What Causes Stomach Ache, Back Pain And Extreme Fatigue?

Posted on Mon, 29 May 2017

Question: hello doctor
i have been having stomach ache and sever back ache from past ten days,i am feeling extreme fatigue .so i
consulted a doctor and got my test done.i have attached it.kindly let me know what problem i am going thru and how sevear it is..
regards,
XXXX

Answered by Dr. Bhagyesh V. Patel (25 minutes later)

Brief Answer:
Antral erosions with gastritis - benign lesion presently

Detailed Answer:
Respected XXXX, Hi I evaluated your query and reviewed the attached reports thoroughly.

* Correlates with Gastric erosions with underlying inflammatory reaction, lax XXXXXXX altering certain Laboratory parameters & mesenteric lymph node enlargements in Right Iliac Fossa.

* Till this much datas it is not that serious to be having so much stress. It will
come around with proper treatment.

* One test report is awaited which is Biopsy taken from Antral erosions for
Rapid Urease Test which is for H.Pylori detection.

* Overall it is a benign condition with gastritis.
* Certain lifestyle modifications would be mandatory along with the medicines.

* Kindly provide me some needed information required for further comments:

1. Type of pain - burning, colicky, exact site, frequency, relation with food
2. Aggravating, relieving factors of pain
3. Appetite, weight alterations any noticed
4. How are the bowel movements
5. Nausea, vomiting, fever
6. Menstruation problems, if any
7. Sleep pattern
8. Types of food consumption veg/nonveg and any recent change before onset of
the pain

9. Activity level/any exercises
10. Any history of consumption of alcohol/smoking, if any
11. Any other ailment apart from this
12. Taking any medicines for current issue
13. Any other illness like diabetes/hypertension/other
14. Personality - arrogant/anxious/normal
15. Any other information you would like to share

Hope this helps you.
Thanks for using HealthcareMagic and giving me an opportunity to assist you.

I would await your details.
Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Bhagyesh V. Patel (41 minutes later)

Good Evening doctor,
1.I HAVE STOMACH BURNING WHEN I HAVE NORMAL FOOD ALSO BUT ITS SEVER WHEN I HAVE NONVEG,I AM HAVING THIS PAIN ON LOWER ABDOMINAL (BOTH SIDES)
2.PAIN IS NOT VERY SEVER .
3.I HAVE LOST 3 KGS AND HARDLY FEEL LIKE HAVING FOOD FROM PAST 6 ,7 DAYS.
4.SOMETIMES I GO TWICE A DAY TO 6 TIMES A DAY,THE BOWEL LOOKS YELLOWISH LOOSE STOOLS.
5.I HAD FEVER TWICE IN LAST ONE MONTH HAD JUST TAKEN CROCIN.
6.MENSTRUATION CYCLE WAS DELAYED BY 10 DAYS.
7.FREQUENTLY GETTING UP WITH HEADACHES DISTURBED SLEEP PATTERN.
8.I AM A NON-VEGETARIAN ,HAVEN'T CHANGED ANY EATING HABITS OF LATE .
9.I HAVE FEELING VERY WEAK EVEN TO RIDE MY TWO WHEELER SO THERE HAS BEEN NO EXERCISE AT ALL.
10.QUIT SMOKING FROM TEN DAYS ,CONSUMED ALCOHOL LAST MONTH ,VERY OCCASIONALLY .
11.BEEN HAVING CHEST PAIN,PRICKING SENSATION ON LEFT SIDE.
12.I HAVE NOT STARTED ANY MEDICATION STILL.
13.HAVE HYPO THYROID ,TAKING THYRONORM 50
14.PERSONALITY:ANXIOUS,SENSITIVE.
15.1ST TIME GOT FEVER CAUSE OF THROAT PAIN ,AND AGAIN WITH STOMACH ACHE .
KINDLY LET ME KNOW THE REASON WHY IT HAPPENS .WHAT IS THE CAUSE .

REGARDS ,
XXXX

Answered by Dr. Bhagyesh V. Patel (1 hour later)

Brief Answer:
bacterial infection with Gastrointestinal involvement mostly.

Detailed Answer:
Respected XXXX, Hi, good evening.

* Considering all the data given herewith narrate Gastrointestinal infection due to some bacterial involvement.

* My clinical impression is Enteric Fever as the first possibility which is caused by
Salmonella typhi bacteria invasion through gastrointestinal tract;
confirmation of which requires '' Serum-WIDAL'' test and Blood Culture, sensitivity in Laboratory.

* Second possibility of H.Pylori infection for which confirmation report of biopsy is awaited, so its comments will be in relation to the result of that.

* Till that period, don`t panic, relax, follow certain measures as below:

- drink plenty of liquids preferably boiled water, coconut water, lemon juice,
green tea, coffee, butter milk, home made juices to maintain hydrations.

- take light diet in form of rice, yogurt, khichdi, boiled milk, mung.

- avoid all oily / spicy / nonveg stuffs / excess ghee / cheese / paneer /
junk foods / commercial beverages / biscuits / ice creams etc .

- Tab. Pantoprazole 20mg + Domperidone 10mg (eg. PAN-D) morning & evening an hour before meals on an empty stomach,

Tab. Acetaminophen (325)mg 8 hourly after meals,
Tab. Cefixime (200)mg 12 hourly after meals,
Syrup Digene gel 2 table spoonful every 6 hourly for minimum 3 -5 days.

- continue thyroid medicines. ( advisable to check Thyroid profile with S.Widal test in the laboratory to evaluate any thyroid level imbalances giving symptoms, if not done in past 3months)

- avoid smoking/alcohol totally

- avoid stress/anxiety
- try to have a sound sleep of 6-7 hours
- avoid prolong fasting/overeating
- do some light exercises, deep breathing exercises, YOGA at home
- maintain a chart of your BP, Temperature, Weight till total recovery

- chew your food thoroughly
- try to control stress/anger/emotions as its detrimental for flare up of all ulcer symptoms
- avoid sleeping for 2 hours at least after meals

* These are definitely going to help you at good extent.

Wishing you a fast and speedy recovery.

Welcome for any further assistance with or without additional reports.

Regards

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Above answer was peer-reviewed by : Dr. Arnab Banerjee