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Treatment for psoriasis and joint pain - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 593 Questions
Doctor :   hi
Doctor :   Dr. XXXXXXXX here.
User :   hi
Doctor :   let me read what you have typed
User :   ok
Doctor :   are you on treatment for psoriasis?
User :   no
Doctor :   have been in touch with any dermatologist?
User :   i used homeo, english ayurve
User :   but no use
User :   yes so many
Doctor :   psoriasis when left alone can progress to affect bones and joints.
Doctor :   and result in something called as psoriatic arthritis
User :   it become very dificult for me
User :   what kind of medicine is needed
Doctor :   I would suggest you to get in touch with a good dermatologist to first see for the extent of the disease and confirm if the pain that you are having is due to psoriatic arthritis.
User :   i don't know what to do
Doctor :   if it is confirmed to be psoriatic arthritis, treatment will be progressed in the direction
Doctor :   to control psoriasis and giv erelief from the arthritis
User :   i am in chennai can u help me in finding any good doctor nearby.
Doctor :   yes, I will help you. please give me a moment
User :   i am only 30 now
User :   i am engineer money wise no problem.
Doctor :   WWW.WWWW.WW Doctor :   this link will give you list of dermatologists in chennai
Doctor :   the treatment will be a long term one, and you have to be patient during th etreatment
User :   but it become so frustrating that i am losing my mental health also.
Doctor :   depending on the extent of your problem you might need to be given phototherapy
Doctor :   to control the progression along with oral medications
User :   see i want to so many doctors but none are satisfying
Doctor :   do not worry, once your disease gets under control, you will feel better
Doctor :   in that case, i would suggest you one more thing
Doctor :   send us pictures of the most troublesome lesions, and take second opinion from our panel dermatologists
User :   i had taken so many medicine now i want to try laser treatment.
Doctor :   before meeting anyone in person such that you can discuss the correct line of treatment with them
Doctor :   the chances of laser treatment/photo therapy along with chemotherapy does have role in controlling the disease
User :   i can't understand
Doctor :   WWW.WWWW.WW Doctor :   visit this link to consult with our panel dermatologists
Doctor :   to get an idea of what needs to be done further
Doctor :   and meet a dermatologist in our city for examination and treatment
User :   do you have any reference
Doctor :   also to confirm/rule out possibility of psoriatic arthritis
Doctor :   I am from Bangalore, so I do not have any personal reference. I am sorry.
User :   i don't want to experiment
User :   i want correct treatment.
Doctor :   i am not suggesting you any experiment. since you are confused with what to do now, and also to make sure you do not get misguided
User :   i can bangalore also.
Doctor :   i suggested you to take a opiniion from our panel doctors first
Doctor :   and then go ahead with tests and treatment as suggested after a detailed examination personally by a dermatologist
User :   so better t go and consult with the doctor in chennai first.
User :   these doctor give what kind of medicines.
Doctor :   yes, get a consultation done along with the tests to to see what stage of psoriasis you are currently in
Doctor :   the doctors after examination will suggest whether only chemotherapy is enough to treat or a combined approach with chemotherapy and phototherapy is required
Doctor :   you can confirm if the treatment is right by taking second opinion from our panel dermatologist
Doctor :   by sending us pictures of the lesions and your recent reports which we will forward to the dermatologist once we get your request
User :   see why i am so much worried is because when i taken medicine from a doctor it has given side effect to my XXXXXXXX and it become dull.
Doctor :   what medication was prescribed to you?
User :   i forgot the name but another doctor said it very powerfull not to be taken .
Doctor :   few medications that are prescribed do have effects on nervous system, if so then discuss about combined therapy in your case
Doctor :   to avoid such severe side effects
Doctor :   and at the same time control your disease
User :   you are mentioneing so many things i don't know all these
Doctor :   I am answering your queries, I know it can be confusing to understand. I will summarise in points for you to understand
User :   what is chemotherapy and phototherapy
Doctor :   1) get examination and tests done to see the stage of psoriasis, and also confirm/rule out psoriatic arthritis
Doctor :   2) Depending on your results, it will be decided whetheer chemotherapy (oral medications) or phototherapy (light therapy) or a combination would be needed.
Doctor :   3) discuss about past treatment and side effects that you faced while being on treatment.
Doctor :   4) if in doubt still, then take a second opinion from our panel specialist to see if the treatment is going in right direction or something else can be done.
User :   the things happened to me is so serious that i can't able to explain in words.
Doctor :   5) treatment of psoriasis is a long term one, you need to be patient and regular with your treatment and follow up for complete control
User :   who is second panel.
Doctor :   we have a panel of specialists who can address your problem
Doctor :   the panel consist of all specialists-drmatologists, diabetologist, neurologist, gynecologist, urologist, cardiologist etc
User :   no not only psoriasis but psychiatrist problem also arised.
User :   i think our time of conversation is going to over shortly.
Doctor :   you can go through our specialist list and take consultation from any specialist you want.
User :   where is specialist list
Doctor :   i will give you the link
Doctor :   WWW.WWWW.WW Doctor :   go to this link, and click on the specialist you wnat from the list on left hand side
User :   i want to go healthcare today so what i had to tell about our conversation.
Doctor :   you will need to pay their consulation fees depending on whether u want an e-mail answer or a phone call from them
Doctor :   you can discuss about the points we discussed today
Doctor :   I have summarized it for you in points earlier
User :   is these conversation will help me in getting to best doctor and good treatment.
Doctor :   it will guide you for the treatment, and help you take consultation from best doctors in all over India
Doctor :   you can get this chat history and go through the conversation again
Doctor :   of what you spoke with me
User :   shall i continue the chat our as per your suggestion i have to consult doctor first.
Doctor :   you can do it by going to 'accounts and settings' page, and click on 'chat history' and export chat history to your mail ID
Doctor :   i would suggest you to consult a doctor for examination and tests
Doctor :   and get back to me or our panel dermatologist with the tests results
Doctor :   have you followed what I have said?
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