What is treatment for vitamin D deficiency ?
Can Arachitol 6L IU advised ? Investigations Vitamin D level - 6.06 ng/ml
Vitamin D, cholecalciferol 60 k once a week for 12 weeks ,followed by once a month for 9 months. Calcium supplements Advise exposure to sun. There seems to be correlation between hypothyroidism, DM , cold climate , and mental depression. Comorbidities need to be looked for
60 K .. WKLY..X 8 WEEKS.. FOLLOWED BY..MAINTAINECE DOSE..
Follow cafeteria approach in this too, offer tablets or syrup or powder(granules) to correct severe deficiency of Vit.D I usually advise at these level to take VIT D supplementation on weekly basis for a total of 12 weeks, then on monthly basis.
Vit D in therapeutic dose. 60000 .IU weekly.x 6 weeks .
Yes
Yes for 8 wk
Arachitol 6l dose im stat single dose
Yes u can
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THANK YOU ALL FOR HELPING ME IN ALL THE CASES. AGAIN UPLOADING A NEW CASE AND ALL OF YOUR SUGGESTIONS ARE VERY IMPORTANT TO ME BECAUSE IT GIVES ME DIFFERENT KIND OF POSSIBILITIES AND A NEW WAY OF THINKING. I FOUND ALL OF YOUR SUGGESTIONS VERY HELPFUL. PLEASE KEEP SUPPORTING. HERE IS THE DETAIL CONVERSATION!!! CHIEF COMPLAINTS 1. ITP 2. VITILIGO (very small spot) YOU HAVE WRITTEN ABOUT STRESS AT THE CONSULTATION FORM, CAN YOU TELL ME ABOUT STRESS?? Yes, it's all about the financial problems. Actually, after demonetization there is an insecurity of losing job and we have liabilities of 36 lakh. The stress has been increased since 6-7 months. Last year up to May it was good but this year in 2017 was not good at all. We had too many mis-happening in this year in May and June 2017. In May my Uncle has been expired and it gave me the big shock. I can't see these kind of happenings. It not when it happen in my family but even at other places it happened I cannot bear these kind of incidents. I'm a kind of fearful person. I can't stay without light at night. When I have heard about my Uncle has been expired then I felt like difficulty in breathing. When I have these kind of incidents then I would like to talk to somebody and I feel better after talking. Its because I have never seen these kind of things. " I ALWAYS PUT MYSELF IN THAT SITUATION AND WILL THINK WHAT IF IT WILL HAPPEN WITH ME". I'm a fearful person since childhood. My elder sister always scared me with the stories of ghost and I think since then its still in my mind. AFTER THIS SHE WENT IN TO HER CHILDHOOD INCIDENT WITHOUT ASKING! When I was 5 years old I had an injury at my head and even all the reports were normal the doctor said to my mother to keep me under observation. Even I have stress in childhood. My dad is not working and is an alcoholic and very abusive and quarrelling person. He used very slang language at home. My father doesn't want us to study and he didn't even helped us in our studies. We were so weak financially that we don't have even money to eat food. But I always thinks POSITIVE and never NEGATIVE. I'm a big believer of god and trust in God that everything will be good. Even when I'm stressful I don't share with my mother because I do not want to give her stress but I share with God and after weeping in front of God I feel better. *IS THERE ANYTHING ELSE WHERE YOU FEEL INSECURE???* The only insecurity is who will look after my kid if I have no support and have financial problem. *ANY INCIDENT IN LIFE WHICH IS STILL BOTHERING YOU??* We are struggling in life and this is like an incident. Whatever you will talk about will come down to financial crisis. My father never wanted me to study we can not blame my father because we can not get anything after blaming him. *I DID NOT ASK ANYTHING SHE STARTED TO TALK ABOUT AGGRESSION.* I am a very aggressive person but since last few months I am a very patience person. I am working in collections in credit card company and my job was to call the customers through phone and ask for to pay the credit expenses and when the money is not paid back by the customer then I throw away the phone I was aggressive to such an extent. I always fight for the justice. I cannot tolerate any wrong thing and until I can't say anything to that person who said wrong things I will not get better. *GIVE ME ANY SITUATION* I have a very good friend and she said to me that my husband wanted to do friendship with her and until I haven't talked about this with my husband In front of others I did not get better and she was lying and she always lie I know her but after this incident I never talked to her. I do not have anybody to share and when you have anybody to share you will get better. Everybody want to talk about their problem with me and when they talk to me and I usually give solution and all gets better but I do not have anybody to share in fact I could not found anyone. We do not have any relatives to support even. We just have friend whenever we have any party we will go to them and thats all. *What kind of person you can think of to share your problems?* I think people are fake and they will tell further to the other people and I have no TRUST ON ANYBODY. Mainly I can't trust on my in laws. My mother in law is a money minded person and we are not living with my in laws because they do not want us to live with them. We are living on rent. When I got married I have to wake up at 5 am and then have to do all the work at home and then go to office and after coming back have to do house work again and I become tired and when sometime I woke up late in the morning my mother in law will say why I woke up late? My marriage is an intercaste marriage and we were financially weak and my in laws know that they will not get anything from us and I think that's why their behaviour was not good with me. *HOW DID YOU NOTICE THE BAD BEHAVIOUR?* It all can be seen when you have to work at home and office you will do breakfast in the afternoon no body asked me even if I had eaten the breakfast or not? and at that time I had a problem of difficulty in breathing. I am feeling like I am not getting proper breath. When I was admit in hospital my platelet count was 50,000 and then I come to know that I have ITP. DREAMS I HAVE DREMS OF FUNERAL OF DEAD PERSON AND I BECOME VERY SCARED. I was just standing there and looking at them in dream. Usually sleep afterwards and do not like to go out because I am a very coward person in night. IN 2012 -13 I am a very intuitive person and I do had the intuitions of flooding at kaidarnath and I even talked to my mother and after 15 days I saw the news at television. *ARE YOU STILL intuitive?* No I am not intuitive now. I prayed that I never get intuition of all these things. I always have intuitions of mis happenings for example somebody is sick, dying etc and it become true. *WHEN DID YOUR ITP PROBLEM STARTS? * I think in 2012 -13. *ARE YOU A HOT PERSON OR COLD PERSON??* In summer I'm sweating a lot and In winter I am feeling too much cold and my feet always cold even in blanket. HEADACHE:- Mostly in summer and when hungry. During headache nausea, sensitive to light and noise. BOWEL NORMAL MENSES ONE MONTH NORMAL AND NEXT MONTH SCANTY SINCE 3 to 4 month. FAMILY HISTORY: MOTHER:- SUFFERING FROM RA FACTOR +VE AND HYPERTENSION. DESIRE:- Sweets ( I have asked her about cravings again) I HAVE ASKED FOR THE OLD INVESTIGATION REPORTS AND TOLD HER TO DO NEW ONE. WHENEVER I WILL GET I WILL UPLOAD THOSE REPORTS.
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