
What Causes Upper Abdominal Pain And Chronic Diarrhoea After Excessive Alcohol Consumption?

he has reduced the amount of alcohol he consumes daily (now about 6 beers a day) he still complains of
upper stomach pain and chronic diarrhea, having to go on average 10 times a day. This has been going
on for about 6 weeks. What can be done? Thanks
Infectious diarrhea should be assessed for and treated
Detailed Answer:
Hello and Welcome
I appreciate your concern
Infectious diarrhea needs to be looked for. Blood and pus in stool, high fever, raised TLC count, High ESR/CRP would suggest an infective cause and would require antibiotics. Isotonic fluid replacement should continue e.g. ORS. Immodium alone wont help. The upper abdominal pain can also be related to the gastroenteritis. LFTs , electrolytes, stool for ova and parasite, ultrasound abdomen and pelvis should be done, in consult with your doctor as part of the workup.
Let me know if you have any query
Wishing you best of health
Thanks
Please consult your doctor before deciding on any further course of action.
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Dr. M.S. Khalil


Explained
Detailed Answer:
Hello.
Acute pancreatitis presents with vomiting rather than diarrhea. Acute pancreatitis presents with mid epigastric pain radiating to the back. Blood tests including Amylase and Lipase levels should be done with lipase being more specific.
Chronic Pancreatitis can present with Abdominal pain, Diarrhea i.e. pale and greasy stools that float indicating fat mal absorption associated with chronic pancreatitis.
A CT scan can be advise to confirm the diagnosis. Diet low in fat and high in protein plus carbohydrates should be taken. Oral supplementation of fat soluble vitamins ADEK and Vitamin B 12 should also be done as they become deficient due to fat mal absorption.
Wishing you best of health
Thanks

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