Dr. Shubadeep Debabrata Sinha
Infectious Diseases
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I am a 51-year-old female. My past medical history includes anxiety, adult ADHD, hypertension, and RLS. Taking medications such as Clonazepam BID PRN, Cyclobenzaprine, Ropinirole, and Methylphenidate BID (I just take PRN for work). My past surgical history includes four C-sections, a gastric sleeve, and L3 to L4 discectomy.
I have been treated with Ivermectin for seven days, and then took it for a week for the worms. PCP did not do stool samples but it was visible in feces. I felt better but shortly became ill again, not understanding what was going on. PCP did not send a referral for infectious disease as requested. I ended up going to the ED twice (which made three total life ED visits, not a frequent flyer) in which nothing was done, except an EKG at one, and I left feeling scared, upset, frustrated, and honestly not heard or understood. So went back to PCP and, as I predicted, for seven days, antibiotics, steroid cream, and Hibiclens were given. This seemed to help, but I quickly began becoming ill again and progressively worsening. PCP did a stool sample but limited and negative. I really do not want to go to another doctor, mainly due to feeling as if I need to be a BH patient at this point. I have basically isolated myself. Luckily, I work from home doing medical reviews for insurance companies. I do not understand what is happening to me, but at this point, I am having feelings of impending doom. I think, through research, I have some type of mites. That is in my hair follicles. I will try to put in symptoms, but I do not understand exactly what is going on, so it could be misexplained.
Hi,
Hi,
Welcome back to icliniq.com.
It is unfortunate that you had to undergo multiple rounds of hospital visits despite not getting desired results to your satisfaction. It would be ideal to know that the hospitals have set standard operating procedures (SOPs) for managing patients who enter various sections, including ED (emergency department). Whatever they had investigated or treated will likely have prevailing ED SOPs. However, it is important to have a look at the records of hospital visits and diagnostic tests. As per the complaints mentioned, you appear to think you have worm infestation, for which you have advised Ivermectin (dose not mentioned) for a week, followed by a repeat stool examination for worms. Your narrative shows you never had worms detected in the stools. You had other medicines such as Ivermectin and multiple other medicines for depression and anxiety. However, let us focus on the current complaint of suspected worms creeping under the skin and joints. However, ED appears to not have diagnosed this as a worm infestation. To start with, it would be best to take another round of antiworm medicine, including Ivermectin and Albendazole. Afterward, based on the shared medical records, could decide further course of action.
Investigations to be done
Treatment plan
Regarding follow up
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Infectious Diseases
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