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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain On The Right Side?

Thank u doctor,my mother is a 47 YEAR old,has c/o right sided chest pain from last 6month,all cardiac related tastes was normal,fever some time,mild cough with no sputum,but the Dr found AFB + ve in gastric fluid ,anti tuberculosis treatment started since last one month,but,still she has weight loss and having sever back pain,less chest pain or chest symptoms, on CT scans now we found,necrotic areas and module in right upare lobe of lungs,small irregular hypodense lesion 15*10mm in Liverpool,partial collaps of D11 vertebra with small right paravertebral soft tissue thickening,so Dr.Plz answer me what is the relation of collaps d11 to the above problem and how to relieve her back pain,she is menopoused,Dr guided biopsy report is awaited,plz Dr,. Help me.
Mon, 8 Oct 2018
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General & Family Physician 's  Response
Hi,

"As" per your clinical history is concerned, do take all medications for lungs and wait for biopsy report to know the exact cause of lesion. Secondly, for back pain do a clinical examination by your Doctor [Rheumatologist] and measure bone density [DXA SCAN] to rule out osteoporosis after menopause. Regarding medication, you can discuss with your treating Doctor about prescription Bisphosphonates like [Alendronate] and hormone therapy [Estrogen].

Do follow lifestyle modifications like this to prevent bone loss -
1) Take low-fat dairy products, dark green leafy vegetables, soy products, such as tofu, calcium-fortified cereals, and orange juice etc., to get calcium and if it is insufficient then you can take oral calcium supplement regularly.
2) Do check her vitamin D level if low then discuss with your Doctor about oral supplements.
3) Do exercise regularly at least 30 mins every day.
4) Try to avoid smoking and alcohol.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Uday Nath Sahoo,
General & Family Physician
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What Causes Chest Pain On The Right Side?

Hi, As per your clinical history is concerned, do take all medications for lungs and wait for biopsy report to know the exact cause of lesion. Secondly, for back pain do a clinical examination by your Doctor [Rheumatologist] and measure bone density [DXA SCAN] to rule out osteoporosis after menopause. Regarding medication, you can discuss with your treating Doctor about prescription Bisphosphonates like [Alendronate] and hormone therapy [Estrogen]. Do follow lifestyle modifications like this to prevent bone loss - 1) Take low-fat dairy products, dark green leafy vegetables, soy products, such as tofu, calcium-fortified cereals, and orange juice etc., to get calcium and if it is insufficient then you can take oral calcium supplement regularly. 2) Do check her vitamin D level if low then discuss with your Doctor about oral supplements. 3) Do exercise regularly at least 30 mins every day. 4) Try to avoid smoking and alcohol. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Uday Nath Sahoo, General & Family Physician