Systemic Hypertension 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.

Rabbies vaccination

Last month I took a booster dose of rabies and again by a cat and it was bleeding for a few seconds then stopped. I washed it properly. Do i need another booster?

Having WBC count is borderline low

Having WBC count is borderline low 4000 to 4700 since last 2014 as per as my knowledge. Because of that falling cold related issues like headache and dry cold and feeling drowsy and sleepy. Pl. Advice.

Possible bat saliva exposure

Yesterday evening, I was walking under trees and I felt a few tiny drops fall in my eye. I’m not sure what it was—maybe water or something from above. I didn’t see any bat or animal, I washed my eye afterwards. I’m worried about infections like rabies or Nipah and wanted to check if there’s any risk or if I need treatment

Haemorrhoids

I live in Saudi and have been experiencing haemorrhoids (piles) for the past 15 days. I consulted a doctor and was prescribed Pilocin, Remox, and Betasept. However, I have not experienced significant relief so far. Should I continue this medication?

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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
Forest Park West, COLUMBUS
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
Columbus 43228, COLUMBUS
Dr. Michael Timothy Kelley - General Physician
Dr. Michael Timothy Kelley General Physician (Residency, Medical School, Medical Education) 45 years experience Emergency Medicine Physician
Columbus 43228, COLUMBUS
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