When compared to night shift, how is working in daytime better?

Hi,

Welcome to icliniq.com.

I understand your concern

Our body is created in a manner that we should work for eight hours, rest for eight hours, and sleep for eight hours. When we change this pattern, it may lead to many diseases like migraine, hypertension, diabetes, obesity, and others.

1. Why are you not getting enough sleep on time?
2. Are you doing night duties or sleep in daytime?
3. How many hours do you sleep at night?
4. Are you the person who thinks a lot before getting lots of sleep?
5. Are there loads of a lot of stuff at work?

Please answer my above questions. It will help me find out why you are not sleeping well. Kindly refer to relaxation exercises and breathing exercises. Do it for 20 minutes before going to bed.

If your sleep does not become regular we can start with sleeping pills, which will greatly improve your sleep. My opinion is thatwhen you sleep well, your increased weight and tiredness will go away. Anyway you are just 6.6 lbs overweight. You can reduce it easily by going fast walking 40 minutes a day in the morning.

Nurokind-LC (Methylcobalamine) is usually given for cramps occurring at night. If you have that, you can continue with Nurokind LC. Better health tablet is Zincovit. I have tried that with many patients and found it is one of the best drugs for tiredness.

1. What is the purpose of taking Adliv Forte?
2. Is it like Liv 52 given for people with liver problems?
3. Why has your doctor given it?
4. Do you take alcohol regularly?
5. Do you have indigestion or constipation, jaundice, or any pain in the right side of the abdomen?

There is no need to take Adliv; Zincovit is more than enough.

Eating a fruit as a whole everydaevery dayyou all the vitamins you need and a good amount of fiber. Eat one fruit every day.

About UTI, since when have you suffering from pain during urination?

Please explain the symptoms, so that we can analyze and prescribe any test (if needed) and treatment.

Thank you.

Hi,

Welcome back to icliniq.com.

According to your urine test (attachment removed to protect patient identity), only a few extra pus cells are present, which poses no problem at all.

Night duty will spoil our health. We will get accustomed to one shift for some time and get some sleep after duty. But they will change the shift before we get adjusted to it. It gives a lot of trouble.

So, if you are going to do shifts again, please ask them to give you monthly shifts (regular night duty for a month and day duty the next month), so that the shifts will not cause any health problems.

You can take Zincovit tablets at morning every day for a month for your tiredness.

Regarding wheezing, start with the tablet Montair-LC (Montelukast Sodium). One tablet before sleeping for two months. It will prevent further episodes of asthma. If your symptoms occur once a month or rarely, then this tablet is not necessary.

In that rare case, you can take the tablet Septilin, which is an Ayurvedic tablet. Take one tablet at night daily. It will increase your immunity and will prevent asthma.

I hope this helps.

Thank you.

Hello,

Welcome back to icliniq.com.

There is no doubt that day duty is the best. We are made up for that only. Since you have started your own setup, it is very good.

There are two kinds of people. One wakes up early in the morning, like 6 or 7 AM, and goes to sleep by 10 PM. Another typeof person who is comfortable waking up by 11 AM and goes to sleep by 2 to 3 AM. Both are normal only.

I think you are type 1. So, daytime work is better. Night duty is always harmful. Please find a relaxation exercise and do it at night. You will get good sleep. Once you start sleeping well, all your problems will fade away.

Also, start doing pranayama. Close the right side of the nose and take a deep breath using the left nostril. Hold your breath for a few seconds. Now open the right side and close the left. Exhale via the right side. Again, start inhaling on their right side. Proper practice will make you do that easily. Do pranayama for five minutes three times a day and before sleep.

Again, there are different timings of sleep. Some people feel better if they sleep for eight hours a day. Some need only five hours. You have to find out the timing that works for you and follow the same timing. For example, if you sleep for six hours and feel fresh the next morning, then it is the correct time. But if you feel tired, you may need more time.

Never have hot drinks like coffee or tea at night. Similarly, please avoid spicy masala food at night. Both will impair sleep.

For further query consult a family physician online.

I hope you find this helpful.

Thank you.

Hi,

Welcome back to icliniq.com.

Your blood and urine reports (attachment removed to protect patient identity) are normal. Even the eosinophil count is normal.

Regarding pranayama, do it whenever your nose is not congested. If nose blockage is present, you cannot do it.

Also, I suggest lung exercises to increase your tidal volume. This will increase exercise tolerance. So, you will not feel breathless or tired when playing tennis. Just buy some balloons and blow 10 balloons a day. However much you do is fine.

You can start tablet Roflair (Roflumilast) 500 mcg at night. It works for 24 hours and reduces wheezing. It is like Deriphylline (Theophylline), which dilates air passages. Slowly, you can stop Foracort when you use Montair and Roflair.

Tennis is a game that requires a lot of energy and stamina. So start playing lightly for a month and gradually increase speed.

For further information, consult a family physician online.

Hi,

Welcome to icliniq.com.

• Stopping Montair is fine. Usually I prescribe it when a patient had wheezing episodes once to thrice a week. It is an on and off tablet. If wheezing comes, we can take for a week and stop. If the wheezing happens occasionally like once a month, then regular use is not recommended.

• Are you still using Foracort? If so, you please take up to four puffs per day for next two to three days.

• Please take the following tablets for severe phlegm. Tablet Azee (Azithromycin) 500 1-0-0, tablet Deriphylline (Theophylline 300 mg) 1-0-1, tablet Cetirizine 0-0-1 and syrup Tusq-X (combination of Terbutaline Sulphate, Bromhexine Hydrochloride and Guiafenessin) 10 ml-10 ml-10 ml.

• It is good to have black coffee without sugar two times a day for asthma. Drink hot water for few days.

• Betamethasone is a steroid. It is fine to take one or two times. Please stop that and take above drugs. Also take Montair-LC for 10 days and stop.

For further information consult a family physician online -->  https://www.icliniq.com/ask-a-doctor-online/family-physician

Hi,

Welcome back to icliniq.com.

The main thing is that the wheezing is usually seasonal in many patients. Like autumn or in rainy seasons. So during that time Montair-LC is good.

• When a person takes Montair for two months, that whole two months he will not have any wheezing episode. Even after stopping the tablet, he will not get symptom for another two months. In few patients it may prolong up to six months. So most of my patients take Montair for two months continuously per six months.

• Another set of patients respond well to Montair-LC but after stopping it they may have wheezing. We do not know why this tablet works differently for different sets of patients. I think when there is severe asthma Montair works only when it is being taken and wheezing comes back after stopping it. It will be better if you try two months per six months of Montair LC. I guess you already had this tablet for 50-60 days.

• As I have already mentioned, tennis is a rough sport. Constant running triggers asthma. Walking, yoga, cycling, volleyball, cricket are best. Since they are light, we can take rest at times.

• Swimming is the best, since it gives workout to all your muscles and being in water every day may make you resistant to cold and may reduce episodes.

For further information consult a family physician online -->  https://www.icliniq.com/ask-a-doctor-online/family-physician

Hi,

Welcome back to icliniq.com.

• Having one episode of epilepsy can be due to many causes. Let us not go deep into that, but taking Montelukast when you had one episode of seizure is not a worrisome issue. It will never cause or aggravate fits.

• Swimming is also good for backbone. I had a friend who was diagnosed with lumbar disc prolapse and doctors advised him to go for surgery. He was 35 at that time. By swimming three to four days a week, he made all the symptoms disappear and is fit now. So, swimming is good for health.

• Around 10% of olympic athletes have asthma. How about that? So, playing soft games are good entertainment and also it will increase your exercise tolerance which will reduce episode of asthma.

Revert back after a month for review to a family physician online -->  https://www.icliniq.com/ask-a-doctor-online/family-physician

Hello Sir, Sorry for replying so late. I was terribly busy with classes since morning. Also i had to give a speech in a meeting today. For loose motion, you should take black coffee without sugar frequently. Also there may be a powder available in nearby provisional stores. Arrowroot powder. You can make kanji using that (just mix with water and boil). That will also reduce the loose stools. You have to take antibiotics or the diarrhea will be present for many days. The following tablets can be taken. T. Zenflox-OZ (Ofloxacin + Ornidazole) 1-0-1 after food for 3 days T. Eldoper (Loperamide) 1-0-1 after food for one day only If you also have abdominal pain or vomiting sensation please also take T. Pansec DSR (Pantoprazole + Domperidone) 1-0-1 before food for three days Electral powder 21g - two packets. Mix one packet with one litre of lukewarm water and drink in 12 hours (tonight to tomorrow morning). Open another packet and mix in one litre tomorrow morning and drink in another 12 hours. Hydration is more important. Drink plenty of fluids like home made juices. All my wishes for early recovery.

Regards.

Hahaha. Ok. If the symptoms comes back, take tablets. Otherwise no problem. That antibiotic I told, if we start that you have to finish three day course. So if you think you are getting well, no need for tablets. But if you have diarrhea today at least 2 times then pls start tablets. Regards.

Hello sir, Thanks for your wishes. I wonder why this diarrhea didn't stop. Usually it goes away with three day course. Another thing that causes diarrhea is mild gastritis - acidity. If you are feeling like passing stools immediately after taking food and didn't have at other times, then it may be due to gastritis. Last time I prescribed pansec DSR. That is a great drug for acidity. If you have motion immediately after food, this tablet is enough for next five days. Along with that you have to strictly control oily and spicy food. Nothing else is needed. But if you are passing loose stools not related to time of food intake, then it is due to infection only. Have you took zenflox oz for three days regularly? Even if you took please take it for another three days. Even after that diarrhea still persists, we go for motion routine test. Stop with black coffee sir. Too much of it may cause gastritis. Arrowroot kanji is good only. If you like that take it once or twice a day for two to three days. Please also take probiotic like T. Prepro or T. Lacto-B thrice a day for next three days alongwith antibiotic. It is good fungus, which stops loose motion. Summary If it is gastritis - pansec DSR twice a day before food for five days is enough If it is not due to gastritis 1. Antibiotic 2. Pro biotic for three days 3. If still persists till Saturday, motion routine test.

Hello sir, My apologies for answering so late. Great to hear that you were doing good sir. To escape from frequent asthma attacks, you have to increase your tidal volume of lungs. By blowing balloon twice a day you can increase your lung volume and episodes of wheezing may come down. Also refer internet for exercises for asthma. Continue septilin regularly which improves the immune system.

Hello sir, Very glad to hear from you. Sorry about your hospital admission. Get well soon. They have given very powerful antibiotics. .the tablet glevopod is not required. It may cause that tiredness. Some are low quality too.Stop them and take the following. 1. T. Mahacef plus 200mg 1-0-1 2. T. Montair LC 0-0-1 3. T. Deriphylline retard 300 mg 1-0-1 STP. Asthalin 10ml-10ml-10ml For three days. Continue montair for a month. Don't worry sir.

Hello , You re mentioning forocort I guess. In present status 1mg seems ok. Trying to contact for one hr sir. Net connection s very poor. Yes. Sorry its syrup, not STP. please take syrup also.

Hello sir, Asthalin is short acting and it is a bronchodilator. So when you have acute wheezing, Asthalin will be ok. Forocort is steroid and is used to prevent occurence of wheezing episodes. So, when your wheezing is controlled and if you want to prevent attacks, use forocort. My suggestion is, Use Asthalin only if you have a wheezing episode. Use Forocort now for few days. You can use both on same day also, no problem. Sorry. poor net connxn. that's why answered late

hello sir, its called status asthmaticus. it cannot be controlled at home. but there is one way. but i dont know how much feasible it is. Enquire local surgical shop (where u bought nebulizer) or search in net about oxygen cylinders. you can buy one and keep at home. They are saying that breathing oxygen everyday for 10 minutes is great for health. When you have an big attack, put nebulizer solution and connect the tube with cylinder and turn on the cylinder in full speed. That s what we give in ICU. also Betnesol or Dexamac tablet can help. These are all according to my experiences with patients. I dont know about practical problems in doing this at home.

Its great that you are getting well sir. Since your wife was a lab technician, she can give IV injections. Instead of drawing blood, just pushing drugs. If she ties a torniquet, and you pump your wrist, vein will be clearly seen and she can inject. Just ask her to train one day in injection room in a hospital. Inj. Deriphylline and Betnesol are the commonest injections we use. I am using it for 10 years and they are the first line of choice even now for acute ashtmatic attacks. So I suggest strongly that whenever you have an acute attack, You can use your wife's help in getting an injection. There is no harm in that. If the vein is not available, then go to a doctor

Regards.

Hello sir, Of course ayurvedic medicine is good, but I did a detailed search but couldn't find that it can be given with allopathic medicines. Nobody knows because nobody ever did a research of combining this too and studying side effects. I will do one thing. First i will try Ayurvedic medicinesin one of my patients for two months who is having mild allergy/asthma. If it really benefits, then Will try along with allopathic medicines and will tell you in two to three months. Since you have moderate to severe asthma if not on allopathic drugs, you cannot stop our medicines and just start them. I suggest you to consult an ayurvedic physician that whether you can start allopathy and start with these drugs. Tell him that you are on nebulizers and Montair. Since they would have seen much more patients, they may tell whether stopping allopathy and starting ayurveda has much help or not. Usually they treat chronic patients. Also you can do one thing. Start Ayurvedic medicines along with our medicines and we will do some blood tests every week whether it is causing any damage or not. Take care Regards

very sorry for answering so late sir. Poor net connection, other works made me unable to reply soon. Please stop ayurvedic medicine and other drug and please do the following blood tests Blood Urea Serum Creatinine Liver Function tests Urine- Microalbuminuria You should not have taken them. Please stop. Nobody knows whether combining these drugs are safe or not. Because no study has been done regarding that yet. I will tell you an alternative solution, Which may be permanent. I dont know whether it will work for or not. But no harm in trying. There is one injection called Inj. Histoglob which i started using recently. It is an allergy breaker. It contains many stuffs like mite, house dust, pollen, etc., which causes allergy and asthma to many people. By giving this injection repeatedly, our body may become bored of this allergens and won't create wheezing or allergic attacks. Please try. No Side effects (May be some pain and redness in injection site). This injection should be given in buttocks Inj. Histoglob 1 vial Dosing info: First week-Three injections (alternate days) Second Week (Two injections) Third week to seventh week - once a week. Total 10 injections. Thank you .

Hello,

Welcome back to icliniq.com.

They have given you just drugs to control the symptoms nothing else.

Thank you.