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Suggest Treatment For Recurrent Polymyositis
Question: My father is 64 suffering from Polymyositis.3 years age he was totally on bed.. returned to normal life after IVIG immunoglobin treatment.Recently 1 month ago he was feeling very weak and was hospatilized and treated under Solumedrol.After discharge he is given Omnacortil 20 ( 1-1-1)..But currently there is no progress in health.Cant get up, motion does not pass at all,no energy in body,dont take much food, sleepless night...Plz suggest me what shud we do..why this weakness still there
Brief Answer:
Recovery will be slow
Detailed Answer:
Hi,
Thank you for posting the question.
I have gone through your father's medical history in detail.
It seems that he suffered a recurrence episode of polymyositis for which he was hospitalised.
Usually,polymyositis ,as such takes a long time for recovery.
The recovery period depends on the patient's age, his overall health and immunity.
At 64 years of age,your father's immunity as a whole is reduced and he will definitely recover,but the recovery process will be slow and may take 1-2 months for complete recovery.
Meanwhile,you can get his blood checked for complete hemogram,serum electrolytes,serum proteins and calcium to rule out any other underlying causes of weakness.
Being bed ridden,the digestion problems are bound to happen leading to constipation and anorexia.
Start him on hematinics,calcium and multi vitamin supplements.
Laxatives daily at bed time will treat constipation.
Digestive tonics can help digestion and anorexia.
Physiotherapy and rehabilitation is most important part of treatment protocol.
Avoid taking steroids for long periods.
I hope the answer was useful.
Feel free to ask me any follow up queries that you may have.
Thank you.
Kind regards.
Recovery will be slow
Detailed Answer:
Hi,
Thank you for posting the question.
I have gone through your father's medical history in detail.
It seems that he suffered a recurrence episode of polymyositis for which he was hospitalised.
Usually,polymyositis ,as such takes a long time for recovery.
The recovery period depends on the patient's age, his overall health and immunity.
At 64 years of age,your father's immunity as a whole is reduced and he will definitely recover,but the recovery process will be slow and may take 1-2 months for complete recovery.
Meanwhile,you can get his blood checked for complete hemogram,serum electrolytes,serum proteins and calcium to rule out any other underlying causes of weakness.
Being bed ridden,the digestion problems are bound to happen leading to constipation and anorexia.
Start him on hematinics,calcium and multi vitamin supplements.
Laxatives daily at bed time will treat constipation.
Digestive tonics can help digestion and anorexia.
Physiotherapy and rehabilitation is most important part of treatment protocol.
Avoid taking steroids for long periods.
I hope the answer was useful.
Feel free to ask me any follow up queries that you may have.
Thank you.
Kind regards.
Above answer was peer-reviewed by :
Dr. Remy Koshy
Thank you for info.
Recently we did CPK total test and count was 599 (1.5 months ago before hospitalization it was 3798
Recently our neurologist asked him to get admitted again for solumedrol..
but he dont want to get admitted and want to stay home..frustrated due to weekness.
Hope this will get back him to normal life.. nothing serious??
Recently we did CPK total test and count was 599 (1.5 months ago before hospitalization it was 3798
Recently our neurologist asked him to get admitted again for solumedrol..
but he dont want to get admitted and want to stay home..frustrated due to weekness.
Hope this will get back him to normal life.. nothing serious??
Brief Answer:
He is recovering,don't worry
Detailed Answer:
Hi,
Looking at his CPK levels,he is showing good signs of improvement.
No need to panic.
Just keep a watch on his blood pressure,respiration and give a good physiotherapy.
Repeat blood tests at regular intervals to ensure that he is recovering well from within.
Be in touch with your doctor.
Thanks
He is recovering,don't worry
Detailed Answer:
Hi,
Looking at his CPK levels,he is showing good signs of improvement.
No need to panic.
Just keep a watch on his blood pressure,respiration and give a good physiotherapy.
Repeat blood tests at regular intervals to ensure that he is recovering well from within.
Be in touch with your doctor.
Thanks
Above answer was peer-reviewed by :
Dr. Kampana
ok.. but now he does not eat anything..no food goes in.
he always talking of death..
plz help.. also he has stpped all medication from today.. saying nothing is helping.. all medicines making him weak
he always talking of death..
plz help.. also he has stpped all medication from today.. saying nothing is helping.. all medicines making him weak
Brief Answer:
ryle's tube will help
Detailed Answer:
You can help him by putting in ryle's tube through his nose
He can be fed through ryle's tube.
Giving iv fluids is also an option.
ryle's tube will help
Detailed Answer:
You can help him by putting in ryle's tube through his nose
He can be fed through ryle's tube.
Giving iv fluids is also an option.
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
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