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HI Doctor, I Am XXXXXXX XXXXXXX This Request Is For
Question: HI doctor,
I am XXXXXXX XXXXXXX This request is for my mother - XXXXXXX K XXXXXXX aged 66.
She had ovarian cancer almost 10 years back and she is fine now.
She is diabetic. Recently she is getting gout like things on her feet and currently in hand, below small finger, which is extremely painful.
Our doctor asked to get her uric acid test, which has come normal but her RBC and others looks way less which is the concern for me.
So I want to take a moderate opinion on this case from you as to what can be the issue. As she was once a cancer patient and otherwise has been happily living so far. So I do not want to her run through for every medication which may otherwise effect her. So as a general physician, what all tests I may have to do further to ascertain the issue and manage it. Is this an indication of something very dangerous to her?
I am XXXXXXX XXXXXXX This request is for my mother - XXXXXXX K XXXXXXX aged 66.
She had ovarian cancer almost 10 years back and she is fine now.
She is diabetic. Recently she is getting gout like things on her feet and currently in hand, below small finger, which is extremely painful.
Our doctor asked to get her uric acid test, which has come normal but her RBC and others looks way less which is the concern for me.
So I want to take a moderate opinion on this case from you as to what can be the issue. As she was once a cancer patient and otherwise has been happily living so far. So I do not want to her run through for every medication which may otherwise effect her. So as a general physician, what all tests I may have to do further to ascertain the issue and manage it. Is this an indication of something very dangerous to her?
Brief Answer:
Need more details like what all medications she is on
Detailed Answer:
Hi
Greetings
You are absolutely correct about her Hb and RBC count.
But that may not be the reason for joint pains.
since the uric acid is normal it can't be gout.
I think she should do a peripheral smear for her . Have you done an ultrasound scan of abdomen recently?
Iron suppliments can be given along with vitamin D and calcium.
Feel free to ask your doubt with more details.
REGARDS
Need more details like what all medications she is on
Detailed Answer:
Hi
Greetings
You are absolutely correct about her Hb and RBC count.
But that may not be the reason for joint pains.
since the uric acid is normal it can't be gout.
I think she should do a peripheral smear for her . Have you done an ultrasound scan of abdomen recently?
Iron suppliments can be given along with vitamin D and calcium.
Feel free to ask your doubt with more details.
REGARDS
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Hello doctor
Thanks for the response. No, last scan was on last year may be around same time.
Her current medication is:
Glycomet 80mg 1-0-1
Pioz 15mg 1-0-0
Fourts B
Any iron and vitamin C and its dosage, you would like to suggest to her, which I can get it for her?
As you said, I shall get her peripheral smear and Ultra sound scan done.
Any gel/cream which should help with her pain currently.
Thanks for the response. No, last scan was on last year may be around same time.
Her current medication is:
Glycomet 80mg 1-0-1
Pioz 15mg 1-0-0
Fourts B
Any iron and vitamin C and its dosage, you would like to suggest to her, which I can get it for her?
As you said, I shall get her peripheral smear and Ultra sound scan done.
Any gel/cream which should help with her pain currently.
Brief Answer:
sure
Detailed Answer:
Hi
You can give her Orofer xt for iron and D rise XXXXXXX weekly once for 3 months for vit D.
It may be better to find out the cause for joint pain by consulting an Rheumatologist.
REGARDS
sure
Detailed Answer:
Hi
You can give her Orofer xt for iron and D rise XXXXXXX weekly once for 3 months for vit D.
It may be better to find out the cause for joint pain by consulting an Rheumatologist.
REGARDS
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thanks doctor.
Apart from peripheral smear and Scan, do you think I should be getting any Kidney related tests like Serum Creatinine?
Apart from peripheral smear and Scan, do you think I should be getting any Kidney related tests like Serum Creatinine?
Brief Answer:
You can
Detailed Answer:
But more important is to find out CRP and direct check up to rule out any arthritis .
REGARDS
You can
Detailed Answer:
But more important is to find out CRP and direct check up to rule out any arthritis .
REGARDS
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Prasad
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