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Suggest Remedy For Severe Back Pain And Abdominal Bloating While On Plaquenil
Question: Hi I am 45 yrs old and the past 3 days I have had severe lower abdominal cramping, nausea and lower back pain, abdominal bloating and gas. No fever. I haven't had a period since march of this year. I do have mixed connective tissue disease for about 13 yrs. I am on plaquenil 200 mg 1 tab bid, Celebrex, and Tylenol PM. I always have fatigue, but I noticed as soon as I get home from work I need to sleep. I do have sweats and chills at night...I figured it was menopause or the auto immune disease flare up. What concerns me is the severe lower abdominal cramping, diarrhea and nausea. Any ideas?
Brief Answer:
It can be acute gastroenteritis, you need fluids and salts replacements
Detailed Answer:
Hi! Welcome to health care magic!
Based on the history you have shared, it is sad to know what you had gone through lately.
Your fresh history can be rarely attributed to drugs which you are using for your connective tissue disease.
As the current symptoms are really acute and you are using those since long so such symptoms are less likely due to these drugs or due to acute flare of the pre existing illnesses. Such acute history can be due to some infective etiology leading to gastroenteritis. Unless it doesn't persist for weeks or months it can't be related to menopausal or connective tissue disease symptoms at this moment.
Ideally you can use soft bland diets for a while and plenty of fluids preferably with Oral rehydration salts as extensive sleepiness and lethargy can be due to water or electrolytes loss with diarrhoea or vomitings. Using antispasmodic drugs like Drotaverine or Hyoscyamine may help with cramps.
If symptoms persist, you can discuss using antibiotics like Ciprofloxacin along with Metronidazole with your GP. Extensive blood work or stool examination can wait for a while.
Hoping you a speedy recovery.
If you have any more questions, feel free to ask.
Regards.
It can be acute gastroenteritis, you need fluids and salts replacements
Detailed Answer:
Hi! Welcome to health care magic!
Based on the history you have shared, it is sad to know what you had gone through lately.
Your fresh history can be rarely attributed to drugs which you are using for your connective tissue disease.
As the current symptoms are really acute and you are using those since long so such symptoms are less likely due to these drugs or due to acute flare of the pre existing illnesses. Such acute history can be due to some infective etiology leading to gastroenteritis. Unless it doesn't persist for weeks or months it can't be related to menopausal or connective tissue disease symptoms at this moment.
Ideally you can use soft bland diets for a while and plenty of fluids preferably with Oral rehydration salts as extensive sleepiness and lethargy can be due to water or electrolytes loss with diarrhoea or vomitings. Using antispasmodic drugs like Drotaverine or Hyoscyamine may help with cramps.
If symptoms persist, you can discuss using antibiotics like Ciprofloxacin along with Metronidazole with your GP. Extensive blood work or stool examination can wait for a while.
Hoping you a speedy recovery.
If you have any more questions, feel free to ask.
Regards.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
thanks
Brief Answer:
Closing remarks
Detailed Answer:
you are welcome. You can contact me directly through my profile in case of any queries in future. Best wishes.
Closing remarks
Detailed Answer:
you are welcome. You can contact me directly through my profile in case of any queries in future. Best wishes.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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