Hypertension Explained
Hypertension is persistently high blood pressure that a person can have without showing noticeable symptoms. When arteries are narrowed and blood is forced through at a high pressure, over time there can be damage to the artery walls. This can lead to serious medical conditions, such as heart disease. Often, the only way to know if you have hypertension is to have your blood pressure checked. At Medco ER & Urgent Care of Plano, we check all of our patients’ blood pressure to screen for any signs of hypertension.
“There are times a patient comes in for something minor like stitches and then we discover a more urgent concern with his blood pressure levels,” said Medco ER & Urgent Care’s Medical Director, Dr. Nasir Khan. “We highly recommend an annual blood pressure checkup to watch for any early signs of hypertension.”
What kind of health conditions can be caused by hypertension1?
- Heart attack
- Heart failure
- Stroke
- Vision loss
- Kidney failure
- Sexual dysfunction
What do the numbers mean?
When you have your blood pressure checked, two numbers are recorded: the systolic and diastolic measurements. The systolic, or first number, measures the pressure of the blood in your arteries while the heart beats. The second number is the diastolic measurement. It tells you what the pressure is like when your heart rests between beats. If the systolic measurement is 120 and the diastolic is 80, it is reported to be “120 over 80.”
What is a normal blood pressure reading?
According to the CDC, a normal blood pressure rate would be less than 120/80 mmHg. An elevated rate would be 120 to 129 over 80. And a hypertension rate would be 130 or higher, and higher than 80 diastolic.
A hypertensive crisis requiring immediate medical care would be a reading higher than 180/120.
“If you’re taking your blood pressure at home and you find it is in a hypertension stage, come in to Medco ER & Urgent Care right away,” said Dr. Khan. “We will check your blood pressure again and will give you a complete examination.”
How do I check my blood pressure at home?
You can easily obtain a digital blood pressure machine at most stores. Take your blood pressure consistently twice a day, such as at the same time in the morning and evening. Do not eat, drink or smoke for 30 minutes before taking your blood pressure and don’t exercise. Be quiet for 5 minutes before taking it.
Sit straight at a table with your feet flat on the floor and your arm resting on the table with the upper arm at the height of your heart. Place the blood pressure cuff on your bare arm just above the elbow. Don’t talk while you take the reading. Wait one minute and take another reading to compare. Record your measurements on a sheet of paper with the time and date, or a log.
Treatment for hypertension
“Take your blood pressure every day, twice a day and keep a log,” said Dr. Khan. “Make sure you are under a doctor’s supervision. Your physician may prescribe medication to manage your blood pressure. Also, you can start to make some lifestyle changes that can help lower your blood pressure.”
Lifestyle changes we recommend:
- Regular exercise
- Diet low in sodium – under 1,500 mg a day
- Lose weight / maintain a healthy weight
- Eat healthier – low fat, more fruits and vegetables
- Limit alcohol
- Don’t smoke
- Get plenty of sleep
What will Medco ER & Urgent Care do for me?
If your blood pressure is too high or perhaps even too low, we can evaluate it and examine you to determine the best course of action. If you take a reading at home and it is in the hypertension range, come in and we will examine you and craft a treatment plan that’s right for you. We are open 24/7 every day of the year to make sure you have easy access to top quality medical care.
- Plano location:
3960 Legacy Drive, Plano TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-392-4000
1 https://www.heart.org/en/health-topics/high-blood-pressure/health-threats-from-high-blood-pressure
When Anxiety Sends You Running for Cover
If you find yourself flooded with feelings of anxiety, it could be a normal response to your current situation. However, persistent and excessive feelings of fear and worry over common situations could be the sign of a growing anxiety disorder. Fears that turn into panic mode are commonly called panic attacks. If left untreated, anxiety disorders and panic attacks can have adverse effects on your physical health. Because anxiety is linked to number of health conditions, our board-certified physicians at Medco ER & Urgent Care of Plano recommend a thorough evaluation to rule out any additional health issues.
“Panic attacks and feelings of anxiety, danger or impending doom can be deeply disturbing to the patient, but they are not always serious,” said Medco ER & Urgent Care’s Medical Director, Dr. Tariq Vora. “However, anxiety could be an indicator that something more serious is going on with the body. Therefore, getting a thorough medical examination is an important step to rule out a more serious medical condition before attributing it to a form of anxiety.”
Anxiety disorders are common among adults. According to the National Institute of Mental Health (NIMH), 19% of adults in the United States have suffered from an anxiety disorder in the past year. “Don’t suffer in silence,” said Dr. Vora. “Anxiety is a rather common problem and Medco ER has a friendly staff that is available to help and to provide mental reassurance in times of need.”
What are the symptoms of anxiety?
- Excessive worrying about common things
- Feeling nervous
- Emotional outbursts
- Restlessness
- Tension in muscles, trembling, twitching or cramping
- Concentration problems
- Feeling of doom
- Irritability
- Increased heart rate or palpitations
- Insomnia
- Headaches
- Hyperventilation
- Abdominal cramps and diarrhea
- Sweating
What kind of health conditions can be caused by anxiety?
The human body usually responds to anxiety by releasing increased level of Adrenaline & Cortisol. Prolonged exposure to these hormones can lead to certain conditions over the course of time such as:
- Hormonal imbalance
- Elevated blood pressure
- Insulin resistance
- Increased blood sugar
- Altered food digestion
- Suppressed immune response
- Heart palpitations
- Heart disease
- Hair loss
- Impaired concentration & memory
- Depression
- Eating disorders
What health conditions can be mistaken for anxiety disorders?
Many types of ailments can manifest with symptoms suggestive of anxiety rather than a more serious health problem. Here are a few underlying conditions that your physician may check for during a medical evaluation:
- Hormone imbalance – thyroid imbalance
- Nutrition deficiency or malabsorption
- Alzheimer’s
- Blood disorders such as leukemia
- Lupus
- Fibromyalgia
- Electrolyte imbalance
Treatment for common anxiety
If your physician at Medco ER & Urgent Care determines you are suffering from anxiety, he/she can prescribe you a medication to treat it so you do not have to fight it on your own. You may be referred to a specialist for therapy or counseling that can help you feel even better. If your anxiety has caused physical symptoms, do not hesitate to receive immediate medical attention. “Whether anxiety is related to a physical condition or not, it is usually treatable,” said Dr. Vora. “So don’t feel discouraged. And feel free to come to us for help any time of the day or night.”
When should I go to the ER?
If you feel like your worrying is out of control, if you are experiencing difficulty breathing, palpitations or chest pain, or if you feel depressed or suicidal, come to the nearest ER immediately. At Medco ER & Urgent Care, we offer some of the best medical care in the region and we are open 24/7 to help you start to feel better again.
- Plano location:
3960 Legacy Drive, Plano TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-392-4000
An Expert’s Guide to Nausea & Vomiting
If you or your child ever awakened in the night with a sudden bout of upset stomach, nausea or an urge to vomit, you have probably wondered what caused it. Nausea and vomiting are symptoms of an underlying condition which could be anything from a common infection to an intestinal obstruction or even appendicitis. While nobody wants to suffer from intractable nausea and vomiting, you can be assured that the board-certified physicians at Medco ER & Urgent Care of Plano are highly experienced at diagnosing and treating these conditions using a thorough history & physical exam as well as use of the advanced lab tests and imaging tools.
“Nausea and vomiting are indicators of an underlying distress in the body,” said Medco ER & Urgent Care’s Medical Director, Dr. Tariq Vora. “We need to perform a complete evaluation to pinpoint the exact cause, which could vary widely from patient to patient. We may need to follow it up with blood tests and a CT scan. In the end, we will be able to construct a treatment plan that’s appropriate for the patient.”
What are the causes of nausea and vomiting?
There are many causes of nausea and vomiting. Some of the most common ones encountered in the Urgent Care & ER setting are as follows:
- COVID-19
- Food poisoning
- Viral gastroenteritis – commonly called stomach flu
- Pregnancy – morning sickness
- Migraine
- Intestinal obstruction
- Appendicitis
- Alcohol consumption
- Diabetes
- Gallstones
- Irritable bowel syndrome
- Heart attack
- Intestinal intussusception in young children
- Meningitis
- Concussion
- Kidney stone
- Cancer
- Motion sickness
What are some of the symptoms that can accompany nausea and vomiting?
- Dizziness and vertigo
- Stomach pain
- Abdominal cramps
- Fever
- Headache
- Dehydration – sunken eyes, chapped lips, dry mouth, rapid pulse, rapid breathing, decreased urine output, dark colored urine, strong smelling urine, sunken fontanelle (soft spot on infant’s head)
What are signs of an emergency?
If your nausea and vomiting are accompanied by any of these symptoms, you need to immediately go to the nearest emergency room.
- Chest pain
- Stiff neck and high fever
- Abdominal pain or cramping
- Confusion
- Loss of consciousness
- Sharp pain
- Uncontrolled dehydration
- Blood in stool
- Blood in urine
- Blood, green color or something like coffee grounds in vomit
- Fecal odor in vomit
Treatment options
Simple treatment options at home include the importance to pushing hydration and drinking fluids. Carbonated and sweet liquids can sometimes soothe the stomach better than water. Mint tea is also quite helpful for certain conditions. Rehydrate with an electrolyte-ready solution or drink. Stay home and rest. Avoid triggers such as perfumes, odors, lights, driving and heat. A few hours after vomiting, try bland foods like toast, crackers or gelatin. Keep your head elevated.
There are different types of medications that are used in the clinical setting depending on the various conditions and age group. Our physicians at Medco ER do not just provide prescriptions but they can make you feel better quickly with IV medications and IV fluids right on the spot and help you go home feeling great.
When should I go to the ER?
As a rule of thumb, if your vomiting has lasted for longer than 24 hours, seek medical attention at Medco ER & Urgent Care. We are open 24/7, and happy to help anytime you want to come see us.
- Plano location:
3960 Legacy Drive, Plano TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-392-4000
Top Reasons to go to the ER Even During COVID-19 Pandemic
For many people, the coronavirus pandemic has caused concerns about receiving safe medical treatment. However, visiting the ER in times of need is quite appropriate and safe. At Medco ER & Urgent Care, we made extra efforts to adhere to the safety guidelines recommended by the Center for Disease Control (CDC) during the height of COVID-19. We have also taken extraordinary measures to make sure our patients have safe medical care and efficient access to top quality care in a timely fashion.
“We pride ourselves on our excellent, safe medical care, even during unusual times of pandemic,” said Medco ER & Urgent Care’s Regional Medical Director, Dr. Tariq Vora. “If you have an urgent medical condition, don’t hesitate to come in and be seen by one of our board-certified physicians. You can be confident anytime in the care you receive here.”
What conditions are considered an emergency?
Any type of serious symptoms such as shortness of breath, numbness, abdominal pain, chest pain, loss of consciousness, and/or atypical headache are some common reasons to seek immediate medical attention at the nearest emergency room.
Medical problems we commonly treat at Medco ER include:
- Chest pain
- Abdominal pain
- Broken bone
- Sprains and strains
- Lacerations, scrapes or cuts
- Upper respiratory infection
- Respiratory distress
- Back pain
- Migraines
- Infections
- Foreign object in body
- Circulation concerns
- Pregnancy complications
- Burns or wound care
- Contusions
- Diabetes complications
- Renal failure
- Blood in urine or stool
- Concussion
- High blood pressure
- Mental and behavioral health concerns
- Flu or virus
- Pneumonia
- Allergic reactions
- Uncontrolled diarrhea and vomiting
- Animal bites
Additionally, anyone suffering with symptoms of COVID-19 should seek safe medical care. Symptoms vary but can include: fever, chills, cough, shortness of breath, fatigue, muscle aches, neck ache or stiffness, headache, loss of taste or smell, sore throat, congestion, nausea, vomiting, or diarrhea.
COVID-19 symptoms considered an emergency by the CDC include:
- Trouble breathing
- Persistent pain or pressure in chest
- New confusion
- Inability to wake or stay awake
- Bluish lips or face
“We are always here for you,” said Dr. Vora. “If you are unsure about a medical emergency or even something minor, we can perform a preliminary examination and determine the next steps in terms of diagnostics and treatment. With advanced imaging equipment and lab tests, we’re prepared to safely treat both medical emergencies and minor conditions with expert care.”
Negative Pressure Room
Using some of the latest technology, we have an exam room that is designed with negative pressure environmental controls. This helps contain any viruses, bacteria or airborne contaminants and keeps them from spreading throughout the facility.
Other safety protocols
In our continued, aggressive response to COVID-19, we have safety protocols in place to make sure our patients are protected against viruses and germs as best as possible. Here are some of our safety measures:
- N95 masks and room sanitization in the facility
- Personal protective equipment (PPE) for the entire staff
- Aggressive screening measures right at the entrance
- Regular staff screening with daily bodily temperature recording
- Clean waiting areas for patients & visitors
- Social distancing
- Designated areas for patients presenting for COVID-19 screening
- Rigorous cleaning and disinfection protocols
Come Right Away to Medco ER & Urgent Care
If you or people you love are experiencing symptoms of an urgent medical condition, don’t hesitate to come in for fast and expert help at Medco ER & Urgent Care. We’re open 24-hours a day to make sure you can get the medical care you need with little or no waiting time.
- Plano location:
3960 Legacy Drive, Plano TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-392-4000
Pediatric Ear, Nose & Throat Conditions We Treat
When your child’s sore throat gets worse, when ear pain flares up, when sinuses become congested, or when something happens to get stuck in the throat, it is time to visit Medco ER & Urgent Care. For ear, nose and throat (ENT) conditions that affect infants, children and adolescents, different procedures are used than for adults. That’s why we have an expansive pediatric care available—so we can provide the specialized treatment that is right for each patient.
“Babies and children have common ENT concerns, and often they are quite urgent,” said Medco ER & Urgent Care’s Regional Medical Director, Dr. Tariq Vora. “Our board-certified physicians with pediatric expertise treat everything from ear infections to foreign bodies stuck in the throat, ear or nose. Whatever the problem may be, we can diagnose and treat it, or refer to a specialist, if necessary.”
Common Pediatric ENT Conditions
We commonly treat babies, children and teens for conditions such as:
- Ear infections
- Hearing loss
- Sinus infections
- Allergies
- Reflux or difficulty swallowing
- Tonsillitis
- Nosebleeds
- Foreign object in ear, nose or throat
- Ruptured eardrum
- Difficulty breathing
- Swimmer’s ear
- Laryngitis
Specialized Pediatric Care
We have exam rooms that are designed with our youngest patients in mind. Colorful murals help put them at ease. When appropriate, juice and simple snacks are available.
Most importantly, our facilities feature dedicated pediatric equipment so we have the right size equipment for each infant, child or adolescent that comes to us for quality healthcare. Our in-house lab is equipped with rapid strep and flu test that can reduce the time waiting and help to provide timely treatment. We also have various imaging modalities such as ultrasound, MRI and X-rays.
When our facility was designed, it was built to accommodate people of all ages with a special emphasis on pediatrics. We care about our youngest patients and give them the highest level of care possible.
When ENT Conditions Become an Emergency
When your baby or child is having difficulty breathing, is choking, has a fever, shows signs of ear pain, has a foreign object stuck in a passageway, or shows signs of distress, head over to the emergency room immediately.
“We’re open 24/7 every day of the year to make sure we’re ready to receive your child any time there is a medical concern,” said Dr. Vora. “Any time you feel something is not right with your baby or child, don’t hesitate to come in. We can do a fast evaluation and, if it turns out to be minor, we can give you a recommendation of what to do next to save you time and money.”
Fast Help at Medco ER & Urgent Care
When your baby, child or teen is having ear, nose or throat concerns, the board-certified physicians at Medco ER & Urgent Care are here to help find a solution to any medical needs. Our trained staff is experienced in helping little ones feel relaxed and comfortable while we provide excellent pediatric care.
- Plano: 3960 Legacy Drive on the corner of Legacy and Coit Road.
Call us @ 469-392-4000
Stress Busters That Really Work
What do headaches, stomach upset, insomnia, fatigue, overeating, anger, depression and loss of sex drive have in common? These are some of the symptoms pointing to the possibility of stress. Most would agree that this past year has been particularly stressful. The COVID-19 pandemic, financial strain, civil unrest, election issues, isolation and separation from family and friends—there are plenty of reasons why you may be experiencing stress. And, of course, the holiday season presents its own sets of challenges as well. At Medco ER & Urgent Care, we are available to help when this type of pressure is causing you to experience physical and mental problems.
“If you live a fairly stress-free life, then you’re in the minority,” said Medco ER & Urgent Care’s Regional Medical Director, Dr. Tariq Vora. “We see a lot of patients who have conditions related to an overwhelming amount of stress in their lives. Anything you can do to lessen your stress level is going to benefit your body in the long run.”
What Stress Does To Your Body
When left unchecked, high levels of stress can raise your cortisol levels to an unhealthy level, burn out adrenals, cause high blood pressure and increase the risk of stroke and heart attack.
“Stress is a great motivator in moderation, but too much stress can put undue strain on the body and cause all kinds of problems,” said Dr. Vora. “While it is impossible to eliminate stress completely from our lives, we can start to intentionally practice stress busters to try to help us cope.”
Stress Buster Tips
The #1 tip for relieving stress is exercise. You don’t have to do a full gym regimen to get some helpful exercise. Try going for a walk after a holiday gathering, spend quality time with family & friends, play ball with your kids or chase your pet around the yard. Stretching and flexibility therapies like yoga, tai chi, Pilates or qigong are also solid choices. If you already lead an active life, bump up the conditioning with even more challenging gym options.
Some other tips for relieving stress include:
- Hobbies – sewing, jewelry-making, comic collecting, video games, scrapbooking, book club, reading, cooking
- Art – freestyle drawing, painting, crafts, mandala coloring
- Play – with kids and pets
- Music – listen to favorite tunes, explore new genres, try movement with music
- Nature – birdwatching, hiking, fishing, swimming, picnic, photography, gardening, kayaking
- Friends – meet up for coffee, have a Facebook private group chat, talk
- Bicycle, scooter or skating
- Jokes – collect jokes, cartoons or memes you think are funny and share with others
- Meditation and prayer
When Stress Becomes an Emergency
Even with an arsenal of stress busting tips at hand, it is possible to become overwhelmed by the effects of the pressure. You may wonder if it is ok to come to the ER with stress-related problems. It is important to know that many urgent medical conditions might masquerade as stress but require prompt care. Anxiety is one of the most common reasons for which people visit the emergency room.
Warning signs that require immediate ER attention:
- Chest pains
- Dizziness
- Sweating
- Jaw pain
- Back pain
- Shortness of breath
- Pain radiating down one arm
“Please do come to the ER any time you are feeling emotionally out of control or if you are experiencing physical symptoms that may be due to stress,” said Dr. Vora. “If you are feeling like harming yourself or others, or if you are in pain, we are always here to help. Our physicians and staff are very caring and understanding.”
Fast Help at Medco ER & Urgent Care
When you are feeling the effects of stress, or you aren’t sure what’s making you feel bad, the board-certified physicians at Medco ER & Urgent Care are ready to help. Open all day and night, every day of the year, Medco ER offers fast access to get the answers to your important medical questions.
- Plano: 3960 Legacy Drive on the corner of Legacy and Coit Road.
Call us @ 469-392-4000
When Abdominal Pain is an Emergency
If you’ve ever suffered sudden, acute pain in the abdomen, a chronic ache in the gut, or a long, drawn out ache in the stomach, you probably wondered when would be the right time to go to the ER. In most cases, the board-certified emergency medicine physicians at Medco ER & Urgent Care recommend coming in for a fast evaluation if you have any doubts about your abdominal pain.
“Abdominal pain is one of the most common complaints that we see often in the Emergency Room setting,” said Medco ER & Urgent Care’s Regional Medical Director, Dr. Tariq Vora. “It could potentially be caused by any of a number of serious medical conditions. Patients require medical evaluation to determine the root cause of pain.”
Causes of Abdominal Pain
Abdominal pain can be acute (coming on suddenly) or chronic (persistent over time). It can come and go, or it can be steady and even pulsating. Everyone suffers from abdominal pain at some point in their lives. Understanding some of the causes can help you know if it’s time to head to the ER. Some of the serious causes of abdominal pain include:
- Appendicitis
- Gallbladder
- Spleen rupture
- Kidney stone or infection
- Bladder inflammation or urinary tract infection
- Heart attack
- Aortic aneurism
- Diabetic ketoacidosis
- Diverticulitis or intestinal blockage
- Stomach flu
- Ectopic pregnancy
- Endometriosis
- Ovarian cyst
- Hernia
- Celiac disease
- Ulcer
- Sickle cell anemia
- Irritable bowel syndrome
- Hepatitis
- Cancer
- Lymphoma
“As you can see, there are a wide array of reasons why a person may be suffering from abdominal pain,” said Dr. Vora. “It’s important to know how long the pain has been going on, if it comes and goes or is steady, if any activity or food seems to trigger it, or if there are any accompanying symptoms.”
Emergency Signs Accompanying Abdominal Pain
Abdominal pain can be an indicator of a life-threatening condition. If your pain is sudden or severe, come to the ER right away. If the pain is in the mid-to-lower right side, come to the ER for evaluation.
Come to the ER immediately if your abdominal pain comes with:
- Fever
- Bloody stool
- Chest pain
- Difficulty breathing
- Tender area that hurts to touch
- Bloated, extended abdomen
- Nausea and vomiting
- Weight loss
- Yellowing skin
- Pink urine or difficulty urinating
“There’s a reason for your abdominal pain and it shouldn’t be ignored. Any time you are suffering from pain or chronic ache, you should be seen by a qualified physician. We have a range of helpful diagnostic tools, such as lab tests, CT scan, ultrasound and X-ray right here for easy access,” said Dr. Vora. “If you are experiencing abdominal pain, come right in and let us help you.”
Treatments for Abdominal Pain
Since there are so many different causes of abdominal pain, the treatment may also vary and possibly include prescription for pain medications and/or antibiotics, regulating diet, initiating immediate surgical intervention or implementing a long-term maintenance plan for chronic conditions.
Fast Help at Medco ER & Urgent Care
When you are experiencing abdominal pain and are suspicious that something’s not right, the emergency physicians at Medco ER & Urgent Care are ready 24/7 to take care of you. Don’t delay coming in for an immediate evaluation. We offer No Wait access to top emergency care physicians and our trained team will go to work fast to help you start to feel better again.
- Plano: 3960 Legacy Drive on the corner of Legacy and Coit Road.
Call us @ 469-392-4000.
When To Go To the ER for Back Pain
Crippling back pain can come out of nowhere, sidelining you from all your favorite activities, or it can be a chronic condition that lasts for weeks or even years. When back pain is at its worst, you may wonder if you should head to the ER for help. While it could have been caused by an injury or a muscle spasm and just needs time to heal, there could be something much more serious at the root of your back pain. At Medco ER & Urgent Care, we recommend coming in for a medical evaluation.
“Back pain is a common medical concern and we can evaluate & treat it promptly with a detailed physical exam and various modalities that include x-ray & CT scan, if warranted,” said Medco ER & Urgent Care’s Regional Medical Director, Dr. Tariq Vora. “We can offer several treatment options and therapies that can help the patient feel better quickly. We are also able to refer patients to a pain management or spine specialist for serious and chronic conditions.”
Causes of Back Pain
Over 80% of the population can experience back pain during their lifetime and 25% report having back pain within the last three months1. A common condition, back pain can be caused by any of a number of things such as:
- Inflammation
- Muscle strain or sprain
- Injury – ligaments, vertebrae, muscles, joints or discs
- Herniated disc
- Spinal fracture
- Infection
- Tumor
- Bulging disc
- Arthritis
“Sometimes the cause of your back pain could be completely unrelated to the spine, such as with kidney stones, appendicitis or ulcerative colitis,” said Dr. Vora. “It’s impossible to know for sure without a thorough medical exam and a CT scan.”
Treatments for Back Pain
Early treatments for benign back pain include simple things that can be performed at home. Try to rest, reduce activities, rotate ice and heat pack applications, and take over-the-counter anti-inflammatory such as ibuprofen or Aleve®. These things may provide some relief and give a chance for strained muscles or ligaments to heal.
If pain continues or becomes unbearable, other treatment options are available including:
- Physical therapy
- Surgery
- Steroids
- Neurostimulation therapy
- Prescribed and managed pain medication
Additional therapies may help to relieve your back pain such as chiropractic care, acupuncture, massage, or myofascial release therapy. Muscle strengthening exercises are excellent for relieving pain and yoga-style exercise can also help with ongoing pain control.
When to Come to the ER for Back Pain
There are serious medical emergencies that can first present as back pain. Come immediately to the emergency room if your back pain is accompanied by pain in the shoulder or jaw or numbness in the arm or legs. If you have trouble standing, have lost sensation in the groin or have muscle weakness in your legs, seek immediate medical attention. If bowel or bladder control is lost, that is another emergency indicator. Back pain that is accompanied by a fever, nausea or vomiting also required urgent evaluation.
If your back pain is worse when you lay down, there may be something more serious going on. If you have cancer, HIV/AIDS or are taking immunosuppressant drugs or prolonged steroids, back pain should not be ignored. We can also evaluate patients with back pain caused by motor vehicle accident.
“We’ve got the diagnostic tools to determine the true cause of your back pain,” said Dr. Vora. “Don’t hesitate to come in and let us work to help you start to feel better.”
Fast Help at Medco ER & Urgent Care
When you experience debilitating back pain, the emergency physicians at Medco ER & Urgent Care are standing by to help. Come right in any time, day or night, and we will show you to a private room where you will see your board-certified, emergency medicine physician in a few moments. Our imaging equipment is in-house and ready to use to aid in your diagnosis, if needed. Our goal is to help you soon feel better while on your way to recovery.
- Plano: 3960 Legacy Drive on the corner of Legacy and Coit Road.
Call us @ 469-392-4000.
Flu vs. COVID-19
Influenza (commonly known as the flu) and COVID-19 are both highly contagious respiratory illnesses and can easily spread to others. Although the symptoms of COVID-19 and the flu can look similar, the two illnesses are caused by different viruses.
Causes:
COVID-19 is caused by the 2019 coronavirus, also known as SARS-CoV-2.
Flu is caused by any of several different types and strains of influenza viruses.
Symptoms:
Similarities:
- Both illnesses can cause fever, cough, body aches, and sometimes vomiting and diarrhea (especially in children).
- Both can result in pneumonia.
- Both flu and COVID-19 can be mild or severe, or even fatal in rare cases.
Differences:
COVID-19 can sometimes cause a person to suddenly lose their sense of smell (anosmia) or taste (ageusia).
By contrast, flu does not typically affect a person’s sense of smell or taste.
Shortness of breath is quite common with COVID-19 while it is a rare symptom of the flu.
Many people infected with the coronavirus do not feel sick or have any symptoms at all, but they can still transmit the virus to other people. By contrast, most people infected with flu tend to be symptomatic.
So how long does it take for symptoms to appear after exposure and infection?
Differences:
If a person has COVID-19, it could take them longer to develop symptoms than if they had flu.
Flu:
Typically, a person develops symptoms anywhere from 1 to 4 days after infection.
COVID-19:
Typically, a person develops symptoms 5 days after being infected, but symptoms can appear as early as 2 days after infection or as late as 14 days after infection, and the time range can vary.
How do they spread?
- Both the flu and COVID-19 spread in similar ways. Droplets or smaller virus particles from a sick person can transmit the virus to other people nearby. The smallest particles may linger in the air, and another person can inhale them and become infected.
- However, COVID-19 seems to spread more easily than flu and causes more serious illnesses in some people. Another important difference is there is a vaccine to protect against flu. There is currently no vaccine to prevent COVID-19, though research is ongoing.
- Again, it’s important to note that people infected with the coronavirus or the flu may not realize they are sick for several days and, during that time, can unknowingly spread the disease to others before they even feel sick.
What are some complications caused by these illnesses?
Similarities:
Both COVID-19 and flu can result in complications, including:
- Pneumonia
- Respiratory failure requiring supplemental oxygen support
- Acute respiratory distress syndrome (i.e. fluid in lungs), which usually lands people in ICU
- Heart problems
- Multiple-organ failure (respiratory failure, kidney failure, shock) commonly known as sepsis
- Secondary bacterial infections
Differences:
Additional complications associated with COVID-19 can include:
- Blood clots in the veins and arteries of the lungs, heart, legs or brain
Mortality rate:
COVID-19 close to 3%. FLU causes <1% of deaths among the people infected.
Testing Options available:
Influenza or the FLU:
First of all, influenza virus testing is not required to make a clinical diagnosis of influenza in patients with suspected influenza, particularly during periods of increased cases. However, influenza virus testing can inform clinical management when these results may influence decisions such as:
- initiating antiviral treatment
- performing other diagnostic testing
- implementing infection prevention and control measures for influenza
Influenza virus testing is recommended for all patients with suspected influenza who are being admitted to the hospital. Furthermore, during a respiratory illness outbreak in a closed setting (such as long-term care facility or nursing homes), testing for influenza virus infection can be very helpful in determining if influenza is the cause of the outbreak.
There are several diagnostic tests available for detection of influenza viruses in respiratory specimens.
For the purposes of this forum, I would just like to mention the Rapid Influenza Diagnostic tests, which are readily available in outpatient settings, such as the doctors’ office and urgent care clinics. They can detect influenza viral antigens in 10-15 minutes with a reasonable accuracy.
COVID-19
Since COVID-19 is a new disease, information about the tests to detect the disease with high accuracy is still evolving. But here’s what we know now about tests that are currently available to the public:
Diagnostic tests for current COVID-19 infection:
If you want to know if you are currently infected with the COVID-19 virus, there are TWO types of tests:
- Molecular tests
- Antigen tests
Molecular tests (also called PCR tests)
How is it done? Nasal swabs, throat swabs, and tests of saliva or other bodily fluids.
You can get it done at a hospital or in a medical office.
What does the test look for? Molecular tests look for genetic material that comes only from the virus.
How long does it take to get results? It depends on lab capacity. Results may be ready the same day, but usually take at least a day or two. Throughout the pandemic, especially lately, delayed turnaround times of up to a week or two have been reported in many places.
A molecular test using a deep nasal swab is usually the best option, because it will have fewer false negative results than other diagnostic tests or samples from throat swabs or saliva. People who are in the hospital, though, may have other types of samples taken.
Antigen tests
It is also performed using a nasal or throat swab.
It can be obtained at a hospital or doctor’s office or even at home (Quest Diagnostics, costs around $130).
If the test is negative, it should be confirmed by the PCR test which is more specific for COVID-19
Antibody tests:
This is a third type of test that requires a sample of blood. It checks for antibodies in the blood. However, it does not differentiate between the present and past infection.
Moreover, having an antibody test too early can lead to false negative results. That’s because it takes a week or two after infection for your immune system to produce antibodies.
The bottom line:
Unfortunately, getting a test for COVID-19 can be confusing because the options are changing and tests from many companies are being marketed. Despite the current limitations of testing, we’re lucky to have reasonably accurate tests available so early in the course of a newly identified virus.
Getting a flu vaccine this year may be more important than ever to reduce stress on healthcare facilities that are already busy with COVID-19 care.
Emergency care available
If you are having trouble breathing, have chest pain, inability to stay awake, confusion or blue lips or face, come to Medco ER & Urgent Care immediately for help.
If you suspect you have COVID-19, come in for evaluation.
If you think you have COVID-19 and you have a preexisting, chronic medical condition such as diabetes, heart disease, high blood pressure, cancer, kidney disease, asthma, obesity, lung disease or if you are pregnant, come in for evaluation.
- Plano: 3960 Legacy Drive on the corner of Legacy and Coit Road.
Call us @ 469-392-4000.
– Dr. Tariq Vora, Medco ER & Urgent Care
What to do When Your Child has a Foreign Object in the Body
Toddlers and children tend to put things in their mouths as they explore and learn about their world. Many parents have at least one story of discovering a penny in a diaper, and most others have swept something out of their baby’s mouth just in time. However, once in a while, a foreign object enters the body—either accidentally or on purpose—and the consequences are much more serious. When this happens, the physicians at Medco ER & Urgent Care are standing by with expert help available.
“We’ve seen young children who have inserted a foreign object into a nostril or ear canal or have swallowed a button battery, but we’ve also seen adults who have accidentally inhaled or swallowed something harmful, or have gotten a shard embedded in their eye,” said Medco ER & Urgent Care’s Regional Medical Director, Dr. Tariq Vora. “In any case, we know exactly what to do to help the patient.”
Dangers of Foreign Object in the Body
If a foreign object remains lodged inside the body, any of a number of dangerous things can occur. The body can go into shock, nearby organs can be damaged, infection can grow, and tissue can be permanently scarred. Occasionally, if left untreated, death can occur.
“It’s common sense to know that you need to have an emergency physician help with an impalement or other obvious foreign object penetration, but especially with little children, it takes a careful diagnosis to discover the problem if it is internal,” said Dr. Vora.
Symptoms of a Foreign Object Lodged Inside the Body
Throat:
If something is stuck in the esophagus, the patient may still be able to swallow, though there will be a burning pain. Even after the object has passed into the stomach, the esophagus may still hurt as if it was still lodged there. When the esophagus is completely blocked, the patient will be unable to swallow saliva and will drool and spit. The saliva may contain blood, which indicates trauma in the throat. There may be a vomit reflex with nothing coming up. The patient will have difficulty breathing. At Medco ER, we are able to resolve the obstruction in the esophagus at times with IV medication or refer to a GI specialist in more complicated situations.
Eye:
Easiest to recognize, a foreign body in the eye causes obvious symptoms. Watery eyes, runny nose and pain when blinking are all symptoms of something in the eye. A tiny sliver of glass, metal or wood in the eye can cause extreme pain. At Medco ER, we have the tools to identify and remove the foreign body from the eye using anesthetic eye drops with pain relief.
Stomach and Intestines:
If there is a foreign body in the stomach or intestines, the patient can experience cramps, pain and bloating. Abdominal cramps and area tenderness may be present. Nausea and vomiting may also occur. Young children may seem lethargic and stop eating. It is important to identify certain types of foreign objects (such as a battery) in the stomach, which require urgent medical attention.
Skin:
Also reasonably easy to diagnose, a foreign object embedded in the skin is often visible. A raised, painful lump that gathers fluid may be the first indication. If the area becomes red and pus is present, there is likely something in the skin. At Medco ER, we can oftentimes remove the foreign object from underneath the skin and treat the infection right away.
Diagnosis
Diagnosis of a foreign object in the body usually includes an imaging tool such as an X-ray, CT scan or endoscopy. Your physician will do a thorough diagnosis to discover the type and location of the offending object.
Treatment
“To remove a foreign object, surgery may be required,” said Dr. Vora. “An endoscopy procedure may be able to retrieve an esophagus or stomach invader without further surgical intervention. A foreign object in the rectum may be able to be removed manually. An object in the eye or skin is usually able to be removed with minimal difficulty.” Once the object is removed and the wound closed, further treatments such as IV fluids, antibiotics or a tetanus shot may be needed to help the body heal.
Fast Help at Medco ER & Urgent Care
When you suspect there’s something wrong with your child, or when someone has an encounter with a foreign object in his or her body, the emergency physicians at Medco ER & Urgent Care are standing by to offer top healthcare services. Our no-wait ER is open 24/7 for all your medical needs. Our highly trained staff respond quickly to determine the severity of each condition and to provide appropriate care to each patient.
- Plano: 3960 Legacy Drive on the corner of Legacy and Coit Road.
Call us @ 469-392-4000.