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46 yrs old mother of two having hypothyroidism and type2 diabetes mellitus, periods painful lot of bloating during periods also anxiety , hot flushes etc. now suffering from TINNITIS ANDVERTIGO MODERATE NECK PAIN BAND LIKE HEADACHE FOREHEAD ,BP within limit , blood sugar controlled with oral METFORMIN and insulin 16 units per day. Other tests r within limit Please advice treatment

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First of all take gynaecological opinion to rule out any D

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First of all take gynaecological opinion to rule out any DUB then look for anaemia and if correct anaemia investigations - routine labs , USG Abdo pelvis, and asper advised by gynaecology department treatment - admit in hospital, treat symptomatically with tab. meftal , imperial antibiotics I/V/o assuming to having pelvic inflammatory syndrome or UTI give imperial course anti parasitic , appropriate hydration, nutritional supplementation, supportive care and strict hygiene of genital and urinary are..

First of all take gynaecological opinion to rule out any D

Rect pit Suger seda ke liye ok acid

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