While her liver enzyme (SGPT 43) is only mildly elevated, making a temporary dose of Myospaz (paracetamol and chlorzoxazone) relatively safe for her liver, her osteoporosis warrants caution. Myospaz can cause drowsiness or dizziness, which increases the risk of falls in individuals with weak bones. Additionally, her elevated CRP (35) indicates active inflammation that needs a proper medical evaluation. To keep her safe, it is best to avoid Myospaz for now. Try using a warm compress on her back for temporary relief until you can consult her doctor for a safer pain management plan.

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 the probiotic (Floristore) and antispasmodic (Normaxin) have not provided relief after three days, it is very important to consult a healthcare professional. Please note that if this is for an infant, Normaxin is not safe and must be stopped immediately; you should seek urgent pediatric care. If this is for an adult, a doctor can help determine the underlying cause and adjust the treatment plan. In the meantime, please focus on staying well-hydrated with oral rehydration solutions and eating small, bland meals.

Since you are taking Ganaton Total, Gaviscon, and Normaxin RT for stomach issues, these symptoms might be due to acid reflux irritating your throat or dryness, which can be a side effect of medications like Normaxin RT. To find relief, try sipping warm water, doing warm salt-water gargles, and eating soft, non-spicy foods. Ensure you take Gaviscon after meals as directed to help coat your esophagus. Because you have difficulty swallowing, please consult your doctor promptly to ensure your treatment plan is safely evaluated and adjusted.

It is best to be cautious when combining Normaxin (which contains chlordiazepoxide and clidinium) with Ayurvedic remedies. Because Ayurvedic herbs contain active ingredients that can interact unpredictably with prescription medications, combining them might cause side effects like increased drowsiness, dry mouth, or digestive upset. To keep you safe and comfortable, I highly recommend sharing the exact ingredients of your Ayurvedic medicine with your doctor before taking them together. If your doctor approves, spacing them at least two hours apart can help prevent interactions.