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Head itching, ulcer in tongue with lymphnode under chin.

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I have no doctor right now but I am having an issue with my head itching. I have changed shampoo and hair products but it still itches. This has been occurring for about six weeks. I even used Nix even though everyone keeps telling me they can see nothing on my scalp. Now my right cervical lymph node is swollen for about a week. I also have an ulcer under my tongue and the lymph node on the right under my chin is also swollen. I think I may have an infection of some kind but I am not sure. The only place I can get in to see a doctor is the after hours urgent care due to my work schedule and I am not sure they will know how to treat this type of thing. Do I need a blood test to see what type of infection it is?

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 26 Doctors Online

Thank you for your query to
When taking hydrocodone-acetaminophen 5-325, it is recommend that you refrain from concurrent use of alcohol. This is because alcohol will potentiate the depressant effect hydrocodone has on your nervous system leading to impairement of judgement and psychomotor skills. Therefore I cannot agree that it will be safe to drink alcohol safely tonight.
Hope this helps,Feel free to discuss further

Patient replied :

Thanks but it's not really concurrent. I took it at 8 PM last night and won't be drinking until about 22 hours later. And I will not take another pill until at least 24 hours after drinking. (Hopefully I won't need to at all) So do you think the 1st pill will be out of my system tonight and I can enjoy New Years Eve with some beers?

The thing is the ultimate effect depends on 2 factors?
1) How many pills have you had so far? The half life of hydrocodone is 3.8 hours, which means at the end of every 4 hours hours, only half of the previous amount remains in the body. If your usage of the pill has been chronic, some amount of hydrocodone always remains in your system and can potentiate the effect of alcohol. On the other hand, if yesterday's 8 pm dose was your first dose (or your taking of the pill is irregular and not required daily) then the chances of having a reaction with alcohol 22 hours later is minimal.
2)It also depends on how many beers you will have. The higher the number of beers, the greater the chances for an interaction.
My suggestion to you would be, even if your intake of hydrocodone has been irregular (that is not daily) to not drink beyond the legal limit. This is because generally speaking, alcohol is never consumed when a person has a need to take hydrocodone
Hope this helps,

Patient replied :

Thanks. Last night's pill was my first. The tooth feels much better today so I just took an advil this morning. If I feel the need take another hydrocodone, I won't be drinking at all.

That's an extremely good choice on your part !
Enjoy your holiday

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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