Diclofenac Sodium Tablets

Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Reactive arthritis •reactive arthritis can affect the heels, toes, fingers, low back, and joints, especially of the knees or ankles. •though it often goes away on its own, reactive arthritis can be prolonged and severe enough to require seeing a specialist. Effective treatment is available for reactive arthritis. •reactive arthritis tends to occur most often in men between ages 20 and 50. •most cases of reactive arthritis appear as a short episode. Occasionally, it becomes chronic. •reactive arthritis is a painful form of inflammatory arthritis (joint disease due to inflammation). It occurs in reaction to an infection by certain bacteria. Most often, these bacteria are in the genitals (chlamydia trachomatis) or the bowel (campylobacter, salmonella, shigella and yersinia). Chlamydia most often transmits by sex. It often has no symptoms, but can cause a pus-like or watery discharge from the genitals. The bowel bacteria can cause diarrhea. If you develop arthritis within one month of diarrhea or a genital infection – especially with a discharge – see a health care provider. You may have reactive arthritis. •in the past, it went by the name “reiter’s syndrome.” now it belongs to the family of arthritis called “spondyloarthritis.” the type of treatment for reactive arthritis depends on the stage of reactive arthritis. The early stage of reactive arthritis is considered acute (early). Acute inflammation can be treated with nonsteroidal anti-inflammatory drugs (often referred to as nsaids). These drugs suppress swelling and pain. They include naproxen (aleve), diclofenac (voltaren), indomethacin (indocin) or celecoxib (celebrex). The exact effective dose varies from patient to patient. The risk of side effects of these drugs, such as gastrointestinal (often called gi) bleeding, also varies. Your doctor will consider your risk of gi bleeding in suggesting an nsaid. The late stage of reactive arthritis is considered chronic. Chronic reactive arthritis may require treatment with a disease-modifying antirheumatic drug (sometimes called a dmard) such as sulfasalazine or methotrexate. Sulfasalazine may be more useful when the reactive arthritis is triggered by a gastrointestinal (gi) infection. In some cases, very inflamed joints may benefit from corticosteroid injections (cortisone shots). In more severe cases, stronger immune lowering medications called “biologics” may be used such as etanercept (enbrel) or adalimumab (humira). 

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Dr. Wajid MohammedD.P.T, BPTh/BPT, MD Acupuncture, Advanced Cardiac Life Support ( ACLS )Physiotherapist

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Apply hot pack with local diclofenac application twice a day, do knee strengthening exercises, take calcium supplements, avoid steps and prolonged standing for few days. Visit nearby physiotherapy clinic and take ultrasound therapy for a week, the pain will be reduced. 

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All oral painkillers will have side effects, especially in your age. Paracetamol is preferred for this reason. If one class of pain killers is not privity adequate relief, then we can combine multiple type of pain killers to avoid side effects. Also you can apply dynapar qps spray (diclofenac aqueous solution) for quick relief as it will be minimally absorbed in body and cause minimal side effect. 

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Dr. Ajay KamatMS - Orthopaedics, MBBSOrthopedic Doctor

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Rice therapy. Rest ice packs compression - you can use a crepe bandage or an ankle binder elevation - keep your leg over a pillow when sleeping. Do not try to bear weight over the affected leg. You might also be having ligament sprain and such issues are not seen on the xray. Give some time for the soft tissue healing. You can take some mild painkillers whenever you suffer unbearable pain and apply some local ointment (diclofenac or such). Swelling will take time to go completely. Do not worry, get well soon! 

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Dr. N AgrawalMD - Ayurveda, BAMSAyurvedic Doctor

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recurrent infection is due to accumulation of mucus in sinus .some yogic practice and ayurvedic sadbindu tail which irritant in nature willexpel accumulated mucus.avoidanve ice cream and fast food will help u it also prevents surgery 

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Dr. Dhananjay TiwariMBBS , MD - BiochemistryGeneral Physician

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Since the headache is there for a long time and you have already used a variety of medications, I think it's time you get an mri done to rule out some structural lesion. Also you may consider consulting a neurologist dm neurology, cause self medication for prolonged periods can be dangerous at times. Also get your blood pressure checked. 

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Dr. Yasmin Asma ZoharaMDS - Oral & Maxillofacial SurgeryDentist

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Tooth pain medication for above 8 yrs advise c. Amox250 mg 1-0-1, twice after food, t. Metrogyl 200 mg 1-0-1, twice after food, t. Imol plus 1/2-0-1/2, twice (contraindicated in conditions with gastric ulcer, asthma, wheezing, and allergy) after food. Rinse frequently with mouth wash syp polybion 1 bottle, 1 tsp 1 - 0 - 0 once daily kidodent mouthwash, tooth paste & brush. 

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Dr. Wajid MohammedD.P.T, BPTh/BPT, MD Acupuncture, Advanced Cardiac Life Support ( ACLS )Physiotherapist

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Dear lybrate-user, as your job is at desk working on computer, its most important to maintain proper posture. Now as the neck pain is radiating to shoulder, there might be compression in cervical region which is causing radiating pain. Local diclofenac application with hot water fermentation will regulate the pain. Consult your local gp or orthopaedic for medicines or can take panadol xtra twice a day for 3 days. Take electrotherapy for a week, the pain will be reduced completely, after reducing of pain do neck isometric exercises regularly. 

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Dr. Wajid MohammedD.P.T, BPTh/BPT, MD Acupuncture, Advanced Cardiac Life Support ( ACLS )Physiotherapist

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You might be suffering with shoulder impingement syndrome, need to fee more details to rule out any compression or rotatur cuff issue. Consult in private chat or visit nearby physicaltherapist or ortho paedic doctor for proper assessment to get proper treatment. Apppy hot pack with local diclofenac application twice a day, do not put pressure on the effected shoulder even while you sleep. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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It looks like you are anemic. If you have back pain after you sit for long hours then it is due to your hemoglobin levels as it is important to check that. Anaemia always leads to the symptoms of being tired and also having back / leg pain though there may not be any pathological reasons for back pain. 

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