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.
Learn the Signs of a Stroke & Save a Life
A stroke is the interruption of blood flow to the brain, preventing oxygen and nutrients from reaching the brain and causing cells to die. According to the American Stroke Association (ASA), stroke is the #5 cause of death in the United States and is a leading cause of disability. Fast reaction to the first signs of a stroke can make not only the difference between life and death but can determine the amount of disability suffered from the event. The physicians at Medco ER & Urgent Care have compiled the information you need to know to quickly and properly respond to signs of a stroke.
“A stroke usually has noticeable symptoms,” said Medco ER & Urgent Care’s Regional Medical Director, Dr. Tariq Vora. “If you educate yourself and know what to look for, you can respond fast and call 911. EMS and emergency rooms are both set up with a stroke protocol to begin treatment as soon as possible.”
Signs of a Stroke
The 3 classic signs of a stroke can be remembered with the acronym F.A.S.T.
F – Face – one side of the face or mouth is drooping
A – Arms – ask him/her to raise both arms and see if one arm drifts down or is weak
S – Speech – stroke victims will have slurred speech or difficulty talking
T – Time – act quickly and call 911
In addition to these 3 classic signs of a stroke, the patient may experience the sudden onset of other symptoms. The important thing to note is these symptoms will come on suddenly. Here is the list of additional symptoms, according to ASA:
- Numbness – weakness or numbness of face, arm or leg, especially on one side of the body
- Confusion – confusion, difficulty speaking or understanding speech
- Trouble seeing – vision problem in one or both eyes
- Trouble walking – dizziness, loss of coordination and balance
- Severe headache – sudden headache
Risk Facts for Stroke
Factors such as age, race, gender and family history may contribute to your risk of stroke, however many risk factors can be changed or controlled. Some of these factors include a chronic medical condition, overweight, diet rich in fats, smoking or sedentary lifestyle. These factors can contribute to the risk of stroke:
- Diabetes
- Heart disease
- Atrial fibrillation
- Obesity
- Peripheral artery disease
- Carotid artery disease
- Smoking
- High blood cholesterol
- Inactive lifestyle
- Diet high in saturated fats, cholesterol, sodium
- High blood pressure
- Sickle cell anemia
Emergency Care Needed
“A stroke is an emergency and must be treated immediately,” said Dr. Vora. “Call 911 rather than drive the person to the ER since the EMS is equipped to begin treatment on a stroke immediately.”
Time is of utmost importance when it comes to a serious condition such as a stroke.
Kinds of Stroke
There are two main types of strokes:
- Hemorrhagic: Caused by bleeding in the brain; occurs about 20% of the time.
- Ischemic: Caused by a blood clot in the brain; more common, occurs about 80% of the time.
In the emergency setting, it is crucial to find out what type of stroke a person is experiencing. This could be quickly determined by a CT scan of the head.
At Medco ER, we are equipped with advanced imaging equipment and can perform the CT scan in less than 30 minutes from arrival. We also have close contacts with expert Radiologists who can provide a quick assessment of the CT images.
Furthermore, we are affiliated with local hospitals and specialized stroke centers and can quickly reach a Neurologist for an expert opinion to discuss the various types of treatment in a timely fashion.
Find help at Medco ER & Urgent Care
Patients suffering symptoms of a stroke can find fast access to quality medical care at Medco ER & Urgent Care. Our board-certified physicians have the years of experience needed to quickly identify and treat strokes. Our easy-access, freestanding ER has much of the same equipment found in a hospital-attached ER and we are fully ready to treat you 24/7 when the need arises.
- Plano: 3960 Legacy Drive on the corner of Legacy and Coit Road.
Call us @ 469-392-4000.
The Link Between Stress and Your Migraines
If you suffer from recurring migraines or tension-type headaches, there could be a connection between stress and your pain. If you feel a headache blooming as you race through the house in the morning, trying to find your keys so you can get to work, it’s likely that stress is the cause. A tension-type headache can often be alleviated through relaxation techniques and lowering your stress levels. But migraines—even stress-induced migraines—are a different story. If you feel that your pain is out of control, you can visit us at Medco ER & Urgent Care where our board-certified physicians are always available to help.
“Once a migraine starts, it can quickly get worse,” said Medco ER & Urgent Care’s Regional Medical Director, Dr. Tariq Vora. “You can take over-the-counter pain relievers and try to rest, but if your migraine continues to worsen, you should come in and let us evaluate you and provide pain relief through advanced treatment options.”
Healthy Choices
If stress is the cause of your tension-type headaches or migraines, there may be some things you can do on your own to help avoid or lessen the pain. Consider ways to relax to allow your stress to melt away. A common method is to learn relaxation techniques through tai chi, yoga, stretching, meditation, biofeedback, progressive muscle relaxation, or breathing techniques.
Here are some other stress-busters that could help you avoid migraines:
- Play with your child and laugh together
- Play with your pet
- Be active – hike, sports, dance, exercise
- Become better organized so things don’t get lost so often
- Get more sleep
- Time management techniques – organize your day, eliminate commitments that are not needed
- Eat well – reduce artificial ingredients and additives and eat fresh, whole foods
- Read
- Reduce or eliminate toxins and stimulants – cigarettes, vapes, alcohol, caffeine
- Try a mouth guard if you grind your teeth at night
Emergency Care Needed
You should come to the emergency room if your headache or migraine comes on suddenly and is severe. If you have difficulty speaking or moving, or if you are confused, you should see a doctor immediately. Additionally, if your migraine comes with a stiff neck, double vision, fever, rash or seizures, go to the nearest ER. If you get a migraine after bumping or injuring your head, a doctor needs to evaluate you.
“While migraines can be brought on by stress, it’s important to know the warning signs that mean it’s time to come to the ER,” said Dr. Vora. “It could be more serious than just a headache and we are here to help.”
Find help at Medco ER & Urgent Care
When you are suffering from a migraine and it’s not getting any better, the physicians at Medco ER & Urgent Care are ready to put their years of experience in evaluating and treating migraines to work for you. Since we know that migraines often come at the most inopportune times, we’re here 24/7 every day of the year and are ready to bring you top quality health care when you need it the most.
- Plano: 3960 Legacy Drive on the corner of Legacy and Coit Road.
Call us @ 469-392-4000.
The Persistent Cough: Bronchitis
It’s that time of year. If the flu or a cold hasn’t gotten to you yet, seasonal allergies likely have. But what do you do when that cough you developed from the sniffles just won’t go away? It’s possible that your illness or allergies could have developed into bronchitis.
What is Bronchitis?
Bronchitis occurs when the respiratory tract is triggered either by an irritant or preexisting condition, causing your bronchial tubes to become inflamed. Because your bronchial tubes carry air to your lungs, those with bronchitis often suffer from a cough that brings up mucus, shortness of breath, wheezing, chest tightness, and even a low-grade fever. If you experience this condition over an extended length of time or the condition recurs, you might be suffering from chronic bronchitis, a type of COPD (chronic obstructive pulmonary disease)
What are the symptoms?
Those who are suffering from bronchitis can have symptoms varying in severity over a varied amount of time. Those who experience symptoms for at least three months or more and experience recurring bouts are typically diagnosed with chronic, rather than acute, bronchitis.
Symptoms of Acute Bronchitis:
- Chest Congestion or tightness
- Cough that brings up thick, hard to break up, clear, yellow or green mucus
- Shortness of breath
- Wheezing
- Sore throat
- Runny nose
- Sneezing
- Fatigue
- Fever
- Chills
- Body aches
Those suffering from acute bronchitis will often present symptoms similar to a cold or the flu at first before developing a cough. Most acute bronchitis symptoms last less than ten days, but the cough might linger for several weeks.
Symptoms of Chronic Bronchitis:
- Cough that brings up thick, hard to break up, clear, yellow or green mucus
- Cough that lasts longer than three months
- Wheezing
- Shortness of breath
- Difficulty Breathing
- Chest tightness
- Fatigue
- Fever
- Chills
- Body aches
You may have chronic bronchitis if your acute bronchitis symptoms worsen and your cough persists for longer than three months. If left untreated, chronic bronchitis can develop into much more severe conditions like pneumonia and peripheral edema.
What causes bronchitis?
Acute bronchitis can be caused by a virus, bacteria or an airborne irritant. The most common cause of acute bronchitis is a contagious virus such as a cold or the flu. Still, the condition can be triggered by environmental factors such as pollution, allergens, smoke, fumes, dust and vapors. The most common cause of chronic bronchitis is smoking, but not everyone who suffers from chronic bronchitis is a smoker. Other factors such as asthma, allergies, air quality, genetics, a history of respiratory disease, or a history of gastroesophageal reflux disease, may make you more likely to develop acute or chronic bronchitis.
When should I get help?
If you think you may be experiencing chronic bronchitis, you must seek treatment as prolonged irritation can cause lung and airway tissue damage and even develop into pneumonia or other conditions such as emphysema. Because chronic bronchitis restricts airflow to the lungs when left untreated, the condition causes low oxygen levels in the blood leading to complications such as peripheral edema.
If you are experiencing the following symptoms, you should seek emergency medical help immediately.
- Extreme changes in body temperature dipping below 95°F or rising above 104°F
- Rapid heart rate
- Rapid breathing
- Nails and lips begin turning grey or blue
- Difficulty breathing
- Dizziness or Confusion
- Coughing up blood or blood in your mucus
- Inability to swallow
- Chest pain
- Swelling of the feet or hands (peripheral edema)
If you think you might have bronchitis of any severity or you think you might be experiencing a complication related to your bronchitis, come to a Medco ER & Urgent Care for treatment. Our advanced technology, board-certified physicians, and highly trained nurses make Medco ER & Urgent Care the best place to treat anything from acute to chronic bronchitis and even breathing emergencies. Our locations in Plano and Frisco are open 24 hours a day seven days a week for all urgent care and emergency services. With little to no wait time and no appointment needed, you won’t have to wait to start feeling better. If you have any questions, please contact us or visit one of our locations in Plano or Frisco.
What You Should Know About Allergic Reactions
Allergies and allergic reactions are very common, often drastically ranging in symptoms and severity based on the allergen, genetics and your body’s natural response. When you are exposed to an allergen that your immune system sees as a threat, your body will react to protect you from what it thinks is harming you, causing allergic reaction symptoms. These allergens could be pollen, pets, foods, chemicals, or even medications. Knowing the signs of an allergic reaction and when it’s time to seek medical help is very important and could potentially save your life or that of someone you love. If you are unsure if you might be allergic to a substance, consider making an appointment with a local allergist who can help you identify your triggers safely and provide you with treatment options.
What are the different types of allergic reactions?
Depending on the substance the individual has been exposed to, allergic reaction symptoms can develop in many forms and affect different areas of the body. In severe cases, allergens can trigger a life-threatening reaction known as anaphylaxis.
What is Anaphylaxis?
Anaphylaxis is a rare, life-threatening reaction to an allergen to which the body has become hypersensitive. Most allergic reactions don’t result in anaphylaxis, but it’s important to know the signs, as this condition can be fatal. An anaphylactic reaction can occur within seconds or minutes of exposure to something to which an individual is highly allergic. When anaphylaxis begins, the brain releases a flood of chemicals that start to shut down the body’s natural processes and can cause the sufferer to go into shock very rapidly.
Because anaphylaxis is rapid and life-threatening, an injection of epinephrine is essential to relax the constricted muscles around the airways and in the lungs. This injection prevents the airway from closing for a short time until the individual can be transported to an emergency room for further care. It is important to seek emergency medical care after receiving the injection because it’s possible for the recipient to have a second severe allergic reaction after the medication has worn off. If you do not have an emergency epinephrine injection, seek emergency medical help or call 911 immediately.
Symptoms of Anaphylaxis include:
- Skin reactions, including hives, itching and flushing or pale skin
- Low blood pressure (hypotension)
- Constriction of airways
- A weak and rapid pulse
- Wheezing and trouble breathing caused by a swollen tongue or throat
- Severe shortness of breath
- Nausea, vomiting or diarrhea
- Lightheadedness
- Dizziness or fainting
- Loss of consciousness
If you think you or someone you know is experiencing anaphylaxis administer an epinephrine injection and seek emergency medical help immediately.
Hay Fever:
Often referred to as seasonal allergies or Hay Fever, allergic rhinitis occurs when the immune system overacts to allergens in the air, such as dust, pollen, dander and mold. This allergic reaction is widespread and affects more than 50 million Americans each year.
Symptoms of Hay Fever include:
- Sneezing
- Itchy nose, eyes, or roof of the mouth
- Runny, stuffy nose
- Watery, red or swollen eyes (conjunctivitis)
Hay Fever can typically be treated with over-the-counter allergy medications, but if your symptoms become more severe, or if you have a child suffering from Hay Fever, you should see your doctor about additional or alternative treatment options.
Food Allergy:
Food allergies are caused by the overreaction of the immune system to certain foods it identifies as a threat. While triggers, symptoms and the severity of the reaction can vary from person to person, allergic reactions can sometimes be triggered by exposure to only a small amount of the food allergen. While some may experience mild or uncomfortable symptoms, others may have an allergic reaction that is far more frightening, painful and even life-threatening.
Common symptoms of a Food Allergy include:
- Tingling or itching in the mouth
- Hives, itching or eczema
- Swelling of the lips, face, tongue and throat or other parts of the body
- Wheezing, nasal congestion or trouble breathing
- Abdominal pain, diarrhea, nausea or vomiting
- Dizziness, lightheadedness or fainting
- Anaphylaxis
Some mild food reactions can be treated with an over-the-counter antihistamine. If the symptoms are more moderate than mild, avoid exposure to the food that triggered the response and make an appointment with your doctor. If your symptoms begin to worsen or become severe, try to stay calm and seek medical help immediately.
Insect Sting Allergy:
While it’s normal for the body to react to insect stings, there is a distinct difference between a normal insect sting reaction and an allergic insect sting reaction. The most common insect stings in the United States come from wasps, yellow jackets, hornets, honeybees and in the southern US, red and black fire ants. A typical reaction will result in pain, swelling, redness and itching confined to the sting site while an allergic reaction will cause symptoms outside of or include an extensive area around or near the sting site. A typical insect sting on the arm should not produce severe pain and swelling of the whole limb.
Common symptoms of an insect sting allergy include:
- Pain
- Redness
- Swelling (in are of sting and sometimes beyond)
- Flushing
- Hives
- Itching
- Anaphylaxis
Although many insect sting allergic reaction symptoms can be treated with over-the-counter topical and oral medications, it’s vital that you seek medical help if you are experiencing any severe symptoms or believe you may be experiencing anaphylaxis.
Drug Allergy:
Any medication, including over-the-counter, prescription, oral, topical or herbal is capable of triggering a drug allergy. A drug allergy is not the same as a drug side effect or drug toxicity. Drug side effects are known possible reactions and can be found listed on the drug label; an overdose of the medication causes drug toxicity; and a drug allergy is the body’s immune system overacting to the medication.
Common symptoms of a drug allergy include:
- Skin Rash
- Hives
- Itching
- Fever
- Swelling
- Shortness of breath
- Wheezing
- Runny nose
- Itchy, watery eyes
- Anaphylaxis
If you think you may be having an allergic reaction to a medication, stop taking the medication immediately and call your doctor. If your symptoms worsen or become severe, seek emergency medical help immediately.
Allergic reactions of any severity can happen at any time. Medco ER & Urgent Care is open 24 hours a day, seven days a week and patients can usually be seen by a physician within minutes. With facilities in Plano and Frisco, you can rest assured that help is right around the corner should an allergic reaction occur. Our board-certified physicians and highly-trained nurses are prepared to help you in any situation at any time. If you think you may be having an allergic reaction, please call our Frisco location at 469.392.4100, our Plano location at 469.392.4000, or walk-in at any time.
Your Flu Questions Answered
One of the most common illnesses we treat at Medco ER & Urgent Care is influenza (the flu). While it’s possible to contract the flu year-round, it’s more common to see an increase in those infected with the illness during the fall and winter. As we head into flu season, we believe it’s essential to be knowledgeable about the virus, its symptoms, and how to protect yourself from contracting and spreading the flu. These are the most frequently asked questions we often see regarding influenza.
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What are the symptoms?
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- Fever of over 100.4° F (38° C)
- Aching muscles
- Chills and sweats
- Headache
- Dry, persistent cough
- Fatigue and weakness
- Nasal congestion
- Sore throat
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How do I know if I have a cold or the flu?
While the symptoms of influenza and the common cold are very similar, those with a cold are less likely to experience a fever, chills, and headaches. Those suffering from a cold are more likely to experience gradual symptoms rather than the abrupt, more severe symptoms of the flu. If you think that you may have the flu, its important that you promptly see a doctor to help prevent the spread of the virus. After a physical, assessing your symptoms and performing tests, your doctor will be able to more accurately tell if you are suffering from a common cold or the flu and treat your condition properly.
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How long will I be contagious?
After exposure to the influenza virus, it may take between 1 and 4 days for you to develop symptoms. If a healthy adult has contracted the virus, they will be the most contagious in the first three or four days of developing symptoms but can be contagious 1 day before the appearance of symptoms and up to 7 of being sick. Children and those with a compromised immune system may be contagious for longer than 7 days.
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Can the flu be treated at home?
If you are only experiencing minor flu-like symptoms, it is possible to treat and soothe flu symptoms at home with over the counter medication. However, a physician has the ability to more accurately diagnose your condition and prescribe the appropriate antiviral or related prescription medication.
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When should I see a doctor for the flu?
If you think that you are experiencing severe flu-like symptoms or are in a high-risk group such as children under the age of 12, those over the age of 65, and individuals with chronic illness or a compromised immune system, it is essential you are seen by a physician. High-risk groups are more likely to develop complications related to the flu, such as pneumonia, sinus infections, bronchitis, and in some rare cases, hospitalization or death. Even in healthy adults, flu-like symptoms are shared by many other, often life-threatening conditions that may require immediate attention, such as a heart attack.
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When should I go to the ER for flu-like symptoms?
You should go to the nearest emergency room or seek emergency medical help if you are in a high-risk group or are experiencing:
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- A fever of 103° F or higher
- Trouble breathing or shortness of breath while at rest
- Pain or pressure in the chest
- Abdominal pain or pressure
- Sudden dizziness
- Confusion
- Severe vomiting
You should take your child to the emergency room or seek emergency medical help if they are experiencing:
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- Any of the above symptoms
- Difficulty breathing or breathing fast
- A bluish tone to the skin
- A fever with a rash
- Limited liquid intake
- Unresponsiveness
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What can I do to prevent the flu?
Vaccination:
The best way to prevent contraction of the flu is to get a flu vaccination each year. Visit Medco ER & Urgent Care in Plano or Frisco, at any time 24/7 to have you and your family vaccinated before flu season begins.
Wash your hands:
To help protect yourself from getting sick or spread of the virus, regularly wash your hands with soap and water or use hand sanitizer.
Cover your mouth:
Cover your mouth and nose when coughing or sneezing and avoid touching your eyes, nose and mouth with unwashed hands.
Avoid those who are sick:
Avoid exposure to the virus by limiting close contact with those who are sick. If you are caring for someone who has the flu, its best to limit the number of people who have contact with the sick individual, keep surfaces around the home disinfected, and make sure that all who are in the home are following the flu prevention measures listed above.
If you’re sick stay home:
While sometimes the contraction of influenza is unavoidable, it is imperative to stay home if you to become sick. Unless you are going to see your doctor, it’s recommended that those who are infected with the flu avoid public spaces to reduce the spread of the virus.
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Why do I need to get a flu shot every year?
The first line of defense against the flu is getting vaccinated, but unlike other illnesses, there are many different strains of the influenza virus. This constant change in the virus, coupled with the body’s natural decline in immunity over time, makes it essential to get a new flu vaccination each year before the flu season starts.
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Can I contract the flu from a flu shot?
This is a common misconception. You cannot contract influenza from the flu vaccine. However, the flu vaccine does not work right away. It takes about two weeks for your body to develop the proper antibodies to protect against the flu. Therefore the CDC recommends vaccination before the flu begins to spread through your community.
If you think you or a loved one might have the flu come to see us at one of our locations in Plano or Frisco. Each Medco ER & Urgent Care facility is equipped to diagnose, test, and treat minor to severe flu-like symptoms and related conditions under one roof, 24 hours a day 7 days a week.