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What Causes Left-sided Abdominal Pain Despite Taking Triple Therapy For Helicobacter Pylori Infection?

Posted on Fri, 3 Jun 2016

Question: i'm on triple therapy regiment for the last week for h pylori taking clarithromycin amoxicillin and PPI... i have had pain in my abdomen and in my left side specifically lower rib area... still feeling nausea and pain. i still get a stinging pain on my left side and unable to eat as much... now i also have a low grade fever (37.7 c) and swollen lymph node and body ache

Answered by Dr. Dr.P.Ratnakar Kini (1 hour later)

Brief Answer:
Endoscopy finding?

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

What was the endoscopy finding?
What other tests were done?
Which group of lymph nodes are enlarged?

Regards,
Dr.R.K.

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

Follow up: Dr. Dr.P.Ratnakar Kini (9 hours later)

Hi dr. Kini,
i haven't had an endoscopy done just i was told if after the medication i still have pain we'll do one. i did a urea breathe test.. this is my second time to do triple therapy i had previously got the virus 4 years ago but didn't do follow up testing until recently.
As for the lymph nodes, my neck lymph nodes are enlarged.

Answered by Dr. Dr.P.Ratnakar Kini (14 hours later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
The H.pylori infection and enlarged lymph nodes are two different issues.

Continue with triple therapy. For nausea take zofran.

You need to undergo a few tests for the enlarged lymph nodes.
A complete blood count and a peripheral smear test has to be done.
Take tylenol for fever.
Drink enough fluids to stay well well hydrated.

Regards,
Dr.R.K.

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