Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
please enter chat
Hi I'm Dr. Phil
Can I ask your first name?
nice to meet you
why is your spleen enlarged?
nice meeting you Dr Phil
its my daughter who is making 18 on 9/10/2014 she has sickle cells
are you sure this is the cause of the pain?
and enlarged spleen that's causing her a lot of abdominal pain
she lives away from me
okay are you sure the spleen is the reason?
so don't know much about the medication shes receiving
yes the spleen is really big
okay unfortunately the spleen is an organ and shrinking it is not an option
the only thing she can do is have it removed
which is sometimes done for this problem
I know but she needs something that will ease the pain whenever it comes
she will need oral pain medicine
a good, non addictive option is tramadol
sure and that's what I want to know
I would try tramadol
shes mentioned tramadol and says its addictive
it's not addictive
I can assure you of that
she takes it and says she always feel so full of energy and lacks sleep and feels like not stopping taking it
but it is not addictive
it's a good drug
works well and makes people feel better
is there anything else because right now shes in pain and says been put on ivs don't know which ones really
you could try toradol
it works well for sickle crisis pain
it's like ibuprofen but stronger
ok..how much can she have please?
usually 50 mg is okay
cool thanks alot
you're welcome :)
any more questions?
I hear spleen removal is dangerous
no not really
ok can any Doctor do it in places like Uganda ?
it's a pretty simple surgery for an experienced surgeon
would you mind rating me positive Eunice before exiting?
and do you think it can be costly ?
I wouldn't know about in Uganda
I have no clue
sure I wl rate u
thanks very much for your help
you can ask more questions if you need to :)
will get in touch again
don't forget to click a positive rating. I appreciate it
will ask more next time cheers x
ok take care
and u x