Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Progression Of Symptoms Since 5/21/19: Abdominal Pain Above Belly Button.
Question: Progression of symptoms since 5/21/19: Abdominal pain above belly button. Pain then went to left side of abdomen. Then went to lower right side of abdomen where it has remained (continuous pain level 6 to 7). CT Scan w/ IV contrast showed bowels full of stool. Cleaned out using Colonoscopy Prep. Liquid and Magnesium Citrate (used on 2 different days). Diarrhea started before the Colonoscopy Prep. was taken. Bouts of constipation on occasion. 2 different days of massive head pain (6/12 & 6/18) - no Rx or OTC medications help. Pain is difficult to describe, sometimes pounding & sometimes throbbing. This is a different type of pain than when I had Migraines as a teenager. Back then was put on Neurontin which really helped & alleviated my Migraines. Continuous nausea. Vomiting twice on 6/18. Seeing white flashing lights occasionally. 2 or 3 Abdominal CT Scans done (1st one with IV Contrast), 2 Head CT Scans done, 2 Abdominal Ultrasounds done. Supposedly nothing abnormal showing up according to ER doctors. GI doctor found the stool on the 1st CT Scan done. Have been to ER 5 times between 6/6 and 6/18 re: symptoms. WBC has been fluctuating up and down = Highest it's been is 15.1. (10.1, 11, 9.2, 11.5, 8.5, 15.1) Lymphocites since 5/21 = 4.48 4.52 3.94 3.60. On 6/18 GLOMERULAR FILTRATION RATE = 108 mL/min/BSA (race = non-black) Since 5/23 these results have been: 118 88 106 83 110 108. Urinalysis on 6/18: WBC'S, UA/HPF 11-25 /HPF. Stool samples submitted on 2 different occasions -- 1st set came back normal. Still waiting results of 2nd set. All the different medications that ER doctors have given, do nothing for the pain in my head and lower right abdomen -- they just put me to sleep and make me extremely groggy and unable to really function.
Progression of symptoms since 5/21/19: Abdominal pain above belly button. Pain then went to left side of abdomen. Then went to lower right side of abdomen where it has remained (continuous pain level 6 to 7). CT Scan w/ IV contrast showed bowels full of stool. Cleaned out using Colonoscopy Prep. Liquid and Magnesium Citrate (used on 2 different days). Diarrhea started before the Colonoscopy Prep. was taken. Bouts of constipation on occasion. 2 different days of massive head pain (6/12 & 6/18) - no Rx or OTC medications help. Pain is difficult to describe, sometimes pounding & sometimes throbbing. This is a different type of pain than when I had Migraines as a teenager. Back then was put on Neurontin which really helped & alleviated my Migraines. Continuous nausea. Vomiting twice on 6/18. Seeing white flashing lights occasionally. 2 or 3 Abdominal CT Scans done (1st one with IV Contrast), 2 Head CT Scans done, 2 Abdominal Ultrasounds done. Supposedly nothing abnormal showing up according to ER doctors. GI doctor found the stool on the 1st CT Scan done. Have been to ER 5 times between 6/6 and 6/18 re: symptoms. WBC has been fluctuating up and down = Highest it's been is 15.1. (10.1, 11, 9.2, 11.5, 8.5, 15.1) Lymphocites since 5/21 = 4.48 4.52 3.94 3.60. On 6/18 GLOMERULAR FILTRATION RATE = 108 mL/min/BSA (race = non-black) Since 5/23 these results have been: 118 88 106 83 110 108. Urinalysis on 6/18: WBC'S, UA/HPF 11-25 /HPF. Stool samples submitted on 2 different occasions -- 1st set came back normal. Still waiting results of 2nd set. All the different medications that ER doctors have given, do nothing for the pain in my head and lower right abdomen -- they just put me to sleep and make me extremely groggy and unable to really function.
Additional info: Non-sexually active female (for about 2 years) low grade fever (100.3) off & on. 1st Abdominal Cat Scan with contrast came back as normal (except a benign mass on the liver). Occasional Social Drinker. Vapes on a daily basis. Has had 3 Colonoscopies in the very distant past (2010, 2012 & ?). Not knowingly exposed to anything. Works with Schizophrenic adults. No travel outside of the U.S.A. and not anywhere away from home within the U.S.A. No abdominal surgeries or female reproductive system surgeries. Immunizations up to date.
Additional info: Non-sexually active female (for about 2 years) low grade fever (100.3) off & on. 1st Abdominal Cat Scan with contrast came back as normal (except a benign mass on the liver). Occasional Social Drinker. Vapes on a daily basis. Has had 3 Colonoscopies in the very distant past (2010, 2012 & ?). Not knowingly exposed to anything. Works with Schizophrenic adults. No travel outside of the U.S.A. and not anywhere away from home within the U.S.A. No abdominal surgeries or female reproductive system surgeries. Immunizations up to date.
Brief Answer:
intestine infection. find guidelines below in details.
Detailed Answer:
Hello and welcome to Ask A Doctor services.
I have read your query and here is my advise.
* As per my clinical experience, the recurrent abdomen pain with varying total count in
blood and fever indicate underlying intestine infection ( usually CT scan, ultrasound
and colonoscopy turn out normal ).
My guidelines at present
- Maintain hydration with more liquids as boiled water, home made juices, coconut water
etc.
- Dietary measures to avoid spices, non veg, junk stuffs if consuming.
- More intake of organic fresh fruits, cereals, pulses, legumes.
- Fresh yogurt and butter milk to provide gut flora ( a natural way to restore intestine
harmony ).
- Remain ambulatory with allowable exercises ( in ileu of pain ).
- Deep breathing exercises and YOGA help tremendously ( though slowly but surely ).
- Discuss need of further GI specific antibiotic with your doc in next scheduled visit.
- Tablet paracetamol ( 500 mg ) 3 times a day after meals with proton pump inhibitor as
omeprazole ( 20 mg ) 2 times a day on empty stomach till complete recovery.
- Have to avoid social drinking and smoking ( if consuming ) till clearance of this issue.
- Sedative tablets not recommended, rather focus on basic pathology and natural sleep
through that approach would be best step ahead.
Wish this information will help you.
Do feel free to discuss further regarding the case.
Regards.
Dr Bhagyesh ( MS consultant surgeon )
intestine infection. find guidelines below in details.
Detailed Answer:
Hello and welcome to Ask A Doctor services.
I have read your query and here is my advise.
* As per my clinical experience, the recurrent abdomen pain with varying total count in
blood and fever indicate underlying intestine infection ( usually CT scan, ultrasound
and colonoscopy turn out normal ).
My guidelines at present
- Maintain hydration with more liquids as boiled water, home made juices, coconut water
etc.
- Dietary measures to avoid spices, non veg, junk stuffs if consuming.
- More intake of organic fresh fruits, cereals, pulses, legumes.
- Fresh yogurt and butter milk to provide gut flora ( a natural way to restore intestine
harmony ).
- Remain ambulatory with allowable exercises ( in ileu of pain ).
- Deep breathing exercises and YOGA help tremendously ( though slowly but surely ).
- Discuss need of further GI specific antibiotic with your doc in next scheduled visit.
- Tablet paracetamol ( 500 mg ) 3 times a day after meals with proton pump inhibitor as
omeprazole ( 20 mg ) 2 times a day on empty stomach till complete recovery.
- Have to avoid social drinking and smoking ( if consuming ) till clearance of this issue.
- Sedative tablets not recommended, rather focus on basic pathology and natural sleep
through that approach would be best step ahead.
Wish this information will help you.
Do feel free to discuss further regarding the case.
Regards.
Dr Bhagyesh ( MS consultant surgeon )
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
intestine infection. find guidelines below in details.
Detailed Answer:
Hello and welcome to Ask A Doctor services.
I have read your query and here is my advise.
* As per my clinical experience, the recurrent abdomen pain with varying total count in
blood and fever indicate underlying intestine infection ( usually CT scan, ultrasound
and colonoscopy turn out normal ).
My guidelines at present
- Maintain hydration with more liquids as boiled water, home made juices, coconut water
etc.
- Dietary measures to avoid spices, non veg, junk stuffs if consuming.
- More intake of organic fresh fruits, cereals, pulses, legumes.
- Fresh yogurt and butter milk to provide gut flora ( a natural way to restore intestine
harmony ).
- Remain ambulatory with allowable exercises ( in ileu of pain ).
- Deep breathing exercises and YOGA help tremendously ( though slowly but surely ).
- Discuss need of further GI specific antibiotic with your doc in next scheduled visit.
- Tablet paracetamol ( 500 mg ) 3 times a day after meals with proton pump inhibitor as
omeprazole ( 20 mg ) 2 times a day on empty stomach till complete recovery.
- Have to avoid social drinking and smoking ( if consuming ) till clearance of this issue.
- Sedative tablets not recommended, rather focus on basic pathology and natural sleep
through that approach would be best step ahead.
Wish this information will help you.
Do feel free to discuss further regarding the case.
Regards.
Dr Bhagyesh ( MS consultant surgeon )
intestine infection. find guidelines below in details.
Detailed Answer:
Hello and welcome to Ask A Doctor services.
I have read your query and here is my advise.
* As per my clinical experience, the recurrent abdomen pain with varying total count in
blood and fever indicate underlying intestine infection ( usually CT scan, ultrasound
and colonoscopy turn out normal ).
My guidelines at present
- Maintain hydration with more liquids as boiled water, home made juices, coconut water
etc.
- Dietary measures to avoid spices, non veg, junk stuffs if consuming.
- More intake of organic fresh fruits, cereals, pulses, legumes.
- Fresh yogurt and butter milk to provide gut flora ( a natural way to restore intestine
harmony ).
- Remain ambulatory with allowable exercises ( in ileu of pain ).
- Deep breathing exercises and YOGA help tremendously ( though slowly but surely ).
- Discuss need of further GI specific antibiotic with your doc in next scheduled visit.
- Tablet paracetamol ( 500 mg ) 3 times a day after meals with proton pump inhibitor as
omeprazole ( 20 mg ) 2 times a day on empty stomach till complete recovery.
- Have to avoid social drinking and smoking ( if consuming ) till clearance of this issue.
- Sedative tablets not recommended, rather focus on basic pathology and natural sleep
through that approach would be best step ahead.
Wish this information will help you.
Do feel free to discuss further regarding the case.
Regards.
Dr Bhagyesh ( MS consultant surgeon )
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Tried Lavender CBD Roll-On Oil on lower right abdominal area & it made the pain worse. Was really surprised by this. Does this XXXXXXX you? It did help the pain in my head.
Soft Ice Packs and Peppermint Extract mixed in with Clear Aloe Vera Gel works on the head pain as well.
A 3rd set of stool samples have been ordered. They were turned into the lab the other day. 1st set came back negative. One result from 2nd set came back negative for parasites.
Imitrex does not work.
Other meds. that MDs have tried: Carafate; MINTOX 200-200-20 mg/5 mL Susp.; and levonorgestrel-ethin estradiol (PORTIA 28) 0.15-0.03 mg Oral Tab
Continuing to take Flagyl (500 mg) & Cipro (500 mg) twice a day.
Taking Levsin (0.125 mg) and Omeprazole (20 mg) - Once a day. XXXXXXX 20 & 21 was basically bed ridden with head pain, nausea to the point of almost vomiting, Level 7 lower right AND left abdominal pain. XXXXXXX 22nd feeling a bit better in the morning. Level 3 head pain, no nausea, no left abdominal pain, level 6 right abdominal pain.
Will be doing a CBC on 6/25.
A Colonoscopy is scheduled for 6/27 by the GI MD. But, the GI MD is not going to be performing the actual Colonoscopy. This sounds weird to me. Is this normal for the prescribing GI MD to not perform the Colonoscopy?
Appt. with Neurologist scheduled for 7/3.
Soft Ice Packs and Peppermint Extract mixed in with Clear Aloe Vera Gel works on the head pain as well.
A 3rd set of stool samples have been ordered. They were turned into the lab the other day. 1st set came back negative. One result from 2nd set came back negative for parasites.
Imitrex does not work.
Other meds. that MDs have tried: Carafate; MINTOX 200-200-20 mg/5 mL Susp.; and levonorgestrel-ethin estradiol (PORTIA 28) 0.15-0.03 mg Oral Tab
Continuing to take Flagyl (500 mg) & Cipro (500 mg) twice a day.
Taking Levsin (0.125 mg) and Omeprazole (20 mg) - Once a day. XXXXXXX 20 & 21 was basically bed ridden with head pain, nausea to the point of almost vomiting, Level 7 lower right AND left abdominal pain. XXXXXXX 22nd feeling a bit better in the morning. Level 3 head pain, no nausea, no left abdominal pain, level 6 right abdominal pain.
Will be doing a CBC on 6/25.
A Colonoscopy is scheduled for 6/27 by the GI MD. But, the GI MD is not going to be performing the actual Colonoscopy. This sounds weird to me. Is this normal for the prescribing GI MD to not perform the Colonoscopy?
Appt. with Neurologist scheduled for 7/3.
Tried Lavender CBD Roll-On Oil on lower right abdominal area & it made the pain worse. Was really surprised by this. Does this XXXXXXX you? It did help the pain in my head.
Soft Ice Packs and Peppermint Extract mixed in with Clear Aloe Vera Gel works on the head pain as well.
A 3rd set of stool samples have been ordered. They were turned into the lab the other day. 1st set came back negative. One result from 2nd set came back negative for parasites.
Imitrex does not work.
Other meds. that MDs have tried: Carafate; MINTOX 200-200-20 mg/5 mL Susp.; and levonorgestrel-ethin estradiol (PORTIA 28) 0.15-0.03 mg Oral Tab
Continuing to take Flagyl (500 mg) & Cipro (500 mg) twice a day.
Taking Levsin (0.125 mg) and Omeprazole (20 mg) - Once a day. XXXXXXX 20 & 21 was basically bed ridden with head pain, nausea to the point of almost vomiting, Level 7 lower right AND left abdominal pain. XXXXXXX 22nd feeling a bit better in the morning. Level 3 head pain, no nausea, no left abdominal pain, level 6 right abdominal pain.
Will be doing a CBC on 6/25.
A Colonoscopy is scheduled for 6/27 by the GI MD. But, the GI MD is not going to be performing the actual Colonoscopy. This sounds weird to me. Is this normal for the prescribing GI MD to not perform the Colonoscopy?
Appt. with Neurologist scheduled for 7/3.
Soft Ice Packs and Peppermint Extract mixed in with Clear Aloe Vera Gel works on the head pain as well.
A 3rd set of stool samples have been ordered. They were turned into the lab the other day. 1st set came back negative. One result from 2nd set came back negative for parasites.
Imitrex does not work.
Other meds. that MDs have tried: Carafate; MINTOX 200-200-20 mg/5 mL Susp.; and levonorgestrel-ethin estradiol (PORTIA 28) 0.15-0.03 mg Oral Tab
Continuing to take Flagyl (500 mg) & Cipro (500 mg) twice a day.
Taking Levsin (0.125 mg) and Omeprazole (20 mg) - Once a day. XXXXXXX 20 & 21 was basically bed ridden with head pain, nausea to the point of almost vomiting, Level 7 lower right AND left abdominal pain. XXXXXXX 22nd feeling a bit better in the morning. Level 3 head pain, no nausea, no left abdominal pain, level 6 right abdominal pain.
Will be doing a CBC on 6/25.
A Colonoscopy is scheduled for 6/27 by the GI MD. But, the GI MD is not going to be performing the actual Colonoscopy. This sounds weird to me. Is this normal for the prescribing GI MD to not perform the Colonoscopy?
Appt. with Neurologist scheduled for 7/3.
Brief Answer:
follow up .
Detailed Answer:
Hi
Thanks for the follow up.
* The lavender oil will work on the surface of skin and pain relief via receptor level
effects involving substance P , which may work well over head as nerves are near to
head and far from abdomen and the central analgesia does not happen.
Though increase of pain is not related to the use of it on clinical grounds.
* The GI MD not performing actual colonoscopy can be due to various reasons and the
same should be discussed with the hospital authorities when you visit next time.
Do continue rest of the medicines and dietary precautions.
Wish you best recovery.
Regards.
follow up .
Detailed Answer:
Hi
Thanks for the follow up.
* The lavender oil will work on the surface of skin and pain relief via receptor level
effects involving substance P , which may work well over head as nerves are near to
head and far from abdomen and the central analgesia does not happen.
Though increase of pain is not related to the use of it on clinical grounds.
* The GI MD not performing actual colonoscopy can be due to various reasons and the
same should be discussed with the hospital authorities when you visit next time.
Do continue rest of the medicines and dietary precautions.
Wish you best recovery.
Regards.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
follow up .
Detailed Answer:
Hi
Thanks for the follow up.
* The lavender oil will work on the surface of skin and pain relief via receptor level
effects involving substance P , which may work well over head as nerves are near to
head and far from abdomen and the central analgesia does not happen.
Though increase of pain is not related to the use of it on clinical grounds.
* The GI MD not performing actual colonoscopy can be due to various reasons and the
same should be discussed with the hospital authorities when you visit next time.
Do continue rest of the medicines and dietary precautions.
Wish you best recovery.
Regards.
follow up .
Detailed Answer:
Hi
Thanks for the follow up.
* The lavender oil will work on the surface of skin and pain relief via receptor level
effects involving substance P , which may work well over head as nerves are near to
head and far from abdomen and the central analgesia does not happen.
Though increase of pain is not related to the use of it on clinical grounds.
* The GI MD not performing actual colonoscopy can be due to various reasons and the
same should be discussed with the hospital authorities when you visit next time.
Do continue rest of the medicines and dietary precautions.
Wish you best recovery.
Regards.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
What are some GI specific antibiotics that should be considered by my GI MD to take for an Intestinal Infection?
If an Intestinal Infection does not show up on imaging, how is it diagnosed?
Fluctuating and high WBC results could indicate any number of infections. How does a MD determine what type of infection someone has?
If an Intestinal Infection does not show up on imaging, how is it diagnosed?
Fluctuating and high WBC results could indicate any number of infections. How does a MD determine what type of infection someone has?
What are some GI specific antibiotics that should be considered by my GI MD to take for an Intestinal Infection?
If an Intestinal Infection does not show up on imaging, how is it diagnosed?
Fluctuating and high WBC results could indicate any number of infections. How does a MD determine what type of infection someone has?
If an Intestinal Infection does not show up on imaging, how is it diagnosed?
Fluctuating and high WBC results could indicate any number of infections. How does a MD determine what type of infection someone has?
Brief Answer:
follow up .
Detailed Answer:
Hi
Welcome for follow up.
* There are ample number of GI antibiotics which can be choosen as per the clinical
presentation and symptoms.
Some of them are metronidazole, rifaximin, fluoroquinolones as per your case details.
* The diagnosis of intestine infection not showing up on imaging with fluctuating high
WBC counts is usually a clinical criteria judgement by expert consultant on various
criteria of the condition.
* Apart from bacterial infections, there are number of viral etiology responsible for GI
infection and they do not show up on any lab parameters as well, where supportive
care and regular physician follow up gives best results.
Hope this information will help you to understand better.
Regards.
Dr Bhagyesh
follow up .
Detailed Answer:
Hi
Welcome for follow up.
* There are ample number of GI antibiotics which can be choosen as per the clinical
presentation and symptoms.
Some of them are metronidazole, rifaximin, fluoroquinolones as per your case details.
* The diagnosis of intestine infection not showing up on imaging with fluctuating high
WBC counts is usually a clinical criteria judgement by expert consultant on various
criteria of the condition.
* Apart from bacterial infections, there are number of viral etiology responsible for GI
infection and they do not show up on any lab parameters as well, where supportive
care and regular physician follow up gives best results.
Hope this information will help you to understand better.
Regards.
Dr Bhagyesh
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
follow up .
Detailed Answer:
Hi
Welcome for follow up.
* There are ample number of GI antibiotics which can be choosen as per the clinical
presentation and symptoms.
Some of them are metronidazole, rifaximin, fluoroquinolones as per your case details.
* The diagnosis of intestine infection not showing up on imaging with fluctuating high
WBC counts is usually a clinical criteria judgement by expert consultant on various
criteria of the condition.
* Apart from bacterial infections, there are number of viral etiology responsible for GI
infection and they do not show up on any lab parameters as well, where supportive
care and regular physician follow up gives best results.
Hope this information will help you to understand better.
Regards.
Dr Bhagyesh
follow up .
Detailed Answer:
Hi
Welcome for follow up.
* There are ample number of GI antibiotics which can be choosen as per the clinical
presentation and symptoms.
Some of them are metronidazole, rifaximin, fluoroquinolones as per your case details.
* The diagnosis of intestine infection not showing up on imaging with fluctuating high
WBC counts is usually a clinical criteria judgement by expert consultant on various
criteria of the condition.
* Apart from bacterial infections, there are number of viral etiology responsible for GI
infection and they do not show up on any lab parameters as well, where supportive
care and regular physician follow up gives best results.
Hope this information will help you to understand better.
Regards.
Dr Bhagyesh
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Finishing up 2 week Rx of Metronidazole (aka Flagyl) and a fluoroquinolone (aka Cipro).
Cipro is for respiratory and urinary track infections. She does not have either of these.
Metronidazole is used for bacterial and parasitic infections, she does not have either one of these.
I told you about her already taking these 2 meds.
Rifaximin is an antibiotic but, is basically used to treat just Traveler's Diarrhea due to certain strains of E-Coli. She does not have any form of E-Coli.
What is considered to be "supportive care"????
We've been dealing with this for a month now. And no MD that has been seen has any idea of what is wrong.
There's got to be some sort of way to find and diagnose what is wrong with her.
Cipro is for respiratory and urinary track infections. She does not have either of these.
Metronidazole is used for bacterial and parasitic infections, she does not have either one of these.
I told you about her already taking these 2 meds.
Rifaximin is an antibiotic but, is basically used to treat just Traveler's Diarrhea due to certain strains of E-Coli. She does not have any form of E-Coli.
What is considered to be "supportive care"????
We've been dealing with this for a month now. And no MD that has been seen has any idea of what is wrong.
There's got to be some sort of way to find and diagnose what is wrong with her.
Finishing up 2 week Rx of Metronidazole (aka Flagyl) and a fluoroquinolone (aka Cipro).
Cipro is for respiratory and urinary track infections. She does not have either of these.
Metronidazole is used for bacterial and parasitic infections, she does not have either one of these.
I told you about her already taking these 2 meds.
Rifaximin is an antibiotic but, is basically used to treat just Traveler's Diarrhea due to certain strains of E-Coli. She does not have any form of E-Coli.
What is considered to be "supportive care"????
We've been dealing with this for a month now. And no MD that has been seen has any idea of what is wrong.
There's got to be some sort of way to find and diagnose what is wrong with her.
Cipro is for respiratory and urinary track infections. She does not have either of these.
Metronidazole is used for bacterial and parasitic infections, she does not have either one of these.
I told you about her already taking these 2 meds.
Rifaximin is an antibiotic but, is basically used to treat just Traveler's Diarrhea due to certain strains of E-Coli. She does not have any form of E-Coli.
What is considered to be "supportive care"????
We've been dealing with this for a month now. And no MD that has been seen has any idea of what is wrong.
There's got to be some sort of way to find and diagnose what is wrong with her.
Brief Answer:
follow up .
Detailed Answer:
Hi
Thanks for the follow up.
* Cipro has best of the additive and supportive role in many of the GI infections over
and above respiratory and urinary infections.
* Rifaximin is gut steriliser used in many conditions apart from Traveler`s diarrhea for
best symptomatic recovery.
* But as the due course of antibiotics are being given, the condition can be of intestine
flora upset with resultant GI disturbances.
* Supportive care is meant by hydration, electrolyte maintenance and dietary care.
* I would like to know previous status of intestine biopsy if any taken during colonoscopy
to reveal the histology status of the gut.
Thank you.
follow up .
Detailed Answer:
Hi
Thanks for the follow up.
* Cipro has best of the additive and supportive role in many of the GI infections over
and above respiratory and urinary infections.
* Rifaximin is gut steriliser used in many conditions apart from Traveler`s diarrhea for
best symptomatic recovery.
* But as the due course of antibiotics are being given, the condition can be of intestine
flora upset with resultant GI disturbances.
* Supportive care is meant by hydration, electrolyte maintenance and dietary care.
* I would like to know previous status of intestine biopsy if any taken during colonoscopy
to reveal the histology status of the gut.
Thank you.
Above answer was peer-reviewed by :
Dr. Raju A.T
Brief Answer:
follow up .
Detailed Answer:
Hi
Thanks for the follow up.
* Cipro has best of the additive and supportive role in many of the GI infections over
and above respiratory and urinary infections.
* Rifaximin is gut steriliser used in many conditions apart from Traveler`s diarrhea for
best symptomatic recovery.
* But as the due course of antibiotics are being given, the condition can be of intestine
flora upset with resultant GI disturbances.
* Supportive care is meant by hydration, electrolyte maintenance and dietary care.
* I would like to know previous status of intestine biopsy if any taken during colonoscopy
to reveal the histology status of the gut.
Thank you.
follow up .
Detailed Answer:
Hi
Thanks for the follow up.
* Cipro has best of the additive and supportive role in many of the GI infections over
and above respiratory and urinary infections.
* Rifaximin is gut steriliser used in many conditions apart from Traveler`s diarrhea for
best symptomatic recovery.
* But as the due course of antibiotics are being given, the condition can be of intestine
flora upset with resultant GI disturbances.
* Supportive care is meant by hydration, electrolyte maintenance and dietary care.
* I would like to know previous status of intestine biopsy if any taken during colonoscopy
to reveal the histology status of the gut.
Thank you.
Above answer was peer-reviewed by :
Dr. Raju A.T
Thank you for the additional details about the medications.
I don't know if when she had her previous Colonoscopies, they ever did an Intestine Biopsy. I will see if I can find out. If they did, I will try and get the results of the Biopsy to give to you.
Should I ask her current GI, when he does the Colonoscopy on Thurs., 6/27 to do an Intestine Biopsy?
What other questions should we be asking?
Should we ask that she be referred to an Auto Immune Specialist, a Geneticist, a Hematologist?
On 7/3, she has an appointment with a Neurologist due to the extreme head pain that she has suffered on 2 occasions and because of the lower pain level she continues to have in her head. We still do not have any explanation as to what is causing the severe head pain. It's not anything like a Migraine, it is exponentially worse in intensity and the pain is different. Plus she's occasionally seeing flashing white lights.
I've asked the GI to thoroughly check out the opening of her Appendix for any blockage and also to check for an Appendix Stone. And also to see if the Appendix is inflamed or infected. What else should I ask him to look for during the Colonoscopy?
Is it possible that her having taken Acidophilus (? spelling) on a daily basis for a couple of weeks, could have upset her Intestine Flora? She took it for a few weeks because she was constipated and she tried to take care of the problem herself.
I don't know if when she had her previous Colonoscopies, they ever did an Intestine Biopsy. I will see if I can find out. If they did, I will try and get the results of the Biopsy to give to you.
Should I ask her current GI, when he does the Colonoscopy on Thurs., 6/27 to do an Intestine Biopsy?
What other questions should we be asking?
Should we ask that she be referred to an Auto Immune Specialist, a Geneticist, a Hematologist?
On 7/3, she has an appointment with a Neurologist due to the extreme head pain that she has suffered on 2 occasions and because of the lower pain level she continues to have in her head. We still do not have any explanation as to what is causing the severe head pain. It's not anything like a Migraine, it is exponentially worse in intensity and the pain is different. Plus she's occasionally seeing flashing white lights.
I've asked the GI to thoroughly check out the opening of her Appendix for any blockage and also to check for an Appendix Stone. And also to see if the Appendix is inflamed or infected. What else should I ask him to look for during the Colonoscopy?
Is it possible that her having taken Acidophilus (? spelling) on a daily basis for a couple of weeks, could have upset her Intestine Flora? She took it for a few weeks because she was constipated and she tried to take care of the problem herself.
Thank you for the additional details about the medications.
I don't know if when she had her previous Colonoscopies, they ever did an Intestine Biopsy. I will see if I can find out. If they did, I will try and get the results of the Biopsy to give to you.
Should I ask her current GI, when he does the Colonoscopy on Thurs., 6/27 to do an Intestine Biopsy?
What other questions should we be asking?
Should we ask that she be referred to an Auto Immune Specialist, a Geneticist, a Hematologist?
On 7/3, she has an appointment with a Neurologist due to the extreme head pain that she has suffered on 2 occasions and because of the lower pain level she continues to have in her head. We still do not have any explanation as to what is causing the severe head pain. It's not anything like a Migraine, it is exponentially worse in intensity and the pain is different. Plus she's occasionally seeing flashing white lights.
I've asked the GI to thoroughly check out the opening of her Appendix for any blockage and also to check for an Appendix Stone. And also to see if the Appendix is inflamed or infected. What else should I ask him to look for during the Colonoscopy?
Is it possible that her having taken Acidophilus (? spelling) on a daily basis for a couple of weeks, could have upset her Intestine Flora? She took it for a few weeks because she was constipated and she tried to take care of the problem herself.
I don't know if when she had her previous Colonoscopies, they ever did an Intestine Biopsy. I will see if I can find out. If they did, I will try and get the results of the Biopsy to give to you.
Should I ask her current GI, when he does the Colonoscopy on Thurs., 6/27 to do an Intestine Biopsy?
What other questions should we be asking?
Should we ask that she be referred to an Auto Immune Specialist, a Geneticist, a Hematologist?
On 7/3, she has an appointment with a Neurologist due to the extreme head pain that she has suffered on 2 occasions and because of the lower pain level she continues to have in her head. We still do not have any explanation as to what is causing the severe head pain. It's not anything like a Migraine, it is exponentially worse in intensity and the pain is different. Plus she's occasionally seeing flashing white lights.
I've asked the GI to thoroughly check out the opening of her Appendix for any blockage and also to check for an Appendix Stone. And also to see if the Appendix is inflamed or infected. What else should I ask him to look for during the Colonoscopy?
Is it possible that her having taken Acidophilus (? spelling) on a daily basis for a couple of weeks, could have upset her Intestine Flora? She took it for a few weeks because she was constipated and she tried to take care of the problem herself.
Brief Answer:
follow up .
Detailed Answer:
Hi
Welcome for the follow up.
* Intestine biopsy reveals many of necessary information regarding the mucosa,
submucosa, nerve plexuses, villi etc. for the digestive purpose evaluation.
You must discuss to go for intestine biopsy during her follow up with gastrologist
* Points to discuss with the gastrologist during follow up
- possible co relation of central nervous symptoms and abdomen presentation
- diagnostic hopes with advanced molecular medicine
- look into matter of gut enteropathy of some type where intestine are sensitive to
certain food stuffs, not responsive to many medicines even
- can it be functional bowel syndrome which is many times stress related ?
* Appendix is very well visualised organ on CT scan and so it does not sound responsible
for this particular cause of abdomen pain.
* An immune specialist would be of particular help in this instance as many of the issues
related to GI ( undiagnosed via multiple parameters ) , do show up auto immune
origin with specific antibodies giving the diagnosis ahead.
* Though neurologist is best person to evaluate the head ache, presence of flash lights
may be part of underlying delusion or hallucination relating her to psychologic issue
underlying which show up in majority of the cases with chronic unresolving abdomen
complains.
* Taking acidophilus can alter gut flora in some cases, but not routinely.
My recommendations at present
- There is need of control of underlying stress with meditations - very essential
part of recovery, though slowly but definitely works best.
- Sound sleep maintenance.
- High fiber diet.
Feel free to discuss further as per the need.
Wish her best recovery.
Regards.
follow up .
Detailed Answer:
Hi
Welcome for the follow up.
* Intestine biopsy reveals many of necessary information regarding the mucosa,
submucosa, nerve plexuses, villi etc. for the digestive purpose evaluation.
You must discuss to go for intestine biopsy during her follow up with gastrologist
* Points to discuss with the gastrologist during follow up
- possible co relation of central nervous symptoms and abdomen presentation
- diagnostic hopes with advanced molecular medicine
- look into matter of gut enteropathy of some type where intestine are sensitive to
certain food stuffs, not responsive to many medicines even
- can it be functional bowel syndrome which is many times stress related ?
* Appendix is very well visualised organ on CT scan and so it does not sound responsible
for this particular cause of abdomen pain.
* An immune specialist would be of particular help in this instance as many of the issues
related to GI ( undiagnosed via multiple parameters ) , do show up auto immune
origin with specific antibodies giving the diagnosis ahead.
* Though neurologist is best person to evaluate the head ache, presence of flash lights
may be part of underlying delusion or hallucination relating her to psychologic issue
underlying which show up in majority of the cases with chronic unresolving abdomen
complains.
* Taking acidophilus can alter gut flora in some cases, but not routinely.
My recommendations at present
- There is need of control of underlying stress with meditations - very essential
part of recovery, though slowly but definitely works best.
- Sound sleep maintenance.
- High fiber diet.
Feel free to discuss further as per the need.
Wish her best recovery.
Regards.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
follow up .
Detailed Answer:
Hi
Welcome for the follow up.
* Intestine biopsy reveals many of necessary information regarding the mucosa,
submucosa, nerve plexuses, villi etc. for the digestive purpose evaluation.
You must discuss to go for intestine biopsy during her follow up with gastrologist
* Points to discuss with the gastrologist during follow up
- possible co relation of central nervous symptoms and abdomen presentation
- diagnostic hopes with advanced molecular medicine
- look into matter of gut enteropathy of some type where intestine are sensitive to
certain food stuffs, not responsive to many medicines even
- can it be functional bowel syndrome which is many times stress related ?
* Appendix is very well visualised organ on CT scan and so it does not sound responsible
for this particular cause of abdomen pain.
* An immune specialist would be of particular help in this instance as many of the issues
related to GI ( undiagnosed via multiple parameters ) , do show up auto immune
origin with specific antibodies giving the diagnosis ahead.
* Though neurologist is best person to evaluate the head ache, presence of flash lights
may be part of underlying delusion or hallucination relating her to psychologic issue
underlying which show up in majority of the cases with chronic unresolving abdomen
complains.
* Taking acidophilus can alter gut flora in some cases, but not routinely.
My recommendations at present
- There is need of control of underlying stress with meditations - very essential
part of recovery, though slowly but definitely works best.
- Sound sleep maintenance.
- High fiber diet.
Feel free to discuss further as per the need.
Wish her best recovery.
Regards.
follow up .
Detailed Answer:
Hi
Welcome for the follow up.
* Intestine biopsy reveals many of necessary information regarding the mucosa,
submucosa, nerve plexuses, villi etc. for the digestive purpose evaluation.
You must discuss to go for intestine biopsy during her follow up with gastrologist
* Points to discuss with the gastrologist during follow up
- possible co relation of central nervous symptoms and abdomen presentation
- diagnostic hopes with advanced molecular medicine
- look into matter of gut enteropathy of some type where intestine are sensitive to
certain food stuffs, not responsive to many medicines even
- can it be functional bowel syndrome which is many times stress related ?
* Appendix is very well visualised organ on CT scan and so it does not sound responsible
for this particular cause of abdomen pain.
* An immune specialist would be of particular help in this instance as many of the issues
related to GI ( undiagnosed via multiple parameters ) , do show up auto immune
origin with specific antibodies giving the diagnosis ahead.
* Though neurologist is best person to evaluate the head ache, presence of flash lights
may be part of underlying delusion or hallucination relating her to psychologic issue
underlying which show up in majority of the cases with chronic unresolving abdomen
complains.
* Taking acidophilus can alter gut flora in some cases, but not routinely.
My recommendations at present
- There is need of control of underlying stress with meditations - very essential
part of recovery, though slowly but definitely works best.
- Sound sleep maintenance.
- High fiber diet.
Feel free to discuss further as per the need.
Wish her best recovery.
Regards.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
