Texas ER Tag

5 Different Coughs in Children

When you put your child to bed and all is well but later you hear him or her coughing—sounding like a bark—what do you do? Is it just a passing thing or is the cough something dangerous? Our board-certified physicians at Medco ER have some suggestions as you decide what kind of cough your child has and what you should do about it.

Wet Cough

A wet, garbled-sounding cough that sometimes produces mucus could be caused by a cold. If your child has a fever and runny nose, then this is likely. If it has lasted for days and is accompanied by phlegm, tightness in the chest, and fever, it could be pneumonia or a sinus infection.

“A good rule of thumb here is to watch your child’s comfort level. If he or she is coughing up mucus and is able to breathe normally in-between coughs and is relatively at ease, you can probably wait it out. If the child has a high fever, is wheezing or pulling hard to breathe and is miserable, it’s time to come to Medco ER,” said Medco ER’s Medical Director, Dr. Nasir Khan.

Dry Cough

A cough that doesn’t produce mucus and just seems to hang around could be caused by colds, asthma, irritants in the air, bronchitis, Covid 19, or allergies. For chronic coughers, try using air purifiers to reduce dust, pollen, pet dander, mold and smoke.

Wheezing Cough

A cough accompanied by a wheezing breath or a rattling sound could mean that the child’s airways are being blocked or inflamed. This could be caused by a cold, infection, or asthma.

Barking Cough

A harsh, barking cough could mean your child is suffering from croup. It is often accompanied by stuffy nose and a fever. The airways swell, causing the voice box and windpipe to become swollen and irritated. A high-pitched, squeaky sound can accompany the breathing in between the barking cough. If your child starts breathing rapidly, struggling to breathe, or has a blueish tinge around the lips, come to Medco ER right away.¹

Whooping Cough

If the cough is a hacking, hard cough that is followed by a strange whooping sound as the child breathes in, it is called Whooping Cough or Pertussis and requires antibiotics to treat. It may include a runny nose, watery eyes and fever.

When to go to the ER

“Any time a cough has gone on and on and doesn’t respond to any common treatments, you should bring your child in to Medco ER,” said Dr. Khan. “If there are any concerning things like a fever, green/yellow mucus, blood, wheezing, chest pain or difficulty breathing, come in right away. Infants, especially, should be brought in right away.”

Warning signs:

• Difficulty breathing
• Wheezing
• Tightness in chest
• Shortness of breath
• Fever
• Persistent cough lasting longer than 3 weeks
• Blood in mucus
• Barking cough
• Dehydration
• Rapid breathing
• Blue tinge to skin

Medco ER is Open 24/7

When your child’s cough is concerning and doesn’t seem to respond to steam, fluids and cough syrup, Medco ER is here to help. You can walk in any time, day or night, and enjoy our little-to-no-wait medical service. Our physicians are ready to bring some of the best medical care in the area to your child.

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/17755-cough

When is Fever an Emergency?

A fever is an elevated body temperature that is part of the body’s response to something else, like an infection. As one of the most common reasons people go to the emergency room (ER), fevers are in the spotlight today and the physicians at Medco ER have some tips to help you know when to go to the ER for a fever.

Temperature Range

While each body is different and can vary slightly in normal range of temperature, the average body temperature has been designated as 98.6˚ F (37˚ C). If taken by mouth, a temperature of 100˚ F (37.8˚ C) or higher is considered a fever.¹

Causes

A fever can be caused by any of a number of conditions. Most often, it is caused by an infection. Less often, a condition such as an autoimmune disorder or cancer can cause a low-grade fever. It can also be caused by medications or some vaccinations.²

“A fever can be the first indicator that something is wrong,” said Medco ER’s Medical Director, Dr. Nasir Khan. “If you have strep, a urinary tract infection, the flu, or a sinus infection, your body’s immune system will be in high gear which is manifested as a fever.”

Symptoms

A fever can be accompanied by a variety of other symptoms including:

• Headache
• Nausea and vomiting
• Stomachache
• Difficulty or pain when urinating
• Rash
• Stiff neck
• Swollen glands
• Sweating
• Chills
• Muscle aches
• Weakness
• Dehydration
• Loss of appetite
• Irritability
• Weakness

“If any of these accompanying symptoms seem unusual, alarming or persistent, come to Medco ER right away,” said Dr. Khan.

How to Take Your Temperature

There are a variety of thermometers available today including ones for oral, rectal, forehead and ear. The most accurate place to get a temperature reading is the rectum and the least accurate place is the armpit.²

Most physicians recommend using a digital thermometer for an oral temperature reading. Write down the temperature, the device used and the location on the body to tell your physician.

Go to the ER

Fevers are especially concerning in infants and toddlers. Come to the ER if your infant has a temperature higher than 100˚ F. If your baby is 3 to 24 months old and has a temperature of 102˚ F or higher, come to the ER. If your baby has a fever and is sluggish, irritable, uncomfortable and listless, come to Medco ER for an evaluation.

If your baby or child has a runny nose, cough, diarrhea or vomiting along with a fever, seek help from a physician. If the fever has lasted more than 3 days, it’s time to seek medical help.

Warning signs include: listlessness, confusion, unable to awaken, loss of consciousness, change in speech, difficulty breathing, seizure, abdominal pain, painful urination, headache, stiff neck, rash, dehydration, or repeated vomiting.

“You know your child,” said Dr. Khan. “If he or she is especially uncomfortable with a fever, you know something is going on. Don’t hesitate to bring her to Medco ER for an evaluation.”

Medco ER is Open 24/7

Fevers don’t follow a schedule and neither does Medco ER. We are open all day and night—every day of the year—to make sure you have fast access to some of the best medical care in the area. Our rapid results labs can detect many infections and help target treatments to get you or your child on the road to recovery.

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/fever/symptoms-causes/syc-20352759

² https://my.clevelandclinic.org/health/symptoms/10880-fever

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/

² https://www.cdc.gov/pneumonia/prevention.html

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

Are Energy Drinks Really Bad for You?

A late morning or an early afternoon slump may have you reaching for an energy drink to boost your energy and power up for the rest of the day. Packaged in attractive and portable cans, these drinks seem like little more than a soda designed to give you wings. But regular consumption can actually result in a quick trip to the emergency room or a fast track to a chronic health condition like hypertension.¹

Marketed to youth, energy drinks are consumed mostly by children, teen and young adults. “While the American Academy of Pediatrics warns that children and adolescents should not consume energy drinks, there still are many who do,” said Medco ER’s Medical Director, Dr. Nasir Khan. “They seem mostly unaware of the risk they are taking in spiking their hormone levels, overdosing on caffeine, and gambling with exacerbating a latent condition they may not even know they have, such as a heart arrhythmia.” 

What’s in an energy drink? 

The main source of energy in an energy drink comes from caffeine. While caffeine content varies, energy drinks generally have three to six times the amount of caffeine as coffee does. Also, considering how quickly a can could be consumed, that could be comparable to drinking six cups of coffee in 30 minutes.

There are five basic components most energy drinks share.

• Caffeine – a legally addictive substance. Too much caffeine increases heart rate and blood pressure and causes insomnia and anxiety.²
• Taurine – an amino acid that possibly stimulates brain activity and increases physical performance.² A ban on taurine has made many energy drinks illegal in other countries.
• Sugar – most people don’t realize that energy drinks contain as much or more sugar than regular sodas. That’s a whopping amount of sugar to consume regularly and can result in unhealthy weight gain.
• Guarana – from a tropical plant from South America, these seeds contain a high caffeine content.³
• Glucuronolactone – claimed to be a caffeine-like stimulant, there is no scientific evidence to support its use.³

What does your energy drink do to your body? 

Caffeine triggers a supercharging of receptors which then release norepinephrine, dopamine and serotonin in the brain.¹ Additionally, there is an increased risk of caffeine intoxication which causes a myriad of bad side effects and potentially lasting damage.

“Energy drinks can easily lead to caffeine overdoses which can lead to seizures, heart problems and death,” said Dr. Khan. “When combined with alcohol, the effects can be masked which can cause a person to not realize how much damage they are doing to their body.”

What are common symptoms of an energy drink-related emergency?

• Seizures
• Heart complications – irregular heartbeat, racing heart, heart failure
• Hypertension
• Hypotension
• Dehydration
• Anxiety
• Insomnia

How can I get an energy boost without the risk of energy drinks?

Eating a well-balanced diet rich in fruits and vegetables can help you get the vitamins and minerals needed to keep your energy at an even keel. Protein can give you long-lasting energy burns. Low-to-no caffeine teas or coffee can also be substituted for energy drinks. Sports drinks have a lot of additives but can be researched and considered as an alternative to energy drinks.

Getting plenty of water will help your body operate at its peak. Milk and 100% fruit juice should be offered in place of manufactured drinks.⁴ Sales of these drinks should take the place of energy drinks in schools and colleges.⁵

Get Help Fast at Medco ER 

If you are experiencing any adverse symptoms from energy drink consumption or alcohol mixed with energy drinks, come in right away to the nearest Medco ER. We are open 24/7 every day of the year and our board-certified physicians are experienced in diagnosing and treating these conditions.  

• 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.ncbi.nlm.nih.gov/pmc/articles/PMC8083152/

² https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/expert-answers/taurine/faq-20058177

³ https://fherehab.com/learning/energy-drink-overdose

⁴ https://www.cdc.gov/healthyschools/nutrition/energy.htm

⁵ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4320741/

Is it COVID or is it Flu?

Today, if you wake up with a headache, fever, sore throat, cough and body aches, you probably will spend significant time wondering if it is the flu or COVID. In the past, you may have spent a few minutes running down a list of people you’d been around who had the flu, but now you have to worry about exposure to COVID-19. As the threat of the new Omicron variant looms large, we have to be especially vigilant with ourselves and our children. So how do you know if it’s Influenza A or if it’s COVID? At Medco ER & Urgent Care in Plano, TX, our board-certified physicians are here to help you answer that dilemma.

“The difficulty is in the shared symptoms,” said Medco ER & Urgent Care’s Medical Director, Dr. Nasir Khan. “Both influenza and COVID can present with fever, chills, muscle soreness, and cough. Some people experience diarrhea and vomiting with either condition. So, short of getting tested, it is hard to know whether it’s flu or COVID.”

Shared symptoms

There are many similarities between flu and COVID-19, though the severity can vary. People may experience very mild cases of either condition, or they can experience severe cases and even need hospitalization. Either flu or COVID can result in secondary infections, such as pneumonia, and require advanced treatment.

Here’s a list of the common symptoms¹ that can occur in either condition:

• Fever
• Chills
• Headache
• Body aches
• Fatigue
• Cough
• Congestion
• Runny nose
• Sore throat
• Nausea
• Vomiting

Unique symptoms

“One of the most prominent symptoms that may help you know the difference is the classic loss of the senses of taste and smell. Usually, that is a good way to realize you probably have COVID and should come in and get tested right away,” said Dr. Khan. “Additionally, if you have difficulty breathing or shortness of breath, that is another indicator of COVID, but it could also mean you’re moving into a chest condition with the flu. But that should be looked at right away by one of our qualified physicians.”

How it is spread

Both the flu and COVID are highly contagious, though they are caused by completely different viruses. They are both spread through contact with other people who are infected with the germs. Coughs and sneezes can transmit microscopic droplets laden with the virus, or even just talking can transmit the virus. When these droplets are inhaled or enter through the eyes or mouth, the virus then spreads to that person.²

Medco ER & Urgent Care is ready to help

If you are unsure if you have the flu or COVID, come to Medco ER & Urgent Care right away for a Rapid Antigen Test with one swipe swab. Results are ready in 15 minutes, so you will know right away if you have the flu or COVID. Not ready to come in? Try a telehealth visit and get fast advice from one of our board-certified physicians.

• Book a Rapid Antigen Test at Plano:

3960 Legacy Drive, Plano, TX 75023 (on the corner of Legacy and Coit Road)

            Call us @ 469-392-4000

• Book a Rapid Antigen Test at Carrollton:

2745 E Belt Line Road, Carrollton, TX 75006 

¹ https://www.cdc.gov/flu/symptoms/flu-vs-covid19.htm

² https://www.mayoclinic.org/diseases-conditions/coronavirus/in-depth/coronavirus-vs-flu/art-20490339

8 Tips for a Healthy Holiday

Looking forward to the elaborate holiday feasts but dreading your blood sugar swings, exhaustion and weight gain? At Medco ER & Urgent Care in Plano, TX, our board-certified physicians have put together 8 tips to help you make the best choices for a home run healthy, happy holiday season.

“The holidays are fraught with tension, extra work and poor eating choices,” said Medco ER & Urgent Care’s Medical Director, Dr. Nasir Khan. “But with a bit of planning, you can reduce your stress and feel better as you spend time with loved ones.”

Avoid feast or famine

It’s easy to skip a meal or two in advance to get ready for a big holiday feast, and then pile it on once you get to the table. This is a sure way to make your blood sugar swing wildly. Instead, eat a small snack before going to the party and watch your portions once you get there.

Make it count

While you don’t have to rigidly count calories at your family gatherings, it is advisable to be judicial in choosing where you are willing to spend the most calories. Choose your favorite foods and take smaller portions of them.¹

Drink more not less

Stay hydrated by drinking plenty of water. But go easy on the rest of the drinks. Remember that egg nog, punch, soda and alcoholic drinks can pack a whopping amount of calories where a fruited water spritzer has none. Also, alcohol makes you hungrier and reduces your ability to make healthy choices.¹

Say goodbye to stress

Knowing that stress levels will be high during the holidays, you can make a plan now for ways to reduce it. Simplify your expectations to center on the most important people and traditions. Plan breaks for yourself.² Choose shortcuts for the month, such as preparing freezer-ready meals in advance. Get plenty of rest. Eat well and exercise.

Slower is better

Remembering that it takes up to 20 minutes for your brain to get the signal that your stomach is full, take longer between courses and go slow on second helpings. A side benefit is less heartburn from not overeating.

Green is good

If you are a snacker, make sure there are plenty of fresh vegetables to grab. Avoid standing next to the snack table where it is tempting to grab more chips. Make sure you put plenty of veggies on your plate during the feast, too.³

Sneak in the substitutions

Don’t be afraid to look for healthier options for traditional foods. No one will mind that there is Monkfruit sweetener in the pies, chicken broth with only a bit of butter in the stuffing, hummus for raw veggies or yogurt dip for the fruit tray. Healthy choices like fanciful pear-pomegranate-pistachio salads with raspberry vinaigrettes can joyfully replace traditional butter-swamped or mushroom soup-covered hot vegetables.

Avoid the allergens

If you suffer from food allergies or are sensitive to things like gluten or monosodium glutamate (MSG), keep that in mind before diving into the dips, cookies and other scrumptious-looking treats. Russian tea cakes have ground up nuts and flavored chips and dips often have MSG.

Medco ER & Urgent Care is here when you need us

Since medical concerns don’t care if it’s the holidays or if it’s the middle of the night, Medco ER & Urgent Care is open all day and night, every day of the year, to provide you with the quality healthcare you need. If you or your loved ones aren’t feeling well, come in right away for an expert evaluation and treatment plan.

• Plano location:

3960 Legacy Drive, Plano TX 75023 (on the corner of Legacy and Coit Road)

            Call us @ 469-392-4000

¹ https://www.health.harvard.edu/blog/12-tips-for-holiday-eating-201212242506

² https://www.heart.org/en/healthy-living/healthy-lifestyle/stress-management/holiday-stress-try-our-top-5-tips-for-a-healthy-holiday-season

³ https://www.cdc.gov/diabetes/library/features/holidays-healthy-eating.html

Taming Tooth Pain

When is a tooth infection or a tooth abscess reason to go to the emergency room? When a minor infection goes from mild discomfort to a throbbing pain with swollen gums, it’s time to go to Medco ER & Urgent Care in Plano, TX. A tooth infection or an abscessed tooth can quickly become a life-threatening condition if left untreated.

“Any time you are experiencing tooth pain, you can come to see us and we will help you right away,” said Medco ER & Urgent Care’s Medical Director, Dr. Nasir Khan. “It’s not always possible to get in to see your dentist at a moment’s notice, but we can help treat the infection, get bleeding under control, reduce pain, and address tooth fractures while you wait for further dental procedures.”

Symptoms of Tooth Infection

A tooth abscess has very noticeable symptoms including:¹

• Sore gums next to the tooth
• Discoloration of gums next to the tooth
• Swollen gums
• Swollen cheek
• Bleeding gums
• Pain, throbbing toothache that can include the jaw and neck
• Loosened tooth
• Bad taste in mouth
• Inability to chew
• Difficulty swallowing
• Fever
• Difficulty breathing
• Swollen lymph nodes
• Accelerated heart rate and breathing

“Emergency symptoms include difficulty breathing, trouble swallowing, and swelling of the jaw and face. These are warning signs that the infection is spreading, which can be very dangerous,” said Dr. Kahn. “The body could go into sepsis, which requires emergency medical intervention.”

Causes of Tooth Pain

Tooth abscesses are most commonly caused by cavities that have spread down to the sensitive root tip of the tooth where the soft pulp contains the nerve bundle. A pocket of pus can collect there and can involve the blood supply to the tooth which then can spread the infection throughout the body if left untreated. Or, the infection can be next to the tooth and involve more of the gums, causing them to swell and discolor.

There are 3 main causes of tooth abscesses: poor oral hygiene, high sugar diet, and dry mouth which can be caused by certain medications or aging.¹ Additionally, tooth pain and infection can result from cracks or fractures to the tooth’s enamel or injury to the tooth.

Treatment of Tooth Infection

Your board-certified physician at Medco ER & Urgent Care will diagnose your tooth pain through examination and possibly by taking an X-ray. Infection will be treated with antibiotics, possibly administered intravenously, and bleeding will be stopped.

Prevention of Tooth Abscess

Good oral hygiene is your best defense against tooth infections. Brush 2 to 3 times a day and floss each day to maintain healthy teeth and gums. Salt water rinses and hydrogen peroxide can help cut down on the amount of bacteria attacking the teeth and gums. Use fluoridated toothpaste and drinking water. Eat healthy foods and avoid snacks between meals, especially sugary snacks.¹ Visit your dentist regularly. Replace your toothbrush 3 to 4 times a year.

Get help at Medco ER & Urgent Care

When your tooth pain is getting worse and your gums are swollen, come to Medco ER & Urgent Care right away for quality medical treatment. We are open 24/7 every day of the year because we know that tooth infections can crop up any time day or night. We can help you start to feel better again by reducing the infection and easing the pain.

• 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/tooth-abscess/symptoms-causes/syc-20350901

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

² https://www.cdc.gov/antibiotic-use/uti.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fantibiotic-use%2Fcommunity%2Ffor-patients%2Fcommon-illnesses%2Futi.html

³ https://www.niddk.nih.gov/health-information/urologic-diseases/bladder-infection-uti-in-adults/all-content

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:

1. Molecular tests
2. 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