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Medicated Throat Lozenges

Sorepills are used to treat the conditions sore throat.

Uses :

  • Relieves cough
  • Relieves Sore throat
  • Freshens the mouth

Directions :

  • Adults and Children over 6 years.
  • One lozenge to be dissolved in mouth every 2 to 3 hours to relief cough and sore throat.
  • If symptoms persists consult your doctor.

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Kegel Exercises - Self Care

Kegel exercise

Kegel exercises are also called Pelvic muscle strengthening exercises or Pelivic floor exercises. Kegel exercises make the pelivic floor muscle stronger. Pelivic floor muscles are locate at under the uterus, bladder and bowel ( large intestine ). 

Importance of Kegel exercises : 

Kegel exercise are both helpfull for men and women. Many factors weaken the pelivic muscles.

Women :

  • After pregnancy and childbirth 
  • After gynecologic surgery ( C section or hysterectomy )
  • Aging
  • Weight gain.

Men :

  • Aging
  • Weight gain
  • After prostate surgery ( men )
  • People who have brain and nerve disorders may also have problems with the urine lekage or bowel control.

How to do Kegel Exercises : 

Kegel exercises to be perform 3 times a day
Before performance of Kegel execises make bladder empty.
Sit or lie down position.

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Acute Otitis Media ( Middle Ear Pain, Infection ) : Causes, Symptoms, Diagnosis, Treatment, Risk Factors

Acute Otitis Media ( AOM ) - Ear Pain

Acute Otitis Media ( AOM ) or Middle Ear disorder or Ear Pain characterized by Moderate to severe onset middle ear  sever pain, Ear effusion, Physical evidence of the middle ear inflammation.

Causes :

Childhood bacterial infection
Sinus Infection
Sore throat
Respiratory Infections.

Symptoms :

  • Ear pain ( Less than 48 hours )
  • Swelling
  • Edema
  • Pus Discharge form ear
  • Redness
  • Fever
  • Irritability
  • Bulging of tympanic membrane

Risk Factors :

Age : Younger
Upper respiratory tract infections
Family history of recurrent acute otitis media
Exposure to environmental smoke
Respiratory Irritants
No breast feeding
Pacifier use
Craniofacial abnormalities
Gastroesophageal reflux

Diagnosis :

1) Physical Examination : Using otoscopy visualized the ear parts.
2) Symptomatology : Without otoscopic findings of inflammation.
3) Investigations :
     Most cases can be diagnosed clinically. Such as
  • FBC
  • CRP
  • Blood Culture  and Fluid culture : If any discharge present and if any signs of sepsis. Fluid culture has to be taken before starting Antibiotic Therapy


Diagnosis established by physical examination findings and presence of symptoms

Antibiotic Therapy :

First line Antiboitics
Initially firsit line antibiotics to be start with high dose.

1. Tab : Amoxycilin 625mg
Adult Dose : 625 mg in two times per day for 3 days or 5 days or 7 days or 10 days
Note : Before taking check for allergies.

2. If symptoms not cured after 3 days of treatment administer ceftriaxone, clindamycin, tympanocentesis

Children Dose : 90 mg per kg ay in two divided doses. It is the first choice for initial antibiotic therapy in Children with AOM.

Second line Antiboitics Therapy

2. Ciprofloxocin Ear Drops
Dosage : Ciprofloxocin Ear drops 3 times or 4 times per day
Note : Before taking check who are allergic to pencillin.

Pain Management :

Adequate analgesia. Use NSAIDs
Analgesics are recommended for symptoms of ear pain, fever and irritability. Analgesics are particularly important at bedtime ( Due to pain disrupted to sleeping pattern )
1. Acetaminophen
2. Ibuprofen
1. Ketrol DT
2. Paracetamol

Note : Check for Kidney disease

Swelling :

1. Dexamethasone ear drops

Procedure : 

Ear Irrigation : Ear irrigation is a procedure to clear the fluids of inner ear. It is performed by the physician.

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Difference between Cetrazine and Levocetrazine

Difference between Cetrazine and Levocetrazine

Cetrazine and Levocetrazine both are Antihistamine Drugs also called Antiallergic Drugs. These drugs are used to relive the allergic symtoms such as watery eyes, runny nose, Itching nose and eyes, sneezing, hives. These drugs works blocking by certain natural substance ( histamine ) that the body makes during an allergic reaction.

Levocetrazine is less sedative than Cetrazine. 5mg of Levocetrazine dose is equal to 10mg of cetrazine. These medications are to be taken during night hours before sleeping to work effectively.