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What Causes Abdominal Pain And Stiff Abdomen?

Posted on Tue, 15 Apr 2014

Question: Morning sir, wanted to know that am on Anti Tubercular Therapy, after how much time one should have something to eat after taking ATT dose. Also am having pain in my stomach its very much stiff n causes difficulty in breathing too. Also the back pain is getting more worse although on complete bed rest. 4th day of ATT course, diagnosed TB OF L3 Vertebrae.

Answered by Dr. T Shobha Deepak (2 hours later)

Brief Answer: Take ATT after food Detailed Answer: Hi Welcome to Healthcare-Magic Greetings of the day Namasthe Dear Ms XXXXXXX I would like to reassure you that there is no cause for concern. Let analyze your complaints 1. Pain in abdomen and stiff abdomen: Its likely to be due to drug induced gastritis. 2. Back pain: Its likely to be due to paraspinal muscle spasm and also there may increase in pain during the 1st week of starting of ATT. Do not worry things can be taken care off. Even though ATT is to be taken on empty stomach, as food may affect absorption of ATT. As you have pain in abdomen , i would advise you to take it after having food. Also would suggest you the following 1. Regular intake of frequent small quantity meals. 2. Avoid oily/spicy food 3. Tablet Pantop D once a day on empty stomach early morning. It will reduce the drug induced gastritis For back ache i owuld suggest you the following 1. Hot water fomentation: It will reduce the muscle spasm. 2. Volini gel for local application Do get back to me if you need any further assistance. You can write to directly anytime. Take Care Best Regards Dr T XXXXXXX Deepak MBBS,MD

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

Follow up: Dr. T Shobha Deepak (15 minutes later)

Mam am taking antacids, should I take pantop-d along with ATT in morning, it won't affect d absorption of ATT? can I use hot water bags rather than fomentation. ? Mam u didn't mentioned the gap between medicine and food intake and is d medicine to be taken early morning. ?

Answered by Dr. T Shobha Deepak (9 minutes later)

Brief Answer: ATT 1 hour after Breakfast Detailed Answer: Hi Dear Ms XXXXXXX Hot water bag will definitely be more convenient way for fomentation. I would suggest you to take Pantop D first thing in the morning with Honey and lime water. Have breakfast, after one hour of breakfast take ATT. It would be advisable if you exactly fix the timings of your breakfast. Also a light snacks 2 hours before lunch will take care of gastritis. Pantop D will not affect the absorption and will not decrease the efficacy of ATT. Also the Gastritis should resolve in couple of weeks. I hope it helped madam. Take Care Regards Shobha

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

Follow up: Dr. T Shobha Deepak (29 minutes later)

Mam sorry dat am bothering you again n again but I don't want to take it after food, I wanna take it as prescribed. U just tell me dat can I take omeprazole instead of pantop-d? Also can it both be taken along? and gap between medicine n after dat breakfast. ? mam what about diet? can I take curd, buttermilk, lemonade as all are cold n may aggravate back pain

Answered by Dr. T Shobha Deepak (6 minutes later)

Brief Answer: Take ATT 30 min before breakfast Detailed Answer: Namasthe You can definitely take it as advised by your physician. Omeprazole is also a Proton pump inhibitor and you can safely take it. I would recommend a gap of taking medicine 30minutes before taking breakfast or take them one hour after breakfast, whichever you decide. There is absolutely no diet restriction. Curds, buttermilk are good for gastrointestinal tract. There is no concept of cold food will aggravate back ache. Take Care Regards

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