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Osteoporosis, back pain, physiotherapy, calcium supplements, acidity - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Osteoporosis
Answered by

General & Family Physician
Practicing since : 2009
Answered : 675 Questions
Doctor :   Hi
User :   hi Doctor
User :   my mother suffers from ostoporosis and frequently gets back aches.Is there a cure for it
Doctor :   Osteoporosis is unfortunately a chronic condition which cannot be completely cured.
User :   she was also suffering from slip disc and has pressure problems too
Doctor :   Medications and calcium supplements will need to be taken for long time.
Doctor :   If your mother is crossed menopause,
Doctor :   that is if her periods have stopped,
User :   she does have medicines for the calcium everyday
User :   ok
Doctor :   then oestrogen deficiency could be the reason for this osteoporosis.
User :   no she has still not reached that stage
Doctor :   Ok
Doctor :   May I know her current age?
User :   48
User :   can this lead to major problem in her old age?
User :   or this can be controlled by just having calcium medicines
Doctor :   Does she have parathyroid hormone(parathormone problems)?
User :   no
Doctor :   Since when is she diagnosed to have osteoporosis?
Doctor :   And has the doctor mentioned the cause for osteoporosis?
User :   i suppose at the age of 44 or 45
User :   her knees and legs pains a lot
Doctor :   Has she been diagnosed as osteoporosis?
User :   mostly when she gets up in the morning her fingers get swollen
Doctor :   Ok
Doctor :   Has she been diagnosed as osteoporosis?
User :   i dont really know
Doctor :   Ok
Doctor :   Let me explain to you.
User :   im not completely sure but it was there in her mother's case
Doctor :   Osteoporosis is a condition where there is demineralisation of the bone.
Doctor :   This happens secondary to serum calcium deficiency.
Doctor :   This problem affects all the bones resulting in the bones to become fragile.
User :   she had underwent an operation a year back for her shoulder
User :   she was told swollen shoulders and later some disc or tissue tear was the cause
Doctor :   Simple joint pains are not diagnostic of osteoporosis.
Doctor :   Your descriptions of symptoms are more suggestive of arthritis.
Doctor :   and not osteoporosis.
Doctor :   Both these conditions are different.
User :   ok
User :   but is there any cure for the same doctor?
User :   will this affect her in the future?
Doctor :   The condition unlike osteoporosis can be arrested unlike osteoporosis.
Doctor :   However she will need to follow the advice of the doctors strictly.
Doctor :   Let me put across in simple words.
Doctor :   The most common cause of arthritis affecting knees is due to degeneration.
Doctor :   Degeneration is bound to happen with age, but increased body weight, infection, inappropriate posture, over usage, infection/inflammation, autoimmune factors can aggravate these changes.
Doctor :   Hence the treatment of this condition is based on treating these aggravating factors.
Doctor :   The treatment options hence include
Doctor :   1. Weight regulations - keeping the body weight as ideal as possible
User :   she is certainly not over weight but yes her posture could be the reason
Doctor :   2. Good rest to prevent overusage
Doctor :   3. Good antiinflammation (pain control) measures whenever there is severe pain
User :   ok
Doctor :   4. Mild physical exercises to keep the surrounding supportive structure as strong as possible.
Doctor :   5. Physiotherapy.
Doctor :   These measures most often keep things under control.
Doctor :   However in some of them due to many factors, when things go out of control,
Doctor :   The condition can be come serious needing every day pain killers or some time surgical treatment in the form of joint replacement.
Doctor :   Hence regular check with doctor is also essential to keep an watch on this condition, so that appropriate treatment can be taken at the right time to prevent the need for surgery
User :   thankyou doctor,
User :   can i ask you one more thing please?
Doctor :   Calcium supplement is an additional supporting treatment.
User :   She does have some calcium tablets everyday.
Doctor :   Let her continue with it.
User :   ok doctor
Doctor :   Calcium supplements is going to be essential after she crosses her menopause.
User :   I see
User :   thankyou doctor for all your guidance.
Doctor :   Is here any other query?
User :   just one more thing doctor if you a free to chat now
Doctor :   Proceed with your query.
User :   what is the cure for sudden hyper acidity
Doctor :   Since when are you suffering from hyper acidity?
User :   my husband usually faces acidity problems leading to burning sensation or picking in the back
Doctor :   Ok
User :   the picking is like a needle prick in the back
User :   sometimes only he gets hyper acidity and gastro problems
Doctor :   Needle prick sensation is often seen over the skin - did you mean the same?
User :   no doctor he complains of pricking sensation in his back during acidity
Doctor :   Ok
Doctor :   May I know his age?
User :   in his back or in his chest
User :   25
Doctor :   Since when is he having these symptoms?
User :   he used to face acidity problems earlier
User :   wat could be the reason for acidity doctor?
User :   usually he complains of this in the night
Doctor :   Acidity is caused by multiple factors.
User :   she recently visited the doctor for this reason.
Doctor :   these factors includes irregular diet, irregular sleep, high spicy diet, smoking, Helicobacter pylori infection and so on.
Doctor :   As long as these factors persists, symptoms may continue to occur.
User :   Helicobacter pylori infection - Doctor can you please explain this term.
Doctor :   Helicobacter pylori is a bacteria.
Doctor :   It is present in some individuals who suffer from acidity problem.
Doctor :   It is diagnosed based on endoscopy.
Doctor :   This is not a serious problem and can be treated effectively by use of antibiotic.
Doctor :   If your husband is suffering from acidity problems very frequently, you can consult a gastroenterologist.
Doctor :   An endoscopy will be done which will prove if H. pylori infection is associated or not.
User :   doctor can you suggest someone as i am not aware of any doctor treating the same.
Doctor :   May I know your location?
User :   do i need him to undergo this test?
User :   tardeo
Doctor :   I would suggest the following measures as the treatment option.
Doctor :   1. Lifestyle modification is absolutely necessary.
Doctor :   This includes regular and good sleep, no fasting,
Doctor :   restrict consumption of spices in the diet, restrict coffee , tea and other beverages.
Doctor :   2. Antacid syrup such as Syp Mucaine gel one teaspoon thrice a day before a meal for 15 days.
Doctor :   3. Proton pump inhibitor such as Cap Omez - one tablet a day before meal for 2 weeks
User :   noting
Doctor :   4. Avoid going to sleep immediately after dinner. One has to go to sleep only after 2 hours following the meal.
Doctor :   5. Sleep with head end elevated ( you can ask him to use 1-2 pillow under his head/neck)
Doctor :   6. Quit smoking ( if he used to smoke)
Doctor :   7. Physical exercise, yoga and meditation and to keep the body weight under normal limits.
Doctor :   These measures may have to be followed strictly as possilble
User :   noted doctor.Thankyou.
Doctor :   Medication can be stopped after 2 weeks, however the other diet and lifestyle need to be followed as long as possible.
Doctor :   Most often these symptoms will solve his problem.
User :   his eating habits as stated are a problem.He doesnt drink nor does he smoke
Doctor :   If the symptoms persist, then you may consult a gastroenterologist and then get an endoscopy done.
User :   i will surely keep the points stated by you in mind
User :   ok doctor.Thankyou for your valuable time and help.
Doctor :   Do you have any other query?
User :   no doctor thankyou and was truely great chatting with you.Thankyou for your help.
Doctor :   My pleasure in helping you.
Doctor :   Thanks for consulting me.
Doctor :   Have a nice day!!
Doctor :   Bye for now.
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