Haq and his colleagues also assist with medical treatment, particularly as the situation continues to deteriorate and doctors at the hospital are overrun with patients streaming in from surrounding areas.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. Warnings Nonsteroidal anti-inflammatory drugs (including indomethacin) may rarely increase the risk for a heart attack or stroke. This effect can happen at any time while taking this drug but is more likely if you take it for a long time. The risk may be greater in older adults or if you have heart disease or increased risk for heart disease (for example, due to smoking, family history of heart disease, or conditions such as high blood pressure or diabetes). Do not take this drug right before or after heart bypass surgery (CABG).


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Stop taking indomethacin and get medical help right away if you notice any of the following rare but serious side effects: stomach/abdominal pain that doesn't go away, bloody or black/tarry stools, vomit that looks like coffee grounds, chest/jaw/left arm pain, shortness of breath, unusual sweating, weakness on one side of the body, sudden vision changes, trouble speaking.

Talk with your doctor or pharmacist about the risks and benefits of treatment with this medication. Precautions Before taking indomethacin, tell your doctor or pharmacist if you are allergic to it; or to aspirin or other NSAIDs (such as ibuprofen, naproxen, celecoxib); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Kidney problems can sometimes occur with the use of NSAID medications, including indomethacin. Problems are more likely to occur if you are dehydrated, have heart failure or kidney disease, are an older adult, or if you take certain medications (see also Drug Interactions section). Drink plenty of fluids as directed by your doctor to prevent dehydration and tell your doctor right away if you have a change in the amount of urine.

Check all prescription and nonprescription medicine labels carefully since many medications contain pain relievers/fever reducers (aspirin, NSAIDs such as celecoxib, diflunisal, ibuprofen, or ketorolac). These drugs are similar to indomethacin and may increase your risk of side effects if taken together. However, if your doctor has directed you to take low-dose aspirin to prevent heart attack or stroke (usually 81-162 milligrams a day), you should continue taking the aspirin unless your doctor instructs you otherwise. Ask your doctor or pharmacist for more details.

This medication may interfere with certain lab tests, possibly causing false test results. Make sure lab personnel and all your doctors know you use this drug. Does indomethacin oral interact with other drugs you are taking? Enter your medication into the WebMD interaction checkerĀ  Check Interaction Overdose If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: severe stomach pain, vomit that looks like coffee grounds, extreme drowsiness, slow or shallow breathing, confusion, seizures.Notes Notes Do not share this medication with others.

Indo-Trinidadians and Tobagonians are a subgroup of Indo-Caribbeans, which is a subgroup of the wider Indian diaspora. Generally, most Indians in Trinidad and Tobago can trace their ancestry back to northern India, especially the Bhojpur and Awadh regions of the Hindi Belt, which lies in the Gangetic plains, a plain that is located between the Ganga and Yamuna rivers and faces the mountain ranges of the Himalayas and the Vindhyas. However, some Indians may trace their ancestry to other parts of South Asia, notably southern India. Indians first arrived in Trinidad and Tobago as indentured laborers from India through the Indian indenture system from 1845 till 1917, and some Indians and other South Asians, along with their families, later came as entrepreneurs, businesspeople, religious leaders, doctors, engineers, and other professional occupations beginning in the mid-20th century and continuing till present day. Some Indians from other Caribbean nations also immigrated to Trinidad and Tobago.

Pre-travel preparation will help keep you safe and healthy while you are away. Please consult the Travel Doctor-TMVC before you travel overseas. We will provide specific recommendations tailored to your itinerary. Our doctors will assess and advise you on your risks, and recommend appropriate vaccination and medication to minimise your risk of becoming seriously unwell on your trip.

Travel Doctor-TMVC provides specific health recommendations tailored to your individual holiday plans. Our medical and nursing staff at Travel Doctor-TMVC have extensive knowledge of international health issues, immunisation and preventative medicine. Travellers should have individual risk assessments by one of our doctors whether they are holiday makers, businesspeople, or long-term expatriates.

Experts further clarified that whether a family consumes home-cooked meals would also depend on economic status. Families who can afford it hire domestic helps (house assistants) to prepare the food at home when the mother works. Otherwise, they will order food from outside, while the low-income families will cook at home.

At the community level, experts suggested that the Indonesian food culture is rooted in religion and taboo beliefs and implied that these cultural beliefs are pervasive among the Indonesian society. According to our experts, these factors not only influence food choices, but they contribute to dietary restrictions and ultimately, may impact the nutritional outcomes of vulnerable sub-populations like children, teenagers and pregnant women. This view is consistent with previous literature on the role of religion and cultural factors on dietary behaviors in Indonesia [4,24]. Our findings extend the current literature by illustrating the context for some of the cultural beliefs and behaviors regarding food. For instance, experts explained that the physical environment, such as whether people are living in mountainous regions which are remote, may influence the kind of animals available as protein sources. While experts noted a gradual shift back to consuming traditional foods, the consensus was that there is no difference in the healthfulness of traditional foods compared to modern foods in terms of their nutritional contents. This is in line with the findings of Anyanwu et al., earlier cited, in which we compared a modern dietary pattern with a traditional dietary pattern among Indonesian adults [28]. Frying foods, including vegetables; high use of coconut milk and oil; and the use of the same oil several times, are some of the cooking practices identified by experts as likely driving the high prevalence of CVD risk factors in the Indonesian population. This perspective is supported by the few available literature on the nutritional composition of traditional meals in Indonesia [13,45]. In a quantitative study assessing the dietary quality of traditional diets among women in two regions of Indonesia using 2-day repeated 24 h food recall, authors reported a low Healthy Eating Index (HEI) score of

At the environmental and policy level, experts highlighted the proliferation of foreign food franchises that tend to mimic Indonesian traditional meal patterns, alongside a rise in the number of online food platforms, and implied that fast food is becoming more accessible and affordable to every social class, unlike in previous decades. Moreover, experts expressed concern that the mostly unhealthy menu offerings of restaurants and fast-food places in Indonesia may have increased CVD risk factors in the population, particularly since healthier menu offerings are often not affordable. Previous literature on the impacts of restaurant and fast-food meals on health outcomes in Indonesia corroborates this [1,4,12,46]. Andawulan and colleagues reported that meals from restaurants, street and fast-food are the major food sources contributing to salt and fat intake in their Indonesian study sample [44]. Additionally, in a recent randomized controlled-feeding trial to assess the quality and cost of a low sodium and potassium-rich diet compared to a typical Indonesian diet, authors found that while the potassium-rich diet is closely related to higher diet quality, the cost is higher, which may inhibit intake [46]. Our study adds context to and extends these findings by articulating some perceived benefits of nutrition transition among Indonesians. One is the convenience of ready-to eat and ready-to-heat foods for working parents and another is the general perception of better food safety of meals from western fast-food franchises compared to local street restaurants. These perceptions of benefits suggest that adherence to unhealthy foods from the food industry will likely continue unabated and intensify the negative health impacts of the nutrition transition in Indonesia.

Further, our findings implied that taboo beliefs are deeply entrenched in the culture, fostering greater risks for nutritional deficiencies among vulnerable populations. Thus, nutrition interventions for Indonesia should address these beliefs in a culturally appropriate way, in order to promote behavior change. Given the dearth of literature on this topic, we recommend more studies exploring the direct effects of religion and taboo beliefs on nutritional outcomes for specific sub-populations in Indonesia. Our results also suggested that due to sub-optimal cooking practices, traditional meals are comparable to non-traditional meals in terms of their unhealthfulness. Additional studies are needed to investigate the health impacts of the changing composition of traditional diets in Indonesia, to inform policy guidelines and the design of nutrition programs to improve cooking practices. e24fc04721

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