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question:Hello, I have been struggling with psoriasis since around 09 and over the last few weeks have developed lots of joint pain in hands, feet, elbows, shoulders,wrists,back,and knees. I ve been seeing a Dr. since January of this year about the skin and had a visit again today. I ve had labs done 3 times now and recieved like a naproxon shot today, but already struggling again with aching. I ve been reading about psoriasis and psoratic arthritis, and have had some chest pain when taking a deep breaths neglected to tell my Dr. today. Should I notify him right away, or wait until next visit? Also how much can be learned from so many labs? Will the X-ray s taken of my hands, feet, and knees show any indication of this arthritis?
answer:Hello, With such presentations, I would first of all advice to have an ECG done to rule out any cardiac involvement. Once I am sure that this is Psoriatic arthritis and is not a life-threatening one then I would suggest the following Ayurvedic medicines. 1. Mahamanjishtadi Kashayam 3 teaspoon with three teaspoons of water thrice a day before food. 2. Kaishora Guggulu - 2 tablets (chewed) thrice a day with the Kashayam (Item 1) before food. 3. Siddhartaka Snana Churna - made into a paste by mixing it with water and applied all over the body before bath. The same powder is to be mixed with gram flour at the ratio 1:2 teaspoon and used for bathing instead of soap. If it is not relieved then I would recommend Classical Vamana and Virechana treatment (Panchakarma) and then continue the above medicine. As this involves specialised treatment and monitoring I suggest you meet an Ayurvedic specialist and discuss the condition. Please let me know if you have any further doubts before you meet the doctor. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mahesh T S, Ayurveda Specialist
question:For over a year now I have been experiencing numbness, severe burning. and extreme tightening of my right arm. I have seen a chiropractor because I was told I had a pinched nerve. All I got was that it has now spread to my left arm as well. I get little to no sleep. I have tried taking gabapentin and lyrica they do not help either.
answer:Hi, With such presentations, I suggest you have an X-Ray and an MRI was done to rule out any complications. I am sure that it is not a life-threatening one and I think it as the Advanced state of Cervical Spondylitis. For this, I would like to suggest the use of Collar belt to provide some rest to the neck which may reduce the symptoms. I see patients with this complaint in my clinic and I suggest them the following Ayurvedic medicine to be taken for a period of 15 days initially. 1. Tapyadi Loha - 1 tablet thrice daily along with the Kwatha or decoction before food. 2. Gandharvahastadi Kashayam - 3 teaspoons mixed with 3 teaspoons of water thrice a day before food. 3. Caps Palsineuron - 1 capsule thrice daily along with water after food thrice daily. 4. Sahacharadi Taila for application and massage (45minutes) over the neck, back and both the hands followed by hot fomentation over the region till there is good sweating. My suggestion on diet is 1. Avoid high protein, spicy, oily and junk foods. 2. Advise to take some dry fruits, a good quantity of fibre rich vegetables, those belonging to Cucurbitaceae like ash gourd, etc 3. Advise to take meat soups and fruit juices. I suggest you start with this regimen and get back to me after 15 days. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Mahesh T S, Ayurveda Specialist
question:I am on oxycodone acetaminophen 5-325 I don t think it works very well right now I am in exude pain my left leg and all the way from the first joint in my leg down to the bottom of my foot. I have a hard time sitting standing ,walking , sleeping
answer:Hello, Without an exam, I can only give general information and cannot say in your particular case, without an exam. But generally, it is going to be a spinal problem such as a disk hitting the spine if there is neurological impairment. and this is generally an indication for surgical decompression. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Matt Wachsman, Addiction Medicine Specialist
question:I sneezed about two days ago and got this awful pain on my lower left side more towards my back. It started getting a little better the past few days but I just sneezed again and made it hurt very bad again. Not sure what muscles I pulled but it really hurts.
answer:Hello, Without an exam, I can only give general information, and simple muscle pulls are quite common, aspirin-like drugs are most helpful for the pain. Heating pads are another possibility. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Matt Wachsman, Addiction Medicine Specialist
question:Hi, i am 30years old.my weight is 75kg.nd height 5.9.nd i have problem i try 2 sex with prostitute ,bt my cock is not erection .bt when i am sex with my girlfriend quickly my cock is erection.jt she only touch.may i knw why it is happen.?i am feel now when i will marry,may i can't perfom well.
answer:Hello, You are getting an erection when you are with your girlfriend. That is a good thing. Then why do you want to go to a prostitute? Avoid sex workers. You can contact me for treatment options. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist
question:I KEEP GETTING THESES PAINS IN MY STOMACHE MAINLY WHERE THE RIB CAGE MEETS IT COME WITH WHATEVER I EAT OR DRINK ITS ALL THE TIME EVERY NOW AND THEN IT WILL WAKE ME FROM A DEAD SLEEP IM IN SO MUCH PAIN THE ONLY THING THAT HELPS IS A HOT BATHE IT FEELS LIKE A ROCK IN THERE NO MATTER WHAT WAY I MOVE IT FEELS LIKE ITS MOVING WITH ME I HAVE HAD SEVERAL DOCTORS TELL ME THAT ITS GASTERNITIS BUT I KNOW ITS NOT THAT BECAUSE I DONT EVEN HAVE TO DRINK CAFFINE OR EAT CHOCOLATE AND I STILL GET THE PAIN LUS THIS PAIN IS MUCH DIFFRENT THAN THAT CAN ANYONE PLEASE TELL ME WHAT THE PROBLEM IS?
answer:Hi, Ok, the stomach is near the bottom of the rib cage. Irritation there will usually cause pain there. Ok, 1 in 3 people have problems in that region that does not show up on tests and is treatable with the latest stomach medicines (PPI, Omeprazole, etc.). And, it is pretty common to have an enlarged hole in the diaphragm and the stomach to pop into the chest a little (hiatal hernia) the drugs still work on it. Surgery works.. but the hole usually eventually comes back. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist