Question 1

I'm having some trouble with my legs. When I sit on the floor with my legs folded, they start hurting, and it's tough to stand up right away. It feels like something we call "timmurlu" in Telugu. After sitting like that, I can't stand for about 5 minutes. What could be causing this, and any ideas for a solution?

Accepted Answer

That is common for everyone,no need to worry,try not to sit for long duration,change position frequently

Question 2

I recently had a tumble off my bike and now I've got these open wounds on my palms and knees, about the size of a coin. I've been using soframycin skin cream on them, but I've noticed it forms a dried mass with blood that covers the wound and it real...

Accepted Answer

I can understand your concern.
I hope you are not in too much pain.
You have to clean the would with warm water and with betadine solution. After that apply mupirocin ointment which is available by tradenames like t-bact, b-bact, i-bact, or mupi ointment.
After that leave tge wound open.
Apply a thin layer over the wound.

Question 3

I've noticed that I have quite a few lipomas, or koluppu katti, on my hand, around 20 of them. Can you tell me how I could get these removed? Any advice would be really helpful.

Accepted Answer

surgery is the only option

Question 4

I've had PV malaria three times this year and each time I took Lariago DS. I can't take PQ though, because my G6PD enzyme levels are on the lower side. Is there any permanent way to get rid of this? I'm really worried it might keep coming back.

Accepted Answer

Given your recurrent Plasmodium vivax (PV) malaria and G6PD deficiency, which prevents you from taking primaquine (PQ), consider consulting a specialist for alternative treatment options, such as a higher dose of chloroquine or a combination of chloroquine and other antimalarial medications, and take preventive measures, including using insecticide-treated bed nets, wearing protective clothing, and applying insect repellents to minimize the risk of future infections.

Question 5

I'm trying to figure out what's safer for someone dealing with constipation who also has heart and diabetes issues. Should they go for Cremaffin or is the sugar-free version of Cremaffin Plus a better option? Would love some advice.

Accepted Answer

For cardiac and diabetic patients with constipation, it's essential to choose a medication that is safe and suitable for their conditions.

_Cremaffin vs. Cremaffin Plus (Sugar-Free)_

1. *Cremaffin*: Contains senna, a natural laxative, and is available in various formulations.
2. *Cremaffin Plus (Sugar-Free)*: A variant of Cremaffin, specifically designed for diabetic patients, as it is sugar-free.

_Safety Considerations for Cardiac and Diabetic Patients_

1. *Cardiac Patients*: Senna, the active ingredient in Cremaffin, can increase heart rate and blood pressure. However, this effect is generally mild and short-lived.
2. *Diabetic Patients*: The sugar-free variant, Cremaffin Plus, is a better option to avoid increasing blood sugar levels.

_Recommendation_

For cardiac and diabetic patients with constipation, *Cremaffin Plus (Sugar-Free)* is likely a safer option. However, it's essential to consult with your doctor or healthcare provider before taking any medication, especially if you have underlying medical conditions.

Remember to always follow the recommended dosage and usage instructions for any medication.

Question 6

I'm a bit concerned about a 58-year-old male with a platelet count of 125,000 and an RBC of 12.90. He doesn't have any other symptoms right now, but should this be something to worry about? Could this indicate something serious or potentially fatal? ...

Accepted Answer

A platelet count of 125,000 is slightly lower than the normal range but not necessarily alarming if there are no other symptoms. RBC count of 12.90 suggests normal levels, but low platelets could be linked to various conditions like mild infections or a bone marrow issue. It's unlikely to be fatal at this stage, but it's best to monitor and consult a doctor for further evaluation.

Related Questions

I recently had a tumble off my bike and now I've got these open wounds on my palms and knees, about the size of a coin. I've been using soframycin skin cream on them, but I've noticed it forms a dried mass with blood that covers the wound and it real...

I've noticed that I have quite a few lipomas, or koluppu katti, on my hand, around 20 of them. Can you tell me how I could get these removed? Any advice would be really helpful.

I've had PV malaria three times this year and each time I took Lariago DS. I can't take PQ though, because my G6PD enzyme levels are on the lower side. Is there any permanent way to get rid of this? I'm really worried it might keep coming back.

I'm trying to figure out what's safer for someone dealing with constipation who also has heart and diabetes issues. Should they go for Cremaffin or is the sugar-free version of Cremaffin Plus a better option? Would love some advice.

I'm a bit concerned about a 58-year-old male with a platelet count of 125,000 and an RBC of 12.90. He doesn't have any other symptoms right now, but should this be something to worry about? Could this indicate something serious or potentially fatal? ...

General Physician/ Internal Medicine

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