Since metoclopramide (Perinorm) and the herbal ingredients in Lactoma granules haven't increased your supply yet, I highly recommend consulting a lactation consultant or your doctor. They can evaluate your baby's latch and feeding technique, which are the most critical factors for stimulating milk production. Try to nurse or pump frequently (every 2?3 hours), maintain skin-to-skin contact, and stay well-hydrated. Your doctor can also check for any underlying hormonal reasons and advise you on the safe continuation or adjustment of metoclopramide.

For your acute vomiting and bloating, a prokinetic antiemetic like metoclopramide or domperidone can help control nausea and improve gut motility. To address the indigestion and chronic acid issues, a proton pump inhibitor like omeprazole can reduce stomach acid. Please prioritize staying hydrated with oral rehydration salts. Since you have been vomiting for four days alongside chronic gastric symptoms, it is highly recommended to see a doctor for a proper evaluation and personalized prescription. Avoid self-medicating long-term. Seek immediate medical care if you experience severe abdominal pain, high fever, or cannot keep fluids down.

To prevent vomiting during travel, medicines like metoclopramide or ondansetron may help, but take them only after consulting a doctor. Eating light snacks, staying hydrated, and sitting upright can also help reduce nausea.

Gastroparesis is usually treated with medications that help stomach emptying, such as metoclopramide or domperidone. Your doctor will prescribe the right medication based on your symptoms and health condition.

Shatavari is a traditional herb often used to support lactation and is generally considered safe for breastfeeding mothers. While some women find it very helpful, scientific evidence on its effectiveness is still limited. Before starting any new supplement, I highly recommend consulting your doctor or a lactation consultant. They can help address why your supply decreased after stopping metoclopramide and ensure you and your baby get the best, safest support.

Recovering from a severe illness, bronchitis, and treatments like Torbac (tobramycin) and Perinorm (metoclopramide) takes time, especially for a 70-year-old. A small, undrainable fluid buildup often resolves safely with the discharge medication she was given. However, your peace of mind is vital. If she has difficulty breathing, chest pain, a worsening fever, or if you simply feel uneasy, seeking a second opinion or contacting her primary care doctor right away is a very reasonable and safe step. Please monitor her closely as she rests.