Top 3 Summer Health Hazards
It’s summertime and the increase in activity leads to an increase in injuries and medical conditions directly related to summer activities. For many, summer is the best time of year, but it also has some accompanying health hazards that we should know about. At Medco ER & Urgent Care of Plano, TX, we’ve highlighted 3 kinds of health hazards that spike during the summer months. Keep your family and yourself safe and healthy this summer by paying attention to these three health hazards.
Sun Hazards
Leading the pack of summer health hazards are the ones that accompany increased exposure to sun. Heat exhaustion, for example, occurs when the body overheats in high temperatures and high humidity.
Heat stroke takes heat exhaustion one step further and requires immediate medical intervention since it can be a life-threatening condition. Symptoms include hot skin, red skin, dry skin, confusion, feeling cold, and loss of consciousness.
High heat and humidity also creates a constant battle against dehydration. Staying hydrated will help your body stay cool and keeping electrolytes in balance will help your body use water efficiently and keep blood pressure under control.
Sunburn is also a common summer hazard that can be very painful. Over time, sun exposure can cause skin damage and even eye damage. Using moisturizers with sunscreen, using sunscreen outdoors, and wearing hats, UV-rated sunglasses and long sleeves are important preventative measures.
Finally, food poisoning is among the top health hazards in the summertime. Use best food handling practices to keep your family and guests safe this summer.
“Most sun-related health hazards are preventable with a little forethought and preparation,” said Medco ER & Urgent Care’s Medical Director, Dr. Nasir Khan. “But still, it’s hard to beat the effects of the heat. When you get overheated, sick or injured from sun exposure or food poisoning, come to Medco ER right away for our unique no-wait access to quality medical care.”
Water Hazards
Playing in the water is our favorite way of beating the heat during the summer. But increased water activity greatly increases your chances of experiencing a water-related health hazard. Many of these hazards are preventable, but some are not.
Drowning is the biggest concern with water activities and can often be prevented with the use of a life jacket. Sometimes, boating accidents can be less serious if everyone in the boat is wearing a life jacket. Additionally, respiratory distress from water aspiration can manifest hours after children inhale water at the pool or lake.
Germs are also a concern when going to public pools. A good practice is to check a pool’s health score before going.1 Also, while swimmer’s ear seems like a minor inconvenience, it can be a painful medical condition that can be easily treated with a visit to the doctor.
Other water hazards include slip-and-fall injuries from running around the pool’s wet concrete, stepping on nails or wood splinters with bare feet, and becoming dehydrated from not drinking enough water. Alcohol can also cause dehydration as well as diminished judgement when it comes to safety. So try non-alcoholic drinks when enjoying a day at the beach or pool.
Kid Hazards
Kids are much more active in the neighborhood in the summertime, which can set the stage for injuries in traffic and on the sidewalk. Make sure your child has a helmet for biking and a helmet and pads for skating and skateboarding.
Outdoor activity can also pose other risks. If your child has never been stung by a bee, watch them closely after a first sting to make sure there are no adverse reactions.
Young workers have a higher rate of accidents than older workers.1 If your young teen is working a summer job, make sure he or she has the safety equipment and knowledge needed to prevent workplace injuries.
“Kids find a lot of creative ways to be busy in the summer, and sometimes that means a fast trip to the doctor,” said Dr. Khan. “We have appropriate, child-sized equipment and a child-friendly exam room readily available for urgent and emergency situations.”
Get help at Medco ER & Urgent Care
For help with all kinds of health conditions and injuries, the board-certified physicians at Medco ER & Urgent Care are here for you. We’re always open and available to help in diagnostic, treatment and recovery from common summertime health hazards and injuries.
- Plano location:
3960 Legacy Drive, Plano TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-392-40001 https://www.cdc.gov/media/releases/2019/p0517-eight-tips-healthy-summer.html
Is it a Sprain or a Strain?
A sprained ankle, strained wrist, sprained thumb, twisted knee or pulled muscle can be the result of a slip, fall or trip. It doesn’t take much to roll an ankle – sometimes just a misstep off a path or sidewalk, a slip on a wet rock, or a stumble over an obstacle in your path. Falling can injure your wrist, thumb or fingers. Playing sports can strain a hamstring, arm or hand.1
At Medco ER & Urgent Care of Plano, TX, our board-certified physicians are experienced in diagnosing and treating strains and sprains and making sure the bone wasn’t injured. “Sprains and strains are extremely painful and need medical care to ensure they heal properly,” said Medco ER & Urgent Care’s Medical Director, Dr. Nasir Khan.
What’s the difference between a strain and a sprain?
Often used interchangeably, strains and sprains are actually very different because they involve different parts of the joint.
- A strain is an injury to the muscles or tendons around a joint. These can be pulled or torn.
- A sprain is an injury to the ligaments that hold bones together to make a joint stable. Ligaments can be stretched or torn.
Symptoms of sprains and strains
Sprains can exhibit:
- Pain
- Swelling
- Bruising
- Unable to use the joint
Strains can exhibit:
- Pain
- Swelling
- Muscle spasms
- Muscle cramps
- Painful use of joint or inhibited range of motion
Treatment Options
“Most often, sprains and strains are treated with immobility, rest, elevation, ice, compression with bandages or splints, over-the-counter pain relievers, and anti-inflammatories,” said Dr. Khan. “However, some ligament tears or muscle tears can be so severe they require extensive treatment. Surgery, rehabilitation and physical therapy may be needed to stabilize the joint.”
“When you come in to see us at Medco ER & Urgent Care, we can personalize a treatment plan that’s customized to your injury and ensure your healing has started on the right path,” said Dr. Kahn.
Prevention Tips
Preventing a strain or a sprain is crucial if you are playing sports or do a lot of hiking or biking. Pay attention to body mechanics to make sure you don’t overtax an ankle when running or twist a knee with a sudden turn. Use proper lifting techniques.
Here are some other tips that can help keep your joints injury-free: 2
- Choose the right shoes – wear supportive, properly fitting shoes and replace them often
- Choose the right clothes – wear clothes that allow free movement
- Spend time warming up – before you begin your activity, do plenty of stretches, elevate your heart rate, and warm up your joints
- Use a balanced approach to fitness – cross train with cardio, strength, flexibility and endurance
- Use a daily approach to fitness – rather than doing it all on one day, do a little something each day to improve your fitness level
- Stretching is key – after your muscles are warmed up, do slow and careful stretches without bouncing a joint
- Spend time cooling down – walk off the heat from your exercise or activity and allow your joints to stabilize
- Drink water – water supports good joint health and helps keep you from becoming weak and sick from heat exhaustion or heat stroke which can lead to a fall
Get help at Medco ER & Urgent Care
Don’t just try to tough it out if you’ve strained or sprained an ankle, thumb, wrist, knee or other joint. Come to Medco ER & Urgent Care for the proper treatment to help speed healing and prevent reinjury. You’ll be seen within minutes of arrival and our in-house imaging equipment can aid in rapid diagnosis. We’re here 24/7 when you need us.
- Plano location:
3960 Legacy Drive, Plano TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-392-4000
1 https://www.niams.nih.gov/health-topics/sprains-and-strains#tab-risk
2 https://orthoinfo.aaos.org/en/diseases–conditions/sprains-strains-and-other-soft-tissue-injuries/
6 Things You Need to Know About Urinary Tract Infections
A mild twinge may soon bloom into a bout of painful, frequent, bloody and unproductive urination known as a urinary tract infection (UTI). A UTI is a painful condition caused by bacterial growth anywhere in the kidneys, ureters, bladder or urethra, although it may also be called a bladder infection or kidney infection if it is located there. At Medco ER & Urgent Care of Plano, TX, we can diagnose and treat a UTI before it becomes too painful.
“Most women and many men will experience at least one UTI during their lifetime,” said Medco ER & Urgent Care’s Medical Director, Dr. Nasir Khan. “Fortunately, it is one of the easiest conditions to diagnose and to treat.”
Symptoms of Urinary Tract Infection
Symptoms can be anywhere from mild to severe. They may or may not include:1
- Pain or burning during urination
- Persistent sensation of needing to urinate without urine present
- Frequent urination of small amounts
- Discolored urine – dark, pink, deep yellow, or brownish
- Cloudy urine
- Strong-smelling urine
- Pelvic pain in women
- Burning pain
- Back pain
- Side pain
- Fever, chills
- Nausea, vomiting
Causes of UTI
A UTI is caused by the presence of bacteria in the urinary tract.2 A common cause is bacteria entering from the rectum to the urethra. Sexual activity may also introduce bacteria that can cause a UTI.
Risk Factors for UTI
You are more likely to develop a UTI if you:3
- Are sexually active
- Are a woman after menopause
- Have a condition that blocks the urethra, such as an enlarged prostate
- Have kidney stones
- Are a woman who has used a diaphragm or spermicides for birth control
- Have diabetes
- Have had a UTI in the past
- Have used a catheter
- Are immunocompromised
Prevention of UTI
While a UTI can be hard to prevent, there are some things you can do to help reduce your risks. For babies and children, make sure they are receiving enough water every day. Teach girls the proper way to wipe – from front to back. For adults, make sure you are also drinking enough water each day. Cranberry juice may be beneficial. Urinating after sexual intercourse may help purge the urethra of bacteria. Change from polyester underwear to cotton and wear loose-fitting, breathable pants. Minimize or eliminate sprays, douches, powders or soaps that may irritate.
Diagnosis of UTI
Your physician at Medco ER will have you give a urine sample for testing. In some cases, a cystoscopy, ultrasound or CT scan may be required if you have been experiencing repeated UTIs.
Treatment for UTI
Treating a UTI is almost always successful with a course of antibiotics. Patients need to take the antibiotics according to the prescription to fully eradicate the infection.
Seek Immediate Medical Treatment
“A urinary tract infection must be treated by a medical professional. At-home remedies never work,” said Dr. Khan. “They may slow the bacterial growth but they won’t fully reverse the infection. It’s not an invasive or difficult treatment, so come to Medco ER right away and get the help you need to get over the UTI.”
If left untreated, a life-threatening condition of widespread infection, called sepsis, may occur. Or, the kidneys may be permanently damaged. If you are experiencing painful urination or have any of the above symptoms, come to Medco ER & Urgent Care right away.
Get help for your UTI at Medco ER & Urgent Care
It doesn’t take long for a UTI to become painful. When you start to notice symptoms of a UTI, come to Medco ER & Urgent Care right away. We’re open 24 hours a day, every day of the year. We will make sure you are seen by a board-certified physician right away. Our in-house rapid results labs can verify diagnosis and you can soon be on your way to feeling like yourself again.
- Plano location:
3960 Legacy Drive, Plano TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-392-4000
1 https://www.mayoclinic.org/diseases-conditions/urinary-tract-infection/symptoms-causes/syc-20353447
Is it Appendicitis?
A sharp, piercing side pain is obviously appendicitis—or inflammation of the appendix—but what if your pain is more of a general throbbing, vague abdominal pain, or upset stomach? One of the greatest emergency room challenges is figuring out what is causing your abdominal pain. At Medco ER & Urgent Care of Plano, TX, we are experienced in pinpointing the source of your abdominal pain and finding the treatment that’s right for you.
“Appendicitis doesn’t always manifest in a simple way,” said Medco ER & Urgent Care’s Medical Director, Dr. Nasir Khan. “But our board-certified emergency medicine physicians are able to use our in-house diagnostic tools to find the root of the pain.”
Causes of Appendicitis
While the cause of appendicitis may not always be clear, here are some common reasons:1
- Blockage of the opening of the appendix
- Enlarged wall tissue in the appendix caused by an infection in gastrointestinal system
- Disease such as inflammatory bowel disease
- Parasites
- Growths in the appendix
- Matter that clogs the appendix
- Abdominal trauma
Symptoms of Appendicitis
- Pain or discomfort in abdomen, often near the belly button
- Pain localized on lower right side
- Fever
- Nausea and vomiting
- Diarrhea or constipation
- Abdominal bloating
- Abdominal tenderness
- Loss of appetite
- Malaise
- Stiff abdomen
Diagnosis of Appendicitis
To diagnose your abdominal pain to determine if it is appendicitis, your physician will do a physical exam including checking for abdominal stiffness and the tendency to guard or react when pressed. A rectal or pelvic exam may be performed to locate the source of the pain. A blood test may show an elevated white blood cell count which may mean you have an infection. A urine test will eliminate a urinary tract infection or kidney stone that would be causing pain. Finally, an imaging exam, such as a CT scan, X-ray or ultrasound may be used in diagnosis.2
Treatment for Appendicitis
“There is really only one treatment for appendicitis – an appendectomy,” said Dr. Khan. “If the appendix hasn’t ruptured, it is a straightforward procedure that can be done as a minimally invasive surgery to remove the appendix. Recovery should be rapid and antibiotics may be prescribed to ward off infection. However, if the appendix ruptured, the surgery and recovery will be more extensive.”
Seek Immediate Medical Treatment
Appendicitis is a serious medical condition. If left untreated, sepsis may occur, which is life-threatening. If you are experiencing pain or have any of these symptoms, come to Medco ER & Urgent Care right away:
- Abdominal pain or back pain
- Intense pain on your right side
- Nausea and vomiting
- Fever and chills
Get help fast at Medco ER & Urgent Care
With little-to-no wait time, you can get right into an exam room and be seen by a board-certified physician within minutes. At Medco ER & Urgent Care, we offer you top-quality care from physicians rather than PAs, CNPs or assistants. Our ER is equipped with the imaging and lab equipment needed to quickly diagnose and to treat your abdominal pain. Open 24/7 every day of the year, we’re here when you need us.
- Plano location:
3960 Legacy Drive, Plano TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-392-4000
1 https://www.niddk.nih.gov/health-information/digestive-diseases/appendicitis/symptoms-causes
2 https://www.mayoclinic.org/diseases-conditions/appendicitis/diagnosis-treatment/drc-20369549
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
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
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.