Page 3 of 8 FirstFirst 12345 ... LastLast
Results 21 to 30 of 77

Thread: Medical Questions with Answers!!

  1. #21
    Join Date
    Nov 2006
    Location
    Mauritius
    Age
    36
    Posts
    4,584
    Rep Power
    217

    Default

    Q. How much time does gouty arthritis take to heal? My uric acid level is around 7.5, and currently I am on Zyloric 100 mg. What is the dose you suggest and how much time would it take for me to recover? Can this problem heal permanently? My left toe had swollen up last month?

    A.
    Reading your description about your problem, it appears that you need to be seen by an experienced and well-trained rheumatologist (not an orthopaedic surgeon) who can give you appropriate scientific information and advice on the following issues:

    - Metabolic syndrome

    - Hyperuricaemia as a marker of metabolic syndrome

    - Significance of high uric acid level in blood and its consequences

    - How to diagnose gout with certainty

    - How to treat acute attack of gout

    - How to treat gout once the acute attack subsides

    - Life-style changes that must be done in this condition

    As you can realise, writing every thing about the points mentioned above would take a whole book chapter.. A lot of these details are already given there. Coming to your specific question regarding how much time does gout arthritis take to heal - usually not more than a few days if appropriate non-steroidal anti-inflammatory medicines have been given in appropriate doses (to be decided by the treating rheumatologist, depending upon the clinical condition and several other factors (including any other associated diseases, etc.).

    You are taking 100 mg of Zyloric but this is not the correct dose. But, whether you require allopurinol (Zyloric) or not is to be decided before you are given this medicine. Again this will have to be done by your treating Rheumatologist who has to take in account the number of acute gouty attacks you are getting and several other additional factors including your renal state etc.

    Gout can be kept under control fully and completely with appropriate modifications in life-style and appropriate medicines. Being a genetic condition, however, the treatment must continue throughout life - non-stop!

    Regarding the swelling of the toes, there are many causes of swelling of the toes. Gout is only one of them. Your treating rheumatologist has to carefully assess the situation and then make appropriate diagnosis for proper treatment.

  2. #22
    Join Date
    Nov 2006
    Location
    Mauritius
    Age
    36
    Posts
    4,584
    Rep Power
    217

    Default

    What precautions does one need to take for a twin pregnancy?


    Q. My wife, 27 years old, is 2 months pregnant. We are having twins. What precautions do we need to take?

    A. Twin pregnancy will need a regular and constant follow up with the doctor at every two weeks. A diet rich in proteins, iron, calcium and calories is what is needed, as complications like anaemia and high BP can develop. Enough rest to prevent early labour is also essential. The regular iron and calcium supplement is a must.

  3. #23
    Join Date
    Nov 2006
    Location
    Mauritius
    Age
    36
    Posts
    4,584
    Rep Power
    217

    Default

    Is the optional pneumonia vaccine important?


    Q. My baby girl is almost 2 months old. She has been administered the normal vaccinations. Her doctor says that there is a new pneumonia vaccine available, which is optional. Is it important to take this or can we skip it? She recently underwent echocardiography & was diagnosed with mild left Pulmonary Artery Stenosis. Is this a serious problem? Please tell us in detail the implications.

    A. This vaccine protects against invasive pneumococcal disease, which can be a significant cause of morbidity (pneumonia and meningitis) and mortality in infants. If you can easily afford this for your young infant, it would be advisable to give it. If you cannot, do not lose much sleep over it. It is hoped that with increased use and over time, this vaccine will become cheaper.

    It is difficult to predict on the basis of your mail as to how mild the stenosis is. Very mild pulmonary stenosis, in the absence of other structural or functional anomalies of the heart, is compatible with a normal life span. It is best to ask your paediatric cardiologist about this as (s)he would have the relevant data to discuss the probabilities, further line of action and the remedial measures.

  4. #24
    Join Date
    Nov 2006
    Location
    Mauritius
    Age
    36
    Posts
    4,584
    Rep Power
    217

    Default

    Is there a cure for headaches associated with sex?


    Q.
    I am 40 years old, suffering from high blood pressure 140/90 and taking Amlong 5 mg. I also have slight anxiety and depression. After sex, I get a severe headache and this aggravates dullness and depression. Please suggest a permanent cure to avoid headaches after sex. I tried homeopathy, escitalopram and zapiz for 3 months but in vain.

    A. Unfortunately there is no cure for the headaches associated with sexual intercourse. Taking Indomethacin 25 mg 1-2 hours before the planned sexual intercourse may help. The dose can be increased to 50 mg. Please note this medication should not be taken on an empty stomach. If you have high blood pressure, stomach ulcers or kidney damage this medication should be used with caution.

  5. #25
    Join Date
    Nov 2006
    Location
    Mauritius
    Age
    36
    Posts
    4,584
    Rep Power
    217

    Default

    Which eye drops should I use to prevent CME after surgery?


    Q. Which is a better and safer eye drop to prevent CME after cataract surgery, Ketorolac or diclofenac? Are complications during and after cataract surgery man-made or plain misfortune?

    A. Both Ketorolac and diclofenac eye drops are used to relieve intra- and post-operative pain of cataract surgery. Diclofenac may be better of the two. These are anti-inflammatory drugs and may help to treat Cystoid Macular Edema (CME), but do not always work. Many CME get better with time alone. In uncomplicated eye surgery, development of CME is a misfortune, but one can have many complications during surgery, which can also cause CME.

  6. #26
    Join Date
    Nov 2006
    Location
    Mauritius
    Age
    36
    Posts
    4,584
    Rep Power
    217

    Default

    Is Prevenar vaccine a must for children?


    Q. Is Prevenar vaccine a must for children?

    A. This vaccine protects against invasive pneumococcal disease, which can be a significant cause of morbidity (pneumonia and meningitis) and mortality in infants. If you can easily afford this for your young infant, it would be advisable to give it. If you cannot, do not lose much sleep over it. It is hoped that with increased use and over time, this vaccine will become cheaper.

  7. #27
    Join Date
    Nov 2006
    Location
    Mauritius
    Age
    36
    Posts
    4,584
    Rep Power
    217

    Default

    What does E. coli in the stool indicate?


    Q. I got a stool culture test done. The report shows I have E. coli in my stool. I have constipation and sometimes feel heaviness in my stomach and chest after meals. Is this due to the presence of E. coli in my stool?

    A. E. coli is a normal inhabitant of the gut, present in large numbers in stools and usually does not cause any harm. However, there are some varieties of E. coli (like Enteropathogenic E. coli – EPEC, Enterotoxigenic E. coli – ETEC, Enterohaemorrhagic E. coli – EHEC, Enteroinvasive E. coli – EIEC and Enteroadherent E. coli - EAEC) that can cause diarrhoea. Since you do not have diarrhoea, you most likely have the normal variety of E. coli and you do not have to worry about it.

  8. #28
    Join Date
    Nov 2006
    Location
    Mauritius
    Age
    36
    Posts
    4,584
    Rep Power
    217

    Default

    Should I go for Ayurvedic treatment for IgA nephropathy?


    Q. I am 23 years old suffering from IgA nephropathy for the last three years. At present, my serum creatinine level is 3.5. I am taking Minipres XL, Stamlo Beta and Maxepa for the last three years. The creatinine level varies several times, but does not go higher than 4.01. Is my disease curable? Shall I go for Ayurvedic treatment?

    A.
    You have chronic kidney disease stage IV (kidney function 15–30%) as judged from your serum creatinine and estimated glomerular filtration rate (GFR), which is the true measure of kidney function. Your estimated GFR is 24 ml/min.

    IgA nephropathy with chronic kidney disease is not a curable condition. Once kidney function is chronically affected, there is a progressive decline in kidney function, the rate of which can be slowed down by excellent blood pressure control (target < 130/80 mmHg). A person usually requires either a kidney transplant or dialysis once kidney function is irreversibly diminished to (10–15 %). I am sure you can discuss the course of the disease with your nephrologist.

    I have no knowledge of Ayurveda. However, in my experience of more than 30 years I have not seen someone with IgA showing improvement with Ayurvedic medicine. In fact, you should be aware of what you are taking and what effect it can have.

    In my opinion you should optimise your blood pressure, diet and other medicines with your nephrologist

  9. #29
    Join Date
    Nov 2006
    Location
    Mauritius
    Age
    36
    Posts
    4,584
    Rep Power
    217

    Default

    Why do I have a bitter taste in mouth on waking up?


    Q. I am a 35 years old male. I get up in the morning with a thick and bitter taste in my mouth. In fact, every time I sleep and get up I have this taste. My bowel movements are not regular and stools are usually hard. Please advise.

    A. You probably have nocturnal reflux of acid and a functional bowel disorder with idiopathic constipation. However, I would recommend some initial blood tests including a coeliac screen. If everything is normal on the blood tests, then an evening dose of an acid suppressing medication, and some Fybogel should be the initial treatment to try

  10. #30
    Join Date
    Nov 2006
    Location
    Mauritius
    Age
    36
    Posts
    4,584
    Rep Power
    217

    Default

    Why is my son so hyperactive?


    Q. My 4 years old son is very hyper active. He does not share any thing with other children and does not mix up with anyone. He tries to beat and hurt other children. I am planning to consult a child psychologist. Please advise.

    A. Please do consult a child psychologist, as you plan. Since you have not mentioned where you live, I am not able to suggest the name of any person you can consult.

Page 3 of 8 FirstFirst 12345 ... LastLast

Thread Information

Users Browsing this Thread

There are currently 1 users browsing this thread. (0 members and 1 guests)

Similar Threads

  1. Replies: 4
    Last Post: 10-25-2010, 03:02 AM
  2. Replies: 3
    Last Post: 02-12-2010, 12:13 AM
  3. Medical Questions and Answers .. 6
    By Asrafee in forum Miscellaneous
    Replies: 61
    Last Post: 02-16-2008, 10:41 PM
  4. Medical Questions with answers..4
    By Asrafee in forum Miscellaneous
    Replies: 59
    Last Post: 02-02-2008, 09:14 PM
  5. Medical Questions with answers.. 3
    By Asrafee in forum Miscellaneous
    Replies: 96
    Last Post: 02-01-2008, 04:17 PM

Bookmarks

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •