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Suggest Treatment For Foot Pain While Being Treated For Jaundice
Question: My wife is suffering form illness fever since 4 months. She admitted and diagnosed as Jaundice (Bilirubin was 1.46) accordingly treated and Bilirubin is under control less than .8,within a months. But Fever being cyclic in 2nd half raise up to 101 degree F and comedown up to 97.4.
See visited to physician under his treatment followed by some test US, Scan declared as TB patient. yesterday test was done and observed ESR is up to 86.
See feting pain while folding right leg up in sleeping position.
Kindly suggest.
See visited to physician under his treatment followed by some test US, Scan declared as TB patient. yesterday test was done and observed ESR is up to 86.
See feting pain while folding right leg up in sleeping position.
Kindly suggest.
Brief Answer:
Please provide more information and consider these guidelines
Detailed Answer:
Hello Mr Shayam Dubey
I had gone through your question and reports you have uploaded very diligently and I really appreciate your concern for your wife.
Her reports are suggestive of low hemoglobin, High ESR and low Albumin:Globulin ratio.
At the outset I would like further information to guide you better
Has she lost weight recently
Is there any history of cough or bloody sputum?
Her relevant medical history like diabetes or any other metabolic disease?
Any complaints of pain or swelling in her spine?
you need not to worry about jaundice as her reports are normal for serum bilirubin.
In my opinion you should go for montoux test, X ray chest and spine to establish a diagnosis
If she founds to be a confirm case of TB than she has to take a complete course of DOT therapy.
Meanwhile give her well balanced diet consisting of plenty of fresh fruits and vegetables
Multivitamin and iron supplements
Please write back to me with the details I have asked for, so that I will be able to tell you more accurately
Best wishes
Please provide more information and consider these guidelines
Detailed Answer:
Hello Mr Shayam Dubey
I had gone through your question and reports you have uploaded very diligently and I really appreciate your concern for your wife.
Her reports are suggestive of low hemoglobin, High ESR and low Albumin:Globulin ratio.
At the outset I would like further information to guide you better
Has she lost weight recently
Is there any history of cough or bloody sputum?
Her relevant medical history like diabetes or any other metabolic disease?
Any complaints of pain or swelling in her spine?
you need not to worry about jaundice as her reports are normal for serum bilirubin.
In my opinion you should go for montoux test, X ray chest and spine to establish a diagnosis
If she founds to be a confirm case of TB than she has to take a complete course of DOT therapy.
Meanwhile give her well balanced diet consisting of plenty of fresh fruits and vegetables
Multivitamin and iron supplements
Please write back to me with the details I have asked for, so that I will be able to tell you more accurately
Best wishes
Above answer was peer-reviewed by :
Dr. Raju A.T
She was in depression and drugs has been taken.
There is no weight loss. No cough like bloody.
She is no diabetes.
There is no complaint for swelling i spine but feeling pain some time.
She has been declared TB patient and take drug since three months.Recently test of report sent to you in which ESR shos 90.
She is suffering cyclic fever within 24 hours, between 97 to 101 since more than 4 months. While, bending right leg toward abdomen feeling smile pain at lower part of the abdomen. She has no will to take food.
Currently drug is being given
Particulars pkg MFG
Akurit 4 tab 10 lupin ltd
IMFIT 10 FITWELL PHARMA
MAXIMAC 10 MACLED
ZOFER 8 MG 10 SUN PHARMA
RAZ D CAP 10 DR. XXXXXXX S
BENADON 10 RANBAXY LAB XXXXXXX L CAP 10 THREE DOTS LIF
Suggest her diat chart. senrt you email id for future communication pl
Please suggest is this treatment is ok or we should take other remedy. or any other positive suggestion.
we are waiting your suggestion.
If it requires other remeady then where it should be better.
There is no weight loss. No cough like bloody.
She is no diabetes.
There is no complaint for swelling i spine but feeling pain some time.
She has been declared TB patient and take drug since three months.Recently test of report sent to you in which ESR shos 90.
She is suffering cyclic fever within 24 hours, between 97 to 101 since more than 4 months. While, bending right leg toward abdomen feeling smile pain at lower part of the abdomen. She has no will to take food.
Currently drug is being given
Particulars pkg MFG
Akurit 4 tab 10 lupin ltd
IMFIT 10 FITWELL PHARMA
MAXIMAC 10 MACLED
ZOFER 8 MG 10 SUN PHARMA
RAZ D CAP 10 DR. XXXXXXX S
BENADON 10 RANBAXY LAB XXXXXXX L CAP 10 THREE DOTS LIF
Suggest her diat chart. senrt you email id for future communication pl
Please suggest is this treatment is ok or we should take other remedy. or any other positive suggestion.
we are waiting your suggestion.
If it requires other remeady then where it should be better.
Brief Answer:
She might not require to take Akurit 4 further
Detailed Answer:
Hello
Welcome again and thanks for all the details
She has been taking right medicines, Loss of appetite (no will to take food) might be related to drug induced gastritis.
She should avoid fatty fried spicy and junk food
She should take lots of fresh fruits, fruit juices and vegetables.
She should not stay empty stomach, ask her to have small and frequent meals
You need not to worry high ESR and Low Albumin : Globulin ratio is going in favour of Diagnosis of TB.
As she has been taking this treatment since last 3 months so I would advise her to visit her consulting doctor for physical examination and review the treatment, because she may not require to take akurit 4 for more than 3 months which can be switched over to just isoniazid and rifampicin drugs only.
Hope this answers your question, please feel free to discuss further
Wishing her good health
She might not require to take Akurit 4 further
Detailed Answer:
Hello
Welcome again and thanks for all the details
She has been taking right medicines, Loss of appetite (no will to take food) might be related to drug induced gastritis.
She should avoid fatty fried spicy and junk food
She should take lots of fresh fruits, fruit juices and vegetables.
She should not stay empty stomach, ask her to have small and frequent meals
You need not to worry high ESR and Low Albumin : Globulin ratio is going in favour of Diagnosis of TB.
As she has been taking this treatment since last 3 months so I would advise her to visit her consulting doctor for physical examination and review the treatment, because she may not require to take akurit 4 for more than 3 months which can be switched over to just isoniazid and rifampicin drugs only.
Hope this answers your question, please feel free to discuss further
Wishing her good health
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
We are worry for ESR 90 you have scape this report. plese give details food and time or any positive suggestions.
Medications Tried: Homogram test: Homoglobin -11.1, Hematocrit-33.5, RBC count-3.9, MCV- 86, MCH- 28.5, MCHC-33.1, RDW-CV-11.9, PLATELET COUNT354, TOTAL LEUCOCYTE, COUNT- 7.9 DIFFERENTIAL LEUKOCYTE COUNT, BLOOD: NEUTROPHILS -76, LYMPHOCYTES-19, MONOCYTES-01, EOSINOPHILS-04, BASOPHILS-00, ABSOLUTE NEUTROPHILS COUNT- 6, ABSOLUTE LYMPHOCYTES COUNT- 1.5, ABSOLUTE EOSINOPHILS COUNT- 0.32, ABSOLUTE BASOPHILSCOUNT- 0, ERYTHROCYTE SEDIMENTATION RATE, BLOOD 90, LEVER PROFILE TEST: BILIRUBIN TOTAL -0.76, BILIRUBIN DIRECT-0.53, BILIRUBIL INDIRECT-0.23, ALBUMIN -3.1, GLOBULIN-4.3, A:G RATIO 0.72, UREC ACID -6.5
Medications Tried: Homogram test: Homoglobin -11.1, Hematocrit-33.5, RBC count-3.9, MCV- 86, MCH- 28.5, MCHC-33.1, RDW-CV-11.9, PLATELET COUNT354, TOTAL LEUCOCYTE, COUNT- 7.9 DIFFERENTIAL LEUKOCYTE COUNT, BLOOD: NEUTROPHILS -76, LYMPHOCYTES-19, MONOCYTES-01, EOSINOPHILS-04, BASOPHILS-00, ABSOLUTE NEUTROPHILS COUNT- 6, ABSOLUTE LYMPHOCYTES COUNT- 1.5, ABSOLUTE EOSINOPHILS COUNT- 0.32, ABSOLUTE BASOPHILSCOUNT- 0, ERYTHROCYTE SEDIMENTATION RATE, BLOOD 90, LEVER PROFILE TEST: BILIRUBIN TOTAL -0.76, BILIRUBIN DIRECT-0.53, BILIRUBIL INDIRECT-0.23, ALBUMIN -3.1, GLOBULIN-4.3, A:G RATIO 0.72, UREC ACID -6.5
Brief Answer:
Plasma protein electrophoresis and further testing is advisable
Detailed Answer:
Hello
Welcome again
High ESR, anaemia (low hemoglobin) and reversal of albumin globulin ratio (low albumin and high globulin) with bone pains warrants further testing to rule out multiple myeloma and related disorders.
I would advise you for plasma protein electrophoresis and X ray of the spine and affected leg to rule out this condition.
Urine should be tested for proteins or more specifically bence jons protein.
She should be tested for kidney function test like serum creatinine and blood urea.
As I advised you to revise her treatment for TB because she doesn't need to take all 4 antitubercular drugs instead she should take isoniazid and rifampicin to complete the course.
Hope this answers your question
Please feel free to ask for further clarification I will be happy to help you.
Best wishes
Plasma protein electrophoresis and further testing is advisable
Detailed Answer:
Hello
Welcome again
High ESR, anaemia (low hemoglobin) and reversal of albumin globulin ratio (low albumin and high globulin) with bone pains warrants further testing to rule out multiple myeloma and related disorders.
I would advise you for plasma protein electrophoresis and X ray of the spine and affected leg to rule out this condition.
Urine should be tested for proteins or more specifically bence jons protein.
She should be tested for kidney function test like serum creatinine and blood urea.
As I advised you to revise her treatment for TB because she doesn't need to take all 4 antitubercular drugs instead she should take isoniazid and rifampicin to complete the course.
Hope this answers your question
Please feel free to ask for further clarification I will be happy to help you.
Best wishes
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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