Everything You Need to Know About Back Pain

When your back hurts, it can feel like a shooting, stabbing, burning pain or it can radiate down the leg. Any movement such as bending, standing or even walking can make the pain flare up again.1 When you are suffering from back pain from causes such as a back injury, degenerative disc disease or osteoarthritis, it’s important to do the right things for yourself to speed healing. The physicians at Medco ER in Plano, TX, are here when your back pain becomes unbearable.
Statistics
According to the American Academy of Orthopedic Surgeons, 30% of Americans experience back pain on any single day. At some point in their lives, 80% of Americans will experience back pain or a back injury. The cost of U.S. medical fees and lost wages due to back pain is estimated between $30 billion and $70 billion per year. Back pain is the leading cause of activity restriction in people under age 45.2
Risk Factors3
- Obesity – puts stress on joints and discs.
- Age – over age 30 you are more likely to experience back pain due to weakening discs.
- Health – people with weak abdominal or core muscles are at a higher risk for back pain. Smoking, drinking to excess and sedentary lifestyles are also risk factors.
- Occupation – jobs that require heavy lifting and bending can cause back pain.
- Disease and conditions – osteoarthritis, degenerative disc disease, scoliosis, kidney stones and certain cancers can contribute to back pain.
- Mental health – depression and anxiety can contribute to back pain.
“If you have a family history of osteoarthritis and other things that contribute to back pain, you need to be extra careful in preventing back injuries,” said Medco ER’s Medical Director, Dr. Nasir Khan. “Keeping a healthy weight and staying active are your best defenses against debilitating back pain.”
Rehabilitation4
“Depending on the cause of your back pain, there may be several ways you can rehabilitate to regain your ease of movement and to reduce your pain,” said Dr. Khan. “Physical therapy, bed rest and exercise are the leading ways to come back from a back injury.”
- Aquatic physical therapy
- Core exercises
- Regular exercise including stretching and flexibility
- Correction of posture or body mechanics
- Joint therapy for mobility
- Soft tissue mobility
- Traction
When to go to the ER
If your back pain has lasted longer than a couple weeks and doesn’t improve with rest, come to Medco ER for a thorough evaluation. If the pain radiates down the leg or causes weakness or tingling in the leg, it’s time to see the doctor. Severe cases may include unexplained weight loss, bowel or bladder problems, or a fever. If you have had a back injury such as a fall or a blow, come in right away.1
Get Help Fast at Medco ER
Back pain is a leading cause for ER visits. If you have back pain, don’t suffer any longer. We’re open 24/7 for your convenience and we have imaging equipment to diagnose your back injury. Our board-certified physicians are here to help.
Plano: 3960 Legacy Drive, Plano, TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-747-0370
1 https://www.mayoclinic.org/diseases-conditions/back-pain/symptoms-causes/syc-20369906
2 https://www.aaos.org/aaosnow/2007/marapr/clinical/clinical2/
3 https://my.clevelandclinic.org/health/diseases/7936-lower-back-pain
4 https://www.mayoclinic.org/diseases-conditions/back-pain/symptoms-causes/syc-20369906
How To Keep Your Young Athlete Safe in Sports

The warm weather sports season has children and teens of all ages streaming onto fields, courts, rinks, gyms and diamonds to get the most out of their chance to play organized sports. But the dark side of kids’ sports is the high rate of injuries that occur when kids get together to play an organized game. The good news is that many of these sports injuries can be prevented, allowing kids to play their favorite sports in good health. The physicians at Medco ER in Plano, TX, have put together some prevention tips and information you need to know to keep your young athlete in the game and feeling great.
Prevention Tips1
- Stretching and warmups
- Protective equipment that fits properly and meets safety standards
- Hydration
- Sleep
- Rotate sports and cross train muscle groups to keep from overwork or repetitive movements
- Safe surfaces to play on
- Adult supervision
- Doctor’s physical exam – make sure your child or teen is playing a sport that is a good fit for his/her athletic ability
- Healthy, balanced diet
- Listen to trainer and learn proper techniques to avoid injuries
- Rest an injury early on and get prompt medical attention
“Many sports injuries in children could be greatly improved by rest and recovery rather than pushing through and playing with pain,” said Medco ER’s Medical Director, Dr. Nasir Khan. “It’s important for parents to step in to make sure the child’s ongoing good health is the main concern.”
Types Sports Injuries
Acute injuries – sudden impact or fall that can result in minor scrapes or major injuries like broken bones or an eye injury.
Overuse injuries – repetitive stress injuries from doing the same motion or movement over and over again. Overuse often occurs in joints and can disrupt normal bone growth.
Reinjuries – repeat injury, often caused by returning to the sport before the original injury has had time to fully heal.2
Most Common Sports Injuries
Some of the most common sports injuries in children center around joint pain and injuries. A sprained ankle, twisted knee, frozen shoulder or wrist injury are all common problems. Concussions are also a common injury. Tendonitis, stress fractures and eye injuries are also very common.3
When to go to the ER
“Any time your young athlete is experiencing severe, sudden or ongoing pain, it’s time to come to Medco ER,” said Dr. Khan. “Any joint swelling, immobility, popping noise, recurring pain or impeded playing are all indicators that your child needs medical attention. Signs of a concussion such as dizziness, fatigue and nausea also require a doctor’s intervention. We’re here when your child or teen needs help.”
Get Help Fast at Medco ER
If your young athlete has experienced consistent pain from sports or has a new joint injury or pain, come see us right away. Open 24/7, we are conveniently located on Legacy Drive and have imaging equipment to diagnose common sports injuries. Skip the long lines and enjoy fast, quality medical care to help your child start to feel better.
Plano: 3960 Legacy Drive, Plano, TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-747-0370
1 https://www.asahq.org/madeforthismoment/pain-management/types-of-pain/youth-sports/
2 https://kidshealth.org/en/parents/sports-safety.html
3 https://orthoinfo.aaos.org/en/staying-healthy/a-guide-to-safety-for-young-athletes/
What You Need to Know About Sexually Transmitted Disease (STD)

Sexually transmitted diseases (STDs) or sexually transmitted infections (STIs) are more common than you might imagine. Highly contagious, sexually transmitted diseases occur at a rate of 25 million each year in the United States.1 At Medco ER in Plano, TX, our board-certified physicians offer prevention education, testing and treatment for common STDs. Fortunately, most conditions are treatable and can be cured, though they may still reoccur at a future date.
Prevention2
The best way to prevent a sexually transmitted disease is abstinence from all forms of sexual contact.
Vaccinations are available for hepatitis B and HPV (Human Papillomavirus) but not for the other common forms of STDs.
Control and reduce the number of sexual partners you have. This doesn’t remove your risk and you still need to be tested regularly for STDs.
Agreeing on a mutually monogamous relationship with one long-term partner is another option that slashes your risks.
Use condoms according to manufacturer’s specifications each time for every kind of sexual contact to protect yourself against STDs.
“Prevention is the most important thing in protecting yourself against STDs,” said Medco ER’s Medical Director, Dr. Nasir Khan. “Educating yourself and having frank, open discussions with your partner is the first step in prevention.”
Symptoms
Early symptoms to watch out for include:3
- Infection symptoms: fever, sore throat, swollen glands, headache, rash, lethargy, night sweats, appetite loss, joint pain, body aches
- Pain: during urination, lower abdominal, during sexual intercourse, testicular, genital, anal, inner thighs
- Itching, burning or irritation
- Unusual discharge from vagina or penis
- Strong odor
- Diarrhea
- Weight loss
- Cough, shortness of breath
- Rash, bumps, blisters, warts, pimples or swelling in genital or anal areas
- Bleeding with sexual intercourse
- Dark urine
- Jaundice (yellowing skin or whites of the eyes)
Testing
Your provider will discuss the different test options that pinpoint different STDs, depending on your risk factors and possible symptoms. Testing could include:1
- Cheek swab
- Urine test
- Blood test
- Sample from a skin sore
- Cell sample or discharge sample from the affected area
Who should get tested? It is recommended that anyone who is sexually active should be tested every year. Having an open discussion with your healthcare provider is an important part of receiving the right testing at the right time. Sexually active women, pregnant women, gay or bisexual men, people who have had oral or anal sex and those participating in risky sexual or drug behaviors should be tested at least once a year or even every six months.2
When to go to the ER
Left untreated, STDs could cause ongoing poor health, organ damage, increased risk of getting HIV and even cancer or death.3
“This medical condition is not one to ignore,” said Dr. Khan. “Overlooking the fact that it is extremely contagious and can be easily transmitted to another person, the symptoms of most STDs will only compound if you ignore them. Come to Medco ER for fast, confidential help with your symptoms. We’re here to help.”
Get Help Fast at Medco ER
If you’ve been experiencing any symptoms of a STD, the expert team at Medco ER is ready to help you. Open 24/7, we are conveniently located and have in-house labs to identify any conditions that need to be treated. Our professional, courteous staff will make you comfortable as you enjoy little-to-no wait time to be seen by a board-certified physician.
Plano: 3960 Legacy Drive, Plano, TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-747-0370
Flu Update for 2023 Flu Season

It’s that time of year again when coughs, sneezes and runny noses can send you running for cover from potential flu virus contamination. As the flu season ramps up, the board-certified physicians at Medco ER in Plano, TX, are prepared to offer flu vaccinations, antiviral medications, antibiotics, rapid results labs, and advice to patients who encounter influenza.
Current Flu Predictions
Since this is the onset of flu season, the Center for Disease Control (CDC) reports that influenza is not currently a pandemic. They continue to monitor the potential threat of widespread flu in the United States. For now, the flu vaccine combats the four most common viruses predicted to be dominant this year.
Asian lineage avian influenza A consisting of H5N1 and H7N9 viruses is considered one of the risks this season.1 This and other strains of viruses are being tracked by the CDC.
Symptoms
If you are experiencing any of the following symptoms, come to Medco ER immediately for evaluation for the flu:4
- Chills, fever
- Headache
- Sore throat
- Runny nose
- Cough
- Body aches
- Fatigue, lethargy
Prevention
The first line of defense against the flu is to get the vaccine every season. Patients with chronic conditions or at higher risk for complications should get the vaccination every year.2 Vaccinations help prevent the most common viruses, but not all of them.3
“If we experience a pandemic flu this year, it is likely going to happen in spite of the vaccine,” said Medco ER’s Medical Director, Dr. Nasir Khan. “Widespread viruses that cause influenza are not protected against with annual vaccinations. However, flu vaccinations are very important for the most virulent strains. It is also important to follow good practices to prevent getting the flu.”
One of the best things that you can do to prevent the flu is to frequently and carefully wash your hands with hot water and soap. If you are on the go, take hand sanitizer with you to use after each stop.
Avoid crowded places and close contact with people who are sick. Similarly, if you are sick, stay home so you don’t spread the germs. Stay home 24 hours after your fever is gone. Don’t forget that your fever-reducing medications may confuse this timeframe.
Avoid touching your nose, eyes and mouth to prevent introducing germs into your system. Use a tissue or your elbow to cough or sneeze. Throw the tissue away afterwards.2
Clean frequently touched surfaces such as light switches, doorknobs, countertops, and bathrooms to keep germs at bay. Consider spraying rooms with natural antibacterial mixtures such as tea tree oil and distilled water.
Treatment
One of the only treatments for early onset influenza is antiviral drugs. These prescribed antiviral drugs need to be administered rapidly to be effective. They should be started within 1-2 days of the first symptom.
Prescription antibiotics may be needed for secondary infections that could arise from flu symptoms, such as bronchitis. Your physician at Medco ER may prescribe something to keep your symptoms from getting worse.
At home treatment ideas include:5
- Bed rest
- Stay home
- Fever reducing over-the-counter medication
- Drink clear liquids
Warning Signs
Influenza could become an emergency and require immediate medical care. If you or someone in your house is experiencing any of these warning signs, come to Medco ER right away for a complete examination.5
- Breathing difficulty
- Chest pain or pressure
- Fever or cough that improves, then gets worse
- Lack of urine output
- Dizziness
- Confusion, not alert
- Dry mouth, no tears when crying
- Seizure
- Severe body aches or muscle pain
- Fever that doesn’t respond to fever-reducing medications
- Extreme weakness
Get Flu Help Fast at Medco ER
If you are just experiencing flu symptoms, go immediately to Medco ER. You may be a good candidate for antiviral prescription medication that could shorten the life of your flu symptoms. We are open 24/7, so you can get easy access to rapid results flu tests and prescriptions.
Plano: 3960 Legacy Drive, Plano, TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-747-0370
1 https://www.cdc.gov/flu/pandemic-resources/monitoring/current-situation.html
2 https://www.cdc.gov/flu/prevent/prevention.htm
3 https://www.cdc.gov/flu/pandemic-resources/basics/faq.html
What You Need to Know About Vomiting and Diarrhea in You & Your Kids

It’s flu season and if you haven’t experienced a bout of the flu in your household, it may still be on the horizon. Influenza, food poisoning or infection is often accompanied by diarrhea and vomiting and a feeling of nausea. At Medco ER in Plano, TX, our board-certified physicians know what to look for in the case of vomiting and diarrhea in you or your children.
Possible Causes
If you or your child are experiencing irrepressible bouts of nausea, vomiting and diarrhea, there could be one of several conditions causing your discomfort.1
- Stomach flu or influenza – there are several different kinds and some trend more than others in our region and at certain times of the year.
- Food poisoning
- Motion sickness, dizziness, ear infection
- Blocked intestine
- Infection
- Illness such as appendicitis, cholecystitis, etc.
- Concussion or brain injury
- Migraines
- Parasites
- Heart attacks
- Kidney or liver conditions
- Central nervous system conditions
- Tumors
- Cancer
- Pregnancy
“Since your vomiting and diarrhea could be contributed to several different things, we usually test right away for flu and investigate the more common things like food poisoning,” said Medco ER’s Medical Director, Dr. Nasir Khan, “Those rapid results labs can often tell us pretty quickly what we are dealing with. After that, we can develop the right treatment plan for you or your child.”
Symptoms Defined
- Nausea is when your stomach feels queasy or unsettled and you may feel like you may soon vomit.
- Vomiting, or throwing up, is when your stomach forcibly empties itself of its contents.
- Diarrhea is loose, watery stools, sometimes explosive or hard to control.
At Home Treatment
Since fluid is being lost, it is important to continue drinking to prevent dehydration. Drink clear liquids and eat light, liquid foods. Avoid greasy or fried foods or solid food. Eat small amounts more frequently. Stay quiet and still and rest as much as possible. Drink a rehydrating solution such as electrolytes or sports drinks.
When to go to the ER
“If your diarrhea and vomiting won’t stop,” said Dr. Khan, “then it’s time to come to Medco ER and let us help you.”
Warning signs that mean you need to go to the doctor:
- Black, tarry stools or blood in stool
- Dry, cracked lips and dry mouth
- Sunken eyes
- Rapid breathing
- Fast pulse, racing heartbeat
- Decreased or stopped urination
- Sunken soft spot on top of baby’s head (fontanelle)
- Diarrhea that lasts more than 2 days for adults or 1 day for children
- Vomiting that lasts more than a half day
- Fever over 100˚F
- Blood in vomit (looks like coffee grounds)
- Severe headache
- Stiff neck
- Lethargy
- Confusion
- Abdominal pain
Get Help Fast at Medco ER
When vomiting and diarrhea are out of control, the expert team at Medco ER is ready to help you. Our in-house pharmacy has the hydrating IVs and the medicines to start to help you feel better. Come in anytime day or night to find a board-certified physician ready to go to work for you.
Plano: 3960 Legacy Drive, Plano, TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-747-0370
1 https://my.clevelandclinic.org/health/symptoms/8106-nausea–vomiting
Will My Bronchitis Turn into Pneumonia?

As winter drags on, chronic coughing is a common complaint. But you may have questions about your cough. Is it bronchitis or pneumonia? If I have bronchitis, can it turn into pneumonia? When should I see the doctor? It’s questions like these that the board-certified physicians at Medco ER in Plano, TX, have answered. Check out the discussion.
Bronchitis vs. Pneumonia
Upper airway or lung infections can start out as the cough that accompanies a common cold and can leave your defenses down. It can then morph into bronchitis where the bronchioles fill with mucus that is sometimes coughed up. Bronchitis, then, can turn into pneumonia, a more serious virus or bacterial infection. Pneumonia attacks the alveoli in the lungs with inflammation and mucus. It can then build up fluid, increase bacteria in your system or create a lung abscess.1
“Whether your nonstop coughing is bronchitis, pneumonia or something else,” said Medco ER’s Medical Director, Dr. Nasir Khan, “You should come in right away and let us take a look. It can quickly deteriorate into a more serious condition if left untreated.”
Symptoms to Watch Out For
Bronchitis can show up with the following symptoms:1
- Unrelenting cough
- Coughing up yellow-green mucus
- Wheezing breath
- Body aches
- Fatigue
- Low fever
Pneumonia has these symptoms:1
- Unrelenting cough, often deep in chest
- Coughing up yellow-green mucus
- Shortness of breath or rapid breathing
- Body aches, chest pain
- Fatigue
- High fever (up to 105˚F)
- Sweating, chills
Prevention
The best thing to do to prevent pneumonia or bronchitis is to stop smoking. Smoking increases your risk of becoming sick from a lung infection.
Pneumonia shares bacteria and viruses with other conditions. If you get the flu, measles, whooping cough or pneumococcal (bacterial pneumonia) vaccines, you may decrease your risks of getting pneumonia. Talk to our doctor about getting other vaccines when you get the flu shot each year.
Healthy practices such as frequent hand washing, keeping hands away from face, cleaning and disinfecting surfaces, coughing or sneezing into a tissue or your elbow and monitoring any chronic conditions such as diabetes or asthma are all great preventive measures.2
When to See the Doctor
“Since bronchitis can become pneumonia in some cases, it is important to come see us at Medco ER when you have a cough that just won’t stop,” said Dr. Khan. “A cough that produces mucus, or a wet cough, is especially important to check out. We can do a chest X-ray or rapid results test to help us quickly diagnose your condition and start treatment right away.”
Get Help Fast at Medco ER
If you have a lingering cough with a fever, come to Medco ER. You will be seen quickly and your doctor will carefully diagnose your condition. Our in-house pharmacy will get you started with the right treatment to help you on the road to recovery. We are open 24/7, so you can come in any time, day or night.
Plano: 3960 Legacy Drive, Plano, TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-747-0370
1 https://health.clevelandclinic.org/bronchitis-vs-pneumonia/
What the Experts Say About Fractures

If you’re like most people, you spend little time thinking about your bone health. However, all it takes is one split-second accident, fall, sports injury or poor decision and your bone could fracture, or break. Or, what appeared to be a minor injury can lead to a fracture of the weakened bone down the road.1 At Medco ER, we want you to have a basic understanding of fractures and how to correctly apply first aid on your way to our Plano, TX, facility. Let’s take a closer look at the two kinds of fractures and how to respond to them.
Simple Fracture
Also called a “closed fracture,” this kind of injury means the bone is broken but not protruding through the skin.
Compound Fracture
Also called an “open fracture,” this kind of break causes a fragment of bone to pierce the skin, thus, opening the skin into an external wound.
“In the event of a compound fracture,” said Medco ER’s Medical Director, Dr. Nasir Khan, “You should be careful not to touch it or allow any contaminants into the wound. The open skin is prone to infection so cover with something sterile, if possible. Don’t get overly involved in wrapping the wound, however. Just bring the patient to Medco ER right away. Our board-certified physicians can quickly respond to these kinds of emergencies.”
Symptoms of a Fracture
While it is not always easy to know if the bone is fractured or just bruised or the muscles sprained, there are some key symptoms you can look for such as:
- Sharp pain
- Guarding the area, not wanting anyone to touch it
- Misshapen area
- Swelling
- Warm to the touch
- Bruising or redness
- Protrusion and bleeding
- Numbness
- Inability or difficulty in moving the limb
Fracture First Aid
“Fractures need immediate medical attention, but you should first work to keep the patient calm,” said Dr. Khan. “Check their vitals. Are they breathing? Are they injured in other ways? Are they showing signs of shock? If possible, immobilize the wounded area with a makeshift splint, such as rolled up newspapers and strips of cloth. You can apply ice packs to reduce the swelling and try to keep the injury elevated as you come to the ER. For shock, keep the patient covered, calm and lying down. Bring the patient to Medco ER right away.”
How Can I Strengthen My Bones?
Wanting to prevent a potential fracture? There are some simple things you can do to build up bone density and strength.
- Eat a balanced diet with plenty of fruits and vegetables. It is especially important to get vitamin D and calcium in your diet.
- Get plenty of sunlight – at least 15 minutes each day on your skin – to replenish your vitamin D.
- Get help to stop smoking. Smoking increases your risk of fractures and delays healing.
- Drink milk not alcohol. Alcohol increases your risk of osteoporosis while calcium helps build up bones.
- Do simple, weight-bearing exercises to strengthen bones and build up density. The more active you are, the lower your risk of osteoporosis.2
Get Help Fast at Medco ER
Fractures are a part of life, and at Medco ER, we’re here to help you or your child when accidents happen. Our facility is open 24/7 and we have imaging equipment, such as X-ray and CT scan, and treatments at the ready to take good care of you.
Plano: 3960 Legacy Drive, Plano, TX 75023 (on the corner of Legacy and Coit Road)
- Call us @ 469-747-0370
1 https://medlineplus.gov/fractures.html
2 https://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/bone-health/art-20045060
3 Myths About Dehydration that Could Hurt You

Summertime can be the busiest time of the year. Not only are you getting all your projects done, but you’re also squeezing in all the fun you can. This extra running, combined with our excessive Texas heat, can result in dehydration if you’re not careful with your water intake. Left unchecked, dehydration can quickly become serious.
Dehydration Explained
Dehydration is the lack of sufficient water for your body’s needs. Symptoms can begin with even as little as 1.5% fluid loss.1
When the body is low on water, several adverse things begin to happen.
- Your heart must work harder to pump blood2
- Your muscles don’t move efficiently
- Your feet and hands may swell as your body retains fluid
- You start to feel really sick: dizzy, headache, dry mouth, pounding heart, shaky
Dehydration can be caused by not getting enough water and by exercising, drinking alcohol, taking certain medications, unrelenting hot weather, or by being sick with vomiting or diarrhea.
But many of us are used to living with a certain level of dehydration and we tell ourselves it will be ok because we’ve pushed the envelope before. Here are 3 common myths that need to be debunked when it comes to protecting yourself from the adverse effects of dehydration.
Myth #1 – Drink when you’re thirsty and you’ll be fine
“Waiting to drink water when you are thirsty is not the best plan of action against dehydration,” said Medco ER’s Medical Director, Dr. Nasir Khan. “Your body will already be struggling to get back to a comfortable hydration point, especially if countering the effects of hot weather or exercise. Also, as you age, your thirst indicator becomes less noticeable and, thus, less reliable.”
Pro Tip: Drink before you notice thirst and keep up the water intake throughout the day.
Myth #2 – Drinking a lot of water quickly will take care of it
Drinking excessive amounts of water at one time is not the best way to remain hydrated all day. Your body will rapidly purge more and retain less, leaving you still dehydrated as you keep working or the heat remains an issue.
Pro Tip: Drink small amounts of water throughout the day to make sure you are getting plenty.
Myth #3 – Dehydration is unpleasant but not dangerous
“Dehydration can quickly become dangerous and even deadly,” said Dr. Khan. “We treat patients all the time with IVs and electrolyte intervention to try to restore them to health. It’s not something to take lightly.”
Additionally, it can contribute to an imbalance of electrolytes—or hypernatremia—which can make you very sick. Another complication that is made worse by dehydration is low fluid levels in the cells of the body, or hypovolemia. Over time, liver and kidney damage can occur. Most of these complications can be alleviated with proper hydration habits.
Pro Tip: Help educate those around you and establish good hydration habits in their lives.
Symptoms of Dehydration3
- Dark-colored urine
- Strong-smelling urine
- Less frequent urination
- Muscle cramps
- Lightheadedness, dizziness
- Rapid heartbeat
- Fever, chills
- Drowsiness, fatigue
- Irritability
- Thirsty, dry mouth
- Confusion
- Weakness, shaking
Get Help Fast at Medco ER
Babies, children, and seniors are among the highest risk group for dehydration. If you or someone you love is suffering from dehydration, come in right away to the nearest Medco ER, open all day and night. You will be met by a board-certified physician who is experienced in treating mild to severe dehydration.
- Plano: 3960 Legacy Drive, Plano, TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-747-0370
- Carrollton: 2745 E Belt Line Road, Carrollton, TX 75006
Call us @ 469-840-4600
1 https://my.clevelandclinic.org/health/treatments/9013-dehydration
2 https://www.heart.org/en/healthy-living/fitness/fitness-basics/staying-hydrated-staying-healthy
3 https://www.mayoclinic.org/diseases-conditions/dehydration/symptoms-causes/syc-20354086
When IBS is an Emergency
Does this sound familiar: you’ve just finished a long, stressful day and had a good dinner and now the cramping begins. You spend the evening vacillating between trying to ignore the growing pain in your abdomen and trying to find relief in the bathroom. If this sounds like you, you may be suffering from irritable bowel syndrome (IBS).
“IBS is an often painful and recurring condition that could be masking a more serious condition. It could be caused by something like a bacterial infection or it could be caused by changes in the muscle contractions of the intestine,” said Medco ER’s Medical Director, Dr. Nasir Khan. “Some people find their IBS symptoms are triggered by stress and others find certain foods contribute to their discomfort.”
Symptoms of IBS
According to the NIH: National Institute of Diabetes and Digestive and Kidney Diseases, any or all of these symptoms may be present with Irritable Bowel Syndrome:1
- Abdominal pain
- Cramping
- Constipation
- Diarrhea
- Constipation and diarrhea
- Changes in bowel movements
- Bloating
- Gas
When IBS is an Emergency
If your abdominal pain or IBS is interrupting your life and the pain is so persistent that you can no longer function, go to the nearest emergency room. Your doctor will want to rule out other, more serious conditions.2
If you have a fever that accompanies abdominal pain or cramping, you should seek medical help.
Any unexplained and rapid weight loss needs to be discussed with your doctor.
If you have to get up in the night with diarrhea, that is something to discuss with your doctor.
When there are signs of any rectal bleeding or dark, tarry stools that indicate blood in the stool, you should go immediately to Medco ER.
If you have nausea and vomiting accompanying abdominal cramping, if you are dizzy or faint, if you have chest pain, or if you have difficulty breathing, go to the ER.
If your abdomen is painful to the touch or is hard and distended, go to Medco ER right away.
“Persistent abdominal pain that doesn’t lessen with trips to the bathroom can indicate a serious condition,” said Dr. Khan. “Come to Medco ER right away when you think something is wrong and let us take a look. We have full diagnostic capabilities at Medco ER, we have rapid results labs, and our doctors are board-certified and experienced in treating IBS.”
Treatment for IBS
If IBS is diagnosed and other, more serious conditions are ruled out, your doctor will have ideas to help you start to feel better. Since IBS is not a form of cancer and doesn’t damage the intestines, treatment usually begins with diet modifications. Your doctor may discuss a diet low in gluten and high in fiber.
Lifestyle changes, probiotics, exercise, sleep, and fluids could be recommended. Laxatives, fiber supplements, antidepressants, anti-diarrheal medications, and pain medications are some pharmaceuticals that your doctor may consider.2
Get Help Fast at Medco ER
While IBS may not seem like an emergency most of the time, when the pain interferes with your life, increases dramatically, or has accompanying symptoms like fever, nausea or chest pain, the team at Medco ER are ready to help you any time, day or night.
- Plano: 3960 Legacy Drive, Plano, TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-747-0370
- Carrollton: 2745 E Belt Line Road, Carrollton, TX 75006
Call us @ 469-840-4600
1 https://www.niddk.nih.gov/health-information/digestive-diseases/irritable-bowel-syndrome
2 https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/diagnosis-treatment/drc-20360064
Top 10 Reasons to Go to the ER

Healthcare today gives you more choices than ever before. You can go to the doctor’s office, urgent care clinic, telehealth visit or emergency room. Even with all these choices, some choose to stay home and tough it out. But there are times when the emergency room is absolutely the right choice. The board-certified physicians at Medco ER in Plano, TX, have compiled ten reasons when going to the ER is your only option.
“If you’re wondering whether or not to go to the ER, ask yourself if it is not getting better over time, if pain has you sidelined, or if there is one of the warning signs of a serious condition,” said Medco ER’s Medical Director, Dr. Nasir Khan. “If you answer yes to any of those points, it’s best to come immediately and let us examine you.”
Blood Loss
Whenever the body is losing blood, a trip to the ER is the right thing to do. This could include any of the following:
- Coughing blood
- Vomiting blood
- Passing blood in the stool
- Excessive bleeding from a laceration
- Bleeding from a fracture
- Uncontrolled bloody nose
Fracture or Tear
If you have an injury and you’re not sure whether it is broken, fractured, torn or just bruised, your doctor at Medco ER can help. We can X-ray the area, apply a brace, or refer you to a specialist when needed.
Warning signs include: numbness or cold in the extremity that is injured, pain when moving the limb, bleeding accompanying the fracture, bone protruding, or misalignment of the limb. For any of these symptoms, go to Medco ER immediately.
Breathing Difficulties
If you or someone you love is struggling to breathe, pulling hard at each breath, making a wheezing sound with a breath, showing blueish discoloration around the mouth or fingertips, or has chest tightness, go to the nearest ER immediately. Whether it is a complication of COVID-19, an asthma attack, COPD or another cause, breathing difficulties must be addressed as an emergency.1
Chest Pain
Sudden or growing pain in the chest, jaw, neck, arm or back could indicate a heart problem that is an emergency. Other symptoms could include:2
- Tightness in chest
- Uncomfortable fullness feeling
- Heartburn
- Squeezing feeing in chest
- Pain in one or both arms
- Cold sweat
- Nausea
- Dizziness
- Shortness of breath
Stroke Symptoms
Symptoms of a stroke can come on suddenly and unexpectedly. If someone exhibits these symptoms, call 911 immediately.2 Every minute counts.
- Confusion or disorientation
- Arm weakness
- Partial paralysis or difficulty moving
- Unexplained drowsiness
- Difficulty speaking
- Change in vision
- Face drooping
Loss of Consciousness
Any time someone has lost consciousness, whether for a short time or is unresponsive, take them to the nearest ER or call 911. Loss of consciousness accompanied by seizures should also be seen by a physician immediately.
Head Injury
If you have fallen and hit your head, been hit in the head by an object, or had a severe shaking of the head, you might sustain a head injury or a concussion. Here are some warning signs3 that require a visit to the ER:
- Pain from the injury
- Confusion or disorientation
- Loss of consciousness
- Ringing of the ears
- Sudden drowsiness or fatigue
- Vision changes
- Nausea or vomiting
- Slurred speech
Burns
If you are suffering from a burn, consider the severity. Just going by pain level alone isn’t enough since minor burns often hurt worse than major burns.4 If it covers a large area, has penetrated deep, has discolored the skin, has swollen the area or has caused blisters, a trip to Medco ER is a good idea.
Abdominal Pain
Pain in the abdomen can indicate one of several conditions. All of them require immediate medical intervention. “If you’ve experienced abdominal pain for any length of time, it’s a good idea to come in and let us check you out,” said Dr. Khan. “It could be anything from a bleeding ulcer to gallbladder stones to a cyst. With a thorough examination and imaging scan, we should be able to diagnose the problem.”
Extreme Pain
If you’re experiencing extreme pain that isn’t responding to over-the-counter medication and isn’t getting better with time and rest, your body is trying to tell you something. It’s time to go to Medco ER.
- Migraine or headache
- Back pain
- Shooting pain
- Chest pain
- Pain when eating
- Pain that takes away your appetite
- Throbbing pain
- Eye pain
- Toothache
- Stomach pain
What to Expect at Medco ER
When you go to Medco ER, you can expect to receive fast, quality healthcare with little-to-no wait time. Open 24/7 every day of the year, Medco ER gives you fast access to a board-certified physician and much of the same imaging equipment found in a hospital emergency department. Our in-house pharmacy carries rapid results labs and medications needed to treat many conditions. Try one of our two convenient locations for rapid response healthcare.
- Plano: 3960 Legacy Drive, Plano, TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-747-0370
- Carrollton: 2745 E Belt Line Road, Carrollton, TX 75006
Call us @ 469-840-4600
1 https://www.mayoclinic.org/symptoms/shortness-of-breath/basics/definition/sym-20050890
2 https://www.heart.org/en/about-us/heart-attack-and-stroke-symptoms
3 https://www.mayoclinic.org/diseases-conditions/concussion/symptoms-causes/syc-20355594
4 https://my.clevelandclinic.org/health/diseases/12063-burns