Question 1

Hello doctor, my mother is 54 years old. She is suffering from severe pain in her whole body. Blood tests show calcium 8 and vitamin D 13. She is now unable to stand or walk. She has been prescribed Shelcal 500 mg once a day and cholecalciferol vitamin D capsule once a week. Her hemoglobin is 8. She is still not getting relief from pain and weakness in the bones. What should I do so that she can stand properly? Please help.

Question 2

I have been experiencing throat pain and irritation for the past few months. The pain is not constant but occurs suddenly, and there is no pain while swallowing. In the last 2 to 3 months, I have also noticed an urge to take deep breaths more often and occasional shortness of breath. This does not occur at night while sleeping, but starts during daily activities after waking up.
I consulted a family doctor, who advised blood tests. The results show an IgE level of 740 and vitamin D3 deficiency at 15.55. The rest of the CBC results are normal. Kindly suggest what should be done?

Question 3

In 2014 I had joint pain and doctor after seeing blood report said I have vitamin D problem. Treatment was done for 6 months. Later I was fine. Again now from one week my joints are paining and have swelling in ankle and feet which stays the whole day and increases in evening. Which doctor I need to consult?

Your vitamin D is good, but B12 is borderline low. Uric acid slightly high, may contribute to joint pain. ESR is mildly raised. A rheumatology consult may help.

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