Answered by Ashaq Hussain Parrey

Answered by Ashaq Hussain Parrey

Can running result in long-lasting back muscle pain?

Hi doctor,

I ran 10 kilometers and when I arrived home, I had terrible back muscle pain. Next two days, I was better. So, I ran for another 10 kilometers but, this time when I arrived home, it was even worse. There was a shoulder pain, and dorsal muscle back pain when I was walking. Then, it was very hard for me to move, to walk more than one km, and I felt very tired after some walking. Also, when I take a deep breath, I could feel my back muscles in pain. There was a slight muscle pain on the right side of the back at a specific point on the middle side near the spine. I did MRI, chest X-ray, cardio-echography, ENG, and EMG test, and also did a series of blood tests for rare infections and viruses. They found a sign of an unknown infection. The leucocyte level was high and after a few days, it became normalized. I also saw a neurologist and he told me that everything is fine from his point of view. In MRI, there were minor changes on the dorsal side of the back, but there was no nerve damage or joint damage. The immunological test and the other results also came negative. This happened two months back and still, I feel weak and have muscle pain in my back, especially when I am doing slight activities. Is there any chance to have persistent muscle back pain from running? I am taking Magnesium, Calcium, Cerebinox, and Propanolol tablets. I had no issues like this before.

07 May 2024 - 1 min read

What is the treatment for high blood pressure and headache?

Hi,

I am a 65-year-old female. My sugar level before three months was fasting 180 mg/dl, postprandial 253 mg/dl and HbA1C 8 %. After having medication, the test done a few days back showed fasting 93 mg/dl, postprandial 80 mg/dl, HbA1C 7 %, triglycerides 259 and VLDL cholesterol 51.80. Also, the blood pressure is 200/100 mmHg.

I am taking the following medications:

  1. Glycomet GP 2 (one tablet in the morning and one tablet in the evening daily).
  2. Galvus 50 (one tablet in the morning daily).
  3. Tricinod 10/6.5 (one tablet morning daily).
  4. Cilamet XL 50 (one tablet evening daily).
  5. Neurokind LC (one tablet afternoon daily).
  6. Ecosprin AV 75 (one tablet evening daily).
  7. Trika 0.5 (one tablet evening daily).

In the past, I was on Met XL 100 (one tablet in the morning daily), Met XL (one tablet in the evening daily), Stamlo 0.5 (one tablet in the morning daily), Ecosprin AV 75 (one tablet evening daily) and Gemer 1 (one tablet morning daily).

Currently, my blood pressure is high and feeling heavy on in one side the of head and weak. Kindly suggest whether the medicine given above are correct and whether I can continue with the same or not.

26 Apr 2024 - 1 min read

Can HLA B27 positive ankylosing spondylitis affect his kids?

Hello doctor,

I am a 26-year-old, and I had hip resurfacing surgery eight years back. I am an HLA B27 positive, even my father is also positive. I have had joint pain for the last fourteen years. Now, I wish to know that if I marry and have children will this pass on to them? What measures should I take to ensure it does not pass on to the next generation? I am at crossroads, I need to take a decision based on the reply. Please give me the solution.

26 Apr 2024 - 1 min read

Can Fluoroquinolones cure infected foot puncture wounds?

Hello doctor,

I am a 62-year-old male. A puncture wound in the ball of my foot developed an infection. I have had two surgeries to clean the wound out but a localized Mycobacterium fortuitum or peregrinum infection has developed. One of the surgeries was left open to drain. I have been on a course of antibiotics for five days. Sulfamethoxazole-TMP 800-160 two tablets twice daily. Clarithromycin 500 mg once daily, and Levaquin 750 mg once daily. The Levaquin is causing tremors, coordination problems, insomnia, and nightmares when I do finally sleep. My physician is an infectious disease specialist. I have informed them of my symptoms and have been instructed to keep taking the course of Levaquin or I will lose my foot. Are Fluoroquinolones essential to treating this type of infection? I am concerned the drug is causing neurological damage.

25 Apr 2024 - 1 min read

How to treat deranged platelet count, SGOT, and SGPT levels?

Hello doctor,

I am a 29-year-old man and I weigh 115 Kg. My preventive health checkup results show the following irregularities: Mean platelet volume 12, CHCM 31.8, mean platelet volume at 12, total cholesterol 200.6, serum uric acid 7.8, globulin 3.7, SGOT 93.27, SGPT 213.87, and vitamin D total 25- hydroxy at 5.05. Kindly advise me on the lab results.

24 Apr 2024 - 1 min read

Education

MBBS., MD., RHEUMATOLOGY FELLOWSHIP., AMERICAN COLLAGE OF RHEUMATOLOGY MEMBERSHIP., FELLOW OF AMERICAN COLLAGE OF RHEUMATOLOGY., FELLOWSHIP CERTIFICATE FROM AMERICAN COLLAGE OF RHEUMATOLOGY., ACR MEMBERSHIP CERTIFICATE

Specialties

Rheumatology

Specialized Treatments

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