Talk to Internal Medicine on Couldn't Diagnosis

Ms. Maryam Tahir - Nutritionist

BS (Hons.) Food & Nutrition | Rahim Yar Khan

207 Positive Reviews

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I can help and guide you properly

Dr. Shafqat Aamar - Internal Medicine Specialist

MBBS, MRCP(UK), ACLS certificate, Certificate in Hypertension awareness, Certificate in awareness and management of type 2 Diabetes Mellitus | Lahore

42 Positive Reviews

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she needs a full work up if she gas frequent episodes of migraine she can take preventive treatment fir joint oajn a detailed history and investigations accordingly are required

Dr. Syed Zohaib Maqbool - Internal Medicine Specialist

MBBS. FCPS Medicine | Lahore

20 Positive Reviews

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May she get well soon, aameen. It’s best to consult a medical specialist for detailed evaluation and treatment. But for now few tips that I can give you are : your wife needs to improve her sleep, start regular exercise, use a healthy diet (proteins, fruits, vegetables), lose weight if overweight, get proper sunlight, avoid stress, try to avoid conflicts and fights and try to be happy, use stress-relieving techniques like deep breathing, positive imagery and meditation etc. She should also see a psychologist or a counsellor. She might also need some tests to look for diseases like thyroid, diabetes, anaemia etc. She might need to be started on migraine prophylaxis, antidepressants, PCOS medicine, vitamins supplements etc

Patient

Post Owner

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we did some tests like
cbc (Hb: 10.6 g/dL, Platelets: 92,000)
Immature Platelet Fraction (26%)
Thyroid Profile( TSH: 2.1 µIU/mL, Free T4: 14.6 pmol/L)
Fertility / Hormonal Profile (Prolactin: 35.6 ng/mL)
ANA (Negative)
Ultrasound Abdomen & Pelvis (Bilateral Polycystic Ovaries)

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2 months ago

Dr. Syed Zohaib Maqbool - Internal Medicine Specialist

MBBS. FCPS Medicine | Lahore | Book Appointment

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Looks like she might have ITP. Her thyroid is fine and HB is not that bad. Avoid routine painkillers like Diclo, Brufen, Synflex, Nims, Ponstan, Disprin bcoz they can reduce the platelets further. Avoid intra-muscular injections.

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2 months ago

Homeopathic Dr. Asifa Khanum - Homeopath

DHMS | Rawalpindi

1,225 Positive Reviews

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it's completely treatable after taking some medicine don't you worry detailed history required kindly book appointment with me its a permanent solution

Dr. Furqan Javed - Internal Medicine Specialist

MBBS, MRCP Ireland CESR Consultant UK | Lahore

4 Positive Reviews

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She needs brain imaging first and some blood tests to rule out any issues other then migraine and then will take it from there .Thanks

Patient

Post Owner

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we did some test like
cbc (Hb: 10.6 g/dL, Platelets: 92,000)
Immature Platelet Fraction (26%)
Thyroid Profile( TSH: 2.1 µIU/mL, Free T4: 14.6 pmol/L)
Fertility / Hormonal Profile (Prolactin: 35.6 ng/mL)
ANA (Negative)
Ultrasound Abdomen & Pelvis (Bilateral Polycystic Ovaries)

  Reply

2 months ago

Dr. Furqan Javed - Internal Medicine Specialist

MBBS, MRCP Ireland CESR Consultant UK | Lahore

4 Positive Reviews

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I can understand you have done some work up but as I mentioned before need to proceed with more specific investigations and then medication to control symptoms and not to affect quality of life

Patient

Post Owner

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Yeah I think too. Thanks doctor

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2 months ago

Dr. Shahzada Ali Khan - Internal Medicine Specialist

MBBS( PAK), MRCP(UK), PCRC( CAN) Dialysis certified | Peshawar

2 Positive Reviews

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Send me all work up done so far. All medications she is taking . After this I will be in position to advise further. She must be fully evaluated by taking her history . If she is a case of depression having psychosomatic symptoms,she will need opinion of psychiatrist and internist too.