A 38years old man c/o pain in heels for one month. Agg: standing, beginning to walk. Pain in sacrum agg :rising from a seat. Pain in elbows < exertion. Pain in cervical region < sitting for a long time. Desire beef, fish and fried food. Wt :80 kgs. Thirst normal, stool normal. BP120/80.First urine offensive. Family history of heart block and cancer. Blood and urine report attached. Convey your opinion doctors.
This is a case of gout, pain in heels due to high uric acid . Advise him not to take meat or high protein. Symptoms indicate sycotic miasm is predominant so try to select an anti sycotic medicine according to constitution
? CKD .. NEED'S CLINICOPATHOLOGICAL EVALUATION WITH.. HEMOGRAM.. URINE C AND S EXAMINATION KFT .. USG..ABDOMEN.. EXPERTS OPINION..
रोगी वात व्याधि से ग्रस्त है। चिकित्सा संबंधी योग,,,, महानारायण महामासादि तेल को मिलाकर मालिश करें। महायोगराज गुगल स्वर्ण युक्त 2 वटी एकांग वीर रस 2 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। महारास्नादि क्वाथ 25 ग्राम सुबह-शाम खाने के बाद दें। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।
POSSIBLY CHRONIC. RENAL DISEASE... NEEDS. FURTHER EVALUATION... INCLUDING U. S. G
A case CVA and neuropathy so please go to MRI As a symptomatic treatment Hab suranjan TID Labub sagir TID Sharbat e faoulad 10 ml QID Hab e loban QID Dry cupping therapy daily once time Simply exercise daily one time morning Bed rest Lemon tea OD
High cholesterol levels ,and triglycerides _may b some CAD or any heart anomaly.. S.uric acid raised Tab Zyloric may help. Tab Abana, medohar guggal, shijitvaddi vati, Arjuna risht,syp Livomyn, ekangveer ras, yograj guggal may help. Avoid excess amount i of non -veg products..
@Dr. K.suresh Kuzhikandathil sir Firstly pt should be advised to loose certain amount of weight. Treatment can be Maha yograj gugulu with swarna in it 2 bd Rasnadi kwath 40 ml bd And ekangveer ras 1 bd And sir is there any kind of swelling also in the affected area?
Calcarea carb 30 Fucus vesiculous Q Rhus tox 30
Rhustox 30
Analysis the patient FIRST carefully I think ?AN +
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Friends today I am discussing about Chronic Kidney Disease . Chronic kidney disease also known as chronic renal disease is a form of kidney disorder where renal function is progressively lost over a long period. This disease has got unspecific symptoms and includes loss of appetite, feeling unwell, etc. People with high blood pressure or diabetes are more likely to have CKD. This disease leads to other complications, such as cardiovascular disease, anaemia and pericarditis. Homeopathy is an ideal and effective form of treatment chronic kidney diseases. Homeopathy is natural and tries to correct all the underlying causes of the condition. General symptoms and constitutional indications are considered in homeopathy before choosing the best medicine. Here is a list of several homeopathic medicines, which are used to treat chronic kidney diseases like Kidney Stone Treatment, along with the symptoms in case of which they are used. Apis mellifica: This homeopathic medicine is not used in acute forms of CKD. Symptoms of this type include oedematous swelling on the face, paleness, headaches, pain in the back and limb, oedema pulmonum, etc. It is used when there are dull aches in the kidney, reduced urination and micturition. The urine contains albumen in high levels and blood corpuscles. Eruption of the skin occurs, and the patient feels drowsy. Arsenicum: This medicine is used in all stages of CKD and is one of the best remedies. It is used in later stages of the disease when the patient's skin becomes pale, and he develops a waxen appearance, excess thirst and diarrhoea. The shade of the urine is dark and full of albumen. Dyspnoea attacks are also observed while lying down during the night. Taking aconite produces a mucus and the patient gets relief. Aurum muriaticum: This homeopathic medicine is used to cure renal diseases such as morbus brightii caused from a gout or from syphilis. Digestive and nervous problems are indicated along with great irritability. Vertigo may also be caused. Belladonna: Belladonna is the ideal homeopathic remedy for treating inflammation of the kidneys accompanied by piercing or burning pain in the lumbar region of the kidney. The pain reappears repeatedly with increased intensity each time. Cantharis: This homeopathic cure is used in nephritis. There is a cutting pain in the lumbar region, the urine contains blood and the flow is in the form of drops. Cantharis is used in post diphtheric kidney disorders with dropsy. Conavallaria: Conavallaria is used in case of nephritis occurring due to heart disorders. It is used when the heart functions irregularly and also in anasarca and ascites because of mitral insufficiency. Homeopathic medicines are very efficient for the treatment of chronic kidney diseases. There are homeopathic cures for all types of renal diseases.
Dr. Rajesh Gupta3 Likes8 Answers - Login to View the image
Friends today I am discussing about Chronic Kidney Disease . Chronic kidney disease also known as chronic renal disease is a form of kidney disorder where renal function is progressively lost over a long period. This disease has got unspecific symptoms and includes loss of appetite, feeling unwell, etc. People with high blood pressure or diabetes are more likely to have CKD. This disease leads to other complications, such as cardiovascular disease, anaemia and pericarditis. Homeopathy is an ideal and effective form of treatment chronic kidney diseases. Homeopathy is natural and tries to correct all the underlying causes of the condition. General symptoms and constitutional indications are considered in homeopathy before choosing the best medicine. Here is a list of several homeopathic medicines, which are used to treat chronic kidney diseases like Kidney Stone Treatment, along with the symptoms in case of which they are used. Apis mellifica: This homeopathic medicine is not used in acute forms of CKD. Symptoms of this type include oedematous swelling on the face, paleness, headaches, pain in the back and limb, oedema pulmonum, etc. It is used when there are dull aches in the kidney, reduced urination and micturition. The urine contains albumen in high levels and blood corpuscles. Eruption of the skin occurs, and the patient feels drowsy. Arsenicum: This medicine is used in all stages of CKD and is one of the best remedies. It is used in later stages of the disease when the patient's skin becomes pale, and he develops a waxen appearance, excess thirst and diarrhoea. The shade of the urine is dark and full of albumen. Dyspnoea attacks are also observed while lying down during the night. Taking aconite produces a mucus and the patient gets relief. Aurum muriaticum: This homeopathic medicine is used to cure renal diseases such as morbus brightii caused from a gout or from syphilis. Digestive and nervous problems are indicated along with great irritability. Vertigo may also be caused. Belladonna: Belladonna is the ideal homeopathic remedy for treating inflammation of the kidneys accompanied by piercing or burning pain in the lumbar region of the kidney. The pain reappears repeatedly with increased intensity each time. Cantharis: This homeopathic cure is used in nephritis. There is a cutting pain in the lumbar region, the urine contains blood and the flow is in the form of drops. Cantharis is used in post diphtheric kidney disorders with dropsy. Conavallaria: Conavallaria is used in case of nephritis occurring due to heart disorders. It is used when the heart functions irregularly and also in anasarca and ascites because of mitral insufficiency. Homeopathic medicines are very efficient for the treatment of chronic kidney diseases. There are homeopathic cures for all types of renal diseases.
Dr. Rajesh Gupta6 Likes4 Answers - Login to View the image
A male patient aged 63 years known case of T2DM with HTN with polyneuropathy has been under treatment from another GP reported to me for check up. He has been taking - TAB GLUCONORM G3 twice daily Tab Ajaduo 25 OD Tab. Telma 40mg OD His sugars are very much controlled. First visit on 23/05/2020 Complaints - paresthesia foot soles especially while sleeping and pain calf muscles,increased frequency of urine esp. at night and Vitals and RBS are normal too. I asked him to take same medicines gluconorm g3 and ajaduo as written above. I added tab Pregabid NT at bedtime + Tab Rejunex OD once daily + Vit D3 60K weekly + Tab Ultracet SOS and Tab Telma H OD. Ordered a panel of investigations and USG KUB. Second visit on 26/05/2020 His paresthesia on foot soles has been resolved almost 80%, but still has pain in calf muscles. Results of the panel investigations and USG KUB are - TFT -Normal Uric Acid - 8.5 HbA1C - 6.9 % VIt D3 - WNL VIT B12 - MARKEDLY ELEVATED (Also gives history of 12 injections of Vit B12 given I/M in the past) Lipid Profile is deranged as attached. GRADE 1 Prostatomegaly on USG KUB. My concerns are - 1) Paresthesia - We have to give pregabalin and Nortriptyline along with methylcobalamin 1500mcg once daily. Can I give pregabid NT and Rejunex OD at bedtime? 2) Uric Acid - As it is asymptomatic, and he has been taking empagliflozin for a long time, which actually aid in uric acid removal thru urine, but his uric acid levels are elevated instead. Is it necessary to burden this patient with a dose of furic 40 daily? 3)Regarding lipid profile, can I prescribe him cap maxepa OD afternoon along with a dose of Rosuvas F 15 mins before dinner. 4) Regarding prostatomegaly, Urimax D at bedtime? 5) As his Vit D3 are WNL, monthly once Vit D3 60k supplementation. 5) What to do regarding his elevated Vit B12 levels???
Dr. Ajeet Singh4 Likes15 Answers - Login to View the image
37yf VH done 3yr back P3L3 c/o weakness, loss of appetite, hyperacidity vth regurgitation, low backache..BP-140/100.no H/O DM.HTN.thyroid.scd.her hb- 6.6gm, urea-88,creat-3 .plz help further ix n mgt
Dr. Santosh Sahu2 Likes32 Answers - Login to View the image
70 yo man k/c/o dm & htn since 8 yrs. recently diagnosed with diabetic retinopathy. has on & off pain & swelling in rt foot phalenges only which comes back after stopping nsaids. x-ray shows no fracture.uric acid normal. 2d echo,Doppler right lower leg & ecg was done. serum creat,hgt, hba1c,lipid profile within normal limits.please interpret ecg n correlate with Doppler study & suggest further treatment
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