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Suggest Treatment For Pain Radiating To Lower Back And Arms
Question: Male 50 years old. Intermittent left flank pain radiating to lower back & down arm.
Brief Answer:
sounds like herpetic neuralgia
Detailed Answer:
Hi,
I am Dr Mittal.
I have read your query.
I think I would be able to help you.
The symptoms of the query are quite suggestive of herpetic neuralgia. This syndrome occurs after a bout of chickenpox in elderly age.the virus affect the nerves and thereafter, pain may arise- often late.
The pain killers are usually not effective. I think I would suggest to all my patients 2 options
A. Tab amitryptiline
B. Tab carbamazepine
Initially individually and later in combination if needed.
I recommend the same to you, if you have not already tried them.
Please feel free to contact me for further information.
Best of luck.
Dr Mittal.
sounds like herpetic neuralgia
Detailed Answer:
Hi,
I am Dr Mittal.
I have read your query.
I think I would be able to help you.
The symptoms of the query are quite suggestive of herpetic neuralgia. This syndrome occurs after a bout of chickenpox in elderly age.the virus affect the nerves and thereafter, pain may arise- often late.
The pain killers are usually not effective. I think I would suggest to all my patients 2 options
A. Tab amitryptiline
B. Tab carbamazepine
Initially individually and later in combination if needed.
I recommend the same to you, if you have not already tried them.
Please feel free to contact me for further information.
Best of luck.
Dr Mittal.
Above answer was peer-reviewed by :
Dr. Raju A.T
Could it be shingles without the rash? There is also a lot of burping.
Brief Answer:
Not really shingles- similar
Detailed Answer:
Hi
You can call it shingles, that's also a herpetic infection. However, in that a different virus is involved.
In this, your infection is over but the nerve damage persists. So you have the pain due to nerve damage, not due to an active infection.
I therefore suggested just the amitryptiline and carbamazepine and no antiviral agents.
The abdominal complaints could be due to gastritis and a simple antacid should help you. I would suggest rabeprazole 20 mg twice daily. You can discuss with your treating doctor.
I hope that the information helps you.
Please feel free to contact me for further information.
Best of luck.
Dr Mittal.
Not really shingles- similar
Detailed Answer:
Hi
You can call it shingles, that's also a herpetic infection. However, in that a different virus is involved.
In this, your infection is over but the nerve damage persists. So you have the pain due to nerve damage, not due to an active infection.
I therefore suggested just the amitryptiline and carbamazepine and no antiviral agents.
The abdominal complaints could be due to gastritis and a simple antacid should help you. I would suggest rabeprazole 20 mg twice daily. You can discuss with your treating doctor.
I hope that the information helps you.
Please feel free to contact me for further information.
Best of luck.
Dr Mittal.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Prasad
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