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Undergone C-section, breast feeding, having low back pain and headache. Medication? - Online Doctor Chats

Date : 04-Sep-2013
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1218 Questions
User:hello doctor
User:hi dr..
User:am here behalf of my wife's condition...
Doctor:Please go ahead with your query
User:my wife is 27, mother of a 5-month-old baby boy, via c-section, now breastfeeding.. now a days she is suffering with frequent low back pain and headaches..
User:she is housewife, and only person to take care of all the things, feeling very stressful work
User:how to get rid of back pain doctor..
Doctor:It depends on the cause of the pain
Doctor:Is the pain happening because of the work?
Doctor:She can try breast-feeding in the lying down position
Doctor:It may help her take some rest
User:i think so dr, for the C-section she has given spinal anesthesia, because of work she is feeling pain.
Doctor:Is the pain happening at the site of needle for aneasthesia?
User:she do'nt remember dr, exactly where the position of anesthesia given, but i am sure that is the place..
Doctor:If that is the cause then usually it goes in some time, especially after the hormones start becoming normal
Doctor:Till then some discomfort will be there
User:s s dr.
Doctor:She can try pain-killers like brufen for bad pain
User:still how many days or months dr for hormones to be normal
Doctor:After six months of delivery things start getting normal
Doctor:Total normalcy is after stopping breast-feeding
Doctor:But I do not want to discourage breast-feeding
User:ok dr..
Doctor:Instead she can do it while lying next to the baby
Doctor:Sometimes the pain may even persist after hormones are normal
Doctor:Therefore adequate vitamin replacement is also necessary
User:in which way dr..
Doctor:While she is breast-feeding, she may take a multivitamin
User:plz suggest some medications dr.
User:and dr, sometimes soon after finishing breastfeeding, baby is vomiting some milk
Doctor:That is a sign of either over-feeding or baby is not being burped
Doctor:But its nothing to worry
Doctor:About medicine, she can take brufen 200mg whenever she has pain
Doctor:It is safe for breastfed baby as well
User:ok ok
User:is shelcal 400 mg calcium safe to use daily once dr?
Doctor:Since medicines may pass from mother to baby, she should avoid unnecessary medication
Doctor:Yes it is safe
Doctor:shelcal is safe
User:so shelcal daily once and brufen as needed for pain.. ok na dr..
Doctor:Also dexorange or becosule one tab daily
User:plz give a clear note dr..
Doctor:Dexorange if she is anemic other becosule
Doctor:one tablet daily as a multivitamin tablet
Doctor:Shelcal one tablet
Doctor:Brufen 200 mg as needed but not exceding 2 -3 times a day
Doctor:For how long has she been taking shelcal?
User:just one day dr.
Doctor:She just started taking it
User:s dr..
Doctor:In that case she can take it
User:ok, dosage of dexorange?
Doctor:Since taking excess of calcium (shelcal) for prolonged periods is not recommended as well
Doctor:1 tablet or 1 tablespoon daily
User:for one month daily once , is this ok dr.
Doctor:As long as she is breast-feeding
User:dosage of dexorange dr?
Doctor:dexorange 1 tablet or 1 tablespoon daily as long as she is breast-feeding
Doctor:Since dexorange is available in tablet and syrup form
User:ok ok, so shelcal, dexorange, once daily and brufen whenever necessary for pain, right dr?
Doctor:Do have any question here?
Doctor:Are you there?
User:and dr, her periods are not regular.. before pregnant she had her periods regular, for every 28 days, but for the past one month, she is bleeding dr. .
User:s dr.
User:is anything worrisome dr
Doctor:Usually periods do not start until breastfeeding is stopped
Doctor:It is worrisome if she has been bleeding for one month
Doctor:She should get an ultrasound done
User:oh.. ok ok, but twice or thrice she had bled continuously for 3 or 4 days, not more than that, it stopped
Doctor:Yes that is normal
User:so no need for ultrasound scan na dr?
Doctor:Not really
User:dr, after post c-section, how long the uterus takes to set its normal position..
Doctor:Usually it becomes totally normal after breastfeeding is stopped
User:food to increase breast-feed dr?
Doctor:But most of the bulkiness of the uterus is lost in first month
Doctor:High calorie diet is recommended
Doctor:Like milk products that is cheese, butter, ghee, cookies, cakes, icecreams etc
User:and dr for headaches..
User:it is quite different dr..
Doctor:Headaches seem to be due to spinal anesthesia
Doctor:It can be due to stress and sleepless nights as well
Doctor:So the treatment is same as for back pain
User:mostly whenever she feels depressed, she gets headache dr, she takes a small nap and then she forgets me dr, she cant recognize me dr, for that i have to remind her, show her some mirage pics ect, this is going on since more than 1-1/5 year dr..
User:headache is right at the temporal slowly radiates on top the head..
Doctor:Any other symptoms along with headache?
User:no dr..
User:before one year, only one time she forgot me for 4 days dr, only i was handling all the things..
Doctor:Has some investigations done for it?
User:not yet dr
User:is this psychiatric problem or need to go to a neurologist..
Doctor:It does not seem to be psychiatric
Doctor:It seems to be headache and amnesia
User:ok thank god..!
Doctor:Related to some neurological cause
User:can u plz suggest a good neurologist in the city dr?
Doctor:Where are you located?
User:Hyderabad, Ramanthapur
Doctor:I am not aware of doctors there
Doctor:Our customer care team can help you with it
Doctor:I will tell them and they will give you a call
User:ok sure dr, i will be waiting for a call..
User:where r u from dr, i mean in which hospital..?
Doctor:I am located in Bangalore
Doctor:I am working for XXXXXXX
User:ok thanks for u r precious time dr.. GN. i will waiting for a call dr.. plz help me out
Doctor:Lets see what can be done
Doctor:You can also search for doctors in your area at
User:s dr sure.. thanks once again dr..
Doctor:Thanks for consulting me
Doctor:I have informed customer care team
Doctor:They will call you soon
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