Question 1

I'm trying to make sense of my blood report, and I'm a bit worried. It showed 60mmhr ESR and 45 lymphocytes. I learned a bit about ESR, but I'm not sure what steps I should take next. I've also been dealing with sinusitis, headaches at the back of my head, shoulder pain, and occasional dizziness that makes walking tough. My urine test came out normal, but I'm unsure what other tests I should consider. Could you help guide me on what to do next?

Accepted Answer

Consult a specialist, such as an ENT doctor, rheumatologist, or immunologist, to discuss your elevated ESR (60mmhr) and lymphocytes (45%) levels, and symptoms like sinusitis, headache, shoulder pain, giddiness, and difficulty walking, and they may recommend further tests, such as CRP, ANA, RF, vitamin B12, and MRI or CT scans, to rule out underlying conditions like infections, autoimmune disorders, or neurological issues, and develop a personalized treatment plan.

Question 2

After breast abscess surgery, I noticed a reddish lump under the skin of my right leg below the knee, followed by swelling and ankle pain. The doctor diagnosed it as erythema nodosum and prescribed Predmet 8 twice daily for 3 days, which helped at first swelling and pain went away. But then it came back, so the doctor reduced the dose to Predmet 4 twice daily for 2 days. Now the swelling and pain are worse again. What could be going on and what should I do next?

Accepted Answer

Erythema nodosum, diagnosed after breast abscess surgery, presents as painful, reddish or purple bumps under the skin, often on the shins, but can appear elsewhere, including the legs. The condition is usually a reaction to an infection or medication and can cause swelling and ankle pain, as experienced. While often resolving on its own within weeks, it's crucial to address any underlying conditions causing the erythema nodosum, as it can be a sign of other health issues.

Question 3

Being someone who's dealing with rheumatoid arthritis, I'm really worried because I haven't been able to get HCQS 200 for about a month and a half now. Are there any other medicines I could use as an alternative? It's been tough managing without it, and I'd appreciate any advice you can give on what I should do next.

Accepted Answer

HCQS 200 also available as OXCQ 200 mg
Can try that

Seroflo inhaler sos is advised to the pt for wheezing.Ecg,x-ray chest pa view,sputum for AFB and microscopy is advised to the patient.

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