Osteoporosis is called a silent disease and usually has no obvious symptoms. As age increases, bone loss is 0.5 to 1% per year. To prevent osteoporosis, you must build up enough bone as early as possible. However, patients who already have osteoporosis have many questions, such as do they need to take osteoporosis medicine for a lifetime? Will osteoporosis get better? What are the consequences of suffering from osteoporosis and other diseases at the same time? The doctor said that lifelong treatment will be evaluated based on the patient’s three indicators.
Does osteoporosis require lifelong treatment?
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Wu Kaiwen, Director of the Department of Osteoporosis and Bone Oncology at the Orthopedics Department of Yadong Hospital, shared that patients often ask: “Do I have to take osteoporosis medicine for the rest of my life? Will it be ok?” In fact, this actually depends on the patient’s specific condition and the treatment for osteoporosis. Treatment response and lifestyle changes. Whether osteoporosis requires lifelong treatment, doctors will evaluate the patient based on the following three main indicators:
1. Bone density
2. Overall health
3.Fracture history
For example, in some clinical situations, if a bone density test shows improvement after a period of treatment, the doctor may recommend temporarily stopping drug treatment, but this is usually accompanied by regular bone density testing and lifestyle changes. management to monitor the situation for signs of deteriorating again. But for patients who are at high risk for fractures, the situation may be different and may require lifelong medication to maintain bone density.
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What can I do if I don’t want lifelong treatment?
Dr. Wu Kaiwen explained that if you do not want lifelong treatment, all the doctor can do is help you monitor your medical data and provide necessary medical intervention, but the patient must also make efforts to maintain a healthy lifestyle, such as a balanced diet and adequate supplementation. Calcium and vitamin D intake, regular exercise, smoking cessation and limiting alcohol remain one of the key factors in maintaining healthy bones because of lifestyle management.
6 diseases that interact with osteoporosis
Dr. Wu Kaiwen said that if patients with osteoporosis also have the following diseases, it may cause more physical health effects:
Endocrine diseases
Diseases such as hyperthyroidism, hyperparathyroidism, and diabetes may affect bone metabolism.
rheumatic diseases
For example, rheumatoid arthritis and lupus can cause bone loss due to the disease itself or from the medications used to treat these conditions, such as long-term use of corticosteroids.
Gastrointestinal diseases
For example, chyle leakage, Crohn’s disease, etc. may lead to malabsorption of nutrients and affect bone health; long-term use of corticosteroids may also lead to bone loss.
malignant tumor
Certain cancers that affect bones, such as multiple myeloma, or as a result of cancer treatments (such as chemotherapy or radiation therapy).
neuromuscular diseases
Diseases such as multiple sclerosis and muscular dystrophy may limit physical activity and lead to bone loss.
kidney disease
Chronic kidney disease may cause imbalances in mineral and bone metabolism.
Dr. Wu Kaiwen reminds that if you have the above-mentioned diseases, please be sure to explain it to your doctor in advance, because organs are interconnected, so do not ignore the impact of each other. Only by openly discussing with your doctor can you work out the best treatment strategy.
◎ Image source/provided by Dazhi Image/shutterstock
◎ Data source/Dr. Wu Kaiwen
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2024-02-24 05:24:46
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