Since Combiflam is not providing relief, your nighttime leg pain may not be simple muscle soreness. Bilateral leg pain at night can be caused by conditions like Restless Legs Syndrome (RLS), nerve pain (neuropathy), poor circulation, or vitamin deficiencies (such as B12, D, or iron). I strongly advise against self-medicating with stronger painkillers. Please consult a physician for a proper evaluation, including blood tests. Depending on the diagnosis, they may prescribe targeted medications like gabapentin for nerve pain or dopamine agonists for RLS. For temporary relief, try gentle stretching before bed, a warm bath, and staying well-hydrated.

A tight headache lasting 20 days is incredibly exhausting. Taking Combiflam (ibuprofen/paracetamol) frequently can sometimes cause "rebound" headaches. This, combined with screen time and lack of sleep, often triggers persistent tension headaches. Your brief dizziness upon standing is likely orthostatic hypotension, which is very common with a blood pressure of 90/64, especially when tired or dehydrated. Please focus on gentle hydration, regular rest, and reducing screen time. Most importantly, I highly recommend consulting a doctor in person to safely evaluate your blood pressure and guide you on managing your headaches.

While Combiflam (ibuprofen/paracetamol) helps temporarily, relying on it daily isn't ideal. Since you must ride a two-wheeler, wearing a supportive lumbar belt can stabilize your back and reduce jolts. Try to maintain an upright posture and avoid bumpy roads. Please consult a doctor for a physical evaluation to rule out any underlying injury. In the meantime, applying warm compresses and doing gentle stretches can offer some relief.

Migraines are typically diagnosed by a doctor based on your symptoms, history, and headache patterns. Since you are using over-the-counter pain relievers frequently, it is important to be cautious, as overusing them can actually cause rebound headaches. Effective management includes identifying triggers, lifestyle adjustments, and targeted treatments. Doctors often prescribe medications like triptans for acute relief, or daily preventatives if headaches are frequent. I highly recommend speaking with a healthcare professional to tailor a safe, effective plan.

Body pain with fever can be managed with fever and pain-relief medicine, along with adequate rest and plenty of fluids. Warm compresses may help ease body aches. Consult a doctor if the fever lasts more than 3 days, increases, or new symptoms appear.

Since her mild fever and aches are returning and Calpol (paracetamol) or Combiflam (ibuprofen/paracetamol) did not provide lasting relief, it is very important to consult a doctor soon. At her age, persistent symptoms after travel could indicate a viral infection like chikungunya or dengue, which require proper evaluation. Please ensure she stays well-hydrated. Avoid repeating Sumo (nimesulide/paracetamol) without medical supervision, as frequent use can have side effects. A doctor can guide you with the correct diagnosis and a safe treatment plan to help her recover.