to the affected area.

2. The other effective method that can be used to treat a mosquito bite is rubbing alcohol on the affected area. Alcohol cures the itch and is even known to minimize the swelling. Alcohol can be poured directly on the affected area or can be applied with cotton.

3. Hydrogen Peroxide is an excellent antiseptic that is used to prevent any infection caused due to mosquito bites. It is very important that Hydrogen Peroxide is applied in the right way to reduce the swelling and redness. It is an effective remedy that can be used for kids as well.

4. Soap can also be applied to the affected area to provide relief and in case of any irritation, it is better to wash off the area with water immediately.

5. To minimize the discomfort caused due to a mosquito bite, toothpaste can be applied to that area. Toothpaste that contains menthol, peppermint as well as baking soda is good for treating a mosquito bite.

There are many other such products that are readily available at home and that can be used to treat mosquito bites like garlic, table salt, ketchup, garlic and cocktail sauce.
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Thanks for your reply on malaria, my daughter age 26 was diagnosed with brucellosis with titre 1: 1280. Doctor has started medicine rifampicin 600 (od dose) and doxycycline 100 (bd dose). She has taken it for 15 days but still no response of medicines. Now doctor is adding injection streptomycin. What do suggest sir.

M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG, CCCS ( CARDIOLOGY & STROKE)
Sexologist, Sri Ganganagar
Thanks for your reply on malaria,
my daughter age 26 was diagnosed with brucellosis with titre 1: 1280. Doctor has st...
Lethality of brucella is because of its complications which can be prevented by strict adherence to the treatment. The treatment is, as your doctor has prescribed you, for 6 weeks. Sometimes its hard to kill the organism and for that maybe you'll have to take the medication for a few more weeks. Rifampicin tablets (600 mg) oral for 6 weeks is the preferred choice of treatment and this shall get you rid of brucellosis. But its heavily advised that you should keep distance from animals, even the domestic ones, during this treatment course.
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Pregnant Women's Health And Malaria - Know All About It!

MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology), DMAS, MBBS
Gynaecologist, Lucknow
Pregnant Women's Health And Malaria - Know All About It!
Malaria is a disease that is caused by the bite of a certain mosquito or protozoan parasite. This can attack the red blood cells and is mainly found in tropical as well as subtropical areas. Until recently, there was little chance of recovering from this ailment. Yet, in today's day and age of great medical advancement, it has become possible to cure a patient suffering from this disease with the help of timely and proper diagnosis. This disease becomes even more complicated and problematic when it affects pregnant women.

The ways in which this disease can be treated during pregnancy is as follows:

Medication therapy: If a woman is found to be suffering from this disease in the second or third trimester of their pregnancy, they may be prescribed artemisinin-based therapy. This therapy can be used only if the pregnant lady is not suffering from any other kind of complications like heart conditions, diabetes and high blood pressure, during the pregnancy. This medicine is short-acting, with artemether or artesunate, which can greatly reduce the number of parasites that may have invaded the red blood cells.
Other antimalarials: The treatment of this disease for pregnant women can also be done with the help of other antimalarials, which should typically be prescribed and administered in a clinical setting. These also include quinidine gluconate which can be used in place of the IV quinine in order to bring down the number of parasites in the body. This will lessen the attack on the red blood cells to a great degree. Lumefantrine tablets may also be used in such cases. Also, the doctor will have to first try a test dose to ensure that the patient is not allergic to any of the elements or compounds of these medicines.
Monitoring: Pregnant women suffering from malaria will need to get their blood samples tested on a regular basis. The blood smears will usually be tested daily to check whether the body is responding adequately to the treatment. This will also ensure that the doctor knows when to change the dose or the drug involved.
Diet and exercise: The patient will be asked to stick to the normal diet and activity levels. Yet, care must be taken to avoid any situation where fatigue might set in, as this can aggravate the condition. One must also increase the intake of water to ensure that the body is always well hydrated. This helps the body in bouncing back to normal as the toxins are continuously flushed out, and the immunity system is better equipped to fight the disease-causing parasites.
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A mosquito bit me on my hand at night and that area became reddish and itchy. It is same like that reddish and itchy even the next two days. What to do? Can this cause malaria in this season? When will the symptoms occur? How to prevent malaria if that mosquito has bit me?

MBBS
General Physician, Chennai
A mosquito bit me on my hand at night and that area became reddish and itchy. It is same like that reddish and itchy ...
If you are strong thee n you may not get malaria or it maybe subclinical wait for your symptoms or get blood smear for mal parasite done.
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Flood - How To Ensure Health And Safety During It?

MBBS Bachelor of Medicine and Bachelor of Surgery
General Physician, Faridabad
Flood - How To Ensure Health And Safety During It?
As monsoon approaches, the flood situation in Western and Southern parts of India continues to worsen, killing over 180 people and displacing thousands. Reportedly, the states that have been hit the worst are Karnataka, Kerala, Gujarat and Maharashtra.

Union Home Minister and BJP leader Amit Shah carried out an aerial survey of the areas that have suffered the most. 76 people have died and 58 are reportedly missing in Kerala since the recent flood outbreak on August 8. 17 fatalities were reported in Kozhikode district, 24 in Malappuram and 12 in Wayanad.

The floods in Karnataka have left 40 people dead and around 4,00,000 displaced. In Maharashtra, the incident has wreaked havoc in the districts of Raigad, Ratnagiri, Pune, Thane, Nashik, Sindhudurg, and Palghar following heavy showers that began last week.

In Gujarat, Barvala in Botad district recorded 380mm of rain over a period of 24 hours on August 10, as per the reports of Indian Meteorological Department.

Prime Minister Narendra Modi has expressed grief for the flood victims and promised flood relief to reduce the detrimental effects of the situation.

Problems Faced by the People after Flooding

Floods are a common natural calamity occurring worldwide and India is one of the most flood-prone countries in the world, accounting for one-fifth of flood-related global deaths. The natural calamity causes huge loss of lives and properties, infrastructure, livelihood, healthcare system, and public health.

The immediate effects of floods on health include injuries, drowning, infections, hypothermia etc. Health risks are also related to the loss of health workers and infrastructure including supplies and drugs and the evacuation of people.

Floods are likely to increase your chances of transmitting the following diseases

Water-borne illnesses cholera, typhoid, Hepatitis E and A, and leptospirosis

Vector-borne illnesses dengue, malaria, encephalitis, and haemorrhagic fever

Water-borne diseases are spread by coming in direct contact with contaminated water such as dermatitis, wound infections, ENT infections, and conjunctivitis.

Vector-borne diseases are illnesses caused by viruses, bacteria, and parasites that are transmitted by bug and flies, mosquitoes, mites and ticks.

Flooding may flush out mosquito breeding initially but later comes back once the water recedes. Usually, the lag time is around 3-4 weeks before the onset of dengue cases and 6-8 weeks before the occurrence of malaria.

How to Handle Health Woes?

Natural disasters cannot be prevented but its impact can be mitigated. Follow these measures to protect yourself and your loved ones from the various risks brought by floodwater

Avoid exposure to floodwater to prevent infection of rashes and open wounds

Clean and cover open wounds with a waterproof bandage to reduce the chances of getting an infection

Wash an open wound with clean water and antiseptic soap

Wash your hands after coming in contact with polluted floodwater

Use hand wash or sanitizer to clean your hands before and after a meal to avoid risks of diarrhoea

Do not bathe in contaminated water such as lakes, rivers and streams that might contain sewage or toxic chemicals

Ensure chlorination or boiling of drinking water

These steps can help you stay away from diseases and ailments caused by floodwater.

How to Ensure Safety?

To ensure safety during a natural calamity, like a flood, keep these following points in mind

Be attentive to announcements and warnings about flooded roads

Avoid travelling or driving to flooded areas

Avoid electrical hazards outside or inside your home

Keep medical kit and essential medications in place

Floodwater and stagnant water can be dangerous and are likely to make you vulnerable to infectious diseases, injuries and chemical hazards. However, with proper knowledge and precautionary measures, you may be able to escape the various health risks that come along. In addition to the safety measures, increase awareness about early diagnosis and treatment of communicable diseases.
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Malaria - What Are The Types Of It?

MBBS
General Physician, Kolkata
Malaria - What Are The Types Of It?
Mosquitoes might be tiny creatures, but are responsible for some of the most dreadful diseases, one of them is malaria. Malaria is caused by a parasite that is transmitted through mosquito bites directly or from mother to unborn baby and through blood transfusions. Very widely spread in the Asian and African continents, people travelling here are very cautious of this disease. In areas that are notorious for mosquito infestations, the local people also take preventive measures to ensure mosquito breeding is prevented or at least minimised.

Spread of the disease: When a mosquito bites an infected person, it picks up the parasite from the person and when it next bites another person, the infection is also transmitted. From there, the parasite travels to the liver and into the bloodstream before reaching another individual. While all people are prone to getting the infection, elderly people, children, pregnant women, and immunocompromised people are at greater risk. Also, new travellers are at greater risk than local people, who are to some extent immune to mosquito bites.

Symptoms: The disease is characterised by moderate to severe shaking chills which are more common in the evening, high fever, profuse sweating, headache, vomiting, and diarrhoea. Quite often, there is about a 4-week gap between the time of the mosquito bite and the onset of symptoms. However, in many people, the disease could lie dormant and symptoms manifest when the immunity is severely lowered.

With the gradual progression of the disease, more severe symptoms could evolve as below, and that is when malaria becomes life threatening.



Cerebral malaria: Once the parasites enter the bloodstream, they can block the minor blood vessels in the brain leading to cerebral oedema and even brain damage. It could eventually result in coma.
Anaemia: There is large-scale destruction of red blood cells, leading to severe anaemia and weakness and fatigue
Breathing problems: Similarly, accumulation of fluid in the lung spaces can lead to pulmonary oedema which causes difficulty breathing and lung failure.
Organ failure: Blood flow blockage to other vital organs like kidneys, liver, and spleen are also possible. The spleen may rupture leading to severe haemorrhage.
Low blood sugar: The malarial parasite per se and the most commonly used medicine (quinine) are both known to cause low blood sugar levels. This can result in coma and even death.
Once the diagnosis is confirmed, treatment usually consists of chloroquine, Mefloquine, quinine sulfate, or hydroxychloroquine. There are various drug-resistant forms of malaria, and they may require combination therapy.

Prevention assumes greater significance with travellers going for vaccines prior to visiting these areas. Even the local people should find ways to avoid breeding of mosquitoes, use mosquito repellents and nets to avoid the infection.
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How To Avoid Dengue And Malaria?

MBBS, D.A.
Anesthesiologist, Ahmedabad
How To Avoid Dengue And Malaria?
In this rainy season, there are many mosquito breeding places around you.

1. Try to avoid water collection. Fresh or old.
2. Avoid dark, shady area and corners.
3. Use mosquito repellants whenever going out in day or night.
4. Get insecticides sprayed around your house or offices.
5. Drink plenty of water and eat lots of fruits and vegetables.
6. Watch for headache, joint pain, fever, yellow urine and talk to your doctor early treatment will save complications.
7. Start malaria prophylaxis before, during and after travel.
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