apollo
  • female
  • 35 Years
  • 07/02/2025

Am I experiencing this severe knee and ankle joint pain because of the ATT? It's only been two months since I started, and I'm also dealing with pyrazinamide-resistant TB. I stopped taking it after two months. Is it okay to take a painkiller at night?

Doctor 1

Answered by 1 Apollo Doctors

Take pyridoxine everyday with ATT tablets , Don't stop

Dr. Anshul Suggests...

Consult a Rheumatologist

Answered 04/07/2025

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I'm a bit concerned about my health. Recently, I noticed my folic acid levels are over 20, and I used to have high HDL but it's under control now. However, I'm experiencing some numbness in my joints. Could there be a connection between these things? Should I be worried?

Large amounts of folic acid can mask the damaging effects of vitamin B12 deficiency . There are indications that high serum folate levels might not only mask vitamin B12 deficiency, but could also exacerbate the anemia and worsen the cognitive symptoms and neurological symptoms associated with vitamin B12 deficiency. Low levels of B12 can cause numbness and tingling sensation, paresthesia(neuropathies). If B12 levels are normal then you need to orthopedician to look for bone disorders.

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Doctor 1Doctor 2

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I'm really worried about my mom. She just turned 55, and we got her general blood examination results back yesterday. Her ESR value is at 42, which seems to be almost twice the normal range. I'm not exactly sure what this indicates. Could you help me understand what this means and what steps we should take next?

Congratulations on your weight loss. To gain weight in a healthy way, focus on nutrient-dense foods. Here's a vegetarian, South Indian-inspired diet plan: *Daily Caloric Intake* To gain weight, aim for an additional 250-500 calories above your maintenance level. For you, this would be around 2200-2500 calories per day. *Meal Plan* *Breakfast* - Idlis (2-3) with sambar and chutney (400 calories) - Pongal with vegetables and nuts (500 calories) - Whole-grain toast with avocado and banana (450 calories) *Lunch* - Brown rice with lentil-based sambar, vegetables, and a dollop of ghee (600 calories) - Whole-grain chapati with vegetable curry and dal (550 calories) - Mixed rice with vegetables, nuts, and seeds (500 calories) *Snacks* - Fresh fruits with nuts (150-200 calories) - Yogurt with honey and granola (200-250 calories) - Roasted chickpeas or makhana (100-150 calories) *Dinner* - Similar to lunch options, with a focus on complex carbohydrates, protein, and healthy fats. *Non-Veg Options (2 times a week)* - Grilled chicken or fish with brown rice and vegetables (500-600 calories) - Lentil-based soups with lean meat or eggs (400-500 calories) *Additional Tips* 1. *Eat frequently*: 5-6 meals per day to keep your metabolism boosted. 2. *Incorporate healthy fats*: Nuts, seeds, avocado, and olive oil. 3. *Choose calorie-dense foods*: Dried fruits, granola, and trail mix. 4. *Stay hydrated*: Drink plenty of water throughout the day. 5. *Consult a doctor or nutritionist*: For personalized guidance and to ensure you're meeting your nutritional needs.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm really worried about my mom. Her ESR level is at 70 and her blood pressure is 180. Can you guide us on how to lower her ESR? Which type of doctor should we consult for this issue?

It is important to consult with a doctor before starting any medication regimen. For her high blood pressure of 180, she should consult a cardiologist for further evaluation and management. In the meantime, she can take antihypertensive medication like Amlodipine. It is important to monitor her blood pressure regularly and follow up with the appropriate specialists for further management.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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