For long-term management of recurrent tonsillitis, consulting an ear, nose, and throat specialist is the best step to discuss supportive care or potential removal of the tonsils. Regarding your current medications, pantoprazole is safe and will not interfere with your throat healing. Recovery supplements are generally helpful for rebuilding your immune system, but it is wise to have a doctor review them to ensure they do not cause stomach irritation. Rest well, keep up with warm salt-water gargles, and please consult your doctor to guide your recovery safely.

Since PPIs and H2 blockers haven't helped, and your symptoms specifically flare up with wheat but not rice, this suggests a couple of possibilities. It could be Eosinophilic Esophagitis (EoE)?an allergic response in the food pipe often triggered by wheat?or a specific wheat allergy or celiac disease. I highly recommend discussing these possibilities with a gastroenterologist or allergist. They may suggest an endoscopy or allergy testing to find the exact cause and help you feel much better.

To safely taper off long-term pantoprazole (Pantocid 40) and avoid rebound acidity, a gradual reduction is best. Instead of stopping abruptly, your doctor may suggest taking it every other day for two weeks, then every third day for another two weeks before stopping. If you experience mild breakthrough reflux during this transition, temporary use of over-the-counter antacids or H2 blockers can help. Lifestyle adjustments, like eating smaller meals and avoiding lying down after eating, also support this transition.

The remaining antibiotic tablets (amoxicillin and clarithromycin) are best taken shortly after your meals to prevent stomach upset. The persistent bitter taste is a very common, harmless side effect of the clarithromycin in the kit, and it will go away once you finish the course. To help manage this, try staying well-hydrated, chewing sugar-free gum, or sucking on citrus-flavored hard candies.

Colospa (mebeverine) is an antispasmodic primarily used to relieve bowel cramps and bloating; it may not effectively target your stomach burning, nausea, or hunger sensations. Since these symptoms began after starting Pantocid (pantoprazole), they could be a reaction to the medication or show that your acid levels need different management. I gently advise consulting your prescribing doctor before taking mebeverine. They can safely adjust your pantoprazole or suggest a more suitable remedy to help you feel better soon.

Since your tests for malaria and dengue are normal, the shivering and fever spikes might be due to an atypical viral infection, a localized infection, or a bacterial strain not fully responding to Macpod 200 (cefpodoxime). Dolo 650 (paracetamol) temporarily lowers your temperature, but as it wears off, the fever returns. Pantocid (pantoprazole) helps protect your stomach. Because this has lasted 10 days, please consult your doctor again. They may suggest further tests, like a urine culture or typhoid test, to find the exact cause and help you recover sooner.