Since your blood pressure and blood sugar are normal, a very likely cause is your new medication, Normaxin RT. It contains active ingredients, including chlordiazepoxide for anxiety, which commonly cause mild drowsiness or lightheadedness as your body adjusts. Prolonged screen time can also sometimes compound this sensation. Please be reassured that this is a common and manageable side effect. I highly recommend consulting your prescribing doctor, who can easily adjust the dosage or timing to help you feel much better during work hours.

Both Buscopan (hyoscine butylbromide) and Normaxin (clidinium and chlordiazepoxide) help relieve abdominal spasms, but they work differently. Buscopan is a targeted antispasmodic, making it excellent for quick relief of general, acute stomach cramps. Normaxin contains an antispasmodic combined with a mild sedative, making it better suited for cramps triggered by stress or Irritable Bowel Syndrome (IBS). For simple, direct cramp relief, Buscopan is often the preferred starting choice. Please consult a doctor to determine which medication safely aligns with your specific symptoms.

While her medications, Normaxin (chlordiazepoxide and clidinium) and Rinifol, do not directly interfere with the COVID-19 vaccine, it is highly recommended to temporarily postpone her appointment. Because she is currently feeling weak and has a slightly low blood pressure of 102/76, her body needs rest to fully recover from her stomach issues. Waiting until she is feeling stronger will also help avoid confusing any vaccine side effects with her current symptoms. Please consult her doctor before rescheduling once she recovers.

It is highly reassuring that your heart tests and X-rays are completely normal. Your chest pain, especially when bending over, waking up, or eating, is very typical of a stomach-related issue like acid reflux (GERD) or esophageal spasms, rather than a heart condition. Bending and eating increase abdominal pressure, which can push acid upward, aligned with why you are taking Razl, Sucraloc, and Normaxin. A mild chest wall muscle strain is also a strong possibility. Please continue your prescribed medications, eat smaller meals, avoid lying down right after eating, and discuss these triggers with your doctor to optimize your treatment.

Since her severe chest and stomach pain and nausea after eating have not improved with Normaxin-RT, she needs a prompt evaluation. These symptoms could indicate that her hernia is causing an obstruction or severe acid reflux. I highly recommend consulting a General Surgeon or a Gastroenterologist as soon as possible for proper imaging and assessment. If her pain worsens significantly, or if she cannot keep any fluids down, please seek emergency medical care immediately.

Since Normaxin (chlordiazepoxide/clidinium) is not helping, pain and numbness in your upper right belly worsened by sitting may point to a musculoskeletal or nerve issue, like intercostal nerve irritation, rather than an internal organ problem. Sitting can compress these nerves, especially after eating. Since you are taking Nexito Plus (escitalopram/clonazepam), managing anxiety is key, as stress can amplify nerve sensations. I suggest discussing a physical rib exam or nerve evaluation with your doctor.