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Gout and Pseudogout Quizzes

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My nephew who is 7 years old tested positive in sugar test. His sugar levels were 500+ at the time of joining in hospital (5 days back), now his sugar levels are fluctuating in range of 60 to 250 so far (we use to test 3 times a day), based on the value we're giving apidra and lantus insulins (doctor suggests the units based on values). In a day, we use to give him 5 insulins, and kid is not okay with those injections. Now I would like to know is there any way to give single insulin a day or no insulin with a perfect diet? Please let me know. Doctor said, his pancreas got infected and stopped producing insulin. Is it life long? Or kid may get recovered as he ageing.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad  •  50yrs exp
My nephew who is 7 years old tested positive in sugar test. His sugar levels were 500+ at the time of joining in hosp...
Mr. lybrate-user, thanks for the query. I have seen the details mentioned. I am sorry to know the kid has developed t1 m. This is a condition where patient's beta cells (cells producing insulin in pancreas) are totally non functional. In such a situation only option is giving insulin and that too multiple doses as there absolutely no insulin being produced. So with every food intake there is a need for insulin. In children usually rapid acting insulins are used. However, a long acting insulin glargine (basalog) 100 units/ ml pen can be used once a day in addition 2 or 3 doses of lispro the rapid acting insulin. It is very tough for a child to take injections every day and for lifetime. But unfortunately there is no option at all. Other option is there are insulin pumps, which deliver insulin on a continuous basis. There is an instrument fixed on the abdomen which continuously releases insulin as required. You may enquire with some leading diabetologists in bangalore. It is an expensive treatment. But worth looking at. Thanks.
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I am losing my hair because of oily skin. I took tretiva 20 mg for at least 2 months and also used anaboom shampoo got some good results but after a year the same problem. Is there any permanent treatment for this oily skin as I am losing my hair day b day please suggest any permanent treatment. thank you.

D.D.V.L, F.A.C.S.I, M.B.B.S
Dermatologist, Delhi  •  17yrs exp
I am losing my hair because of oily skin. I took tretiva 20 mg for at least 2 months and also used anaboom shampoo go...
Seborrheic dermatitis may be causing this problem. Medicine available for good control. Treatment depends on the severity. Recurrence does occur if precaution not taken ,like- good skin care and hair care is required -keep affected area clean ,non greasy. -avoid coconut oil ,only condition hair prior shampoo. -mustard oil, lemon,olive oil, tea tree oil and aloe vera may be used if secure on scalp.-it may appear again with change of weather, stress,products used, pregnancy,age, systemic conditions, drugs etc -necessary to control risk factors. Do direct online consultation for detailed prescription by sending photos.
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I had been diagnosed with tinea and the doctor prescribed to use livafin cream and itraconazole tab for some days and after that it cleared but the main thing is that the rashes started appearing. What may be the possible causes? Can it be due to using of livafin cream or anything else. Pls tell me does livafin cream causes rashes on the skin of other parts of body?

MD, MBBS
Dermatologist, Chennai  •  22yrs exp
It's fungus or yeast infection. Common around skin folds like thighs and genitals. Avoid sweating, sharing clothes, towels and soap. Specific medicine required depends on the severity. For detailed prescription do direct online consultation by sending photos.
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From 2 weeks when I press on upper right ribs feels dull pain and after walking or running feels more dull pain after press that region and feel little tender this area. When I rest feel no pain but activity triggers pain I have done chest x ray but its normal. Please suggest for this.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai  •  24yrs exp
From 2 weeks when I press on upper right ribs feels dull pain and after walking or running feels more dull pain after...
It might be due to gastric trouble. Kindly do breathing exercises which might help you to get reduced with pain. Probably it looks like gastric problem, try drinking garlic juice mixed with milk in the night which will definitely help you to progress with the sleep pattern and you will definitely feel good through out the night. Any sharp pain might be due to gastric trouble,
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I am 20 year old male. Due to excessive dht formation, my hair line is reduced and now front hairs not grow fastly, I am at initial stage of baldness, is there any homeopathic medicine which can block dht on my scalp, I am using weisabaden 30. Suggest some medicines to promote hair regrowth and prevents hairball.

BHMS
Homeopathy Doctor, Noida  •  25yrs exp
I am 20 year old male. Due to excessive dht formation, my hair line is reduced and now front hairs not grow fastly, I...
Do you have dandruff problem also. Regularly wash your hair with mild shampoo. 1. Vitamin for hair loss.(a, b and c) 2. Enrich diet with protein. 3. Do warm coconut oil massage. Take coconut oil and heat it up so that it is warm, but not too hot. Massage your scalp with this hot oil for a few minutes. 4. Avoid brushing wet hair. 5. Keep yourself hydrated. 6. Put on a shower cap for an hour then shampoo your hair. It helps to stop hair loss and promote hair growth. 7. Avoid hairstyles that pull on the hairline. 8. Ditch hair tools that use high heat. 9. Be wary of chemical processing. 10. Drink water to hydrate your body. U can mix arnica q and jaborandi q equal quantity. Apply on scalp with the help of cotton. Wash hair next day. Do it twice a week homeopathy is a very effective for this problem n has very encouraging results. You can contact me for a detailed consultation.
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I have a pigmentation on my cheeks n nose ,it started when I was pregnant, now I have 2 months baby. Before was using brevoxyl face wash n d-acne gel, now face wash was banned .so may I know the creams to clear pigment mark's on my face as soon as possible.

MBBS Bachelor of Medicine and Bachelor of Surgery, Former maternity trainee at maternity ward
General Physician, Lucknow  •  1yr exp
I have a pigmentation on my cheeks n nose ,it started when I was pregnant, now I have 2 months baby. Before was using...
Hey it’s more likely melasma. Which is common in pregnancy also known as chloasma. It will lighten up with time. They do not go easily. You’ve to apply depiwhite cream in night only on the hyperpigmented area not on whole face, and protect your skin from sun. For further information contact me!
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Hi I am having hair loss and thinning since 2 years. L have a lot of white stuff coming from my scalp and sebum too. And scalp become itchy and tender too sometimes .and after scratching hair came out with roots. Last year doctor suggested to use nizral shampoo but it didn’t helped a lot and I applied minoxidil too as suggested by doctors but it didn't helped much as well and now I am so depressed because of my hair loss and thinning as I am only 22 can someone please help I can book an appointment online as in lives in australia. Thanks please reply. Thanks again.

DNB (Dermatology), MBBS, Diploma in Trichology - Cosmetology
Dermatologist, Hyderabad  •  10yrs exp
Hi I am having hair loss and thinning since 2 years.
L have a lot of white stuff coming from my scalp
and sebum too. ...
Hi! hair loss can be due to various reasons, genetic, hormonal, nutritional, dandruff, stress ,pollution etc. We have to examine the scalp to know the reason for hair loss. If dandruff is present, it should be checked and be controlled in this age group. Blood tests like cbpesr ,tsh, lft, rbs, s.ferritin levels, s.b12 levels, s.vitamin d levels, s.testosterone levels need to be checked to know the reason and to focus on the internal factors. Mean while ,take balanced diet with proteins, fresh fruits and vegetables, plenty of fluids for hydration, omega 3 rich foods like walnuts, flax seeds etc, iron rich foods like green leafy vegetables, liver, jaggery. Use a ph balanced shampoo .you can do an online video consultation for more queries.
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Hi I have 2 doubts 1. Can I apply sri gopal tail everyday? And when to apply this? Before going to bed or before going to bath? 2. Will this tail help me to over come premature ejaculation?

M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG, CCCS ( CARDIOLOGY & STROKE), CCIGC ( GERIATRIC CARE )
General Physician, Sri Ganganagar  •  40yrs exp
Hi I have 2 doubts
1. Can I apply sri gopal tail everyday? And when to apply this?
Before going to bed or before goin...
Its antispasmodic properties help in calming painful intercourse or dyspareunia. The oil can also be massaged over breasts for natural breast enlargement. Shrigopal taila helps to strengthen abdominal muscles and protects pregnancy. Pour 2 to 5 drops on the affected area or parts and massage gently. As lubricant apply 2-4 drops on both labia and clitoris 15 min before intercourse.
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I am 28 year old I have white hair on beard it is my problem .tell me ayurveda have any treatment for white beard hair?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MS Ayurveda
Ayurvedic Doctor, Haldwani  •  7yrs exp
I am 28 year old I have white hair on beard it is my problem .tell me ayurveda have any treatment for white beard hair?
Hello, yes ayurveda has solution for your problem, you need ramayana treatment for premature graying. Make mixture of (awla powder+ giloy powder+ gokshura powder) in equal quantity, and take this 2 times in a day with cow ghee and honey in unequal quantity. This will help you. For deatail treatment please consult me on Lybrate.
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