instruction: hello doctor I am 50 years old I have a fibroid problem for the last two years this month after periods I have severe abdominal pain and fever also I am suffering for the past two days and I manage the pain with combiflam please tell me how much doses I want to take a day and how long can I take it
output: hello you can take combiflam ibuprofen tablets after food maximum up to three times a day but however I would like to point out that the fever and pain may not be because of your fibroid problem because you have been diagnosed with the problem long back we have to find the cause for the same without knowing the cause for fever it is not advisable to take combiflam preferably please take paracetamol or doll 650 my for fever one possibility is degenerative changes in the fibroids which can get secondarily infected and cause pain and fever or sometimes a reproductive tract infection or most commonly it can be even because of urinary tract infection so I would like to know if you are experiencing any pain or burning while passing urine or if there is any increased frequency of passing urine if yes please get a urine test for routine microscope and culture sensitivity to look for the infection we may have to start antibiotics because you are having a fever too please revert back to me with the necessary details to look for the cause of the fever urine routine and microscope urine culture and sensitivity ultrasound abdomen and pelvis fever evaluation recommended drink plenty of water and fluids at least three to four liters per day syearup citralka two tablespoons thrice daily in half glass water for three days in case of any burning while passing urine