Few yrs back a 5 year boy consulted me for extereme inconsolable crying and screaming usually in night to wake up the whole building since he was infant almost every 3rd -4th night .He complained of severe excruciating pain at a particular spot in his limb which changed in each such screaming episodes.once he was brought as emergency from nearby movie hall in the evening .while talking to parents another child entered my clinic screaming due to abdominal pain and while injecting this child antispasmodic and pain killer the 1st child ceased screaming and got up to have a clear view of process of injecting the other child in pleasant mood.thus it proved the 1st child was suffering of some anxiety neurosis which parents hardly believed.prior to this episode all invest including bone scan was normal.some anxiolytic and counselling of the child completely cured the condition and child is well for last 2 yrs..
Menace of hyperuricemia
Excruciating pain in ankles.hallux and any other site is commonest presentation of hyperuricemia.
It has been seen to present in my experience as
1.a 36yr old lady had uric acid of only 5.6 and her problem of pain in legs.knees and then generalised further aggravated and after 2 to 3 mnths facial edema and pedal edema appeared .she didnt get relief on any rx by various doctors and at last consulted me.i opined in her case uric acid shld be normally below4 insted of 7 and thus febuxostat was instituted .for 10 days her edema and pain didnt respond but patiently it was advised to continue.after 2 wks some relief was felt and thus same rx was continued for more than 1mnth till she became asymptomatic and her uric acid brought below 4 which I feel should be considered upper normal in such patients.
2.in my 8 yr old son uric acid was just 4.9 but he had such excriciating sole pain that he barely walked.he was too treated in same way to reduce its level below 3.5.
3.a young poor lady had severe intolerable giddiness and straight away slept in my clinic even on floor as she couldnt balance to sit even.all sorts of rx for vertigo was tried but none worked.at last uric acid was found 6.9 and its rx continously for 10 days reduced giddiness by 25% and thus same rx for 1 1/2 mnth completely subsided the symptoms and thus she became normal.she has taken several rx for it by at least 7 doctors before she consulted me.
thanks
dr s kumar.
Excruciating pain in ankles.hallux and any other site is commonest presentation of hyperuricemia.
It has been seen to present in my experience as
1.a 36yr old lady had uric acid of only 5.6 and her problem of pain in legs.knees and then generalised further aggravated and after 2 to 3 mnths facial edema and pedal edema appeared .she didnt get relief on any rx by various doctors and at last consulted me.i opined in her case uric acid shld be normally below4 insted of 7 and thus febuxostat was instituted .for 10 days her edema and pain didnt respond but patiently it was advised to continue.after 2 wks some relief was felt and thus same rx was continued for more than 1mnth till she became asymptomatic and her uric acid brought below 4 which I feel should be considered upper normal in such patients.
2.in my 8 yr old son uric acid was just 4.9 but he had such excriciating sole pain that he barely walked.he was too treated in same way to reduce its level below 3.5.
3.a young poor lady had severe intolerable giddiness and straight away slept in my clinic even on floor as she couldnt balance to sit even.all sorts of rx for vertigo was tried but none worked.at last uric acid was found 6.9 and its rx continously for 10 days reduced giddiness by 25% and thus same rx for 1 1/2 mnth completely subsided the symptoms and thus she became normal.she has taken several rx for it by at least 7 doctors before she consulted me.
thanks
dr s kumar.
Subscribe to:
Posts (Atom)