Scorpion sting in Puerto Vallarta

Scorpion stings are common in Puerto Vallarta, and with the following information, we hope you can learn a little about the symptoms, treatment, and what to do if you get stung.

What species of scorpions are important in Puerto Vallarta?

 In Mexico, the species of the genus Centruroides are the most important due to the toxicity of some species, the most medically relevant include, C. exilicauda (sculpturatus), C. noxius, and C. suffuses, which have been registered in Puerto Vallarta.

What are the effects of the scorpion sting on humans?

The venom of the scorpion has neurotoxic properties, meaning that it can attack the peripheral nervous system; the venom also contains other substances that are responsible for edema and pain.

What are the symptoms of a scorpion sting?

The first thing we have to keep in mind is that scorpion stings are mostly accidental since scorpions are not aggressive towards humans. Most of the stings occur in the extremities, such as feet or hands, due to an unintentional stepping or grabbing where the scorpion can be found (for example, under stones or logs).

After the sting, symptoms usually appear immediately or within the first 5 hours. The effects of the scorpion sting can widely vary, which include lesions with or without pain, high, minimal, or even no inflammation; however, 10% to 30% of stings can cause life-threatening neuromuscular symptoms.

The symptoms can be classified into four grades according to their severity that helps to define the best treatment.

Grade 1: Local pain and localized paresthesias (tingling) in the sting area.

Grade 2: Grade 1 symptoms, plus pain and paresthesia (tingling) away from the primary lesion.

Grade 3: Grade 2 symptoms. plus cranial nerve (for example, facial paralysis) or muscle somatic nerve dysfunction (for example, involuntary or abnormal muscular movements) and autonomic dysfunction (for example, abnormal blood pressure).

Grade 4: Grade 3 symptoms, plus fever and localized organ failure (heart failure, respiratory failure, pulmonary edema, etc.).

How to diagnose a scorpion sting?

The physician can confirm the diagnosis if the person who was stung was able to see the scorpion specimen and even brings the specimen as evidence to the consult. Without evidence and when the patient is not sure which animal caused the injury (for example, stings while sleeping or in nature), the diagnosis is made based on the above-described symptoms and the epidemiology of the region (a region that typically presents cases of scorpion stings).

What is the treatment for a scorpion sting?

When you have a Grade 1 and Grade 2 poison symptoms, the treatment is based only to control the pain, wound care, and tetanus prevention (if required).

Most scorpion stings have this evolution and do not require further treatment like antivenom shots; however, the patient should be kept under close observation for at least 4 hours to avoid any further complication. Antihistamines such as loratadine or Benadryl (diphenhydramine) should be avoided as they can mask the evolution of the patient, delaying the treatment.

If the symptoms developed suggest Grade 3 or 4, the patient needs to go as soon as possible to the hospital for an urgent medical assessment, supportive treatment (for example, control of pain, temperature, blood pressure), and if necessary, the application of the antivenom available and appropriate for the area.

It is important to highlight that under any case of a scorpion sting, the patient needs to see a doctor as soon as possible, avoiding self-medication or alternative treatments that could complicate the sting and diagnosis. You can always contact us to make an appointment and help you.

Source: UpToDate

Dengue

Given the recent wave of dengue cases in Puerto Vallarta we gave the task of bringing this not so brief note so that they are informed about what it is, how it is transmitted, diagnosed, treated and prevented.

What is dengue?

It is a disease caused by a virus of RNA of the family Flaviviridae, transmitted by the mosquitoes of the species Aedes aegypti, which causes mainly fever and systemic symptoms varied being able to have severe complications even death (but only in A limited number of cases).

Dengue Puerto Vallarta
The Aedes aegypti mosquito easily recognized by the white rings on the legs

How is dengue transmitted?

Before you understand how the disease is transmitted it is important to know the life cycle of the virus. First a healthy mosquito should be fed with the blood of an infected patient, thus the virus arrives to the intestine of the mosquito where it is replicated to infect the mosquito, now the infected mosquito when feeding on a human infects it through the saliva that it injects and thus The cycle is completed waiting for a new mosquito to do the cycle again. We can say that we must protect mosquitoes because we infect them with our blood.

Dengue Puerto Vallarta
Dengue transmission cycle

Can I get dengue more than once in my life?

Yes, the reason is that there are 4 different serotypes of the dengue virus (DENV-1, 2, 3 and 4), by infecting you with some serotype, for example, in DENV-1, your immune system protects you against a new infection against that type, but there are still 3 serotypes that can infect you And then cause the disease itself or even a more serious picture.

How is dengue severity classified?

In 2009 the World Health Organization (WHO) updated the classification of dengue in 3 groups:

1-Dengue without alarm signs

Which is defined as the presence of fever plus two of the following symptoms:

  • Nausea/Vomiting
  • Rash (rash or red spots on the skin)
  • Headache, eye pain, muscle or joint pain
  • Leukopenia (Low defense white blood cell count)
  • Positive Tourniquet Test

2-Dengue with alarm signs

It is defined as a dengue without alarm signs plus any of the following symptoms:

  • Abdominal Pain
  • Persistent vomiting
  • Clinical accumulation of fluids (in the abdomen or lungs)
  • Mucosal bleeding
  • Lethargy or numbness
  • Hepatomegaly greater than 2 cm (liver growth)
  • Increased hematocrit in biometrics hematic

3-Severe dengue

Refers to dengue virus infection plus any of the following symptoms:

  • Severe plasma leakage

-Shock

-Accumulation of fluids with difficulty breathing

  • Severe bleeding
  • Severe organ damage

-Increase of hepatic enzymes (AST or ALT greater than 1000 u/L)

Who is at increased risk for dengue fever with signs of severe alarm and dengue?

There are several factors that can intervene in the severity of the disease and here we talk about some of the most important.

Age: It has been found that after the age of 11 years the severity of the disease is lower leaving children of this age as a vulnerable group to develop the most severe disease.

Dengue Puerto Vallarta
The most vulnerable population are children from 0 to 11 years old

Number of infections: If you have previously had dengue a second infection with a different serotype increases the likelihood of developing severe dengue.

Diet: Studies have revealed that children who are fed breast milk are less likely to develop severe dengue compared to those who were fed formula.

Breast milk is a protective factor against severe dengue

Genetics: A greater number of cases have been reported, in epidemiological studies, of severe dengue in white people.

How is dengue diagnosed?

The diagnosis is suspected before a patient who has a fever adding the aforementioned symptoms that accompany the dengue and the antecedent of having traveled to areas where the disease resides, or in the case of finding ourselves in an area like Puerto Vallarta, at Presenting a patient with symptomatology the probability is high to suffer from the disease.

Currently, diagnosis is carried out not only based on clinical suspicion, with various diagnostic tools to detect the disease. The most used are the detection of viral antigen in blood or the detection of antibodies against the disease (IgM and IgG) being the detection of the antigen one of the most reliable and accessible.

How do you prevent it?

There are two ways to prevent dengue

1-Preventing the mosquito transmitter from reproducing or eliminating

With programs like “Patio Limpio” or “We are all brigades” it is sought that the mosquitoes do not find accumulations of water where to reproduce and thus reduce the population of mosquitoes. In addition, the Health Secretary Fumigates areas where infections are reported or where there is a higher population density of mosquitoes.

Simple actions can help in the fight against dengue

2-preventing mosquitoes from biting the human

Avoiding the pickets with the use of long clothes, repellents and protective nets in the beds we avoid that the patients sick spread the infection and the healthy ones avoid to be infected.

Speaking of repellents should be looked for those containing as active ingredient N, N-diethyl-Meta-Toluamide (DEET) has demonstrated an excellent and lasting efficacy in addition to being safe to use in children and pregnant, it should be mentioned that if used in conjunction with Solar blockers can decrease the sunscreen’s protective effect. Extracts of citronella or botanical oils should be avoided since they have not been shown to be effective in scientific studies.

Using repellent daily can keep you away from dengue

How is dengue treated?

Given the informative nature of this article we will limit to mention the treatment of fever and general malaise for which paracetamol is used avoiding the use of aspirin or NSAIDs (diclofenac, naproxen, metamizol, ibuprofen, etc.) since these can Increase the risk of bleeding.

Well here our brief review of what is dengue, it is important to know this information and living in Puerto Vallarta This disease is very present in the population and therefore we should be informed, always remember to call Doctor at Home PV If you suspect you may have dengue, we have what you need.

Click on this link to learn about other common diseases in Puerto Vallarta

Doctor who makes house calls

Things you need to know about Botox

What is Botox and how does it work?

Botox is the trade name of botulinum toxin produced by the bacterium Clostridium botulinum and the mechanism of action of this toxin consists in the inhibition of the neurotransmission between the peripheral nerve and the muscular fibers.

Botox in Puerto Vallarta
Botulinum toxin is also responsible for a serious disease known as botulism

Who are the candidates to use Botox?

People aged 18-65 years are candidates for the use of Botox, it is very important to evaluate the doctor so that the patient knows what are the results expected with the application of Botox, since it has been observed that patients who come to Facial rejuvenation are not satisfied, in some cases, because they have other conditions on the skin that minimize the appreciation of the effect of Botox, so it should be done a rejuvenating holistic treatment. On the other hand, it is necessary to know that people allergic to cow’s milk protein are not candidates for the use of some botulinum toxin preparations.

Botox in Puerto Vallarta
The use of botulinum toxin is currently mostly for aesthetic purposes

What are the side effects of Botox?

The use of Botox is very well tolerated by most patients without presenting any side effect. The side effects of Botox are more associated with the technique of application, as well as the quantity used and the site of application, being the most recurrent complications the edema in the area of application, burning, headache and symptoms similar to those of the Common cold. Also given the mechanism of action of the toxin an application in an inadequate area can have unwanted aesthetic effects such as asymmetries in the face and mouth, drooping eyelids, muscular atrophy (in cases of repetition treatments), watery eyes or dry eyes.

What care should be taken after Botox treatment?

It is recommended to avoid pressing or scratching the area of application to prevent the spread of the toxin to unwanted areas it is also recommended that during the immediate hours the application will contract and relax the treated muscles to maximize the penetration of the Toxin in the muscle fibers as well as for observing aesthetic effects faster

If you want to know about prices or places where you can apply Botox in Puerto Vallarta here we leave a small list of clinics where to do:

www.integradermatologica.com/

https://www.holisticbiospa.com/

http://www.medspa.com.mx/

http://tasemedical.com/

Stung by Stingray

The sting of stingray is one of the most common incidents in the Bay of Puerto Vallarta so in this brief article we’ll aboard  the issue of what to do in case of been stung by stingray.

Introduction

First, let’s talk about the behavior of the stingray. They are marine animals that used to live in the seabed buried in the sand to hunt and protect, are animals that are not aggressive and only attack when provoked. They have a stinger in their tails that they use only in defense and some species can also have glands that produce poison, luckily on the beaches of Puerto Vallarta there are no poisonous species.

When the attack occur?

As already mentioned, the stingray only attack when they are disturbed and this happens when we accidentally step on one that is buried in the sand so that the stingray instinctively attack what is above his back.

Mantarraya Sting
Remember that, stingray only attack if they are disturbed

How to avoid been stung by stingray?

If you do activities on the beach commonly as part of your work we recommend the use of plastic boots to avoid the maximum injury, but if your approaches to the beach for vacations the use of submersible shoes could decrease the possibility of wound on the sole of the foot, but leaves the ankle exposed. Another very good recommendation is that when walking on the beach do not step hard in the water, but walk by dragging your feet so you can warn of your presence at the stingray and it has time to move and go to another place for the safe of both.

Scratch bite
Remember that it is better to prevent

What to do in case of a stingray attack?

If despite the recommendations you find yourself in the painful situation of being attacked by a stingray here we leave a short tutorial to do so you do not panic.

  1. Keep calm, remember that there are no poisonous stingray in Puerto Vallarta
  2. It washes the wound very well, the water of the ocean is not exactly clean, it is full of bacteria and a wound in contact with these pathogens could be complicated and more if they are diabetic or immunocompromised patients

    Sting by Stripe
    In addition to cleaning you may need to remove remnants of the stinger from the skin
  3. Go to medical service, the pain generated by the sting is usually very severe so you need painkillers either orally or injected to alleviate, the sting of the stingray is full of bacteria that can easily cause an infection so You’ll need prophylactic antibiotics to avoid complications.

    Mantarraya Sting
    The sting is home to many bacteria
  4. Fight the inflammation, once you made the previous steps and you only have to recover, the inflammation is one of the things that remain to attend and is very easy to do, you just have to elevate the limb when you find yourself resting and applying ice.
  5. Note: Within the Vallarta population there are some home remedies that involve some herbs or the use of hot water to alleviate pain, these methods have not been corroborated at 100 percent and do not replace any of the above steps

With these 4 steps you can be carefree of complications and you will have a quick recovery.

Remember that in Doctor At Home PV we put a doctor to the door of your house, apartment or room to solve this and many more health problems, just contact us

 

Treatment of varicose veins in Puerto Vallarta

Before we talk about the treatment of varicose veins in Puerto Vallarta, let’s do a little introduction by going over what they are, the complications of having varicose veins, and the symptoms we can find if we have them.

What are varicose veins?

They are abnormal dilations of the veins, caused by a malfunction of the walls and valves of the same causing a poor circulation of blood, usually happens in the legs. They are related to family inheritance, obesity, pregnancy, use of hormones, and people who spend a lot of time standing or sitting.

Treatment of varicose veins in Puerto Vallarta
Difference between varicose veins and healthy veins

What complications can varicose veins cause?

Of course the aesthetic appearance is the most notable damage of varicose veins, however can cause different complications such as thrombosis, phlebitis, or ulcerations very painful and difficult to treat.

Varicose veins Complications
These are some of the complications that a patient with chronic varicose veins may present

How do I know if I have varicose veins?

In advanced stages it is easy to notice varicose veins as they appear dilated and tortuous, with a dark green coloration. In early stages, symptoms such as pain, cramping, heaviness, leg swelling, fatigue, and intolerance to standing are manifest.

Symptoms of Varicose veins
The most common symptoms of early stages of varicose veins are swelling of the legs and pain

What treatment options exist for varicose veins?

Small varicose veins and telangiectasias (small glasses in the form of cobwebs) can be treated by sclerotherapy, which consists of small injections of sclerosing substances inside the veins, which causes the closure of the vessel and its Absorption by the body. Varicose veins of greater size can be treated by conventional surgery, endovenous laser, and pressotherapy. Currently the treatment of this type of problem is less painful for the patients and more accessible economically, having a very fast recovery.

Where can I find the best treatment of varicose veins in Puerto Vallarta?

If you want a complete evaluation in addition to proper treatment you can contact Dr. Hector Octavio Escoto Picazo, to whom we appreciate his collaboration in the realization of this article.

Dr. Hector Escoto Picazo
Dr. Hector Octavio Escoto Picazo

Then you will find your contact details:

Vallarta Medical Center Hospital

Second floor

Av. Los tules 136 Col. Diaz Ordaz Puerto Vallarta, Jal.

Office Phone 3221359655

Picazo_md@yahoo.com

Remember to visit our health section in Puerto Vallarta to learn more about what the Bay has to offer in health

Hemodialysis in Puerto Vallarta

Introduction

In this article we will talk a little of the substitute treatments in renal failure addressing a little more hemodialysis and finally we will talk about some places where you can find this treatment in Puerto Vallarta.

The kidneys have many functions, within these functions one of the most important is to act as a filter to eliminate the debris that the cells produce and that are transported by the blood. When a patient suffers from a disease that temporarily or permanently affects the kidneys ‘ ability to filter the blood, we must resort to substitute treatments that help preserve good health.

The three current treatments to replace the filter function of the kidney are peritoneal dialysis, hemodialysis and renal transplantation. Peritoneal dialysis is part of the basic principle of exchange of solutes of a saturated solution through a semi-permeable membrane to an unsaturated solution. In peritoneal dialysis the patient performs the procedure at home making spare parts of this solution through a valve that is placed in the abdomen to be able to extract the liquid rich in waste products and introduce the new liquid. Despite being an efficient therapy it is not for all patients.

Renal transplantation is the definitive solution but given the low availability of donors it is not considered the first choice of treatment.

Hemodialysis is the most popular substitutive treatment today as it allows treating almost all patients with renal failure, in addition to their great use safety and wide range of effectiveness, the first choice of treatment comes back every day. This consists basically of a pump that sucks the patient’s blood through a catheter and passes through a special filter that separates the blood from the waste produced by the body and in addition to eliminating excess water in the process.

Who should get hemodialysis?

To determine if you are a candidate for hemodialysis, you should first know the degree of affectation your kidneys have, how physicians determine it is through the glomerular filtration rate (GFR) which can be obtained by blood creatinine measurements. Next, we find a table where the different stages of renal disease are observed depending on their GFR:

Hemodialysis

Patients who need hemodialysis treatment are those in stage 5 of the disease, i.e. they have a GFR below 15. Unfortunately in our country every time are more patients who have such a level of involvement by a poor culture of prevention coupled with the increase in diseases that silently damage the kidney as diabetes and hypertension.

What symptoms should I present to think my kidneys may be failing?

Fluid retention is one of the most notorious manifestations when it has an affectation in the kidneys and we can find it as swelling in the legs or the whole body depending on the degree of affectation. Another sign is hypertension, in the patient with renal disease The blood pressure tends to be elevated greatly by the accumulation of fluids. Within the laboratory data that can guide to loss of renal function is the loss of proteins by urine, from microproteinuria (loss of protein in tiny amounts) to candid proteinuria (abundant protein loss) these should Be assessed by a general urine test.

How often and how long should hemodialysis be treated?

The number of hemodialysis sessions, as well as their frequency will depend entirely on the patient’s condition and requirements, currently a standard for most patients is 3 sessions a week every third day having two days of rest, although in Some cases may suffice with 2 sessions a week, but it will depend as already stated on the assessment of the case.

The time a patient will require hemodialysis depends entirely on the cause of renal failure, if it is an acute renal failure caused by blood loss or little blood flow to the kidney is solved once the circulation is restored Blood to the kidney. In the case of chronic kidney damage as in the case of diabetes and hypertension, hemodialysis is usually permanent until renal transplantation is achieved.

Hemodialysis in Puerto Vallarta

What care should be taken when hemodialysis is received?

The first thing to take care of is the diet because the patient with kidney failure is very easy to compensate when it comes to water and electrolytes so must have a strict diet and more in the event that a hemodialysis session is cancelled or can not Rea The following very unbalanced hemodialysis is not reached.

Another important care is the cleaning of the puncture areas or catheters placed for the connection of the hemodialysis machine since the infection of one of these catheters can endanger the patient’s health in addition to precluding the hemodialysis session.

Who is the specialist in charge of deciding or initiating hemodialysis treatment?

The nephrologist will be in charge of revising your file, as well as to raise the best options for the treatment of the disease, ideally, when detecting a situation or disease that puts at risk the capacity of functioning of your kidneys go with him So you can avoid kidney failure.

In Puerto Vallarta where hemodialysis is done?

If you are successor of Seguro Popular or IMSS they will be able to orient you where to perform your hemodialysis sessions.

If you are looking to do hemodialysis in the private environment here in Puerto Vallarta below you will find a list of hospitals and hemodialysis units that you can visit.

Soundialys

San Javier Hospital

CMQ Hospital

If you want more guidance on the topic or recommendations we are to serve you in our contact page

Traveler’s Diarrhea

What causes traveler’s diarrhea?

There are several pathological agents that can cause traveler’s diarrhea it, but among them the bacterium E. Coli Enterotoxica, will depend on the place to which the type of predominant agent is traveled.

Travelers Diarrhea
Traveler’s diarrhea is not exclusive to tourists can also occur in the general population

What are the symptoms of patients with traveler’s diarrhea?

The predominant symptoms are gastrointestinal, although we can find systemic symptoms. Usually the symptoms presented by the patient with traveler’s diarrhea are general malaise, anorexia and abdominal pain that may or might not be accompanied by watery diarrhea and vomiting. When bloody diarrhea, belching, or very profuse diarrhea suggests the involvement of a virulent bacterium other than the cause of traveler’s diarrhea and requires a different treatment.

How is traveler’s diarrhea diagnosed?

The diagnosis should be individualized, depends on the symptoms and patient’s background, as their origin and destination. Bacterial cultures may be performed, but they should only be carried out in complicated cases resistant to treatment.

What is the treatment for traveler’s diarrhea?

Since the most troubling problem with traveler’s diarrhea is dehydration and consequent loss of blood volume, the replenishment of fluids is paramount in treatment.

Oral Serum Traveler's Diarrhea
Oral hydration is the basis of treatment in Traveler’s diarrhea

The use of antibiotics is very well-run and has been shown to shorten the duration of the symptoms to 1 or 2 days on average.

Antibiotic Traveler's Diarrhea
You’ll never automediques an antibiotic

Other medications that can help mitigate the symptoms are bismuth and anti-motility agents such as loperamide, however, their use should be assessed and monitored by a doctor as they could mask severe pictures or worsen the Disease in some cases.

If symptoms persist for more than 10 days with or without treatment, bacterial antibiotic resistance tests should be performed to find the best antibiotic for disposal.

Remember that you should never self-medicate and any symptoms of the aforementioned should go to the doctor or if you are in Puerto Vallarta you can call and have a doctor to your home to attend

Source: UpToDate