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Nausea, puslutes
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Hope your doing well!
I'm having nausea feeling for more than month, I vomited once which was normal and clear.
Pustules on body (on stomach there was itching, rashes and pimples, pus filled pimples back of neck and shoulder and other parts repeatedly ) and stye for the third time within 1 year on eyes which is currently there for more than 15 days this time, I took doxycycline for 3 days as it was causing sever gastric issues which was making eating and swallowing difficult and painful even after taking antacid, so I discontinued yesterday.Pain and swelling in distal phalanges index finger for the past 3 days.. What could be possible reason and any test required?
I did CBC and master health check up 2 months ago, ESR WAS 44, and disc bulge in spine and Dr said nothing to worry as others things were normal including uric acid and creatinine. What could be the possibl reason and what should be done?
Your valuable opinion will be highly appreciated.
Thank you.
Answers (11)
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Your symptoms are multi-system but likely interconnected:
Key findings from history + report:
• Recurrent skin pustules + stye → suggests chronic skin infection / inflammation (likely bacterial, e.g. folliculitis)
• Nausea + intolerance to doxycycline → probable Gastritis / acid irritation
• ESR 44 → indicates ongoing inflammation/infection
• Homocysteine 17.8 → mildly high (often linked to **Vitamin B12 Deficiency / folate deficiency)
• Low HDL → metabolic risk but not acute issue
Next Steps
Investigations (targeted, not excessive):
• Vitamin B12 & Folate levels
• Fasting blood sugar / HbA1c (recurrent infections rule out diabetes)
• CRP (to correlate inflammation with ESR)
• Culture of pus (if active lesion present)
Treatment direction:
• Stop doxycycline if intolerant (correct decision)
• Start:
• Anti-acid course (PPI for 10–14 days)
• B-complex with B12 supplementation
• For skin:
• Topical antibiotic (mupirocin/fusidic acid)
• Hygiene measures (very important)
Health Tips
• Avoid frequent antibiotic self-use → can worsen gastritis + resistance
• Maintain skin hygiene:
• Use antibacterial soap (not harsh scrubbing)
• Avoid tight clothing/sweating accumulation
• For stye:
• Warm compress 3–4 times/day (very effective)
• Diet:
• Increase protein + green leafy vegetables (B vitamins)
• Hydrate well
⚠️ Red flags (seek in-person care):
• Fever + spreading skin infection
• Severe finger swelling/pus
• Persistent vomiting or weight loss
⸻
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Kindly consult rhematulogy department
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Please consult a physician physically.
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Consult a Physician for a physical examination.
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Hello , Kindly consider having a Tele-Consultation with me on PRACTO App since adequate patient history is required for proper treatment and further follow up . Thank You
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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
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