Persistent Cough Treatment

Health Q&A
Assistance needed

Hello Doctor, We would like to consult you regarding this critical case. The patient (65-year-old male) is currently admitted at Max Hospital, Dehradun, and is on tracheostomy support following severe pneumonia with sepsis. Despite ongoing treatment, there has been no significant improvement. The reports also indicate a multidrug-resistant infection (Acinetobacter), and the patient is still dependent on suction and NG feeding due to swallowing difficulty. - Current line of management - Possible changes in treatment - Prognosis and expected recovery We would really appreciate your expert opinion and assurance on how to proceed further. Thank you.

Dizziness??

So yesterday I felt sudden dizziness and subtle imbalance. Had to rest after that, whole night wasn't so active like always. Then the next morning it felt like heaviness on the head and imbalance, unsteady while walking or movement. And 2 days back I got excessive sweating while working. So need to know is this happening due to heat or anything like that?

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.

Fever for 4 days with back pain

​Hi Doctor, I’m 13 years old and I’ve had a fever for 4 days now. Yesterday my temperature reached 101.9°F. ​My symptoms are: ​Constant throbbing pain in my back. ​A wet cough (not dry). ​A very blocked nose that makes it hard to sleep. ​I’m currently taking Paracip and Cetcip as prescribed by a doctor yesterday, but the fever is still hanging on. I wanted to check if there’s anything else I should do, especially for the back pain and the nose blockage.

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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
Dr. William Hicks Internal Medicine (Medical School, Fellowship in Neurology - Vascular, Residency in Neurology, Internship, Transitional Year, Medical degree, DO, Internship) 52 years experience Ohio State Brain and Spine Hospital
Weinland Park, COLUMBUS
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 Timothy Kelley - General Physician
Dr. Michael Timothy Kelley General Physician (Residency, Medical School, Medical Education) 45 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
Columbus 43210, COLUMBUS