Dr. Kaushal Bhavsar
Pulmonology (Asthma Doctors)
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hi doctor,
I had a sharp pain in my urethra eight months ago while urinating, and there was blood for four days. A pint of blood flowed from the urethra after urinating. I underwent an ultrasound and microscopic urine test, and no blood was detected. Therefore, it is neither UTI, Gonorrhea, nor Chlamydia. The ultrasound result revealed nothing. After three months, I had a Cystoscopy, and the doctor discovered nothing. However, he mentioned some minor tissue scars, and later in the fourth month, I started getting hives regularly, which lasted for more than six weeks. The doctor suggested nothing other than an antihistamine. Thus I have been taking an antihistamine for more than six months, but no infections have been diagnosed. I had done syphilis, hepatitis C, and HIV tests, but my hives continued to exist.
Hello,
Welcome to icliniq.com.
I understand your concern.
I looked over the image (attachment removed to protect the patient's identity) you have attached. I would like to know a few additional details for a better evaluation. Have you noticed any weight loss or loss of appetite, and have you experienced any low-grade fever? Could you please attach a photo of your hives? Please respond to the questions mentioned above so I can assist you better.
Patient's Query
Hi doctor,
Thank you for the reply.
There was no weight loss or loss of appetite, but there was a moderate fever at the beginning when there was blood in the urine. Small pimple-like boils are seen all over the body, and a black patch appears after 3 to 4 days.
Hello,
Welcome back to icliniq.com.
I understand your concern. I have gone through the images you have attached. It is urticaria, a skin rash caused by an allergic response to food, drugs, or other irritants. I would want to know if they would improve immediately after taking an antihistamine drug? May I know which antihistamine medicine you are taking? Have you done blood tests such as absolute eosinophil count and Immunoglobulin E (IgE) level?
Patient's Query
Hi doctor,
Thank you for the reply.
I am taking Reactine. The hives disappear for two days after using antihistamines, then reappear until I take the medication again. I have not done any other blood tests.
Hello,
Welcome back to icliniq.com.
I understand your concern.
It would be best if you started taking tablet Montelukast 10 mg and tablet Fexofenadine (Allegra) instead of plain Cetrizine. These are anti-allergy medications. It is particularly effective in treating urticaria. Have you consulted a dermatologist regarding this issue? Can you get an absolute eosinophil count, Immunoglobulin E (IgE), and allergy testing done?
Patient's Query
Hi doctor,
Thank you for the reply.
I consulted a doctor for allergies and had a skin prick test. The test results are attached along. He advised me to take Reactine for three months, but it is still ineffective since I have hives and itchy skin. When should I begin using Allegra medicine, and for how long should I take it? I have not taken these blood tests. Please let me know how may I take it.
Hello,
Welcome back to icliniq.com.
I understand your concern.
I have reviewed the attached report (attachment removed to protect the patient's identity). It is better to avoid dust wherever possible. An absolute eosinophil count and Immunoglobulin E (IgE) test are required and can be done anytime. Fasting is not required. Will you be able to get Allegra M without a prescription?
Patient's Query
Hello,
Welcome back to icliniq.com.
Can you please prescribe one, or do I have to visit a doctor here to ask for one?
Thank you.
Hello,
Welcome back to icliniq.com.
Sorry to say, but in the online consultation, we doctors can not give official prescriptions or certificates. We can only suggest or advise.
Thank you.
Patient's Query
Hello doctor,
I visited a nearby doctor who asked for eosinophil and IgE counts and prescribed Montelukast and Blexten.
Thank you.
Hello,
Welcome back to icliniq.com.
You have to meet doctor locally and ask for physical prescription.
Thank you.
Patient's Query
Hello doctor,
I am attaching my files.
Thank you.
Hello,
Welcome back to icliniq.com
Yes, mostly this is required.
Thank you.
Patient's Query
Hello doctor,
My doctor asked me to take Montelukast and Blexten daily for two months. Therefore, I am attaching the test results.
Thank you.
Hello,
Welcome back to icliniq.com.
I have reviewed your reports (attachments removed to protect the patient's identity). Reports are good. You can start that tablet suggested by the doctor and continue for two months.
Thank you.
Patient's Query
Hello doctor.
Is there anything concerning in the reports? Since my hives have not stopped for more than seven months and due to medicines, hives are not showing up. But after a day of not using the medication, hives will start again. I also have pain in the chest (right side) and right-hand pain, and the doctor here told me to use an ulnar nerve brace at night.
Thank you.
Hello,
Welcome back to icliniq.com.
Yes, the reports are good. So be relaxed and calm.
Thank you.
Patient's Query
Hello doctor,
Okay.
Thank you.
Hello,
Welcome back to icliniq.com.
Continue the medicines for the said period without skipping.
Thank you.
Patient's Query
Hello doctor,
Okay doctor, sure.
Thank you.
Hello,
Welcome back to icliniq.com.
You can contact me if you have any further queries.
Thank you.
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Pulmonology (Asthma Doctors)
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