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Suggest Treatment For Shingles In An Elderly Person

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Posted on Tue, 22 Mar 2016
Question: name is XXXXXXX 51 year old obese patient weight around 560 on Lisinopril, flouresimide, metformin, have had shingles since XXXXXXX 1st stil around neck and shoulder area, Thursday after work my knee was real tender and swollen, I have kept it elevated cold packed a hour or so a day have had no caffeine, soda, coffee since Tuesday, I take a 40 mg flouresimide so I took an extra half Friday and sat brought swelling down about 30% still way too tender to walk on today it started getting a heartbeat of its own opposite the shingles pain quite concerned need to go to work tomorrow but don't see anyway of this with this problem
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Answered by Dr. Bonnie Berger-Durnbaugh (1 hour later)
Brief Answer:
a few thoughts:

Detailed Answer:
Hello XXXXXXX

I am sorry you are having so much trouble! I have had shingles and know how nasty it can be.

I think you need to go in to be seen about the knee. If you have one available, you can go into an urgent care center yet tonight. There are a number of things that might be going on - everything from a torn ligament to an infection. They will be able to at least start sorting that out my having a look, probably an xray, and they might draw a complete blood count.

About the persistent shingles pain, a low dose of amitryptiline (a tricyclic antidepressant) can be very helpful for post herpetic neuralgia and pain (ie pain that continues after shingles infection).

So do go in tonight, for evaluation of your knee, and help for the shingles paiin.

Please let me know if I can provide further information.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3133 Questions

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Suggest Treatment For Shingles In An Elderly Person

Brief Answer: a few thoughts: Detailed Answer: Hello XXXXXXX I am sorry you are having so much trouble! I have had shingles and know how nasty it can be. I think you need to go in to be seen about the knee. If you have one available, you can go into an urgent care center yet tonight. There are a number of things that might be going on - everything from a torn ligament to an infection. They will be able to at least start sorting that out my having a look, probably an xray, and they might draw a complete blood count. About the persistent shingles pain, a low dose of amitryptiline (a tricyclic antidepressant) can be very helpful for post herpetic neuralgia and pain (ie pain that continues after shingles infection). So do go in tonight, for evaluation of your knee, and help for the shingles paiin. Please let me know if I can provide further information.