### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Dear sir my mother is 65 , she is suffring from knee pain owing to which doctor has prescribed vitamin D pills (bone lift ) , oral injction , lornoxicam tablets , she is also taking dibeties tab, high blood pressure treatment and niksm tablet for gestro issue , but since a week she has severe issue of appetite and constipation and kidny stone ,, kindly suggest that what should I do

### output:

With such presentations in my clinic, I would first rule out renal hypertension with renal tests(urea, creatinine, uric acid) because of history of Diabetes and Nephrolithiasis. For hypertension I suggest-Atorvastatin 1 tablet daily at night for 2-3 month.-Telstra(Telmisartan) 1 tablet at night for a long time.  For knee ain I would suggest a pain relieving medicine like Fetoprotein 75 mg orally 3 times a day or 50 mg orally 4 times a day. (if not allergic to) for 5 days, Antigen plus 1 castle twice a day for 1 month, then 1 capsule daily for 2 months. If it is not relieved I would refer to an Orthopedist for further management. With respect to your other medical conditions like Diabetes, high cholesterol and blood pressure, there is a high risk of heart disease in the future. This risk can be greatly reduced by keeping the blood pressure below 130/85, any time blood glucose less than 140 mg/DL, and LDL under 70 mg/DL. Work with your primary care Doctor to achieve these. Please let me know if you have further questions before meeting your primary care Doctor.