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Medication for Ankylosing spondylitis - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   Hi
Doctor :   How can I help you
User :   my brother is suffering from Ankolysig Spondolyities
Doctor :   ok
User :   and the condition is so poor in current situation i am already taken the treatment from AIIMS but not geeting any positive response
User :   suggest me what i have to do
Doctor :   WFor Administrative and health purposes, Please provide these details of the patient-Age: Gender: Occupation: Location: Marital Status: Weight and Height: Dependents: Yes/ No.
User :   both the ankle joint are swelled out ,Feels stiffness in HIP joint and spine
User :   age 26 year,male,Private job bachelor,58 kg, 5ft 8 inch
User :   no
Doctor :   when was he diagnosed of this
Doctor :   what medications is he been taking
User :   this problem found in the year of 2001 after taken the treatment it was satteld down till mar 08 and grow up again from march 08
Doctor :   ok
Doctor :   The goal of treatment would be to relieve pain and stiffness, and prevent or delay complications and spinal deformity.
Doctor :   Ankylosing spondylitis treatment is most successful early, before it causes irreversible damage to your joints, such as fusion
User :   The medicine he is taken from AIIIMS is Sazo 1000 Folitrax Injection ,Frequently injection of Depomedrol, ultraset,
Doctor :   ok
Doctor :   Well as far as the medications is concerned i think it is fine there is not more that can be added to it
User :   he is also feeling pain in knee joint than doctor inject steoriod injection inside it as well as in ankle joint
Doctor :   Disease-modifying antirheumatic drugs (DMARDs
Doctor :   sulfasalazine or methotrexate, can be discussed with your doctor
Doctor :   TNF is a cytokine, or cell protein, that acts as an inflammatory agent in rheumatoid arthritis. TNF blockers target or block this protein and can help reduce pain, stiffness, and tender or swollen joints.
User :   what is the mean of DMARDs
Doctor :   TNF is Tumor Necrosis Factor Has bee found to be effective too
Doctor :   DMARD's are Disease-modifying antirheumatic drugs they were used in Rheumatoid arthritis
User :   so what i have to do in this situation
Doctor :   and they will alter the disease process itself so have been found to be effective in your Brother's case too
Doctor :   Nothing other than drugs and Physiotherapy will be able to act and help him
User :   he is on bed right now from last three month and not able to join his office because ot touring job
Doctor :   so make sure that you keep giving themedications on time
Doctor :   Well there are few thing that i can suggest after he has gotten out of bed
User :   ok any thing else
Doctor :   Quit smoking
User :   no
User :   no
Doctor :   ok athat is good
User :   he is not smoker
Doctor :   there may not be anything else that will be needed then he will need to come out of it
Doctor :   Please fill the feedback form say done when done
User :   should i take the second opinioon
Doctor :   Things that you need to look out for are Breathing and Heart problems
Doctor :   It will not be needed and may just be some more strain on your brother
User :   pls explain
Doctor :   Inflammation can also spread up your spine and cause the bones in your rib cage to fuse. This results in breathing problems.
Doctor :   If the inflammation reaches heart, Patient can develop valve problems, such as inflammation of the body's largest artery (aorta), also known as aortitis.
User :   he is also feeling pain in cheast during breathing
User :   sonme time
Doctor :   these are the once that need to be kept a watch out for
Doctor :   ok WEll keep a watch and do discuss it with your Doctor too about this
User :   AIIIMS doctors are saying that wait and watch till the problem salttle down
User :   and they dont have more treatment
Doctor :   Yes that is all since they have given him all the basic medications that need to be given
Doctor :   anything more than this is what i have mentioned and they would be expensive too
Doctor :   but the results are almost the same
User :   kindly suggest me another doctor in delhi
Doctor :   Since we are based in Bangalore we do not have the Details of the other Doctor in Delhi ao we may not be able to help you on that one
Doctor :   Alternatively you can search the Asklaila or Just dial for those details
Doctor :   or ask your concerned doctors in AIIMS itself they will guide you
User :   how we can prevent from the side effect of these medicine
Doctor :   Cannot be done It will be there
Doctor :   Will you need any further information XXXXXXXX ?
User :   as per doctores concern they the have only Steoriod injection till sattele down but this injection can harm the kidny so how i can prevent
User :   my brother
Doctor :   the dose needs to kept a watch on as to avoid crossing the dangerous levels, that is all
User :   should i continue with AIIMS or take another opinion
User :   pls suggest me
Doctor :   Well if you wish to you can have one but then i thought that it shall strain your a brother a lot, and if the other doctor also has the same opinion then it amy not be good
Doctor :   so it would be best to discuss with your Doctors at AIIMS about the second opinion or the alternative consultation other than AIIMS
Doctor :   He will be able to guide you better
User :   slowly-2 all joints are beeing involved and i m not able to do anything
User :   malish of mustored oil gives the relief
Doctor :   ok
User :   this can help me to grow this desease
User :   in this desease the bones are grows in uneven shape
Doctor :   Well i hope you understand there is not much that we can do for your Brother over the Chat he will need constant medications and only that can help him come out of this condition
Doctor :   Early signs and symptoms may include pain and stiffness in your lower back and hips- which is often worse in the morning, at night and after periods of inactivity.
Doctor :   Over time, the pain and stiffness may progress up your spine and to other joints, such as those in your hips, shoulders, knees and feet.
User :   he is already involved in pranayam
Doctor :   In particular, people who have a gene called HLA-B27 are at significantly increased risk of developing ankylosing spondylitis.
User :   so exersise is mandatory for it
User :   HLA B-27 is positive
Doctor :   That is the Causative for his condition
Doctor :   Exercise are more important than his medications
User :   what i need to do for a simple life and should i avoid the more travlle
Doctor :   Yes And smoke in any form around him
User :   at swelled joint can we do the exersise
Doctor :   those joint should be avoided to exercise
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Doctor :   Hi.
Doctor :   How can I help you?
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