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question:hi...I had high grade fever for On 8,9 May followed by heavy rash on all body on 13,14 and15 may. Swelling in my ankles throughout and on 21st my knee joints have been paining. Investigations revealed insufficient Vit D and raised ESR. Calcium and tests for RA are negative. Dr has prescribed T Saaz twice daily after food for 2 weeks.My question is that I have been surfing the net and everywhere it is written that T Saaz is given for RA. Is it okay for me to continue with the medicine as I don t hv RA. According to the dr it was some viral with joint pains and the pains are aggravated coz of low levels of Vit D. Please advise!
answer:Hello, I have studied your case with diligence.When such patients come to our hospital I advise them blood test like ACCP , HLA B27.Rheumatoid arthritis may involve small joints and early morning stiffness in joints, do you have such complain?Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? It may be seronegative spondylo arthropathy with RA test negative. NSAIDs, DMARDs (disease-modifying anti-rheumatic drugs) are sometimes prescribed in more severe cases. These include methotrexate and sulfasalazine.Corticosteroid injections for severe pain and inflammation in a specific joint.TNF-a inhibitors, a newer class of biologic medication.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care.
question:Hello, good day. My mom want to ask if what would be the possible reasons of edematous feet and ankles? She had blood chemistry and it was all normal. She s always elevating her feet above heart level at night time. There s pain on both feet and ankles. What are the other laboratory tests and diagnostic exams may suggest to her? Thank you and God bless.
answer:Hello I have studied your case,I would like to keep possibility of gout as per your history and symptoms.In gout there is accumulation of uric acid crystals in joint mainly foot. This leads to swelling in foot.Another differential can be nerve compression leading swelling.Or it can be soft tissue injury due to trauma which is not seen on x ray and may need MRI if remains persistent.I will advise to do blood inv like complete blood count ,uric acid level, if required EMG –NCV[ nerve study] and MRI spine after clinical examination.Till time take analgesic and neurotropic like methylcobalamine and pregabalin consulting your doctor.If gout is confirmed you may need medicine accordingly and diet restrictionHope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care.
question:Hi I m having pain in my ankel calf and palm..doctors say its due to vericose veinse other doctor told me to fo colour Doppler test as I also have high uric acid 6.6 what should I do..i even feel tikling rfect and burning effect in my toes..pls help me
answer:HelloThis isn't a varicose vein problem.It could be an arterial circulation problem in the legs, low calcium, low magnesium, or possibly diabetes and you need arterial studies of the legs and blood tests to check for all of that
question:I am a 40-year-old female. I m maybe 10lbs overweight max, my vitals are excellent, and I m very active. 3 months ago I woke up one morning with my right hand and fingers completely numb. Over a few days the numbness spread up my arm, and I had difficulties holding utensils and was unable to write with my right hand. My hand and fingers remain numb, sometimes there is also a shooting pain. I no longer have numbness in my arm, and I have complete mobility- no dropping items, and no difficulty picking up things. about 2 weeks ago, i began having periodic numbness in my left hand, along with occasional shooting pains in my fingers. Every once in awhile my feet are numb as well, and once or twice my face. I feel terrific otherwise, and this hasn t hampered my lifestyle. My aunt recently passed away, she had suffered from MS for 30 years, so that does concern me. I will be making an appointment with my doctor.
answer:It could e due o cervical spondylosis with or without radiculopathy.Rule out diabetes or any other metabolic disorder.Physiotherapy of neck should help you.
question:Should I see a doctor? I'm having a severe sharp pain below my naval on my left side. It hurt to touch it or to even move.This was followed by a burning sensation all around my lower abdomen and lower back.Then I started having a dull pain under my right rib cage. And, during this my throat started getting tight. Now I just feel nauseous.All this happened around 2am last night while I was in bed. The pain gradually went down but I feel sick to my stomach and lightheaded now.Oh, I'm 19 and female.
answer:Hi ! Good evening. I am Dr Shareef answering your query.Yes dear. You must see a doctor at the earliest possible seeing the intensity of your pain abdomen. Your doctor after a basic clinical examination of your abdomen, might advise you for an ultrasound abdomen, a serum lipase and amylase, CBC, and in case you are active sexually, a serum HCG test as well. Further management would depend on the report of the clinical examination, and the investigations.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.
question:My greAT AUNT, SHE IS 87, FELL IN THE BATHTUB AND BESIDES A NASTY HID AND BRUISE TO THE FOREHEAD AND TOP OF THE HEAD, THEY TOLD HER SHE CRACKED ONE VERTABREA. HOW SERIOUS IS THIS AND ALSO TAKING INTO CONSIDERATION HER AGE? SHE IS IN THE HOSPITAL AND THEY HAVE HER IN A NECK BRACE, WHICH IS SO VERY UNCOMFORTABLE.
answer:Fracture of any vertebra is a serious condition. It is all the more serious, if it is in the neck region. Neck brace, if applied properly, is comfort giving rather than being uncomfortable.Kindly get in touch with the treating doctor.