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Well that does depend on the severity of the ulcers and how well you heal. It depends on how well that you take case of yourself. I would expect that the severe nature of the GI issues in your case will show gradual improvement but will likely hurt for several weeks I am afraid... It will take time. You do need to be very diligent and take the best care of yourself possible!!
Take all your meds that you are supposed to!! Rest this next week!! Get nutrition into your system! (Even if it is something that is not pleasant to you such as Ensure pudding or liquid > do get good nutritional support into your system!! ))
I think that the SEVERITY of the pain would probably be less in 1 to 2 weeks but that you will probably have some related pain for about 4 to 5 weeks likely...
Again I would recommend that you may ask your GI specialist about a GI cocktail with viscous lidocaine if you continue to have much pain....
I hope this is helpful for you! Best Regards,
Anthony Bray MD
It sounds bad enough! It could be much worse and I am glad that it isn't but you need to take this seriously and take care of yourself!! That is the main point here!! (Not to worry you except to the point of motivating you to take better care of yourself!!)
I hope this helps! let me know if you have further questions or comments and I will be happy to get back with you! Take Care !!
Well that is good! Try to rest this next week and take your meds as directed and you should heal well then. You are young and should bounce back quickly...
I'm sorry that you are still having so much trouble. You may try some Gatorade, iced tea, soups as possible,. OTC Emetrol may help with the nausea. Benedryl or Dramamine OTC may help... your doctor could prescribe you with Phenergan or Zofran to help even more with the nausea...
I hope this helps. I hope that you feel better soon. Take Care,
The leg cramps and tingling sensation are probably related to electrolyte problems that have probably developed due to your prolonged nausea, vomiting and dehydration.
The light headed sensation when you get out of bed is probably an indicator that your blood pressure is too low when you stand. This is a sign of serious volume depletion.
It sounds to me that you probably need to get IV fluids in order to help you recover.
I hope that you feel better soon. I'm sorry to hear that you continue to have these problems. I know that you must feel very frustrated and worn out with the series of illnesses that you have been dealing with.
Let me know if you have further questions or concerns. Take Care,
I suppose that it can wait until tomorrow>> that is really your decision. I would advise that you try to get help today as the better option. I understand that you are tired of illness and medical case as well at this point.
Urgent care is fine as far as getting further evaluated. I feel that they may well need to send you on to ER if you are as dehydrated as I suspect. I doubt that they would be set up to give IV fluids at urgent care if you needed them. It would be faster and cheaper to get evaluated however...
I hope this helps. Take Care,
I understand... I hope that you feel better soon....
They might > > that would depend on the severity of your situation.. I think it likely that you may need at least 1 to 2 liters of IV fluids. This could be done via the ER and discharge home...
That makes sense that you had the esophageal Candidiasis since you had the white plaques found on endoscopy....
I suspect based on your history that you will need IV fluids BUT I can't tell you that for sure that this is the case. You need to be evaluated. Orthostatic BP and pulse and labs done to judge your degree of dehydration and possible electrolyte disturbance...
I hope that this helps. Take Care,
Wow >> you seem to run into some real winners in the medical profession... Well I do hope that you benefit from the IV fluids.
Feel better soon !
In your case you being on the antibiotics recently would be a factor to increase your risk of getting Candida and the prednisone would have been a second risk factor for you... I think that these two in combination explains why you got Candida and that you are not immunocompromised...
I hope that this helps. Best Regards,
You have those two significant risk factors for the Candida and so I do not see reason at this point to suspect that you have yet a third factor (some other factor that may make you immunocompromised...)
I hope this helps. Best Regards,
This in itself is not that unusual >> it happens on occasion>> too much pressure on the cuff may do this..
It makes sense that the low potassium would be there... you had symptoms of that. The vomiting would have contributed to that.
Sorry that you still had the WBC's in urine.. that sounds that the UTI has not been cleared..
The elevated CRP would be expected with all the problems that you have had lately. It reflects inflammation for any reason...
I hope this helps. Let me know if you have further questions or concerns. Best Regards,
Do you know how high the WBC's were? If they were very low such as 2 WBC's per high power field then it may not be necessary. If only Leukocyte Esterace positive on U/A then this should be followed by microscopic exam.
If you think it may have been an oversight then call their office back.
I hope this helps. Let me know if you have further concerns. Further ACCEPT and positive feedback would be appreciated! Thank you and Best Regards,
That level would be consistent with an ongoing UTI and should be treated. I would call your doctor's office on this. I suspect that it was an oversight that they did not give you an antibiotic for this.
Well that would be more determined on a pelvic exam >> discharge and cervical motion tenderness would be evidence of PID for example.. this would not be determined by a U/A... did they perform a pelvic exam?? Does he think that the WBC's are contaminant from vaginal secretions? (High numbers of epithethial cells are clues that there may be vaginal contaminant in sample..)
Well UTI >>should be treated
PID >> even more dangerous and must be treated!!
Vaginitis > less critical by far but easy to treat...
Lack of any treatment makes no sense...
I doubt that you have PID. I think that you probably have UTI ...
I see... so that makes more sense... If you had abnormal degree of pain on pelvic exam and the ultrasound then that could be indicative of PID... I would think that if you had PID that a purulent discharge from the cervix would be expected finding however...the watchful waiting and follow up and the tests such as urine culture makes much more sense.. it had sounded that the ball was dropped from your earlier description...
I hope this helps.Let me know if you have further concerns. Best Regards,
I suspect (but don't know this for certain of course) that you have a UTI > hence the white cells in the urine. This would be the most logical explanation of the WBC's of that degree in your urine sample. MOST of the time a urine culture will define the source >>ID the exact causing bacteria of infection and antibiotic sensitivities... This test is not 100% but is usually reliable... polymicrobial result would generally be interpreted as contamination such as vaginal...
Do you have UTI symptoms? Burning with urination, frequent urination, increased urgency?? Flank pain?? I know that you have had the nausea and this is probably more due to your ulcers and gastritis.. it can be a UTI symptom as well...
Let me know>> Best Regards,
I see. I agree that the sequence of results and symptoms do seem puzzling in your case... Still to me it strikes me as being more likely that you have a UTI and I would have probably treated now with a course of Septra... I agree with your doctor sending the urine for culture and I understand the strategy of watchful waiting and reviewing results as they come in... it often is the case that everyone does not have typical UTI symptoms
Well this would call for continued evaluation of the urine and your symptoms. Say if you feel back to normal >> 100% ( we hope so, right?) then there is no treatment that would improve you clinically.. this would be a good scenario....
Say that you do have more symptoms of UTI and positive U/A with questionable indeterminant culture results.. then you would need treatment... we treat the PATIENT not just lab results...
Yes I think that in your situation that you are in a mode of waiting for the urine culture results to return... do be on watch for increased in symptoms and notify your doctor if this should occur..
Yes, vaginal contaminant is a possible source of the white cells. This can be eliminated as a possibility by obtaining a cath urine sample. (Unpleasant but it may be important enough if this issue is ongoing question...) A cath urine sample would eliminate the possibility of vaginal contamination...
I hope this helps. Let me know if you have further questions. Best Regards,
Yes it is fairly common to have vaginal contaminants causing white cells in the urine. That is a possible source.You could have some vaginitis as a possible source. This would mean that you could have a yeast infection or bacterial vaginosis as possible causes. (Gardnerella species of bacteria most common but others are possible for this) IF you had vaginitis due to bacterial cause then Rx for Metrogel would be what I would most commonly prescribe ... 5 day course... Vaginitis would be determined by swab and wet mount of vaginal secretions..
I see... white cells on the wet mount as well?? Or just the urine?? Not normal finding to have many white cells on the wet mount of vaginal secretions... keep in mind that this is not a concentrated sample that is placed under the microscope as opposed to the urine which is spun down in centrifuge first...
I hope that this helps. Please ACCEPT and give positive feedback soon
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