Answered by Dr. Kusumakar Srivastava

What does my father's blood report indicate?

Hi doctor,

I have enclosed the preventive blood test reports of my father. I seek your advice for the test report.

22 Apr 2024 - 1 min read

What causes episodes of Raynaud's in hands and joint pain?

Hello doctor,

I am a 43-year-old female. About a year and a half ago I noticed Raynaud's in one finger. I had three episodes in two years. I have lost most of my eyebrows. Recently, I got three episodes of Raynaud's in both hands and most fingers. I have joint pain that comes and goes in all joints. I have widespread muscle pain that comes and goes. The intensity changes. I am fatigued and just noticed that upon awakening, my fingers are a little swollen. I cannot get my ring off until about one or two hours after waking up. I have had plenty of bloodwork ANAs, ENA, Scl 70, centromere, PM Scl, all of the scleroderma and lupus testing along with Sjogren's. ANCA, P ANCA, CPK, ESR, RF, and ds DNA tests. The only test that was abnormal was C3 and C4 decreased and elevated anticardiolipin IgM. My WBC was also low. Since 99 percent of lupus is shown on positive ANA, what could this imply in the absence of a positive ANA?

22 Apr 2024 - 1 min read

Can mucosal polyp in maxillary sinus cause headache?

Hi doctor,

I am a 19-year-old second-year MBBS student. I have been suffering from central headaches for the past two years. It is progressing in frequency and intensity. It increases bending, sneezing, and straining. It is mild to moderate in intensity and occurs almost four days a week. My doctor advised a CT scan and it is normal except for a mucosal polyp in the left maxillary sinus. What could be the diagnosis?

21 Feb 2024 - 1 min read

How to lower my uric acid level?

Hi doctor,

I am suffering from gout - podagra for the past 16 years. I cannot maintain a constant diet because every local doctor prescribes differently. Have many wens around the body. My uric acid level is higher than normal (800). I am taking medicines named Colchicine and Diclofenac. For the last three months I cannot lower my uric acid level and even after every meal I am getting inflammation of the joints. Please help.

14 Feb 2024 - 1 min read

My wife is a diabetic patient.She feels heaviness and numbness in both her feet.Kindly advice.

Hello doctor,

My wife is 62 years old. She is a diabetic patient.

She feels heaviness and numbness in both her feet.

She is not able to sleep in the night.

She is taking tablet Glycomet GM2 - one tablet in the morning, tablet Sitagliptin 50/500 one tablet at night, tablet Pregabalin 75 and active nerve tablets daily.