Suggest Treatment For Persistent Abdominal Pain With Chills

Posted on Wed, 21 Oct 2015

Question: Having pain and discomfort in stomach area since 2 a.m. last night. It seemed to start on right side.Have not had anything to eat for 24 hours. Do not believe it to be indigestion of any kind. Discomfort to sit especially but dull pain in other positions as well. Prefers to lay in bed. Have chills and clammy. This is 3rd attack in 2 months. Seems to last for 8 to 12 hours and then subsides and leaves. This time it has remained longer all day. Took bitters and it came up. Took Milk of Magnesia at 1.30pm. THru it up and whatever was in stomach at 2.30. Low grade temperature

have not heard from anyone. has been an hour should I resubmit

Answered by Dr. Muhammad Ali Rauf (4 hours later)

Brief Answer:
Need some details to guide you better

Detailed Answer:
Hello

My name is Dr Muhammad Ali Rauf & i will look into your problem.

I have gone through your query and would try to help you in the best possible way. There could be a number of causes for abdominal pain. I would be in a better position to guide you anything if you answer following questions please:

1. Does pain settle or aggravates after taking food?
2. does pain radiate from one side to any other side?
3. any history of nausea, vomiting or fever?
4. any history of constipation or diarrhea?
5. are you on any medication?
6. any history of heart problem, diabetes, hypertension or other illness?
7. any other symptom that you would like to share?
8. does pain aggravate while taking fatty meal(in specific)?

I will be looking forward for the answers to conclude the discussion in the best interest of yours.
Thank You

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

Follow up: Dr. Muhammad Ali Rauf (9 hours later)

no none of the above

Answered by Dr. Muhammad Ali Rauf (3 hours later)

Brief Answer:
Needs further workup

Detailed Answer:
Hello

thank you for getting back with the answers. I have gone through them. Most common differential in your case includes cholecystitis & gastritis. As you had multiple episodes so i would suggest you to get a workup done. It will include an appointment for a gastroenterologist by visiting hospital. He will examine you and will advise some investigations including ultrasound abdomen. further management will depend upon results. Meanwhile following measures will help in reducing the discomfort:

- sucralfate suspension thrice a day for 10 days
- take small frequent meals.
- take 30-45 mins walk/exercise daily in the evening. It will make you fresh, healthy and is good for digestion.
- Don't lie down immediately after taking meal
- raise head end of your bed slightly(by an inch)
- Eat a diet rich in fiber, especially from fruits and vegetables
- take dinner at least 2-3 hrs before going to bed.

> AVOID:
fatty & oily food.
spices
heavy meals at night
carbonated & caffeine drinks
chocolates

Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it.
Wishing you good health !!

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

Follow up: Dr. Muhammad Ali Rauf (6 days later)

still has pain right side that seems to come and go. some days are worse than others. did gall bladder cleanse but did not correct. has feelings of bloatedness

Answered by Dr. Muhammad Ali Rauf (8 hours later)

Brief Answer:
Please visit hospital for further workup

Detailed Answer:
Hello

I'm sorry that you pain is still persisting. In this case you need further workup as mentioned in my previous reply. You need to visit hospital and get an appointment for a "Consultant Gastroenterologist". He will examine you thoroughly and will order some investigations including ultrasound abdomen, LFTs, ECG & CBC. Further management would depend upon the lab results.

Thank You

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