
Suggest Treatment For Fever, Sinus Infection, Abdominal Pain And Tiredness?

Also of note, he does not drink alcohol regularly but did drink a wine cooler the night before each episode of fever. He does not take any illicit drugs, and is now taking 2000 IU of vitamin D3 daily plus an iron pill daily. No other medications. He was tested for HIV, hepatitis C, all negative. No STDs as he is not sexually active.
Difficult to say whether it is Lyme or Mono
Detailed Answer:
Hi there,
Thanks for posting in HCM.
I am Dr.Barani and I am pleased to assist you.
It is dificult to say whether it is due to Lyme or mono. Because the symptoms you have mentioned are quite non specific and do not point towards any specific disease. Unless specific diagnostic tests are done it is difficult to say whether it is Lyme or Mono.
As far as the abdominal pain is concerned, it looks like duodenal ulcer only. An upper GI endoscopy may be done to confirm it. Tests for H.pylori infection may be done if it is an ulcer. Painkiller medications should be avoided. He can take Nexium for relief.
I hope that answers your query.
Let me know if you have any more questions.
Regards,
Dr.Barani


PPI
Detailed Answer:
Hi,
No, ulcer does not heal on its own.
He has to take antiulcer medications like Nexium for 4-8 weeks.
If he is positive for H.pylori he needs to take antibiotics for two weeks to eradicate it.
Regards,
Dr.Barani

Answered by

Dr. Baranidharan Kuselan
Pain Medicine & Palliative Care Specialist
Practicing since :1996
Answered : 417 Questions
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