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What Do These Following Blood And X-ray Reports Indicate?

Posted on Fri, 10 Mar 2017

Question: hi doctor. My wife (30 yrs & having 11 months baby) was suffering from knee pain since one month. when we visited orthopedic he suggested for blood test & knee x-ray. according to the report she is having thyroid and have given thyronorm tablets to be taken in morning. but still knee pain is not reduced. please suggest if she needs any other medication apart from that tablet & suggest proper diet as we are from south XXXXXXX Pfa the report .
Thanks

XXXX

Answered by Dr. Mahaveer Patil (20 minutes later)

Brief Answer:
Thyroid problem not related to knee pain

Detailed Answer:
Hello Mr XXXX,

Thank you for posting the question.
I have gone through your question and the medical history in detail.

I have seen the attached reports.The TSH levels are increased for which she has been prescribed thyronorm tablets.

But,i do not feel that this has anything to do with the knee pain.

Usually,after 11 months of delivery,most women have this problem of knee pain. This happen due to increase in their body weight due to lactation and calcium deficiency that occurs due to breast feeding.

If she is not taking calcium and vitamin D tablets,she should start taking them immediately.

For pain,she can take paracetamol or tramadol (Consult your pediatrician before starting these tablets whether it is safe for the baby,in case your wife is breast feeding the baby)

She should wear a knee cap during the day time,with application of local analgesic gels and hot fomentation.

Regarding diet,she should eat high calcium diet for e.g- a glass of milk with protein / vitamin powder,twice a day,dry fruits,green leafy vegetables and salads/fruits.

If possible,upload the Xray with this question so that i can guide her better.

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. Nagamani Ng

Follow up: Dr. Mahaveer Patil (22 minutes later)

Hi, doctor thanks for your quick response. i have attached my wife s x ray report. also please suggest if she needs any other medication for thyroid. the orthopedic doctor suggested to stop taking milk as she needs to reduce weight. she is 5.7" & 70 kgs. kindly suggest a proper diet plan. she s feeding baby only for 5 min in a day as my baby has stopped her feed since four months.

Answered by Dr. Mahaveer Patil (24 minutes later)

Brief Answer:
Query answered

Detailed Answer:
Her Xray is normal and does not seem to have any bony problem.

No other medicine for thyroid is needed.Thyronorm will be absolutely fine for her.

Diet plan-

Early morning- 1 glass of water / lime water juice
9 am.- salads,1 fruit / poha,upma, 1/2 cup tea
12 noon- lunch- 1chapati/roti,1 cup sabji,1 cup curds,1 cup rice/dal
4 pm- 1/2 cup tea,1 fruit,non-oily snacks
8 pm- dinner-1chapati/roti,1 cup sabji,1 cup rice/dal,salads.

30 minutes walking either in morning or after dinner is essential.

Thank you.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Mahaveer Patil (3 hours later)

addition to my previous comment my wife currently having cough as well
thanks
XXXX

Answered by Dr. Mahaveer Patil (3 hours later)

Brief Answer:
Query answered

Detailed Answer:
Hi,

If its dry cough,she can take Linctus codiene syrup.
For cough with expectoration,give her cough syrup with expectorant- like bronchorex
Thanks

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Remy Koshy