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Suggest Treatment Options For Elderly Woman With Knee Pain And High BP
Dear sir my mother is 65 , she is suffring from knee pain owing to which doctor has prescribed vitamin D pills (bone lift ) , oral injction , lornoxicam tablets , she is also taking dibeties tab, high blood pressure treatment and niksm tablet for gestro issue , but since a week she has severe issue of appetite and constipation and kidny stone ,, kindly suggest that what should I do
Wed, 24 Jun 2015
With such presentations in my clinic, I would first rule out renal hypertension with renal tests(urea, creatinin, uric acid) because of history of Diabetes and Nephrolytiasis. For hyertension I suggest
-Atorvastatin 1 tablet daily at night for 2-3 month.
-Telmistra( Telmisartan) 1 tablet at night for a long time.
For knee ain I would suggest a pain relieving medicine like Ketoprofen 75 mg orally 3 times a day or 50 mg orally 4 times a day. (if not allergic to) for 5 days, Cartigen plus 1 casule twice a day for 1 month,then 1 capsule daily for 2 months. If it is not relieved I would refer to an Orthopedist for further management.
With respect to your other medical conditions like Diabetes, high cholesterol and blood pressure, there is a high risk of heart disease in future. This risk can be greatly reduced by keeping the blood pressure below 130/85, any time blood glucose less than 140mg/dl, and LDL under 70mg/dl. Work with your primary care Doctor to achieve these.
Please let me know if you have further questions before meeting your primary care Doctor.
-Atorvastatin 1 tablet daily at night for 2-3 month.
-Telmistra( Telmisartan) 1 tablet at night for a long time.
For knee ain I would suggest a pain relieving medicine like Ketoprofen 75 mg orally 3 times a day or 50 mg orally 4 times a day. (if not allergic to) for 5 days, Cartigen plus 1 casule twice a day for 1 month,then 1 capsule daily for 2 months. If it is not relieved I would refer to an Orthopedist for further management.
With respect to your other medical conditions like Diabetes, high cholesterol and blood pressure, there is a high risk of heart disease in future. This risk can be greatly reduced by keeping the blood pressure below 130/85, any time blood glucose less than 140mg/dl, and LDL under 70mg/dl. Work with your primary care Doctor to achieve these.
Please let me know if you have further questions before meeting your primary care Doctor.
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