40/f c/o giddines only since 3 days.No h/o htn dm.Vitals normal.No gi symp .dxrx

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Dx Bhrama -Vertigo Rx Nasya-ksheerabala 101 Karnapurana-Bilwataila Gandusham-Arimedaditaila Tab Suryavarti ras 1 TID I have treated successfully with same feature where Betahistin and cinnarzine failed to control Through which multiple causative factors can be treated at a time.
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Likely a c/o vertigo Rx tab betahistamine 16mg tds Tab stemetil 5mg 1tds Cap rabeperazole-D 1bd before meals Review after one week Adv eyes checkup
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For me a female patient with such symptoms. R/o uti first. Do urine r/e n c/s. Ask for associated symptoms. Remember we don't just treat dizziness. But need to find out the underlying cause. Stemetil MD should b the drug of choice.
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Possibilities Vedtibulitis Cervical spondylitis or spondylitis AFB : cervical spine Tab promethazine bd Tab stage tone forte bd
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Vertigo ? BBPV Suggest ENT opinion Betahistin 16 mg TDS ,in reducing dosage for 2 weeks Domperidone for nausea
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Giddines with no GI symptoms are not labrynthine pathilogy. Pathology in CVS, CNS, endocrine or haematology
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Once check hb
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