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Blood flow

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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 ?

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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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 ?

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 just had blood drawn and now there is a blood bubble at the drawing site. Should I be concerned?

Hi, There can be a bubble while withdrawing blood at times, so don't worry. If it was air entering your vein it would have caused you severe pain,don't think it was significant. Feel free to ask more questions ...

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hi, I am 26 year old male.My heart pulse rate is 100 bpm at rest, blood pressure range from 120-136/80-90, when high blood pressure I have pain behind eye and headache. I also feel chest tightness sometime. when I walk or do physical activity I can feel slight breath. From recent blood work my chelostorel is 245. what could be the problem?

Hi, You should try to lower it right now with diet first for 3-4 months. If no effects are seen then you may go on with drugs for this(raised cholesterol). Your blood pressure is not high otherwise it is just a little raised for your age. As soon as your cholesterol comes down your b.p will also reduce. If you have chest tightness,it can also be due to allergy(asthma). If you want to go for further test there are many tests but for now probably ECG is enough for you. if that is normal you don ...

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a baby of 5 months.has biliary atresia, bile flow from the liver to the gallbladder is blocked. is now sent to CMC Vellore for further treatment. patient can bear expenditure of maximum 1 lakh. advice treatment and solution please

Hi, Biliary atresia is a serious problem and worse part is it is less know. It has only surgical treatment and intially the procedure done is kasai procedure(in which a part of child intestine is used to replace the bile duct out of liver),but however if it fails then liver transplantation is the only option. I am not sure over the cost of procedure in cmc vellore,but however if you are carrying your detailed certificate about income then you will be given priority and will be charged less(it c ...

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sleep apenia , now my question is , is there anything except using cpap machine to fight with sleep apenia Analysis (Flow evaluation period: 7 h 55 min / SpO2 evaluation period: 8 h 1 min) Indices Normal Result AHI*: < 5 / h Average breaths per minute [bpm]: 7.24 RI*: < 5 Breaths: 3441 Apnea index: 58 < 5 / h Apneas: 463 Hypopnea index: 3 < 5 / h Hypopneas: 27 % Flow lim. Br. without Sn (FL): 21 < Approx. 60 Flow lim. Br. without Sn (FL): 706 % Flow lim. Br. with Sn (FS): 16 < Approx. 40 Flow lim. Br. with Sn (FS): 558 Snoring events: 2355. my sleep study today result ...

Hi, It has to be examined,and only then can it be told what to be prescribed,there are two types of sleep apnea dental and nasal. You seem to be the case with nasal apnea but surely can't be said without examining you,if it is simply nasal with no dental involvement then there are new devices in market known as provent sleep apnea therapy in which small disposable device are implanted in nose so that a person can breathe easy,but they can be prescribed by a specialist after examining you. If th ...

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Name – Biman Das Age – 28 years Indian origin, stays in Bangalore, India. 9th July 2012 - hemoglobin electrophoresis suggestive of Homozygous Hemoglobin E disease Complaint – Weakness since 1year. Hi…. Below are the complete tests I have done two days back….. Blood Urea Nitrogen – 11.00 mg/dl Serum Creatinine – 1 mg/dl Serum Glucose – 94 mg/dl SERUM LIVER FUNCTION TEST Billirubin Total – 1.30 mg/dl Billirubin – direct – 0.30 mg/dl SGOT/AST (P5P, IFCC) – 63.00 IU/ml SGPT/ALT (P5P, IFCC) – 142.00 IU/ml ALP – 74 IU/ml Total protein – 7.80 g/dl Serum Albumin – 4.90 g/dl Serum Globulin – 2.90 g/dl ALB/GLOB Ratio – 1.69 g/dl SERUM TSH (ECLIA) – 6.240 IU/mL COMPLETE BLOOD COUNT WBC – 9300.00 /cu.mm RBC – 6.15 million/cu.mm Hemoglobin – 11.90 g/dl Haemotocrit (PCV) – 37.00 % MCV – 61.00 fL MCH – 19.40 Pg MCHC – 31.30 g/dl Platelet count – 135000.00 /Cu.mm DIFFERENTIAL COUNT Neutrophils – 52 % Lymphocytes – 43 % Monocytes – 3.00 % Eosinophils – 2.00 % ESR – 4.00 /1st hour. PERIPHERAL SMEAR EXAMINATION RBC’s – Show moderate anisopoikilocytosis, are microcytic hypochromic with few eliptocytes, target cells. WBC’s – Leucocytes are normal in total count and distribution Plateletes – Plateletes are reduced. Macroplateletes noted. Impression – Microcytic hypochromic blood picture with thrombocytopenia. (Kindly correlate with serum iron,TIBC, ferritin and Hb variant analysis [To rule out hemoglobinopathy]) OTHER TESTS – Routine Urine analysis – All values are normal ECG – Normal study X-Ray of chest – PA View – Normal Study MY HABBITS – Non veg 3 days a week Beer – 3 days a week( 700ml per day) drinking since 10 years. Smoking – 12 cigarettes per day (Smoking since 10 years). More Anxiety and less physical activities. Last one year I am inside my house, just for half an hour I go outside in the morning. MY HISTORY AND TESTS DONE EARLIER – History of acidity, constipation and digestion. 9th July 2012 - Haemoglobin electrophoresis suggestive of Homozygous Haemoglobin E disease. 16th October 2012 - Ultrasound of liver – Fatty Liver 18th October 2012 – Liver function test – All values are normal 18th October 2012 – Pulmonary test – Normal spirometery 18th October 2012 – Complete Haemoglobin – Haemoglobin 12.5 gm/dl, WBC – normal in number and morphology, RBC – Anicocytosis with microcytic hypochromic erythrocytes, mild polychromasia, elliptocytes and taget cells, platelets- adequate Please let me know is it very serious and also let me know some medicines and diet... Regards Biman Das

Hi, I am not sure,your doctor must have examined you so he can might be telling better,but i belive you should have complet liver tests including pt aptt and coagulation profile and billirubin levels and also repeat the tests you already have. Although yellow eyes can also be due to mddy sclera,some people have muddy sclera. Your tsh is also raised so he might be telling you for some test or may be you could be directly be put on medicines for this. Time taken is different for diffirent person ...

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I recently had a period that started very light and evened out to a normal flow by the end but i experienced no usually period cramps, headaches, pain and what not. Then 2 days after my period ended i started experiencing a light pinkish discharge. Its normal in consistency compared to my usually ovulation discharge but the color is something I've never seen before. I am sexually active. Is this normal? or should be alarmed?

Hi there. It won’t harm if you will go to the nearest gynecologist so that he or she may conduct a pelvic exam. Pinkish discharge may mean a lot of things. It can be normal like ovulation, or can be an anatomic problem like polyp. But I think it is perfectly ok that you did not get cramps or any premenstrual symptoms. ...

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Dr. Sameer Kad

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Dr. Alpesh Doshi

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