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.

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 pantoprazole, digestive enzymes, and probiotics haven't provided relief, the issue might stem from how your system processes certain healthy carbohydrates, known as FODMAPs. Sometimes, even nutritious foods ferment easily in the gut. Other possibilities include Small Intestinal Bacterial Overgrowth (SIBO) or swallowing air during active workouts. I recommend keeping a detailed food and symptom diary. Please consult your healthcare provider to discuss a breath test or a guided low-FODMAP diet to help you find comfort.

Yes, you can safely eat both chapatis and rice, as they are low in fat and gentle on your pancreas. Just ensure they are prepared completely oil-free, without any ghee or butter. Well-cooked, plain white rice is especially easy to digest. Your medications?Pantocid 40 (pantoprazole) to manage acid, Creon 10000 (pancreatic enzymes) taken with your food to help digest it, and Lactihep syrup (lactulose) to keep your bowels smooth?will greatly support your recovery. Eat small, frequent meals and stay hydrated.

Your prescriptions?Elegant Forte (amitriptyline/chlordiazepoxide), Provonol (propranolol), Tapfree (tapentadol), and Pantocid (pantoprazole)?do not typically interact with vaccines or reduce their effectiveness. These treatments for your blood pressure, stress, and stomach acid will not cause safety issues with vaccination. To ensure everything goes smoothly, please inform the vaccine administrator about all the medications you are taking. If you are feeling unwell or have a fever on the day of your vaccination, it is best to postpone it until you recover.

Getting an ECG is a very safe and excellent first step to check your heart. However, for chest pain, an in-person physical evaluation is highly recommended. Regarding your medications, Pantocid (pantoprazole) and Rantac (ranitidine) both reduce stomach acid, so taking both is usually unnecessary. Additionally, combining Numol MR with your Nexoto (escitalopram) requires caution, as it can increase the risk of stomach irritation. Please consult a doctor in person before starting these new medications.