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What Causes Stomach Pain With Vomiting?
Question: My 17 year old has been complaining of intermittent stomach pain with vomiting, feeling full, general malaise, blood work that reveals low potassium (3.5), chloride (89), sodium(140) and high CO2(ranging 38 to 43) along with muscle cramping and fatigue. This has been going on for 2 to 3 months. Also has had recent weight loss from 110# to 104#, she has had a lot of headaches
Brief Answer:
Ultrasound of abdomen should be done.
Detailed Answer:
Hello XXXX
Thanks for writing to HCM
She need proper clinical examination and investigations.
Her symptoms may be due to many reasons like infection,acidity etc.
First of all ultrasound of abdomen should be done.It will screen out many conditions.
Routine heomgram,Random blood sugar,Liver function test,kidney function test,urine RE/ME,stool(routine and microscopic examination)should also be done.
Your doctor is right,intestinal worms can cause similar symptoms.With these symptoms,i suggest my patients to take single tablet albendazole 400 mg at night.
Broad spectrum antibiotics should also be prescribed empirically.I also suggest to take tablet ondensetron 4 mg twice daily for four-five days.It will control vomiting.
Electrolyte imbalance is due to long standing vomiting.It will correct after rehydration therapy.Don't worry about this.
She can take tablet paracetamol 500 mg SOS for headache.
Proper treatment depend upon findings.
Get well soon.
Hope i have answered your query.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Ultrasound of abdomen should be done.
Detailed Answer:
Hello XXXX
Thanks for writing to HCM
She need proper clinical examination and investigations.
Her symptoms may be due to many reasons like infection,acidity etc.
First of all ultrasound of abdomen should be done.It will screen out many conditions.
Routine heomgram,Random blood sugar,Liver function test,kidney function test,urine RE/ME,stool(routine and microscopic examination)should also be done.
Your doctor is right,intestinal worms can cause similar symptoms.With these symptoms,i suggest my patients to take single tablet albendazole 400 mg at night.
Broad spectrum antibiotics should also be prescribed empirically.I also suggest to take tablet ondensetron 4 mg twice daily for four-five days.It will control vomiting.
Electrolyte imbalance is due to long standing vomiting.It will correct after rehydration therapy.Don't worry about this.
She can take tablet paracetamol 500 mg SOS for headache.
Proper treatment depend upon findings.
Get well soon.
Hope i have answered your query.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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