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Good day iam having r a please give any medicines
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Rheumatic & Autoimmune Conditions
Question #10309
326 days ago
581

Good day iam having r a please give any medicines - #10309

Lakshmi Narayanan

I am lakshminarayanan male age 66, I have type 2 diabetics, htn, dislipmedia, Rx more than 20 years, I have another problem that is if test is positive, Dr, prescribed irugati 25 but my stomach problems are severe, so any other medicines

Age: 66
Chronic illnesses: Rhumetoid arthritis,
300 INR (~3.53 USD)
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Doctors' responses

Dr. Neeraj Agarwal
I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.
326 days ago
5

I would suggest you to revisit your treating physician for better results and as well u can start taking like warm water with jeera Take husk with Luke warm water

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
325 days ago
5

Hello sir Please be aware See as per clinical history it seems acidity You can take pantop 40 once a day for 1 week In addition avoid fried food Take boiled food Regards

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
325 days ago
5

Tab. Pantoprazole 40 mg – once daily before breakfast × 4–8 weeks

Syrup Digene – 10 ml after meals, if bloating/indigestion persists

Avoid taking ARB on an empty stomach Avoid spicy, acidic foods

Visit nearest physician.

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Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
325 days ago
5

Mr. Lakshminarayanan, since you have long-standing type 2 diabetes, hypertension, and dyslipidemia, and are experiencing severe stomach issues with Iruvati 25 (likely a PDE5 inhibitor like sildenafil or similar), it’s important not to switch medications on your own. Please consult a urologist or endocrinologist, who can recommend alternative ED medications that are easier on the stomach or suggest non-oral options like injections or vacuum devices. Also, managing your blood sugar, blood pressure, and cholesterol levels effectively will help improve erectile function.

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If you’re experiencing stomach problems with the medication prescribed, it’s crucial to discuss these side effects with your healthcare provider. First, it’s important to identify if irugati 25 is causing the gastrointestinal issues, as some medications for hypertension (htn) or diabetic control can indeed affect the stomach. Sometimes the side effects are temporary and may resolve as your body adjusts, but if they’re severe or persistent, an alternative treatment might be necessary. For managing both hypertension and type 2 diabetes, there are various options that could be easier on the stomach. For example, drugs like angiotensin receptor blockers (ARBs) or calcium channel blockers can often be used for blood pressure control with less stomach irritation compared to some other antihypertensives. However, medication changes should only be made under medical supervision. If the gastrointestinal issues are interfering significantly with your daily life, contact your doctor as soon as possible to discuss alternative medications or further evaluation. There might be additional tests needed to ensure no other underlying gastric conditions are being overlooked. Lastly, maintain regular monitoring of your blood sugar and blood pressure at home and keep a record of any side effects to share with your healthcare provider. Always approach medication adjustments or questions in partnership with your healthcare provider to ensure safe management of your conditions.

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