Q. I tested positive for Shigella two weeks ago (after ~3 day of diarrhea), was given antibiotics, and my stool results this week (2 of them done >48 hours after antibiotics finished) were negative. I want to know whether that means that I can now safely go swimming or have sex with my partner without any risk (or very very low risk) of transmission.

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Here's what you can likely expect:

  • Reduced Transmission Risk: Having negative stool tests done more than 48 hours after finishing antibiotics is a good sign. It suggests a low risk of transmitting Shigella to others, including through swimming or sexual contact.
  • Doctor's Confirmation is Best: The most reliable way to know for sure if it's safe to resume swimming and sexual activity is to consult your doctor. They can review your individual case and medical history to provide the most accurate guidance.

 

Here's some additional information:

  • Shigella Transmission: Shigella is a highly contagious bacteria spread through fecal-oral contact. This can happen through contaminated water (like pools), improper handwashing after using the toilet, or during oral sex.
  • Symptoms: Shigellosis, the infection caused by Shigella, typically presents with diarrhea, cramping, fever, and nausea.
  • Treatment: Antibiotics are the primary treatment for Shigella infections.

 

Here's what you can do:

  • Contact your Doctor: Explain your situation to a Gastroenterologist, including the negative stool tests and your desire to resume swimming and sexual activity. They can advise you based on your specific case.
  • Preventative Measures: Even with negative tests, it's wise to continue practicing good hygiene to prevent any potential spread, such as:
    • Washing hands thoroughly with soap and water after using the toilet and before preparing food.
    • Avoiding swallowing pool water.
    • Practicing safe sex, which may include using condoms or dental dams.

By following your doctor's advice and practicing good hygiene, you can minimize the risk of transmitting Shigella to others.

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Q. Hello Doctor, from past 3 weeks I have too much dandruff problem and it cause hair loss will you suggest any best solution for this?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Dealing with excessive dandruff leading to hair loss can be frustrating, but there are effective ways to address this issue. Here's what you can do:

1. Switch to a Gentle Shampoo: Opt for shampoos specifically designed for dandruff, containing ingredients like ketoconazole, zinc pyrithione, coal tar, or selenium sulfide. Use these shampoos regularly to reduce dandruff buildup.

2. Scalp Massage: Gently massage your scalp while shampooing to help remove flakes and improve blood circulation, which can promote healthier hair growth.

3. Avoid Hot Water: Wash your hair with lukewarm water instead of hot water, as hot water can dry out your scalp and worsen dandruff.

4. Balanced Diet: Ensure you're eating a balanced diet rich in vitamins and minerals essential for healthy hair and scalp, such as omega-3 fatty acids, zinc, and B vitamins.

5. Manage Stress: Stress can exacerbate dandruff problems. Practice stress-relief techniques like meditation, yoga, or regular exercise to help manage stress levels.

6. Apple Cider Vinegar Rinse: Consider using diluted apple cider vinegar as a rinse after shampooing. It can help restore the scalp's pH balance and reduce dandruff.

7. Consult a Dermatologist: If the issue persists despite trying home remedies or over-the-counter solutions, seek advice from a dermatologist. They can provide a personalized treatment plan tailored to your specific scalp condition.

Remember, consistency is key when dealing with dandruff. Give these remedies some time to work, as immediate results might not always occur. It's essential to find what works best for your scalp, so don't get discouraged if you don't see immediate improvements.

Taking care of your scalp health not only addresses dandruff but also aids in reducing hair loss associated with this issue. Feel free to incorporate these tips into your routine and observe how your scalp responds. If the problem persists or worsens, seeking professional guidance is always recommended.

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