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question:My daughter had a dengue fever and recovered last week, she underwent problems of thrombocytopenia, expander liver and ventilator induced pneumonia, she had no fever now but her stomach is slightly enlarged, her urine out put is good, she is able to take normal diet, what can be the reason for stomach expansion..
answer:Hi.IT is good that your daughter has recovered well from dengue and is fine. The most probable cause of abdominal swelling is gaseous distension. The patient receives so many medications and the bacterial flora is disturbed.
question:Hi! 7 years ago, I had both my knees replaced at the same time and now if I stand too long, my right top part of my leg goes numb and I have to walk it off to get feeling back. I was wondering if something is not right with my knee replacement or if something is pushing against something in my leg to cause the numbness? Thank you
answer:hi,as you mentioned you had an old TKR, and now feeling numbness in the upper part of the knee joint then it should be more of a muscular.it might be a nerve irritation to which the numbrness symptoms are arising. for this you may check with an MRI of lumbar spine. as your knee is replaced it is quite possible that there will be weakness of the core and spinal muscles. once the Strengthening of the core and spinal muscles is done I am pretty sure your numbness issue should come down.with the grace of God I wish you a speedy recoveryregardsJay Indravadan Patel
question:I have had 4 cervical operations over the past 5 years my 1st cervical fusion didn t take and the 2nd one I was opened in the front neck and back the last one at duke due to chronic pain from muscles being cut so much they took the hardware out thinking it would help it didn t needless to say , I ve also had 4 wrist (right) operations last one being a complete wrist replacement I m only to lift 1 to 3 lbs. with right hand and have 20 percent range of motion . I developed a few months ago spasms in my hand same fingers each time which appear to look as if my hand is deformed lasting 45 seconds to over a minute it has since progressed to same toes at times and now the left side also always the same fingers or toes , I am very concerned due to all the surgeries on both cervical spine and wrist . I have seen the dr who operated on my wrist replacement and he said I need to see a neurologist that it wasn t stemming from my wrist ? Can you give your opinion what you think it might be ???? I m really concerned !!!!
answer:hi,thank-you for providing the brief history of you. secondly I a. sorry to hear you have to go through all this pains.let's come to the point now. as you mentioned you have undergone two spinal and one TWR I would have been happy if more about the functional status of you was mentioned.As to this getting spasm, I feel it should be muscular initially. as the muscles of the wrist post replacement needed more attention. Also, taking up an x-ray would have been better to understand more of the joint positioning. Also, how long did you undergo physcial therapy rehabilitation plan? as per my view you should go for longer than expected.Also, indeed you got operated for spine twice, but how much time you performed the physical therapy post surgery?physical therapy is a scientific and secure way to rehabilitate the muscle and movements.also, I will say too look for a physical therapy now as to which he will assist you to further. Meantime you can surely take an appointment with a neurologist, as every experts advice will play a role. May be the use of diagnaotics will come into role as technology has helped alot to rule out human body illness to a greater extent. but hardly we understand the best use of technology used in assessing the human body.okay, your muscle spasm is of what kind? that is important. First you need to reduce the muscle spasm by hot water fermentation and whirlpool therapy. you may have to spend a little time in this process as The muscle relaxation will take some time.I will say that you visit a physical therapist so by which your treatment starts. with the grace of God I wish you a speedy recovery
question:I have a pain under my right shoulder blade area, I have been under weight, although have been eating a more rich diet including lots of cheese! and chocolate! The pain always wakes me up in the night and has been doing so since Easter 2014 on a regular basis
answer:The pain could be reffered to your shoulder because of gall stones. You should get an ultrasound of your abdomen. Also you can use certain pain killers to have a relief from your symptoms.-Dr Gunjan
question:A tennis player presents to her doctor having rolled her ankle (severely) two days previously. The woman is in considerable pain with swelling to the outside of her right ankle. She also complains of parathesia to the outside of her foot. Firstly, describe the name for peripheral receptors that detect pain and their structural classification. Secondly, explain whether she will regain sensation in her foot and detail how this will occur (including how long it might take).
answer:There are pain receptors like mesiner's and Merkel's receptors which are mainly responsible for pain sensation. I'm expecting it to be a ligament tear (deltoid ligament ) which causes the symptoms. It would require bed rest and immobilization of the leg for quicker recovery and also you can have pain killers to get relief from the symptoms.-Dr Gunjan
question:I have been having pain in my left collarbone, left side of my neck and a little under my left breast. It started last night and went away but returned again today about 4 hours ago. It is worse when I take a deep breath. and is above my lungs. It is not in the center of my chest and my left arm does not hurt. There is no pain in my jaw. I have recently been working out, lifting small 5 pounds weights and hiking 3 miles daily for the last month. I am 53 year old female. 100 pounds.
answer:Pain like that can have many reasons behind that. A better diagnosis could be made with an ultrasound so I would suggest you to go for an USG and a mammogram for your diagnosis.-Dr Gunjan