Diabetic neuropathy,treatment,on tegretol - Online Doctor Chats
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Practicing since : 2009
Answered : 681 Questions
Doctor : Hello
Doctor : ok
Doctor : Please proceed further
User : Hello. I need some medical advice. My mother is 54 years old and has been smoking for 30 years now. Is over-weight is 163 cm tall and weighs about 85 kg
User : She suffers from Depression, Anxiety, Asthma, high colesterol, high blood pressure and type 2 diabetes
Doctor : ok, I understand
User : She is medicated for Depression & Anxiety, she takes Lerigan Forte, Sobril 10 mg, Stesolid 10 mg, Zoloft 200 mg, Blood pressure Amlodipin Accord 5 mg
User : Insuline injections Insulatard 60 units in the morning and 60 units in the evening
Doctor : ok
User : Her recent illness is that she has this tingling sensation in her hands
Doctor : ok
User : stabbing, severe pain, sometimes they go numb and can't feel a thing. Cannot hold objects for a long time and often they fall out of her hands because they feel weak
Doctor : I understand her problem
User : loses movement in her legs and she falls underneath her knees and has dark patches on them, her knees
User : often wakes in the middle of the night becuase of the pain which she has been having for 10 days now
Doctor : I understand
Doctor : How is her physical activity otherwise?
User : some kind of nerve pain and muscle
User : she has always been very active, even when she is over-weight. Very energetic
Doctor : That is good to hear
User : cannot stand still or just sit around and do nothing. In is not in her personality
User : she doest workout or anything like that
User : but she does things around the house
User : etc
User : what do you think Dr?
Doctor : Your mother is quite young, she is 54 years old, right?
Doctor : ok
Doctor : It seems to me like she is on quite a lot of medications
User : correct
Doctor : And she is having a bit of health issues also
Doctor : Yes, I do agree and it is required for her
Doctor : yes, sure
User : she is indeed but they were given to her by professionals
User : not something she wants to take but must for different reasons
Doctor : May I know her last readings of Blood sugar and Blood pressure?
Doctor : ok
User : shes not the kind of person that ´complains and is sick physically. Its very seldom when she does go sick, fly or virus something like that
User : her blood sugar is regulated. Its around 7-9
Doctor : Do you mean to say Glycosylated Hb as 7 to 9?
User : her blood pressure fluctuates
User : she was given a few days ago Amlodipin in the e.r
User : not sure
User : what you mean
Doctor : What are these values 7 to 9, are these her blood sugar levels?
User : I check it for her and it reads sometimes 7 sometimes 9 or 11
Doctor : ok
Doctor : ok
User : correct
Doctor : Yes, I would suggest definitely
User : has terrible migrains also
User : so what you reckon Dr.?
Doctor : Her problems seems to be more of a nervous weakness due to the medications as well as due to Diabetes
User : suggest what?
Doctor : She is having generalized weakness in her muscles
Doctor : It happens sometimes due to more CNS medications also
User : shes has
Doctor : ok
User : shes only had diabetes for 2-3 years
Doctor : But still Diabetes can have effects on the nerves faster
Doctor : Drugs used in Central nervous system
User : CNS medications?
Doctor : It is unlikely to be degerative in nature considering her age
User : is it degenerating that could worsen?
Doctor : I suggest you to get her blood glucose levels tested in the lab
Doctor : Also do get your mothers' blood pressure checked
Doctor : ok
User : The thing is that I took her to a hospital in the emergency room. They took some blood tests and the Dr. on call said that it is not spinal
Doctor : As far as I see it, your mothers' health concern is not an emergency
Doctor : It actually needs detailed clinical examination by a neurologist in the OPD
User : no bad cirulation cuz she has warm hands. According to him, the cardoologist, he thinks it might be Diabetic Neurophaty
Doctor : That is fine, she can continue on it
User : he has given her a referal to a Neurologist but given her Tegretol Retard 200 mg
Doctor : Her nervous system examination has to be done in a detailed manner
Doctor : Also get her blood sugar tested in the lab
Doctor : Most likely, it seems like Diabetic neuropathy
Doctor : Is she on any nuerotropins?
Doctor : ok
User : she only takes what he gave her
Doctor : OPD is out patient department
User : the regerol retard 200 mg
User : what is OPD
Doctor : You can discuss with your doctor about adding neurobion forte to her current medications
User : so I'll need to explain it for them or what?
User : so what do I need to say to the neurologist
Doctor : She will be fine do not worry
User : ok
User : yes but I dont want some wishy-washy neurologist to give her "half ass" examination if you pardon my french
Doctor : Please do get her thoroughly examined by her neurologist
User : what do I have to say and do to make sure that he or she does her job right?
User : yes
Doctor : Just ask the doctor to include a neurotropin in the medications
User : ok. Well my mother says that she does feel better becuse of the new drug Tegretol
User : but I still want her checked out. Will she have to take these drugs all her life or will it pass with time this affliction
Doctor : She will have to continue on these medications
User : ok
Doctor : yes, it is lifetime
User : ?
User : always
User : and as long as she takes them, the condition will not worsen or degenerate?
Doctor : Degeneration starts only after 70 years, she is too young for it now
User : nothing to be worried about???
Doctor : Yes, she will be fine
User : that sounds assuring
Doctor : Continue her medications, Also she can go in for physiotherapy
User : great. Another question that doesnt involve this
Doctor : Yes, sure go ahead
User : I have this recurring pain in my shoulder blades. It hurts like hell and I've had inflammation before
Doctor : I understand.
Doctor : Is it on both shoulders or one of them?
User : They get all swollen and stiff.
User : I try with Ipren cream and tablets. Its changes, once its on the left and then on the right
Doctor : ok
Doctor : It should be a sprain in the shoulder blades due to stress
User : the pains goes away for a few hours but to releif the pain I have to take 8 tablets a day to be pain-free
User : then my stomach hurts from the medicine
User : physical terapy I cannot manage now becuase of the pain
Doctor : Why don't you try some ice packs locally
Doctor : also some shoulder exercises should help
User : on the area that hurts
User : ?
User : ok
Doctor : Please do get an X-ray done
User : but why does it come back, it is clinical stress?
User : will it show? I mean, I think the x-ray will show only if its damaged or injured right?
Doctor : X-ray will show changes in the joint due to wear and tear
Doctor : Also it shows any fracture
User : I'm not questioning your expertise or anything Dr.
Doctor : It also says about the calcium status of the bone grossly
User : I see
User : what else should I do
User : ?
Doctor : You do not need anything much other than an X-ray
Doctor : Do take simple analgesics for the pain
Doctor : May I know your age please?
User : analgesics. Ofcourse 34 years old female
Doctor : ok
Doctor : Most likely it seems to be of muscular origin
Doctor : I feel you should be fine with some rest and pain killers
User : i see.
Doctor : You need not worry about calcium deficiency as you are still young
User : but its recurring. It comes and goes but it hurts like a sonavvabitch! Pardon for writing that
Doctor : I understand the pain
Doctor : Do not strain your shoulders much
Doctor : Yes sure, they can
Doctor : You can go to a massuese
User : do you think a massuese or chiroproctur can help me?
User : ok
Doctor : It would be better than a chiropractor
Doctor : yes
User : really?
Doctor : You just need some relaxation of the shoulder muscles
Doctor : Exactly
Doctor : Also see an orthopedician with the X-ray
User : so get a x-ray, go to a messuse, do not strain the shoulder blades, put ice on it
User : can my house doctor do an x-ray or will I need to go to the hospital for that?
User : what is that?
Doctor : An orthopedician is a doctor who specializes in diseases of the bones
Doctor : For sometime now
User : but will I have to medicate the pain for it to stop comming back again? I see, ok
Doctor : Inflammation starts in the joint as the stress on the joint increases
User : how does the inflammation start?
User : is it something cause by me???
Doctor : When you use your shoulders more than they can actually handle, there is strain in the joint cavity, various cytokines are released into the joint causing pain and inflammation
User : whats the best medication for the pain and inflammation do you think?
Doctor : Ice packs locally are very very good
Doctor : Are you understanding what I am saying to you?
Doctor : You can ask me again if you do not follow
User : i see
User : every word
Doctor : Thank you
Doctor : Please proceed
User : Thank you for being so kind but I understand you 100% Dr.
Doctor : Heat actually worsens the inflammtion
User : I asked a nurse about it and she said that heat does wonders, like being in a sauna, taking a hot shower
Doctor : I do not suggest heat therapy for inflammations
User : etc, is that true?
Doctor : So, as more and more cytokines are released, the joint gets swollen
User : I'm always suspicious about Swedish doctors and nurses and I was right in doing so. (smiles)
User : so no heat
Doctor : Fluid is secreted into the joint cavity and hence swelling and pain in the joint
Doctor : Please do not apply heat
User : ok
Doctor : I do not recommend it
User : i wont then
Doctor : Nice to see you smile
User : and what medicins do you reccomend for the pain
Doctor : You can take simple analgesics like Paracetamol, it should suffice
Doctor : Thank you too
Doctor : Is there anything else I may help you with?
User : thank you...
Doctor : Not really, do not take very hot showers
User : should i stay away from hot showers?
User : seriously?
Doctor : Better would be lukewarm water
Doctor : Thank you for consulting me
Doctor : You too have a great day
User : i see. Ok Dr. thank you so much for your time and your valuble advice. Have a great day and take care
Doctor : Wishing you and your mom a very healthy life
User : thank you kindly
Doctor : Bye for now
Doctor : ok
Doctor : Please proceed further
User : Hello. I need some medical advice. My mother is 54 years old and has been smoking for 30 years now. Is over-weight is 163 cm tall and weighs about 85 kg
User : She suffers from Depression, Anxiety, Asthma, high colesterol, high blood pressure and type 2 diabetes
Doctor : ok, I understand
User : She is medicated for Depression & Anxiety, she takes Lerigan Forte, Sobril 10 mg, Stesolid 10 mg, Zoloft 200 mg, Blood pressure Amlodipin Accord 5 mg
User : Insuline injections Insulatard 60 units in the morning and 60 units in the evening
Doctor : ok
User : Her recent illness is that she has this tingling sensation in her hands
Doctor : ok
User : stabbing, severe pain, sometimes they go numb and can't feel a thing. Cannot hold objects for a long time and often they fall out of her hands because they feel weak
Doctor : I understand her problem
User : loses movement in her legs and she falls underneath her knees and has dark patches on them, her knees
User : often wakes in the middle of the night becuase of the pain which she has been having for 10 days now
Doctor : I understand
Doctor : How is her physical activity otherwise?
User : some kind of nerve pain and muscle
User : she has always been very active, even when she is over-weight. Very energetic
Doctor : That is good to hear
User : cannot stand still or just sit around and do nothing. In is not in her personality
User : she doest workout or anything like that
User : but she does things around the house
User : etc
User : what do you think Dr?
Doctor : Your mother is quite young, she is 54 years old, right?
Doctor : ok
Doctor : It seems to me like she is on quite a lot of medications
User : correct
Doctor : And she is having a bit of health issues also
Doctor : Yes, I do agree and it is required for her
Doctor : yes, sure
User : she is indeed but they were given to her by professionals
User : not something she wants to take but must for different reasons
Doctor : May I know her last readings of Blood sugar and Blood pressure?
Doctor : ok
User : shes not the kind of person that ´complains and is sick physically. Its very seldom when she does go sick, fly or virus something like that
User : her blood sugar is regulated. Its around 7-9
Doctor : Do you mean to say Glycosylated Hb as 7 to 9?
User : her blood pressure fluctuates
User : she was given a few days ago Amlodipin in the e.r
User : not sure
User : what you mean
Doctor : What are these values 7 to 9, are these her blood sugar levels?
User : I check it for her and it reads sometimes 7 sometimes 9 or 11
Doctor : ok
Doctor : ok
User : correct
Doctor : Yes, I would suggest definitely
User : has terrible migrains also
User : so what you reckon Dr.?
Doctor : Her problems seems to be more of a nervous weakness due to the medications as well as due to Diabetes
User : suggest what?
Doctor : She is having generalized weakness in her muscles
Doctor : It happens sometimes due to more CNS medications also
User : shes has
Doctor : ok
User : shes only had diabetes for 2-3 years
Doctor : But still Diabetes can have effects on the nerves faster
Doctor : Drugs used in Central nervous system
User : CNS medications?
Doctor : It is unlikely to be degerative in nature considering her age
User : is it degenerating that could worsen?
Doctor : I suggest you to get her blood glucose levels tested in the lab
Doctor : Also do get your mothers' blood pressure checked
Doctor : ok
User : The thing is that I took her to a hospital in the emergency room. They took some blood tests and the Dr. on call said that it is not spinal
Doctor : As far as I see it, your mothers' health concern is not an emergency
Doctor : It actually needs detailed clinical examination by a neurologist in the OPD
User : no bad cirulation cuz she has warm hands. According to him, the cardoologist, he thinks it might be Diabetic Neurophaty
Doctor : That is fine, she can continue on it
User : he has given her a referal to a Neurologist but given her Tegretol Retard 200 mg
Doctor : Her nervous system examination has to be done in a detailed manner
Doctor : Also get her blood sugar tested in the lab
Doctor : Most likely, it seems like Diabetic neuropathy
Doctor : Is she on any nuerotropins?
Doctor : ok
User : she only takes what he gave her
Doctor : OPD is out patient department
User : the regerol retard 200 mg
User : what is OPD
Doctor : You can discuss with your doctor about adding neurobion forte to her current medications
User : so I'll need to explain it for them or what?
User : so what do I need to say to the neurologist
Doctor : She will be fine do not worry
User : ok
User : yes but I dont want some wishy-washy neurologist to give her "half ass" examination if you pardon my french
Doctor : Please do get her thoroughly examined by her neurologist
User : what do I have to say and do to make sure that he or she does her job right?
User : yes
Doctor : Just ask the doctor to include a neurotropin in the medications
User : ok. Well my mother says that she does feel better becuse of the new drug Tegretol
User : but I still want her checked out. Will she have to take these drugs all her life or will it pass with time this affliction
Doctor : She will have to continue on these medications
User : ok
Doctor : yes, it is lifetime
User : ?
User : always
User : and as long as she takes them, the condition will not worsen or degenerate?
Doctor : Degeneration starts only after 70 years, she is too young for it now
User : nothing to be worried about???
Doctor : Yes, she will be fine
User : that sounds assuring
Doctor : Continue her medications, Also she can go in for physiotherapy
User : great. Another question that doesnt involve this
Doctor : Yes, sure go ahead
User : I have this recurring pain in my shoulder blades. It hurts like hell and I've had inflammation before
Doctor : I understand.
Doctor : Is it on both shoulders or one of them?
User : They get all swollen and stiff.
User : I try with Ipren cream and tablets. Its changes, once its on the left and then on the right
Doctor : ok
Doctor : It should be a sprain in the shoulder blades due to stress
User : the pains goes away for a few hours but to releif the pain I have to take 8 tablets a day to be pain-free
User : then my stomach hurts from the medicine
User : physical terapy I cannot manage now becuase of the pain
Doctor : Why don't you try some ice packs locally
Doctor : also some shoulder exercises should help
User : on the area that hurts
User : ?
User : ok
Doctor : Please do get an X-ray done
User : but why does it come back, it is clinical stress?
User : will it show? I mean, I think the x-ray will show only if its damaged or injured right?
Doctor : X-ray will show changes in the joint due to wear and tear
Doctor : Also it shows any fracture
User : I'm not questioning your expertise or anything Dr.
Doctor : It also says about the calcium status of the bone grossly
User : I see
User : what else should I do
User : ?
Doctor : You do not need anything much other than an X-ray
Doctor : Do take simple analgesics for the pain
Doctor : May I know your age please?
User : analgesics. Ofcourse 34 years old female
Doctor : ok
Doctor : Most likely it seems to be of muscular origin
Doctor : I feel you should be fine with some rest and pain killers
User : i see.
Doctor : You need not worry about calcium deficiency as you are still young
User : but its recurring. It comes and goes but it hurts like a sonavvabitch! Pardon for writing that
Doctor : I understand the pain
Doctor : Do not strain your shoulders much
Doctor : Yes sure, they can
Doctor : You can go to a massuese
User : do you think a massuese or chiroproctur can help me?
User : ok
Doctor : It would be better than a chiropractor
Doctor : yes
User : really?
Doctor : You just need some relaxation of the shoulder muscles
Doctor : Exactly
Doctor : Also see an orthopedician with the X-ray
User : so get a x-ray, go to a messuse, do not strain the shoulder blades, put ice on it
User : can my house doctor do an x-ray or will I need to go to the hospital for that?
User : what is that?
Doctor : An orthopedician is a doctor who specializes in diseases of the bones
Doctor : For sometime now
User : but will I have to medicate the pain for it to stop comming back again? I see, ok
Doctor : Inflammation starts in the joint as the stress on the joint increases
User : how does the inflammation start?
User : is it something cause by me???
Doctor : When you use your shoulders more than they can actually handle, there is strain in the joint cavity, various cytokines are released into the joint causing pain and inflammation
User : whats the best medication for the pain and inflammation do you think?
Doctor : Ice packs locally are very very good
Doctor : Are you understanding what I am saying to you?
Doctor : You can ask me again if you do not follow
User : i see
User : every word
Doctor : Thank you
Doctor : Please proceed
User : Thank you for being so kind but I understand you 100% Dr.
Doctor : Heat actually worsens the inflammtion
User : I asked a nurse about it and she said that heat does wonders, like being in a sauna, taking a hot shower
Doctor : I do not suggest heat therapy for inflammations
User : etc, is that true?
Doctor : So, as more and more cytokines are released, the joint gets swollen
User : I'm always suspicious about Swedish doctors and nurses and I was right in doing so. (smiles)
User : so no heat
Doctor : Fluid is secreted into the joint cavity and hence swelling and pain in the joint
Doctor : Please do not apply heat
User : ok
Doctor : I do not recommend it
User : i wont then
Doctor : Nice to see you smile
User : and what medicins do you reccomend for the pain
Doctor : You can take simple analgesics like Paracetamol, it should suffice
Doctor : Thank you too
Doctor : Is there anything else I may help you with?
User : thank you...
Doctor : Not really, do not take very hot showers
User : should i stay away from hot showers?
User : seriously?
Doctor : Better would be lukewarm water
Doctor : Thank you for consulting me
Doctor : You too have a great day
User : i see. Ok Dr. thank you so much for your time and your valuble advice. Have a great day and take care
Doctor : Wishing you and your mom a very healthy life
User : thank you kindly
Doctor : Bye for now
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