Concluded Case

Frequent episodes of muscle cramps/spasm

29 year old female, complaining frequent episodes of muscle cramps/spasm U/L sometime B/L calf muscle Chief Complaints Muscle cramps/spasm (locally called बायटा) for 15 days with severe pain Vitals All stable vitals. Physical Examination No any visible deformity seen Investigations Mild Anemic HB 10.5 GM% RBS 84 MG/DL Electrolyte profile WNL Diagnosis ?? Management On supplementation therapy.

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Concluded answer

Serum Calcium & Uric acd? Psychosomatic? Muscular strain? Heat exposure? Tab.Neurobion forte 12hrly, NSAIDS 12hrly or sos ORS & other fluids drink in plenty.

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Muscle spasms are commonly seen with fatigue and exhaustion As endotoxins accumulate in muscle fibrils like lactic acids or ketones Pt is hypoglycemic as bslR is 84mg suggest excessive breakdown of myoproteins Hence adequate carbohydrate and high protein diet Oral fluids specifically sodium content Avoid excessive work or fatigue Add co-q-10 with multivitamins supplements For relief you can choose Baclofen 10mg 1tds Tab eterocoxib+thiocholchisone 8mg 1bd

Thanx dr Pushkar ji Bhomia
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? MUSCULOSKELETAL PAIN.. ? HEAVY WORK .. WORK LOAD .. ? ANEMIA WITH ASSOCIATED .. COMPLICATIONS .. NEED'S .. SYMPTOMATIC T/T..WITH CLINICAL CORRELATION ..

Plz rule out benign fasciculation syndrome, Cramp fasciculation syndrome , metabolic contidtions like hypothyroidism, toxin like organophosphorus, degenerative diseases like ALS, myotonia congenita

Adequate maintenances of Electrolytes & Fluid. Balanced dietic contents.. Multivitamins. Co Enzyme Q + Vitamin E tab orally.

Dear Dr. Dharm Raj Mehra Sir, Advice for the case Tab. Rasraj Ras 1 tda. Must advice to drink 1 1/2 glass of water at bed time. Avoid Vat vardhak ahara vihara.

S calcium ? Tetany

Nop
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Adv correction of electrolytes and hydration. Adv sr cal and sr PTH level.

Arterial and venous doppler may give a clue Check serum calcium

Due to lac LCartinin & Vit E Ad Tab Evion L Cartinin

Serum Calcium & Uric acd? Psychosomatic? Muscular strain? Heat exposure? Tab.Neurobion forte 12hrly, NSAIDS 12hrly or sos ORS & other fluids drink in plenty.

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