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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Ulcerative Colitis Be Treated?

Hi...As a backdrop I currently have ulcerative colitis and graves. I am have been dealing on and off for at least six months with a low fever 100 (it seems to be worse after I exercise), body chill (anytime of day),soreness on the both sides of my throat, sore throat, headache mostly in the morning and what feels like drainage from my ear down my throat. I have use the nasal spray my internist thinks its allergies. If it is that it might be something I need to live. Can you think of the right questions I need ask her or point me in the right direction. I realize it probably fits a million things. Thanks
Thu, 15 Mar 2018
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General & Family Physician 's  Response
Hello,

As per your clinical history is concerned, please follow like this:

1) Do a clinical exam by your Doctor [ENT] and do few pathological investigations like this to confirm [CBC with differential count, Nasal endoscopy, Nasal cultures and a CT scan].

2) Do saline nasal irrigation regularly and discuss with your Doctor about
a) Fluticasone nasal spray
b) Paracetamol for fever if above 102
c) Prednisone
d) OTC Decongestants [Actifed]

Discuss about antibiotics if a bacterial infection is suspected.

Do follow lifestyle modifications like this:

1) Try to avoid upper respiratory infections. Minimize contact with people who have colds. Wash your hands frequently with soap and water, especially before your meals.

2) Carefully manage your allergies. Work with your doctor to keep symptoms under control and every month do a differential count of blood.

3) Try to avoid cigarette smoke and polluted air. Tobacco smoke and air contaminants can irritate and inflame your lungs and nasal passages.

4) Use a humidifier. If the air in your home is dry, such as it is if you have forced hot air heat, adding moisture to the air may help prevent sinusitis.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Uday Nath Sahoo
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How Can Ulcerative Colitis Be Treated?

Hello, As per your clinical history is concerned, please follow like this: 1) Do a clinical exam by your Doctor [ENT] and do few pathological investigations like this to confirm [CBC with differential count, Nasal endoscopy, Nasal cultures and a CT scan]. 2) Do saline nasal irrigation regularly and discuss with your Doctor about a) Fluticasone nasal spray b) Paracetamol for fever if above 102 c) Prednisone d) OTC Decongestants [Actifed] Discuss about antibiotics if a bacterial infection is suspected. Do follow lifestyle modifications like this: 1) Try to avoid upper respiratory infections. Minimize contact with people who have colds. Wash your hands frequently with soap and water, especially before your meals. 2) Carefully manage your allergies. Work with your doctor to keep symptoms under control and every month do a differential count of blood. 3) Try to avoid cigarette smoke and polluted air. Tobacco smoke and air contaminants can irritate and inflame your lungs and nasal passages. 4) Use a humidifier. If the air in your home is dry, such as it is if you have forced hot air heat, adding moisture to the air may help prevent sinusitis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Uday Nath Sahoo