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Suggest Treatment For Back Sprain

Posted on Wed, 23 Jul 2014

Question: I am just wondering my doctor has not help much with my back sprain etc he gave me some pain .and i told him my my is her suger goes down and i told the nurse b I what be test for it and when I got my Vit-d but they only did the vit-d because I should not have to eat hour after I eat and eat healthy try to what should I do.

Answered by Dr. Dr. Prasad J (5 hours later)

Brief Answer:
Can you rephrase your questions...

Detailed Answer:
Well, your question is very ambiguous to me. From what I understand you are suffering with back sprain which is not responding to few pain medicines and you suspect sugar fluctuations which you wish to confirm.

It is true that we first rule out diabetes in some one who has blood sugar fluctuations. In such case, the mode of investigations are different. What I routinely do is ask my patients to undergo a fasting blood sugar followed by a 2 hour post prandial blood sugar and glycosylated hemoglobin value. If the results are not convincing from those tests, I proceed to oral glucose tolerance test.
You can discuss about these tests with your primary care doctor.

Let me know if your concerns are different from my assumption.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Prasad J (4 hours later)

yea I keep ask my nurse to ask my doctor but she has not .my mom has diabetes I can tell when I need to eat something again

Answered by Dr. Dr. Prasad J (16 hours later)

Brief Answer:
You should talk to your doctor directly....

Detailed Answer:
Hi,

Instead of you talking with the nurse, I suggest you describe the symptoms directly with your treating doctor. He/she will be aware of this concern and will write a prescription accordingly.

Hope I make sense.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Prasad J (8 hours later)

that what I keep ask I what him to call when he not or see him .I'm go what intill the end of month.

Answered by Dr. Dr. Prasad J (2 hours later)

Brief Answer:
You may wait till the appointment date..

Detailed Answer:
Your follow up is not very clear. From what I understand you have to wait till the end of this month to see your doctor. If yes, you can wait till you see him. Discuss this issue in detail and plan tests.
Keep me updated after the follow up.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Prasad J (31 minutes later)

ok I have been waiting for them to call about my Vit-d test they have not called about it yet and yes I well I well keep you updated

Answered by Dr. Dr. Prasad J (11 hours later)

Brief Answer:
You can get back to me when the results are on...

Detailed Answer:
I don't see any relation between vitamin d level and your current symptom. You can get back to me if you find the report abnormal.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Prasad J (11 hours later)

these are the med I'm taking topiramate 100mg tab, omeprazole 40 mg tab cyclobenzaprine 10 mg tab Sumatra plan 100mg tab indomethacin 50 and i am still having pain in my belly on my right side and left side but he just what to wait ciprofloxacin 500 mg which is antibiotic for my sunis infections which I was on for my uti for this month.

Answered by Dr. Dr. Prasad J (36 hours later)

Brief Answer:
I am unable to comment based on mincemeal data

Detailed Answer:
Hi,

You are pain killer, muscle relaxant and antiepileptic drug prescribed probably to lower pain threshold. I will not be able to comment on these drugs without detailed history. I suggest you go ahead with the appointment.

Please provide your complete history and your doctor's opinion. We can discuss accordingly.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Prasad J (4 hours later)

I have auto sunis infections that is way I'm on that .my ear doctor put me on .I still have not heard anything I missed go call today because I feel like I could throwing up which I do not and I'm still in pain in me right left side.

Answered by Dr. Dr. Prasad J (3 hours later)

Brief Answer:
Please discuss with your doctor...

Detailed Answer:
Hi,

Topiramate and sumatra plus are drugs that are used for chronic headache which are similar to migraines. Perhaps the headache that you have are related to migraine and not sinusitis. Please discuss with your ENT doctor during the next. If the cause is suspected to be chronic migraine headaches, then it would be worthwhile to consult a neurologist.

I haven't found any symptoms that suggest sinusitis. What other symptoms besides headache do you have?

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Prasad J (7 minutes later)

my ear doctor did CT scan and i have acute sunis infections

Answered by Dr. Dr. Prasad J (17 hours later)

Brief Answer:
Antibiotic + steam inhalation...

Detailed Answer:
All sinusitis doesn't need antibiotics, however I prefer to add them to prevent secondary bacterial infection. If you have been diagnosed with acute sinusitis and aren't on antibiotics, please start steam inhalation - you inhale water vapors from a bowl of warm/boil water - three or four times a day for the next few days. Nasal decongestants and antihistamines can benefit you. You can check about these drugs with your treating doctor.

Antibiotics will be necessary in case you develop high grade fever. So watch out for fever.

Having said that, topiramate and sumatra plus tables are generally prescribed from chronic headache prophylaxis. Since you are on these drugs, please discuss with your doctor whether or not there is an element of migraine like chronic headache. If yes, perhaps visiting a neurologist can be helpful.

Hope I made my views clear to you.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Prasad J (3 hours later)

my has put me on antibiotic and what to surgery

Answered by Dr. Dr. Prasad J (22 hours later)

Brief Answer:
continue antibiotic + steam inhalation....

Detailed Answer:
The need for surgery in acute sinusitis is based on clinical examination. However if sinus infection is a recurring concern, surgery is worthwhile.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Prasad J (3 hours later)

Yes is does recurring .thank you. and I saw my doctor again yesterday he said kidney stones .so he put on stronger pain med and is sending me to me different doctor that sart with n.

Answered by Dr. Dr. Prasad J (21 hours later)

Brief Answer:
Surgical options such as FESS after antibiotics

Detailed Answer:
Hi,

Surgical remedies such as FESS can be helpful if you have very frequent sinus headaches. But before you get under the knife, please confirm if there are any other condition that could be the cause of recurring headaches. You should also wait for acute infections to settle before surgery. Your treating surgeons will know about it.

As far as kidney stones are concerned, generally it passes off uneventfully if the stones are less than 10mm in size and are not located very high up. You can discuss about the number, size and location of stones when you consult the new doctor.

Hope this answers your question.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Prasad J (5 hours later)

yea they a CT scan they on call doctor did they did not see anything but when I saw my doctor this week he listened for it and he kidney stones. and i have fever and and feel sick to my belly

Answered by Dr. Dr. Prasad J (22 hours later)

Brief Answer:
I am not sure we are on the same lines here...

Detailed Answer:
Hi,

Kidney stone movements are difficult to be "heard" externally or through a scope. It's a condition that is diagnosed radiologically using ultrasound scan, KUB Xray or CT scan. The doctor will correlate other symptoms to arrive at this diagnosis.

Fever and feeling sick to the belly is a feature of infection. I hope its from sinus infection or the urine infection. If you have the entire report from the doctor visit, please upload it here.

Regards

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar