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What Causes Headache, Low Grade Fever And Abdominal Pain?

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Posted on Mon, 20 Nov 2017
Question: I have a continuos stomach ache, headache, low grade fever. I feel ok until I eat something. I have had a colonoscopy, blood tests, lipid tests and they all came out normal
doctor
Answered by Dr. Lekshmi Rita Venugopal (2 hours later)
Brief Answer:
Need to undergo upper GI endoscopy and other investigations

Detailed Answer:
Hello,
Thank you for trusting HCM

Abdominal pain that occurs immediateky after eating is most suggestive of gastric ulcer disease. An upper gastrointestinal endoscopy is required to visualize the ulcer.
Meanwhile, you can take Omeprazole 20 mg in the morning before food. Avoid fatty, fried and spicy food in diet.
Another important consideration is possible gall stones or cholecystitis. ISH abdomen is required to rule out gall stones.
I also recommend undergoing stool analysis, serum amylase and kinase (to assess pancreatic function), hydrogen breath test (to exclude lactose intolerance) and anti-gliadin antibodies (to rule out gluten sensitivity) which can all present as pain after eating.
Please be advised to follow up with your gastroenterologist for undergoing evaluation.
As you can see there are several conditions that need to be excluded and series of investigations required.

Hope this answers your question
Please address further questions here
Regards
Dr.Lekshmi

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Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
Dr.
Dr. Lekshmi Rita Venugopal

General & Family Physician

Practicing since :2012

Answered : 3808 Questions

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What Causes Headache, Low Grade Fever And Abdominal Pain?

Brief Answer: Need to undergo upper GI endoscopy and other investigations Detailed Answer: Hello, Thank you for trusting HCM Abdominal pain that occurs immediateky after eating is most suggestive of gastric ulcer disease. An upper gastrointestinal endoscopy is required to visualize the ulcer. Meanwhile, you can take Omeprazole 20 mg in the morning before food. Avoid fatty, fried and spicy food in diet. Another important consideration is possible gall stones or cholecystitis. ISH abdomen is required to rule out gall stones. I also recommend undergoing stool analysis, serum amylase and kinase (to assess pancreatic function), hydrogen breath test (to exclude lactose intolerance) and anti-gliadin antibodies (to rule out gluten sensitivity) which can all present as pain after eating. Please be advised to follow up with your gastroenterologist for undergoing evaluation. As you can see there are several conditions that need to be excluded and series of investigations required. Hope this answers your question Please address further questions here Regards Dr.Lekshmi