Recently Answered Questions
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Does taking steroids for my polymyositis cause osteoporosis?
Query: Hello doctor,I am a 43-year-old male. I had been diagnosed with autoimmune polymyositis four years ago. I was previously a sportsman for most of my life with a reasonably healthy diet. I have been on Prednisolone and Azathioprine for four years, on Methotrexate for four years, and Folic acid. I just... Read Full »
Answer: Hello, Welcome to icliniq.com. Corticosteroid can cause osteoporosis in a very short interval and four years is a long time. It would be difficult for you to withdraw from corticosteroids as you have been on them for four years. So what can be done is to add up a good quantity of calcium and vit... Read Full »
I have had multiple concussions. Is it due to growth hormone deficiency?
Query: Hi doctor,I am a 28-year-old male, and I have been living with a lower quality of life for the past eight to nine years, starting around six to seven months after I had a pretty severe concussion. I had been diagnosed with post-concussion syndrome and saw several neurologists who ran numerous tests ... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query, and from what you have mentioned, I feel that you could have osteoporosis or osteopenia rather than growth hormone deficiency. You can have your bone DEXA scan done and follow up with your orthopedician if it turns out to be either. Growth hor... Read Full »
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 t... Read Full »
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 (parathyr... Read Full »
My father's leg broke 20 years ago, but it started swelling and hurting a few days back. Why?
Query: Hello doctor, My father's leg was broken 20 years ago. But a few days back, that leg started swelling and hurting. He cannot even walk now. Kindly help. Read Full »
Answer: Hello, Welcome to icliniq.com. A 20-year-old injury is a very long time. There are chances that the injury that occured at that time is now causing the development of arthritis in the knee or ankle that is causing recurrent episodes of swelling in the leg. Also, there are chances that due to old a... Read Full »
Why do I have muscle weakness even after increasing my daily intake of protein?
Query: Hello doctor, I have had muscular weakness for the last two to three years. Six months ago, I came to know that the protein intake has to be 1 to 1.2 grams per kg body weight. Therefore, I added 25 gm protein to my daily intake of 40 gm. However, there has been no improvement in my symptoms. Also, I... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. Muscle weakness is common in osteopenia. As BMD (bone mineral density) improves, there will be an improvement in your strength as well. Your protein intake is fine. Do you have a history of hypertension, diabetes, or thyroid disease? I sug... Read Full »
Is it safe for a 60 year old to use Terifrac for osteoporosis?
Query: Hello doctor,My mother is 60 years old. She is being treated for osteoporosis currently for which we are already consulting a specialist. I am attaching a few other reports which would request you to evaluate the same and let me know your interpretation and concerns and treatments if any. For choles... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. I have checked the attached reports thoroughly (attachment removed to protect patient identity). Here is my comment: Fortunately, there are no autoimmune rheumatoid arthritis or SLE (systemic lupus erythematosus) as both ANA and anti-CCP are negative. Unfortunately,... Read Full »
What can be done for mobile knee in a femur plasmacytoma patient?
Query: Hello doctor, I would like to know an orthopedist opinion about my mother's situation. She had femur plasmacytoma 20 years ago and 4 prostheses, because she had many infections after the operations. She remained with her external popliteus paralyzed. Now, she began to feel his knee mobile, and she ... Read Full »
Answer: Hello, Welcome to icliniq.com. The entire femur seen is grossly osteoporotic and the knee is showing evidence of osteoarthritis though I could not see the knee in the AP view. She needs a knee replacement but with the large hip prosthesis and very weak bone stock, I would support the use of a tota... Read Full »
Query: Hello doctor, I have been diagnosed with severe osteoporosis based on a DEXA lumbar T-score of -3.6. How does an endocrinologist rule out low mineral or calcium absorption as a contributing cause? What set of bloodwork or other tests does one use in a clinical setting to assess whether the individua... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. As for adequate calcium absorption, I see two pieces of evidence from your lab results (attachment removed to protect the patient’s identity). 24 hours of urine calcium is normal. It would be low if you were not absorb... Read Full »
My mother takes medication for high cholesterol and osteoporosis. Kindly review her blood reports.
Query: Hello doctor, I got my mom’s routine blood work done recently. Can you please take a look at her report and let me know if you have any comments or recommendations? She is 59 years old and does not have any illness. As per our family doctor’s prescription, she takes the following medications. Ta... Read Full »
Answer: Hello, Welcome to icliniq.com. Since when is she taking vitamin B12 and vitamin D supplements? What is the dose of cholesterol medicine, vitamin B12, and vitamin D supplements? Her reports (attachment removed to protect the patient's identity) are fine except for mild elevation of LDL (low-density... Read Full »
What is the cause of my severe lower back pain at night?
Query: Hi doctor, I am 54 years old. My weight is 145 lbs and height is 5 ft 7 inches. Almost every night I am getting severe pain in my right hip and groin. The pain is sharp and burning. It radiates down to my right leg. However, it completely dissipates after about 15 minutes of walking around. Always t... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your query completely. I do not think this pain is due to appendicitis or ureteric stone. They will cause severe pain and does not relieve by walking. You are taking Forte for osteoporosis which does not cause you this problem. It may be due to cramps, which ... Read Full »