A 40 years old woman was admitted in the hospital
with complaints of:
Increased appetite and increased frequency of
defecation since 3 months.
Difficulty in swallowing since 1 month.
C/O increased appetite associated with increased
frequency of panning motion, with slight abdominal
c/o of difficulty in swallowing both for solid as well
as liquid food.
c/o pain in the suprapubic region.
HISTORY OF PRESENT
k/c/o hyperthyroidism and on medication :
Developed thyroid swelling 3 months backs and
taking medication since 1 month.
HISTORY OF PREVIOUS
No relevant family history.
1 2 3 4 5
1 T.DICLO DICLOFENA
50mg BD Y
2 T.CIPLOX CIPROFLOX
500mg BD Y
3 T.RANTAC RANITIDINE 150mg BD Y Y Y Y Y
BD Y Y Y Y Y
10mg BD Y Y Y Y Y
6 T.INDERAL PROPANAL
10mg BD Y Y
7 T.LOMOTIL DIPHENOXY
5mg stat Y
The objectives of management are
Eliminate the excess thyroid hormone and minimize
the symptoms and long term consequences of
Drink 6 to 8 glasses of liquids each day.
Follow your diet, medication, and exercise routines very
Do not use more than the recommended dose of
diphenoxylate, and avoid activities requiring mental
alertness such as driving or operating hazardous
Limit the use of salt intake.
Eat foods high in protein and calories to prevent weight
Do not take ciprofloxacin with dairy products such
as milk or yogurt, or with calcium-fortified foods
(e.g., cereal, juice). But may eat or drink dairy
products or calcium-fortified foods with a regular
meal, but do not use them alone when taking
You should take Inderal at the same time each day,
preferably with or immediately following meals
Inderal can cause nausea, vomiting, anxiety,
insomnia and light headiness. It also prolong
gestation and labor during pregnancy.
Diclofenac can cause epigastric pain, nausea,
Lomotil may cause drowsiness, headache, loss of
appetite ,headache and tiredness.
Carbimazole can cause rashes, pruritus, neutropenia
Inderal (propranolol), Ranitidine
Using diclofenac together with ciprofloxacin may
increase the effects of ciprofloxacin.
Inderal (propranolol), diclofenac
If you use propranolol for the treatment of high blood
pressure, talk to your doctor before using it together with
No drug therapy has given for diarrhoea in the first