PW Health Clinic

[juventus]

Dr Abdul Rehman on lane no 7 peshawar road .... although he doesn't do the complex procedures especially major surgeries but other than that he is great .. qualified with good communication skills and fee is normal too...

[ahsanonline]

Hey guys.

Any good dentist you can recommend. I've seen many road side dentist with quesrionable skills / education.

Someone well qualified and professional.

Thanks

Sent from my Galaxy Note 4 onboard the International Space Station

Well you won't find one aboard the Space Station....

Good dentist, hmm....well you'd need to specify what needs doing and to whom (age group). I could point you to some specialists in the field...

[AbbasJin]

Well you won't find one aboard the Space Station.... [emoji14]

Good dentist, hmm....well you'd need to specify what needs doing and to whom (age group). I could point you to some specialists in the field...

Haha @ space part

I'm thinking about getting the teeth cleaned (deep cleaned?) I. E. The procedure that you're supposed to get once or twice a year. Age 28.

Sent from my Galaxy Note 4 onboard the International Space Station

[aliusman420]

Had my Vitamin D tested some days ago, it came out 9.8, critically low.
What can be done to raise the level other than being baked in sun?

[ahsanonline]

Haha @ space part

I'm thinking about getting the teeth cleaned (deep cleaned?) I. E. The procedure that you're supposed to get once or twice a year. Age 28.

Sent from my Galaxy Note 4 onboard the International Space Station

Scaling/polishing doesn't need doing once or twice a year, unless someone has a chronic problem (such as smoker's stains/'stone' deposits). Treat the body somewhat like an expensive high-tech vehicle: if it aint broke - don't mess with it.

Preferred location?
I know one at PWD, one at Bahria town, one at F-11, another at E-11. Don't know what they'll charge, never asked them. But honest people who're willing to make an honest living (unless someone somehow grew horns & a tail in the past few months!).

[Glioblastoma]

Had my Vitamin D tested some days ago, it came out 9.8, critically low.
What can be done to raise the level other than being baked in sun?

1st question what is your age? do you suffer from any condition I should know about? or use any medications? Treatment depends on it. Below are the general recommendations for an adult.

Take a glass of milk daily but milk in tea does not count or substitute is ensure powder. Then 1 whole egg daily including the egg yolk, fish is also excellent source. Then there are vitamins that can be used once daily if you want only vitamin d and calcium tabs osteocare, cac 1000 is good, other than this the complete multivitamins include berocca, unicap-t, vitrum, theragran-m they can be used once daily. The other method is get a vitamin d(cholecalciferol) injection intramuscular once every month comes by name of miura-d, cara-in-d, g-cal, sunny-d.

But now very important question is why are you having a deficiency, either it can be decrease intake, decrease sunlight exposure, decrease synthesis by liver or kidney disease. So either kidney or liver or your GI system might be the source of the problem. So workup includes:

Renal function test( BUN, creatinine)
Electrolytes(sodium, potassium, free calcium, total calcium, chloride, magnesium)
Liver function tests( total and direct bilirubin, AST, ALT, GGT, ALP, albumin)
Serum PTH levels

[asjdsm]

As I said your current mri says you have minimal injury. meniscal tear grade 1 so it's a minimal injury, meaning keep exercising and that's it. This is not a fracture this meniscus is between the knees and acts as a cushion its a cartilage not a bone, mostly bones fracture.

As I said pretty likely your previous mri was false, how is it possible do not know why that only the lab which you got your previous mri done could tell.

As far as vitamin k2 is concerned there is insufficient evidence for it's role in bone healing hence please stop taking it. As far as magnesium is concerned its required by your body in low quantities so please do not take much. You are taking too much of vitamins and minerals these are of no use. You want to take vitamins take some simple multivitamin thats it like berocca, unicap-t, vitrum, theragran-m. Vitamin C is required for strong bones. Please go to some authentic websites when searching for medical related stuff I am giving you some most authentic websites search them

http://www.nlm.nih.gov/medlineplus/

Medscape: Medscape Access

And please try to visit a specialist. As I said Dr. amer at shifa international seems to be good go to him and lets see what he says.

Vitamin D levels vary lab to lab what did the normal range said. Even if it was low then please repeat the test this time from a more authentic lab. You are young only milk and sunlight would have been enough to increase vit. d. Also note this meniscal tear injury of yours has no concern with vitamin d neither does the pain you are having, the pain is because the cushion between your thigh bone femur and leg bone tibia is damaged so it will take time to get repired if it does not that only an expert will tell with periodic MRI that how is the heeling progress. Get a new vitamin d test done.

Thanks for the detailed reply.
I am also having pain in right knee. After walking sone distance it feels like it's swelled but from appearance it's not. If I try to sit in a squatting position there is a sharp pain in right knee. Never had this type of pain. Strangely there is not such pain on left knee.

I did uric acid test it's 6.8. Max normal is 7.2..

Will discuss with doctor in next visit.

On my previous visit to doctor which was few days ago I was asked to continue with physio therapy for 4 more weeks. Now no pain during that therapy itself. However a little walking and climbing few steps gives me pain.

Regarding vitamin d. I performed another test just 2 days before taking 9th weekly capsule of 50k iu d3 and it was 68.
D3 test was done at nori hospital islamabad.
Uric acid test at shifa international islamabad

Sent from my Nexus 5 using Tapatalk

[nasirjavaid]

Thanks for the detailed reply.
I am also having pain in right knee. After walking sone distance it feels like it's swelled but from appearance it's not. If I try to sit in a squatting position there is a sharp pain in right knee. Never had this type of pain. Strangely there is not such pain on left knee.

I did uric acid test it's 6.8. Max normal is 7.2..

Will discuss with doctor in next visit.

On my previous visit to doctor which was few days ago I was asked to continue with physio therapy for 4 more weeks. Now no pain during that therapy itself. However a little walking and climbing few steps gives me pain.

Regarding vitamin d. I performed another test just 2 days before taking 9th weekly capsule of 50k iu d3 and it was 68.
D3 test was done at nori hospital islamabad.
Uric acid test at shifa international islamabad

Sent from my Nexus 5 using Tapatalk

I once had same issue with me left knee as it felt there is low fluid under knee cap but don't know how its gone now... Maybe a simple sleeping habit advised by a doc at sheikh zayed hospital !

You can try too.... Lay down on any side and bend and take ur knees close to chest and try to sleep in this posture. It gave me great "sakoon"

Rest doc here can advise best ...

[Glioblastoma]

Thanks for the detailed reply.
I am also having pain in right knee. After walking sone distance it feels like it's swelled but from appearance it's not. If I try to sit in a squatting position there is a sharp pain in right knee. Never had this type of pain. Strangely there is not such pain on left knee.

I did uric acid test it's 6.8. Max normal is 7.2..

Will discuss with doctor in next visit.

On my previous visit to doctor which was few days ago I was asked to continue with physio therapy for 4 more weeks. Now no pain during that therapy itself. However a little walking and climbing few steps gives me pain.

Regarding vitamin d. I performed another test just 2 days before taking 9th weekly capsule of 50k iu d3 and it was 68.
D3 test was done at nori hospital islamabad.
Uric acid test at shifa international islamabad

Sent from my Nexus 5 using Tapatalk

As you are having no pain now during exercise it means its slowly healing. Continue physiotherapy for 4 weeks. Stop the vitamin d3 capsule, 50000 IU for 1 week is too much it may start to cause toxicity, what is upper limit of your lab of vitamin d3. Now please decrease your vitamin d dose from 50000 IU per week to either 50000 IU per month or to 400-800 IU per day. Why you had decrease vitamin d in first place please read my post no. 1157 in that matter that how to find out the cause of decreased vitamin d.

As for uric acid it is still in normal range so just decrease red meat and white meat in your diet, increase water intake and increase fruits and vegetables in your diet.

Right knee pain suddenly and sharp quality on squatting and feeling of knee swelling on walking most like suggest that it may be related to your nerves so do you have any back pain with it and does that back pain radiates to the knee. If yes you have lumbar strain or lumbar spinal nerve compression. If you do not have back pain then it's most likely your right knee cartilage are showing signs of ageing related degradation called osteoarthritis. For both spinal nerve compression/lumbar strain or osteoarthritis treatment is physiotherapy.

[asjdsm]

No back pain. One doctor recommended me 50k iu d3 weekly other 5k iu daily...

I will lower my dose as you described.
@nasir thanks for the suggestion. And nice to hear you got a relief from it.

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[altisdualvvti]

Hey docs I just want to ask a question regrading my height I m 5"6 tall at 20 years old so is their is a way that I can increase my height my younger brother is 5"8.5 any chance at this age I heard that ensure ( milk poweder) helps to increase height any reviews on ensure

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[DUDE007]

Hey docs I just want to ask a question regrading my height I m 5"6 tall at 20 years old so is their is a way that I can increase my height my younger brother is 5"8.5 any chance at this age I heard that ensure ( milk poweder) helps to increase height any reviews on ensure

Sent from my GFIVE G10 mini using Tapatalk

I have same query...

[AbbasJin]

Scaling/polishing doesn't need doing once or twice a year, unless someone has a chronic problem (such as smoker's stains/'stone' deposits). Treat the body somewhat like an expensive high-tech vehicle: if it aint broke - don't mess with it.

Preferred location?
I know one at PWD, one at Bahria town, one at F-11, another at E-11. Don't know what they'll charge, never asked them. But honest people who're willing to make an honest living (unless someone somehow grew horns & a tail in the past few months!).

Please share the bahria town one. Its closest

Sent from my Galaxy Note 4 onboard the International Space Station

[Glioblastoma]

Hey docs I just want to ask a question regrading my height I m 5"6 tall at 20 years old so is their is a way that I can increase my height my younger brother is 5"8.5 any chance at this age I heard that ensure ( milk poweder) helps to increase height any reviews on ensure

Sent from my GFIVE G10 mini using Tapatalk

Ensure milk powder can help but your age is almost near when the bone growth plates(epiphyseal plates) are near complete fusion you can say in 1-2 years they will be completely fused as height is dependent upon tibia fibula your leg bones and femur thigh bone. I am sending you a link in it is a table about age of fusion of growth plates of different bones:

Jen J. Danna - Skeleton Keys - Blog - Forensics 101: Epiphyseal?*Fusion

Their are different methods to increase height some surgeries are present whereas some hormones are also present, but because of many side effects and decreased expertise of our clinicians in such experimental stuff kindly stay away from these and be happy of what you have, this is not low its average height of males in pakistan.

[Glioblastoma]

I have same query...

Kindly refer to my post# 1165 on this thread.

[Glioblastoma]

No back pain. One doctor recommended me 50k iu d3 weekly other 5k iu daily...

I will lower my dose as you described.
@Nasir thanks for the suggestion. And nice to hear you got a relief from it.

Sent from my Nexus 5 using Tapatalk

No back pain meaning its age related degradation of your knee cartilage but you are young and this process can be slowed down easily by knee strengthening exercises. Go to the same orthopedic doctor and ask him about exercises for your right knee.

As far as vitamin d again for a reminder either take 50000 IU tablet or injection once a month or decrease to 400-800 IU per day tablet.

[asjdsm]

No back pain meaning its age related degradation of your knee cartilage but you are young and this process can be slowed down easily by knee strengthening exercises. Go to the same orthopedic doctor and ask him about exercises for your right knee.

As far as vitamin d again for a reminder either take 50000 IU tablet or injection once a month or decrease to 400-800 IU per day tablet.

Doctor is on vacation till 20th. I talked to his assistant about the result of uric acid as doctor asked to do this test and call him on phone the result. Assistant after discussion with doctor told me that uric acid is high so advised to avoid food increasing it add you suggested.

Pain killer changed from airtal to proxen naproxen 250mg twice daily. Asked to continue quads exercises for both knee for two weeks and check back with doctor.

Was talking of some gout thingy.

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[Glioblastoma]

Doctor is on vacation till 20th. I talked to his assistant about the result of uric acid as doctor asked to do this test and call him on phone the result. Assistant after discussion with doctor told me that uric acid is high so advised to avoid food increasing it add you suggested.

Pain killer changed from airtal to proxen naproxen 250mg twice daily. Asked to continue quads exercises for both knee for two weeks and check back with doctor.

Was talking of some gout thingy.

Sent from my Nexus 5 using Tapatalk

Good just exercise. Control your diet, drink lots of water. Increased uric acid levels is called hyperuricemia but gout is totally different thing. You can have hyperuricemia without gout but you can never have gout without hyperuricemia. For diagnosis of gout most accurate test is a aspiration of fluid from joint swelling.

Our orthopedists love to label many people with gout. Gout mostly presents as sudden random attacks of great toe or knee or ankle or for that matter any joint pain with swelling and redness of affected area and may be sometimes with or without fever. Have you had any such attacks recently? If not gout might be unlikely. But one thing important is whether you have hyperuricemia or gout the basic management that is diet control and hydration is same. If it does not control on it you can be started on allopurinol(zyloric) 100mg per day. Some articles

Fast Facts About Gout

Medscape: Medscape Access

https://www.rheumatology.org/practice/clinical/patients/diseases_and_conditions/gout.asp

Has increased uric acid damaged your kidneys. Do get Yourself tested with following tests for detailed workup

CBC with differential counts
Renal function test( BUN, creatinine)
Electrolytes(sodium, potassium, free calcium, total calcium, chloride, magnesium)
Liver function tests( total and direct bilirubin, AST, ALT, GGT, ALP, albumin)
Serum fasting lipid profile
HbA1C

[adil.0001]

What is the cause of diabetes?

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[asjdsm]

Good just exercise. Control your diet, drink lots of water. Increased uric acid levels is called hyperuricemia but gout is totally different thing. You can have hyperuricemia without gout but you can never have gout without hyperuricemia. For diagnosis of gout most accurate test is a aspiration of fluid from joint swelling.

Our orthopedists love to label many people with gout. Gout mostly presents as sudden random attacks of great toe or knee or ankle or for that matter any joint pain with swelling and redness of affected area and may be sometimes with or without fever. Have you had any such attacks recently? If not gout might be unlikely. But one thing important is whether you have hyperuricemia or gout the basic management that is diet control and hydration is same. If it does not control on it you can be started on allopurinol(zyloric) 100mg per day. Some articles

Fast Facts About Gout

Medscape: Medscape Access

https://www.rheumatology.org/practice/clinical/patients/diseases_and_conditions/gout.asp

Has increased uric acid damaged your kidneys. Do get Yourself tested with following tests for detailed workup

CBC with differential counts
Renal function test( BUN, creatinine)
Electrolytes(sodium, potassium, free calcium, total calcium, chloride, magnesium)
Liver function tests( total and direct bilirubin, AST, ALT, GGT, ALP, albumin)
Serum fasting lipid profile
HbA1C

i will do these tests .. any idea on its cost at private labs ?
there are some semi private type of organizations as NORI who also do tests at reasonable rates .. (almost 30-5- %) cheaper then private on some tests.. any idea of cost at such organizations.

after taking naproxen pain is reduced a bit but still there .. i have a feeling in the knee ''like the feeling AFTER hot water is poured on it.. yani garm pani knee pa paiknay ka baad jo feeling hothi hai.

any affect by daal mash , daal mong and palak ? or any palak or daal cooked in gosht ? savour rice/paulao ?
what about dahi / lasi ? do they increase uric acid.
i am doing a night shift duty and every menu has some sort of meat in it .. i can get above options or i should take special home made meal..