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Suggest Treatment For Pain In Legs And Eye Swelling In An Elderly Person

Posted on Thu, 28 Jan 2016

Question: My father is age of 64 years and he is diabetes type 2 patient. His fasting sugar is 80 & pp 150. He has pain in legs and both hands and swelling near eye . But when he takes tramadol 50 mg cap 1-1 daily there is no pain. Please suggest another medicine for relief in pain in legs and hands without tramadol 50 mg cap 1-1 daily. and one doctor said his hemoglobin level 4-5 . but the two labs reports tell hemoglobin level is around 14....
his kidney profile is ok

Answered by Dr. Pavan Kumar Gupta (2 hours later)

Brief answer....explained below
Detailed answer....
Hello,
Thanks for the query.
I have read your query and noted your concern regarding your father.
These symptoms of pain in legs and hands is called as diabetic peripheral neuropathy and is caused by long standing diabetes.
Around 60-70% diabetics tend to develop peripheral neuropathy in long term but not all develop pain.
Although tramadol is a good drug to control the pain but there are other better drugs also available. Two specific drugs approved are PREGABLIN and DULOXETINE.
Since these are prescription medicines,you have to talk to your doctor and take prescription from him.
In addition you can give VIT D and VIT B12.
VIT B12 can be given either by injection or even oral tablets.
VIT D can also be given either by injection or orally.
Both these vitamins would greatly help in controlling the neuropathic pains.
Puffiness around eyes can be there because of kidney involvement or congestive heart failure or even by use of anti diabetic drugs.Anaemia can also cause puffiness. get his hemoglobin retested.
Since kidney function tests are normal,I would advise you to get his heart examined by a cardiologist.
I hope it helps however you are most welcome to revert to me for any further query.
Best of luck
Thanks

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

Follow up: Dr. Pavan Kumar Gupta (19 minutes later)

plz find find his report and revert back . thanks for your support. he had also heart problem 1988 with diabetics he take lumia 60k cap weekly for vitamin d and injection for b12in two month 5 injection

Answered by Dr. Pavan Kumar Gupta (21 minutes later)

Hello,
It is good that VIT D and VIT B12 are being given to him.
I have seen the reports and find them to be normal.
Thanks

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

Follow up: Dr. Pavan Kumar Gupta (12 minutes later)

why he has swelling near eye. any sugesstion he also sleep most of the time due to tramodal .
any tab dosage for leg pain.... plz sugest any good tab or cap qith dosage for leg pain..which is less side effects... thanks again for quick resopse

Answered by Dr. Pavan Kumar Gupta (9 minutes later)

Hello,
As I told you earlier,eye puffiness can be due to heart condition or use of anti diabetic drugs or kidneys. Since kidney function tests are normal his kidneys are not the culprits.
Get the heart checked up.
All the medicines for leg pain would cause some sleepiness.
Try giving tramadol in night only. This would reduce his daytime sleeping.
Thanks

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

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