My mother got full body check up. Please check the report and guide us. Her vitamin D, B12, iron are less and it is showing alert in blood test. She has weakness, body swelling in summer, pain in leg, and tiredness.
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I have checked the attached reports (attachment removed to protect patient identity).
Her liver profile, kidney profiles, thyroid reports, iron profile reports and hemoglobin levels are absolutely normal. So liver disease, renal disease, thyroid problem, iron deficiency anemia can be excluded as a cause for weakness. The significant finding include very low vitamin D level and slight low vitamin B12. So low vitamin D level might be the cause for weakness.
Following is the treatment for that. She should be prescribed 60000 IU sachet of Cholecalciferol that should be taken once a week for eight weeks. Calci D tablet after completion of sachet can be continued for a few weeks. Advise her for taking sun exposure for 10 minutes at around 9 to 10 AM in morning. She can be prescribed Multivitamin tablet like Riconia Forte or Becosules.
Advise her to do light exercise in morning. Check her blood pressure also which has not been mentioned here. If bone pain and swelling are more than local part, X-ray can be done. Whenever she develops swelling, she can be prescribed diuretic medication like Chlorthalidone. At this age I suggest to investigate with 2D echocardiography as well. Hope I have answered your question. Let me know if I can assist you further. Best regards.
Thank you doctor,
My mother will follow this routine and take medicine according to your prescription.
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You are welcome. Take care.
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