When a common cold or flu spirals out of control, or when a virus morphs into a secondary, bacterial infection, the sinuses, trachea, bronchial tubes or lungs may become infected with a respiratory infection. Most people have experienced a respiratory tract infection in their lifetime, and springtime often creates conditions that are ripe for the outbreak of these kinds of infections. At Medco ER & Urgent Care of Plano, TX, we commonly diagnose and treat seasonal respiratory conditions.
“Pollen can be an irritant that sets off allergies and escalates respiratory conditions,” said Medco ER & Urgent Care’s Medical Director, Dr. Nasir Khan. “We also see a lot of colds and flus this time of year, even with our current focus on social distancing, masks and handwashing. Respiratory infections often develop in the aftermath of colds and flus and need medical intervention.”
What is a respiratory infection?
A respiratory infection occurs when a virus or bacteria takes over the sinuses, throat, airway or lungs. As you may have guessed, a viral respiratory infection is caused by a virus while a bacterial respiratory infection is caused by bacteria. This is usually the result of a secondary infection that takes place after a viral infection.
Bacterial infections can be treated with antibiotics. Viral infections cannot be treated with antibiotics, but there are some antiviral drugs that can be used to treat viruses if the outbreak is treated within the first 24 hours.
Respiratory infections are classified as upper and lower. Upper respiratory tract infections affect the sinuses, throat, pharynx and larynx. Lower respiratory tract infections affect the trachea, bronchioles and lungs.
Symptoms of a respiratory infection
Different respiratory infections have different symptoms, but most include some of these:
- Fever, chills
- Muscle aches
- Sinus drainage
- Cough – dry or wet
- Shortness of breath
- Painful breathing
- Sore throat
- Difficulty breathing
- Bluish tinge to skin
Is a respiratory infection contagious?
“Many kinds of respiratory infections are highly contagious,” said Dr. Khan. “An example would be SARS that originated in China and spread rapidly to scan the globe. It is a good idea to treat any kind of respiratory infection as contagious and to try to keep it from spreading from airborne particles or through contact.”
Treatment for respiratory infections
Depending on the severity of the respiratory infection, over-the-counter fever reducers and pain relievers are often the starting point. If your rapid-results lab at Medco ER determines the infection is bacterial, then an antibiotic may be prescribed. Oxygen supplementation may also be used.
Get help fast at Medco ER & Urgent Care
With the convenience of a freestanding ER and little-to-no wait, Medco ER & Urgent Care offers some of the best medical care for respiratory infections. Our board-certified physicians are experienced in diagnosing and treating a range of respiratory conditions. With our help, you can soon be on the path to breathing easy again.
- Plano location:
3960 Legacy Drive, Plano TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-392-4000
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:
- Food poisoning
- Viral gastroenteritis – commonly called stomach flu
- Pregnancy – morning sickness
- Intestinal obstruction
- Alcohol consumption
- Irritable bowel syndrome
- Heart attack
- Intestinal intussusception in young children
- Kidney stone
- Motion sickness
What are some of the symptoms that can accompany nausea and vomiting?
- Dizziness and vertigo
- Stomach pain
- Abdominal cramps
- 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
- 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
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
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.
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.
- 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.
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?
If a person has COVID-19, it could take them longer to develop symptoms than if they had flu.
Typically, a person develops symptoms anywhere from 1 to 4 days after infection.
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?
Both COVID-19 and flu can result in complications, including:
- 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
Additional complications associated with COVID-19 can include:
- Blood clots in the veins and arteries of the lungs, heart, legs or brain
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.
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.
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
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
A rapidly evolving health story broke out in late December 2019, when a novel illness originating in Wuhan City, China made the news. Reports of the number of infected people (with now called 2019 Coronavirus, or 2019-nCoV) swiftly rose, and isolated cases of this new virus have appeared in several countries, including the United States due to international travel. As of today, it has caused over 17,000 cases of confirmed cases and 362 deaths. Eleven cases and no deaths have been reported in the US. Fortunately, public health officials in many countries, including the US, have put measures in place to help prevent further spread of the virus.
With information changing so quickly and every news report about the virus seeming to raise the stakes, you may be wondering how likely it is that you or a loved one will become ill.
It’s convenient to turn to the internet for various links to information online. But there’s a lot of misinformation out there as well. The purpose of this writing is to provide you with some useful information on what we should know about this virus and what it may mean for you.
What is a Coronavirus?
Coronaviruses are a common cause of colds and other upper respiratory tract infections. These viruses infect certain animals and spread from one animal to another. However, they can also spread to humans, particularly if the virus mutates and becomes wide spread. Chinese authorities reported some cases of viral Pneumonia to the World Health Organization (WHO) in December 2019. Many of the ill people had come in contact with a seafood and animal market in Wuhan, a large city in eastern China. Since then, it has become clear that the virus can spread from person to person.
What are the symptoms of Coronavirus?
Coronavirus can cause flu- like symptoms, including cough, fever and shortness of breath. There are some early reports of non-respiratory symptoms, such as nausea, vomiting or diarrhea. Many people recover within a few days. However, some people, especially the very young, elderly, or people with weak immune system may develop a more serious infection, such as bronchitis or pneumonia.
How is it treated?
Scientists are working hard to understand the virus, and Chinese health authorities have posted its full genome in international database. Currently, there are no approved antivirals or vaccines for this particular Coronavirus (2019-nCoV). Treatment is only limited to symptom relief and prevention of secondary infection at this time.
Should you worry about catching this virus?
Unless you have been in close contact with an infected person, meaning a traveler from Wuhan City, China who actually has the Coronavirus, you are likely to be safe.
How to prevent this infection?
While we don’t understand the complete particulars of how this virus spreads, Coronavirus can spread through respiratory droplets caused by cough and sneeze from an infected person. Basic infectious disease principles are key to curbing the spread of this virus. Wash your hands regularly, and cover coughs and sneezes with a tissue or your inner elbow. Stay home from school or work if you have a fever. Avoid close contact with people who have signs of a respiratory infection, such as runny nose, coughing, sneezing or shortness of breath.
In the US, the average person is at extremely low risk of catching this virus at this time. In fact, we are much more likely to get the Flu than any other virus this winter. Approximately one in 10 people suffer from Influenza each flu season. According to the CDC, there have already been around 15 million cases of flu in the US this year, leading to numerous hospitalizations and thousands of deaths. And this flu season has not been particularly severe yet, unlike the past few years. Therefore, it’s still not too late to get a flu shot, an easy and highly recommended step (by CDC) toward avoiding the flu. Even if you do get the flu despite having gotten the vaccine, studies show that severe illness, hospitalization, ICU admission, and death are less likely to occur.
The Bottom Line:
Amid the current spread and the complexity of international travel, the number of cases and deaths attributed to Coronavirus will likely continue to climb. However, there is no need to panic. As more information becomes available, public health organizations like CDC and WHO will be sharing key information and strategies to deal with this threat.
While gathering information online may be the easiest initial option, contact your health care provider if you have symptoms of infection such as fever, cough or shortness of breath. Please be skeptical of any fake news, conspiracy theories and unfounded claims on the social media about Coronavirus. Addressing the concerns surrounding 2019-nCoV requires accessible, reliable and updated information from the experts whose mission is to protect public health.
Dr. Tariq M. Vora
Regional Medical Director
Medco ER, Plano & Frisco, Texas
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.
What are the symptoms?
- Fever of over 100.4° F (38° C)
- Aching muscles
- Chills and sweats
- Dry, persistent cough
- Fatigue and weakness
- Nasal congestion
- Sore throat
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.
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.
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.
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.
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:
- 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
- Severe vomiting
You should take your child to the emergency room or seek emergency medical help if they are experiencing:
- Any of the above symptoms
- Difficulty breathing or breathing fast
- A bluish tone to the skin
- A fever with a rash
- Limited liquid intake
What can I do to prevent the flu?
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.
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.
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.