How can I help my elderly mother with her multiple health issues? - #49536
My mother, Mrs. Lakshmi Mitra is 75 years old. Comorbidities : HTN, DM - typ II, Liver Cirrhosis Grd iii, Asthma, Hypothyroidism, Spondylolisthesis S4/S5...grd ii/iii., Cataract, Binswanger synd, Insomnia,History of Psoriasis between year 2020 to 2023 which is now cured.Recurrent UTI ( almost 4 to 6 times in ayear, since last 3 or 4 yrs), A polypoid growth near the external orifice of anal canal about 1 cm in diameter and not painful. Reduced bladder and rectal control. current medication : 1. Udiliv 300...bd 2. Telma AM 40/5...bd 3. Corbis 5....od 4. Torsemide 5 n Spironolactone 25 5. Montek LC... Od 6. Mucinac 600...od 7. Sompraz 40...morning 8. Thyronorm 125....od 9. Solifenacin 5 mg... Od 10. Escitalopram 5 mg... Od 11. lorazepam 2 mg... Odhs 12. Foracort 400 and Levolin inhalers. 13. Reclimet XR in morning. 14. Sitaglix mxr 100/1000... Night. I give her Dabur's Hepano or Liv 52 Hs, Alternately. With this her liver fibrosis scores have improved. Also arjuna tablet 250 mg once a day and garlic tablet. For diabetes i hv tried Dabur'sGlycodab or Jiva's Diatrin. They help in addition to allopathic medicines. Her appetite is OK. But recurrent UTI troubles her. Her total hysterectomy was done in 1992. She has Insomnia, so sleep is erratic. Mostly stays at home with limited mobility n light work. Of late she has become forgetful n irritable. Her bowel movements r also erratic and gastroenterologist lately said that she has IBS too. She gets symptomatic treatment for pain n diarrhoea during aggravation of IBS. She often complains of back ache. Her LFT reports 2months back has SGOTas 37, SGPT 61, GGTP 115, FBS 115, PP 178, HbA1c : 6.3,Hb 11.4. Other parameters normal. Last 2 years, she had two attacks of pneumonia and asthma necessitating hospitalization. At times she doesn't feel like eating n skips meal, although she will have atleast one meal along with a late breakfast. Please advise how to enhance her immunity, tackle pain in right abdomen due to cirrhosis n recurrent UTI. If possible also how to induce early sleep. She doesn't go out n has minimal social life. Her Entertainment involves watching tv n phone( you tube). Thanks n regards : Dr. S K Mitra, MDS. Orthodontist in Kolkata.
How often does your mother experience symptoms related to her recurrent UTIs?:
- Less than once a monthHow would you describe her pain in the right abdomen?:
- Intermittent with flare-upsWhat does her typical daily diet look like?:
- Balanced meals with fruits and vegetables

Doctors' responses
Tq Dr. S.K. mitra for clear description, As your mother is already on so much medication, first priority will be from mine side on immunity, uti, sleep - - continue the treatment as prescribed earlier - add on - 1) Brahmi Vati – 2 tablets at night - Supports sleep, mental calmness, and memory. 2. Varunadi Kashaya – 15 ml after meals twice daily with water - Monitor for mild GI upset. 3. Ashwagandha Capsule 500 mg at night with milk -Supports immunity, stress relief, and mild fatigue. 4) wash vaginal area 2-3 times with Luke warm trifla decoction to get relief from uti , 4 days continuously then alternate for 3-4 days, don’t use any peesafe or other vaginal wash. —Continue her allopathic medicines without interruption, but review liver function occasionally due to Ashwagandha and Varunadi, rest follow the same treatment, if any problem occurs after these medicines,then monitor and plz consult .

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