Recently Answered Questions on BIOGESIC-P

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CHANGE IN MEDICINE REQ

Question: sir height 167 cm weight 100 kg age 56 Diabetes since 11 years maximum score of sugar around 280 occ. due to uncontrolled eating even with pills (DPP 4 +metforMin )..A1c 6.5...cardiac MRI --inflammatory cardiomyopathy borderline..associated VPC under control by metoplorol 50 mg twice....now I want change in medicine but sulforiya medicines can increase weight....acarbose/voglibose do not work properly...DPP4 not so work as require...new medicine was offered by doctor was that..sodium glucose transporter..but afraid of kidney damage..other wise best(cretenine around 1)..other offer was doctor ---slow release insulin injection..but this can also increase weight..otherwise good...kindly guide me any other option ..I have sometime over eating problem....p kotecha
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RBC 25-30 /hpf in Urine

In my urine there is a presence of RBC 25-30 /hpf. I also have a high fever ranging from 102 to 103.4 (max recorded) with unbearable headache at the back of my head. Is the fever a result of the RBC in my urine or is it vice-versa. I have consulted two doctors, one who asked to get all the blood and urine tests done, and the other who asked to get the urine test done again. As per the second doctor's prescription I am taking- • Switch 200 • Aceclofenac and Paracitamol (Alock P) • Cefpodoxime Proxetil Tablets (Switch 200) Due to holidays the retest result of Urine would only come on Tuesday. And it has been 5 days since fever (non pathological, as per the report) and as soon as the effect of medicine wears, the fever comes back. Please suggest as till now nothing seems to work. Even Paracetamol has not helped a lot in keeping my headache controlled. Ibugesic Plus did get my fever and headache down for around 5 hrs, after which the pain comes back.
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Pimple breakouts

нι ѕιr/мaм... ιaм 22yrѕ old ι geт loтѕ oғ pιмpleѕ wнen мy вody geт over нeaтed or ιn тнe мonтн oғ ѕυммer.. ι drιnĸ aloe vera and aмla jυιce every мornιng on an eмpтy ѕтoмacн ι apply clιndac pнoѕpнaтe gel every nιgнт ... вυт ι don geт perмanenт rιdecтιon wιтн pιмpleѕ ѕo plz тell мe нow тo conтrol мy вody нeaт and avoιd вreaĸoυтѕ... and ѕleepιng on ғloor doeѕ тнe ғloor coolneѕ graвѕ тнe нeaт..? тell мe ѕoмe мeaѕυreѕ тo тreaт мyѕelғ... тнanĸyoυ!!!
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Medicine dosage

Hi, my son had a fever for 4 days. I consulted a doctor here (we live outside India), and they said it was flu that would go away on its own, advising us to call only if the fever went above 104°F. After 3 days, the fever settled, and he no longer has a fever now. The only medicine I gave was paracetamol every 6 hours. On two nights, when his fever reached 103.5°F, I gave Mefta-P solution (7 ml) instead of paracetamol, which had been prescribed earlier by a doctor in India. Now my son is complaining of stomach pain and has diarrhea 5–6 times a day. Overall, he is fine—he is drinking fluids and eating small amounts of food—but he has stomach discomfort. The only medicine I have at home is Sporlac sachet, prescribed earlier by an Indian pediatrician. Should I give that for diarrhea? I just want to know the dosage—how many sachets and how to give it. I only keep medicines for emergencies, and since my son hasn’t had diarrhea in 2 years, I forgot the dosage. Your guidance would be helpful.
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Infant Head Injury With Swelling

My 8-month-old baby girl (7 kg) fell from a 1.5 ft bed, hit her head (left side above ear), developed swelling. No vomiting, abnormal sleep, or pupil change initially. Applied ice packs, baby was active. On day 3, she had 102°F fever; new doctor said fever is viral, swelling may be due to minor skull fracture, and head will heal in ~1.5 months. Prescribed Maftal-P, Dolo, and Mindfull drops. That night she vomited once post-medication. Swelling now feels soft and jelly-like. Doctor said it’s normal fluid under skin. However, from day 4–5, we noticed she arches her neck and tilts head backward occasionally. She is otherwise alert and feeding. We’re concerned if the soft swelling or new head/neck movement indicates something serious. Should imaging or further evaluation be done?
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Suspects For IBD Chron's

Good evening doctor's, iam having abdominal pain since last two months. I have done Upper GI Endoscopy impression " H pylori Antral Erosive". Am started having loose motions suddenly. From last two weeks. I have done colonoscopy also impression was "Normal Study". I have done ESR ,CRP & Fecal calprotectin test which is came out normal. But my abdominal pain & loose motions are not controlling. So I went For ASCA (igg & iga) & ANCA blood Test. My ANCA both P anca & C anca came out negative. But my ASCA IGA value is 4.6 & ASCA IGG value is 24.6 which is boarderline Positive for Chron's disease. But my Fecal calprotectin value is less than 10. So I am confused whether I am having IBS symptoms or not. I request you to please Help to diagnosis for my symptoms. As per doctor advise should I go for CT Enteroclysis? Is ASCA blood Test is very Sensitive test for making diagnosis of Chron's disease? Thanking you for your patience.
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Seen bleeding while using Novelon

I'm asking on behalf of my mom age 45yrs. She had irregular periods from the last 2 years after the scan pap semar doctor suggested Novelon for 3 months then it worked. The problem repeated early this year again doctor suggested the same 2months novelon. It worked and from last two months started bleeding 10 days. She took novelon it stopped bleeding and saw spotting and tiny bleeding while using novelon. After using it for 5 days due to bleeding She stopped novelon. After two days of stopping it she started bleeding heavily and had to change every 2 or 3 hours. P. S- She had thyroid and blood is just 9 so she is unable to walk long and going to obesity phase deeper. We visited multiple gynaecologists in AP and TS  every time scan, pap semar, high consultation charges again same trouble now she is not even ready to visit doctor as she decided it keeps repeating and none can give a solution. Can anyone help atleast to stop bleeding?
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Chronic UTI

Hello Doctor, I am suffering from UTI (Klebsiella P.) since past 13 momths. When I first got UTI in April 2022 I took 5 days Macrobid and 10 days of Augmentin but it keeps coming back. Also while taking antbiotics the paij never went away. After 15 days of antbioticsI stopped taking antibiotics and just did home based remedies but bacteria didnt go. I got all necessary tests including cystoscopy done and except for infection there is nothing else. Through a very good ayurveda doctor, I started Ayurvedic treatment from past 2.5 - 3 months but there is no improvement. As per hee it every person differs so timings of results will also differ. Should I continue the treatment with hope that it will start giving me result or I should assume that if in 3 months there is no improvement means there wont be any improvement? How long should I wait tl see results from ayurveda? Usually how many months it take to show results?
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7 days of fever in 5 year old

My daughter is 5.11 yrs old. She has had fever from last week Thursday. The temp was almost 102 to 103 for the first 2 days. Comes to normal after meftal. The last 4 days temp has been fluctuating. It comes to normal abd then after 7 hrs hours back up, highest being 100.7 to 101. Tom is the 7th day. She has infected tonsils and viral conjunctivitis on one eye as well. I have been hearing most kids in chennai are going through this viral bout now. She's relatively active, eating lesser than usual. The meds she's on are refzil_0 3rd day today, montair lc, brozedex, seroflow and allegra nasal spray. Once in 7 hrs paracetamol and meftal p only in the night.  Should I take blood tests for dengue or others or can I wait. Please advise. I'm very anxious. Her weight is 22.3. She has no vomiting rash diarrhoea or anything else. Thank you.
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Viral fever and cough

My son is 20 months old and weight is 11.2kg. He has been suffering from cold, cough and repeated viral fever from last few weeks. Initially dr prescribed Azithral 100, chericof, montair lc kidz and crocin/meftal p, nebulization with levolin 0.6 and budecer 0.5 by seeing his symptoms. His fever started decreasing with cough too. But suddenly on 5th day his cough got worst and not stopping with anything. We tried honey, ginger, tulsi everything. So dr. Prescribed chericof ls and omnicortal forte alongwith nebulization with levolin and budecort. These combinations helped at day time to reduce the cough upto some extent but at night nothing is working. It is been only 1 day we have given these medications but the cough is really bad and the child is suffering a lot. So looking for some second opinion. Please help or provide your valuable feedbacks. Thanks in advance
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