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American Trained Primary Care Physicians

Questions and Answers


How do I treat URI?


Treatment of upper respiratory tract infection depends on the underlying cause. Upper respiratory infections can be caused by allergies, viruses, chemical exposure such as smoke inhalation or bacteria. Bacterial infections require the most attention by the doctor. Typically, bacterial infections are associated with fever and yellow phlegm, whereas symptoms caused by allergies and viruses are associated with clear mucus. Bacterial infections need to be treated by a course of commonly prescribed antibiotics such as amoxicilin, azythromyocin, levaquin, etc. It is highly recommended to consult a doctor if you have a fever, chills and yellow phlegm. Untreated upper respiratory tract infections can lead to pneumonia.


How do I treat URI with Wheezing?


Treatment of upper respiratory tract infection depends on the underlying cause. Upper respiratory infections can be caused by allergies, viruses, chemical exposure such as smoke inhalation or bacteria. Bacterial infections require the most attention by the doctor. Typically, bacterial infections are associated with fever and yellow phlegm, whereas symptoms caused by allergies and viruses are associated with clear mucus. Bacterial infections need to be treated by a course of commonly prescribed antibiotics such as amoxicilin, azythromyocin, levaquin, etc. It is highly recommended to consult a doctor if you have a fever, chills and yellow phlegm. Untreated upper respiratory tract infections can lead to pneumonia. If you have a history of asthma, a cough may be associated with a feeling of tightness or wheezing sound with breathing. If wheezing is severe and making you feel short of breath, that is an indication to promptly visit a physician or urgent care. Mild cases can be treated with antibiotics as above, plus an inhaled bronchodilator such as albuterol and inhaled corticosteroids. It is recommend to start treatment promptly, before symptoms progress to a full blown attack of asthma.


How do I treat Seasonal Allergies?


Simple and minor cases of seasonal allergies can be treated with avoidance of exposure to potential allergens, such as dust, pollens, perfumes, etc. Over the counter medications such as benadryl, clartitin and nasal sprays can also be helpful. If these medications are of no help, then the next line of drugs that require a physicians prescription are clarinex, Clarinex D, or singulair. These medications are highly effective when taken in a timely manner and can provide great symptomatic relief.


How do I treat UTI?


Urinary tract infections are more common in women and are usually caused by bacteria such as E.coli. Untreated urinary tract infections can cause complications such as cystitis or pyelonephritis. UTI's are usually treated by a 3-7 day common antibiotics such as Bactrim DS, ciprofloxacin, nitrofuratoin. These medications will require a physicians prescription. Your physician may also ad another medication called pyridium for the first 2-3 days. This medicine will turn your urine pink and is indicated excessive pain or burning while urinating.


How do I treat Pharyngitis and Tonsilitis?


Pharyngitis and Tonsilitis can be caused by allergies, viruses or bacteria such as streptococcus. (Strep throat) Allergic and viral sore throats usually resolve on their own within a few days. However, bacterial infections require a prescription for antibiotics such as penicillin, azithromyocin or quinolones depending on the kind of infection you may have. This usually requires an consultation with a physician. Over the counter remedies such as decongestants will provide symptomatic relief but will not cure the infection.


How do I treat Sinusitits?


Sinusitis can be caused by allergies, viruses or bacteria. Allergic and viral sinusitis usually resolve on their own within a few days. However, bacterial infections require a prescription for antibiotics such as penicillin, azithromyocin or quinolones depending on the kind of infection you may have. This usually requires an consultation with a physician. Over the counter remedies such as decongestants will provide symptomatic relief but will not cure the infection.


How do I treat Laryngitis?


Laryngitis can be caused by allergies, viruses or bacteria. Allergic and viral laryngitis usually resolve on their own within a few days. However, bacterial infections require a prescription for antibiotics such as penicillin, azithromyocin or quinolones depending on the kind of infection you may have. This usually requires an consultation with a physician. Over the counter remedies such as decongestants will provide symptomatic relief but will not cure the infection. Reoccurring attacks of laryngitis may indicate problems with the vocal cords or tumor, especially in smokers. These cases require a visit to a ENT physician for a consultation and possible laryngoscopy.


How do I treat Poison Ivy?


Depending on the severity, poison ivy can be treated by over the counter medications such as benadryl. Most cases require prescription strength topical cortisone cream or even prednisone by mouth. Poison ivy can be contagious and can spread by person to person contact. Wash your hands frequently and avoid scratching the affected area(s) to prevent it from spreading.

How do I treat Acne?

Treatment of acne requires meticulous skin care, especially washing and removal of makeup at bedtime and utilizing minimal makeup only when necessary. Severe cases of acne will require prescription strength topical and oral antibiotics such as tetracycline, minocin, erythromycin or clindamycin. Certain foods or environmental factors may exacerbate acne and should be avoided. Severe cystic acne may require much stronger treatment such as accutane or retinoid creams which usually require a consultation with a dermatologist.

How do I treat Cold Sores?

People affected by cold sores usually start with a feeling of burning, stinging or itchy sensation at the affected part. Scratching or other contact with the affected area should be avoided and can cause the condition to spread to other parts around the lips. It will also delay the recovery and healing from the cold sore. It is highly contagious and other contact with other people should be avoided. The healing process can be accelerated by the use of anti-viral medications such as acyclovir or valaciclovir.

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