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What Causes Drowsiness, Tightness Behind Head And Itchy Arm

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Posted on Mon, 24 Nov 2014
Question: Hy. I think my questions are repeated so that i am not getting answers.but these are different questions. Problem is i am feeling more sleepy then normal . After getting much sleep still i want to sleep. Can you tell me what could be the reason behind this? My flue is very less now . And i feel my back head slighty tight feeling. Is it due to flu? And my tounge came inside my teeth from side. Means i cut very little part of my tongue. Please tell me what is this. And one more thing i feel little itchy feeling on right uper part of arm. And a small area became slightly red. and it takes many hours to normal. Kindly reply because i am very much in trouble. Stomach ia still not fully ok.
My hunger suddeny decreased from last 2 days . i dont know its due to anxiety or flue or someting else. i eat with a very difficult feeling. and now i am again feeling like sleep. please help me.

For Dr Rovena Murati
doctor
Answered by Dr. Dr. Rovena (1 hour later)
Brief Answer:
It might be due to flu.

Detailed Answer:
Hello XXXX!

Thank you for trusting me with your medical concerns.I will do my best and try to clear your doubts.

So you are concerned because you feel sleepy and tired.Well flu can explain this.
Usually even when the flu symptoms pass in 1-2 weeks ,flu can leave behind tiredness ,fatigue and sleepiness.This because your body needs time to recover.
You need to eat well ,drink plenty of fluids and rest a lot during this period of time.
If after resting and eating well (a lot of vegetables and fruits) for 1-2 weeks ,your symptoms still persist ( sleepiness,fatigue ,decreased appetite) you should consider consulting a physician and run some tests that include:
-Complete blood count to exclude anemia
-Thyroid function tests : FT3,FT4 and TSH to exclude hypothyroidism.
-Metabolic panel : hepatic function tests ,kidney function tests, lipidic profile.

About your tongue problem ,I can't tell for sure because it doesn't indicate any specific condition that can cause it.
You can consult a dentist and get it evaluated ,but it isn't of concern.

Regarding the itchy feeling in the upper part of your arm and the red area ,it might indicate an allergic reaction to something (hot water , specific materials of clothes or something else).
You may observe it when happen to understand what triggers it and then try to avoid it.
It seems to be just a local problem (most likely an irritation or allergic reaction).
If the itching causes you discomfort ,you may use Benadryl for symptomatic relief.


Hope it helps.
If you have any other question ,please do not hesitate in writing me.

Take care,
Dr.Rovena


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rovena (15 minutes later)
This sleepy feeling start 2 days before . And but this decreased appetite started yesterday night.

My stomach is still not fully ok its sometimes hurts. not a fix location pain but this pain remains only for a short period of time.Should i start the medicine now which my GP has given me?
Pantoprazole and Domperidone?

For this tongue issue i was asking because a normal myth if tongue cut by your teeth its related to digestive problem. is it true or no?

For this itchy rash you are right its due to something else so that it disappeared early.
doctor
Answered by Dr. Dr. Rovena (1 hour later)
Brief Answer:
detailed below.

Detailed Answer:
Hi again!

It is difficult to evaluate symptoms like sleepiness ,fatigue ,decreased appetite that have started 1-2 days before.You should give it some time to see the evolution.
Since you passed a flu recently ,it may explain these symptoms.
Eat well ,drink plenty of fluids ,rest a lot and see what happen in some days.

If the symptoms persist of get worse then you may need to consult a physician and get the tests done.

If you are having again stomach pain and the other symptoms of acid reflux or stomach upset ,then you should start the treatment that your doctor has prescribed you (Domperidone and Pantoprazole).

It is true that sometimes gastrointestinal conditions can manifest on tongue.
White coated tongue and dry mouth can be a sign of acid reflux.

In your case you might have what is called Scalloped Tongue .In this condition there are impressions of your teeth in the lateral part or the tongue.
This scalloped appearance to the tongue is caused by the tongue pressing up against teeth as it rests in mouth.

This happens if your tongue is swelled,that can happen due to gastroesophageal reflux.
In this case when the stomach acid moves up into esophagus,it can go up to the throat and mouth causing inflammation and swelling of the tongue .
Another common cause is Hypothyroidism that causes the tongue to swell.

So if you have these teeth impressions on your tongue ,and the symptoms of sleepiness ,fatigue ,feeling lethargic with no energy persist ,Hypothyroidism should be taken in consideration.
In this case you need to test your thyroid function : FT3,FT4 and TSH.
If FT3 ,FT4 are low and TSH is high ,then you have Hypothyroidism and you may need medication.

Let me know if you have other questions.
Take care.

Dr.Rovena
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rovena (5 hours later)
I could not found impression of teeth on my tongue. Still i feel main problem in stomach. it looks very strange when i describe but one problem is there . I have normal stool that ends with soft stool. What is this? I was never like this . I dont know when i will be ok . After such things my anxiety again increased. And i feel very depressed.

One more question is related to flu. 3 days before during flu my lips became different looks like outer lining of lips are burning. This finished after one or two days. Is it normal ? Now i have a slight swelling of lower lip one part and now its also near to ok. Kindly tell me is it normal or not?
doctor
Answered by Dr. Dr. Rovena (2 hours later)
Brief Answer:
detailed below.

Detailed Answer:
Hello again XXXX!

I read carefully your queries.

Regarding the problem of your tongue and lips you can send me a picture so I can give you a better judgement.

It is normal that your lips can change color and become inflamed due to viral infection (flu).
They may become red,chapped and dry.You also may have cancer sores during flu or cold.
Don't need to worry about it.

Regarding the fact that you experience soft stool ,I have told you that this is a major symptoms of irritable bowel syndrome.
Since you don't have abdominal pain ,abnormal findings in stool (blood ,mucus ) ,the stools have normal color ,you don't have considerable unexplained weight loos ,you don't need to worry.
If you are having stomach problems again you should continue with the medication that your doctor has prescribed you ,and follow the diet changes we have discussed.
You should try to relax and don't get so anxious about every symptom you experience.Anxiety can make the symptoms appear much worse then they really are.

Hope it helps.
Let me know if you have other questions.

Take care,
Dr.Rovena

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rovena (17 minutes later)
Thanks a lot for your reply.
I dont have blood in stool and also stomach pain is very less. But i have weight loss that is significant.and thats the main thing giving me anxiety.
Now my tongue is ok. But i will send you my lips picture. You are right everytime i found a symptom again start thinking and now i am very much tired due to this tention. Sometimes i feel redness in one area of my chest and it disapears after sometime when i continue to foucus on it . Means it takes near about one hour to disapear. I may found a slightly red area again. Is it normal?

And my stool color is also different . sometimes its normal sometimes its different is it ok?
. kindly check the picture. in picture it look more dangerous but actual i am not feeling much.
doctor
Answered by Dr. Dr. Rovena (39 minutes later)
Brief Answer:
detailed below.

Detailed Answer:
Hi,

Thank you for the picture.
It is just due to flu.You can apply some vaseline on your lips just to keep them moisturised for some days and they will be fine.

Your weight loss ,although may be significant is not unexplained.Your stomach problems ,anxiety ,stress and not eating well explain your weight loss.
An significant unexplained weight loss refers to losing for a short period of time (maybe 4-6 months) a lot of weight (10-15 kg) ,although the person didn't change his diet and he is eating as usual.
In this case the weight loss might be of concern.

Redness in one area of the body that goes away in 1 hour ,might be just local irritation ,an local allergic reaction or if you keep touching this area due to your anxiety.It doesn't indicate a specific condition.There is no reason to worry about it.

It is normal that the color of stools is slightly different in different days.This because it is related to the foods you have taken.
Abnormal stool color may be if your stools are black ,or are too pale to white.
Otherwise the color of your stools is normal.

It is your anxiety that makes you experience these symptoms like concerning one but really you have nothing to worry about.

Take care,
Dr.Rovena


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rovena (5 minutes later)
Thanks a lot doctor.yes you are right i am eating less . i have started medicine for stomach. I have one request.Can we hold this discusion up to tomorrow. ?means i will ask any question tomorrow?
doctor
Answered by Dr. Dr. Rovena (21 minutes later)
Brief Answer:
You are welcome,

Detailed Answer:
Hi,

You are welcome.
You can close the discussion whenever you want.
Please feel free to close the discussion when you don't have any other question or doubt to clarify.
You can take all the time you need.

Take care,
Dr.Rovena
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rovena (2 minutes later)
Thanks a lot
doctor
Answered by Dr. Dr. Rovena (1 minute later)
Brief Answer:
You are welcome.

Detailed Answer:
Hi,

You are welcome.

Take care,
Dr.Rovena
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rovena (9 hours later)
Today all the day i was not feelling this weakness and sleepy feeling. but now at night i am slightly feeling that. MY question is when i was having full flu then i was not feeling like these conditions . But now i am feeling when flu is at the end. ? and one more thing is i feel a little back head pain . which start now a days means from last 2 days. i think its also related to flu or anxiety because i am in stress from a long period . like near about 2 month now. is that could b a reason?
doctor
Answered by Dr. Dr. Rovena (2 hours later)
Brief Answer:
detailed below.

Detailed Answer:
Hello XXXX!

The symptoms of flu may last up to 1-2 weeks and during this time is common to feel sleepiness ,fatigue ,to have headache and body ache.
So your symptoms might be due to flu.

You should try to rest these days ,eat well and stay hydrated.Sleep enough and well.
As I have said it is difficult to evaluate general symptoms of fatigue and sleepiness ,headache that started 1-2 days ago.

You should give it some time to be totally recovered from flu.
If these symptoms continue after 1-2 weeks ,you may need to consult a physician and run the above tests( complete blood count ,thyroid function tests ,metabolic panel).

The slight back head pain might be a tension headache or muscle spasm .This might be due to your anxiety or if you haven't sleep well lately.Also staying long time in front if a computer,TV can cause headache due to the strain of muscles that control eyes movements.

Take care,
Dr.Rovena
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rovena (7 hours later)
I am again and again asking same questions . Problem is . I was never like this before. Means my stomach was never upset for such a long time. And i have tention depression etc. Sometimes i bcame very hopless. A single incident changed everything.i want to live happy life again. I feel many changes like stomach upset.stomach pain.sometimes slight rib pain . Muscle twitching. These dots cheery angioma. Redness of my eyes sometimes. Weight loss. Etc how all these things came?

Kindly tell me why these cherry angioms comes? And what could b the reason that i am finding these spots or getting ao quickly?

now i have noticed if i eat well i dont feel weakness or sleepy feeling. but still problem is i am feeling less hungry.
doctor
Answered by Dr. Dr. Rovena (14 hours later)
Brief Answer:
detailed below.

Detailed Answer:
Hello again XXXX!

I apologize for the delay in answering your queries.

I can't tell for sure why these symptoms come up in this time for one thing is sure that they are strongly related to your anxiety.
Your anxiety may have started from the fear of having HIV and from this pint you started experiencing the stomach problem and irritable bowel syndrome.

The fact that you were not eating well ,don't exercise regularly don't sleep enough may have triggered all your problems.

There is no known cause for the appear of cherry angiomas. We all can have cherry angiomas.
You don't have to worry about them.They are harmless and won't cause you any problem.

Anxiety and depression are the main causes of your decreased appetite and the other symptoms.
In my opinion probably it is time to see a therapist to help you overcome this bad period so you can turn back to your happy life.

Take care,
Dr.Rovena



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rovena (24 minutes later)
ok thanks for reply. i agree with you . but my stomach problem is real problem . Many times in a day i listen sound from stomach . This disease IBS disturbed me very much . i have weight loss marks on my body. My face and looks changed . if i eat something it disturb my stomach and if dont eat , i am already decreasing weight. what i should do.?
doctor
Answered by Dr. Dr. Rovena (29 minutes later)
Brief Answer:
detailed below.

Detailed Answer:
Hi again!

I can understand that you are concerned about your health.

I suggest to continue the treatment that your doctor prescribed you for acid reflux.
If after finishing the treatment you will continue to have stomach pain or discomfort ,bloated and gas you should consult again your doctor .He may order an upper endoscopy to determine one for all ,what is causing your symptoms.
Meanwhile try to eat well ,rest and try to relax.

Let me know if you have any other question.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rovena (9 hours later)
Thanks for your suggestions. Just some random fear comes in my mind about different diseases. Will please give me some idea that which disease is more risky in my incident ? Like hep b c or hiv etc. As per my symptoms and situation. I will try to maintain healthy diet . Then i will see what will heapen in next month.

Now what i feel is now a different pain. I feel pain in my chest right rib area. And its one point pain. And feels like some lain above ribs means its location i can feel. Its near about middle of my chest slight right. When i press it hurts. Poin where middle chest bone finished and ribs became diagonal. Its slight but sharp pain. I dont know what is this now

today i was feeling hungry and i have done proper lunch .but now this pain came .
doctor
Answered by Dr. Dr. Rovena (10 hours later)
Brief Answer:
most likely it is a muscular pain.

Detailed Answer:
Hello XXXX!

I am sorry for the delay.

In your case the probability to have contracted a sexually transmitted disease (Hepatitis B ,C , HIV or any other infection) during that incident is very low because from what you have described there wasn't a direct contact or fluids exchanges between you two.

You have told me before for this pain in your right upper abdomen.It is possible that since you have been thinking about the possibility of having hepatitis ,now you feel this pain.
Since the pain is only in one point and it hurt when you press on it ,most likely it is a muscular pain.
The pain caused from liver or stomach conditions is not in one point .

If this pain persist or get worse you should consult a physician and get examined but I don't think is of concern.
Your doctor has already examined you and if you would have hepatitis or any other liver condition he would have suspected it during physical examination.
Since your physical examination was normal ,then you don't need to worry.

If the pain persist consult your doctor.He may order some tests to exclude Hepatitis B,C or any other liver condition including:
-Liver function tests ( ALT ,AST ,Bilirubin ,Total protein )
-HBsAg to exclude Hepatitis B
-HCV antibodies to exclude Hepatits C.
-Abdominal ultrasound.

It seems to be just a muscular pain.I suggest to relax and wait some days to see what happen.If it doesn't go away in some days or it get worse ,then consult your doctor.

Take care,
Dr.Rovena
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rovena (14 minutes later)
you are right . i should give some time. Basically this stress changed my behavior also. For a small change in my body looks very alarming. This pain is real, But you r right it may b some muscular pain. Thanks a lot for your reply and suggestions.
doctor
Answered by Dr. Dr. Rovena (7 minutes later)
Brief Answer:
You are welcome.

Detailed Answer:
Hi again!

You are welcome.
Try to relax ,rest ,eat well and see what happen in the next days.

I wish you all the best.
Take care,

Dr.Rovena
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rovena (14 hours later)
HY. this pain is very much reduced and today from morning i have not felt any pain that i have discussed to you yesterday . .but Now Again today i have a soft type stool .
The problem which i have discussed about weakness and sleepy feeling its still there. But its not like very much . Means if i eat something or simply if i take a cup of tea then i feel normal. Before all this stomach issue whenever i feel sleepy that feeling was always different from this.Means a slight dizziness gives me indication that i need to eat. Hungry feeling is also there but its less. Is this due to weakness? and what causes this muscle twitching? . everytime i have muscle twiching in any part it gives me more Anxiety .

Kindly plz tell me what could b the reason behind my eyes visible vaines. These are more visible then before. Any body can see its very visible.

I knw my repeated queations are disturbing u . But ur answer really very much important. Bcz these small changes other then stomach issue giving me to much tention. Like muscke twitching eyes vanes. And like one dot on the palm of my hand. sonetimes it looks like something stuck inside my hand like small neddle .
doctor
Answered by Dr. Dr. Rovena (10 hours later)
Brief Answer:
detailed below.

Detailed Answer:
Hello again!

Please don't say that ,you are not disturbing me.I will try to clear your doubts.

The fact that this pain comes and goes for 1-2 days and then comes again ,it is suggestive that most likely it is due to your anxiety more than a real condition.

Due to your IBS (irritable bowel syndrome) it is expected that you will have soft stools time after time.You don't need to worry and get anxious about it.
About the weakness ,sleepiness and muscle twitching,they might be related with your decreased appetite ,your weight loss and the fact that you haven't eat well lately.The lack of some vitamins and minerals can cause these symptoms.
Flu made all these symptoms worse.
You just need to rest ,eat well and try to manage your anxiety.

Your visible veins in your eyes might be due to flu (your eyes might be red and watery) or it is just your anxiety that makes you notice them.They are tiny blood vessels of the eye.
Other cause for these visible veins might be irritation from too much computer use,or inadequate sleep.Unless you are having irritation,itching, pain, or other symptom it is probably nothing to worry about.

You have already send me a picture of this dot in the palm of your hand and I can tell you for sure that this dot is just a mole .You have nothing to worry about it.

I will I could do more to help you .You can't continue like this with your anxiety.
You are concerned for every harmless spot ,or normal findings in your body.
I strongly suggest to see a therapist so he can helps you control your anxiety.

Considering all your symptoms ,I can tell that you don't have any reason to be concerned about your health.
If you cant control your anxiety and all day you are thinking that you have a serious condition ,then you should ask for help.A therapist may the most appropriate person to help you.

Take care,
Dr.Rovena
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rovena (15 minutes later)
i am agree with you that i need a therapist but i could not found. i am searching in my area .
These muscle twitching start from the day when i felt first time my stomach upset. As you told me about vitamin and minerals lack cause these problem. Can i take fruit juice ? bcz you already told me to take less juice because of Acid reflux.
And for eyes may b you are right due to XXXXXXX and laptop use can cause. But i feel now these vanes are visible before whenever i feel tired i feel like complete eye redness. I dont knw may b now i am feeling more or more concentrating on these things.
doctor
Answered by Dr. Dr. Rovena (49 minutes later)
Brief Answer:
detailed below.

Detailed Answer:
Hi,

I would suggest to eat a well balanced diet.Eat a lot of vegetables and fruits ,milk ,dairy ,fish etc.
If you eat well you will take all the necessary vitamins and minerals.
Juices may trigger your acid reflux.

About the veins in your eyes ,they are a sign of inflammation or irritation.It may happen during a viral infection ,irritation from dust ,inadequate sleep ,or irritation from staying in front of a computer.
If you don't have itching ,pain or any other symptom ,you don't need to worry about the veins in your eyes.

Take care,
Dr.Rovena

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rovena (13 hours later)
I have noticed that from the day i have stomach upset i am feeling muscle twitching. Infact all problems start after this stomach upset. And most important thing is after a loos stool i feel weakness. I dont know how to controll these things . My muscles became very weak. I need to overcome this then i can control anxiety. I was in my best life period 2 month before. Good job good health and good looks. I am 27 year old and i am stuck in these problems. I am supporting my family. Kindly pray for me. Can you please suggest me some medicine for this ibs? Bcz ibs is giving me weakness its enough . Now i want to finish these issues .

and its not like normal diarrhea . Means i have stool only one time a day normally. very rare i have 2 times a day but not many times. but i feel weakness of muscle . sotmach sound like gass. and i am now very much frustrated with all these conditions. And i know if i will visit my doctor again he will definitely start same type of medicines.

now again from 2 days i am feeling hungry . but now this stomach upset. i cant live my life in this condition
doctor
Answered by Dr. Dr. Rovena (8 hours later)
Brief Answer:
detailed below.

Detailed Answer:
Hello XXXX!

I am sorry for the delay.

Irritable bowel syndrome need a long term management that includes:
-Lifestyle modifications
-Stress management with relaxation techniques
-Diet changes :eat small frequent meals ,avoid foods that trigger your symptoms.
-When symptoms are moderate to severe and these measures aren't sufficient to control them ,symptomatic treatment may be necessary.

There are found some possible causes for IBS that include:

-Food allergy.It is recommended that you avoid some foods that most often cause food allergy including dairy, gluten, yeast, eggs, corn, soy, and peanuts for a period of 2-3 months and see if your symptoms improve.

-Another common reason for IBS is bacterial overgrowth in small intestines .
To treat this cause is recommended to take an antibiotic rifaximin 200 mg , 2 tablets 3 times a day for 10 days.
Using probiotics is recommended to repopulate your digestive tract with good bacteria.You can take VSL3 twice a day for 1-2 months.

If these steps don't help ,you can take Normaxin.
It is a combination of chlordiazepoxide and clidinium bromide that is used to treat peptic ulcers and irritable bowel syndrome. It helps relieve stomach spasms and abdominal cramps.It treats anxiety and stress related symptoms.
You can take 1 tab 2 times a day for 2 months and see if it helps.

I would suggest to consult a specialist (Gastroenetrologist) and discuss these options since you need a prescription to take these drugs.

Hope it helps.
Take care,

Dr.Rovena

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rovena (2 hours later)
Thabks for suggestions. Please tell me from these medicines which you think i should start now? Which one from these or all of these?
doctor
Answered by Dr. Dr. Rovena (55 minutes later)
Brief Answer:
detailed below.

Detailed Answer:
Hello!

I would suggest to start with avoiding the foods that can cause food allergy ,take the antibiotic Rifaximin and the probiotic as I have directed above.

If this treatment doesn't help ,you can start taking Normaxin.

The best choice in your case is to consult a gastroenterologist so he can directed you and follow you in long term management.

Take care,
Dr.Rovena

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rovena (19 minutes later)
ok i will start from tomorrow . If i still feel problem then i will visit doctor again . Thanks
doctor
Answered by Dr. Dr. Rovena (6 minutes later)
Brief Answer:
You are welcome.

Detailed Answer:
Hi.

You are welcome.
You probably will need a prescription for the antibiotic so you need to consult a physician for it.

Wish you good luck.
Take care,

Dr.Rovena
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rovena (17 minutes later)
ok i will first check. if i get this medicine then i will use , in other case i will visit doctor. you have written rifaximin 200 mg 2 tablets 3 times a day. it means 6 tablets a day?
doctor
Answered by Dr. Dr. Rovena (41 minutes later)
Brief Answer:
detailed below.

Detailed Answer:
Hi,

You can take Rifaximin tablets 550 mg ,three time a day for 14 days.
This would be complete course.

If you can't find 550 mg tablets ,you can take tablets 200 mg , 2 tablets three time a day ( 6 tablets).

Take care,
Dr.Rovena
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rovena (8 hours later)
Ok i will start these medicines from today. As you know i already told you that i feel weakness. I eat less but not as much as i feel weakness. Means its related to my stomach issue. Can u suggest me something for this weakness or muscle weakness etc or these medicines of stomach is enough .?

Just i am asking because evrytime something different happened . When something going ok. I am feeling very much proper hungry feeling from last 2 days . But now i feel muscle weakness and back head pain. And a little dizzy feeling.

i dont knw its due to weakness or cold or somthing else

I search a lot but this antibiotic Rifaximin is not available here. Not even big pharmacy. Kindly give me some other antibiotic related to this one that is easily available. And this vsl3 is also not found i got a PROTEXIN Balance name probiotic. And they told me these are equivilant. Can i take this one?and how much?
doctor
Answered by Dr. Dr. Rovena (13 hours later)
Brief Answer:
detailed below.

Detailed Answer:
Hello XXXX!

I apologize for the delay in answering you.

Rifaximin is the best choice for Irritable bowel syndrome.It is a special antibiotic that it is not absorbed in the intestines ,and acts by killing bacteria in that are responsible for your symptoms of diarrhea ,gas and bloated.

Rifaximin is the generic name.You can find it with different brand names in your country like Xifaxin or Targaxan.
The second option is Neomycin 500 mg twice a day for 10 days.
I would suggest to consult your doctor so he can help you to find these drugs or alternatives that are available in your country.

If you can't find probiotic VSL3 which is a high potency probiotic (multi strain probiotic) you can take another probiotic that have a high culture count.
You can take Protexin Balance 1 tablet twice a day for 2 months.

Regarding the weakness and muscle twitching I can tell that they are strongly related with this chronic condition (IBS ,acid reflux ,anxiety).
You should try to eat well ,sleep enough and try to relax.

Hope it helps.
Take care,
Dr.Rovena

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rovena (1 hour later)
Thanks . I will search these antibiotic . And i am going to start this protexin balance now. Thanks a lot
doctor
Answered by Dr. Dr. Rovena (13 minutes later)
Brief Answer:
you are welcome.

Detailed Answer:
You are welcome.

Let me know if you will need further help.

Take care,
Dr.Rovena
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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What Causes Drowsiness, Tightness Behind Head And Itchy Arm

Brief Answer: It might be due to flu. Detailed Answer: Hello XXXX! Thank you for trusting me with your medical concerns.I will do my best and try to clear your doubts. So you are concerned because you feel sleepy and tired.Well flu can explain this. Usually even when the flu symptoms pass in 1-2 weeks ,flu can leave behind tiredness ,fatigue and sleepiness.This because your body needs time to recover. You need to eat well ,drink plenty of fluids and rest a lot during this period of time. If after resting and eating well (a lot of vegetables and fruits) for 1-2 weeks ,your symptoms still persist ( sleepiness,fatigue ,decreased appetite) you should consider consulting a physician and run some tests that include: -Complete blood count to exclude anemia -Thyroid function tests : FT3,FT4 and TSH to exclude hypothyroidism. -Metabolic panel : hepatic function tests ,kidney function tests, lipidic profile. About your tongue problem ,I can't tell for sure because it doesn't indicate any specific condition that can cause it. You can consult a dentist and get it evaluated ,but it isn't of concern. Regarding the itchy feeling in the upper part of your arm and the red area ,it might indicate an allergic reaction to something (hot water , specific materials of clothes or something else). You may observe it when happen to understand what triggers it and then try to avoid it. It seems to be just a local problem (most likely an irritation or allergic reaction). If the itching causes you discomfort ,you may use Benadryl for symptomatic relief. Hope it helps. If you have any other question ,please do not hesitate in writing me. Take care, Dr.Rovena