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What Causes Fever, Diarrhea, Right Sided Abdominal Pain And Blood In Stool?

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Posted on Fri, 3 May 2024
Question: hi I'm XXXXXXX 52. fever of 101. diarrhea w blood . pain in right side. rated at 7-8
doctor
Answered by Dr. Ramesh Kumar (37 minutes later)
Brief Answer:
bloody diarrhea.

Detailed Answer:

Hello,

Have seen your details.
Most likely you are having acute gastroenteritis with amoebiasis which cause blood with loose stools.
It causes inflammation in intestines therefore every moment of intestine would cause pain or spasm.As intestines are inflamed large amount of mucous would be secreted along with improper water absorption causing stools to be watery and may contain blood.
Most of the times its a self limiting condition however if fluid resuscitation is not proper it could even lead to condition like shock.
So what i would suggest you is to get Electral/ORS solution from local store/pharmacy and give him at least 200ml after every motion.
Tab imodium 4mg thrice daily to stop stools.Its over the counter.Things would be much better after 2nd dose.
Any probiotic can be taken twice daily.
Till now its was all over the counter.
If you can manage get a prescription for him-
Cefiximine 200mg twice daily
Metronidazole 400mg thrice daily(would cover bacteria and protozoans also).As blood is there in stool anti protozoal should be taken.
Take tylenol for fever.

Keep a watch on blood pressure and pulse.
If pulse is more then 110/minute or Upper blood pressure is less then 100mm of hg shift to the nearest emergency room.
Regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Ramesh Kumar (50 minutes later)
he wants me to go to er. but insurance won't cover it
doctor
Answered by Dr. Ramesh Kumar (4 minutes later)
Brief Answer:
follow up.

Detailed Answer:
Hello again,
In that case follow what i said.
Thanks.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2912 Questions

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What Causes Fever, Diarrhea, Right Sided Abdominal Pain And Blood In Stool?

Brief Answer: bloody diarrhea. Detailed Answer: Hello, Have seen your details. Most likely you are having acute gastroenteritis with amoebiasis which cause blood with loose stools. It causes inflammation in intestines therefore every moment of intestine would cause pain or spasm.As intestines are inflamed large amount of mucous would be secreted along with improper water absorption causing stools to be watery and may contain blood. Most of the times its a self limiting condition however if fluid resuscitation is not proper it could even lead to condition like shock. So what i would suggest you is to get Electral/ORS solution from local store/pharmacy and give him at least 200ml after every motion. Tab imodium 4mg thrice daily to stop stools.Its over the counter.Things would be much better after 2nd dose. Any probiotic can be taken twice daily. Till now its was all over the counter. If you can manage get a prescription for him- Cefiximine 200mg twice daily Metronidazole 400mg thrice daily(would cover bacteria and protozoans also).As blood is there in stool anti protozoal should be taken. Take tylenol for fever. Keep a watch on blood pressure and pulse. If pulse is more then 110/minute or Upper blood pressure is less then 100mm of hg shift to the nearest emergency room. Regards.