Morning Finger Stiffness Could Be Rheumatoid Arthritis
Persistent stiffness in both hands upon waking, lasting over 30-60 minutes, may be an early symptom of rheumatoid arthritis, according to Dr Ankush PM, Rheumatologist at Fortis Hospital, Jalandhar. He advises patients to monitor the duration of stiffness and consult a doctor for blood tests including C-reactive protein, erythrocyte sedimentation rate, rheumatoid factor, and anti-cyclic citrullinated peptide for proper diagnosis. Meanwhile, soaking hands in warm water for 10 minutes each morning and gently flexing and extending fingers in the water can provide relief.
Obesity and Aplastic Anaemia: What Parents Should Know
A 10-year-old boy weighing 56 kg, diagnosed with aplastic anaemia in 2023 and on cyclosporine therapy, has a normal CBC count now. Dr Mukesh Chawla, Consultant Hematologist at Livasa Hospital, Mohali, explains that while a normal CBC indicates good response to treatment, relapse remains possible. Obesity itself does not directly stress the bone marrow or increase relapse risk. However, long-term cyclosporine use may cause side effects like swollen gums, high blood pressure, and kidney dysfunction, which can be more pronounced in overweight children. Regular monitoring of blood pressure and kidney function, along with follow-up with a hematologist, is essential.
Persistent Swelling After Hernia Surgery: Seroma or Recurrence?
Eight months after hernia surgery, a 58-year-old woman experiences soft swelling and fluid-like collection around her lower abdomen. Dr Nikhil Yadav, HoD of Robotic Surgery at Manipal Hospitals, Dwarka, New Delhi, states that this may be a seroma, a fluid collection that often resolves on its own. However, if swelling persists, grows, becomes painful, or is accompanied by redness or fever, immediate medical consultation is needed. An ultrasound may be required to rule out hernia recurrence and determine appropriate treatment.
High Cholesterol Despite Healthy Lifestyle: Role of Genetics
A 35-year-old man with high cholesterol despite daily walks and no fried foods may have hereditary factors at play. Dr Vineeta Singh Tandon, Consultant in Internal Medicine at ISIC Multispeciality Hospital, New Delhi, emphasizes that family history significantly influences cholesterol levels. Lifestyle measures remain crucial: regular physical activity, a balanced diet rich in fruits, vegetables, whole grains, and pulses, maintaining a healthy weight, managing stress, and getting adequate sleep can help improve cholesterol. Regular screening is important as high cholesterol often has no symptoms.
