
What Causes Right-sided Pain During Deep Breaths, Fever, Cold Sweats And Fatigue?

Chronic Recurring Entero-Colitis?/Under Investigation
Detailed Answer:
Provisional Impression-Chronic Colitis?/Under Investigation
Hi,Welcome with your query to HCM.
I studied your query in all the details put forth by you.
I understood your health concerns which repeat with fatty/sweet/non-vet food any time over 1 week to 1.5 yrs-as follows-
Recurring attacks of following Complaints-
Day-1-Right sided pain,-Suggests-Enteritis induced by Food- with some food infection
Day-2-Morning Fatigue with pain on inspiration. By Evening -day 2-chills/sweats/fever/nausea with extreme cramping- ,which moves to central stomach,with air/bloated feel below belt-Suggests Bacteremia
Day-3-Morning-Extremely sore feeling.-Enteritis
All your lab and radiological tests for Gall bladder/Colonscopy turned out NORMAL
Impression-
Based on theses fact you seem to have Recurring food induced Entero-Colitis which is self limiting but recurring.
Mostly these happen with seasonal changes and food outing habits.
You need not worry as these are food induced Entero-Colitis,which your body is responding well as you are quite health otherwise.
To guide you on more Suggestions on how to prevent these attacks,I would need some more information as follows-
How many attacks in last 3 mths time/ or 6 mths/ or in 12 mths time?
What is your jobstyle and what are your food habits?
When you had the last attack?
Was it after partying?Was it with hotel / or outside food?
Was the last attack,with the stale food?
Awaiting your answers for further guidance.
Good Day!!
Dr.Savasakr M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS


Mild FPIES with bacon wrapped eggs/Under Investigation
Detailed Answer:
Probable-Impression-
Mild FPIES with bacon wrapped eggs/Under Investigation
Hi,Thanks for the updates,which speaks of the reasoning of your problem well.
Be ready to face the music,when you dear to enjoy the bacon wrapped with eggs / random fast food,or few cake by accident or by willful act.
You are quiet young to take these risks.
Impression-
Based on the submissions of your last updates,You seem to have-
Food Protein Induced Enterocolitis Syndrome(FPIES)- luckily of mild type.
Remedy- to control Risks from Trigger foods-
In My opinion you seem to have combination problem -with bacon/eggs and cakes .
Best Solution is AVOID TRIGGER FOODS, and BE ON HEALTHIER DIET,which you know better.
When in risk of exposure to Risky food-
Under guidance of script from your Physician-
Take Preventive-drugs before and during the course of those 3 days.
Like Tab-Cetrizine-
Tab-Oflox with Metrogyl-
Tab -Colospa
Tab-Proton-D
Tab Zincovit
Bland liquid diet as follows for 3 days period-
to keep you in your working chair-
Butter Milk x 2 times per day-to tone up your GI resistance to food induced attacks
Banana Milk Shakes x 2 times per day
liquid Rice soup with dal x 2 times per day
Keep Healthier food frequency with Gym for major section of your monthly schedule.-This is to control this,but there is risk of unpredictability your body reacting to food,which you have to weight at your own risk.
Hope you understand that the above suggested regime needs to be followed under guidance of Your Physician and at your own risk,as it covers the risk period after the trigger food.
Risks and Alerts-
You need to follow healthy life style and avoid trigger foods.
Being FPIES-a gravity of the protein induced food reaction is an unpredictable body response, and recurrent exposure may weaken your body immune responses and may expose you to shock like syndrome any time,which is a WARNING medical ALERT to be give as your medical expert suggesting way out for your complex FPIES(Food -Protein-Induced-Enterocolits-Syndrome)
Hope this replies all your query and will resolve your worries and anxieties with it.
This will also make you ALERT on precautions to be taken while enjoying trigger foods.
Welcome for any further query in this regard,before I close this query at My end.
Will appreciate your writing excellent feedback comments,to help the needy patient visitors like you,at HCM.
Wishing you fast recovery in time to come.
Keep me updated on the progress and update me the kind of relief with the above suggested life style changes.
Good Day!!
Dr.Savaskar M.N.
M.S.Genl-Surgeon XXXXXXX Surgical Specialist

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