Answers and questions on family medicine

Hello. My husband has had itchy skin for several years now. We have visited so many clinics. We visited an allergist, a gastroenterologist, a therapist. We did tests. Nobody can make a diagnosis. There are no rashes on the skin, just itching, which just bothers him. Tell me what can be the cause and what tests would you advise to do?
Answer: 13.07.2021

Good afternoon. Itching often becomes one of the main symptoms of many diseases. Sometimes it implies ordinary skin dryness or severe oncological diseases, often at the same time causing insomnia and psycho-emotional discomfort of a person. First, you need to come to the appointment with all the test results that you have on hand. To choose the strategy of further treatment, it is necessary to study carefully the patient's entire history.

Koval Olesya Serhiivna
Family doctor. Work experience 5 years.
Good afternoon! I'm 28. I don't smoke, I don't drink. For a whole week, the temperature has been 37.1-37.2 and the accompanying state of body aches and headaches. Sore throat. Periodic nasal congestion is also present. A very bad sleep. Tell me, what tests do I need to undergo?
Answer: 12.07.2021

Good afternoon. Such symptoms can be characteristic of both coronavirus and thyroid diseases or exacerbation of chronic tonsilopharyngitis. You need to visit your family doctor or therapist for a referral for analysis for COVID-19. If the result is negative, the family doctor will order follow-up examinations to determine the cause of your condition. If the test is positive for coronavirus, appropriate treatment will be prescribed.

Koval Olesya Serhiivna
Family doctor. Work experience 5 years.
Hello! My eyes bother me. I can’t look at the light, move my eyes – it’s painful and uncomfortable. The pain irradiates to the back of the head and I have a feeling of constriction inside the head. I don’t understand what’s wrong with me. Please advise.
Answer: 12.07.2021

Good afternoon. You shall certainly undergo examination by an ophthalmologist with the measurement of ocular tension and fundus, check-up arterial tension, ECG. Such problems can be of both ophthalmic and neurological nature.

Koval Olesya Serhiivna
Family doctor. Work experience 5 years.
Hello! On Monday I had a temperature of 38.4, a slight sore throat. I took a triple dosage of dietary supplements "Ant tree bark". The next day everything was all right. On Saturday, sensations appeared as with intercostal neuralgia in front of the left. It hurts in some body positions. Could this be a symptom of pneumonia? These 3-4 days I also have low blood pressure. Which specialist should I visit?
Answer: 08.07.2021

Good afternoon. These data are insufficient to determine any diagnosis. You need to see your family doctor/therapist for examination and further tests.

Koval Olesya Serhiivna
Family doctor. Work experience 5 years.
Help me, please. During 2 months the temperature is about 37.5. I underwent an ultrasound of the thyroid gland, abdominal cavity, an ultrasound of cervical lymph nodes, an X-ray of lungs – everything is normal. Three times in two months I did a clinical blood test, biochemistry, test for cp-protein, T4, TSH, common urine test, Nechiporenko urine test, test for glucose, procalcitonin – everything is normal. Gynecology – no infections and HPVs found. HIV – not detected. What could it be? What else do I need to undergo?
Answer: 08.07.2021

Good afternoon. Subfebrile condition of unknown origin can hide many diseases:

  1. Infectious diseases: an infection caused by Epstein Barr virus, cytomegalovirus infection, extrapulmonary tuberculosis, leptospirosis, Lyme borreliosis.
  2. Non-infectious inflammatory diseases: rheumatoid arthritis, NPC, arteries, etc.
  3. Preclinical manifestations of oncological diseases.
  4. Taking certain medications and so on.

In this case, it is necessary to visit a family doctor to collect a detailed history, physical examination and consider a further plan for diagnostics and treatment.

Koval Olesya Serhiivna
Family doctor. Work experience 5 years.
What to do at home when your stomach hurts? Paroxysmal abdominal pains, not very severe, occur mainly after eating.
Answer: 16.07.2020

The causes of abdominal pain can be the following: ingestion of spicy and salty food, acute or exacerbation of chronic gastritis, pancreatitis, spasm of the biliary tract. You can take antispasmodic at home. And then seek for medical help to find out the causes of this condition.

Koval Olesya Serhiivna
Family doctor. Work experience 5 years.
I cannot sleep at night. What can be the cause? Even when I fall asleep, I often wake up at night. And in the afternoon, on the contrary – I constantly want to sleep. And I can't refresh myself without coffee.
Answer: 16.07.2020

Good afternoon. You have natural biorhythms disorder. The causes can be different: psycho-emotional stress, tension, stress. In order to identify all the causes that led to this condition, it is necessary to visit a family doctor.

Help me please, what should I do in case of diarrhea? Are there any pills for diarrhea? What to eat with diarrhea? Only diarrhea, fever, no vomiting, we ate everything fresh.
Answer: 14.07.2020

It is necessary to increase the amount of liquid (drink a lot), in some cases it is possible to take antidiarrheal drugs (smecta, loperamide), to take a sorbent (atoxil, enterosgel, bionorm, carbon). If the condition worsens, the body temperature rises, consult a doctor. The reasons may be: a food poisoning, an acute intestinal infection.

Koval Olesya Serhiivna
Family doctor. Work experience 5 years.
Should I come to the doctor with ready tests, or can they be taken at the clinic?
Answer: 13.06.2018

Good afternoon. All tests can be taken immediately in the clinic in the manipulation room. This process is fine-tuned for quick diagnostics and treatment, if necessary. Medical Center “ON Clinic” works with proven laboratories, and we are confident in the results that our patients receive. All laboratory tests are carried out as prescribed by the attending physician and then interpreted by the doctor.

Koval Olesya Serhiivna
Family doctor. Work experience 5 years.