Saturday, 23 March 2013

Symptomatic relief

This man walks into the pharmacy on the mobile phone. Now if you're on the mobile phone, I tend to not get up and serve you because you're busy. So after the man hangs up the phone he asks me: "My wife has this inflammation inside her when she goes to the toilet. Do you have anything for it?"

My thoughts: 
  • inflammation inside - how do you know? you can't see it if its on the inside
  • going to the toilet - urinating or opening the bowels
So i ask him what he means by inflammation? He says burning sensation when going to the toilet. So I figured it must be when passing urine. He says she's done a test but still waiting for results. dr said she might need antibiotics. 

Me: Burning sensation when passing through urine right? Any other symptoms?
Him: No its not passing through urine. Its always there. 
Me: Its always there? As in its burning on her genital area? 
Him: Yeh.....
Me: Any discharge? 
Him: Like mucus? Yeh normal.
Me: What colour? Yellow, white, clear. And is it thick or watery?
Him: Lemme call her and ask (calls wife). She says its normal, clear, normal amount of discharge that she gets all the time. 

Sounds to me its some sort of vaginal irritation, dryness so I proceed to give him a cream. 

Him: Is there anything for the inside? Coz its burning on the inside not the outside.
Me: But you said it was the outside.
Him: No i didn't.
Me: Yes you did. I asked you if it was on the inside, burning when passing through urine and you said no. You said it was on the outside. 
Him: Oh I meant its burning when she goes to the toilet.

Okkkkk... so you gave me the wrong info. She has a urinary tract infection and needs antibiotics. Since she can't see the dr, I'll give her Ural to alkanise her acidic urine that's causing the burning sensation. 

Good hope I gave the right product to him. The patient's not here, she's in the car looking after the kids and got the husband to go into the pharmacy to get something for her. If she knows this is how her husband relays information to other ppl, then I think its better for her to walk into the pharmacy herself next time. 

Its not inflammation. You can't feel an inflammed bladder. Its a bladder infection. 
 

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