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Can I take Instaflex while taking Coumadin (Warfarin)

PAST HISTORY : Aortic Valve Replacement 2010
High Blood Pressure
Type 2 Diabetic

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My mother is 75 yrs old and she regularly complains of pain in her joints for the the last 3-4 years.she has normal blood pressure and is not diabetic.kindly advise any blood tests and medications for her ?

  Doctor's Answer

Dear patient Your mother is suffering from post - menopausal senile osteoporosis. her bones have become weak due to deficiency of calcium and vitamin D. this usually occurs in old age and after menopause.get the following investigations done: dexa bone scan , vitamin D level , blood calcium , complete haemogram and blood urea.Consult a orthopaedic surgeon who will advise you medications according to your test reports. ...
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I need to have Knee Lubrication Injection as knee replacement surgery seems risky and may be difficult for my weight to carry on after operation. Pls advise. Thanks

  Doctor's Answer

Hi I am Dr Alok, Rheumatologist from Delhi yes, you can take injection, but remember, its effect lasting for 3 months to 1 year only, mean while you should do physiotherapy. But if joints are damaged completely, there is no option but to surgery Hope this will help should you have any queries, please donot hesitate ...
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I plan to wisdom tooth and dental implant at the same time in about a week. I'm taking Metoprolol SUCC - 25mg/day and Warfarin Sodium ~ 4mg/day. My cardiologist advises me to stop Warfarin three days before the procedures. What about Metoprolol SUCC?

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Hello Continue Metoprolol ...
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I have conjunctivitis and have double knee replacement scheduled in about 18 days. Could this cause a problem with developing an infection in my knee replacement site?

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i don't think so take antibiotic then go to surgery ...
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Need an monthly check up package for cholesterol. Doctors has mentioned that bcs of cholesterol and less exercise i got blood pressure. I am doing walking / exercise from last one year still i see the same with blood pressure. is there way to become normal ?

  Doctor's Answer

Hi, When you started having amalog (probably amlodipine),I suppose,and till now you have not shown any kind of improvement ,which means higher doses should also be started. This is very true that you have very high triglyceride levels,which can also lead you to have insulin resistance in future,which is not good for you and can also make it difficult to reduce your b.p,what your doctor also says. If your b.p is not reduced generally you will have to reduce your cholesterol levels also may be ...
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I plan to wisdom tooth and dental implant at the same time in about a week. I'm taking Metoprolol SUCC - 25mg/day and Warfarin Sodium ~ 4mg/day. My cardiologist advises me to stop Warfarin three days before the procedures. What about Metoprolol SUCC?
2 Answers
Hello, I have had a nail fungus for a good ten years or so. When I first noticed it, I went to my doctor and he game me lamasil which I stopped taking after a few days since it had negative affects on me. Thereafter, I stopped taking care of it and just let it go for a good 7 or 8 years. I eventually grew up and started getting very self conscious of how it looked and wanted to wear sandals and flip flops and not have people think nasty things about me. A few years ago I went to my doctor again and he gave me a topical oil which I used for over a year and did not see any results. About two years ago, I noticed that a vertical brown line was starting to grow from the bottom up. I went to a dermatologist who took a sample of my nail but did not take a sample of the nail bed or from the cuticle. Biopsy came back as of course it being a fungus. He in turn gave me pills to take which I also had to stop taking since it was having a bad affect on my liver. After that, my dermatologist said that he would give me laser treatments which I did two of. They did not clear it but it looks a little bit better then what it was before. Still thick, yellow, crumbling below the nail, nail bed where new nail is growing is darker then the others and the brown line is still there. It is a thick brown line. How did I get this brown line? Did I get it because of the prolonged damage of the nail bed due to the years of having the nail fungus?
2 Answers
Hi , My dad is 68 years old.He is diabetic and suffering from blood pessure. Also he has Sleep apnea issues..Offlate he is sleeping excessively, speaks while sleeping and also speaks assuming that a person is nearby (while the person is nt in the vicinity)..What can be the reason for the same?..A friend of mine asked me to check sodium levels..If that has to be tested , should that be done before fasting...
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GERD. It has been on and off since 2008. The condition worsened last month in Jan 2013 and I could hardly swallow any solid food. It just gets stuck in the throat and feel like I am choking till I push the food down with water. Liquids and semi solid foods are ok. The doctors did Nasal Endoscopy, Normal Gastro Endoscopy, Esopheagal Manometry, Barium Swallow X-Ray and all tests came up normal. I was told the swallowing problem is primarily related to GERD and I was advised Cintapro 1 mg tablet for 1 month. So far as I take the tablet, I am able to take in selected solid foods fine, but not all foods. If I do not take this tablet for one day, the problem recurrs back. Question 1: How long will this motility disorder be related to GERD ? Question 2: Are there any side effects of taking this Cintapro 1 mg to help in motility on a long term basis (Say if I need to take this for some more time) Questionj 3: Are there any other tests that will show the proper reason for this motility disorder of the esophaegus (Apart from Esopheagal Manometry, Gastro Endoscopy, Barium Swallow X-Ray) etc.
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