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Diarrhea from last 1 day
Having diarrhea from last one day. Have gone 11- 12 times . Taken ORS but has not reduced.Had spicy food.
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For Medical Diagnosis and Treatment please pay and consult at practo or pay and consult at WhatsApp.
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Take a glass of milk daily.
Thanks.
Dr☆MPB ,
Dr Praful Mahamuni,
Family Doctor,
MBBS .
Jai hind. 🇮🇳
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Hello,
First check your blood pressure
ORS is most important
Check whether you are taking low osmolarity ORS
Bifilac sachets dissolved in 5 to 10 ml water bd
T.zinc od for 5 days
T. Pantop 40mg od if burning sensation or regurgitation of food is present
Next Steps
take bland food
Health Tips
avoid milk coffee and other spicy items
if there is blood in stools/ fever ,
kindly consult
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Continue ors
You should have a pinch test to know the level of dehydration to rehydrate you
Have a pan 40 tab before food
If you're having stomach pain have a buscopan tab after mild food like bun or bread
Next Steps
need to know the pain in your stomach or which area it corresponds to
u can consult me through practo for further consultation
Health Tips
don't have outside or spicy food for 3 days
don't have dairy products
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Take plenty of Ors water.
Take tab metrogyl 400 1tab twice daily after food for 5 days
Take tab zinc 1tab once daily for 14 days . Take blank food like curd rice, water rice and stew food.
Next Steps
Take bed rest
Health Tips
If u feel too weak or feel like headreeling.. Check your blood pressure
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Please visit your nearby doctor and get your Blood Pressure checked as well as signs of dehydration.
Increase your water intake - drink ORS , lemonade , coconut water , watermelon juice , etc.
Next Steps
ORS , lemonade , coconut water , watermelon juice , increased water intake . Don't drink processed or packed juices and cold drinks. Visit a doctor and get your BP and Hydration levels checked .
Health Tips
Please get your BP checked .
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Avoid spicy food, Milk Products for now.
Stay hydrated
Take ORS powder mix in 1 litre of warm water, & drink.
As u have passed stools 11 times already.
U ll be dehydrated.
So better to check for blood pressure once.
If Blood pressure is low, dehydrated
U may need IV fluids.
Let me know if u have abdominal pain & fever??
If it is there consult me on practo.
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Kindly avoid diary based products for now
You should get a blood pressure checked at a nearby hospital to ensure it isn't too low
Continue with ORS. Take the powder mixed in a litre of water rather than the premixed drink
Avoid taking antibiotics based on online advice
Do consult if its not settling beyond 2 days
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Provisional diagnosis- Acute gastroenteritis
Treatment-
1 - rehydration with ors + zinc supplement for 14 days
2 if pain present- dicycloimine/ meftalspas(either one)
3- if fever occurs- tab ofloxacin+ornidazole(combination)
Twice daily for 5 days
3- avoid high fat and spicy food for next 3-5 days
4- increase curd in ur diet and and add probiotics (sporolac tablets three times a day)this will increase healthy bacteria in ur intestine
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Ors after every loose stool and inbetween
Tablet buscopan if associated with crampy abdominal pain
Tablet rececadotril can be added if diarrhea not relieved
Zn supplements can be taken
Next Steps
eat light like khichdi, daliya
Health Tips
don't take antibiotics right now
avoid spicy food
maintain hydration
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Rehydration (most important):
• Continue ORS: 1 glass after each loose stool.
Use the ORS sachet and not tetrapacks.
• Avoid fruit juices, sodas, or very sweet drinks.
2. Medications
• Tab Pan 40 mg → 1 tab OD before breakfast for 5 days.
• Bifilac sachet → 1 sachet in 1 cup of water BD for 3 days.
• Tab Drotin 40 mg → SOS only if abdominal cramps.
3. Diet
• Avoid spicy, oily, and outside food.
• Eat bland food — curd rice, idli, khichdi, boiled potatoes, bananas.
• Take small, frequent meals.
Next Steps
Warning Signs — Seek Hospital Care If
• Persistent vomiting
• Signs of dehydration (dizziness, no urine for >6 hrs)
• Fever >101°F
• Blood or mucus in stool
• Weakness or confusion
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•Tab 02 - 1 Tab BD * 5 days
•Tab Pan (40) - 1 Tab OD (in the morning) * 5 days
•Bifilac sachet - 1 such in 1 cup of water BD * 3 days
•ORS - 1 sachet in 1 L of water
Next Steps
•Tab Drotin (40) - 1 Tab SOS (if stomach ache present)
•If symptoms persist for another 24 hrs - Tab Zn (20) - 1 Tab OD * 14 days
Health Tips
•Avoid spicy/rich food.
•Have small meals timely, at regular interval.
•Stay hydrated (if hypertension present , don't miss medications).
•Take rest.
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Take
Tab Loperamide 2mg 1-0-1 after food
Tab pan 1-0-0 before food
For more consult me through practo
Next Steps
Consume curd rice (avoid pickle as it can worsen the symptoms)
Health Tips
Avoid spicy and outside food for 3days
Keep hydrated
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Will have to add Zinc supplementation for 14 days, and a probiotic for 3 days, avoid sugary drinks and sugar added foods
Take plenty of liquids such as coconut water, lime water with salt, rice water; to avoid dehydration.
Avoid spicy and fast food for next 3 days.
If loose stools frequency increasing or any temperature, review back
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If u r not having stomach pain...then just take T.LOPERAMIDE two times a day after food and eat curd or buttermilk...
If u r having stomach pain..then u can contact me in practo via WhatsApp number six three seven nine eight seven one one seven five..
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1.Take ors after every loose stool
Episode
Prepare ors by mixing 1 packet in 1 litre of water
2. Tab ofloxacin + ornidazole 1 tablet two times a day x 5 days
3. Tab ondan 4 mg two times a day x 5 days
4.adequate hydration and soft diet khichdi dalia etc
5.tab zinc 20 mg once a day x 14 days
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Take tab sporolac DS 2-2-2 for 3 days
Drink plenty of water
Stay hydrated
If fever or bloody diarrhoea or severely dehydrated and loos pf conscious go to hospital immediately
Next Steps
If diarrhoea bot reduced after 2 days also can take tab AD 100 tablet once
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