Suggest Treatment For Persistent Stomach Pain And Loose Stool

Posted on Fri, 14 Aug 2015

Question: Hello.. I've been suffering from stomach pain since 2 months. I have spasms in my stomach and bit of acidity. My stomach aches after I wake up from bed. I also have this warm sensation and continuous pain around the naval region. I self medicated myself with Metronidazole 400mg thrice daily for a week with no effects and then I took digestive enzymes externally with no effect on the pain. I recently visited a doctor and now my stool has become loose. I feel soreness in my stomach and the pain subsides and rises from time to time with lower intensity than before. My appetite has degraded. Please guide me and help me heal faster. I have attached reports. Thanks..

Answered by Dr. Rishi (1 hour later)

Brief Answer:
It seems like Hepatitis. It will recover slowly.

Detailed Answer:
Hi XXXX,
I saw your reports and all seem normal except for deranged Bilirubin and liver enzyme. Do you have jaundice with high colored urine and yellow eyes? The good thing is there is no abnormality found in liver or Biliary tract in Ultrasound.
It seems like Hepatitis.That would explain the pain and burning.
I suggest you get your HBsAg, Anti HCV and HIV tests done to see what kind of Hepatitis it is and the status of your immunity.
I suggest you stop all medicines and take only Glucose and take bed rest.
I usually advice only Tab Pantoprazole 40mg or Cap Omeprazole 20mg once a day before breakfast.
Have a healthy high carbohydrate diet and could take LIV 52 tablets or syrup to increase Liver health.
Most medicines get metabolized in Liver and therefore can cause damage to a stressed liver. Therefore, most medicines should be avoided.
Your appetite will improve subsequently as the liver heals up but keep eating a high carb diet, that is extremely important.
Take care and do let me know the results of the tests and if there are other queries that I can resolve.
Dr Rishi, New XXXXXXX XXXXXXX

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Rishi (13 hours later)

Hello Doctor, I've uploaded the new reports as suggested. My eye doesn't show any distinct yellowness but urine seems highly yellow when I wake up int he morning after which it gets to usual yellow color post intake of water. I have purchased Liv 52 Liquid. How should I consume it?

Answered by Dr. Rishi (1 hour later)

Brief Answer:
Reports are good. Start Liv 52.

Detailed Answer:
Hello XXXX.
Good to hear from you. Its very good that all three viral markers have come negative and there should be nothing to fear then. You should be better in a few weeks.
You have jaindice as suggested by your blood reports and therefore the darker urine. It will improve slowly.
Liv 52 should be had twice a day with a glass of water half an hour before meals.
Get your liver function tests(Bilirubin, SGOT and SGPT) repeated after 7 to 10 days and let me know and we can guide you further.
Do not worry.
You should be fine soon.
Take care.
Dr Rishi, New XXXXXXX XXXXXXX

Above answer was peer-reviewed by : Dr. Neel Kudchadkar

Follow up: Dr. Rishi (1 hour later)

Thank you!
I'm glad too to know that my reports are good. So I'll continue with consumption of Omeprazole and Liv 52 only and discontinue the other medicines that I was previously consuming.

Another thing. Can you tell me which foods I should specifically avoid?

Answered by Dr. Rishi (3 hours later)

Brief Answer:
You should avoid high protein containing foods.

Detailed Answer:
Hello.
You should continue with this treatment for at least two weeks and probably longer.
Foods that you should avoid are those containing high proteins like pulses, meat, beans and paneer.
Concentrate on high carbohydrate diets which contain simple sugars and are easy for the liver to metabolize. Rest all can be consumed without any problems.
Take care.
Dr Rishi, New XXXXXXX XXXXXXX

Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Shanthi.E