Tramadol is a potent painkiller belonging to the class of drugs called opioids. This drug works by altering the way our brain senses pain. It is used to treat mild to moderate acute or chronic pain. It is a controlled drug and has to be used under strict medical supervision.
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What is the reason for shoulder and arm pain?
Query: Hi doctor, My wife is 28 years old. She is suffering from shoulder and arm pain. She has more pain during night-time and not able to get good sleep. First we consulted a doctor; he gave some multivitamin and Calcium tablets. Also advised her to do some exercise, but there is no effect. Then we consu... Read Full »
Answer: Hi, Welcome to icliniq.com. Uric acid levels are within normal levels. Hemoglobin levels are reduced and should be around 12 g.Most probably it is due to iron deficiency anemia. She needs to take Iron and Folic acid tablets for a month and repeat her hemoglobin levels to see that it has returned to ... Read Full »
How to treat left shoulder pain and arm pain in a diabetic patient?
Query: Hello doctor, My mom is a diabetic for the past 10 years. She takes Glimidib MV2 SR and insulin Insuman Comb 25. Yesterday, she did sugar levels before breakfast it is 294 and post it is 334. She has been having pain in the left shoulder and the arm, since March 2020. We have been in consultation w... Read Full »
Answer: Hello,Welcome to icliniq.com.I have seen the attached reports (attachment removed to protect patient identity). I have treated many such patients with adhesive capsulitis and cervical spondylitis. I would like to suggest initial management for your mother and she will require a good follow up of the... Read Full »
How to find the reason for my mother-in-law's waist pain?
Query: Hi doctor, My mother-in-law is having difficulty in walking, climbing stairs and sitting. She is having pain in her waist for the last one month. She feels tired and helpless. She always wants to sleep. On some occasions, she becomes unconscious without any reason. When we checked her blood pressure... Read Full »
Answer: Hello, Welcome to icliniq.com. Sudden episodes of loss of consciousness and sleepiness sounds like a medical problem. We know that her blood sugar is normal, so are her other blood results (attachment removed to protect patient identity).She is in her early 50s. She is currently taking treatment ... Read Full »
Will lowering the dose of Tramadol and Priligy reduce the risk of serotonin syndrome?
Query: Hello doctor, I am taking 100 mg Tramadol and 60 mg Priligy (Dapoxetin) for the treatment of premature ejaculation before having sexual intercourse. The result is my intercourse time has increased from two minutes up to 45 minutes without having ejaculation. With Priligy or Tramadol alone it is ar... Read Full »
Answer: Hello, Welcome to icliniq.com. Serotonin syndrome will not occur when you consume high doses of SSRI (selective serotonin reuptake inhibitors) and then stop abruptly. My advice to you would be a safer way out. You should continue with Dapoxetine 60 mg and avoid Tramadol. If you do not get adequate... Read Full »
I had a drug reaction to Tramadol and was prescribed Ativan for it. Is it right choice of treatment?
Query: Hello doctor, I am a 47-year-old female, and I had severe nausea and could not move my fingers and arms. In addition, I was feeling cold and felt dizzy. A friend took me to the hospital, where they asked me about my current medications. I told them I had started Tramadol the night before. After a bl... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. I reviewed your pictures (attachment removed to protect the patient's identity), and the problem can be fixed. So, I suggest you to consult a dentist. They will perform some cleaning procedures and prescribe medicines that work simultaneously. So do not worry, as this ... Read Full »
I have severe pain in my shoulder and neck. Please suggest a treatment.
Query: Hello doctor, I am a 40-year-old female. I have been having pain in the shoulder many times, which extends from the neck to the whole left hand. It pains me a lot. I have been suffering from this pain for more than six months. It pains me so much that I have no control over my body and get tears. P... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. The probable causes are cervical spondylosis or peri-arthritis of the shoulder. First, I need to ask a few things: Do you have any co-morbidity like diabetes or hypothyroid? Do you have pain in any other joints? Do you have pain just when ... Read Full »
Do PKD patients have an urge to urinate always?
Query: Hi doctor, I am 17 years old. I was born with polycystic kidney disease. When I was 14, I was diagnosed as I was having severe chest pain and dizzy spells. I am currently four months postpartum. Since my son was born I have not been able to use the bathroom as frequently as most. It never caused me ... Read Full »
Answer: Hello, Welcome to icliniq.com. Since you are a patient of polycystic kidney disease, you will be more prone for urinary tract infections, urinary stones or cysts, which could burst and form clots, which can result in obstruction. One cannot be sure unless you get a sonography done. Since you say... Read Full »
Please suggest medicines based on the endoscopy report.
Query: Hi doctor, I am a patient having a chronic liver disease with HCC. Currently, I am taking Novidat 500 mg for five days, Spasfon, Risek 500 mg for 14 days and Uroso 250 mg for 14 days. Even after taking these medicines, I still have pain in my stomach. There is no benefit. My endoscopy reports show ... Read Full »
Answer: Hi, Welcome to icliniq.com. From your description, HCC (hepatocellular carcinoma) causes stomach pain in you. It occurs when you have significant necrosis within the center of HCC with the presence of vascular or capsular involvement. I suggest you do a complete CT (computed tomography) scan with ... Read Full »
Please advise the best treatment for heel pain.
Query: Hi doctor, I have started getting heel pain after exerting in tennis. Please see the photo of the pain area marked in red. Initially, I had continuous pain while walking. It is slightly more on the first few steps after rest or sleep. My physiotherapist suggested it could be a plantar fasciitis and ... Read Full »
Answer: Hello, Welcome to icliniq.com. You have mentioned pain in the area of heel region, which has been marked by you and it looks like plantar fasciitis, which has already been mentioned to you. Just let me know whether there are any other signs and symptoms of inflammation like skin redness, ... Read Full »
My sister's palm is getting black and hard. Why?
Query: Hi doctor, My sister's right hand and wrist are aching continuously since the past few weeks. The pain has increased now. She says that under her little finger, the pain is comparatively greater than in the rest of her hand. Her palm has turned black and hard. Read Full »
Dr. Satpute Ganeshkumar Suresh
Answer: Hello,Welcome to icliniq.com.Your sister may have impeding gangrene due to blocked blood vessels in her hand. She should undergo right upper limb arterial doppler. If the reports show obstruction, then you should immediately consult a cardiovascular surgeon. If possible, please upload a photo of the... Read Full »