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Hello Doctor, My 62 Year Old Diabetic Father Has Undergone

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Posted on Fri, 19 Jul 2019
Question: Hello Doctor, my 62 year old diabetic father has undergone an AHC as he was having reduction in urination pressure. The AHC results showed an enlarged prostate & fatty liver. The consultant recommended Tamdura capsules for prostate treatment. An human error of missing 3 days intake of the capsule has resulted in inflammation & pain of the legs and region below the waist. Thereafter the capsules are continued. But still inflammation & pain are present. Pain is experienced at different body parts (both above & below waist) on different days. Please suggest how to proceed with an effective treatment
doctor
Answered by Dr. Bhagyesh V. Patel (2 hours later)
Brief Answer:
tamdura discontinuation is not responsible for current symptoms.

Detailed Answer:
Hello and welcome to Healthcaremagic.com
I have read your query with attached prescription details.

* As per my surgical experience, missing 3 days intake of tamdura capsule does not
cause inflammation of various body parts or pain.

* There can be various reasons responsible for such conditions as

- Diabetic neuropathy
- Manifestation of underlying pyrexia or other internal pathology
- Cell damage at microscopic level with uncontrolled sugar
- Possible auto immune response involving muscular system
- Vascular compromise at various levels

Kindly provide me further details so that I can answer your query completely.

1. What are the obviously visible inflammatory changes you can see over his body ?
2. Details of blood tests results if available.
3. Does he smoke ?
4. Associated fever, altered appetite, weight changes or else along with current episode.
5. Pain details - type, radiation if anywhere ?

Wish him great health.
Thank you.

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Bhagyesh V. Patel (22 hours later)
Answering to your questions above:
1. The obviously visible changes in the body are the swelling of the feet up till the ankle and the back of the palm along with tremendous pain in both the areas.
2. i have attached the blood report for your reference.
3. no, he doesn't smoke.
4. There is no fever or altered appetite but he seems to lose a lot of weight recently.
5. The pain usually strikes at XXXXXXX or in the morning approximately at the time when he wakes up. He seems to have difficulty in walking.

I don't know which super specialty doctor i should consult with. Can you please help me out?
doctor
Answered by Dr. Bhagyesh V. Patel (1 hour later)
Brief Answer:
endocrinologist and nephrologist will treat as team for best ahead.

Detailed Answer:
Hi
Thanks for the attachment of blood reports.

* As there is HBA1c report of 8.5 % , there is clear narration to think about uncontrolled
sugar with secondary manifestations of the same to various body tissues.

* The uncontrolled blood glucose, acts at various cellular levels through glycosylation
and other metabolic pathways of protein, carbohydrates and else.

* As there are all chances of certain drugs may not be responding to its best levels from
above reasons, it is recommended to consult him to an expert team of endocrinologist
( for diabetes control ) and nephrologist ( to take care of kidney function and control of
swelling feet with pain ) without damaging rest of the systems.

Thanks.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Bhagyesh V. Patel

General Surgeon

Practicing since :1999

Answered : 20405 Questions

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Hello Doctor, My 62 Year Old Diabetic Father Has Undergone

Brief Answer: tamdura discontinuation is not responsible for current symptoms. Detailed Answer: Hello and welcome to Healthcaremagic.com I have read your query with attached prescription details. * As per my surgical experience, missing 3 days intake of tamdura capsule does not cause inflammation of various body parts or pain. * There can be various reasons responsible for such conditions as - Diabetic neuropathy - Manifestation of underlying pyrexia or other internal pathology - Cell damage at microscopic level with uncontrolled sugar - Possible auto immune response involving muscular system - Vascular compromise at various levels Kindly provide me further details so that I can answer your query completely. 1. What are the obviously visible inflammatory changes you can see over his body ? 2. Details of blood tests results if available. 3. Does he smoke ? 4. Associated fever, altered appetite, weight changes or else along with current episode. 5. Pain details - type, radiation if anywhere ? Wish him great health. Thank you.