Dr. Ajeet Singh (General Practice) needs a second opinion on this medical case.
A 60 year old male is under treatment had reported with complaints of straining on defecation and feeling of incomplete evacuation
He is in a constant fear of loosing life and very anxious that what will happen to him and when he will be completely fine
Current treatment -
Arkamin 0.1 HS
Nervee CD3 HS
Dytor Plus 10 1/2 tab OD
Cloze 0.25 HS
Cap Pantop D OD BBF
Tab Pan 40
After present treatment, his constipation has improved, but now he complaints of dry mouth which is due to arkamin, as well as altered taste, decreased appetite
Another concern is whenever he visits, his BP is in range of 180/96, I have asked him to get his BP done in morning when he gets up at home
How to tackle such tough patient?