Doctor insights on:
What Is The Best Treatment For Epigastric Pain
Options: You have multiple options, the mainstay of treatment are interdisciplinary and include physical therapy, acupuncture, medications (anti-inflammatories, nerve pain agents) and epidural steroid injections. Depending on your response surgery may need to be considered. There continue to be emerging technologies to treat sciatica in a minimally invasive fashion. ...Read moreSee 2 more doctor answers
Control glucose: Most important is to control ur blood sugar-w/o that it will likely cont to progress. Tx aimed @ sx include oral: gabapentin, pregabalin, some antidepressants (ex duloxetine), more & topical: capsaicin, lidocaine, tens, more. Dfclt to predict who will respond to which the best. Lots of choices & i gen talk thru in's & out's of many & decide together which to try 1st, etc. May need combo top + oral. ...Read moreSee 1 more doctor answer
Diagnosis: There is never a best treatment without first obtaining an accurate diagnosis. Consultation with an md is the only way to obtain the information about why, and then a best treatment can be planned for. Good luck! ...Read more
Depends on the cause: Your pain could due to trauma (fracture, sprain, arthritis, inflammation), infection, metabolic conditions (gout), poor circulation, musculoskeletal or biomechanical abnormality and different neurologic conditions (neuropathy). A thorough history and physical exam and possibly some laboratory and radiology exams are needed to determine the exact cause. ...Read moreSee 1 more doctor answer
Many options: Some simple things to do for tendonitis include rest, icing (20 minutes per hour), anti-inflammatory medications (such as advil, (ibuprofen) motrin, or aleve), and possibly splinting. See your doctor, however, if these simple treatments are not sufficient, or if your symptoms worsen. ...Read more
Ibuprofen/tylenol: Alternating 3 Ibuprofen with 2 tylenol (acetaminophen) at 3 hour intervals gives almost narcotic levels of pain relief without the complications of narcotics. Assuming you can tolerate Ibuprofen and don't exceed the maximum daily dosage for either medication, there is a synergystic effect. ...Read moreSee 2 more doctor answers
Depends: This depends on cause of the "gastric pains".... Abdominal pain? There are treatments for cramps, ulcer disease, heartburn, reflux disease, gallbladder disease, etc.... It is important you discuss with your family physician. He/she will perform a complete history review and physical exam. The results will help direct additional evaluation and diagnose necessary to treat you. ...Read more
MUSCLE PAIN: Best treatment would be to have a full evaluation by a neurologist to understand what specifically contributes to the muscle problems. Then that cause is treated directly if possible (sometimes with antispasmodics or anti-inflammatories). ...Read more
Depends on cause: It depends on the cause of the ulcer. If it's due to stasis ulcer (decubitus), then a dressing such as duoderm is helpful. Also, bec there is usualky secondary bacterial infection, tipical and/or antibiotics may be necessary. ...Read more
Relief pain sciatica: You mean pain of sciatica.Sciatica is caused by irritation or compression of one or more of the five spinal nerve roots which comprise sciatic nerve.It can be from herniated disc, spinal stenosis or piriform syndrom.Your doctor will be able to explain what these are.The treatment is non steroidal pain meds like motrin, muscle relaxants, bed rest is controversal, and some time physical therapy may help. ...Read moreSee 2 more doctor answers
Spine Pain Options: This chronic pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. ...Read moreSee 1 more doctor answer
Lower Back Pain: Conservative therapy works well for most patients with lower back pain. The use of prevention is the best - exercise, stretching, and strengthening. During the acute phase of pain - nsaids or acetaminophen, if not contraindicated, and heat and/or ice, usually work well. ...Read moreSee 2 more doctor answers
See a rheumatologist: There's no one best way to manage arthritis pain or achieve pain relief.Once a diagnosis of arthritis has been made, effective management of arthritis involves three specific strategies: 1) Patient education, 2) Body rehabilitation, and 3) Pharmacological (medical) management. See a rheumatologist for evaluation and professional management. ...Read more
Depends on type: Leg ulcers may be caused by arterial disease or they are often caused by chronic venous insufficiency which is a problem that causes to much pressure to be in the veins near the skin. These ulcers are generally on the ankle mostly on the inside of the leg. The skin is ofter brown in that area. A venous specialist can diagnose and treat this condition. Our cure rate with venous ulcers is 97%. ...Read moreSee 2 more doctor answers
IBS: Abdominal bloating is considered to be a subset of irritable bowel syndrome but you will need to be evaluated for other causes like reflux, gallstones, pancreatic problems, gyn problems if female and kidney problems. Once work up is negative options are probiotics, antispasmodics and a new treatment with antibiotic rifaximin. Consult your doctor for options. ...Read more
Acid blockers: Also known as proton pump inhibitors like Omeprazole etc. Are recommended for the treatment of ulcers. Otc antacids may help with short term symptom relief but will not heal ulcers. If h. Pylori bacterium is present you will need antibiotics as well. Avoid any nsaids, or Aspirin and make sure you eat light avoiding heavy, spicy and acidic foods, including citrus, sodas, caffeine, alcohol & smoking. ...Read moreSee 1 more doctor answer
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