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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Alternating Between Diarrhea And Constipation, Pain Below Rib, CT Scan Showed Inflammation. Taken Cipro. What Is It?

I will be seeing a GI doctor in 2 weeks to follow up my ER visit yesterday. For a while now, I have been alternating between having diarrhea and constipation . I ve also had a recurring dull to intermitten sharp pain under my right rib. This week, I developed frequent loose stools with mucus and small amounts of mauve blood with cramps in the lower quadrants. Dull pain across the top of my abdomen, still under the right rib cage, but now more diffuse. I have been having a temp every night and wake in cold sweats. Now, my cervical lymph nodes are tender as well. The ct scan from the ER showed inflammation along the transverse colon (ischemia could not be ruled out). I was given iv fluids and sent home on p.o. Cipro for 7 days. I was given the vague diagnosis of colitis and instructed to see a GI doctor to follow up. In the mean time, I am to drink lots of fluids and eat bland foods. I m just wondering if this sounds like anything specific or if I will be facing a lot more tests to get to the bottom of this. Thanks for any information. ~~~ Michelle
Mon, 21 Apr 2014
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Emergency Medicine Specialist 's  Response
Hi,
Thanks for writing your query.

After reading your post, it seems that your symptoms are due to gastritis.

You can take an antacid like Omeprazole 40mg once a day before meals along with Domperidone 30mg.
Dicyclomine can be taken for severe pain in abdomen.

If loose motions are present, antibiotic and antiamoebic will be helpful.
Digestive enzyme preparation containing pepsin and fungal diastase after meals will help in the process of digestion.

Following precautions will be helpful :-
1.Avoid spicy and oily foods.
2.Avoid being empty stomach for long periods.
3.Avoid mental and emotional stress.
4.Avoid smoking and alcohol, if any.
5.Avoid self medications, especially pain killers and steroids.
7.Drink lots of water daily.

I hope this is helpful to you.
Thanks.
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Alternating Between Diarrhea And Constipation, Pain Below Rib, CT Scan Showed Inflammation. Taken Cipro. What Is It?

Hi, Thanks for writing your query. After reading your post, it seems that your symptoms are due to gastritis. You can take an antacid like Omeprazole 40mg once a day before meals along with Domperidone 30mg. Dicyclomine can be taken for severe pain in abdomen. If loose motions are present, antibiotic and antiamoebic will be helpful. Digestive enzyme preparation containing pepsin and fungal diastase after meals will help in the process of digestion. Following precautions will be helpful :- 1.Avoid spicy and oily foods. 2.Avoid being empty stomach for long periods. 3.Avoid mental and emotional stress. 4.Avoid smoking and alcohol, if any. 5.Avoid self medications, especially pain killers and steroids. 7.Drink lots of water daily. I hope this is helpful to you. Thanks.