Brief Answer:
prescribed correctly

Detailed Answer:
Hello and welcome

I appreciate your concern

The medication your doctor prescribed are corrsct based on the symptoms you described and your lab reports. Quinolones are antibiotics that havent been prescribed. One can onlu document sensitivity to a medication if there has been an allergic response. Have you taken any of these medication previously and was there any adverse response/ reaction ? Kindly let me know to comment further.

Wishing you best of health

Thanks

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Brief Answer:
2 g will be better

Detailed Answer:
Hello again.

All these medication are usually very well tolerated with minimal side effects in practical practice. You should take all 4 as the standard dosing in tinidazole is 2 g for most conditions. 500 mg would be too low.

Thanks.

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Brief Answer:
explained

Detailed Answer:
Hello again.

GERD and hypertension are two separate diagnoses. Obesity and stress is related to both and weight loss, stress reduction can benefit both conditions. A single reading should not be used to ascertain a high B.P. 24 hour ambulatory monitoring can be advised if the reading is persistently above 140/90.

Let me know if you have any query

Thanks.

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Brief Answer:
Explained

Detailed Answer:
Hello again.

Its likely due to GERD. Though you are taking omeprazole, in my clinical experience , combining it with pro kinetic like metoclopramide, antacids such as bismuth subsalicylate and sucralfate yields a much better result. If the pain persists or worsens then an EKG, serum amylase and ultrasound abdomen should be advised to look for other causes such as cholecystitis, pancreatitis etc. If despite adequate treatment the dyspepsia recurs then an upper G.I endoscopy could be advised in consultation with your doctor.

I have a few queries.

Have you been tested for H.Pylori ?
Have you started the tinidazole etc which you asked about in the previous queries ?
Did you experience any allergic response with these medication or did you tolerate them well ?
Have you had an ultrasound of the abdomen/pelvis recently ?

Thanks.

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Brief Answer:
Explained

Detailed Answer:
Hello.

Tinidazole and fluconazole can also cause varying degree of G.I discomfort. However, the stool antigen is a very specific test for H.Pylori and makes it unlikely for H.Pylori. You should get the ultrasound done to look for any abnormality. You may get back to me with the results. For now you can continue the medication as explained in the answer above.

Thanks

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Brief Answer:
Explained

Detailed Answer:
Hello again.

Fluconazole is an anti fungal medication with very little reactivity. In my opinion you should take it as your stool exam showed evidence of fungal infestation.

Post defecation dizziness / heaviness / feeling of light headedness is quiet common and can occur especially with more straining and constipation. The circulatory changes take time for the blood to be distributed equally after the defecation. It usually reverses within 30 to 40 seconds.

Sometimes, a doctor may not communicate his/her ideas as well as one should. the medication prescribed are correct but I feel your doctor hasn't discussed with you in detail about your condition taking into account your apprehensions.

I would advise you to consult an FCPS holder in gastroenterology in Saudi Arabia. Its a recognized structured post graduate degree program for fellows here in Pakistan who also work in Saudi Arabia.

let me know if you have any query

Thanks.

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