Selected Case Studies from Consultations
In the past few days, many overseas builders have inquired about their health conditions through the graphic consultation on the Kangqiao Internet app. The platform’s experts have provided corresponding answers to the issues raised, ensuring the physical and mental health of many overseas builders.
The following are selected contents from the consultation cases. Employees with similar conditions can refer to the corresponding cases to understand their health issues.
Warm Reminder: The cases and answers are for reference only and cannot be used as a basis for treatment. If there is a medical need, please go to a local hospital for offline communication and treatment with a physician.
1
Employee
Hello Doctor, I have pain in front of my right ear, radiating to the back of the ear. It hurts when I open my mouth, and I am afraid to chew while eating. The pain worsens at night. I feel a foreign body sensation in the right external auditory canal, with no discharge or pus, no change in hearing, occasional tinnitus, and no abnormalities in my mouth or teeth. The local doctor prescribed Amoxicillin, Metronidazole, and Levofloxacin ear drops, but there was no relief. After taking Dexamethasone for three days, I felt better, and I stopped the medication after taking it for five days.
Hello!
1. Based on the current symptoms and medication, it does not appear to be otitis media, but rather temporomandibular joint arthritis, which is a type of aseptic inflammation. The causes are often external force impact, unilateral sleeping pressure, wide mouth opening, and chewing hard food.
2. Anti-inflammatory drugs and ear drops will not relieve temporomandibular joint arthritis. Hormonal medications can provide relief but should not be used long-term. All the above medications should be discontinued; it is recommended to use a hot towel for warm compresses 3-4 times a day, each time not too long to prevent skin burns. Some medicated plasters can also be applied, but care should be taken to prevent skin allergies.
3. Avoid opening your mouth wide, do not chew food with your right side teeth, and avoid hard foods (like apples, nuts, etc.). You can eat soft foods like bananas and watermelon to allow the joint to rest adequately.
Platform Doctor
2
Employee
I was diagnosed with hyperthyroidism in July 2020 while in China. Currently, I am working abroad, and the local hospital prescribed Methimazole and Ursodeoxycholic Acid. I have been taking the medication for five days and feel that my physical strength has somewhat recovered, but I still feel weakness in my lower limbs, and my right toe has limited mobility, with no numbness. I sleep normally every day, and my weight has been maintained at 70-72 kg recently, with a heart rate of 85 beats per minute in the morning, peaking at 115 beats per minute. How can I alleviate my condition?
Hello!
1. Methimazole is used to treat hyperthyroidism; it should be taken as prescribed and not stopped. Ursodeoxycholic Acid is for liver protection and should also be taken as prescribed.
2. Maintaining your weight is a good sign. Drink plenty of water, limit seafood (iodine-restricted diet), avoid alcohol, smoking, strong tea, and coffee, and avoid spicy foods. Pay attention to nutrition, eat more vegetables and fruits, rest well, maintain a positive mindset, avoid anxiety, and do not overwork.
3. Monitor your heart rate daily, have a blood routine check every half month, and liver function and thyroid function tests every month. Adjust the medication dosage based on the test results, and watch for any signs of granulocyte reduction, rashes, or allergic reactions. If conditions allow, you can also check electrolytes and thyroid antibodies.
Platform Doctor
3
Employee
I am a 41-year-old male with discomfort in my lower limbs, feeling swollen (actually not swollen), and I feel less agile when walking. My ankles feel weak, and my jumping ability is poor. This has been going on for almost two years. In October last year, I went to the hospital for an examination, had an electromyography of the lower limbs, a color Doppler ultrasound of the legs, and MRI of the lumbar and thoracic spine. The doctor said it was damage to the peroneal nerve in my leg, and I was hospitalized for 15 days, mainly receiving electroacupuncture treatment and nerve-nourishing medications, but the effect was not significant. After discharge, I continued to take nerve-nourishing medications (Mecobalamin capsules) for over a year, but the effect has not been very noticeable, although there are no signs of worsening. I would like to consult: I have not been injured, why would there be nerve damage? Also, is there any other effective treatment besides Mecobalamin?
Hello!
1. The causes of nerve damage can mainly be classified into cutting injuries, compressive injuries, and ischemic injuries. Cutting injuries include being cut by sharp objects like glass or knives. Compressive injuries include nerve compression due to bone fractures. Ischemic injuries include nerve damage caused by vascular spasms in the limbs. Therefore, nerve damage can occur even without injury.
2. Currently, the only confirmed effective nerve-nourishing medication is Mecobalamin, so it is recommended to continue taking it.
3. Local hot compresses and foot baths can promote blood circulation.
Platform Doctor
4
Employee
How to treat flat warts on the hands? Are there any medications to boost immunity?
Hello!
Flat warts are diseases caused by human papillomavirus infection, commonly occurring in adolescents, mainly on the face and back of the hands. The skin lesions typically present as flat papules the size of mung beans and are contagious, so active treatment is necessary.
Treatment methods:
1. Flat warts can suddenly disappear without leaving scars.
2. Antiviral and immune-boosting medications can be taken orally, such as Levamisole tablets and Transfer Factor capsules, and topical treatments can include interferon ointment and peptide amide solutions.
3. Cryotherapy or carbon dioxide laser treatment can be used.
4. Common immune-boosting medications include immunoglobulin, Transfer Factor, and American ginseng.
Platform Doctor
5
Employee
On January 19, I went out wearing protective clothing and sweated. After taking off the protective clothing and showering 30 minutes later, I developed urticarial wheals on my knees and waist, which were itchy. Initially diagnosed as urticaria, I took Fexofenadine orally, and it improved. However, it has recurred repeatedly over the past two months. I also took Vitamin C tablets, and the symptoms improved while on medication but recurred the next day after stopping. Since I am in Bangladesh and the pandemic has worsened, I cannot go out to check for allergens. Recently, I had colleagues from China bring me some oral compound glycyrrhizin. I would like to know if there are any better methods? Besides avoiding fish, shrimp, beef, and lamb, can I eat eggs?
Hello!
1. When allergic symptoms are severe, it is recommended to take Cetirizine hydrochloride tablets, 10mg, once every night.
2. Reduce triggering factors such as mechanical factors (scratching, friction); physical and chemical factors (hot water washing, high temperature, low humidity, irritating medications); biological factors (plants, microorganisms, etc.); and psychological factors (stress or emotional distress or digestive dysfunction).
3. A light diet is recommended, avoiding fish, shrimp, and spicy foods, especially avoiding beef and lamb in spring. When allergic symptoms are significant, it is advisable to avoid eating eggs, but normal diet can be resumed once symptoms improve!
4. If symptoms continue to worsen and do not improve, seek medical attention at a local hospital promptly.
Platform Physician
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