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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Medicine To Take For Asthma, Fever And Leg Pain?

16 year old weight 39 kgs,my daughter is asthamatic,uses seraflo rotocap,montec lc,as prescribed regularly.she had fever since last three four days,coplaining pain in legs,waiste,and sometimes in wrists.her cbc report is as -HAEMOGLOBIN-8.7 GM/DL,TLC-18800 CELLS/CU.MM.,POLYMORHS-51%,LYMPHOSYTES-20%,MONOCYTES-03%,EOSINOPHILS-26%,BASOPHILS-00%,TOTAL RBC-4.80 MIL./CU.MM.,PLATELET COUNT-5.51 LAKHS/CU.MM,PCV-29.7%,MCV-61.9FL.,MCH-18.1PG.MCHC-29.3G/DL,RDW-15.3%.DOCTOR INITIALLY PRESCRIBED NIMUSULIDE+PARACETAMOL TABLETS ,VITAMIN D3 TABLETS,BUT STILL SHE COMPLAINED OF ACUTE PAIN IN HER FEET,WAISTE AND WRISTS,PALM.THEN DOCTOR HAS PRESCRIBED MEDRAL-16 MG TABLETS BID FOR ONE MONTH,DIAGNOSING SIGNS OF SEVERE INFECTION CAUSED BY VIRAL FEVER.KINDLY ADVISE AND SUGGEST YOUR OPINION.
Fri, 11 Apr 2014
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General & Family Physician,  's  Response
hi, her investigation report says that she is quite anaemic and her MCV is also mildly reduced so she must improve her diet adding vitamin Bcomplex , iron and folic acid.
her eosinophil count is high indicating some allergic condition which can be pollutant induced but can be due to other causes so you should go for complete pannel allergen test and also microscopic examination of blood film to rule out microfilariae as it is one of the common cause of eosinophilia.
she should avoid exposure to all the allergen as much as posssible.
she should also take some antibiotics like ampi-cloxa or amoxi-clavum or roxithromycin.
inhaler should be taken as prescribed for her, she can consult some physiotherapist for pain management or you can even meet an orthopedician if needed and go for its management.
thanks and with regard.
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What Medicine To Take For Asthma, Fever And Leg Pain?

hi, her investigation report says that she is quite anaemic and her MCV is also mildly reduced so she must improve her diet adding vitamin Bcomplex , iron and folic acid. her eosinophil count is high indicating some allergic condition which can be pollutant induced but can be due to other causes so you should go for complete pannel allergen test and also microscopic examination of blood film to rule out microfilariae as it is one of the common cause of eosinophilia. she should avoid exposure to all the allergen as much as posssible. she should also take some antibiotics like ampi-cloxa or amoxi-clavum or roxithromycin. inhaler should be taken as prescribed for her, she can consult some physiotherapist for pain management or you can even meet an orthopedician if needed and go for its management. thanks and with regard.