diff --git a/backend/src/index.ts b/backend/src/index.ts
index 1e55fea..ec9701e 100644
--- a/backend/src/index.ts
+++ b/backend/src/index.ts
@@ -70,7 +70,7 @@ await app.register(rateLimit, {
 });
 await app.register(cookie, { secret: env.COOKIE_SECRET });
 await app.register(jwt, { secret: env.JWT_SECRET, cookie: { cookieName: "access_token", signed: false } });
-await app.register(fastifyMultipart, { limits: { fileSize: 2 * 1024 * 1024 } }); // 2MB limit
+await app.register(fastifyMultipart, { limits: { fileSize: 10 * 1024 * 1024 } }); // 10MB limit
 await app.register(fastifyStatic, {
   root: imagesDir,
   prefix: "/images/",
diff --git a/frontend/nginx.conf b/frontend/nginx.conf
index 2292173..7bfad8c 100644
--- a/frontend/nginx.conf
+++ b/frontend/nginx.conf
@@ -5,6 +5,9 @@ server {
     root /usr/share/nginx/html;
     index index.html;
 
+    # Allow larger file uploads (for medication images)
+    client_max_body_size 10M;
+
     location / {
         try_files $uri /index.html;
     }
@@ -13,5 +16,11 @@ server {
         proxy_pass http://backend:3000/;
         proxy_set_header Host $host;
         proxy_set_header X-Real-IP $remote_addr;
+        proxy_set_header X-Forwarded-For $proxy_add_x_forwarded_for;
+        proxy_set_header X-Forwarded-Proto $scheme;
+        
+        # Timeout for uploads
+        proxy_read_timeout 60s;
+        proxy_send_timeout 60s;
     }
 }