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Suggest Treatment For Headache, Heartburn And Abdominal Pain While On Cipro
Question: I am looking for a diagnosis. I have been having right-sided pain that travels up to my back and causes frequent headaches, along with sudden onset of terrible heartburn and abdominal swelling. I recently developed a UTI and went on Cipro and now all of my other symptoms have gone away. I feel great now for the first time in months. I am happy but I would also like to know why this happened. The only symptom I still have is the pain on my right lower side/back. All of my blood work and ultrasound results are normal.
Brief Answer:
Provisional diagnosis: Spinal column issues.
Detailed Answer:
Hi!
We are looking at not one - but several diagnoses that are causing this problem.
It is obvious that there is a neurological issue which can be helped by an SNRI
like either Venlafaxine (Effexor) or Desvenlafaxine (Ventab). These two medicines increase the pain tolerability threshold by altering your perception.
I say that though they might be concurrent, the heart burn and abdominal swelling are a psychological response to the pain. This is because of Vagus innervation to the esophagus and the intestines.
I would dare speak of either a herniated disk putting pressure on the sacral plexus or I might diagnose it as a hypothetical neurogenic claudication.
Thus, in simple terms, it's an issue with your spinal column applying pressure and thus causing neurological issues which you suffered from, which still remain, and puzzle you as to their origin.
Feel free to ask more questions.
Thanks,
Dr. Neel Kudchadkar
Provisional diagnosis: Spinal column issues.
Detailed Answer:
Hi!
We are looking at not one - but several diagnoses that are causing this problem.
It is obvious that there is a neurological issue which can be helped by an SNRI
like either Venlafaxine (Effexor) or Desvenlafaxine (Ventab). These two medicines increase the pain tolerability threshold by altering your perception.
I say that though they might be concurrent, the heart burn and abdominal swelling are a psychological response to the pain. This is because of Vagus innervation to the esophagus and the intestines.
I would dare speak of either a herniated disk putting pressure on the sacral plexus or I might diagnose it as a hypothetical neurogenic claudication.
Thus, in simple terms, it's an issue with your spinal column applying pressure and thus causing neurological issues which you suffered from, which still remain, and puzzle you as to their origin.
Feel free to ask more questions.
Thanks,
Dr. Neel Kudchadkar
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
I do have an l5s1 herniation on the left- would this make sense? But why would cipro make all the issues go away?
Brief Answer:
Three important diagnoses.
Detailed Answer:
Hi again!
Whereas you have clearly mentioned that the pain on the right side indeed persists. We know there is an L5-S1 herniation that exerts pressure on the spinal cord leading to these problems. When you took ciprofloxacin, your secondary diagnosis was proven right and you were cured of GI symptoms. Let us note that GI symptoms of terrible heart burns and adominal swelling were due to an infective cause. Given the fact that the UTI was also due to another infective cause. We now know that ciprofloxacin eradicates most germs. The fact still remains that you have had three seperate concurrent diagnosis; 2 of which you have gained relief from and the third, namely the neurological problem with the spinal cord still persists.
Regards,
Dr. Neel Kudchadkar
Three important diagnoses.
Detailed Answer:
Hi again!
Whereas you have clearly mentioned that the pain on the right side indeed persists. We know there is an L5-S1 herniation that exerts pressure on the spinal cord leading to these problems. When you took ciprofloxacin, your secondary diagnosis was proven right and you were cured of GI symptoms. Let us note that GI symptoms of terrible heart burns and adominal swelling were due to an infective cause. Given the fact that the UTI was also due to another infective cause. We now know that ciprofloxacin eradicates most germs. The fact still remains that you have had three seperate concurrent diagnosis; 2 of which you have gained relief from and the third, namely the neurological problem with the spinal cord still persists.
Regards,
Dr. Neel Kudchadkar
Above answer was peer-reviewed by :
Dr. Yogesh D
The spinal injury happened in 2014. It was recommended I have surgery which I did not go though with. I have been doing spinal decompression with achiropractor that is been very effective in relieving my symptoms. I did not consider that the new symptoms I am having would be from my disc issue. Thank you and I will reconsider surgery if the symptoms persist.
Brief Answer:
A no fault illness.
Detailed Answer:
Hi!
You mention that, in the past you chose physiotherapy of sorts instead of an operation. Most people, including me, would have tried to avoid the operation.
You and I were not wrong. Any operation is a final resort of sorts.
However, I am very positive about this.
I have a good feeling, a hunch that after the operation, you'll get better.in totality.
I wish you all the best.
Have a wonderful day,
Dr. Neel Kudchadkar
A no fault illness.
Detailed Answer:
Hi!
You mention that, in the past you chose physiotherapy of sorts instead of an operation. Most people, including me, would have tried to avoid the operation.
You and I were not wrong. Any operation is a final resort of sorts.
However, I am very positive about this.
I have a good feeling, a hunch that after the operation, you'll get better.in totality.
I wish you all the best.
Have a wonderful day,
Dr. Neel Kudchadkar
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Above answer was peer-reviewed by :
Dr. Sonia Raina
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