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Hello, My Wife Is Having Tiredness Recently And Upon Consulting

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Posted on Fri, 7 Aug 2020
Question: hello, My wife is having tiredness recently and upon consulting with a doctor, i have given her 3 tablet course of azithromicin along with livogen for 15 days .The doctor asked to do blood test and in that the observations were the RBC width RDW SD recorded 69 along with MCV 114.Still she is having the same problem and doctor told to stop the livogen and take polybion czs . Can you please check and revert ?
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Follow up: Dr. Vasudha (0 minute later)
hello, My wife is having tiredness recently and upon consulting with a doctor, i have given her 3 tablet course of azithromicin along with livogen for 15 days .The doctor asked to do blood test and in that the observations were the RBC width RDW SD recorded 69 along with MCV 114.Still she is having the same problem and doctor told to stop the livogen and take polybion czs . Can you please check and revert ?
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Follow up: Dr. Vasudha (8 minutes later)
she is also having frequent bowel movements ie 4 times a day after starting this livogen. Still she have these both tiredness, & bowel movements along with headache. Please suggest.
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Follow up: Dr. Vasudha (0 minute later)
she is also having frequent bowel movements ie 4 times a day after starting this livogen. Still she have these both tiredness, & bowel movements along with headache. Please suggest.
doctor
Answered by Dr. Vasudha (7 hours later)
Brief Answer:
Detailed suggestion below.

Detailed Answer:
Hi Muralikrishna todimela,
Thanks for the query.I have read it&understood your problem.
In my view the basi cause of your wife's problem is her loose motions ...they can result in ...malabsorbtion of nutrients to cause iron,vitamins& protein deficiencies./intestinal infections or infestations/food allergies).resulting into her tiredness.
In this context she needs to get her motion problem investigated& treated.
Also affection of intestinal health causes destruction of Lactobacilli which produce vitamin B complex in our body...&this would cause problems in making of RBCs & anaemia thereafter.
*For actual physical examination, needful investigations&specific advise she should consult a physician.& a gastroenterologist /haematologistas per advise by the physician.
*She should take food light to digest,except for allergic food..
Drink lot of boiled water with ORS to avoid dehydration.
Continue with specific treatment with suppliments advised(may be injectable till her digestion improves.)
I hope that answers your query.Any follow up query is welcome.
Thanks.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Vasudha (0 minute later)
Brief Answer:
Detailed suggestion below.

Detailed Answer:
Hi Muralikrishna todimela,
Thanks for the query.I have read it&understood your problem.
In my view the basi cause of your wife's problem is her loose motions ...they can result in ...malabsorbtion of nutrients to cause iron,vitamins& protein deficiencies./intestinal infections or infestations/food allergies).resulting into her tiredness.
In this context she needs to get her motion problem investigated& treated.
Also affection of intestinal health causes destruction of Lactobacilli which produce vitamin B complex in our body...&this would cause problems in making of RBCs & anaemia thereafter.
*For actual physical examination, needful investigations&specific advise she should consult a physician.& a gastroenterologist /haematologistas per advise by the physician.
*She should take food light to digest,except for allergic food..
Drink lot of boiled water with ORS to avoid dehydration.
Continue with specific treatment with suppliments advised(may be injectable till her digestion improves.)
I hope that answers your query.Any follow up query is welcome.
Thanks.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Vasudha (31 minutes later)
This frequent bowel issue started after starting the livogen along with azithromicin.
Can I continue the present polybion cze?
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Follow up: Dr. Vasudha (0 minute later)
This frequent bowel issue started after starting the livogen along with azithromicin.
Can I continue the present polybion cze?
doctor
Answered by Dr. Vasudha (3 hours later)
Brief Answer:
Mild loose motion following Livogen can be helped with home care.Ploybion a

Detailed Answer:
Hi Muralikrishnatodimela,

Thanks for the follow upIf mild loose motions following query.
Livogen is known to cause loose motions as a side effect.If you are sure that it has started after the drug only...she need not go for stool testing to find out infective agent.
She should take rest.Eat low recidual&easily digestible food like rice with curd,buttermilk.lemon water, light tea with sufficient sugar.black coffee if she can take.
Boiled water & ORS should be continued.I would suggest to continue polybion after her motions are controlled.Till then she can be given few injections of vitamin B.Complex with her treating doctor's approval.
- If it's the side effect ...the motions would stop in a couple of days.
* In case of no relief/ symptoms aggravate..she should be taken to hospital for an I v drip of glucose saline with inj B12 in it.
* I insist to get her blood test for typing of anaemia done ,followed by needful corrective therapy.
Hope that helps. Any follow up query is welcome.
If you are satisfied with the answer, please grade the answer before closing the query.
Wishing your wife a fast recovery.
Thanks.

Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Vasudha (0 minute later)
Brief Answer:
Mild loose motion following Livogen can be helped with home care.Ploybion a

Detailed Answer:
Hi Muralikrishnatodimela,

Thanks for the follow upIf mild loose motions following query.
Livogen is known to cause loose motions as a side effect.If you are sure that it has started after the drug only...she need not go for stool testing to find out infective agent.
She should take rest.Eat low recidual&easily digestible food like rice with curd,buttermilk.lemon water, light tea with sufficient sugar.black coffee if she can take.
Boiled water & ORS should be continued.I would suggest to continue polybion after her motions are controlled.Till then she can be given few injections of vitamin B.Complex with her treating doctor's approval.
- If it's the side effect ...the motions would stop in a couple of days.
* In case of no relief/ symptoms aggravate..she should be taken to hospital for an I v drip of glucose saline with inj B12 in it.
* I insist to get her blood test for typing of anaemia done ,followed by needful corrective therapy.
Hope that helps. Any follow up query is welcome.
If you are satisfied with the answer, please grade the answer before closing the query.
Wishing your wife a fast recovery.
Thanks.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
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Dr. Vasudha

General & Family Physician

Practicing since :1970

Answered : 10398 Questions

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Hello, My Wife Is Having Tiredness Recently And Upon Consulting

hello, My wife is having tiredness recently and upon consulting with a doctor, i have given her 3 tablet course of azithromicin along with livogen for 15 days .The doctor asked to do blood test and in that the observations were the RBC width RDW SD recorded 69 along with MCV 114.Still she is having the same problem and doctor told to stop the livogen and take polybion czs . Can you please check and revert ?