Hello,
Symptoms currently are pain in the shoulder, diarrhea and rash. First let me address diarrhea. Take oral rehydration solutions are very important to prevent dehydration and electrolyte deficiencies. If an infectious pathology is suspected, antibiotics are to be used. If Amoebic dysentery (most common) is suspected, tab. Ofloxacin in combination with ornidazole is to be taken twice daily for 5 days. Probiotics like
saccharomyces boulardii are to be taken if a rotavirus diarrhea is suspected.
Pain in the shoulder may be due to
osteoarthritis,
frozen shoulder as in diabetes, subacromial bursitis, rotator cuff tendinopathy or
polymyalgia rheumatica. The treatment options include analgesics like NSAIDs Ibuprofen and Aceclofenac can be taken for 2 weeks. Opioid analgesics can also be taken. To avoid gastric irritation, tab. Pantop 40 can be taken daily before food.
Physical therapy of rotator cuff strengthening exercises would help reduce the pain in long run.
Coming to rashes, provided your working conditions and exposure to bird droppings, it could be due to atopic eczema or
allergic contact dermatitis. Treatment includes topical
corticosteroids like Hydrocortisone ointment 1% or Betamethasone 0.1% topical can be used. Antihistaminics like Atarax or Benadryl can be helpful. If the rash doesn't subside with above medication and diarrhea persists, please contact a physician in person.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist