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BELGRADE – The most common symptoms that patients should follow at home and know when to go to the doctor, if they suspect something is wrong, are respiratory.
Shortness of breath, shortness of breath, muscle aches, with a temperature that does not drop and easily returns after taking antipyretic drugs, are signs that you should call a doctor again because it is very possible that a clinical picture has developed. The most common are respiratory problems, but they can also be digestive.
Visiting the Chronicle of Belgrade Dr. Ana Jeremic of the Kovid ambulance in Voždovac and prof. Dr. Dino Tarabar, who works in the red zone of the “Dragiša Mišović” hospital, says that patients should not be treated alone and should not stay at home for long.
– If someone has a very high temperature of 39-40, severe chest pain, if they cough for three days, it is enough to wait to come to the clinic. If the symptoms are milder, the temperature varies between normal and slightly elevated, if the symptoms are coughing and scratching in the throat, loss of the sense of smell, these are signs that you can still wait those three days and maybe more, explains Dr. Jeremic.
He adds that patients can call the Kovid clinic at any time and get advice on what to take from vitamins, therapy and when to go for an exam.
Doctor Dino Tarabar says it is the question of the use of antibiotics in the first days is debatable. If it is exclusively a viral disease, antibiotics are not necessary.
“We generally give them to older people where we hope that bacterial superinfections will protect them from further complications. Sometimes the viruses that we treat with antibiotics can cause us a problem by causing the antibiotics to destroy the saprophytic bacterial flora and the clinical picture. it will get worse, “explains Dr. Tarabar. .
He adds that it is very difficult for first-line physicians to assess whether or not an antibiotic should be given.
“The clinical picture of colds, flu, coexistence can be exactly the same at the same time. It is not easy to evaluate it based on the first contact. It takes much more to see the patient, see the clinical picture, the laboratory findings , the blood count and ce-er-pe. You don’t have to listen to anything in your lungs and that can be misleading, “explains the doctor.
He emphasizes that they had experiences at KBC “Dragiša Mišović” that they did not see anything in the patients who had X-rays, and on the same day the scan was performed, they saw bilateral pneumonia.
“However, not all patients can have a scan. It is not necessary. If an experienced doctor deems it necessary, then it is absolutely necessary because it is a big mistake to be late. If it is late and if we arrive in the next seven days, because we saw that on the seventh day there is an improvement or a worsening, if they come in serious condition, it can really endanger life “, says Dr. Dino Tarabar.
He says doctors are sometimes wrong. “We lost some colleagues who stayed at home longer and came with severe pneumonia, they ended up with a respirator and that was not good. That is why it is not wise to stay at home for a long time and be cared for at home ”, says the doctor.
Dr. Ana Jeremic says that patients are referred for an X-ray of the lungs when necessary and when they hear something suspicious.
“When a patient complains of a prolonged cough that lasts throughout the day, when there is a feeling of tightness, fatigue, pain, pressure in the chest and there is information that he may have been in contact with someone who is positive, it is mandatory a feverish state that lasts two or three days. an x-ray of the lungs is being done, “explains Dr. Jeremic.
He adds that if the patient tests positive for antibodies or a PC test, then a more detailed observation is addressed.
If the radiograph is good, the patient is monitored in the following days and a control laboratory is performed. Sometimes that image changes, says the doctor, and the patient himself feels discomfort and sometimes not. When his status changes, he is sent to a pulmonologist, to the Infectious Diseases Clinic, where additional scans and diagnoses are performed.
How often the blood is checked
The initial clinical picture determines the frequency with which patients receiving home treatment should have blood tests.
Dr. Jeremić explains that if the patient has important parameters, high ce-er-pe (CRP), low leukocytes, lymphocytes, it is necessary to perform a blood test more frequently. These are parameters that show whether it is a bacterial or viral infection.
“Anyone with a question about their health can call the clinic and get the right information. Of course, if you want to avoid order in the Health Center, you can do it in private, but if the doctor tells you. No one should be treated. There are suitable medical personnel who can advise you, “advises a doctor from the Kovid clinic in Voždovac.
He adds that previous experiences show that children generally have milder symptoms, but a more severe clinical picture may develop, requiring hospitalization.
The doctor says symptoms should be controlled. If it is a prolonged temperature, when the child does not want to eat or drink, if they are schoolchildren, he will complain and say what he feels.
What vitamins to take
Dr. Tarabar advises taking vitamins De and Ce, magnesium, selenium, zinc, and probiotics. Vitamin De is anti-inflammatory and should be taken regularly during winter.
“It is good to take it preventively and not only if we are infected. When there is no sun, there is a decrease in vitamin. 2,000 units a day are administered preventively. I recommend up to 5 to 6 grams of vitamin C a day. You should not take all supplements at the same time. -Vitamin and magnesium should not be taken in the morning but in the afternoon. Probiotics are mandatory, especially with antibiotics, “explains the doctor in the red zone of the” Dragiša Mišović “hospital.
(Kurir.rs/RTS)
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