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Your ongoing mild fever and morning loose stools, especially after taking azithromycin, could be due to a disruption in your gut's healthy bacteria (gut dysbiosis) caused by the antibiotic, or a persistent mild gut infection. Sometimes, medications like Meftal Forte can also irritate the stomach. Since these symptoms have lasted 15 days, it is important to stay well-hydrated with oral rehydration solutions. I highly recommend consulting a doctor for simple blood and stool tests to find the exact cause and guide proper recovery.

While these medicines aim to treat infection (Azithral/azithromycin), acidity (Rabemac/rabeprazole), constipation (Cremaffin), and spasms (Meftal-spas), we must be very careful. Meftal-spas contains an anti-inflammatory pain reliever that can sometimes put extra strain on a swollen kidney. Given her burning urination, weight loss, and kidney swelling, it is crucial to have a pediatric specialist review this prescription. Please consult her doctor or a pediatric nephrologist as soon as possible to ensure these medications?especially the pain reliever?are entirely safe for her kidneys.

Since post-vaccine side effects typically resolve within two to three days, his ongoing symptoms could indicate a coincidental viral infection. While Meftal 250 DT (mefenamic acid) can reduce fever, it is a pediatric strength and may not be the most effective or appropriate choice for an adult. Paracetamol is generally preferred and safer for managing adult fevers. Please ensure he rests and stays well-hydrated. I highly recommend consulting a doctor for a proper evaluation and to discuss if a PCR test is needed to rule out other infections.

It is not recommended to substitute Meftal-Spas for Meftal-P. While Meftal-P contains mefenamic acid to help ease fever and sore throat, Meftal-Spas contains an additional active medicine called dicyclomine, which is specifically meant to treat stomach muscle spasms. Taking Meftal-Spas for a cold is not effective and can cause unnecessary side effects like dry mouth, drowsiness, blurred vision, or dizziness. For your cold and fever, a simple, direct medication like generic paracetamol is much safer and more effective.

It is not intended specifically for joint pain. However, it may offer short-term relief because of its pain-relieving and anti-inflammatory effects. Still, joint pain often requires proper medical assessment to identify the cause and choose the most suitable treatment, so it is better to consult a doctor for accurate guidance and safe long-term management.