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Assessment of vitamin d3 b12 mg  t3t4tsh  crp cbc Nexpro RD40 ONE IN EMPTY STOMACH FOR 7 days. Mucain gel10 ml without water nothing by mouth till 30min can be taken 3to 4times.  Specially  blotting or heart burn. Evion 400 one at night for  muscle twice.

Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.

Hello, I am Dr. Romain Rajan, General Physician. I understand your concern. Gas, bloating, bad breath, occasional heartburn, muscle twitching, and leg cramps can have multiple causes, including digestive issues, stress, and sometimes electrolyte or vitamin deficiencies. General Advice: Eat small, frequent meals and avoid heavy or gas-producing foods in the evening. Stay hydrated and include magnesium-rich foods (nuts, seeds, leafy greens) and potassium-rich foods (bananas, spinach, avocado) in your diet. Light stretching and regular physical activity can help reduce muscle cramps and twitching. Further Evaluation: Blood tests for magnesium, potassium, calcium, and vitamin B12 can help identify deficiencies. If digestive symptoms persist, consult a doctor for evaluation of GERD, gastritis, or other gut issues. When to consult a doctor immediately: Severe or persistent muscle cramps or weakness Numbness or tingling in limbs Persistent abdominal pain, vomiting, or unexplained weight loss If symptoms persist or worsen, you can connect with me directly on Practo or reach me on WhatsApp at 85271646 seven seven for a more personalized consultation. Best regards, Dr. Romain Rajan General Physician

You can consult me directly on Practo, or reach out via WhatsApp: Eight Seven Six Two Seven Four Nine Nine Seven Four I’ll guide you step-by-step with easy-to-follow treatment plans. Early consultation helps avoid complications — feel free to connect. Only whatsapp message no calls

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Fluid electrolytes insufficiency can’t be ruled out More detailed history is needed

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

if you would like to know more details about this problem, you can reach me on procto or for a free detailed consultation on WhatsApp at nine one one nine two five five six nine nine

-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as - -Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history. Please follow good life style as • take plenty of fluid and • take less spicy and fatty foods and • take home made food only and do exercise regularly with yoga and meditation and • keep positive attitude to fight any disease and any problem of your life . ....

Likely functional dyspepsia/GERD. Start antacid once daily before breakfast for 10 days, maintain oral hygiene, regular exercise, and increase leafy vegetables. Check electrolytes, Vit D, and B12 if symptoms persist.

Acid reflux