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Chin Reduction Treatment
Percutaneous Nephrolithotomy Procedure
Weight Management Treatment
Asthma Management Program
Hair Restoration Techniques
Head And Neck Pain Treatment
Treatment of Migraine Treatment
Nosebleed (Epistaxis) Treatment
Treatment of Thyroid Disease in Children
Thyroid Disorder Treatment
Thyroid Problems Treatment
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*I had got my periods on 19th last month (November). N I took ipill on 28th. Exactly 15 days later I got bleeding (But 6 days b4 I had penetration again. Whr he never ejaculated inside me.) Just a little everyday which lasted like for 5. Days. (Kind off like periods nly) shud I get my actual periods on 19th of December again?
I have too much pimples on face that contains material like wax. I have too painfully ulcers also. What is this something? What can I do?
I am having cough and cold from last 6 yrs, due to which I am taking a medicine combinable FB 200 but still no progress. Please help me in that. Also I am having a habit of masturbating twice daily. How to get rid of it.
Sir I have problem of Fistula, I got surgery but it again formed, puss will discharge and it will be painful please suggest me the medicine to get it heeled and cured.
Female aged 57 yrs. I am having the stomach problem of diverticulitis. Stomach pain for the past 4, 5 days. What is the treatment and diet advisable.
My wife 51 years sweats a lot. Her health condition is superb. Her sugar, bp, lipids, weight & all the health parameters are perfect. What could be the reason for this, how to overcome this?
I am able to pull the foreskin of my penis back when it is not erect but when it is erect it becomes difficult and pains.
I used to ejaculate early while having sex with wife and do not last for more than 5 minutes or sometime even 2 minutes. Please suggest a way so that I can enjoy and satisfy my partner as well.
I am overweight when I do my workout I get tired I do use protein supplements and proper diet but still feel lack of energy after my workout I do heavy weight lifting I want some kind of medicine or something which give me strength but do increase my weight and fat.
I underwent LSCS (cesarean section) one mnth back. Inspite of using abdominal belt I am having lax abdomen. What should I do ?
Im 25 year ola im very unhappy becoz fron 3 months my face is getg dark (black). please giv me solution for this problem.
Whenever I go in swimming pool and come at home my skin colour became dark so which cream to use before going to swimming pool.
Sir my child 07 years old but she never feel hungry I have done lot of test like tv, ultrasound and lot of blood test but only tv direct few we have given 9 month medicine but still she is not eating.
Hi, myself santosh, I am facing a problem while having sex, early ejaculations, bcoz of dis my personal life is getting worse, I can't have sex without condoms, foreskin problem, can I go for circumstance surgery?
Rheumatoid arthritis is a chronic inflammatory arthritis with a prevalence of 0.5-1% in India. It is characterized by joint pain and swelling associated with morning stiffness lasting for more than 30 minutes. It generally has a slow onset - over weeks to months, though the onset can be acute also. Most common joints involved are small joints of hands and feet. Larger joints like knee and shoulder can also be involved. The incidence of RA increases with age. It is twice more common in females than in males. Early treatment is necessary to bring down the inflammation, avoid joint deformities and prevent other complications (lung, heart, vasculitis).
Predisposition to RA is multifactorial. It has a genetic component (family history of RA increases the risk). Environmental factors like smoking also play a role.
Initial symptoms start with fatigue, malaise, generalised bodyaches, low-grade fever. The onset is generally slow and eventually patient develops joint pain and swelling. Though the joint involvement is symmetrical in most cases, asymmetric onset is common (involving joints predominantly on one side).
Diagnosis is made by a physician after detailed history, clinical examination and supportive lab tests. Rheumatoid factor and anti-CCP antibody are positive in 75-80% patients with RA. They have raised inflammatory markers (ESR, CRP) during active inflammation.
RA treatment options are wide and quite effective. It starts with patient education regarding nature of the disease and the risk of complications. The need of early aggressive therapy should be emphasized. The patient should put in efforts for physiotherapy which play a very important role in muscle strength and joint mobility. Pharmacotherapy options are wide and include disease-modifying antirheumatic drugs (DMARDS). These can be conventional DMARDS like methotrexate (usually the first line drug), sulfasalazine, hydroxychloroquine, leflunomide. Failure to adequately respond to these drugs should lead your Rheumatologist to consider Biologic DMARDS (TNF antagonists, Rituximab, Abatacept, Tocilizumab). Your Rheumatologist is the best person to guide you about dose, indications, monitoring and side effects of the drugs used in RA. Treatment duration depends on patient's response but is generally long (5-10 years or lifelong).
COMPLICATIONS BEYOND JOINTS:
RA patients can have rheumatoid nodules in skin, lungs, heart and other sites. These patients are at risk of accelerated bone loss, so calcium and vitamin D intake should be optimized. Eye complications include dryness, redness (scleritis and episcleritis) and certain eye threatening complications. Lung involvement can be seen in various forms (fluid in lungs, nodules, interstitial lung disease).
These patients are at high risk of atherosclerosis (heart and blood vessel disease). They also have a tendency to have frequent infections.
NEED OF THE HOUR:
All patients with joint pains should be seen early by Rheumatologist for diagnosis and treatment. With so many treatment options, no patient should suffer from joint deformities and other complications associated with long standing, untreated RA. LEAD A HEALTHY LIFE! If you wish to discuss about any specific problem, you can consult a rheumatologist.