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Suggest Treatment For Chronic Psoriasis And Constipation

Posted on Thu, 13 Apr 2017

Question: I am a 57 year old female with MS and chronic psoriasis which is under control with Humira. I don't know if I didn't notice till today or when it started, but when I got out of the shower today I noticed red spots mainly on my torso but a few on my butt and legs. A couple on my arms, but none on my face. They do not look like psoriasis. Most are under my breasts. I have not switched soaps or meds. The only thing I've done different lately is I've started on Equate brand Metamucil to aid in constipation due to dieting. The spots don't itch. I took a couple Benadryl a few minutes ago and will keep an eye on it. Can I still take my Amitriptyline before bed to sleep? I seemed to remember a time I couldn't take both during the day. Any suggestions? Thank you!

Answered by Dr. Chobufo Ditah (1 hour later)

Brief Answer:
No. Benadryl will help with sleep tonight.

Detailed Answer:
Hi,

Benadryl would help with sleep and there is no added value to take amitriptyline. In fact, taking both might raise worries about possible overdose of sleep aids. If possible, upload an image of your trio to me for review and more insights on these lesions that you have reported.

I hope this helps. I wish you well and hope to hear back from you.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Chobufo Ditah (16 minutes later)

My main concern was not so much about the Benadryl, as it was about the rash and if the Metamucil is something that could cause an allergic reaction. And also why the majority of the rash is on my torso. I took 2 Benadryl a couple hours ago and haven't seen any improvement yet. I assume I can get my Humira shot as usual tonight (?). Thank you!

Answered by Dr. Chobufo Ditah (5 minutes later)

Brief Answer:
Can you send and image of this rash for review?

Detailed Answer:
Hi,

Kindly upload the image of this rash for review. It would be very helpful in further streamlining your diagnosis.

To upload an image, simply click on the link to upload a file and follow the instructions. If this proves difficult, please send the image by mail to YYYY@YYYY and request that the image should be uploaded to your query.

I do promise to get back to you with more insights and helpful recommendations as soon as the requested information gets here.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Chobufo Ditah (1 hour later)

I uploaded it. Please let me know if you got it. Not good quality

Answered by Dr. Chobufo Ditah (45 minutes later)

Brief Answer:
I have not received it.

Detailed Answer:
Hi

There is no attached image. kindly verify and get back to me as soon as possible. You can even mail them to YYYY@YYYY . thanks.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Chobufo Ditah (34 minutes later)

Just sent 2 images to YYYY@YYYY . Thank you!

Answered by Dr. Chobufo Ditah (20 hours later)

Brief Answer:
No images have been added to your query!

Detailed Answer:
Hi,

I have checked severally and no images have been added to your query. I am not exactly sure what’s happening. How are you doing? Getting better?

Kind regards!

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Chobufo Ditah (10 minutes later)

I don't know why the images are not going through. I am using Benadryl and the spots are still there but no newer ones. I have my annual physical on Friday so will talk to my GP then. Thank you for your assistance and your caring!

Answered by Dr. Chobufo Ditah (5 hours later)

Brief Answer:
Let me know your visit goes!

Detailed Answer:
Hi,

I will let the customer service know we had difficulties getting your images here. Hope many of our clients do not face similar challenges.

I wish you a nice upcoming trip to your GP. Let me know how this turns out.

Kind regards!

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

Above answer was peer-reviewed by : Dr. Yogesh D