Get your Health question answered in 3 easy steps

137 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 18 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest remedy for redness on replaced knee

Answered by
Dr.
Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3614 Questions

default
Posted on Mon, 18 Aug 2014 in Accident and Emergency
Question: I have had a knee replace and my leg has redness and my sometimes get a little biger today I worked in yard also I worked 25 years on legs on feeted and varicose too I,m 65 now and weight 190 5/1/2 ft tall also acidflux and ibs too
doctor
Answered by Dr. Shafi Ullah Khan 2 hours later
Brief Answer:
Need management

Detailed Answer:
Thanknrest for asking
knee replaced with redness and swelling is all explained by the recent activity when you need rest for the recovery and you are using it for tough jobs like lawn moving.super added by the overweight issue imagine the knees supporting 190 pounds in its fragile state when recently replaced. You need to lose weight.
That weight is also responsible for reflux and ibs. Lose weight and I promise 50 % of the issues will resolve spontaneously.
Modify diet and lifestyle. For gerd
Lose weight.


Avoiding alcohol, chocolate, citrus juice, and tomato-based products
Avoiding peppermint, coffee, and possibly the onion family
Eating small, frequent meals rather than large meals
Waiting 3 hours after a meal to lie down
Refraining from ingesting food (except liquids) within 3 hours of bedtime
Elevating the head of the bed 8 inches
Avoiding bending or stooping positions.
Above measures will help your reflux
For ibs a little work up is needed to sort out the cause.increase fiber intake reduce fat intake and lose weight.
Dietary measures may include the following:
Fiber supplementation may improve symptoms of constipation and diarrhea
Polycarbophil compounds (eg, Citrucel, FiberCon) may produce less flatulence than psyllium compounds (eg, Metamucil)
Judicious water intake is recommended in patients who predominantly experience constipation
Caffeine avoidance may limit anxiety and symptom exacerbation
Legume avoidance may decrease abdominal bloating
Lactose and/or fructose should be limited or avoided in patients with these contributing disorders
Although evidence is mixed regarding long-term improvement in GI symptoms with successful treatment of psychiatric comorbidities, the XXXXXXX College of Gastroenterology has concluded the following:
Psychological interventions, cognitive-behavioral therapy, dynamic psychotherapy, and hypnotherapy are more effective than placebo
Relaxation therapy is no more effective than usual care
Pharmacologic agents used for management of symptoms in IBS include the following:
Anticholinergics (eg, dicyclomine, hyoscyamine)
Antidiarrheals (eg, diphenoxylate, loperamide)
Tricyclic antidepressants (eg, imipramine, amitriptyline)
Prokinetics
Bulk-forming laxatives
Serotonin receptor antagonists (eg, alosetron)
Chloride channel activators (eg, lubiprostone)
Guanylate cyclase C (GC-C) agonists (eg, linaclotide)
Antispasmodics (eg, peppermint oil, pinaverium, trimebutine, cimetropium/dicyclomine).
Seek a gastroenterologist for further management of ibs and orthopaedic for knee assessment.also consider some physiotherapy exercises for the trouble.
I hope it helps. Take good care of yourself and don't forget to close the discussion please.
May the odds be ever in your favour.
Regards XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication ,   ,  
Treatment/Therapy ,  

Recent questions on Amitriptyline

doctor1 MD

I am 73 year old female. Two months ago I woke up with numb then tingling fingertips on both hands. The symptoms progressed to my fingers and then my hands. Occasionally I notice my hands tingling during the day. Another symptom that plagues me is the constant need to clear my throat and remove phlegm from mouth. Every morning I have a collection of phlegm that I need to expell. Intermittantly my heart beats strongly. Are these symptoms connected? I take synthroid, omeprasol and amitriptyline daily. Otherwise I am in very good health. My blood pressure is 110/70.

doctor1 MD

why do I get disoriented feeling with my anxiety? I have anxiety with my Hashimoto's but here lately I don't feel like I'm here at all since I've got off the coladapin. I get really confused don't feel like myself really disoriented at times I...

doctor1 MD

I have a problem between L2-3 . disc is worn out. I stretch all the time , have a inversion table. I am a bit overweigh. I'm a metal fabricator and lift all the time. I were weigh belts all the time when working or doing anything at home to...

doctor1 MD

hi, my wife is 48 years old and is a housewife. no children at home. for past 1 week she is facing major giddiness, severe headache , panic attack , depression and lack of sleep. i am her husband, travelling mostly for work. she was treated with...

doctor1 MD

I am a 53 year old female, 5'1", 105 lbs. I was diagnosed with Fibromyalgia last year. I am on 50 mg. of Elavil at bed time.
I have had for the past few months a tanish colored discharge
after bowel movements, found when wiping. I have no pain
associated with my bowel movements, I do get bloated often
and this is new to me. I am wondering what could be the cause

doctor1 MD

My mother, 72, a pure vegetarian, diabetic, with a very controlled simple food intake, suffers from the feeling of bloatedness due to gas. She also feels that gas has gone to her head and other organs. She burps and feels slight relief if her head is pressed or her arms or back are pressed. She also has a history of depression, for which she was prescribed tryptomer and espazine. Now doctors are prescribing pantoprazole and domperidon, but there is no significant relief. She also has a long history of chronic asthma, for which she takes asthalin inhaler and other tablets (no cortisones, but when the attacks are pronounced, she has to take omnacortil and betnesol.

doctor1 MD

I have been taking Amitriptyline for 4 weeks (3 on 10mg and the last on 30mg) for IBS. I have a lot of the side effects but I m more worried about my massive weight gain of 1/2 a stone in 3 weeks despite eating 500-1000 calories a day, boobs swelling and my missed period. Are these things that I should be worried about or are they typical of females taking the drug? (I m 28)