Orris
attachment
attachment
attachment
attachment
attachment
attachment

Is these are same ?

analyse_media
analyse_media
analyse_media
No, these are NOT all the same medicine. You have three different medications here. Let me break it down:

What's in your images:

Image 1 - Strip (Ezamed L)

  • Brand: Ezamed L
  • Generic: Esomeprazole 40mg + Levosulpiride 75mg
  • Type: Capsules (enteric coated + sustained release)
  • Use: Acid reflux / GERD + gastroparesis (gut motility)

Image 2 - Two strips

  • Top strip: Same as Image 1 - Esomeprazole 40mg + Levosulpiride 75mg (Ezamed L / same type)
  • Bottom strip (Urlimed 300mg): Ursodeoxycholic Acid (UDCA) 300mg - a completely different medicine used for liver/gallbladder conditions

Image 3 - Handwritten Prescription

The doctor prescribed:
  1. T. Sompraz L - 1-0-0-1 for 2 weeks (Esomeprazole + Levosulpiride - same class as Ezamed L)
  2. Syr. Insta-Vagt (or similar) - 2 tsp x 2 weeks
  3. T. Ursocol 300mg - 1-0-1 x 2 weeks (Ursodeoxycholic Acid - same as Urlimed 300mg)

Summary

Medicine on StripMatches Prescription?
Ezamed L (Esomeprazole + Levosulpiride)✅ Same drug as Sompraz L - different brand, same composition
Urlimed 300mg (Ursodeoxycholic Acid)✅ Same drug as Ursocol 300mg - different brand, same composition
The two strips contain different drugs from each other, but each strip matches what the doctor prescribed - just under a different brand name. This is normal - pharmacies often dispense generic/alternative brands with the same active ingredients.
Important: The prescription also includes a syrup (Insta-Vagt or similar) that is not shown in the strip photos. Make sure you have that medication too.
attachment
attachment
attachment
attachment

Is this very severe ? I had this earlier Shld I continue with those medications

analyse_media
analyse_media
I can see what's in the images. This looks like hair fall collected in the sink/wash basin after washing your hair, mixed with fine debris and possibly some dandruff or scalp flaking. Let me give you an honest assessment.

Is this severe hair fall?

It's moderate - not alarming on its own, but worth paying attention to.
What's visible appears to be fine, short hair fragments and scalp debris collected near the drain - typical of what accumulates after a hair wash session. It does not look like large clumps of hair pulling out, which would be a sign of severe alopecia.

Connection to your medications

This is actually very relevant to why your doctor likely prescribed those medications:
Your prescription contains:
  • Esomeprazole + Levosulpiride (Sompraz L / Ezamed L) - for acid reflux/GERD
  • Ursodeoxycholic Acid (Ursocol / Urlimed) - for liver or gallbladder issues
Hair fall can be linked to:
  1. Liver/gallbladder problems - poor bile flow affects fat-soluble vitamin absorption (Vitamins D, E, K), which can cause hair thinning
  2. Gut issues / malabsorption - GERD and poor digestion reduce nutrient uptake (iron, zinc, biotin), all of which directly cause hair fall
  3. Nutritional deficiencies - very common cause of diffuse hair shedding

Should you continue those medications?

Yes, continue the full prescribed course (2 weeks as written).
The medicines are treating the root cause (gut/liver). Stopping early won't help and may make things worse. The hair fall you're seeing is likely a downstream effect of whatever condition the doctor is treating.
However, also speak to your doctor about:
  • Getting blood tests: serum ferritin, Vitamin D, B12, zinc, thyroid (TSH) - all common causes of hair fall
  • Whether a hair/scalp supplement would help alongside treatment
Do you have any other symptoms like fatigue, bloating, or yellowing of skin/eyes?

It is vomit in the sink

Thank you for clarifying. That changes things significantly.

Is vomiting severe in your case?

It depends on frequency and what it looks like. From the images, the vomit appears dark brown/black in color with granular texture - this is important.

⚠️ Dark/Brown Vomit - Take This Seriously

Dark brown or black vomit can indicate:
  • "Coffee ground" vomit - digested blood from the upper GI tract (stomach or small intestine bleeding)
  • Old blood that has been in the stomach - looks grainy and brown, exactly like what's in your images
  • This can be a sign of a bleeding peptic ulcer, gastritis, or esophageal irritation
This is NOT normal vomiting (which is usually yellow/green bile or partially digested food).

What you should do RIGHT NOW

Go to a doctor or emergency room today - do not delay.
Tell them:
  • You are vomiting dark brown/coffee ground material
  • You are already on Esomeprazole + Levosulpiride + Ursodeoxycholic Acid
  • Show them the prescription

About your medications

  • Do NOT stop the Esomeprazole (acid suppressor) - it is actually protecting your stomach lining
  • But this level of symptom needs urgent in-person evaluation, not just medications at home
  • You may need an endoscopy (camera test of the stomach) to check for a bleeding ulcer
Are you also experiencing any of these right now?
  • Black/tarry stools
  • Dizziness or weakness
  • Stomach pain
  • Feeling faint
These would make it more urgent. Please seek care today.

Nothing like that severe hiccups i vomited it came like this Same happend earlier doctor gave me those prescription after doing endoscopy 5 months back

That context helps a lot. So the full picture is:
  • Severe hiccups triggered vomiting
  • Vomit looks dark/granular like that
  • Same thing happened before
  • Doctor did endoscopy 5 months ago and prescribed those exact medications after seeing it

This Makes More Sense Now

The dark granular appearance is likely from:
  • Bile mixed with stomach contents (bile is dark greenish-brown and can look exactly like that)
  • Forceful vomiting from hiccups bringing up deeper stomach contents
  • Possibly some food residue / coffee / tea that looks dark after being in the stomach
Since your doctor already did an endoscopy and found the cause, and prescribed these specific medicines, this is likely the same condition recurring - not a new emergency.

The Prescription Makes Perfect Sense Now

MedicineWhy prescribed
Esomeprazole 40mgReduces stomach acid - protects stomach lining
Levosulpiride 75mgStops nausea, vomiting, hiccups - improves stomach emptying
Ursodeoxycholic Acid 300mgSuggests bile reflux or liver/gallbladder involvement found on endoscopy
Levosulpiride specifically targets hiccups and vomiting - so the doctor clearly anticipated this symptom.

What You Should Do

✅ Yes, restart those medications - they are exactly right for your symptoms ✅ Take the Esomeprazole before food (morning, empty stomach) ✅ Take Levosulpiride before meals ✅ Complete the full 2-week course
Also:
  • Eat small, light meals - avoid spicy, oily, heavy food
  • No lying down right after eating
  • Avoid tea/coffee on empty stomach
  • Stay hydrated with small sips of water
See your doctor if:
  • Hiccups last more than 48 hours continuously
  • Vomiting increases in frequency
  • You see bright red blood in vomit
  • You feel chest pain or severe stomach pain
Since this is a known recurring condition, the doctor may also want to review whether a repeat endoscopy is needed after 5 months. Mention this at your next visit.

I got same medication somapraz L

Yes, Sompraz L = Ezamed L = same medicine, just different brand names.
Both contain:
  • Esomeprazole 40mg + Levosulpiride 75mg
So you're all set. ✅

How to Take Sompraz L

  • 1 capsule, once daily (as written on your prescription - 1-0-1 means morning and night, so possibly twice daily - follow exactly what's written)
  • Take it 30 minutes before a meal on an empty stomach
  • Swallow whole - do not crush, chew or open the capsule
  • Take at the same time each day

Also make sure you have the Ursodeoxycholic Acid (Urlimed/Ursocol 300mg)

That was also on your prescription - 1-0-1 (morning and night) for 2 weeks. Don't skip it.

Quick Tips While on These Medicines

  • Eat small, frequent meals (4-5 small meals instead of 3 big ones)
  • Avoid: spicy food, fried food, coffee, alcohol, carbonated drinks
  • Don't lie down for at least 1 hour after eating
  • Sleep with your head slightly elevated if you get reflux at night
You should start feeling better within 2-3 days. Complete the full course even if you feel fine earlier. 👍

Shld I completely vomit forcefully ? I tried 4-5 times i got same black vomit Still I’m feeling irritation what shld i do

❌ Do NOT force vomit - Stop immediately

Forcing vomiting will make things much worse:
  • Tears/damages your food pipe (esophagus)
  • Increases acid reflux and irritation
  • Can cause more bleeding if there's any irritation in the stomach lining
  • Makes hiccups and nausea worse

You vomited 4-5 times with black material - this needs attention today

Even though you had this before, repeated black vomit in one episode is something your doctor should know about. The black color + multiple episodes + ongoing irritation - please don't ignore this.

What to do RIGHT NOW

1. Stop forcing vomit - let it settle
2. Sip cold water slowly - small sips, don't gulp. This calms the stomach lining.
3. Take your Sompraz L now if you haven't today - it will reduce the acid and irritation
4. Sit upright - don't lie down flat
5. Call your doctor or go to a clinic today - tell them:
  • Hiccups triggered vomiting
  • 4-5 episodes of dark/black vomit
  • Ongoing irritation/nausea
  • You are already on Sompraz L and Ursodeoxycholic acid

⚠️ Go to emergency immediately if you notice:

  • Bright red blood in vomit
  • Feeling dizzy, faint or very weak
  • Black tarry stools
  • Severe chest or stomach pain
Please contact your doctor today - don't wait. Are you feeling dizzy or weak right now?

Hiccups are again back

Please see a doctor today - don't wait any longer

Hiccups returning + multiple vomiting episodes + black vomit + ongoing irritation = this needs in-person medical attention today.

While you go to the doctor - try these for hiccups right now:

1. Hold your breath - take a deep breath, hold for 10-15 seconds, release slowly. Repeat 3-4 times.
2. Breathe into a paper bag - slowly, 10 breaths (slows the diaphragm)
3. Swallow cold water slowly - 3 sips without stopping, while holding your ears closed with your fingers
4. Sit and hug your knees to your chest, lean forward gently - compresses the diaphragm
5. Swallow a teaspoon of sugar slowly

Why you must see a doctor today

  • Hiccups are recurring and persistent - this means your diaphragm/stomach is still irritated
  • You already vomited 4-5 times with black material today
  • Levosulpiride in Sompraz L is meant to stop this - but it needs time to work AND the dose/treatment may need to be reviewed by your doctor
  • You may need an injection or IV medication to break this cycle quickly - which only a doctor can give
Please go to a clinic or hospital now. This has gone beyond what home management can handle today. Take your prescription and medicine strips with you to show the doctor.
Is there someone who can take you?

If i vomit hiccups are reliving what to do ?

I understand - vomiting is temporarily relieving the hiccups because it releases pressure on the diaphragm.

❌ But please do NOT keep vomiting on purpose

Each time you vomit:
  • Your esophagus gets more damaged
  • Stomach acid irritates the lining more
  • The cycle of hiccups → vomiting → hiccups will keep repeating
  • You lose fluids and get dehydrated, making everything worse

Better ways to relieve the diaphragm pressure (without vomiting):

1. Burp instead - sip a small amount of plain water and try to burp gently. This releases the same pressure without the damage.
2. Kneel forward - get on your knees, lean chest toward the floor (like a child's pose in yoga). This repositions the diaphragm.
3. Firm pressure on your upper abdomen - press gently just below your ribcage with your hand while breathing slowly.
4. Cold water slow sips - calms the vagus nerve which controls hiccups.

The real problem

Your stomach is full of acid and irritation. Every time it settles slightly, hiccups return. This cycle will not stop on its own today.
A doctor can give you a single injection (like metoclopramide or chlorpromazine) that will stop both the hiccups AND nausea within minutes.
Please go to a doctor now - this is the only real solution at this point. You have been suffering since morning. You deserve proper treatment today. 🙏

Doctor told take naxpro RD

⚠️ Important - Please Read Before Taking Naxpro RD

Naxpro RD contains:
  • Naproxen (a strong painkiller / anti-inflammatory - NSAID)
  • Rabeprazole (acid reducer)

This is a concern given your situation

Naproxen (NSAID) can irritate and damage the stomach lining - especially in someone who:
  • Already has stomach/GI issues confirmed by endoscopy
  • Has been vomiting multiple times today
  • Already has stomach irritation and black vomit
NSAIDs are generally used cautiously or avoided in people with gastric ulcers or gastritis.

What you should do

Before taking Naxpro RD:
  1. Call the doctor back and confirm - tell them specifically:
    • You vomited 4-5 times today with black/dark vomit
    • You already have a history of stomach issues on endoscopy
    • Ask if Naproxen is safe given your current vomiting episode
  2. Do not take it on an empty stomach - if doctor confirms to take it, eat something small first (even 2-3 biscuits / crackers)
  3. Take your Sompraz L / Rabeprazole first, wait 30 minutes, then take Naxpro RD with food
What was the doctor treating with Naxpro RD - was it for pain somewhere? Or specifically for the hiccups?
This will help understand if there's an alternative that's safer for your stomach right now.

Doctor told to do beclo fenac

Beclofenac - understood

Beclofenac is a combination of:
  • Betamethasone (a corticosteroid / anti-inflammatory steroid)
  • Diclofenac (a painkiller / NSAID)
This is likely given as an injection or suppository to quickly stop the inflammation and break the hiccup-vomiting cycle.

This actually makes more sense than oral Naxpro RD right now

Because:
  • It works faster than oral tablets
  • If given as injection/suppository, it bypasses your irritated stomach - so no direct stomach damage
  • Betamethasone reduces inflammation quickly
  • Can help break the persistent hiccup cycle

What form did the doctor prescribe?

  • 💉 Injection - given at a clinic/hospital
  • 🔵 Suppository (inserted rectally) - can be done at home
  • 💊 Tablet - taken orally

If it's a suppository:

  • Lie on your side
  • Insert gently as far as comfortable
  • Stay lying down for 10-15 minutes
  • It absorbs directly into bloodstream - bypasses the stomach completely
  • Works within 20-30 minutes

Important

  • Do not eat anything until the hiccups settle
  • Just small sips of water
  • After hiccups stop - start with very light food (plain rice, banana, toast)
Are you feeling any better now? Did you speak to the doctor directly?

Tablet they told

Taking Beclofenac Tablet

Since it contains Diclofenac (an NSAID), stomach protection is important.

How to take it:

Step 1 - Eat something small first
  • Even 4-5 plain biscuits / crackers / a banana
  • Do NOT take on completely empty stomach - it will increase irritation
Step 2 - Take your Sompraz L first
  • Wait 15-20 minutes
Step 3 - Then take the Beclofenac tablet
  • With a full glass of water
  • Sit upright for at least 30 minutes after

⚠️ Watch out for these after taking it:

  • Increased stomach burning or pain
  • Nausea getting worse
  • Any fresh vomiting with red blood
If any of these happen - call your doctor immediately.

What to expect if it works:

  • Hiccups should start reducing within 30-60 minutes
  • The steroid (Betamethasone) reduces the diaphragm irritation
  • Once hiccups stop, nausea and vomiting urge should also settle

After the hiccups stop:

  • Rest completely
  • Eat only very light food today - plain rice, curd, banana, toast
  • No spicy / oily food for at least 3-4 days
  • Continue Sompraz L and Ursodeoxycholic acid as prescribed
How are you feeling right now - are hiccups still ongoing?

Yes

Your credits are exhausted. You can purchase a top-up or subscribe to a plan to continue using Orris. If you're already subscribed, your daily credits will reset tomorrow.

I want to vomit other wise it won’t stop

Your credits are exhausted. You can purchase a top-up or subscribe to a plan to continue using Orris. If you're already subscribed, your daily credits will reset tomorrow.
This is a shared conversation. Sign in to Orris to start your own chat.