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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Swollen And Painful Abdomen

I had shingles 4 weeks ago, the rash dried up & the scabs have fallen off but I now have shingles complications, which is PHN, what concerns me is that I have swelling on my right abdomen & very painful. I'm on 150mg of Lyrica in the morning & the same dose at night, this doesn't help much with the pain unless I take 2 still pain. Will you recommend any other pain killer or is it advisable to see a neurologist. My age is 78.
Wed, 11 Mar 2015
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General Surgeon,  's  Response
Hi, Regards !
Thanks for your query.
The diagnosis is certainly Post Herpetic Neuralgia PHN as you have written.
Considering your age which is 78 years, the dose of Lyrica 150 mg is high enough in the elderly.
The swelling indicates that the inflammation is still present and the internal healing is not yet complete.
The pain of PHN is more in the elderly people like you, takes far more time than the young adults would take for recovery, control of pain and other symptoms.
I would advise such a patient :
Neurologist's opinion and further management.
Discuss about the trial of other medicines like Gabapentin / Amitryptiline - Tegritol or so, any role of other procedure that can reduce the pain.
Alternative therapy like Yoga, Acupressure or Acupuncture can help a lot in reduction of the stress and anxiety of the person who is suffering from this.
I hope this answer helps you to visit the Neurologist and get the proper investigations and and treatment.

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Suggest Treatment For Swollen And Painful Abdomen

Hi, Regards ! Thanks for your query. The diagnosis is certainly Post Herpetic Neuralgia PHN as you have written. Considering your age which is 78 years, the dose of Lyrica 150 mg is high enough in the elderly. The swelling indicates that the inflammation is still present and the internal healing is not yet complete. The pain of PHN is more in the elderly people like you, takes far more time than the young adults would take for recovery, control of pain and other symptoms. I would advise such a patient : Neurologist s opinion and further management. Discuss about the trial of other medicines like Gabapentin / Amitryptiline - Tegritol or so, any role of other procedure that can reduce the pain. Alternative therapy like Yoga, Acupressure or Acupuncture can help a lot in reduction of the stress and anxiety of the person who is suffering from this. I hope this answer helps you to visit the Neurologist and get the proper investigations and and treatment.