Since her fever and cough are persisting despite giving Calpol (paracetamol) and occasionally Meftal (mefenamic acid), I highly recommend having her evaluated by a pediatrician promptly. A cough and fever lasting this long, especially worsening at night, needs a professional assessment to check her lungs and rule out infections. Please continue to keep her comfortable and hydrated with plenty of fluids. Avoid giving Meftal frequently without a doctor's guidance, and seek immediate medical attention if she shows signs of rapid or difficult breathing.

It is generally not safe to take Meftal 250 (mefenamic acid) and No-Pain 30 (ketorolac) together. Both of these are pain relievers belonging to the NSAID class, and combining them significantly increases the risk of severe stomach irritation, acidity, or ulcers. To safely manage cramps or pain, it is best to use only one pain reliever, such as mefenamic acid alone. Please consult your doctor to discuss these side effects so they can safely guide your treatment.

Severe menstrual pain every month can happen due to strong uterine contractions during periods, which is common in many women, but when the pain becomes intense enough to disturb daily activities, it is important to look for underlying causes as well. Conditions like endometriosis, adenomyosis, fibroids, ovarian cysts, or pelvic infections can sometimes cause worsening period pain, especially if the discomfort has increased over time or is associated with heavy bleeding, back pain, nausea, or pain during intercourse. Simple measures like using a heating pad on the lower abdomen, staying physically active, gentle stretching, proper sleep, and reducing stress may help reduce cramps naturally. Some women also feel better by avoiding excess caffeine and very salty foods around their cycle. Pain-relieving medicines are commonly used, but they should ideally be taken under medical guidance, especially if symptoms are severe or recurring every month. Since the pain is affecting your routine, it would be a good idea to consult a gynaecologist for proper evaluation and possibly an ultrasound to identify the exact cause and guide treatment.

For her loose stools, the most important step is keeping her hydrated. Please offer her Oral Rehydration Salts (ORS) and plenty of fluids. Antibiotics are generally not necessary for sudden loose stools and fever, as these are often caused by self-limiting viral infections. Since you are already giving Calpol and Meftal P, please ensure you space them safely as advised by her doctor to avoid overmedication. It is best to have her evaluated by a pediatrician before starting any new medications or antibiotics.

Yes, this can be quite normal. Children's bodies respond differently to medications. Meftal (mefenamic acid) may sometimes be less effective for some children, while the combination of Ibufen (ibuprofen) and paracetamol works through complementary pathways to lower fever more successfully. Please ensure you are dosing correctly based on her weight and keeping her hydrated. Always consult your pediatrician to guide the correct dosing intervals and to ensure she is evaluated safely if the fever persists.

For heavy and painful periods, over-the-counter NSAIDs like ibuprofen or mefenamic acid can help reduce both pain and blood flow. Another non-hormonal option is tranexamic acid, which specifically helps reduce heavy bleeding. Hormonal treatments, such as oral contraceptive pills or a hormonal IUD, are also highly effective at lightening periods. However, because heavy and painful bleeding can be caused by underlying conditions like fibroids, polyps, or endometriosis, it is crucial to consult a gynecologist. They can properly diagnose the cause and prescribe the safest, most effective medication for you.