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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Pain After Deworming Treatment?

Hi I have been seeing fatty stringy stools for a few weeks . I took worm meds 3 times and a herbal body cleanse . Now I am having pain in my upper left abdomen under my ribs it does seem worse when I eat or drink it also seems worse at night ( of corse) . Took a stool sample to lab after seeing Dr. But never heard back . Not sure what is happening and don't want to overreact . I did have a baby 2 years ago . When I got pregnant I weighed 123 lbs. after the baby I got as low as 102 not intentionally ? I have been power eating trying to put the weight back and have gotten to 109 last week . Any ideas?
Mon, 9 Jan 2017
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Gastroenterologist,  's  Response
Hi,

Differential diagnosis of left upper quadrant pain involves:

- Gastric ulcer and gastritis, renal colic or renal stones, pyelonephritis, diverticular disease, inflammatory bowel disease, ischaemic colitis, pancreatitis. These are some of the most common cause of pain in left upper quadrant. Few basic investigations should be done before initiating the treatment.

- Blood tests renal and liver function, glucose, amylase, calcium, hepatitis serology, ESR/CRP. Urine microscopy and culture; pregnancy test if appropriate. X-rays: CXR (erect chest if there is suspected perforation.

- look for air under the diaphragm). Plain abdominal X-ray. Kidney-ureter-bladder (KUB) film for renal colic (although CT KUB may be preferred).

However as your pain is getting worse on eating and is related to food intake it could be a peptic ulcer or acid peptic problem. Take tab Pantoprazole if not relieved then upper G.I endoscopy has to be done.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ramesh Kumar
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What Causes Abdominal Pain After Deworming Treatment?

Hi, Differential diagnosis of left upper quadrant pain involves: - Gastric ulcer and gastritis, renal colic or renal stones, pyelonephritis, diverticular disease, inflammatory bowel disease, ischaemic colitis, pancreatitis. These are some of the most common cause of pain in left upper quadrant. Few basic investigations should be done before initiating the treatment. - Blood tests renal and liver function, glucose, amylase, calcium, hepatitis serology, ESR/CRP. Urine microscopy and culture; pregnancy test if appropriate. X-rays: CXR (erect chest if there is suspected perforation. - look for air under the diaphragm). Plain abdominal X-ray. Kidney-ureter-bladder (KUB) film for renal colic (although CT KUB may be preferred). However as your pain is getting worse on eating and is related to food intake it could be a peptic ulcer or acid peptic problem. Take tab Pantoprazole if not relieved then upper G.I endoscopy has to be done. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ramesh Kumar