Solution after second input on January 27,2013
As per the description of your problems of a low back ache with early morning stiffness around half an hour with frequent urination and also symptoms of anxiety as described here (http://care.udhc.co.in/INPUT/displayIssueGraphically.jsp?topic_id=196) we have these suggestions for your local doctor/physician:
- X-Ray Sacroiliac joints Bilateral AP View
- CBC with PS for comments
- FBS and PPBS along with LFT and RFT
- Capsule Indomethacin 75 mg SR at bedtime for 7 days
- Capsule Omeprazole+ Domperidone (Omez-D) 20 mg twice daily
- Tablet Tryptomer (Amitryptiline) 25 one hour before dinner for 2 weeks
Solution after second Input on February 17, 2013
As per the reports and the symptoms as described in the follow up(http://care.udhc.co.in/INPUT/displayIssueGraphically.jsp?topic_id=196) the probable diagnosis is that of Diabetes. However, according to this report, your diabetes is now in the early stages and hence following a strict diet plan and exercise (See the Bengali Version for details to the patient)
Further, to decide the prognosis of your condition, you would need to record Fasting Blood Sugar and Post Prandial Blood Sugar every week, and then let us know the results.
For your headache - Please let us know the date from which the symptom started appearing, no. of times it occurs in a day, and when it occurs the duration of it staying on. You can also take
- Tablet Paracetamol 650 mg when there is pain (SOS)
- Tablet Tryptomer (Amitryptiline) 25 mg one hour before dinner - to be continued as prescribed before but increase to 50 mg
Kaustav Bera and Dr. Rakesh Biswas,
Arogya UDHC Team