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Hi Doctor, My Mother Is 54 Years Old, Non Smoker,
Question: Hi Doctor,
My mother is 54 years old, non smoker, non alcoholic and lives an almost sedentary lifestyle. PFA her full body test report including bone densitometry.
Below are her issues
1) Thyroid- currently on medicine thyroxine sodium 50mcg - once tab/day
2) swollen veins in legs -PFA picture
3) fatty liver- PFA report
Symptoms- extreme fatigue, body pain in joints, constipation, dry and itchy eyes (both eyes operated for cataract last year) , sensation in legs, stiffness in whole body, swelling in ankles.
family history - Arthritis and Diabetes
Current medication- thyroxine sodium 50mcg - once tab/day
My mother is 54 years old, non smoker, non alcoholic and lives an almost sedentary lifestyle. PFA her full body test report including bone densitometry.
Below are her issues
1) Thyroid- currently on medicine thyroxine sodium 50mcg - once tab/day
2) swollen veins in legs -PFA picture
3) fatty liver- PFA report
Symptoms- extreme fatigue, body pain in joints, constipation, dry and itchy eyes (both eyes operated for cataract last year) , sensation in legs, stiffness in whole body, swelling in ankles.
family history - Arthritis and Diabetes
Current medication- thyroxine sodium 50mcg - once tab/day
Brief Answer:
Hypovitaminosis B12 and Osteopenia
Detailed Answer:
Hi, I am Dr Gopal Goel , Orthopedic Surgeon.
I have gone through the details including investigations.
First of all let me congratulate you on extensive work up( except blood sugar).
The pics you have sent are suggestive of varicose veins - the extent of which can only be ascertained on physical examination. This much varicosity is quite common and often no cause for worry. However I would like to examine her physically for this .
She has very low levels of Vitamin B12- it should be around 400-500. I Suggest injections for vit B12 , alternate day , 10 injections and then oral tablets. Most likely her symptoms will be reduced by this treatment alone.
Her bone densitometry is in the range of Osteopenia- please start regular calcium and vit D3 supplementation.
Also pl get her blood sugar levels done - F/PP and HbA1c
Continue the medicines for thyroid- they will be required lifelong. Gr1 fatty liver is not of much concern.
I do hope this answers all your queries. Pl feel free to ask any other question.
Hypovitaminosis B12 and Osteopenia
Detailed Answer:
Hi, I am Dr Gopal Goel , Orthopedic Surgeon.
I have gone through the details including investigations.
First of all let me congratulate you on extensive work up( except blood sugar).
The pics you have sent are suggestive of varicose veins - the extent of which can only be ascertained on physical examination. This much varicosity is quite common and often no cause for worry. However I would like to examine her physically for this .
She has very low levels of Vitamin B12- it should be around 400-500. I Suggest injections for vit B12 , alternate day , 10 injections and then oral tablets. Most likely her symptoms will be reduced by this treatment alone.
Her bone densitometry is in the range of Osteopenia- please start regular calcium and vit D3 supplementation.
Also pl get her blood sugar levels done - F/PP and HbA1c
Continue the medicines for thyroid- they will be required lifelong. Gr1 fatty liver is not of much concern.
I do hope this answers all your queries. Pl feel free to ask any other question.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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