my mother is 60 years old.she did dexa scan.tscore of lumbar spine- 2.6 , left wrist -1.8.what treatment should she take in addition to ca and vitamind?
osteoporosis treatments include the “basic cde’s” -- calcium(c), vitamin d (d), weight-bearing exercise (e), prevention of falls (f), and bone-friendly medicines. see more...
help! i am a female, in my mid 50's. my mri showed mild cervical and lumbar stenosis, with multi-level degenerative disc disease. there was also multi level mild foriminal encroachment, and disc buldging. the pcp sent me to a physical therapist for exercises for my lumbar spine. the pt found that i have thoracic joint dysfunction and sacroiliac joint dysfunction. she saw that i could not do squats, either. could someone tell me if it is normal for a woman my age to have so much wrong with her spine? should the pcp try to find out what is causing the thoracic and sacroiliac joint dysfunction, before any mnore physical therapy? (i have had stiffness and pain in my sacral spine since 2001, and it has gotten progressively worse. i also have leg muscle pain and heaviness when i stand or walk, that is also getting progressively worse.) could i have spinal stenosis in my thoracic region? (it feels like a band of tightness around my chest, and i can not turn over in bed.) could i have sacral nerve compression? im sorry ur going through this......i cant answer ur questions as still looking my own answers but i can tell u what has helped me, i think u should also try it.................a natural drug recommended to me by pain consultant.......glucosamine sulphate.....also take cod liver oil capsuals..........although it is not a cure i felt alot more ease of general pain, bones/joints and muscles. please try them ! hopefully someone here will be able to answer ur questions ! i wish u well ! :) Hello Rahma,



The condition of your mother who experienced the complaints as mentioned should not be taken lightly, especially if accompanied by blurred vision. These complaints can be caused by various medical conditions including:



Inflammation of the cornea or part of the eyeball that is black due to infection with fungi, bacteria, viruses, etc. Glaucoma or damage to the nerves in the eye due to increased eye pressure



Because it can be caused by various medical conditions, direct examination by a doctor is necessary. The doctor will examine especially your mother's eyes and perform additional examinations if needed. Treatment will adjust to the underlying cause, which can be eye drops containing antibiotics, anti-inflammatory, anti-fungal, etc.



Some tips that can be done regarding your mother's condition:



Do not rub the eyes Warm compresses on the swollen parts of the eye Do not use eye drops without doctor's instructions Consume nutritious food and get enough rest



If the complaints that your mother is experiencing are getting worse, then it's a good idea to immediately visit an eye doctor to get the right treatment



May be useful



dr. M. Rizki I think many of us have to depend more on observation and self-study than on diagnoses, given the expense of testing and the ugly fact that nothing short of an autopsy can give certainty. Here’s how we are coping with that uncertainty. Before my Mom came to live with us, she had fallen at night going toward the bathroom in her apartment. It was 3 days before anyone found her, and there was severe dehydration and some brain damage due to oxygen starvation. She recovered some functioning in rehab, but we had also noticed before the fall that there were more and more signs of cognitive decline. We were warned by a friend who is a geriatric psychologist to not accept the overall “Alzheimer’s” diagnosis which was bound to occur, but to be aware that there were dozens of dementias, some of which needed very different approaches from what is advised for Alzheimer’s. After she got out of rehab she went through a very bad AL situation and into a very good one. She had a GP who made housecalls but was not that knowledgeable about dementia. She had begun describing what could only be hallucinations and agitation, so her doctor put her on an anti-psychotic, an anti-anxiety and a depression medication. Wow! What a mess! Mom had rarely even taken an aspirin before that so maybe her body was super-responsive to the invaders. Anyway, it did more damage than good, and once we eliminated the meds, she slept all the time. We decided to move her in with us and her new doctor prescribed Namenda. We started with 10 mg, which was too much and increased her agitation. We cut back to 5 mg. once a day at nighttime and it was like a miracle occurred! Now don’t get me wrong, there’s still dementia and it’s still advancing. But my point is that sometimes when you don’t have a diagnosis, it’s useful to read up on the various kinds of dementias, do a checklist of the symptoms to determine which is the best match to the behaviors you are seeing, then become knowledgeable about the various RX’s physicians are likely to try, and get very good at monitoring the response to each and asking about/suggesting others you’ve read about. (I know, you thought that was what doctors did — me, too! Wrong!). I found that as long as I behaved as a fairly well-informed and non-judgmental problem-solving partner (and not as an over-protective, aggressive, critical, and sometimes hysterical relative), I got the same treatment back from the doctors. (Of course, if I did not get that, I did not hesitate to find a doctor with an attitude that worked better for us.). Over time, the troubles with balance, the hallucinations that occur immediately if she misses a dose of Namenda, the depth perception, the amount of activity and conversation that goes on while she’s “sleeping”, the extreme variability from “almost normal” to “almost unable to function”, etc. convinced me it is LBD. It’s not a formal diagnosis because we can’t afford all that testing either. But it’s enough for me to protect her from getting inappropriate medications. While there may come a time to move her to a memory care unit, I will also be able to be proactive with staff about what works with her LBD that is probably vastly different from what works with some of their ALZ patients. Summary: observe, study, and use your best and most loving judgment, with or without a diagnosis. Respect but don’t worship the doctors who are trying to help. And trust your gut. You spend more time with your LO than anyone else and your observations are valuable. A.  I’m sorry that this is happening to you. I have worked with many families who have faced a similar situation. Your predicament is fairly common. As you noted, the law prohibits forcing someone into treatment unless a case can be made that they are a danger to themselves or to others. Imminent danger standards, make it very difficult for many people to receive help until something happens.


I would recommend becoming educated about your potential options. Start by googling “Georgia and involuntary commitment laws.” You should be able to find good information about civil commitment options in your state. According to my research, for inpatient treatment, an individual would have to meet the following criteria:


1. pose an imminent danger to self/others, evidenced by recent overt acts or expressed threats of violence OR are
2. unable to care for their own physical health and safety so as to create an imminently life endangering crisis and in need of involuntary treatment.



For outpatient treatment, a person must meet the following criteria:


1. based on treatment history or current mental status, requires outpatient treatment in order to avoid imminently becoming an impatient AND
2. is unable to voluntary seek or comply with outpatient treatment.


You might try contacting your local mental health crisis team. They may be willing to come to the home, evaluate your mother’s condition and assist her in obtaining treatment.


You should also explore guardianship laws in your state. If possible, consult a guardianship attorney to determine if anything can be done to assist your mother. At 71, it’s possible that she’s experiencing a mix of [mania](https://psychcentral.com/disorders/manic-episode/) and potentially dementia. Guardianship may be an option.


I would also recommend consulting the local National Alliance on Mental Illness (NAMI) groups in your state. Here is a [link](https://namiga.org/) to the NAMI organization for your state. NAMI offers free support groups in communities across the country for individuals caring for loved ones with serious mental illness. They can help you to navigate the mental health system. Contact them for support and assistance.


I hope these ideas assist you in helping your mother. Please write again if you have additional questions.


Dr. Kristina Randle



How Do We Get My [Bipolar](https://psychcentral.com/disorders/bipolar/) Mania Mom to Go Get Help? hello,
welcome to icliniq.com.
i understand your concern.
see as you said, your mother is suffering from active tb (tuberculosis), tb in the child should also be ruled out first.
it may be just pneumonia, but tb should be ruled out with some more investigations mentioned below.
is the child gaining weight adequately? what is her present weight?
was bcg (bacillus calmette-guerin) given at birth? when was your mother diagnosed and when tb treatment started? follow the doctor suggestion. be on complete rest. also maintain healthy diet, 8-10 glasses of water, proper rest.. to reduce from stress read books, meditation. I'm so sorry. This is hard to accept. But sometimes people get to the point that they don't want to socialize. My mother - who was once very social - simply arrived at a point where she only wanted those close to her or the nursing home staff around. She was in a lot of pain which I think was much of it.   
  
If your mother was once social, then you could ask the doctor to experiment with her medications. There may be other options.  
  
However, sometimes we have to accept that these diseases take their course and we can only do so much. Forcing what the person obviously doesn't want isn't helpful.  
  
Offering suggestions - yes - so continue to do that. I'm certain that the AL staff does the same. But you can't make it happen if it's not going to happen. Offer all of the support that you can.  
Take care of yourself, too.  
Carol hello,
welcome to icliniq.com.
i went through your post. you have pain in the small joints of your body with an elevated crp (c-reactive protein) level.
i suggest you go for an investigation to rule out rheumatoid arthritis. do anti-ccp (anti-cyclic citrullinated peptide) and rf (rheumatoid factor) test along with x-ray of the hands.
if you also have a swelling of these joints, along with pain, the possibility of ra (rheumatoid arthritis) is high. once the diagnosis is clear, it can be treated easily. until then, i suggest you start folic acid 1 mg daily and you can also take vitamin d orally. 
regards.
for more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician grace, i would have it checked out if i were you. the least would be a physical examination and a chest x-ray. good luck. in india they have her powered down to 80 something abroad she is above 90