Osteoporosis

Osteoporosis is a bone disease that results when the bone density is reduced due to less production or too much loss of bone. As the bones get weak and porous, they are more susceptible to fractures. The other symptoms include back pain, loss of height, and stooped posture. Women are more vulnerable to develop osteoporosis than men.

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My mother has pain due to arthritis. How to relieve her pain?

Query: Hi doctor,My mother is 87 years old and is completely bedridden. She has arthritis with excruciating pain in her knees, hips, shoulders, and neck. She is unable to sleep at night. The physician prescribed a pain reliever, but it did not improve the symptoms. So kindly suggest a painkiller for her to...  Read Full »


Dr. Suman Saurabh

Answer: Hi, Welcome to icliniq.com.I want to evaluate the condition before starting a treatment. Since oral analgesics did not improve the symptoms, admit your mother to a hospital, and ask the medical professional to provide intravenous analgesics. Then, treat her osteoporosis with Teriparatide (parathyroi...  Read Full »

What affects the activity and effectiveness of Synthroid?

Query: Hello doctor, I have been taking 50 mcg of Synthroid for many years. Today my doctor says my numbers got lower and she wants to increase my level of Synthroid a little. She asked if I take any calcium supplements but I do not. However, I read about things that could affect absorption of Synthroid l...  Read Full »


Dr. Ashaq Hussain Parrey

Answer: Hello, Welcome to icliniq.com. I went through your post. Foods such as cabbage and cauliflower have been seen to contain anti-thyroid properties and these are to be avoided totally if one has hypothyroidism. The foods which you have mentioned do inhibit absorption of thyroid if taken simultaneously....  Read Full »

My mother had slipped and hurt her back. X-ray says it is spondylolisthesis. Please provide an orthopaedic review.

Query: Hello doctor, My mother, aged 55 years, has slipped and hurt her back. X-ray says spondylolisthesis L4/5 and L3/S1 grade with reduced L5/S1 disc spaces and compression fracture D11 vertebra. Please help.  Read Full »


Dr. Atul Prakash

Answer: Hi, Welcome to icliniq.com. I can see that your mother needs an urgent orthopedic review if you already have not had one from your description. Please take it seriously. She will need an MRI (magnetic resonance imaging) to know about the status of the spinal cord and may even need a CT (computed t...  Read Full »

Is it advisable to take Etidronate disodium and Calcium Carbonate on the same day?

Query: Hi, Can Co Etidrocal- Etidronate disodium 14 days course & Calcium Carbonate 75 days after Etidisodium be taken on the same day, one in the morning and other in the evening?  Read Full »


Dr. Anshul Varshney

Answer: Hi, Welcome to icliniq.com.I assume, you are taking both these drugs for osteoporosis. I usually do not prefer to use Etidronate as it has to be taken daily. And there is nothing like 14 days course. We have better options, to be taken once a month only. However coming to your query, I do not find a...  Read Full »

Kindly suggest the causes of radiating pain in the first metatarsal.

Query: Hi doctor, What are the causes of pain in the first metatarsal that radiate to the entire forefoot?  Read Full »


Dr. Palanikumar Chellamuthu

Answer: Hi, Welcome to icliniq.com. It will be better if your age, other conditions, profession, recreation, alcohol intake and dietary pattern are known. The causes can be divided into two major groups. Group 1: Based on anatomic problems like toe deformities, Morton's metatarsalgia, length and mobili...  Read Full »

How to cure my thoracic vertebra compression fracture?

Query: Hi doctor, I am a 72-year-old female. Recently I had a thoracic vertebra fracture (compression fracture) for bone number 12. I can hardly stand up and raise my hand. I was in bed for about a week. When I lay flat, I did not feel any pain. I am taking Calcitriol and Vitamin D3 supplements. I have lu...  Read Full »


Dr. Sachin Ranvir

Answer: Hello, Welcome back to icliniq.com. I have gone through your MRI (magnetic resonance imaging) and x-rays (attachment removed to protect the patient's identity). I can see that there is a compressive fracture of the T12 Vertebra, which is stable. Currently, the best treatment is bracing, includ...  Read Full »

Kindly review the report of a 71-year-old patient and give your opinion on her knee pain.

Query: Hello doctor, I have a question about a 71-year old female patient with no significant diseases in her medical history. Her height is 160 cm, and her weight is 75 kg. She does not have any history of smoking, diabetes, or hypertension. She is herself a doctor. One night, she felt a sharp pain in h...  Read Full »


Dr. Naval Mendiratta

Answer: Hello, Welcome to icliniq.com. I have gone through your query. To start with, she has been having osteoarthritis of the knees, which has been prevalent. As you mentioned, osteoporosis may have set in along with it considering post-menopausal status. Regarding her MRI (magnetic resonance imagin...  Read Full »

How long can I take HRT, and will it cause any trouble when taken for a long time?

Query: Hello doctor, I have just received my blood results of thyroid and hormone blood test, and I require your help, please. I am 54 years old woman, who is 5.6 feet tall and weigh 13.10 stone. I have suffered from ill health for many years and cannot remember the last time I felt well. I had a complete...  Read Full »


Dr. Deep Dutta

Answer: Hi, Welcome to icliniq.com. I am sorry you have had to go through a lot. I really appreciate your writing all your problems in such a detailed way, which makes me easy to understand all your symptoms fully. Most importantly it is high time you stop your hormone replacement therapy. HRT should not...  Read Full »

How to treat postmenopausal vaginal discharge?

Query: Hello doctor, I am a 52 years old female, who weighs 75 kg, and I am 152 cm tall. I have postmenopausal vaginal discharge with a fair amount of red spots. What could be the cause? I had my menopause 1.5 years back, and I have type 2 diabetes, hypothyroidism, and asymptomatic cholelithiasis from l...  Read Full »


Dr. Sunil Jagdish Yadav

Answer: Hi, Welcome to icliniq.com. I have seen all the reports (attachment removed to protect patient identity). First, D and C (dilation and curettage) with cervical biopsy with acetic acid or Lugol's iodine should be done as you have postmenopausal spotting with thickened endometrium of 9 mm, with ass...  Read Full »

How to manage a piece of bone that has protruded through the gums?

Query: Hi doctor, I had a tooth extraction after having Zoledronic infusions. A few weeks back, a small piece of bone protruded through my gums. It caused ulcers on my tongue. I took two courses of Amoxicillin. My dentist tried to pull the bone before realizing that it was fused with my bone. I was told...  Read Full »


Dr. Mohammad Emranul Islam

Answer: Hi, Welcome to icliniq.com. Please mention whether you have Paget's disease or osteoporosis. It is not a good sign to have bone exposure or protrusion. You did not mention the exact site. I assume that it is present on the lower tooth. Please mention whether the protruded bone came out through the...  Read Full »

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