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Prescription J d8z c2jjm56sUcPPQmHsPxI216ZuVp2dT3jXJWSBHrFMo69w6N3I92ftygTLEX

Mr. Afreen Siddique, a 38-year-old male, has a history of IBS-D and was previously taking several medications which are not safe during pregnancy. He has since undergone an MTP and his symptoms and lab results have remained stable after stopping medications for 15 days. He now reports occasional mucus in his stool and abdominal colic but otherwise his weight, labs, and stool examinations are normal. He is prescribed several probiotic, antispasmodic, and antihistamine medications.

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89 views2 pages

Prescription J d8z c2jjm56sUcPPQmHsPxI216ZuVp2dT3jXJWSBHrFMo69w6N3I92ftygTLEX

Mr. Afreen Siddique, a 38-year-old male, has a history of IBS-D and was previously taking several medications which are not safe during pregnancy. He has since undergone an MTP and his symptoms and lab results have remained stable after stopping medications for 15 days. He now reports occasional mucus in his stool and abdominal colic but otherwise his weight, labs, and stool examinations are normal. He is prescribed several probiotic, antispasmodic, and antihistamine medications.

Uploaded by

afreensiddique1771
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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1041 : Mr.

Afreen Siddique (38y, Male) - 9145374931


Date : 11-Dec-2023

Complaints: F/UP CASE OF IBS D , NOW SINCE DECREASED MEDICATION - 2-3 STOOLS / DAY , LOOSE , STARTED LIBRAX -
BETTER , SINCE SUNDAY LOOSE STOOLS + MUCUS , HAD ACUTE INFECTIVE DIARRHEA - TREATED WITH ANTIBIOTICS , ATER
THAT WAS BETTER BUT AFTER HAVING PANNEER KI SABJI - AGAIN SYMPTOMS , MAROD AND LOOSE STOOLS , CRP 7.85 ,
CBC 11.4/6100/64000 , ESR 28 , STOOL R/E 1-2 PUS CELLS , REVIEW 26 SEPT - NOT WELL , LOOSE STOOLS , WATER ,
MUCUS , GAINS WEIGHT WHEN EATS , NOW NOT EATING , VIDEO REVIEW 16 NOV 22 : WEIGHT 40 KG , CBC CRP : NORMAL
, REVIEWED 5 DEC VIDEO CALL : HAS BECOME PREGNANT , SAFETY OF PROTHIADEN / RAMOSETRON AND CINITAPRIDE IS
NOT ESTABLISHED IN PREGNANCY , ADV TO STOP CINTODAC / IBSET / PROTHIADEN / LIBRAX , DISCUSSED WITH PATIENT :
DOESNT WANT T CONTINUE PREGANCY - ADVISE TO CONSULT A GYNAECOLOGIST AT THE EARLIEST FOR MTP , VIDEO
CONSULT : 13 FEB 23 : REVIEWED UNDERWENT MTP : IX CBC 12.9/5500/193 , ESR 14 , GLYCO HB 5.7 , TSH 3.80 ,
STOPPED MEDICATION X 15 DAYS - REMAINED STABLE , SINCE TUESDAY - MUCUS + STOOL , REVIEWED 11 APR : LIFTED
HEAVY WEIGHT - 5 KG , SINCE THEN MAROD IN ABDOMEN , MUCUS IN ABDOMEN , STOOL 2 /DAY , REVIEWED 9 SEPT 23 :
WEIGHT GAIN 46 KG , HAS DYSURIA / INCREASED FREQUENCY , HAD CONSTIPATION , TSH 3.78 , LFT / KFT : NORMAL ,
STOOL NORMAL , CBC 11.9/7200/115 , REVIEWED 11 DEC 23 : OK COLICKS IN ABDOMEN , INTERMITTENT FEEL OF LOOSE
STOOLS
Diagnosis: IBS D, THROMBOCYTOPENIA - RESOLVED

Medicine Dose Timing - Freq. - Duration

1 TAB CINTODAC 1—0—0 Before Food - daily


Composition : CINITAPRIDE 3 MG + PANTOPRAZOLE 40 MG

2 TAB IBSET 1—0—0 After Food - daily


Composition : RAMOSETRON 5 MCG

3 TAB LIBRAX / BENIZEP / CIZASPA-X 1—0—1 After Food - daily


Note: / SOS

4 TAB PROTHIADEN 25 MG 0—0—1 After Food - daily


Composition : DOTHIEPIN 25 MG

5 CAP EFEGUT 1—0—0 After Food - daily


Composition : BACILLUS MESENTERICUS 15 MILLION CELLS + CLOSTRIDIUM BUTYRICUM 15 MILLION C...
6 CAP ZONYO CAL (CALCIUM 0—0—1 After Food - alternate day
CARBONATE 1250 + VIT D 1000 +
VIT B 12 1500)

7 TAB PRACTIN 4 MG 1—0—1 After Food - daily

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1041 : Mr.Afreen Siddique (38y, Male) - 9145374931
Date : 11-Dec-2023

Composition : CYPROHEPTADINE 4 MG
8 TAB MEDIGAS / ESPUMISAN GOLD 1—0—1 After Food - daily - 20 Days
Composition : SIMETHICONE 140 MG
Note: BLOATING

Tests Prescribed: CBC ESR CRP


Next Visit: 2 months

DR.NISHANT NAGPAL

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