Question: Dear Doc
I am an old pt of the following with the medications maentioned against each:

1.Cardio
BP,PVCT(ECG),Tachy---Dilgem 90 -BD,Telma CT 40- OD,Atrovastanin -pm
2.BA
Nukast 10- OD,Bropphyll 100 -BD,Velgut -pm,Esofag D -BD,Zelita-BD
3.OSA
Auto-CPAP with Humadifier during bed
4.GI
Earlier Cryptosporidium detected. Got better by Veloz 20-BD,Normoxicin -TDS,
Now on Razo 20 b/bf,Festal N BD L/D,Prepro -After Dinner,Udiwok 300 - OD,Udilep(for fatty liver and gall bladder)
5. Ac Depresion
Sertalline 50-BD,Zolfresh 10-before sleep

All above medicines are being each day, besides supplement Vit.Sometimes feel disgusted to all these medicines.Though each prescription of the splst is also shown to other eac concerned splst, I feel that some medicines may be interferring with each other.Are some medicines ,say for GI not having same function?

Please advise

XXXX (Veteran),63 yrs,M
YYYY@YYYY









XXXX

Hi Dr Kini
1,Thnx

2. With these medicines,I still do not get a feeling that I have emptied up particularly the first bowel in the morning takes unusually long time.Though I have to ease myself three/four times a day,particularly after 1/2 hours of having taken some food in a day .Constipation like feeling always even after clearing bowels.

3.Appetite has considerably reduced,though no indication of any Hepatitis,blood/black stools.

4.Loosing weight ,may be due to a very little food intake.I do go for my morning/Evening walks,but the pace which I used to walk has almost reduced to halfand time reduced to 20/30 mins, I feel breadthlessness and tired ,compared to nearly one hour of comfortable walk earlier.

5.I hate to be asked for taking food.

Please advise

Rgds

Hi Dr RK
Thnx.
1. NO Occult Blood/Stool Test done so far. Hemo during last two reports covering period of last three months had been 10,5/14
2. All presher cribed were done abt 20 days ago. Some of the Cardio/other test results (only the Abberations)are:
(a) Cardio --PVCT,PSVT
(b) LFT/U/s= Fatty Liver,SGOT 110.4,SGPT 67.7,GGT 306
Now c/o Constipation -First bowel in the Morning, Low Appetite, Urge to clear bowel after 2/3 hours of taking any meals but always a feeling that all has not been cleared,NoPain in the abdomen.

PLEASE ADVISE WHAT MEDICINES ,OUT OF THE PRESCRIBED ONES SO FAR, SHOULD I CARRY ON TAKING RELATED TO GAESTRO (NOT COMFORTABLE TAKING UDILIV ALONG WITH OTHERS)

Rgds
XXXX