Question 1

I'm experiencing these weird full-body muscle vibrations, almost like internal waves, whenever I move. It's been going on for about 2.5 years now, and it happens in my neck, shoulders, arms, legspretty much everywhere. Whenever I bend down, I feel this wave-like sensation in my back, too. Along with that, I've been having neck and back pain. Can you help me figure out what's going on? I'm really curious and a bit worried about these symptoms.

Accepted Answer

Gout arthritis management:
 
 _Current situation:_
 
 1. High uric acid levels
 2. Recurring gout attacks (right knee, now left knee)
 3. Febuxostat (Febustat) 40mg daily provides relief
 
 _Concerns:_
 
 1. Dependence on medication for pain management
 2. Intermittent dosing (2 timesday) may not be optimal
 3. Potential kidney stone risk with high uric acid
 
 _Recommended adjustments:_
 
 1. Consult rheumatologist or primary care physician.
 2. Consider:
 - Increasing Febuxostat to 80mg daily (if tolerated).
 - Allopurinol (alternative uric acid reducer).
 - Probenecid (uricosuric agent).
 3. Lifestyle modifications:
 - Hydrate adequately (2-3 litersday).
 - Low-purine diet (limit organ meats, seafood).
 - Maintain healthy weight.
 - Exercise regularly.
 - Limit alcohol intake.
 
 _Additional considerations:_
 
 1. Colchicine for acute gout attacks.
 2. Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain.
 3. Corticosteroids (oral or injected) for severe inflammation.
 
 _Monitoring:_
 
 1. Regular uric acid level checks.
 2. Kidney function tests.
 3. Liver function tests.

Question 2

I'm dealing with a viral fever, and while paracetamol is helping a bit with the fever, it only reduces the temperature for a short time. I'm wondering if there are any antibiotics I can take that might help more effectively. Any advice would be appre...

Accepted Answer

genrally antibiotics are not helpful inviral infections if it still bothers you try milder antibiotics like monocef 200 for 5 days

Question 3

I've been having these evening fevers ranging from 99 to 99.8 for the past five days, and it usually happens between 6 and 10 at night. But then in the mornings, my temperature is back down to around 97 or 98. What could this mean?

Accepted Answer

yes you can take it no problem

Question 4

I'm a bit concerned about my recent health check-up results. My SGPTALT came back at 46, which seems to be above the normal range, and my lipid profile is on the higher side too. Do you think I should be worried about this and possibly start some med...

Accepted Answer

Your SGPTALT level of 46 is slightly elevated, which could indicate mild liver stress or inflammation. Given the high lipid profile, it's important to focus on lifestyle changes like a balanced diet and regular exercise to manage your cholesterol. Medication may be considered if lifestyle changes alone are not sufficient. Eosinophils are a type of white blood cell involved in immune responses, especially in allergic reactions and combating parasitic infections. It would be best to discuss your results with your doctor for a personalized plan.

Question 5

I recently got a chest X-ray, and it showed increased broncho vascular markings near the para cardiac and para hilar areas. I'm worried if this could be related to TB. Are these markings like scars on the lungs or something else?

Accepted Answer

That could be due to Bronchitis no need to worry,a course of anti biotics would work some times its self limiting

Question 6

I'm planning to get vaccinated for Covid-19, and I've heard a lot of people mention having fever and body aches afterward. Is it okay to take Dolo 650 either before or after getting the vaccine to help with these symptoms? Also, I'm a bit concerned b...

Accepted Answer

Mildly increased parenchymal echotexture in the liver indicates a subtle abnormality in the liver's texture, which may be due to:

Fatty liver disease, hepatitis, or other inflammatory conditions.
Further evaluation with liver function tests (LFTs) and possibly a liver biopsy may be necessary.
Lifestyle modifications, such as weight loss, a healthy diet, and regular exercise, can help manage the condition.
Consult a hepatologist or gastroenterologist for personalized guidance and treatment.

Related Questions

I'm dealing with a viral fever, and while paracetamol is helping a bit with the fever, it only reduces the temperature for a short time. I'm wondering if there are any antibiotics I can take that might help more effectively. Any advice would be appre...

I've been having these evening fevers ranging from 99 to 99.8 for the past five days, and it usually happens between 6 and 10 at night. But then in the mornings, my temperature is back down to around 97 or 98. What could this mean?

I'm a bit concerned about my recent health check-up results. My SGPTALT came back at 46, which seems to be above the normal range, and my lipid profile is on the higher side too. Do you think I should be worried about this and possibly start some med...

I recently got a chest X-ray, and it showed increased broncho vascular markings near the para cardiac and para hilar areas. I'm worried if this could be related to TB. Are these markings like scars on the lungs or something else?

I'm planning to get vaccinated for Covid-19, and I've heard a lot of people mention having fever and body aches afterward. Is it okay to take Dolo 650 either before or after getting the vaccine to help with these symptoms? Also, I'm a bit concerned b...

General Physician/ Internal Medicine

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