Dr. Sayalee Karve
Clinical Pharmacologist
8 years of experience
Doctor of Pharmacy
Write a review
Questions Answered By Dr. Sayalee Karve
Asked for Male, 35
I am 35 yrs old male and I have problem with bilateral sensorineural hearing loss. Is there any treatment for this problem
Answered on 23rd May '24
A routine brain MRI with attention to the internal auditory meatus should be requested in acute cases where no cause is detected and idiopathic origin is assumed. These individuals are usually started on oral corticosteroids with a prednisone dose of 1 mg/kg/day (max 60 mg/day) for seven days and then decreased during the following week.
Hearing aids, of which there are many sorts, are the basis of treatment in chronic situations. Even in mild or severe cases of presbycusis, hearing aids are beneficial to the majority of patients. [19] There is no way to restore former hearing thresholds, and due to psychosocial comorbidities, audiological rehabilitation support is especially necessary in these patients.
The most prevalent equipment for treating hearing loss are traditional behind-the-ear air conduction hearing aids.
Hearing aids with bilateral microphones and contralateral signal routing (BiCROS) are similar, but a microphone also helps the better hearing ear on the same side.
Asked for Male, 41
I am feeling dizzyness and heavyness on right side of temple in forehead and pressure in forehead, ear, cheek, and nose block on right side of the face. Please suggest me diagnosis and treatment.
Answered on 23rd May '24
As per the complaints, this is a case of Sinusitis.
If you have sinusitis, the doctor may be able to recommend additional medications to relieve your symptoms, such as steroid nasal sprays or drops to reduce sinus swelling.
antihistamines - if your symptoms are caused by an allergy
Antibiotics - if you have a bacterial infection and are severely sick or at risk of consequences, antibiotics may be prescribed (but antibiotics are often not needed, as sinusitis is usually caused by a virus)
Asked for Female, 70
I am 20 year grand daughter who is taking care of my 70+age grandmother who has ankle fracture a month ago.We are not allowed to have surgery because operation won't be success.She has tight bandage in first week,after 15 days.What is the best steps to be taken now?And the second question is I am helping her with bedpan for excretion.But at night, She expects to use bedpan.But I suggest adult tape briefs.What should I use at night?
Answered on 23rd May '24
- Older individuals are more prone to falls and fractures. The incidence of ankle fractures in older patients is high and severe in some cases. The treatment is difficult and complicated in nature due to presence of comorbidities such as diabetes, obesity, hypertension and poor bone quality.
- Treatment goals include: Stability of the joint, ability of the patient to perform daily activities independently and minimizing complications associated with fracture and other comorbid conditions.
RICE is a part of the Non-operative management of ankle fracture in older patients which includes:
R: The importance of rest cannot be overstated. In order for the fracture to heal faster limit yourself from further pressure on the foot.
A cast will most likely be worn to keep the foot and ankle immobile. In case of severe soft tissue swelling, a cast may be required for the first three to five days. The brace must be worn for six weeks in order to allow the fracture to heal. Cast fixation with off-loading is advised for poor bone quality depending on the radiography report.
Ice: For reducing the swelling and inflammation, apply ice to the region for 20 minutes at a time.
And continue further for every 40 minutes.
Compression: Wrapping the area in a bandage helps to reduce swelling.
Elevation: To assist reduce inflammation, lift your foot and ankle slightly above the level of your heart.
Asked for Male, 10
Doctor my son is 10 years old he is complaining about chest paint we got his his Ecg and echo test are normal in reports but he is still complaining about chest pain kindly guide us chest last for only 2 to 5 seconds only
Answered on 23rd May '24
Some of the causes of chest pain in children are: Acid reflux (heartburn), Anxiety, Asthma, Costochondritis (inflammation of joints between ribs and breastbone), Muscle strain and Respiratory infection
Consult your doctor for further advise, investigations and treatment.
Asked for Male, 41
I'm 41yrs old, a pre diabetic person since an year. I have sweating in palms and feet for the past more than 5yrs, haven't taken any medicine for this
Answered on 23rd May '24
There are many other reasons associated with sweating in individuals with which include low blood sugar (hypoglycaemia), hyperthyroidism and peripheral neuropathy.
Hyperhidrosis (excessive sweating) or anhidrosis (lack of sweating) can be induced by high or low blood sugar levels.
Hyperhidrosis is more common in diabetics and may indicate that glucose control needs to be increased.
You can undergo blood glucose monitoring tests in order to check the current levels of glucose and consult your doctor for further treatment.
Asked for Male, 65
Recently my father diagnosed with diffused cerebral autrophy with chronic microangiopathic changes involving deep hemispheric white matter (fazekas Grade 2 white matter hyperintensities) Kindly suggest what to do ?
Answered on 23rd May '24
Currently there is no specific treatment for managing white matter lesions/hyperintensities. The goal is to treat the reason of the damage and cease the progression and worsening of the disease.
Depending on the reason of damage, the doctor will start you on blood pressure lowering or cholesterol lowering medicines.
In case you have a social habit such as smoking, then it is suggested to quit smoking at the earliest for preventing any further damage.
Consult a neurologist for further treatment.
Asked for Female, 30
I am 30 years old. My knee is paining since 3 months. I did MRI...... Discoid lateral meniscus showing grade 2 signal intensity. -mild intra substance hypertensity in the distal fibres of anterior cruciate ligament with no obvious tear -likely sprain. Mild joints space narrowing, subchondral marrow edema and tiny bony spur in anterior aspect of lateral tibial plateau. Mild joint effusion extending along the supra patellar recess. Jyadader khade hone Mein pain jyada ho rha hai.washer jahan hota hai Vahan jyada pain hota hai. Ye treat ment se tik ho jaega kya?
Answered on 23rd May '24
Sacroiliac joint dysfunction is frequently assumed to be a source of lower back and/or leg discomfort, however it is sometimes difficult to diagnose. The sacroiliac joint, which connects the triangle bone at the bottom of the spine (the sacrum) to the pelvis, can cause discomfort if its natural mobility is disrupted. More precisely, sacroiliac joint discomfort can be caused by excessive or insufficient movement.
• Leg pain produced by sacroiliac joint dysfunction can be difficult to distinguish from radiating leg pain caused by lumbar disc herniation (sciatica) since they can feel quite similar.
• The major reasons of SI joint dysfunction include - Too much or lack of movement.
• Too much movement in the sacroiliac joint (hypermobility or instability) can cause the pelvis to feel unstable and produce discomfort. Excessive mobility causes pain in the lower back and/or hip, which can extend into the groin, whereas lack of movement (hypomobility or fixation) can result in muscular tension, discomfort, and a reduction in mobility.
• Sacroiliac joint inflammation (sacroiliitis) can also cause pelvic discomfort and stiffness. Inflammation may arise as a result of sacroiliac joint dysfunction or as a result of an infection, rheumatoid disease, or other cause.
• There is no one-size-fits-all solution for controlling SI joint discomfort. For successful pain management, a combination of non-surgical therapies is frequently required.
• Treatment includes – resting for 1 to 2 days, applying ice or heat (applying it to lower back reduces inflammation and alleviates pain and discomfort; applying around the joint provides relief from pain), pain relievers like paracetamol and inflammation treating agents such as NSAID’s are recommended in case of mild or moderate pain relief. Muscle relaxants or high-end pain killers can be prescribed in case of episodes of severe and acute pain, Manual manipulation can be effective if sacroiliac joint pain is caused due to too little movement, Support or braces can be used to stabilize the pelvic area and sacroiliac joint injections such as anaesthetics such as lidocaine along with anti-inflammatory medicine like corticosteroids are given to reduce inflammation and pain.
Consult an Orthopedics for further investigations and customised treatment.
Asked for Female, 49
Got injured sacroillzc jojnt ligaments, suffering from dysfunctiong, rdgarding fusion of si joint
Answered on 23rd May '24
Although sacroiliac joint dysfunction is usually considered to be the source of lower back and/or leg pain, it can be difficult to diagnose. When the normal mobility of the sacroiliac joint, which joins the triangular bone at the bottom of the spine (the sacrum) to the pelvic, is interrupted, it can produce pain.
• More specifically, sacroiliac joint pain can be caused by either too much or too little movement. Because they can feel so similar, leg pain caused by sacroiliac joint dysfunction might be difficult to distinguish from radiating leg pain caused by lumbar disc herniation (sciatica). The most common causes of SI joint dysfunction are excessive or insufficient mobility.
• Excessive movement in the sacroiliac joint (hypermobility or instability) can make the pelvis feel unstable and result in pain.
• Excessive mobility generates pain in the lower back and/or hip that can spread into the groin, whereas lack of movement (hypomobility or fixation) causes muscle tension, discomfort, and a loss in mobility.
Consult an Orthopedist for further investigations and treatment.
Asked for Female, 20
I'm charu & I'm 20 I have problem in periods cycle last 3 months I didn't get my period and this is first time I'm suffering like this I'm so scared if anything serious on this
Answered on 23rd May '24
• The lack of menstruation, also known as amenorrhea, is the absence of menstrual bleeding. It occurs when a female does not get her first menstrual period by the age of 16. It can also happen when a woman does not menstruate for 3 to 6 months. Amenorrhea can occur for a variety of reasons.
• Pregnancy is the most prevalent reason.
• On the other hand, can be caused by a variety of lifestyle variables, including body weight and activity levels.
• Hormonal imbalances or difficulties with the reproductive organs may be the reason in some circumstances.
Consult a Gynecologist for complete check-up and treatment.
Asked for Female, 24
I am an epileptic and take Levetiracetem tablet IP epicure 500 , can I take I the ipill after 48 hours as a precautionary mesasure.
Answered on 23rd May '24
There are no interactions seen between the oral contraceptive pill containing levonorgestrel and the levetiracetam. So, normal dose of contraceptive preparations can be used in patients on levetiracetam. For more information you can visit your nearest gynecologist.
About
Specializations
- Clinical Pharmacologist
Education
- Doctor of Pharmacy - Gulf Medical University