I twisted my ankle 2.5 years ago with no fractures, but an MRI showed subtle marrow oedema in the talus and mild talo-calcaneal joint effusion. Since I still have persistent pain and am not currently on any medication, what medicines should I take to manage the pain and joint effusion?

For chronic pain and mild effusion from an old injury, short-term use of oral nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce both pain and joint swelling. Alternatively, applying a topical NSAID gel, such as diclofenac, directly to the ankle is highly effective with fewer side effects. For pain relief without anti-inflammatory action, paracetamol is a safe option. Since this has persisted for 2.5 years, medication should only be a temporary aid. I highly recommend consulting an orthopaedic specialist or physical therapist to evaluate if ankle instability is causing the ongoing oedema and to guide your recovery.

I have been experiencing abdominal pain for the last 12 hours due to my period. What medicine should I take to relieve the pain?

For period pain, over-the-counter NSAIDs (Nonsteroidal Anti-inflammatory Drugs) like Ibuprofen or Naproxen are highly effective because they target the prostaglandins causing uterine cramps. Please take them with food to avoid stomach upset. Alternatively, Acetaminophen can help if you cannot take NSAIDs. Applying a heating pad to your lower abdomen and staying hydrated will also provide significant relief. If your pain becomes severe, does not improve with medication, or is accompanied by unusually heavy bleeding, please consult a doctor for a personalized evaluation.