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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Management Of Sickle Cell Disease

Hi y name is Darrell Carroll I m trying to find some answers to my spouses condition just married June 13, 2014. she has sickle cell disease, but I m afraid that there is much more going on she calls me constantly when I m at work and now I m afraid that I m going to have to find some home based job to care for her and are 3 children her symptoms are constant migraine headaches in the back of her head, behind her ears, eyes hurt, inside ear pain and pressure, face aching, lock jaw, upper shoulder pressure and strain, joints aching, bottom of feet cramping, spasms, throat swollen, slow pulse, dizzy, no energy, hands ache please help.
posted on Sat, 21 Jun 2014
Twitter Thu, 4 Sep 2014 Answered on
Twitter Thu, 4 Sep 2014 Last reviewed on
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Geriatrics Specialist,  's  Response
Hi,
Thanks for asking.
Based on your clinical history and query, my opinion is as follows:
1. Sickle cell disease leading onto ischemia, is responsible for all these symptoms.
2. Treatment for pain includes NSAIDs or opioid analgesics. You need to get a prescription for opioid analgesics. Packed red cell transfusion are also helpful.
In severe cases, red cell exchange or erythrocytapharesis can also be done, especially when patient needs to go for surgery.
3. Dehydration and low oxygenation can lead to sickle cell formation. High temperatures and extreme activity is to be avoided.
Hope it helps.
Any further queries, happy to help again.
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Suggest Management Of Sickle Cell Disease

Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows: 1. Sickle cell disease leading onto ischemia, is responsible for all these symptoms. 2. Treatment for pain includes NSAIDs or opioid analgesics. You need to get a prescription for opioid analgesics. Packed red cell transfusion are also helpful. In severe cases, red cell exchange or erythrocytapharesis can also be done, especially when patient needs to go for surgery. 3. Dehydration and low oxygenation can lead to sickle cell formation. High temperatures and extreme activity is to be avoided. Hope it helps. Any further queries, happy to help again.