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?
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 Dolo 650 mg 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 microscopy 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 microscopy. 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). Syrup Citralka two tablespoons thrice daily in half glass water for three days in case of any burning while passing urine.