Diclofenac is a non-steroidal anti-inflammatory drug. It is used for the treatment of pain and swelling. It is prescribed for conditions like osteoarthritis, ankylosing spondylitis, and rheumatoid arthritis. This drug may lead to gastric ulcers.
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I am worried about a possible drug interaction. Please help.
Query: Hello doctor, I am on 40 mg Pantoprazole twice a day for GERD. I just took 50 mg Voltaren for a bad back and I am worried sick. I checked online and it said no drug interactions. I have not yet taken my nightly dose of Pantoprazole, should I not take it? Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query. There are no drug interactions between Pantoprozole and Diclofenac (Voltaren). In fact, anyone who takes painkillers like Diclofenac has to take Pantoprazole to prevent Diclofenac-induced gastritis. So, relax and take the regular dose of Pa... Read Full »
How to get rid of pain caused by a bruise on the moving leg?
Query: Hi doctor, I have hurt my leg as a cupboard fell on it, and I have a bruise that is around 20 cm in diameter. The bruise is very hard, and when I am still, there is no pain. Once I move my leg, I have pain. The bruise is there for two weeks now, and the hardness is still there. I got an x-ray and ul... Read Full »
Answer: Hello, Welcome to icliniq.com. This hardness you are talking about is most likely a hematoma (collection of blood). It may take weeks to resolve. You can ice the area and try ultrasound therapy to help dissipate the hardness. Read Full »
My wife has a sharp pain near lower abdomen. Why?
Query: Hello doctor, My wife is 31 years and she is in her sixth month of pregnancy. For past one week, she is feeling mild pain in her left thigh region near to lower abdomen. Yesterday, she experienced sporadically sharp pain especially while she got up from chair in office and difficulty while walking. ... Read Full »
Answer: Hi, Welcome to icliniq.com. It may be ligament pain. So, she should avoid lifting weights and climbing stairs. For pain, she can apply Volini gel (Diclofenac) and take Paracetamol. But, if pain increases then better to see a doctor. Read Full »
How to manage back pain due to improper posture?
Query: Hi doctor, I am a 27 year old female. I am a medical student and has been experiencing some thoracic back pain for the last one year or so. I have no history of back, cervical or MSK problems. I have not had any imaging of my spine. Admittedly, I do not have the best posture. During most of the day ... Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for a comprehensive description and your picture marking out the point of pain (attachment removed to protect patient identity). Couple of possibilities are there. First is this could be due to poor posture. From the picture this is subjective. You have slightly... Read Full »
Can cortisone injection help in treating tennis elbow?
Query: Hi doctor,My mother is 71 years old, and she is suffering from pain in the right arm for more than a month now. She has pain in the elbow, shoulder, wrist, and fingers. She is not able to grip even light objects with the fingers. We consulted an orthopedic doctor, who is suspecting tennis elbow. He ... Read Full »
Answer: Hello, Welcome to icliniq.com. It is very unusual for a 71 year old woman to get tennis elbow, so I am not sure that it is the correct diagnosis. Assuming the diagnosis is correct, then I will recommend waiting and continuing physiotherapy, ultrasound therapy, TENS (transcutaneous electrical nerve ... Read Full »
I am experiencing pain from ureteral calculus. Please help.
Query: Hello doctor, I contacted you last year with a stone problem which was stuck in my VUJ and came out after taking your medicine. Now since two days, I again have similar symptoms like before, but this time on the left side. I have severe pain with fever in between. I also have frequent urination with... Read Full »
Answer: Hello, Welcome to icliniq.com. The size of the calculus in the ureter is 6 mm (attachment removed to protect patient identity). This may also come out on its own. So, we will try with medicines as last time. You, please take tablet Veltam (Tamsulosin) 0.4 mg every night for two weeks, tablet Levoflo... Read Full »
How to cure the severe leg pain for the last six months?
Query: Hello doctor,In the last six months, I suddenly developed severe pain in both legs. It arises from the thigh, goes to the calf, and finally reaches the heel. I am unable to go up the stairs or use the Indian-style toilets. Read Full »
Answer: Hello, Welcome to icliniq.com. From your description, I feel that you have patellofemoral compression pain, which gets worse on going up and down stairs. After a period of rest, you may feel severe pain in the the knees, but as you walk the pain will ease. I suggest the following: Take Vovera... Read Full »
After a fall injury, I get frequent pain in wrist and thumb. What to do?
Query: Hello doctor, Why has my wrist and thumb been hurting more frequently? Two years ago I fell on my thumb hyper-extending it and fracturing it in the process. Doctors that I have gone to said I have tendonitis in it now and that is why it hurts in the first place though no testing has been done to co... Read Full »
Answer: Hi, Welcome to icliniq.com. It can very well be tendonitis or some kind of arthritis secondary to damage. I think you should undergo MRI of lower forearm and hand so that we will confirm the diagnosis of tendonitis and rule out other pathology. Regarding management you can better try topical antii... Read Full »
How long should I take Ibuprofen to relieve rib pain?
Query: Hi doctor, I am a 65 year old female, and I fell 10 days back and broke one or two ribs. The only thing that brings any relief is Ibuprofen 800 mg. I need to know how often and for how long can I take Ibuprofen? I tried Oxycodone 10 mg, but it does not work that well. Thank you. Read Full »
Answer: Hi, Welcome to icliniq.com. Yes, Ibuprofen is a strong painkiller, it should not often be taken, as it has many side effects like gastritis, liver and kidney damage. But in initial days of pain following rib fracture, pain is actually very severe. I suggest you try doing the following: Tram... Read Full »
What is the exact use of Cartigen-Duo and Miol OD tablets?
Query: Hi doctor, I was suggested to use Cartigen-Duo and Miol OD tablets to cure knee pain, which is due to some cartilage damage. How these medicines helpful for this purpose? What is the exact use of Cartigen-Duo and Miol OD tablets? Are there any side effects of the above two medicines? Is there any be... Read Full »
Answer: Hi, Welcome to icliniq.com. Cartigen-Duo tablets containing Glucosamine are claimed to help in building joint cartilage, but the results can vary. They may be more effective in the early stages of the disease than in the later stages. Miol-OD is a multivitamin supplement that you can try to see if ... Read Full »
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