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Discussion on blood test report, ankle swelling, irregular periods, Dry skin, etc - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   hello doctor
User :   pls refer to mail sent by xxxx@cccc
Doctor :   hi this is Dr. xxx here
Doctor :   i cant see your mail in this chat session
User :   i sent to xxxxx@bjhbkjkjji.ccm
User :   its of XXXXXXXX xxx blood test
Doctor :   can u retype the same after copying from your sent mail
User :   sent it again
Doctor :   it will take some time in case i have to refer to it
Doctor :   hi
Doctor :   most of the reports are within normal
Doctor :   except presence of some microcytic cells
Doctor :   which could be due to iron deficiency signs
Doctor :   but Hb is 12.2 WHICH is normal so nothing to worry
Doctor :   are u there ?
User :   what about swolen ankle feet
Doctor :   that could be due to the surgery that ws done
User :   but that was done in april,the feet turned blue coloured and big
User :   lymphocytes have also increased
Doctor :   You need a review by the operating surgeon, to look into that
Doctor :   if u mean the leg is swollen cold, and blue, it could be due to reduced blood flow in the ankle
User :   what medication to give to treat it
Doctor :   you need a evaluation by a doc, preferably your surgeon so that it can be taken care of
User :   presently she is self medicating with 1 tab mobizox and 1 tab bidanzen forte twice for 2 days
User :   how do we know if infection is due to plates ?
Doctor :   it can be seen on an Xray that needs to be repeated
User :   what about medicines
Doctor :   if you take meds that font help now, it cvan create mosre problems
Doctor :   you need to diagnose wheter its an infection or something else
Doctor :   for the pain, u can take brufen
User :   whats bidanzen forte and mobizox for?
Doctor :   they reduce the inflammation and swelling
Doctor :   and mobizox for pain and muscle relaxation
User :   my sister says there is no problem in walking,no pain,its stiff,blue coloured and swollen
User :   is she taking right medicines for treating infection
Doctor :   i understand what you mean to say
Doctor :   but the meds shes taking will reduce the swelling will not treat the cause as it is not know
Doctor :   teh cause will be known after examintion of the affected leg by a doctor
User :   how do we know the cause or how will doctor know the cause,we got blood test done ,its tells increase in lymphocytes
Doctor :   the blood tests dont tell anything, unless u know what to look for
User :   also she feels dizzy and sleepy after taking these medicines
Doctor :   the tests she needs now are Xrays and physcail examination
Doctor :   yes mobizox will give drowsiness
User :   she has irregular periods,dark circles,frozen shoulder,iron deficiency what to do?
Doctor :   HER hB IS NORMAL
Doctor :   so no need to worry about iron deficinecy
Doctor :   for irregular epriods she needs to see a gynae
User :   can't you tell medicines for irregular periods
Doctor :   these are prescription meds and need to be given afetr knowing the cause
Doctor :   without examineing , a car, a mechanic cannot correct the faulty engine '
Doctor :   similarly withjout seeing and examining a patient, a doctor cannot know how to treat her , when he does not know the cause
User :   When she was 12 she got paralysed after a viral attack,known as gullen barre syndrome,from that time she was treted by neurologist,after that for past 13 years she is taking physiotherapy,she is able to walk with elbow crutch (stick),how to treat muscle or nerve weakness,which medicine she take or which doctor could have solution for her?
User :   weakness in right leg
Doctor :   for muscle and nerve weakness, which has resulted years back - the nly oprion is physiotherapy
Doctor :   only option **
Doctor :   taking supportive medications do not completely geyt the weakness back
Doctor :   done by **
User :   but we are gving her same treatment for last 13 years without any gap,then why she is not recovering?
Doctor :   may i know your occupation ?
Doctor :   once nerves are damaged, recovery is very difficult
User :   i am into business
Doctor :   and may not occur if the damage is severe , at the start itself
User :   so what shall we do for her now,she is not going to marry without getting ok
User :   any hopes
User :   any doc you may refer for such a case,any tests
Doctor :   may i know where you stay?
Doctor :   the best treatment facility can be availed in privte mutispeciality hospitals
Doctor :   In dELHI, you can go to AIIMS, neurology and neurosurgery dept as well as PMR dept
User :   we have what is PMR ?
Doctor :   physical medicine and rehabilitation dept
User :   can you refer a good doc for this
Doctor :   any doc at the Dept of PMR will help
Doctor :   You can visit AIIMS WEBSITE
User :   what she do for dry hands
Doctor :   APPLY, vaselene
User :   addition dept means ?
Doctor :   i meant, additional info
User :   ok now about me
Doctor :   vaseline and moistorising lotions like dove, will help
User :   i am 23 year male
Doctor :   ok
User :   my problems are i have very high pulse rate at any point of time?
Doctor :   it could be due to anxiety issues
User :   my testesterone levels are as low as 258
Doctor :   take some anxit 0.25 mg at bed time and you will be ok
User :   for how long ?
Doctor :   2-3 days
Doctor :   this is for anxiety
User :   i got operated for gynecomasta mixed type grade 3,within 2 months of surgery i got my fat back and skin is loose though i wore compression vest for 40 days
User :   you there?
Doctor :   yes
User :   pls ans
Doctor :   you mean to say that the gynaecomastia came back afetr surgery
User :   yes
Doctor :   may i know your height , weight , age ?
User :   5'4,70kg,23
Doctor :   for 5.4 your adequate weight is 62 kilos
Doctor :   you should try weight reduction and excercise
Doctor :   this will help u well
User :   i goto gym,but i feel breathless very soon,pulse rate or heart rate becomes very high so discouraged by instructor
User :   i do yoga aswell
Doctor :   thats good
User :   how do i get in shape,why enlarged breasts came back?
Doctor :   its all about toning you body
Doctor :   you need to give it time
User :   my chest is very sesitive to touch,it pains on moving hand,and skin is very itchy
User :   sagging lose skin make me feel bad
Doctor :   i can understand your situation but you need to be little patient
User :   how does this happen ?what's use of liposuction
Doctor :   you need to get a physical examination done and then only the exact cause will be found
User :   whom to contact,i do not want to see that plastic surgeon again who took heavy fee and after so many consultations didn't help,he told to apply contratubex ,nothing happnd,holes he made pain alot till now
Doctor :   you can take a second opinion from a another physician
User :   plastic surgeon?
Doctor :   yes you can do it its the right approach
Doctor :   maybe a regular surgeon also can give you a opinion too
User :   what do i tell him,he would reopeate or give medicines,i don't have money to spend now
User :   hello
Doctor :   he will examine you and based on your condition
User :   my testesterone levels are as low as 258
Doctor :   he will give his opinion
Doctor :   first your examination is must
Doctor :   then only we can go further
Doctor :   may i know your age ?
User :   23
Doctor :   well you just need to get your self examined
Doctor :   then things will be clear
User :   which doctor to consult ?
Doctor :   go to a surgeon
User :   i went to urologist ,he told me i have distal hypospadias ,i do not want any complications to arise after surgery so i ruled it out,is it necessary to get operated?
Doctor :   thats why you need a second opinion
User :   what kind of surgeon do i need ?
Doctor :   go to a general surgeon first
Doctor :   thats all
User :   i have oily skin prone to acne and pimples,it leaves marks ,though i maintain hygiene,wash face 3 to 4 times in a day but still they keep on popping?
User :   any medicines ?
Doctor :   Take vitamin B tablet containing all the B viramins, you should see results in a few weeks.
Doctor :   Make a paste by mixing honey and cinnamon powder. Apply this paste on the pimples before sleeping and wash it next morning with warm water. Repeat for two weeks, pimples will disappear forever.
Doctor :   Rub fresh garlic on and around pimples. Pimples will disappear without a mark with regular applications.
Doctor :   you will see the changes
User :   i have stretch marks on my arms and shoulders ,i do i treat them,also i ahve acne on my back
Doctor :   for pimple and acne do the following that i have told you
Doctor :   use the cream called no stretch for your stretch marks
User :   i feel very weak,less active,and sometimes i shiver,cannot bear with low temp. ,while exercise also i shiver sometimes
Doctor :   get some tests dome
Doctor :   done
User :   pls tell
Doctor :   like thyroid
User :   i would like to know that regular masturbation twice at night is the cause of pimples,is that a problem or ok
Doctor :   no masturbation is safe
Doctor :   you can do it
Doctor :   it does not cause pimples
User :   what diet would tone my body to a lean and fit one ?
User :   70kg to 62kg
Doctor :   have fruits and vegetables... with lots of fiber
User :   My mother is obese for a long time,she does a lot of diet but still not loose weight,she has high blood pressure a nd diabetes type 2 ,what medications she should take,she cannot control her urine,
User :   she is 46 yr old
Doctor :   ok
Doctor :   what medications she is on ?
User :   she was taking following medicines till last year but now she is not taking any- ecospirin,rantec,telstaran 40 mg,gemer 2mg,novastat,flavedon
User :   arbitel 80 mg
Doctor :   and?
User :   i am mailing her prescriptions pls wait
Doctor :   ok
User :   pls check 2 mails
User :   checking ?
User :   recvd?
User :   hello
User :   doc ?
Doctor :   ok
Doctor :   our servers are slow today so kindle bear with us
User :   today morning her fasting sugar was 131
Doctor :   got them i am seeing them now
User :   My mothers problem is she over works and gets tired and then shouts at everybody
Doctor :   we got your sister report
Doctor :   not your mothers
User :   she also doesn't sleep at night for long
User :   see again 2 mails meenu jain prescriptions
User :   got it ?
Doctor :   yes
User :   seen them ?
Doctor :   Yes
User :   Now what should she take,fasting sugar 131
Doctor :   Just a moment let me go through it
Doctor :   IS she not prescribed any hypoglycemic drugs?
Doctor :   I dont find it in the reports
User :   what is hypglycemic
Doctor :   Drugs used to treat diabetes
Doctor :   IS she on insulin?
User :   initially she took gemer 2 mg,then 1 mg nad then 0.5 mg and then left it without asking doctor,refuses to see doctor now
User :   she is not taking any medicines except pain killers like mobizox
Doctor :   It required for her to restart the meds
User :   pls advice,what to take from now
Doctor :   Or else their will be rebound effects
Doctor :   I cant advise those drugs online
Doctor :   they will require an prescription for the same
Doctor :   And she we require another assessment before starting
Doctor :   I would rather advise to follwo up with a diabetologist
User :   what kind of medicines she needs to avoid,what kind of rebound effects,no i can buy without prescription,she doesn't go to any doctor,any tets you would like me to get for her
User :   i mean tests
Doctor :   See i wolud strongly suggest you to meet A DOCTOR before starting hypoglycemic drugs
Doctor :   Which usually requires follow up
Doctor :   And regarding tests get HB!AC done
Doctor :   HB1AC
Doctor :   That mentions the state of diabetes
Doctor :   Its unethical to prescribe drugs without examination and online too
Doctor :   I can suggest only OTC drugs which are not there for diabetes
User :   pls
User :   suggest
User :   what kind of drugs are not suitable for her,is mobizox safe
Doctor :   Sorry we are not allowed to prescribe prescription drugs online.
Doctor :   Mobizox is a painkiller long term use is not suggested only short term , Max 2 weeks
User :   ok,my father is a long time diabetic,he never showed himself to doctor ,now when he had a long time fever he went to a doctor ,i got his prescription,i would like to know about his state of health he is 56 year old
Doctor :   ok
Doctor :   Proceed
Doctor :   Are you there?
Doctor :   It seems you have moved out of chat window, plz login back if you have any medical queries.
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