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Suggest Treatment For Severe Stomach Ache And Diarrhea

Posted on Tue, 9 Dec 2014

Question: My daughter is having loose motion and stomach ache since 26th October2014. Doctor told it is irritable bowl syndrome. She is sometimes having loose motion and sometime sticky but stomach ache is continuous. It increases as she takes food.

Answered by Dr. Deepak Kishore Kaltari (13 minutes later)

Brief Answer:
To consider possibility of worm infestation

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day

Dear Ms XXXXXXX

The most commonest cause for altered bowel habit associated with pain abdomen in children is Parasitic infestation of intestine. Being a Paediatric Surgeon, I routinely encounter several such cases.

I would suggest you the following

1. Stool routine examination
2. Empirical treatment with anthelminthic drugs for worm infestation
3. Symptomatic treatment of pain with antispasmodics
4. Ensure good intake of water
5. Probiotics
6. Empirical treatment with amoebicidal drug (following stools report).
Discuss all about this your doctor.

Do get back to me if you need any further assistance, will be glad to assist you.

Take Care

Best Regards
Dr Deepak Kaltari

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Deepak Kishore Kaltari (29 minutes later)

now she got period again within a span of 7 days

Answered by Dr. Deepak Kishore Kaltari (2 minutes later)

Brief Answer:
Irregular periods are quite common

Detailed Answer:
Dear Ms

Irregular periods are quite common in teenagers. If there are no clots then bleeding is unlikely to be severe and does not call for any apprehensions.

Do get back to me if you face any issues.

Regards
Deepak

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Deepak Kishore Kaltari (28 hours later)

sir
i have taken stool test regular
stool test report shows
Physical examination
colour brownish
consistency semi formed
Mucus absent XXXXXXX blood absent
parasites absent
chemical examination
reaction alkaline
occult blood absent
reducing substances absent
Microscopic examination
Pus cells 0-1
macrophages absent
Red blood cell absent
epithelial cells occasional
fat absent
undigested particle absent
ova absent
cysts absent
trophozoite absent
other finding absent
pls advice

Answered by Dr. Deepak Kishore Kaltari (1 hour later)

Brief Answer:
antispasmodic will be helpful

Detailed Answer:
Dear Ms

The stool report is normal and there is nothing to worry about. The pain is likely to be related to menstrual cycle. Symptomatic treatment with antispasmodic will help
Empirical treatment with deworming will be helpful.

Take care

Best regards
Dr Deepak

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Deepak Kishore Kaltari (21 hours later)

yesterday she had one meftalspas
pain stopped a little
but she was having headdache and nausea
so we have not given her today
now she is feeling fullness in stomach and is having lot of pain in stomach
pl advice
dr told to give cyclopam

Answered by Dr. Deepak Kishore Kaltari (1 hour later)

Brief Answer:
Antiemtic will be helpful

Detailed Answer:
Dear Ms

You can consider addition of antacid and antiemetic like Pantoprozole and Domperidone. Continue giving antispasmodics. Do consult your physician if symptoms persists.

Wishing her speedy recovery.

Regards
Deepak

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Deepak Kishore Kaltari (23 hours later)

her urine test report is as follows
physical examination
colour yellow
appearance slightly hazy
specific gravity 1.030
chemical reaction
reaction 6.0
occult blood absent
nitrate negative
protiens trace
glucose absent
ketones absent
bile salts absent
bile pigment absent
urobilinogen normal
Epithelial cells 5-6
pus cells absent
red blood cell absent
crystals calcium oxalate 20-25
casts absebt
yeasts cells absent
mucous threads present+
amorphous material absent
bacteria absent
trichomonas absent
pl advice

Answered by Dr. Deepak Kishore Kaltari (2 hours later)

Brief Answer:
Urine report is normal

Detailed Answer:
Dear Ms XXXXXXX

Her Urine report is absolutely normal. Calcium oxalate crystals is usually present in concentrated Urine. I hope the pain has subsided and she does not have any urinary complaints.
Do get back to me if you need any further assistance, will be glad to assist you.

Take care
Best regards
Dr Deepak

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Deepak Kishore Kaltari (20 minutes later)

does she have any chances of kidney stone.
is ultra sonography of abdomen and pelvis required

Answered by Dr. Deepak Kishore Kaltari (7 hours later)

Brief Answer:
Get scan if pain recurs

Detailed Answer:
Dear Ms XXXXXXX

If she has no urinary symptoms like pain while passing a urine ,burning sensation while passing urine then no further investigation are needed. If pain recurs and is not related to periods then Ultrasound scan is indicated.

Take care

Best regards
Dr Deepak

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

Follow up: Dr. Deepak Kishore Kaltari (2 days later)

her ultra sonography of abdomen and pelvis showed that
rt kidney reveals few tiny calyceal calculi of approx 3 to 4 mm size
lt kidney reveals few small calyceal calculi of approx 4 to 5 mm size
all other things are normal
Impression
bilateral renal calculi with no hydronephrosis or hydroureter.

Now she is having general weakness
but after 3 o clock in the evening headache starts and it increases and reduces after 9 aat night
at that time she has stomach ache also
our doctor took it as urine infection and gave one medicine which make her pass urine more frequently.
pl suggest

Answered by Dr. Deepak Kishore Kaltari (4 hours later)

Brief Answer:
Ensure adequate intake of water

Detailed Answer:
Dear Ms XXXXXXX

The calculi or stones are small in size and are not obstructing the Urinary tract which is obviously absence of Hydronephrosis (enlargement of kidney ) and hydroureter (enlargement of Ureter ).

Ensuring high urine output by increasing the water intake and few doses of diuretics (to increase the urine output) is all that is required. Your physician would have already given diuretics as suggested in the history.

I would suggest you the following

1. Kindly get biochemical test done : Serum Calcium, phosphorus, Uric acid to rule out any biochemical cause for calculi

2. Ensure good intake of water : 1 glass of water 1 hour before every meals and 1 glass of water 1 hour after every meals will ensure adequate intake of water.
weakness is likely to be due to decreased intake of water

3. Give her meals frequently

4. Avoid tomato and spinach in diet.

5. Ensure good sleep : it will take care of headache

6. There is no cause for concern if the biochemical test are normal . She will require follow up scan after couple of months.

Take care

Best regards
Dr Deepak

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