Suggest Treatment For Reduced Urination In An Autistic Person
Would like to ask about my autistic son's hands/finger joints. These are swollen. We saw a doctor a couple of years ago, had blood tests and x-rays which showed up no abnormalities. It was put down to him wringing his hands. The joints have swollen on other fingers, but wondered if there were alternatives to the strong drugs as he can't talk and has learning difficulties. He is 21. He constantly wrings his hands when excited and I wondered if this could be making the finger joints worse. He wrings his hands so hard that it looks painful. This behaviour is repeated several times a day. Do you have any ideas. Not sure if you are familiar with autism and all the problems that go with it!
I am a 53 year old female, post menopause. Don't want to take HRT. I am the mother of a severely disabled son, and am trying to lose weight (without much success). Can't do loads of exercise as find legs won't tolerate it (ie seem to pull muscles I didn't know I had), also been under chronic stress for years, plus two frozen shoulders, now better. It is a bit like a vicious circle, trying to get self sorted. Are you aware of anything that might help me, to put me back together!! Many thanks.
Nothing to worry in his case
Detailed Answer:
Hi
Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this query.
In autistic children, sometime such problems rise. May be due to poor toilet training, he is getting this problem. If he does not do bed-wetting, then nothing to worry. As you told, he drinks less fluid, in that case, his urine output would be lesser. If his all investigations are normal, then nothing to worry. Usually body metabolism adapt according to fluid intake and may be his metabolism is adapt to less fluid intake. You can take help of a special educator for toilet training.
About his joint pain or stiffness, you should consult a physiotherapist. That would help to decrease stiffness as well as pain. You can also try some muscle relaxant or pain killer after physician advice.
In your case, you are stress and you should try antidepressant like fluoxetine. It would help to control depressive symptoms as well as weight. Better to consult a psychiatrist for proper advise.
In case, you need further help, you can ask.
Regards
Dr. Abhishek Kapoor
Psychiatrist
That would help to decrease pain
Detailed Answer:
Hi
Swelling is sign and symptoms of inflammation. In that case, he needs few pain killers and anti-inflammatory drugs. That would help to control these symptoms. Better to consult a ortho-paedician for that. Once swelling subsides, you can consult a physiotherapist. That would help to relax the joint movement and would help to decrease joint pain.
In case, you need further help, you can ask.
Regards
Dr. Abhishek Kapoor
Psychiatrist
Many thanks.
Sorry meant to write that my son has a problem with tablets and creams seem to not have such a bad reaction with him. He is the 21 year old autistic boy with learning difficulties.
Many thanks.
Try diclofenac sodium gel
Detailed Answer:
HI
There are lot of anti-inflammatory cream like Diclofenac, aspirin, naproxen etc. Better to consult a physician for that.
Thanks