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Suggest Treatment For Nausea, Stomach Pain And Loss Of Appetite

Posted on Fri, 5 Sep 2014

Question: One doctor suggested my wife flukazonale 300 for 8 weeks, once in week. After taking this medicine she started feeling uneasy from stomach, like continuous nausea, loss of appetite, no energy in body. Before this medicine she was fine. I came to know that flukazonale must have affected her liver.We discontinued fluka after five weeks.Then I consulted another doctor who gave her omnaprazole , od, Entrofora BD, of oflaxacin & ordinazole BD, Silymarin & Lecithin suspension 1t.spoon BD, for five days, yet her problem is not over. She has very mild pain in stomach, needs to go toilet after eating any thing, appetite lost, feels no energy, pain in hand and foot.

Answered by Dr. Anshul Varshney (17 hours later)

Brief Answer:
I need further details

Detailed Answer:
Dear Friend,
Welcome to HCM.
I am Dr Anshul Varshney. I understand your concern.
I have read your query in details.
But to help you my best i need following details:
1. Since how long is she having these problems?
2. How did the problems started. Please mention the course of disease in more details.
3. Any frequent loose stools? Or constipation?
4. Any specific reason your doctor mentioned for adding Fluconazole as this is anti fungal drug. Yes, you are right it effects liver.
5. Any weight loss?
6. Any history of jaundice?
7. Any history of food regurgitation? Any burping?
8. Is the pain in stomach in in upper abdomen or lower abdomen?
9. Ask her that did she give any history of white discharge per vaginally to the doctor who prescribed Fluconazole.
10. Attach whatever investigation you have.

Revert with these details for a better help.
Stay Healthy

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anshul Varshney (8 hours later)

Sir,
I am answering your queries pointwise.
1.She is having these since XXXXXXX 3.
2. It started as whenever she ate anything she had to go to toilet. Her throat was having burning sensation. While going to toilet a lot of noise was coming. Presently whenever she eats any thing she feels like omiting. Her apetite is lost. Not feeling energetic. Having pain in legs.
3. Mostly stool is loose..
4. She has eczema in her foot; that's why docter gave fluconazole.
5. Yes weight loss is there.
6. No history of Joindice.
7.No food regurgitation , but light burping is there.
8. The pain in stomach is near navel point.
9. No
10. Her thyroid profile on 15-6-14 was normal i.e;
T3-1.05
T4-11.4
TSH-3.87
As her menses was not normal since last 3 months i,e since march it was after 17 days 27 days(it was very very less this time),26 days (normal),46 days (after consulting docter, this happened only after taking medicine). Dates were 28 feb,16 mar,14april,11may, 26 XXXXXXX 23 july.At this point docter prescribed a Trans vaginal ultrasound, we got it done on 15 XXXXXXX report was " no significant abnormality visualised".
Kindly suggest, her URIC ACID, SERUM is 5.1, R.A is < 10.00 on 7 Aug.

Answered by Dr. Anshul Varshney (2 hours later)

Brief Answer:
Detail Follows.

Detailed Answer:
Dear Friend.
I would keep very high the possibility of Malabsorption Syndrome with the history provided.
I would advise you to stop all these medications and first of all get her evaluated.
1. Upper GI Endoscopy with Biopsy.
2. Anti TTG Antibody.
3. Hemogram with ESR.
There is no point in giving her so many medications with out proper diagnosis.
I would keep a possibility of Malabsorption Syndrome particularly Celiac Disease.
Get investigated and review with reports.
Stay Healthy.

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Above answer was peer-reviewed by : Dr. Raju A.T