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Can i get some information on Osteoporosis? - Online Doctor Chats

Date : 05-Jun-2013
User rating for this question
Very Good Posted in: Osteoporosis
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1540 Questions
Doctor:How can I help you?
User:can i get some information on Ostoporasis #
User:My mother, age 59 yrs is dignosed with ostoporasis
User:I am not sure about the medication
Doctor:Sure. I shall be able to help you.
User:as of now she is taking calcium twice a day
User:any additional medicine is required
Doctor:Osteoporosis is a chronic medical condition where in there is deficiency of calcium with or without parathyroid hormone abnormalities.
Doctor:When it is severe it affects the bones making it brittle.
Doctor:Depending on the severity, we prescribe along with calcium supplements other medications such as vitamin D3 granules.
Doctor:If bone involvement is noted on bone scans other medications to
Doctor:strengthen bones such as alendronate needs to be given.
User:i have data of BMD scan
Doctor:What did the bone scan reveal?
User:Lumbar Spine : BMD : 1.073 gm/cm2 T score :-1.1
User:Right Femur : BMD : .721 gm/cm2 T score :-1.5
User:Left Femur : BMD : .727 gm/cm2 T score :-1.4
User:Right Forearm : BMD : .380 gm/cm2 T score :-2.0
User:will this help???
Doctor:May I know what was the final impression on the Bone mineral densitometer (BMD) say?
User:report sayd that there is osteopenia in the lumbar spine, femore and right forearm with increased risk of fragility fractures by a factor of 2 to 4 times more than normal.
Doctor:Thanks for providing the details.
Doctor:The reports are suggestive of osteopenia which is a milder form of the osteoporosis disease perse. In addition to the calcium supplements it might be useful to give her vitamin D granules.
Doctor:vitamin D3 granules are available in sachets - given once a week for 6-8 weeks.
User:can you suggest a medical name by which I can get it from store
Doctor:In addition, she also needs life style changes.
User:changes like?
Doctor:The most important is make sure she doesn't fall.
Doctor:So restrict her from walking for long distances.
Doctor:or climbing stairs.
Doctor:If the floor of the room/toilet are slippery change them.
Doctor:Make sure her clothing are not very loose near her feet.
Doctor:If she has imbalance, encourage her to use walking aids.
Doctor:In addition, watch her weight.
Doctor:If she is over weight, she needs changes both in diet and exercise to reduce them.
Doctor:High calcium XXXXXXX food - milk and dairy products, fruits and vegetables, wheat and cereals, egg, meat products need to be consumed regularly.
Doctor:Have you followed?
Doctor:Are you there?
User:i got disconnected
Doctor:Hope you have followed what I suggested?
Doctor:Do you have any questions?
User:sure... though she is tryig her best to manage things but not everytime successful
Doctor:At this age with this issue she needs plenty of support from family.
Doctor:As long as she doesn't fall and keeps her weight in check
Doctor:and takes her medications properly, she should be doing well.
User:can you suggest a medical name by which I can get it from store for vitamin D
Doctor:Before starting the vitamin D supplements I also suggest you to take a second opinion from an orthopedician.
User:sure, I will do..
Doctor:If you haven't met one, you may choose to take an opinion online
Doctor:through XXXXXXX
User:just one question, there is a injection named ZYRONA, how effective is it
User:for ostoporasis
Doctor:It's a drug which stimulates bones to mineralize and strengthen itself.
Doctor:It is definitely proven to be effective in osteoporosis.
Doctor:However it is cost effectiveness
User:should we try suchthing in this case, or normal calcium should work fine
Doctor:and its real benefits vs cost effectiveness needs to be discussed before trying it.
Doctor:It is a drug that can be kept for use at last.
User:Cost part, I am not worried much... I am more interested to know the after effect. ifit is really good one, I can go for it.
User:thnaks a lot for your suggestions.
Doctor:I mean after trying all other medications including vitamin D granules and alendronate.
User:I will folowup with some orthopedician
Doctor:Thanks for consulting me.
User:only then will start something
Doctor:Bye for now.
User:ahve a good day
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