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Infectiology

Do I really need to get a shot for Yellow Fever?

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Do I really need to get a shot for Yellow Fever?
I am travelling to Columbia, South America in early December. In Columbia for about 9 days. I am never at an elevation below 1,411 metres.
Part of one day at 1,411 metres
3 days at 2,640 to 3,000 metres
5 days at 2,500 to 4,500 metres
I am a male, 63 years old in excellent health. I have read the chances of getting Yellow Fever is extremely small and even smaller due to the fact I am mostly at higher elevations. I have no interest in visiting the parts of Africa or South America where Yellow Fever is present in the future.

Age:63
Male
Medications: Vesicare – (Only side effect is some dehydration). Pill reduces number of times I urinate at night.



Developed itchy blisters on left earlobe, got bigger and painful?

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Onset yesterday morning of itchy blisters to left earlobe, got bigger, and painful since. Have couple similar today to right earlobe also.
Left love painful, red and swollen, mild pain to my left side face also.
Feel well in self, had fever of 39 and sore throat for 2 days earlier in week.

Age 28
Male
Medications: None




I have an issue with my finger It’s tender to touch and I have a headache that won’t go away?

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I have an issue with my finger and can’t seem to figure out what it is. I think I may have been attacked by an angry ant but unsure. It’s tender to touch and I have a headache that won’t go away and I have a 100.2 fever. I just started using beynadrly orally and Cortizone10 on the skin.



My gums are swollen all over my mouth, is it the flu or a bug?

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Ok so I am in pretty good health from what I know and I have felt absolutely normal until this last Monday morning I wake up my gums not just in a few places they are swollen all over my mouth, I had oral thrush on my tongue, on that day I had 1 sore middle bottom lip small but painful today is Wednesday 2 days later I have 2 sores on my tongue and 1 inside my upper lip and 2 inside my lower lip. On top of just that. Monday even until today I have been dizzy, minor headache, lots of stomach pain but randomly, have a hard time eating when I do it causes my stomach pain I have had maybe 10-12 bites of food in the last 4 days. Yesterday I was throwing up for about 8 hours I hadn’t eaten much food but the color every time was dark brown like beef broth only a little darker and had a weird medicine type taste not like when I’ve ever thrown up in the past and I hadn’t taken any medicine or anything at that point. My temperature has been a steady 100 degrees Fahrenheit since Monday morning at 5:00am. Whole body has been weak and muscle soreness since Monday. Yesterday on Tuesday after I finally stopped throwing up my lower abdomen and my groin were in major pain so much so that I couldn’t get much needed sleep. It wasn’t until last night that it went away and I slept almost the whole night. I did have a root canal 2 years ago and only got as far as the temporary filling after and couldn’t afford the replacement tooth that area doesn’t look very good but I can’t imagine this many symptoms happening literally overnight. Had none of it Sunday night woke up Monday like I was attacked by the plague or poisoned something crazy. Please help I don’t know if this is like a flu or a bug or it will go away I feel better today than the last 2 days but still not better at all and more sores keep appearing in my mouth in random places for no reason.

Age:31
Male
Medications: None



I have pimples that look like tiny worms, tried ivermectin?

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Help me please! I pulled this out of my face. It looked like a pimple. I have other pimples that now look like tiny worms in my face, arms, and legs. I expelled one 2 inches long in my in my stool. It was flat with dark then light square pattern. I have tried ivermectin in desperation. But I don’t know if that’s what I should be taking and how long to take it. They came out my eyes too, looked like little hairs and larvae. I had slight edema in my ankle and sometimes feel stickyness on my skin. I keep getting things inside me. I was cleaning a dirty stove today and a red dot attatched to my leg, that turned into a worm after I tried to scrape it off. It then had little ones spread around it. I’m really scared. Please help me!
Age: 39
Female
Medications: None, but tried ivermectin

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I was exposed to flood waters from Hurricane Harvey, can I get infected?

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I had small open wound on my foot and I had to go in extremely dirty water (due to rain) and there were lot of animals (mainly cows) around with their feces. I am extremely worried what is the risk of getting infections out of it? and what I should be doing now?

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I had acute lower abdominal pain throughout the night?

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12 days ago I had acute lower abdominal pain throughout the night, the next day i started with all over body ache, fever, loss of appetite and vomiting with extreme tiredness, this lasted for four days. During that time I did not take my usual medication, levothyroxine and the mini pill. On day 6 when still recovering from the illness I started with a heavy period (I haven’t had a period for years due to the pill I take), I assumed this was because I had missed a few days of the contraceptive pill, but I am not sure whether these two problems are linked or not. I have never experienced a period so heavy with a lot of blood clots and is as heavy now on day 7 of the period as it was on day 1. I have done a pregnancy test to check its not a miscarriage but it’s negative. I am a 40 yr old with previous history of large benign ovarian cysts which has resulted in the removal of one ovary two years ago. Any advice gratefully received.

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After being released from hospital my mother is having breathing problems all the time?

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My mother is 58 yrs old. Recently she had dengue and was admitted to hospital. After being released from hospital she is having breathing problems all the time. We consulted doctor and got to know that all sort of tests came all right.. there is no problem found… she is taking medicine also for the breathing problem and again got admitted to hospital and was given oxygen there. Now she us at home but the problem still persists. But doctors said there is no problem, no heart or health problem at all.. it is happening due to anxiety.. my question is if that is the reason then why she is having breathing trouble all the time all throughout the day.how can it be cured.. please advise

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I developed shingles can I still be contagious to others?

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I developed Shingles on 8 days ago. I am on Famciclovir 500mg, 3x day. The swelling around the rash has gone down, and, for the most part the actual rash is drying up. The area in question is on my left thigh. I wear long pants all day long to cover the area. I am scheduled to take a First Aid Course on Monday August 21 & 23. Is it safe for me to do so. Can I still be contagious to others.
Thank You

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I developed a fever on friday afternoon and it has gone up and down since?

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Hi! I developed a fever on friday afternoon and it has gone up and down since, it has been as high as 103.5 and as low as 97.9, I am taking Tylenol or Advil. I get the chills and then sweat really bad. The fever as i said goes up and down but seems to be consistent around 100.4 to 101.7. I have not lost my appetite but feel achy and sometimes have a headache. Age:39 Male

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Is it bad to always take antibiotics?

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Hi Doc,
Is it bad to always take antibiotics? This year I have taken 3 courses of Augmentin. Ever since I did my radiotherapy 4 years ago on my nose, I seem to catch bacteria flu quite easily. It will start with lots and lots of greenish mucus coming out from my nostril and then I will get a very cough soon enough. It is the same every time.I always needed Augmentin to recover fully. But after 3 months or so I will get the same thing over again . . I am worried that Augmentin will not be able to work one day as the bacteria may become more resistant. I am currently down with the same thing but have not gone to see a doctor yet.. I am 100% positive that it is another bacteria attack, Should I go for another course of Augmentin? I have taken so many courses and I am getting worried. I am thinking of doing a yearly flu jab once I recover. Will the flu jab protects me from further attacks

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When I lie down I feel anxiety and chills?

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When I lie down I feel anxiety, chills come and go every several seconds, light headed, hot and sweaty, flushed face. These symptoms occurred for the first time a couple of mornings ago and then not again until now.

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I had E. coli infection now have blood clots, what’s going on?

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I am a 23 year old female i am 5’6″ I weigh 173 lbs my medications I am on consist of 30mg ER Cymbalta,Mitalax,Lactulose,Senkonot,and stool softeners. It started out 4 years ago when I had my daughter Via C-Section and got a E.coli blood infection with 6 blood transfusions, i am very Anemic always have been, 9 months after my infection they found a herniated disc in my L4-L5 region I had surgery to decrease the bulge to only return 4 months later after about a year of physical therapy Gabapentin, and no relief they did another MRI to find the disc bulging again so second surgery still maybe a month relief then i got on a pain management program that prescribed Morphine 30mg ER every 12hrs and 15 IR 1/2 tab every 8 hrs about two years into the program i couldn’t handle the pain meds and still had no relief and sever constipation, so I’ve been off for two or so years. I got the IUD in my arm and experienced frequent UTI and yeast infections and hormone imbalance was always 140lbs-145lbs so they took the IUD and referred me to a thyroid specialist and they tested my thyroid levels and said nothing was wrong with no explanation of the discharge and infections was told I have to live worth it my results as of 1/30/17 TSH 0.37 T3,TOTAL RSLT 140.6 and T4 TOTAL RSLT 7.3. I was put on the Nuvarin but stopped due to massive discharge,fatigue, severe constipation, and discomfort about a month ago i started yo gain weight now I’m ip to almost 40lbs at 172lbs.. I was referred to a gastroenterologist for a possible colonoscopy after being hospitalized for blood clots in my stool but I couldn’t flush my system with anything help me what’s going on?

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I am a nurse and suffered a lancet cut after lancet used on HIV patient.

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got lancet prick on my finger and it was deep enough for me to bleed.lancet was used on hiv patient and one minute after it was used on him,i got pricked.what are the chances of getting HIV infection if i don’t take PEP .I’m a nurse and I talked with my superior.She said chances are lower than hollow needle prick injuries.PEP or not PEP is on my decision.

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My granddaughter has an awful sore, doctor doesn’t know what it was?

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My granddaughter came over for the weekend with this awful sore on her side. Her parents said they took her to the doctor and were told that they didn’t know what it was to put antibiotic cream on it. You should be able to see the small red dot next to the big sore. That red dot is starting to look like the other one. Any ideas on what it could be?
img_skin sore

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