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Pain management for fingers turning white due to cold - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3545 Questions
User :   hello sir
Doctor :   hi
User :   i got disconected
Doctor :  
how can i help you?
Doctor :   ok
User :   Sometimes, a disease, condition, or other factor causes Raynaud's. This type is known as Raynaud's phenomenon or secondary Raynaud's.
Doctor: Primary Raynaud's is more common and tends to be less severe than secondary Raynaud's
User: sir is it sthing very serious?
Doctor :  
Please close this browser and log in from another browser in case you are facing problems in recieving the chat
User :   this is wht u were telling me
Doctor :  
ok
Doctor :  
i had been telling you about the causes and trigers
User :   yes
Doctor :  
and the cure for it after that which i guess you did not recieve
User :   so sir is it sthing serious
Doctor :  
Can you please share your mobile number and e-mail id so that we may update our records. This information will be useful to us in case we need to send you additional information through mail or sms.
Doctor :   also this wil be helpful
User :   mobile No. - 0000
Doctor :  
that we can call u up in case you continue to face technical difficulties in doing the live chat
Doctor :  
ok
Doctor :  
thanks
User :   email - YYYY@YYYY
Doctor :  
so coming back to our discussion on the cure for it
User :   yes
Doctor :  
there are three facets to it
Doctor :  
genral measures, emergency cure and medical management
Doctor :   general measures consitute: User :   ok
Doctor :  
1) avoiding trigger factors like cold, vibration, emotional stress
User :   ok
Doctor :   2) keeping fingers toes, hands, feet, ear and nose always warm
User :   is this problem comes because of some other problem
Doctor :   3) in case ytou smoke, quit smoking
User :   and how much serious it is
Doctor :  
this will also improve your symptoms
Doctor :  
it depends on the severity
Doctor :  
in case the symptoms occur too frequently then the problem will need to be taken medical attention
User :   ok
Doctor :  
4)Avoid caffeine which is found in coffee and tea, stay-awake pills, many soft drinks and candies, but also in some cosmetics, soaps and shampoos, and even the fabric of undergarments.
Doctor :   5) discuss your symptoms and avoid any over the counter drugs inform your doctor about this symptom such that he can avoid prescribing you drugs that might worsen it.
Doctor :   Coming to emergency measures,
User :   ok
Doctor :  
1) If white finger occurs unexpectedly and a source of warm water is available, allow the flow to slightly warm water to run over the affected digits while gently massaging the area.
Doctor :  
Continue this process until the white area returns to its normal, healthy color.
Doctor :   2)If triggered by exposure in a cold environment, and no warm water is available,
Doctor :  
place the affected digits in a warm body cavity like arm pit, crotch, or even in the mouth.
User :   ok
Doctor :  
Keep the affected area warm until the whiteness returns to its normal, healthy color.
Doctor :   try and get out of the cold situation as soon as possible
Doctor :  
Coming to medical management
Doctor :  
it is again of two types
User :   ok
Doctor :  
A) drugs and B) surgical management
User :   ok
Doctor :  
A) Drugs- there are few drugs that can be used to prevent it
Doctor :  
these are prescriptions drugs
Doctor :  
which will need a prescription from a doctor to avail.
User :   can't be cure permanently
User :   ?
Doctor :   it can be prevented
User :   ok
Doctor :  
permanent cure is not possible
Doctor :  
as the main cause is still unknown
User :   ok
User :   how can be find out main cause
User :   Is there any test or sthing for it ?
Doctor :   the drug treatment consists of 'calcium channel blockers' and 'angiotensin II receptor antagonist'
Doctor :   the cause is unknown as said earlier
Doctor :  
only the triggers can be avoided
Doctor :  
which will reduce the attacks
Doctor :  
other tests to diagnose the extent of problem
Doctor :  
i will tell once i finish with the treatment options
User :   ok
Doctor :  
so coming back to the treatments
Doctor :  
surgery is advised to pateints who do not get relief from drug treatment
User :   ok
Doctor :  
surgery is done to cause the block for nerves that stimulate the vasoconstriction of the arteries
User :   k
Doctor :   and in very very rare cases where the finger is very badly damaged, amputation is considered.
Doctor :   now coming to diagnosis and tests
Doctor :  
there are tests like
Doctor :  
1) digital artery pressure measurement which will tel if there is vasoconstriction in that finger
Doctor :   before and after exposure to cold
Doctor :  
any difference of 15mmHg or more is considered significant
User :   k
Doctor :  
2)Doppler ultrasound is done to assesses the flow again before and after cold exposure
Doctor :  
3) ful blood count to see for anemia which might be precipitating cause
Doctor :  
4)urea and electrolyte testing to see if any renal failure is there or ant thyroid tests done to see fot thyroid disorders
Doctor :  
as there cases sometimes present with symptoms that you have
User :   ok
Doctor :  
so these are few tests to see if the disease is affecting other fingers
Doctor :  
and also to see in any underlying disease is there which is having similar symtoms and which can be treated
Doctor :  
which in turn will prevent these symptoms
Doctor :  
have you followed what i have said uptil now?
User :   yes sir
Doctor :  
is there anything else i can help you with?
User :   so sld i go for any of these testes
Doctor :  
so the next step will be to report your symptoms to your doctor and ask for the tests
Doctor :  
and the drug therapy
Doctor :  
you should improve with the drug therapy as only 1 finger is involved now
User :   can u pls suggest me some doctor
Doctor :  
you can go to any of the vascular surgeons
Doctor :  
or general surgeons
Doctor :  
they will be able to help you out
User :   will it be a skin doc. or phyician
User :   ok
Doctor :  
Is there any thing else I can help you with?
User :   come to my old question , how serious is this decease?
Doctor :   i have answered that questions before telling that the seriousness depends on the extent of the disease
User :   ok
Doctor :  
where are you located?
User :   thanks doctor for yr help
User :   noida
Doctor :  
ok
Doctor :  
just give me a moment
User :   sure
Doctor :  
i will suggest you some doctor in Noida to help ou in this
User :   ok
Doctor :  
WWW.WWWW.WW Doctor :  
visit this link
Doctor :  
to find a doctor to help you
Doctor :  
you can choose from general physician, general surgeon or a cardiologist also can help you out
Doctor :   Is there any thing else I can help you with?
User :   thats it , thanks
Doctor :   Please fill the feedback form say done when done.
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
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