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Your current medications?Nutribact (nitrofurantoin) for the infection, Stone1 syrup for stone management, and Meftal (mefenamic acid) for pain?are appropriate first steps. However, because you have diabetes, which can make urinary infections harder to clear, and your symptoms persist, a cystoscopy is indeed a very reasonable and safe next step. It allows your doctor to look inside your bladder to find the exact cause of your pain. Please ensure your blood sugar is well-controlled, as high sugar can fuel infections. Keep working closely with your doctor to get you feeling better soon.

Yes, the swelling in her face, hands, and legs could be related to Meftal Forte (which contains mefenamic acid). Medications in this class can sometimes cause fluid retention, especially in individuals with high blood pressure, thyroid issues, or diabetes. It is best to contact her primary care physician or a nephrologist (kidney specialist) promptly. They can safely evaluate her symptoms, check her kidney function, and adjust her treatments. Please seek medical advice before stopping or changing any of her prescribed medications.

It is very important to have him evaluated by a pediatrician immediately. While Meftal P (mefenamic acid) temporarily reduces his temperature, a prolonged fever requires a professional medical examination to identify and treat the underlying cause. Please do not give further doses without medical advice. For now, keep him comfortable, offer frequent feeds of breastmilk or formula to prevent dehydration, and dress him in cool, lightweight clothing. Please seek professional medical care right away.

When severe menstrual pain worsens during urination and bowel movements and no longer responds to mefenamic acid, it often suggests a condition like endometriosis, where tissue similar to the uterine lining grows on pelvic organs like the bladder or bowel. Other possibilities include adenomyosis or pelvic adhesions. Since your symptoms have changed and you have tenderness to the touch, I gently encourage you to schedule an appointment with your gynecologist. They can perform an ultrasound or pelvic MRI to find the exact cause.

Dizziness, mouth ulcers, and dry skin while taking Meftal Forte may indicate side effects or an underlying deficiency. Consult your doctor promptly to review your medication, adjust the dose if needed, and address these symptoms safely.