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Diabetic with gangrene and acute renal failure - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1725 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   HI
User :   i wanted to consult for my knee pain
Doctor :  
Sure
Doctor :  
Proceed with your query
User :   around 5-7 days back i had knee pain with some difficulty in walking. i have gone to a orthopaedic
Doctor :  
Ok
User :   the emdicines he ahs given are hifenac MR, pantium 40, espizyme forte, for 5-7 days
User :   besides caldinkind for 30 days
Doctor :   Fine

User :   and dioleni gel for applying after hot water treatment
Doctor :   ok

User :   i wanted to understand the problem as he has not explained properly the problem
Doctor :   Ok

Doctor :  
In any joint pain, there are 3 possibilities
User :   ok
Doctor :  
1,fracture/dislocation
Doctor :  
which is very serious
Doctor :  
and not in your case
User :   ok
Doctor :  
2. muscle spasm
Doctor :  
happens during injury
User :   ok
Doctor :  
and 3. soft tissue injury, the most common one
User :   ok
Doctor :  
and apart from pain there is no problem with it
Doctor :  
and you will need symptomatic treatment
Doctor :  
till it heals
User :   yes..no problem. i have been advised not to do brisk walk
User :   what is symptomatic treatment
Doctor :   meaning treating Pain

User :   also there was problem during bending of knees
User :   ok
Doctor :  
thats it
Doctor :  
Ok
User :   so he has advised not to do bending during yogay /exercise
Doctor :  
in injury, there shall be difficult in movement
Doctor :  
yes it is good to provide maximum rest possible
User :   according to medicines, this is problem number 2 or number 3
Doctor :   Problem 3

User :   ok
Doctor :  
and does take some time to heal
User :   is there any need to calcium test
User :   ok
Doctor :  
3-4 weeks is the normal limit
User :   ok
Doctor :  
May I know your age and gender?
User :   age 38 and male
Doctor :  
Ok
Doctor :  
no need of calcium test
User :   i also underwent a test from a wellness programme who tested my feet for bone density
Doctor :  
Ok
User :   they told me my calcium was below normal
Doctor :  
Is that so?
Doctor :  
It is not seen usually in males
Doctor :  
and is common in females that too after menopause
User :   but the doctor told me that bone density should be tested at three points of the body and then average should be taken
User :   ok
User :   rather than testing only feet
Doctor :   If that is the case, then you can get a Serum Calcium test done for reconfirmation

User :   i am confused
User :   what is serum calcium test
Doctor :  
No need to get confused
User :   ok
Doctor :  
it tests the calcium level in the body
Doctor :  
and it is a confirmatory one
Doctor :  
Bone density scan is a substitute for it
Doctor :  
and an easier one to do
User :   also the feet test doctor told me that i should take calcium supplement with calcium nitrate rather than calcium carbonate
Doctor :  
but Blood test is the final one
User :   ok
Doctor :  
Take it only if the calcium levels are low
Doctor :  
and not otherwise
User :   ok
User :   i am feeling better but not totally normal
Doctor :  
Ok
Doctor :  
it does take time to heal completely
User :   would you have an idea of this serum calcium test. how much does it cost
User :   ok
User :   what could be the reasons for this occuring ?
Doctor :  
from your side, take medications and provide rest
User :   ok
Doctor :  
It is not an expensive test
User :   ok
Doctor :  
and would be within 100-150 rupees
User :   ok
Doctor :   Is there any thing else I can help you with?

User :   also, i wanted to get an executive health checkup done at mumbai
Doctor :   Fine
User :   would you be able to provide any guidelines on what all should i get done
Doctor :  
We do get it done with Thyrocare
User :   i can do calcium test at same time
Doctor :  
I shall give you the link
User :   ok
Doctor :  
Yes, it is done in that
User :   but is thyrocare the only option as some doctors talk negative about the same
Doctor :   No

Doctor :  
It is not the only option
User :   ok
Doctor :  
there are many laboratores
User :   ok
Doctor :  
like Ranbaxy and any hospital setup for that matter
User :   ok
Doctor :   WWW.WWWW.WW
User :   also my wife has thyroid and also wants to do her tests on thyroid as it has been some time
User :   ok
User :   but is there a discount if we go to thyrocare through you
Doctor :   Yes
Doctor :  
You can see the details at the link
User :   ok. thanks a lot
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.

User :   thanks
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