Cortisone is a steroid hormone that is released by our adrenal glands in response to stress. Cortisone, along with epinephrine, increases the blood pressure and prepares the body to take action during danger (flight or fight response).
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What should I do to reduce the hyperpigmentation and dark circles under my eyes?
Query: Hello doctor, I had undergone a Co2 laser treatment around my eyes about three and half years ago. Now, I am left with dark circles under the eyes along with hyperpigmentation and redness. About one and half weeks back, the doctor prescribed me a cream that has Kojic acid 1%, Glycolic acid 5%, Beta... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your query and reviewed the pictures (attachment removed to protect patient identity). I suggest you a moderately potent topical steroid like Fluticasone propionate 0.05% cream, twice daily for a few days. Prescription hyperpigmentation treatment can b... Read Full »
What do you suggest for high 17-OHP in a baby?
Query: Hello doctor, My 4 month old baby was born preterm and detected with high 17-OHP levels. The details are as follows: Baseline level on screening 196 ng/mL. Two other tests showed 20 ng/mL and 10 ng/mL. The recent test showed 5 ng/mL. As per consultation with my doctor, high 17-OHP is due to preterm.... Read Full »
Answer: Hi, Welcome to icliniq.com. You have nothing to worry. Current 17-OHP levels are normal (17-hydroxyprogesterone). High levels at birth are commonly seen in preterm children. Please meet an endocrinologist for clinical examination of your child and review back with the reports. Read Full »
Does protein leak from the larger filter of kidney in nephrotic syndrome?
Query: Hi doctor, I heard that in nephrotic syndrome the filtering unit of kidney becomes larger and so protein comes in urine. I am a patient of cortisone dependent nephrotic syndrome over 15 years. Doctor says that about 95 percent of children will get cured at the age of 18. I am 17 years old now. When... Read Full »
Answer: Hi,Welcome to icliniq.com.Yes, you have heard the things right. Due to increased pore there is protein in urine. The best treatment remains the Cortisone. In cases where there is no response to Cortisone as evidenced by persistence of albumin in urine, we need to shift those patients on Cyclophospha... Read Full »
How long after a Cortisone shot can I have surgery?
Query: Hello doctor, I had a Cortisone shot 10 days ago. It did not help. I will most likely be undergoing surgery for a hip arthroscopy and/or sports hernia. How long do I have to wait after the cortisone shot to have surgery to not risk infection? Also, I take 500 mg turmeric, a multivitamin, 2400 mg vi... Read Full »
Answer: Hello, Welcome to icliniq.com. There are two schools of thought regarding the risk of infection in total knee/hip replacement after local steroid injections. As the causes of infection are multifactorial, results favoring both schools of thought are seen. Since you are only undergoing arthroscopy ... Read Full »
Query: Hello doctor, I have had a chalazion for almost a year now. It looked like a little blister with no fluid inside. It was surgically removed a month ago, but I still see a red bump. The doctor said it was scar tissue and gave me a Cortisone shot during the follow-up. However, it has been two days and... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. The steroid injection usually takes seven days to show the effect. My advice: Consult your specialist doctor, talk to them, and take medicines with their consent. Start using anti-scar creams over the area. Keep your hydration level good du... Read Full »
My skin was damaged after using cortisone cream. How to heal it?
Query: Hello doctor, I am 26 years old. I am trying to find a way to heal my skin after abuse of cortisone creams. Quite specifically, in between my eyebrows, my skin is seriously thin and looks damaged. I stopped using the cortisone creams before four years, and I was given them to use due to allergic rea... Read Full »
Answer: Hello, Welcome to icliniq.com. How long did you use cortisone cream over the face? Repair of steroid induced damage requires a lot of patience. In mild to moderate cases, gentle cleanser - Cetyl alcohol based with barrier repair agents containing Ceramide and Hyaluronic acid suffice. In cases... Read Full »
How to treat the knee pain caused by a fall from the staircase one year ago?
Query: Hello doctor, I am a 61-years-old female. I fell from the staircase one year ago, and I am still having pain in my knees. I have attached the x-ray report and a picture of my injured site. Kindly suggest a suitable treatment plan. Read Full »
Dr. Rodolfo Henriques De Carvalho
Answer: Hello, Welcome to icliniq.com. After carefully reviewing your history and x-ray (attachments removed to protect the patient’s identity), your orthopedic condition is not related to your past accident (falling from the stairs). It seems that you are at the beginning of arthrosis on the sp... Read Full »
What is the best cream for eczema on legs?
Query: Hello doctor, I noticed a spot on my leg that is irregularly shaped, slightly darker than the rest of my leg. It is not a mole, it does not hurt or itch, and it is not raised. The spot remains the same since I noticed it. I am just wondering if this is something of concern? Kindly help. Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your query and reviewed the attached photograph (attachments removed to protect the patient’s identity). It looks like a patch of mild eczema associated with dry skin. I would recommend you to apply Cortisone cream on the affected area ... Read Full »
Can cortisone injection help in treating tennis elbow?
Query: Hi doctor,My mother is 71 years old, and she is suffering from pain in the right arm for more than a month now. She has pain in the elbow, shoulder, wrist, and fingers. She is not able to grip even light objects with the fingers. We consulted an orthopedic doctor, who is suspecting tennis elbow. He ... Read Full »
Answer: Hello, Welcome to icliniq.com. It is very unusual for a 71 year old woman to get tennis elbow, so I am not sure that it is the correct diagnosis. Assuming the diagnosis is correct, then I will recommend waiting and continuing physiotherapy, ultrasound therapy, TENS (transcutaneous electrical nerve ... Read Full »
Why am I having constant left lower back pain after an injury?
Query: Hello doctor, I have had a lower back injury for three years, and that has not been improved with rehabilitation or anything. There is a constant pain in the left side of my lower back, which becomes worse on twisting motions, exercise and bending to the point where I can barely walk. My physiother... Read Full »
Answer: Hello, Welcome to icliniq.com. Your iliolumbar ligament is completely visualized and is free from any pathology in the MRI (attachment removed to protect patient identity). Your vertebra, intervertebral disc, spinal column, and spinal cord are also grossly normal. However, there is early facet arthr... Read Full »