Severe back pain and joint dryness can have various underlying causes, including musculoskeletal conditions, inflammatory disorders, nutritional deficiencies, hormonal imbalances, and other medical conditions. Since the exact cause cannot be determined without a proper medical assessment, it is important to consult a doctor for evaluation and appropriate investigations. While a doctor should evaluate the cause of your symptoms, a balanced diet rich in protein, fruits, vegetables, whole grains, and adequate fluids may help support overall health and recovery. Foods rich in calcium and vitamin D may also support bone and muscle health. However, dietary recommendations can vary from person to person based on several factors, including age, medical conditions, nutritional status, dietary preferences, allergies, lifestyle, and individual health needs. Therefore, it is advisable to consult a doctor or registered dietitian for personalised dietary guidance. A proper medical evaluation is important for identifying the underlying cause of your symptoms and determining the most appropriate treatment and dietary plan.

Recovery from a lateral internal sphincterotomy typically takes about 2 to 6 weeks, and some mild discomfort and fluid drainage are common. However, experiencing severe, unmanageable pain and pus?even while taking Hifenac P, Ultracet, and using Lox Jelly (lidocaine)?is not expected and could indicate a localized infection or delayed healing. I highly recommend reaching out to your surgeon for a quick evaluation to ensure everything is healing safely. In the meantime, please continue your soothing warm sitz baths and drink plenty of fluids to keep your stools soft.

While mild headaches and body aches can sometimes occur during your period, experiencing a fever, cough, and cold is not typical and suggests a viral infection coinciding with your cycle. Hifenac-P, which contains aceclofenac and paracetamol, is safe to take and will help reduce your fever, headache, and body aches. Please ensure you take it after food to prevent stomach irritation. Since it will not cure the cold or cough, I recommend resting, staying well-hydrated, and consulting a healthcare professional if your symptoms do not improve within a few days.

Since Hifenac and Cip-zox haven't provided relief, she may benefit from a different class of generic muscle relaxants, like thiocolchicoside, or alternative pain relievers, which a doctor can prescribe. For now, please avoid deep massages, as they can sometimes irritate the muscle further; gentle warm compresses are much safer. I highly recommend consulting an orthopedician or a physical medicine specialist (physiatrist) for a proper evaluation and a personalized recovery plan.

A non-healing, swollen foot wound requires a doctor?s evaluation rather than switching medicines on your own. Mixing multiple topical treatments like mupirocin, povidone-iodine, and neomycin/bacitracin can actually irritate the wound and delay healing. Since your current oral amoxicillin/clavulanate is not working, a doctor needs to examine the wound. They may perform a culture to identify the exact bacteria and prescribe targeted antibiotics. They should also check for underlying factors like blood sugar levels. For now, avoid applying multiple creams together. Clean the wound gently with normal saline, keep it covered with a clean dressing, and elevate your foot to reduce swelling. Please visit your healthcare provider soon for proper guidance.

Regarding your medications after your wisdom tooth extraction: Novamax (amoxicillin) is an antibiotic that is generally considered safe to use while breastfeeding, as very little passes into breast milk. However, Hifenac P contains aceclofenac and paracetamol. While paracetamol is safe, there is limited safety data for aceclofenac during breastfeeding. I recommend speaking with your dentist or doctor about replacing Hifenac P with a safer pain relief alternative, such as ibuprofen or plain paracetamol. Meanwhile, please monitor your baby for mild side effects like loose stools.