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Asking for Mother, Female, 55 years old, Karachi
My mother is complaining for lower back pain from 5 months, it is increasing gradually. Some investigation reports are attached. Please check and guide. Jazzak Allah
book an appointment with me.. i ll evaluate in detail and will give you a proper management plan
detailed history and proper management plan is needed
plz consult any doctor online
Is she diabetic or hypertensive?which medicines is she taking?
Patient
Post Owner
She is diabetic and hypertensive. She is taking getryl 2mg, glucophage 500mg, co-extor 5mg+160mg+25mg and rast 5mg
4 years ago
MBBS , MS (Nuclear Medicine) | Islamabad | Book Appointment
Did she ever take any steroids?and what is she taking for pain?any history of fall or fracture?
4 years ago
Patient
Post Owner
She is taking muscoril 4mg and ceflam 50 for pain and never take any steroids
4 years ago
patient needs to b examined
what's the age and is she taking medications?
The reports show osteoporosis and disc degeneration at multiple levels. You need to consult neurosurgeon.
ALSO NEEDS U/S KUB and Urea, Creatinine, Electrolyte levels.(UCE)
Based on the labs that are attached and history get consultation with orthopaedic surgeon.
start tab osnate d...once daily
tab gouric 40mg once daily
She is deficient in VitD and calcium.Given 6 week course of coclecalciferol 20,000 unit twice a week and also start her on regular calcichew.There is osteoarthritis and slight impingement in her lower back but i dont think she should be considered for surgery however can have spinal injections if pain is really bad.It would be better to get an opinion from spinal surgeon/orthopaedic
raised uric acid
vitamin D deficiency
patient need vitamin d supplimentation
and diet modifications.
for further assistance
book my appointment.
MBBS, Diploma in Diabetology | Karachi | Book Appointment
plus multiple disc degeneration
4 years ago
Vitamin D needs to be replaced, medicine needs to be given to lower the uric acid. pain and nerve medicine needs to be prescribed. Call me I shall give you appropriate medicines and pain will inshAllah be improved.
You should have her started on vitamin D and calcium supplements. Also, she needs pain augmentation.
She should consult A Rheumotologist, Meawhile her Uric Acid is high , she should reduce protein intake (Daal and Goosht ).. She should also take Vit.D supplements
She should also go for Cupping therapy which is a very effective Islamic treatment .
4 years ago
Assalam o alaikum, vitamin D replacement should be given, as far as backache is concerned I will recommend hijama therpy
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