Months ago some qualified researchers (physician specialists in this case) published an article in Annals of Allergy , Asthma and Immunology which reported superior outcomes of intranasal steroid (INS) compared to antibiotic or placebo (a substance containing no medication but made to look like medication) in a clinical trial involving over nine hundred patients.
Acute Rhinosinusitis (ARS) is typically manifested by nasal congestion, runny nose, facial pressure or pain, postnasal drip and headache. It is often caused by viruses (like the common cold virus) and lasts up to 4-12 weeks according to these researchers. Interestingly, I’ve told patients for years, that viral based sinus symptoms shouldn’t last more than one and a half to two weeks.
Many healthcare professionals agree that antibiotics are grossly over prescribed for upper respiratory tract infections. Concerns about sinus infections are one of the most common reasons patients contact their doctor. Physici...
Alternative Names Backache; Low back pain; Lumbar pain; Pain - back; Acute back pain; Back pain - new; Back pain - short-term Treatment To get better quickly, take the right steps when you first get pain. Here are some tips for how to handle pain early on: Stop normal physical activity for the first few days. This helps calm your symptoms and reduce inflammation. Apply heat or ice to the painful area. Try ice for the first 48-72 hours, then use heat. Take over-the-counter pain relievers such as ibuprofen (Advil, Motrin IB) or acetaminophen (Tylenol). While sleeping, try lying in a curled-up, fetal position with a pillow between your legs. If you usually sleep on your back, place a pillow or rolled towel under your knees to relieve pressure. A common misbelief about back pain is that you need to rest and avoid activity for a long time. In fact, bed rest is NOT recommended . You may want to reduce your activity only for the first couple of days. Then, slowly start your usual activities after that....
Mitral insufficiency; Acute mitral regurgitation
-- unrelated to coronary artery disease or a heart attack
Shortness of breath
that increases when lying flat (orthopnea)
Sensation of feeling the heart beat ( palpitations )
Note: Symptoms may start suddenly.
Signs and tests
The doctor may detect a thrill (vibration) over the heart when feeling ( palpating ) the chest area. An extra heart sound (S4 gallop) and a distinctive heart murmur may be heard when listening to the chest with a stethoscope. However, some patients may not have this murmur. If fluid backs up into the lungs, there may be crackles heard in the lungs.
is usually normal.
The following tests may be performed:
Chest MRI scan
- may also show fluid in the lungs or prominent lu...
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