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Little Steps Clinic
Multi-Specialty Healthcare & Diagnostic Clinic
📍 SCO 42, Huda Market, Sector 14, Gurugram - 122001
📞 +919811002233
Dr. Dr. Arvind Kulkarni
MBBS, MD (Pediatrics), DCH
Pediatrician
NMC Reg: MCI-31092-2018
Patient: Rajesh Sharma
Age / Sex: 45Y / Male
Date: 11/09/2026
Rx #: RX-20261102-LIVE01
Diagnosis / Assessment
Acute Pharyngitis with stable Type 2 Diabetes Mellitus & Controlled Hypertension
Chief Complaint: Throat pain, dry irritating cough for 2 days & follow up on blood sugar
℞
Generic Medicine & Form Dosage / Freq Timing Duration
Paracetamol 650mg (Tablet)
Take after food if feverish or throat pain persists
 1-0-1 (SOS) after food 3 Days
Cetirizine 10mg (Tablet)
Take 1 tablet at night for throat tickle/cough
 0-0-1 bedtime 5 Days
Metformin 500mg SR (Tablet)
Continue regular diabetes medication with meals
 1-0-1 with food 30 Days
Telmisartan 40mg (Tablet)
Continue regular BP tablet in morning
 1-0-0 after food 30 Days
General Advice: Warm saline gargles 3 times daily. Avoid chilled liquids.
Next Follow-up Date: 07 Nov 2026
📋 Patient Care & Dietary Guidelines (Tailored to Treatment) PATIENT HANDOUT
📌 Treatment-Specific Care & Lifestyle Advice:
diabetic_diet, hypertension_lifestyle
🥗 Diabetic Diet & Glycemic Advisory:
  • Meal Timing: Consume small, frequent meals every 3–4 hours; never skip breakfast.
  • Foods to Avoid: Sugar, sweets, white bread, maida, potatoes, packaged fruit juices, and soda.
  • Recommended: Green leafy vegetables, bitter gourd (karela), methi seeds, whole wheat, oats, and ragi.
  • Foot Care: Wash and dry feet daily; avoid walking barefoot indoors or outdoors.
🫀 Hypertension & DASH Low-Salt Protocol:
  • Sodium Restriction: Limit salt intake to less than 1 level teaspoon (under 2 grams of sodium) per day.
  • Avoid Hidden Sodium: Stop consuming papads, pickles (achaar), namkeen, soy sauce, and processed snacks.
  • Dietary Additions: Increase fresh fruits (bananas, apples), flaxseeds, garlic, and potassium-rich green vegetables.
  • Monitoring: Record morning and evening Blood Pressure in a logbook 2 days prior to your next review.
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DR. DR. ARVIND KULKARNI
MCI-31092-2018
NMC INDIA
Dr. Dr. Arvind Kulkarni
Registered Medical Practitioner
Reg No: MCI-31092-2018