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Clexane 60 MG Injection Health Feed

Asked for male, 26 years old from Mumbai
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I have DVT of the Upper extremity (left arm). Sub clavian brachial and auxiliary veins thrombosis. Initial symptoms were swelling, reddening of the left arm with pain in shoulder originating from the lower neck JAK mutation test came as negative CBC= 16.2|7720|3.01 Was treated with clexane 60 mg for 10 days and ever since taking eliquis 5 mg tablets twice a day since 3 months. Everything seems to be fine All of a sudden the arm started reddening again along with pricking feeling near the clot area So visited the doc again and repeated a Doppler which advised no improvement in the thrombosis area Visited a physician for second opinion today - he asked to repeat all the tests and do a lot of blood tests What is the right course of action What kind of a doctor should I visit and what are the risks and complications.

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MS - General Surgery, FMAS.Laparoscopy

General Surgeon•Gandhinagar
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Hello dear lybrate-user,
Warm welcome to Lybrate.
I have evaluated your query thoroughly. Now this is the case to be handled by vascular surgeon, you may need angiography of upper limb with vascular intervention in form of embolisation by interventional radiologist. I do not see much hope with medicines in your case. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance. Regards take care.
134 people found this helpful
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I am looking for expert advice on the health of my younger brother (who lives in gurgaon, currently at home quarantine). He is 25 years old (blood group b ve) and got a headache with a low grade fever on the evening of 24th july and high fever on 25th july and till now every day in the morning and night he got high fever (102-104). He is on medication (please find attached the medication and spo2, temperature daily test in excel sheet) and a constant observation with our family doctor (mbbs, md). He didn't feel any kind of difficulty in breathing and pain in the leg muscles below the knee and/or other symptoms of cavity-19 like loss of taste and smell except headache in early days but feeling lethargic mostly. He is in-home quarantine and no one in the family has any symptoms. But most importantly, he has crp value 11.8 mg/l (on 29 july) and 106 mg/l (on 31 july) and d-dimer value around 1.38 mg/l (on 29 july) and 6.33 mg/l (on 31 july, 5.18 (on 1 august) in a test recently conducted (please also find attached the test reports and other liver and blood reports). His sgpt (199. 2iu/l) and sgot (90. 6iu/l) and ggt (326 iu/l) are high. According to his d dimer report, the doctor advised him to take clexane 60 mg for 5 days, he already had two injection on 1st and 2nd august (by a compounder from a nearby hospital). We got cavity negative test result and a positive typhi igm test on 3rd august. But he did not have any symptoms of loose motion. I have few queries: 1.Is this due to covid as test may be negative after 9-10 days or the specificity of test is not accurate. 2.And crp, esr, d dimer are raised. Is these parameter also raised in typhoid? 3.Is due to typhoid as typhoid test is positive but he did not have any loose motion symptoms he just get it one time after taking azee500 od with other medicines like cepodem bd or we need to confirm it with culture test. Is yes which culture test? 4.Do we need to continue clexane as d dimer is high? 5.Can we stop omnacortil suddenly or we need to taper it down?

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BHMS

General Physician•Mumbai
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1) covid is virus its incubation period is 7 to 21 days if first report is negative you should repeat it after 6 days
2) yes it can raise 3) it may agi or may be due to azeee will have to evaluate
4) we can wait or oral antiplates can given
5) idealy obce it has been started tapeering will be better option insteed of stopping it.
Asked for female, 34 years old from Kochi
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I'm 34 years married on feb 15 on 2013. Had 4chemical pregnancies and many icsi and iui failures by now with unexplained infertility and normal reports. Height 158 cms weight 65 kg periods always on time. This time did got periods on 3 oct 2019, did a 3 day frozen embryo transfer of 3 embryos from cimar cochin on 22 oct 2019 took hcg injections on 22nd 25th 28th and 31st with enoxaparin 20 mg twice a day and daily progesterone injections with progynova 2 mg 1 1 2, wysolone 1 0 1, fopymin 1 0 0 ecosprin 75 mg 0 0 1 and duphaston 0 0 1 and got pregnant with hcg level of 211 on 5th nov. Took hcg shots on 5 10 and 15th nov. First t.v.s on 21st nov thursday ((6th week)) revealed a single intrauterine pregnancy with a small gestation sac of 7 mm but no yolk sac, no heartbeat, no foetal pole was seen. Baby was not alive told not a healthy pregnancy asked to wait for a week and come back on 29th nov friday for next scan with continued medications and another hcg shot on 25th nov saying sometimes it grows late or will be placed too far so not seen in the scan. Is that so? Can I hope that there can be a miracle and heart will beat and the yolk sac and embryo will still grow and show up in the scan by next week or is it a blighted ovum/missed miscarriage. Does the yolk sac grow in 7th week. I neither have pregnancy symptoms nor miscarriage symptoms and no bleeding whatsoever. Is my last road to motherhood over or are there chances at all of a healthy pregnancy? How much ever positive I think i'm feeling depressed that its all over. What could be the reason that yolk sac foetal pole and heart beat wasn't seen. Could it be due to my uterus which is though healthy as per scan or is it due to embryo. Please do reply me.

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MBBS, M.S Obstetrics & Gynaecology, F.MA...read more

Gynaecologist•Chennai
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Hi. Namita. I feel very sorry to read all that you have gone through.
Answer to your question is Embryo.

I want to ask you whether you have done PGD every time you had a icsi and embryo transfer. Was the baby normal???
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Asked for male, 30 years old from Coimbatore
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MBBS, DNB Obs &Gynae, Diploma in Reprodu...read more

IVF Specialist•Delhi
I suggest you to take a break for 1 month before going for 2nd cycle with frozen embryos bcoz body needs time to settle. Secondly I would suggest you to ask your doctor to give you additional supporting drugs after embryo transfer probably enoxaparin to increase the success of implantation of your embryos. And don't take stress .everything will happen good. Be positive.
Asked for female, 35 years old from Delhi
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General Physician•Bangalore
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1.no ,lonopin/ enoxaparin won't cause itching / scrathing.
2.although,it works as blood thinner and petechial hemorrhages (suprficial hemorrhages) can happen and usually look like mosquito bites to an untrained eye.
3.image speaks a 100 words. Consult with an image of lesion / local doctor for better help.
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