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Arthritis Diet Questions

My brother has rheumatoid arthritis. He taking remicade injection once or twice a year. He has this problem for almost 12 years. But now he having pain on chest bones fully. He had taken xray and blood esr. Both are good. But his pain is increasing and he cannot able to breathe normally.

MD - General Medicine, Fellow [FACE]
Rheumatologist & Immunologist, Kangra
My brother has rheumatoid arthritis. He taking remicade injection once or twice a year. He has this problem for almos...
Chest pain does not occur in rheumatoid arthritis. There must be other reason for that. For it consult your rheumatologist, he will be able to tell you the answer.
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Rheumatoid arthritis for 7 years. Now on dmard (hcqs, saaz and leflunomide), depo medrol injection in right ankle (intra articular). Now right ankle synovitis again, please advice? And hcqs finished and not available in market, what any other option of hcqs?

MD - General Medicine, Fellow [FACE]
Rheumatologist & Immunologist, Kangra
Rheumatoid arthritis for 7 years. Now on dmard (hcqs, saaz and leflunomide), depo medrol injection in right ankle (in...
Hcqs is in short supply throughout the world as it is being explored in coronavirus, but you might get it in 15-20 days. This medicine works for 22 days in the body, so not to worry if you don't get it for a short time. Answer for your second question- why are you not taking methotrexate? Do you have any side effect with it. If yes then the option in front of you is of biologicals. Consult with your rheumatologist for that.
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Can I use himalayan shallaki to cure bone erosion and rheumatoid arthritis or it is just a pain killer.

Dr. Arungeethayan 92% (817 ratings)
Fellowship of the Royal College of Surgeons (FRCS), Membership of the Royal College of Surgeons (MRCS)
Orthopedic Doctor, Trichy
Can I use himalayan shallaki to cure bone erosion and rheumatoid arthritis or it is just a pain killer.
It does not help with rheumatoid arthritis. You can use it as a supplement however. Only rheumatology medications help control your symtoms.
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I am a 22 year old female and I am not able to cum even during sex. Do I need some treatment for this?

Dr. Rahul Gupta 96% (23462 ratings)
MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
I am a 22 year old female and I am not able to cum even during sex. Do I need some treatment for this?
Hello- several factors may contribute to female orgasm difficulty. In addition to psychological problems, physical causes include arthritis, urinary or bowel difficulties, pelvic surgery, fatigue, headaches, and neurological disorders such as multiple sclerosis. Certain medications, including some antidepressants, blood pressure medications, antihistamines and chemotherapy drugs, can decrease sex drive and inhibit the ability to achieve orgasm. Menopause causes lower estrogen levels that may lead to changes in your genital tissues and your sexual responsiveness. Menopause also slows the natural swelling and lubrication of the vagina, leading to uncomfortable or painful intercourse (dyspareunia). Although sexual problems associated with female orgasm difficulty are multifaceted, they're also treatable. Treatment involves addressing the underlying medical or hormonal condition contributing to the orgasm difficulty. Many natural herbal formula have known to increase prostaglandins production, relaxing vaginal and uterine muscles and cervical and clitoral tissues through the balance hormones and rejuvenation.
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My father is suffering in osthioartharities .now he can not walk. What can we do?

Dr. Karuna Chawla 97% (79917 ratings)
BHMS
Homeopathy Doctor, Noida
My father is suffering in osthioartharities .now he can not walk. What can we do?
You can do the following exercises for knee pain. follow these dos and don’ts to help your knees feel their best. 1. Don’t rest too much. Too much rest can weaken your muscles, which can worsen joint pain. Find an exercise program that is safe for your knees and stick with it. If you're not sure which motions are safe or how much you can do, talk with your doctor or a physical therapist. 2. Do exercise. Cardio exercises strengthen the muscles that support your knee and increase flexibility. Weight training and stretching do, too. For cardio, some good choices include walking, swimming, water aerobics, stationary cycling, and elliptical machines. 3. Don’t risk a fall. A painful or unstable knee can make a fall more likely, which can cause more knee damage. 4. Rest, ice, compression, and elevation (rice) is good for knee pain caused by a minor injury or an arthritis flare. Give your knee some rest, apply ice to reduce swelling, wear a compressive bandage, and keep your knee elevated. 5. Don't overlook your weight. If you're overweight, losing weight reduces the stress on your knee. You don’t even need to get to your "ideal" weight. Smaller changes still make a difference. 6. Don't be shy about using a walking aid. A crutch or cane can take the stress off of your knee. Knee splints and braces can also help you stay stable. 7. Don't let your shoes make matters worse. Cushioned insoles can reduce stress on your knees. 8. Do play with temperature. For the first 48 to 72 hours after a knee injury, use a cold pack to ease swelling and numb the pain. A plastic bag of ice or frozen peas works well. Use it for 15 to 20 minutes three or four times a day. Wrap your ice pack in a towel to be kind to your skin. After that, you can heat things up with a warm bath, heating pad, or warm towel for 15 to 20 minutes, three or four times a day. 9. Don’t jar your joint (s). High-impact exercises can further injure painful knees. Avoid jarring exercises such as running, jumping, and kickboxing. Also avoid doing exercises such as lunges and deep squats that put a lot of stress on your knees. These can worsen pain and, if not done correctly, cause injury. You can contact me for a detailed consultation.
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I am psoriatic arthritis patient with back pain and si joint pains in addition to other joint pains. I use hcqs 200 mg for psa. Spine surgeon prescribed duloxetine 20 mg one in morning & one in the evening for my back pain. These tablets also reduce other joint pains and also helps in controlling my inflammation. But my problem is because of this duloxetine capsules my sleep has become very much disturbed and I am unable to fall asleep when I wake up in the night. I feel active all the time and suffering with racing thoughts/brain fogg. I am not able to calm my mind by all means. To counter this I added mythy cobalamin 750 mcg and 1/2 of clonotril - .25 mg. But still then I get up between 3 to 4 am and unable to fall asleep. Totally I am getting a sleep of about 4.5 hours to 5 hours a day. Increasing clonotril dose causing me irritation in the stiff muscles surrounding the joints. I tried magnesium supplement which worked nicely but it increased my scalp psoriasis rapidly. I tried all forms of magnesium but same results. Melatonin helped a bit but it causing tiredness during entire day. Could you please suggest any medicine to calm down my thoughts and to get a restful sleep? Thank you.

MS(Ortho), DNB (ORTHO), Dip. (Ortho), MBBS, fellowship in minimally invasive spine surgery
Orthopedic Doctor, Mumbai
Start methotrexate if no relief then start biologicals along with medication do physiotherapy be active do lot of exercise life style modifications add yoga to calm down urself as stress will precipitate it more.
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My wife age about 60 years suffering from rheumatoid arthritis at present she was advised by rheumatologist ing folitrax 20 mg weekly tab lefra 10 mg od tab hcqs 200 mg od. After one month treatment some improvement my doctor also discussed with me about another treatment biological treatment which is costly you please advise me can I accept and what are best brands thanks.

MD - General Medicine, Fellow [FACE]
Rheumatologist & Immunologist, Kangra
My wife age about 60 years suffering from rheumatoid arthritis at present she was advised by rheumatologist ing folit...
Better to wait as dmards takes upto 3 months to reach its peak effect. Folitrax can be increased to 25 mg and lefra to 20 mg if she can tolerate. Biologicals can be discussed later. Your rheumatologist will be able to advise better.
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My husband is taking medicine for juvenile rheumatology and uveitis from 3.5 years uveitis is under control, last episode had happened 2 years back he is taking folitrax 15 mg once week saaz ds 1gm twice per day as these medicines suppress the immunity whether he should stop or continue taking these medicines at this time of corona virus threat. He is not contacted with the infection and he is taking all preventive measures to avoid corona virus infection. Please advice whether to continue the medicines or stop for some time.

Dr. Bhavesh Makkar 87% (81 ratings)
DNB Ophtalmology, MBBS Bachelor of Medicine and Bachelor of Surgery, Senior resident
Ophthalmologist, Varanasi
My husband is taking medicine for juvenile rheumatology and uveitis from 3.5 years
uveitis is under control, last epi...
The medicines mentioned are immunosuppressants and it is right that they will weaken the immune system but if you will refuce them then it might increase the problems of arthritis. Pls send the latest detailed evaluation report of eye by an ophthalmologist so that I may prescribe an eyedrop for controlling uveitis component. Maintain proper precautions to avoid corona infection.
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My mom, juts went through one tkr on 14 march 2020. Everything is fine but her crp is 165 esr 140 and she gets mils fever every evening which goes till 101. The doc suggests magmex 3 mg for 10 days twice as drip. She is fit and fine and ha sno signs of wound infections and her doppler had no signs of dvt. Why does she have fever thought now with antibiotics it has lessened but reaches 100 and needs a dolo 650. She has low hb before operation it was 8.5 post operation it is 7.30. And she is minor thalassemia she suffered from arthritis for long time and due to pain decided for this operation. Please advice asap.

Dr. Nishant Singh 95% (124 ratings)
Diploma in Diabetology, CCT (Rheumatology & Internal Medicine), MD - Internal Medicine
General Physician, Noida
My mom, juts went through one tkr on 14 march 2020. Everything is fine but her crp is 165 esr 140 and she gets mils f...
You have to take this bit seriously, get detailed checkup done, keep her off antibiotic for a week then send a blood culture and urine culture tests and do x ray chest and ultrasound whole abdomen to r/o any chronic infection it can be different thing after tkr not related to it but cane indirectly caught infection in hospital.
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My father is suffering from bone joint pain, due to osteoarthritis. Any suitable medicine, please suggest me.

Dr. Karuna Chawla 97% (79917 ratings)
BHMS
Homeopathy Doctor, Noida
My father is suffering from bone joint pain, due to osteoarthritis. Any suitable medicine, please suggest me.
1. Don’t rest too much. Too much rest can weaken your muscles, which can worsen joint pain. Find an exercise program that is safe for your knees and stick with it. If you're not sure which motions are safe or how much you can do, talk with your doctor or a physical therapist. 2. Do exercise. Cardio exercises strengthen the muscles that support your knee and increase flexibility. Weight training and stretching do, too. For cardio, some good choices include walking, swimming, water aerobics, stationary cycling, and elliptical machines. 3. Don’t risk a fall. A painful or unstable knee can make a fall more likely, which can cause more knee damage. 4. Rest, ice, compression, and elevation (rice) is good for knee pain caused by a minor injury or an arthritis flare. Give your knee some rest, apply ice to reduce swelling, wear a compressive bandage, and keep your knee elevated. 5. Don't overlook your weight. If you're overweight, losing weight reduces the stress on your knee. You don’t even need to get to your "ideal" weight. Smaller changes still make a difference. 6. Don't be shy about using a walking aid. A crutch or cane can take the stress off of your knee. Knee splints and braces can also help you stay stable. 7. Don't let your shoes make matters worse. Cushioned insoles can reduce stress on your knees. 8. Do play with temperature. For the first 48 to 72 hours after a knee injury, use a cold pack to ease swelling and numb the pain. A plastic bag of ice or frozen peas works well. Use it for 15 to 20 minutes three or four times a day. Wrap your ice pack in a towel to be kind to your skin. After that, you can heat things up with a warm bath, heating pad, or warm towel for 15 to 20 minutes, three or four times a day. 9. Don’t jar your joint (s). High-impact exercises can further injure painful knees. Avoid jarring exercises such as running, jumping, and kickboxing. Also avoid doing exercises such as lunges and deep squats that put a lot of stress on your knees. These can worsen pain and, if not done correctly, cause injury. You can contact me for a detailed consultation.
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