Question 1

Hello doctor, I had ankle swelling and pain, as well as finger pain. I consulted an orthopedic doctor, who tested me and found high uric acid, low ESR, low vitamin B12, and low hemoglobin. The doctor prescribed some medicines. I would like a second opinion. Are these tablets safe, and do they contain steroids? I have attached my report and medicine prescription.

Question 2

I have been chewing tobacco and gutkha for several years, and over time, my mouth opening has reduced and my jaws have become stiff. I am very concerned and depressed because of this. I am unable to eat spicy food, and I also sweat a lot while eating. Could you please suggest if any ointment can be applied to the inner mouth or jaw area? Also, what tests should I undergo to evaluate this condition?

Question 3

In summer, my body temperature is normal, but I feel like my face, arms, and feet are burning and uncomfortable. Sometimes there is swelling in my feet. Sometimes my feet, arms, and face feel warm to touch. It feels like heat is being radiated from my arms, face, and feet. I remain tired all day. Pain in the muscles of my legs is always present and increases in the evening. Almost every evening, fluid discharge starts from inside my nose, and I feel pain in my eyes and throat. My nose gets blocked, making it difficult to breathe through it. My CBC is normal. My thyroid is normal. My blood sugar tests are normal. I have had no weight gain or loss in the past few months. I am taking a proper diet. Please suggest a solution for these problems?

What does it mean when your RDW is high?

A high RDW could indicate anaemia and other related conditions.

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