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Not willing to eat rice
My father takes medication losar h,vinglyn 50,glyciphage Sr 500 and petril md 0.5 mg everyday.Now arises head reeling while walking,not willing to eat rice or bread more.Bowel movement not clear.Please give medicine.
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This needs evaluation by endoscopy and few blood test. Please consult near by doctor who is DM Gastro
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Poor appetite
Taking bp.medicine, diabetic medicine is cause of reeling. Consult superspecialist treating doctor.
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Your father is taking:
• Losar-H (Losartan + Hydrochlorothiazide) → for BP
• Vinglyn 50 (likely Vildagliptin) → for diabetes
• Glyciphage SR 500 (Metformin) → for diabetes
• Petril MD 0.5 mg (Clonazepam) → for anxiety/sleep
Now he has:
• Head reeling while walking (giddiness)
• Poor appetite (avoiding rice/bread)
• Incomplete bowel movement
Most likely causes:
Next Steps
Step 1: Check Immediately
✔ Measure BP (sitting and standing)
✔ Check blood sugar (fasting and random)
If:
• BP
Health Tips
✔ Elderly patients are sensitive to BP medicines
✔ If appetite reduced, diabetic medicines may need adjustment
✔ Avoid giving additional medicines without checking BP and sugar
✔ Monitor daily readings for 3–5 days
Most likely cause is either low BP or low sodium due to Losar-H, especially if he is eating less.
This requires careful medication review rather than adding new drugs.
Because multiple medications are involved and dizziness in elderly can become serious quickly, I strongly recommend booking an online consultation so we can review his BP readings, sugar values, and labs in detail and adjust his medicines safely.
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He may be having postural hypotension,i.e. fall of b.p. on standing. Get b.p. checked in sitting and standing position. In that case use of losar h has to be reviewed.
Can be due to salt deficiency, get serum electrolytes checked.
Low sugar, can also cause it, so feed him something sweet for a day or 2 on experiencing this problem and see the response.
No need to eat rice or bread. If he does not like it.
He can drink hot water before sleeping, take tab dulcolax 5mg one after dinner for a week.
Taking more of green, leafy vegetables in diet.
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Your father age,drug history, time history is important. Consult me for further management.
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Can you please provide more details about the patient. Age , and other routine tests if any done
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Dr. Kamal Kumar
General Physician
7 yrs exp
Rewari
Dear Patient,
Your father is experiencing dizziness while walking, reduced appetite, and irregular bowel movements while on multiple medications for hypertension and diabetes. These symptoms may be related to blood pressure fluctuations, medication side effects, or digestive disturbances, and need careful evaluation.
What you should do
- Monitor blood pressure and blood sugar at home regularly
- Ensure adequate hydration and small frequent meals
- Avoid sudden standing to reduce dizziness
- Maintain fiber intake (fruits, vegetables, whole grains) to improve bowel movements
-
Consult me urgently
Review all medications with his me to check for side effects or dose adjustment
- Persistent dizziness or fainting
- Severe loss of appetite or sudden weight loss
- Blood in stool, vomiting, or severe abdominal pain
- Any worsening of blood pressure or sugar levels
For further guidance and personalized treatment you may consult me on Practo anytime.
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
It's due to postural hypertension
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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