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Subarachnoid Haemorrhage Health Feed

Asked for male, 73 years old from Bangalore
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Asked for male, 66 years old from Mysore
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MBBS Bachelor of Medicine and Bachelor o...read more

Pain Management Specialist•Delhi
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Thank you for contacting us on Lybrate. This pin prick sensations as you have rightly pointed out is neuropathic pain due to diabetes. You need to get a few tests done like hba1c, ncv of your left foot first to rule out any other pathologic cause. A detailed work up needs to be done before medicines can be prescribed. You can get in touch foa a detailed discussion.
12 people found this helpful
Asked for female, 32 years old from Mumbai
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MD - Physical Medicine & Rehabilitation,...read more

Pain Management Specialist•Bardhaman
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Hello,
maxgalin (pregabalin) group of medicines are better to be avoided on a long run for its side effects and dose increase. It can better be replaced with other preferred options like gabapentin etc. In your case, if you are having progressive symptoms lately, you need to go through a check up to prevent increase in pain.
Get well soon.
Asked for female, 56 years old from Mumbai
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Hello doctor, I am 23 years old male and around 8 months ago, in my blood test I found high levels of creatinine and uric acid amd high blood pressure of around 170/90, then I went to kidney specialist and he prescribed febuxostat 40 mg for 3 months, and relmisart 40 mg twice a day 1-0-1, with amlodipine 5 mg once a day 1-0-0, now its been 6 months I am eating these, and stopped fexanto, and now due to lighten, from past 1 week, I am checking my blood pressure at home, so it is normal 115-80, hence now, can I reduce my dosage of telmisartan 40 mg to once a day, 1-0-0 and increase amlodipine dosage to twice a day, 1-0-1.because I have heard that telmisartan declines kidney function and is not good for kidneys for long term use. Ps: I cannot visit kidney specialist doc as he is stuck out of india because of cavity 19 lockdown. Please help me out with a detailed reply.

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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Hello, Thanks for the query.
I have seen the details given. I do not know from where you have gathered the information about Telmisartnan causing "kidney damage". In fact these group of drugs (ARBs) and ACE- Is are considered safest of blood pressure reducing drugs. Since your BP is well controlled, there is no reason to reduce the dosage. Telmisartan is shown to reduce proteinuria and help improve Glomerular Filtration Rate (GFR), which an indication of kidney function. Thanks.
Asked for male, 69 years old from Delhi
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MBBS, Basic Life Support (B.L.S), Advanc...read more

General Physician•Delhi
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The mean urinary creatinine and uric acid excretions in the patients with gout were significantly increased as compared with those of normal male controls. Let's have a detailed discussion for better advice and medication plan.
15 people found this helpful
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MBBS, Basic Life Support (B.L.S), Advanc...read more

General Physician•Delhi
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Use cautiously in patients with a history of gout, or elevated uric acid levels, as the correction of megaloblastic anemia with vitamin B12 may precipitate gout in susceptible individuals. Let's have a detailed discussion for better advice and healthy lifestyle.
43 people found this helpful
Asked for male, 36 years old from Navi Mumbai
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MD - Physical Medicine & Rehabilitation,...read more

Pain Management Specialist•Bardhaman
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Dizziness is a common side effect of gabapentin and nortryptilin.
Please consult your doctor regarding restarting only gabapentin at minimal doses e.g. 100 mg od and gradually increase when tolerated.
Asked for female, 33 years old from Pune
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MBBS, Basic Life Support (B.L.S), Advanc...read more

General Physician•Delhi
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I am sorry to hear about your concern, but I will be happy to assist you
diet is the best method to control high uric acid and diabetes. Diet can be easily done with natural food or supplements. Let's connect over a call so that we can discuss your concern in detail and make a suitableĀ  diet plan for you.
7 people found this helpful
Asked for female, 28 years old from Siliguri
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Hello, Thanks for the query.
Usually the drug mentioned is taken to reduce excess uric acid from the blood. Plus if a person has symptoms of joint pains and swelling with high uric acid. Unless those details are given there is no way to give any advice. Thanks.
663 people found this helpful
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Mr Rakesh Kumar, Thanks for the query.
I have seen the details given. Uric acid 10.6 mg is quite high. But please tell me what symptoms do you have, because nothing is mentioned about that aspect. Only increased uric acid is not such a problem unless there is gouty arthritis.
Since treatment has been started, it will take a few days for seeing any results.
Plus you will have to follow certain precautions which I am sure doctor treating must have already conveyed. Those are: 1 Stop ta...more
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