Peritonitis Treatment

Peritonitis can be classified under two heads; one is spontaneous peritonitis and the other is secondary peritonitis. If peritonitis is a result of appendicitis or a stomach ulcer you may require to undergo a surgery. The condition’s collateral manifestation includes fever, diffuse abdominal rigidity, nausea, bloating and sinus tachycardia.

Peritonitis can be classified under two heads; one is spontaneous peritonitis and the other is secondary peritonitis. If peritonitis is a result of appendicitis or a stomach ulcer you may require to undergo a surgery. The condition’s collateral manif ... More

Health Q&A
Cat nail scratch

Hi doctor I went to my relatives home suddenly a cat ram over my leg and it scratched my leg finger. It is a home grown cat..not vaccinated. Should I take rabies vaccine .. I applied t bact ointment Please advise Thanks

TSH SLIGHTLY HIGH

10 days ago , my TSH was 5 ( 0-4) T3 T4 normal Today TSH came 9.6 , from last 8 years , my tsh value always comes slightly high above the upper limit , last year I did anti tpo ( AMA) was quite normal 0.3 For the last one month , I have been feeling muscle pain , the doctor prescribed me 12.5 thyrox , should I continue the medicine

Infection white patch

I am attaching a pic. I have had this issue for 20 days. I noticed a ringworm kind of patch and also white layer in my groin area which is itchy sometimes. Need medication or any home remedies.

Restlessness after Surgery

My 78-year-old grand father had recent hip surgery 15 days ago Initially (few days after surgery), he had: confusion and delirium which improved after we started melatonin 3mg. But for the last 3 days: during daytime he is mostly normal At night (after ~9 PM), he becomes very restless: keeps turning left - straight continuously cannot stay in one position even for a few seconds asks to sit every 10–15 minutes, sits briefly, then lies down and repeats appears sleepy but unable to fall asleep There are no hallucinations now, but restlessness is severe. His reports show low sodium (129). His sugar in today morning - 78 2 hours After lunch (just 2 spoon) - 90 He is also eating very little. He doesn't like taste of anything at all. No juice, no food nothing. He's hardly eating 2-3 spoon. So somehow I started giving him ORS twice a day. And yes He's very stubborn person - doesn't like to go or stay in hospitals. even for broken bone surgery we had to convince him too much.

Home IV Iron for 88yo Female (Hb 7.0)

Patient is an 88-year-old Female with severe anemia (Hb: 7.0 g/dL). Doctor has prescribed Iron Sucrose (Irozorb-S) IV injection. We live in a remote location, making hospital transport very difficult. Is it safe to administer this injection at home given her age? We are extremely concerned about the risk of Anaphylaxis (severe reaction). What emergency precautions or medicines (like Adrenaline) are mandatory? Also, are there any high-absorption oral alternatives (like Liposomal Iron) that can raise Hb levels quickly for an 88-year-old?

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Doctors
Dr. Thomas E Wanko - Internal Medicine
Dr. Thomas E Wanko Internal Medicine (Medical School, D.O., Doctor of Osteopathic Medicine) 53 years experience OhioHealth Doctors Hospital
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Dr. William  Hicks - Internal Medicine
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Dr. Marian Kennedy Schuda - Internal Medicine
Dr. Marian Kennedy Schuda Internal Medicine (Medical School, Residency, Medical Education, Residency in Internal Medicine, Bachelor of Science (Microbiology), Doctor of Medicine) 47 years experience Emergency Medicine Physician
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Dr. Michael A. Caligiuri - Internal Medicine
Dr. Michael A. Caligiuri Internal Medicine (Medical School, Residency, Summa Cum Laude, Phi Beta Kappa, Master’s Degree in Physiology, Medical degree, DO, B.A., M.A., M.D., Undergraduate Degree in Humanities and Health Science) 43 years experience The James Cancer Center
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