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Asmita Tablet Health Feed

Asked for male, 27 years old from Varanasi

I am suffering from Pulmonary embolism and DVT in my right leg. I was discharged 10 days back and is currently on oral medications. 1. I am experiencing constant headache (migraine like condition). I found on internet that it may be the side effect of warfarin (blood thinner capsules). Please enlighten on this. 2. Can I take combiflam (Paracetamol tablets) for this? If yes, is this a permanent solution to this and will I need to take it everyday? 3. Do you suggest me wearing a compression stocking for leg? If yes can you tell me the type or send me an online link where I can buy it? 4. If I normally sit or take rest, I do not feel breath less. But I still feel exhausted and breathless if I climb stairs or do some physical activity or any kind of exertion. Is it normal as I am in recovery phase. Or the recovery is slow? How much time will take for me to breathe normally? Breathlessness started on 13th jan17 and treatment started on 5th feb after CTPA. Thanks :)

Dr. Sajeev Kumar91%(40820 ratings)

C.S.C, D.C.H, M.B.B.S

Cardiologist•Alappuzha

1) it canbe side effect 2) You should not take any NSAID like combiflam on a regular basis as it can lead to nephropathy 3) You have to sue compression stocking 4) It is due to recovery phase and you keep on doing gentle exercises to gain stamina. For breathing problem you may have to use inhalers.

Asked for male, 37 years old from Karnal

Dear sir, my wife 34 years & 3.5 month surgery delivery & become DVT in left leg with swelling and pain, please tell us helpful treatment.

Dr. Jatin Soni

MBBS

General Physician•Mumbai

She needs rest and Apart from taking symptomatic treatment we will have to start with warfarin medication after clinical examination.

36 people found this helpful

Asked for male, 54 years old from Pune

Hi Sir, I have had an angiography 2 years back in the artery and since then the doctor has prescribed 5 mg acitrom permanently for maintaining my INR between 2.00 to 2.25. I find acitrom little expensive. What are the economical options available?

Dr. Anoop Agrawal88%(127 ratings)

MBBS Bachelor of Medicine and Bachelor o...read more

Cardiologist•Hyderabad

Warfarin is Acitrom substitute. But you need to ask your doctor for dose conversion. Also, warfarin/acitrom requires periodic INR check (blood test). It will be very risky to take these medicines without blood test monitoring.

Health Query

My mother was admitted to neighbouring hospital after falling due to slippage on floor. She is 72 years old and type 2 diabetic with controlled diabetes 150/200 with glimestar 1 mg 2 pills per day for last 15 years. It was observed on MRI that a compression fracture on back bone and two small cracks on pelvic bone. During traction and physiotherapy she exhibited severe shortness of breath and doctor carried out sonography and found some abnormality of the sort enlargement of heart. Upon pulmonary angiography bilateral pulmonary embolism was observed. Suddenly the other treatments stopped and some blood thinning medication under critical observations for 5 days conducted. Later she was brought to ward and two days was in observations and discharged suggesting if possible to walk 10-20 steps and increase slowly wearing proper belt. Initially she was only able to stand with support and walk only 2-3 steps with great difficulty. Normal diabetes medicine and daily 1 tablet of warfarin was prescribed. The major problem after discharge observed was her reluctance to swallow sufficient food and water. With great difficulty only juices, milk with energy drink, dal rice smashed was accepted only in limited quantities with reason of tasteless in mouth and vomiting sensations. All the food given was not swallowed to full extent, instead kept in mouth and she use slowly split the same after some time. Standing on her feet was also not possible and she was reluctant even to her moving on bed itself for frequent change of position. Sugar level increased to 200/300 and the tablet increased to 2 mg. Meanwhile blood was observed in urine and upon test Warfarin was stopped for 10 days. Within next 2-3 days, urine turned to white and upon /urine test /infection was detected and antibiotics prescribed. But the very next day the infection became severe as she was observed very uneasy. Upon hospitalization once again, she is kept in intensive care with antibiotic treatment and signs of improvement observed but the problem of tasteless in mouth is concern. At present the food is being fed through pipe in nose. We are very much worried about the future as without proper food, there is no scope of survival. Can you please help how to come out of such dreadful situation?

Dr. S.K. Tandon93%(53294 ratings)

M.D. Consultant Pathologist, CCEBDM Diab...read more

Sexologist•Sri Ganganagar

Please go to insulin treatment .also blood thinners should be taken. Please take help of some good neurophysician and diabetologist.
Any guide you want I can help you.

Asked for female, 32 years old from Mumbai

Kindly suggest a good contraceptive pill with egostron and progesterone. I'm given dienogest but finding it too costly.

Dr. S.K. Tandon93%(53294 ratings)

M.D. Consultant Pathologist, CCEBDM Diab...read more

General Physician•Sri Ganganagar

Drospirenone; estetrol is an oral contraceptive (birth control pill). This medicine combines two types of female hormones, an estrogen and a progestin. It is used to prevent ovulation and pregnancy.

11 people found this helpful

Health Query

I am 53 year take xarelto 20 mg for dvt so how long I have to take this medicine? Any substitute is there as xarelto is very expensive for me.

Dr. Anjanjyoti Sarma91%(1041 ratings)

MCh(Minimally Invasive & Robotic Surgery...read more

General Surgeon•Guwahati

you can switch over to warfarin 5 mg tab twice daily . minimum duration of therapy is 3 months. you need to check PT and INR regularly to keep it within 2-3. thanx.

Asked for male, 43 years old from Nainital

Previously I was using it. Sir now I have heart valve replacement. Can I take it now as I am on warrafin suggest pls.

Dr. Jatin Soni

MBBS

General Physician•Mumbai

You will have to continue your warfarin medication and Get your vital parameters of the body checked from a nearby doctor and follow up with findings.

Asked for male, 28 years old from Guwahati

I got conceive on sep 2018 and my doctor advice me to take lonopin 40 mg injection daily. Please advice me what is the purposes of this injection.

Dr. Prashant K Vaidya90%(18373 ratings)

Diploma In Gastroenterology, Diploma In ...read more

Homeopath•Hyderabad

It is used in combination with warfarin to treat blood clots. The patient should inform the doctor if having any bleeding disorder and should be aware of possible side effects of this medicine.

18 people found this helpful

Health Query

I have a blood clot in my leg I had a surgery and they give me fondaparinux sodium injection for good but I got a lot of side effects is there anything to replace this medicine?

Dr. Diwakar Shankar86%(101 ratings)

MS - General Surgery, MBBS Bachelor of M...read more

General Surgeon•Varanasi

You can switch over to warfarin. But get a regular INR checked. This should help you. Kindly make a personal consultation to me regarding specific medication.

388 people found this helpful

Asked for male, 28 years old from Srinagar

3 MONTHS BACK MY 3 DIGITS OF LEFT TOE WAS AMPUTATED IN UAE due to Dry Gangrene. After that when I make CT Angio in my home town which is Situated in J&k it shows thrombosis in my left lower limb.

Dr. Jatin Soni

MBBS

General Physician•Mumbai

Apart from taking symptomatic treatment we might have to start with Ecosprin or warfarin after clinical examination

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