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Hi Doctor, My Mother Is 54 Years Old, Non Smoker,

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Posted on Sat, 30 Jul 2022
Question: Hi Doctor,
My mother is 54 years old, non smoker, non alcoholic and lives an almost sedentary lifestyle. PFA her full body test report including bone densitometry.
Below are her issues
1) Thyroid- currently on medicine thyroxine sodium 50mcg - once tab/day
2) swollen veins in legs -PFA picture
3) fatty liver- PFA report
Symptoms- extreme fatigue, body pain in joints, constipation, dry and itchy eyes (both eyes operated for cataract last year) , sensation in legs, stiffness in whole body, swelling in ankles.
family history - Arthritis and Diabetes
Current medication- thyroxine sodium 50mcg - once tab/day
doctor
Answered by Dr. Olgeta Xhufka (2 hours later)
Brief Answer:
See details below.

Detailed Answer:
Hello dear welcome to Ask a doctor's service.
I read your query and here is my advice.

I see the test results you uploaded and she is having a mild to severe anemia, haemoglobin 10.3 g/dl which can be the reason for her fatigue. I think she may need to test ferritin , B12 vitamin and folate levels. Taking the iron and vitamins which are in low levels may improve anemia and fatigue.
Also she is having increased uric acid levels which may cause joints pain . She may need to visit a rheumatologist and take medications to reduce uric acid levels.
Also bone densitometry shows mild osteoporosis especially in arm but she may need to do another densitometry since it is from 2019.
I think she may also need to test thyroid hormones levels T3, T4,TSH to see if she is getting normal amount of thyroxine.

Hope I have answered the question.
Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Olgeta Xhufka (33 hours later)
Hi Doctor,
Thank you for the response. Please address these issues as well-
1) swollen veins in legs -PFA pictures
2) fatty liver- PFA report

Symptoms- extreme fatigue, body pain in joints, constipation, dry and itchy eyes (both eyes operated for cataract last year) , sensation in legs, stiffness in whole body, swelling in ankles.
family history - Arthritis and Diabetes
doctor
Answered by Dr. Olgeta Xhufka (2 hours later)
Brief Answer:
See details below.

Detailed Answer:
Hello dear thank you for asking again.
I see the pictures of the legs you attached and she is having varicose veins.
She may need to visit an angiologist about it.
I see the reports of liver function and she is having normal liver function even though she is having mild fatty liver.
The fatigue, joints pain and constipation can't be related to any of these issues.
As I recommend before she should test thyroid function, iron levels, folic acid and b12 vitamin levels.
Let me know if I can assist you further.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Olgeta Xhufka

General & Family Physician

Practicing since :2011

Answered : 10156 Questions

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Hi Doctor, My Mother Is 54 Years Old, Non Smoker,

Brief Answer: See details below. Detailed Answer: Hello dear welcome to Ask a doctor's service. I read your query and here is my advice. I see the test results you uploaded and she is having a mild to severe anemia, haemoglobin 10.3 g/dl which can be the reason for her fatigue. I think she may need to test ferritin , B12 vitamin and folate levels. Taking the iron and vitamins which are in low levels may improve anemia and fatigue. Also she is having increased uric acid levels which may cause joints pain . She may need to visit a rheumatologist and take medications to reduce uric acid levels. Also bone densitometry shows mild osteoporosis especially in arm but she may need to do another densitometry since it is from 2019. I think she may also need to test thyroid hormones levels T3, T4,TSH to see if she is getting normal amount of thyroxine. Hope I have answered the question. Let me know if I can assist you further.