Q. Please advise medication for fever, body pain, and burning eyes in diabetic.

Answered by
Dr. Sagar Ramesh Makode
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Mar 10, 2020 and last reviewed on: Mar 14, 2020

Hello doctor,

I am having slight fever at evening time, severe body pain, eye burn, restless feeling, head feels heavy and heavy stomach. I am a diabetic on Glyree MV 2, Jardiance 25, and Rozavel. Please advice suitable medicine.

Dr. Sagar Ramesh Makode

Cardiology General Medicine Internal Medicine
#

Hello,

Welcome to icliniq.com.

It is probably a viral infection along with gastritis. I assume there is no burning while urinating, this is to rule out urinary tract infection. At this moment, you just have tablet Dolo 650 mg whenever needed up to three times a day. Also, if it does not respond in two days, then you should start on capsule Augmentin duo 1 gm (Amoxicillin and Clavulanic acid) two times a day for five days and also better to get complete hemogram and urine routine examination done.

You should avoid fatty, oily and spicy diet. You should get prescribed tablet Pan DSR 40 mg (Pantoprazole) or Esomeprazole and Domperidone combination before breakfast once a day for a week. For immediate stomach heaviness relief, you can have antispasmodic like tablet Dicyclomine 20 or Hyoscyamine 10 mg whenever needed up to three times a day.

I hope this helps.


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Thank you doctor,

Dicyclomine 20 is not available. Is there any replacement for that?

Dr. Sagar Ramesh Makode

Cardiology General Medicine Internal Medicine
#

Hi,

Welcome back to icliniq.com.

Take tablet Buscopan 10 mg (Hyoscine butyl bromide).


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Thank you doctor,

The same continues, after taking medicine I feel better for two to three hours. Again, it remains the same with eye burning, body pain, heavy head, and feels feverish.

Dr. Sagar Ramesh Makode

Cardiology General Medicine Internal Medicine
#

Hi,

Welcome back to icliniq.com.

You should measure the temperature and make a fever chart, to know whether this is a fever or just a feeling.

Secondly, you should get prescribed some antibiotics Augmentin duo for five days and Pan DSR or Esomeprazole Domperidone combination for two weeks, which I mentioned earlier. If this feeling persists, it is better to get a blood test done like complete hemogram, liver and renal function test and urine routine.

Due to have any stress or sleep problems like not having adequate sleep, frequent awakenings, snoring, any visual problems, etc?


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Thank you doctor,

Augmentin duo is not available here. So is there any replacement? I measured my temperature and it is 97.8. I am having burning sensation in eyes and wrestler's feeling, and frequent awakening. I am attaching my last blood reports.

Dr. Sagar Ramesh Makode

Cardiology General Medicine Internal Medicine
#

Hi,

Welcome back to icliniq.com.

Since your body temperature is normal and assuming it never gone up, I think all your problems are probably due to improper sleep. Lack of proper sleep can cause all these symptoms as well. I assume you are not obese, do not have any snoring to rule out obstructive sleep apnea. You should have tab Zolfresh (Zolpidem) 5 mg at bedtime or 10 mg if 5 mg is not helping.

Also, practice sleep hygiene like sleep as long as necessary to feel rested (usually seven to eight hours for adults) and then get out of bed.

Maintain a regular sleep schedule, particularly a regular wake-up time in the morning.

Try not to force sleep.

Avoid caffeinated beverages after lunch especially during evening hours.

Avoid alcohol near bedtime (eg: late afternoon and evening).

Avoid smoking or other nicotine intake, particularly during the evening.

Adjust the bedroom environment as needed to decrease stimuli (eg: reduce ambient light, turn off the television or radio).

Avoid prolonged use of light-emitting screens (laptops, tablets, smartphones, ebooks) before bedtime.

Resolve concerns or worries before bedtime.

Exercise regularly for at least 20 minutes, preferably more than four to five hours prior to bedtime.

Avoid daytime naps, especially if they are longer than 20 to 30 minutes or occur late in the day.

Instead of Augmentin duo, you can have simple Augmentin 625 mg thrice a day or any trade name with Amoxicillin clavulanate combination for five days.

Your reports are not attached, you need to upload them again or contact helpline.


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