It is very common for COVID-19 to cause severe throat inflammation, which can make swallowing painful and cause referred pain in your brother's left ear. The feeling of something being stuck can happen due to intense swelling or if medications like cefuroxime (Ceftum) or nimesulide (Nise) slightly irritated his food pipe. Please reassure him that this is a recognized pattern. Taking his medications with plenty of water and sipping warm liquids can help. However, since swallowing liquids is extremely difficult, please consult his doctor promptly to ensure he stays hydrated and to see if his treatment needs adjusting.

It is safe for you to get a COVID-19 vaccine, as they do not contain paracetamol. You can safely receive any approved vaccine. To check for other allergies, you can review the vaccine's ingredient list?specifically looking for components like polyethylene glycol?with an allergist. If you develop a fever after the shot, NISE (nimesulide) can be used as an alternative to paracetamol, provided you have no contraindications to non-steroidal anti-inflammatory drugs. Please consult your doctor before taking NISE to ensure it is completely safe for your personal health profile.

Since it hasn't responded to nimesulide or stretching, the pain might stem from conditions like Achilles tendinopathy, a chronic ligament strain, or plantar fasciitis, which commonly causes pain upon waking. Sometimes, deep pressure can actually irritate these sensitive tissues further. I highly recommend seeing an orthopedic specialist. They can evaluate your ankle and may suggest an imaging study, like an ultrasound or MRI, to pinpoint the exact cause and guide you toward a safe, effective recovery plan.

Hello. I completely understand how frustrating these chronic headaches and eye twitching must be, especially with your demanding work as a software engineer. Yes, consulting a neurologist is a very wise and proactive step. Your triggers, like prolonged screen time and sun exposure, along with symptoms like head heaviness, suggest migraines or eye-strain-induced tension headaches. A neurologist can provide an accurate diagnosis and create a personalized plan to help you find relief. In the meantime, try taking regular screen breaks and wearing polarized sunglasses outdoors.

Yes, it is safe and highly recommended for him to get vaccinated in August, as he has recovered. His diabetes and past infection make protection even more important. Fortunately, COVID-19 vaccines do not contain ciprofloxacin, doxycycline, paracetamol, ofloxacin, or sulpha, making them safe despite his allergies. Since he is allergic to paracetamol, he can manage mild post-vaccine fever with nimesulide (Nise), provided his doctor approves. Please consult his physician to choose the best locally available vaccine and ensure he is monitored briefly after his shot for safety.

Your symptoms of recurring fever, chills, sweating, and joint pain suggest an underlying infection such as malaria, dengue, chikungunya, or a bacterial illness. Nise (nimesulide) only temporarily masks the pain and fever but will not cure the underlying cause. Self-medicating with stronger drugs is unsafe and can be harmful. I strongly advise you to consult a healthcare professional immediately. You need diagnostic blood tests (like a complete blood count, malaria, or dengue test) to identify the specific cause. Once diagnosed, a doctor will prescribe the appropriate targeted treatment, such as antibiotics or antimalarials. Please stay well-hydrated and rest until you see a doctor.