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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Bad Rash All Over Body Due To Allergic Reaction To Penicillin. Severe Pain In Stomach After Taking Extra Dosage Of Prescribed Panafcortelone. Help

Hi :) I had an allergic reaction to penicillin, i broke out in this awful rash head to toe! So the doctor prescribed me panafcortelone (take two daily for three days with each containing prednisolone 25mg) anyways the rash wasn't clearing, so I decided to take an extra two today! Which probably wasn't the best idea! Because I have this horrible pain in my stomach on my right side? And it's not going away?

Thank you, Chelsea.
Fri, 30 Aug 2013
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Pediatrician 's  Response
Hi i am Dr.kadhir,

The most likely cause for the pain could be steroid induced gastritis. It is better to meet your doctor as this could be as simple as responding to antacids or can end up in serious complications like gastric ulcer.

It is important to get treated early with regular follow up.

The NICE guidelines for the treatment of any gastritis suggests the following steps:

Stopping smoking and ceasing alcohol consumption if you are doing it , more regular meal and avoid spicy foods .
Antacids may give relief of occasional symptoms. Antacids can cause disturbance of bowel function.

H. pylori tests as advised by your doctor (urea breath test, stool antigen or serology) and eradicate the organism using antibiotics, if positive.

Take Proton Pump Inhibitors ( eg: pantaprazole) for one month : if no response then take metoclopramide or ranitidine for one month. These drugs should be taken only under doctors advice and monitoring.

Thank you for the consultation in health care magic.
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Bad Rash All Over Body Due To Allergic Reaction To Penicillin. Severe Pain In Stomach After Taking Extra Dosage Of Prescribed Panafcortelone. Help

Hi i am Dr.kadhir, The most likely cause for the pain could be steroid induced gastritis. It is better to meet your doctor as this could be as simple as responding to antacids or can end up in serious complications like gastric ulcer. It is important to get treated early with regular follow up. The NICE guidelines for the treatment of any gastritis suggests the following steps: Stopping smoking and ceasing alcohol consumption if you are doing it , more regular meal and avoid spicy foods . Antacids may give relief of occasional symptoms. Antacids can cause disturbance of bowel function. H. pylori tests as advised by your doctor (urea breath test, stool antigen or serology) and eradicate the organism using antibiotics, if positive. Take Proton Pump Inhibitors ( eg: pantaprazole) for one month : if no response then take metoclopramide or ranitidine for one month. These drugs should be taken only under doctors advice and monitoring. Thank you for the consultation in health care magic.