Patient's Query
Hello doctor,
I have been feeling a little tired, and only the right or center part of my forehead hurts. No fever, but sometimes I get mucus from my throat. This has been happening since yesterday. Can this be because of frequent showers?
Each time I go outside the house to buy something, I get paranoid and take a complete head-to-toe shower. This happens three to four times a day. Can you suggest how to go about it?
Kindly advise.
Hello,
Welcome to icliniq.com.
I understand your concern.
With the history you have given, the problem you have can be because of the frequent showers. Kindly avoid going out and take a bath frequently. I would suggest a short course of antibiotics with supportive measures.
Take tablet Augmentin (Amoxicillin and Clavulanic acid) 625 1-0-1, Montek-LC (Montelukast and Levocetirizine) 0-0-1, Zencold plus (Paracetamol, Phenylephrine, and Chlorpheniramine maleate) 1-1-1, and Pantocid (Pantoprazole) 1-0-0, all these for three days. Take hot water, and avoid frequent showers.
Kindly get back for follow-up after three days.
I hope this helps you.
Thank you.
Patient's Query
Hello,
Thank you doctor,
Are Augmentin 625 Duo and the medicine you prescribed the same? I am unable to find Zincold Plus; can you prescribe a replacement for it? Any Pan D will do, right?
Kindly advise.
Hello,
Welcome back to icliniq.com.
I understand your concern.
Yes, Augmentin Duo is the same; you can buy that and take it. Alternatives for Acetaminophen tablets are Noblok 1-1-1 or New Dolo-cold. You will get these tablets.
You can also take tablet Pan-D instead of Pantocid.
I hope this helps you.
Thank you.
Patient's Query
Hello doctor,
Thank you,
I found only Cheston Cold and have bought it. Is this fine?
Kindly advise.
Hello,
Welcome back to icliniq.com.
I understand your concern.
Yes, tablet Cetirizine is fine and correct. You can take the tablets as prescribed.
I hope this helps you.
Thank you.
Patient's Query
Hello doctor,
Thank you,
This morning, I have had diarrhea three to four times and am feeling nauseous as well. I woke up with sweating, and my body is somewhat numb. From the previous morning, I have not passed a motion at all. Also, I was feeling a little bloated the previous night so I took Duphalac syrup. I do not have a fever, cold, or headache.
Kindly advise.
Hello,
Welcome back to icliniq.com.
I understand your concern.
Nothing to worry. With the history, I feel the reason for diarrhea is Duphalac syrup, so kindly do not take it and avoid it. For the next five days, do not try Duphalac. Take plenty of water, that is, a minimum of 20 cups a day.
Take Electral powder (ORS) sachet (two sachets in 16.67 fl oz of water). Kindly mix it and finish the water within three to four hours. Before that, I would like to know when your last diarrhea was.
I hope this helps you.
Thank you.
Patient's Query
Hello,
Thank you doctor,
My last diarrhea was at 6:30 AM and 8:36 AM today. Also, I am feeling tired and drowsy since this morning. I do not have a temperature (checked with a thermometer), but I feel feverish from within, and from the calf muscle to the bottom, I have a lot of pain. How long will this diarrhea last? How many more days will I take to get better?
Kindly advise.
Hello,
Welcome back to icliniq.com.
I understand your concern.
The cause of drowsiness and tiredness is because of diarrhea. Normally syrup Duphalac if you take a slightly higher dose it causes diarrhea, but do not worry. You will be fine by the afternoon. The main side effect of the high dose of Duphalac is watery stools five to seven times, and it will not last for days.
Just today it will be there, so nothing to worry; it will settle in some time. Even if diarrhea does not stop, kindly ping me. I will send you the treatment plan. Take tablet Dolo 650 1-1-1 for your feverish condition, and the reason for your fever is dehydration.
Take a bland diet, plenty of water, and tender coconut along with ORS powder as mentioned.
I hope this helps you.
Thank you.
Patient's Query
Hello,
Thank you doctor,
Post-11 a.m. diarrhea has stopped completely. My tiredness is still there, but 75% reduced compared to the morning. I can feel some mucus while swallowing anything. Anything to be worried about? Also, I have been prone to tonsillitis from childhood, and it gets enlarged two to three times. Otherwise, all looks fine.
Kindly advise.
Hello,
Welcome back to icliniq.com.
I understand your concern.
Good to hear that your diarrhea is settled. As I mentioned, the tiredness will be there for some time; mostly by morning, you will be fine. But I need you to take plenty of water and ORS powder. Just take a bland diet. Nothing to worry about thick mucus secretion. It will be fine once your dehydration is settled.
Regarding your tonsillitis issue, the tablets which was given will take care of your tonsillitis too. Avoid cold water and foods; take only hot water, and do saltwater gargling five times a day for three days.
I hope this helps you.
Thank you.
Patient's Query
Hello,
Thank you doctor,
I woke up a little tired today, and there is pain in the leg. I do not feel completely normal. No fever, no cold or cough. Mucus has reduced now. I did not pass stool the previous morning. In the morning, I again passed stool, but still a little watery, not like yesterday’s diarrhea.
Kindly advise.
Hello,
Welcome back to icliniq.com.
I understand your concern.
Good to hear that your health is improving. The tiredness may be because of diarrhea, and the electrolytes in your body may be altered; hence, you feel tired. Take plenty of water and ORS, and rest.
Regarding your sleeping issue, I would suggest you take tablet Anxit 0.5 0-0-1 for five days. Take this tablet for five days and update me on how you feel.
I hope this helps you.
Thank you.
Patient's Query
Hello doctor,
From this morning, I have been constipated, and I do not feel like eating anything. I had poha for breakfast; after that, I have not eaten anything. I feel constipated and bloated. I am feeling very uneasy.
Kindly advise.
Hello,
Welcome back to icliniq.com.
I understand your concern.
The reason for loss of appetite and bloating is diarrhea. As advised, consider a purely bland diet, and do not take anything. Kindly avoid spicy, peppery, oily, and masala foods.
I hope this helps you.
Thank you.
Patient's Query
Hello doctor,
From this evening, I feel very tired, and I have lost my appetite as well. This happened last afternoon also; I did not have lunch for the same reason last afternoon. On the left side, right below the head, at the start of my neck has slight pain. Sometimes, back pain was there all around my neck as well. Overall, not feeling great. I have no fever, cough, or cold.
I hope this helps you.
Thank you.
Hello,
Welcome back to icliniq.com.
Happy to hear that you have recovered well, except few symptoms like tiredness, loss of appetite, and generalized myalgia.
I would suggest a few tablets for the above symptoms.
1) Continue tablet Bifilac (Bacillus mesenteric, Clostridium butyricum, Lactic acid bacillus, and Streptococcus faecalis) 1-1-1 X 3 days
2) Continue tablet Pan-D (Domperidone and Pantoprazole) 1-0-0 (Before food) X 3 days
3) Tablet Rantac (Ranitidine) 300 OD 0-0-1 (before food) X 3 days
4) For mild neck pain, I would suggest you take a tablet Dolo 650 (Paracetamol) 1-1-1 X 2 days until the pain subsides.
As advised kindly take plenty of water and consider only a bland diet. Soon in a couple of days, you will be free from all the ailments. Do not worry. Take rest.
Patient's Query
Hello doctor,
Thank you for the reply.
I am currently only on Ribera 20 mg before food (1-0-0) and Gaviscon syrup twice a day. All is okay; only this occasional headache and loss of appetite are worrying me. I am also on a strict diet with oats, kanji (rice porridge), vegetables, etc. I did about one hour of walking as well on my terrace.
What do you think would be the cause of loss of appetite, tiredness, headaches, and neck pain?
Kindly advise.
Hello,
Welcome back to icliniq.com.
Along with tab. Ribera, I would suggest taking a tab. Rantac 300 0-0-1 (before food). As discussed electrolyte imbalance can cause many symptoms like this. Electrolyte imbalance due to diarrhea can cause symptoms like this often. It is not at all a worrying issue. Mild symptoms will occur generally post diarrhea so no worries. My kind request is not to go for a walk for one hour, reduce it to 20 minutes and do a gentle walk. Because this will cause more tiredness.
Along with Rantac kindly buy tablet Bifilac 1-1-1 X 3 days..
Start taking these tablets. You will feel much better soon but kindly take the tablets. Then only your symptoms will settle.
Kindly get back for further queries.
Thank you.
Patient's Query
Hello doctor,
I still feel the same, no improvement has taken the required tablets. My current issues are tummy cramps, loss of appetite, and bitterness feeling in my mouth.
Kindly advise.
Hello,
Welcome back to icliniq.com.
I understand your concern.
You have stomach upset, and the reason behind it and the culprit is diarrhea. Tummy cramps are due to dehydration only. Loss of appetite and bitter mouth is the classical symptoms of acute gastroenteritis. Your symptoms need a little more time to recover. I hope you are taking only a bland diet as advised. Take plenty of water along with tender coconut daily. I am giving the detailed prescription. Just take only these tablets.
Treatment-
1) Tablet Metrogyl (Metronidazole) 400mg 1-0-1
2) Tablet Pan D 1-0-0 (Before food)
3) Tablet Rantac 300 OD (BEFORE FOOD)
4) Tablet Bifilac 1-1-1
5) Syp. Sucrafil O (Sucralfate and Oxetacaine) two teaspoons 1-1-1
6) Tablet Cyclopam (Dicyclomine and Paracetamol) 1-0-1 X 5 days.
Take only a bland diet, with plenty of water. Everything will settle with the above tablets. Continue the tablets, will wait and watch.
Kindly get back for further queries.
Thank you.
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