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I had acidity 2-3 days back. I didn't take any medication, j and vomited all out. Later, I took ENO, which relaxed me from acidity. Now I am eating fine, but stomach is constantly in pain, maybe due to oesophagus burns. I took "PAN 40" (3 tablets all before meals) which relieves temporarily, but stomach still hurts badly. What to do?
Since two days I have itching/burning sensation in penis. The front portion in side the fore skin turned to red colour. I am taking norflox tablet. No improvement is seen. Please advise.
During Ramadan, diabetics who chose to fast should be educated about how to adjust their medications and be prepared to break the fast if necessary.
During the lunar-based month of Ramadan, Muslims abstain from eating, drinking, smoking, or using oral medications from predawn to sunset.
Followers will typically eat just after sunset and again before dawn.
In general, fasting is not recommended for people with diabetes. The practice increases the risk for both hypoglycemia from lack of food and hyperglycemia resulting from cutting back too far on medication in attempts to avoid hypoglycemia. Hyperglycemia can also occur if patients overeat after sundown.
If the period of fasting is longer and the two meals are eaten close together, this can be tricky.
Islamic law does not require fasting when it would create a physical danger.
Fasting is especially risky for those with type 1 diabetes, for pregnant women, and for children. However, patients with well-controlled type 1 diabetes who use insulin pumps can often accomplish fasting by adjusting their basal infusion rates and monitoring their blood glucose levels frequently.
For patients with type 2 diabetes taking medications other than insulin or sulfonylureas, the risk for hypoglycemia is low. However, because of the prohibition against taking oral medication during daylight hours, patients who usually take metformin 3 times daily should take two-thirds of the dose at the sunset meal and one-third at the predawn meal.
Long-acting sulfonylureas should be avoided.
Once-daily sulfonylureas should be taken at the sunset meal.
For patients taking twice-daily sulfonylureas, the usual dose should be taken at the evening meal and half the usual dose before the predawn meal. One can also skip the predawn dose altogether.
The very short-acting insulin secretagogues repaglinide or nateglinide can be taken before each of the meals.
No adjustments are needed for thiazolidinediones, alpha-glucosidase inhibitors, incretin-based therapies, or bromocriptine.
Basal insulin doses should be reduced by about 30% to 40%. Patients who are on either mixed or intermediate-acting insulins should switch to basal insulin.
The usual dose of rapid-acting insulin should be taken before the sunset meal. The predawn dose of rapid-acting insulin can be cut to half or omitted.
Frequent monitoring is the key. Patients should be advised to break their fast if the blood sugar drops below 70 mg/dL. If it rises above 250 mg/dL ? particularly for patients with type 1 diabetes ? they should also break their fast and take insulin.
Patients should be cautioned against overeating after breaking the fast.
Moderation is the trick. Don't overfill an empty stomach.
Patients should be counseled about avoiding dehydration as much as possible.
Also adjust BP medicines during Ramadan
I am a 45 year older male. I have been suffering from allergic for the past few years. It started with repeated sneezing, from then I was advised one anti allergic a day. The problem has aggravated now, and the physician say she that its allergic bronchitis and beginning of allergic asthma as I suffer from breathlessness too. Initially I was advised seroflo 250 and anti allergic a day. At present I am using foracort 400 rotacaps once and duolin rotacaps twice and montair 5 once a day. The chest X-ray done is clear, blood reports are normal yet the problem has aggravated. Please guide me.
Hi, I am Joginder, My wife Ms. Sangeeta 25 years old, has affected with irritability and pain her belly and also pain in arms and legs very much. Kindly advice, what should I do?
I am not getting sleep everyday till 12 o clock night and can't sleep till morning waking up at 5 o clock so how to get more sleep.
Hi. I am married, and my husband's age is 30, we are married since 3 years. My husband is very less interested in sex and my friends says their husbands do sex daily. I wanna make my husband sex addict, please guide me how.
I am suffering from snoring at night is there is any medicine or method to stop snoring. Please help me to stop snoring Regards Aman gupta.
Hi am 42 years old. Am a diabetic since 2006, two years back I was detected demylenation, I am on a ayurvedic treatment. What do you suggest.
I'm not sleeping daily because of full of headaches and full body pains and what to do to avoid pimples and what to do to glow my face like glory.
My 17 months old baby girl is not able to speak clearly. She responds when we call her but her voice is not clear. She speaks loudly but unclear. Please help.
Cyclic vomiting syndrome (CVS) is characterized by periodic bouts of nausea and vomiting that happens at cyclical intervals. It affects all ages, but is more common in children. The condition is quite stereotypical in that there are paroxysms or bouts of vomiting that is recurrent and follows days of normal health.
Causes: There is no definite reason identified, but it is said to have a strong hereditary correlation. Studies have shown mitochondrial heteroplasmic (abnormal growth of mitochondria, which is a cellular component) to be one of the factors that can lead to CVS. The genetic correlation, however, is very difficult to establish, specifically because vomiting and nausea are common symptoms that occur with most conditions in children. And CVS is most commonly noted with conditions like infections and emotional excitement. Infection could be either tooth decay or sinusitis or anything else. Lack of sleep, anxiety, holidays, allergies, overeating, certain foods, menstruation - a host of factors have been shown to induce CVS. There is also a strong association with migraine and conditions that lead to excessive production of stress hormones.
Symptoms: The syndrome (a group of symptoms) usually has 4 phases:
- Symptom-free interval phase: The child is completely normal in this phase, which happens in between bouts.
- Prodromal phase: Prodrome is an indication that a disease or a condition is about to happen. In CVS, this is usually nausea and abdominal pain that can last from a few minutes to a few hours. Treatment in this phase can curb the disease. However, there could be some children in whom this may not manifest and the child may directly start with vomiting.
- Vomiting phase: Repeated bouts of paroxysmal vomiting happen associated with nausea, exertion, fatigue, and drowsiness.
- Recovery phase: As the nausea and vomiting begin to subside, which may take a couple of days, the child returns back to normal slowly. However, the lethargy and energy levels will take a couple of days to return to normal.
Treatment: Treatment again depends on the severity and the phase at which it is being recognized. If a child has repetitive bouts, then the parent and the doctor would have identified a pattern to it.
- If the causative agent has been identified, for instance, infection or migraine, then managing that takes care of the CVS also.
- If identified during the prodromal phase, again it can be managed with suitable anti-emetic medications.
- If identified after full onset, rest and sleep and medications to control nausea and vomiting are required. Adequate hydration with electrolyte replenishment and sedatives can provide additional support.
However, in most cases of childhood CSV, the pattern will be identified and that helps in better management, both the child/parent and the podiatrist.