Have multiple health issues. Can i consult a doctor online?
Patient: Patient’s name : Mrs. Chhabi Dutta Present status : Retired 70 yrs old school-teacher, widow last 3 yrs, stays alone P/C : 1. Dm – 2 2. DEP. 3. Gait Imbalance – Non-organic Medicines : 1. Tryptomer (25) 2. Daxid (100) 3. Asomex-TM 4. Naprosyn (250) 5. Volix (0.3) 6. Gemcal (500) 7. Methycobal (500) Present Complications : 1. On 1st week of October, ’13 suddenly feeling too much weak  pressure fell down, WBC count abnormally increased, antibiotic (prescribed by local MD) given for 5 days and pressure’s medicine (Asomex-TM) stopped temporarily; then test report shows normal WBC count; but Hb low (9) and Sugar (F) only high. Then we went to a family trip to Rajasthan in puja vacation, there as such no problem arose to her except one time falling down due to wrong-stepping with irritated mind. 2. Mental agony and “wrong-treatment causing her husband’s death” –– this self-view generates angriness and guilty-blaming-annoyance in her mind. She is writing diary about that and regularly goes through those pages; compare others’ death with her husband’s. 3. Her one tooth broken, but she refuses to consult doctor. 4. Regular constipation, loss of appetite; and then loose motion and gas-acidity. 5. No food is tasty to her, never wants to eat. 6. Many time feels breathlessness, loss of balance during walking. 7. Back and knee pain. 8. Cough during bed-time at night. Please suggest all-covered medicine and diet for her. With thanks, (daughter) Piyali Datta (  0000 YYYY@YYYY ) Doctor: Hi there,Thanks for your query.More information is required for reaching to a definite conclusion:-    -    Blood sugar levels : fasting, 2hours EACH AFTER breakfast, lunch and dinner and at 3AM (at night).    -    Blood pressure reading as soon as she wakes up    -    Blood Urea, Creatinine levels    -    Blood Vit D levels    -    Chest X-ray    -    ECG, 2-D AND STRESS Echo    -    MRI BrainFrom the information provided, your mother is probably suffering from:-(a)    Diabetic complications :- autonomic neuropathy, ongoing Vitamin B12 deficiency; recurrent hypoglycemia, peripheral polyneuropathy.(b)    Chronic severe mental depression with possible early dementia(c)    Hypertensive heart disease or coronary artery disease, with impending heart failure (in view of her dry cough during sleep at night)(d)   Pulmonary tuberculosis.(e)    OsteoarthritisConsult your doctor and apprise him of my opinion. I am certain that he will agree with me, order required tests, and- based on the reports-  will prescribe suitable/modified treatment as advised.YOU ARE MOST WELCOME TO SEEK ONLINE CONSULTATION WITH ME. Simply post a DIRECT PREMIUM SPECIALIST QUERY (Paid), addressed to ME PERSONALLY BY NAME. You will receive detailed response at the earliest. MAKE IT A POINT TO GIVE AS MUCH AS DETAILS AS POSSIBLE; including dosages/frequency of medicines being taken by your mother.If you find my response helpful and informative, do not forget an “excellent” (5-star rating)  to my answer, to ENCOURAGE all doctors- engaged in social service- to render sound advice to the FREE queries. Fond regards and have a nice dayDr. Rakesh Karanwal