Hi doctor,
I am worried for my 63 years old elder sister who is almost bedridden now due to the following ailments. She has severe pain in the stomach (started two months ago), knee pain for four years and swollen legs for three years. Doctors are of the opinion that she is suffering from severe arthritis and acute gastritis. The medicine, which she is taking for arthritis is causing pain in stomach. How she will get relief from all these ailments? Please advise. A copy of prescriptions and pathological investigation reports are attached herewith. Thank you.
Hello,
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Thank you doctor,
I am trying to furnish the information as desired by you. Regarding joint pain, the joints are wrist, hip, knee and ankle. To recover from morning stiffness, she requires more than an hour. X-ray of knee and ankle done long before. Blood sugar fasting 93.07 mg/dL and serum uric acid 8 mg/dL. No joint fluid test was ever done. About one and half years ago, she had trouble in the ankle. It swelled and pus discharged continuously forming holes. Medication continued for five to six months. No recent urine or stool examination done. No physical existence of blood in urine or stool observed. I would request you to advise if any pathological test or any other examination if required.
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Thank you doctor,
As desired, the following files are attached herewith: Blood test reports, x-ray of both knees, ankles and wrists, report of upper GI endoscopy and BMD report. All the tests have been done after receiving your direction except endoscopy. Now, she is suffering badly from stomach pain. She is not getting relief from pain, even after taking Hyocimax Injection. Please advise.
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Thank you for following my recommendations, here is my conclusion:
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Thank you doctor,
Your seriousness overwhelmed me. As advised, Allopurinol will be discontinued. Should she take any medicine for the symptoms as may happen due to injections of Ibandronate (Boniva)? Please name the medicine for vitamin D and calcium. Yes, gall-bladder surgery was done at that time. Yes, as assumed pain in the stomach is in below the rib cage in the center and around the navel. She is not alcoholic and was never in the past. Doctor might have been prescribed Librax (Chlordiazepoxide) for gastritis. It will also be discontinued gradually. Investigations as advised will be done soon. Can I expect that she will be able to lead the rest of her life painlessly or with less pain?
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Thank you for the kind compliment.
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Hi doctor,
Since one month, my sister has been taking medicines as suggested by you. They are Amoxicillin 1 g twice daily and Clarithromycin 500 mg twice daily continued for 14 days. The other medicines she is taking are as follows: Vitamin D (Uprise D3 -2k) once daily, Calcium (Shelcal 500 mg) twice daily, Rabeprazole or Omeprazole 40 mg (Razo-20 two tablets) twice daily 45 minutes before meal and Tramadol 100 mg (Tramazac) three times a day. Along with, she is taking Espin-AT as prescribed by doctor for high blood pressure and Sucral-O syrup. Regarding infusion of Zoledronic acid or Ibandronate injection, please suggest the dosage and precautions if necessary to be taken. The test reports of iron profile, anti-CCP and ESR are attached herewith as advised. To show you the visuals of wrists, knees and ankles, I am submitting herewith some photographs with a hope that these will make your choice of medicines more appropriate. Nowadays, she is feeling nauseous all the time and always her mouth remains sour. How long the medicines need to be continued?
Hello,
Welcome back to icliniq.com.
You did an awesome job of sharing the pictures. My suspicion was correct and she has rheumatoid arthritis.
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