The "bumps" you feel are likely enlarged lymphoid tissue (granular pharyngitis) reacting to chronic irritation, such as acid reflux or allergies. Since medications like Rabemac (rabeprazole), Pantapramazole (pantoprazole), and azithromycin haven't fully resolved this, it does not mean your condition is permanent. It often just takes time, lifestyle adjustments, or a different targeted approach to heal. I highly recommend consulting an Ear, Nose, and Throat (ENT) specialist. They can gently examine your throat to identify the exact cause and help you find lasting relief.

Shin sores in individuals with pre-diabetes (HbA1C of 6.1) require careful attention, as healing can be slower. Since she has already used antiseptic ointment (Betadine), topical mupirocin (T-bact), and oral azithromycin (Azee) without complete relief, it is best to stop applying multiple treatments to avoid further skin irritation. Keep the sore clean, dry, and loosely covered. Please consult a doctor for a physical evaluation. They can safely examine her leg and prescribe the correct targeted therapy to ensure it heals properly without complications.

You can use light, easily digested foods like rice, yogurt, and khichdi to treat flatulence, dysentery, and indigestion. You should also drink plenty of water. Ginger, fennel seeds, and triphala are examples of herbal medicines that can improve digestion and lessen gas, but if symptoms persist, a doctor should be consulted.

Since you have tried Betadine, Franch oil, Mederma, and Scarend, the best approach now is patience and gentle care. Keep the area well-moisturized and, most importantly, protect it daily with a broad-spectrum sunscreen, as sun exposure can darken the marks. Avoid harsh scrubs or peeling. These marks will naturally fade over several months. If they persist, a dermatologist can guide you on gentle options like topical vitamin C or retinoids to help restore your even skin tone.

Since those initial treatments haven't worked, please be reassured that we have other highly effective options. For severe burning and itching, a dermatologist may prescribe a topical corticosteroid, such as fluocinolone or clobetasol, to quickly calm inflammation. To target stubborn scaling, shampoos containing salicylic acid or coal tar can be very helpful. Additionally, alternative antifungals like ciclopirox olamine or selenium sulfide may succeed where ketoconazole did not. I highly recommend seeing a dermatologist to get a precise diagnosis, such as scalp psoriasis or seborrheic dermatitis, and secure the targeted relief you deserve.

It is not safe to take the antibiotic Azithromycin 500 without a doctor's prescription. While Karvol Plus and Betadine gargle can provide temporary comfort for a mild cough, they will not address the underlying cause of your breathing issues or pain. Please visit a doctor promptly so they can listen to your chest, evaluate your symptoms, and guide you toward the right, safe treatment plan. Your health and safety are the absolute priority.