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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Abdominal Pain And Belching Post Craniotomy?

I had two craniotomies last year for bilateral superior semicircular canal dehiscence. 3 days after surgery severe abdominal pain with relief from mylanta for a few days. 2 months later sever abdominal distinction belching excessive saliva abdominal pain fatigue. Endoscopy neg for gastritis no gerd ct enterography small 9 mm neoplasm on kidney some fibroids but was told nothing there to cause my symptoms. It s now 5 months and still have belching bloating foul smelling stool and abdominal tenderness What else can it be? Stool negative h pylori negative
Thu, 21 May 2015
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General Surgeon,  's  Response
Hi.
There is always a good catch in an elucidate history as provided by you.
Your history of ''foul stools'' tells it all.
Read and understood all your history related to 2 craniotomies and severe abdominal pain after 3 days.
This is the time you must have undergone the super-added intestinal infection as we call in out medical language, and must have been overlooked by all.
I would suggest you the following actions:
-First of all I will order fr examination of the stools for 3 consecutive days.
-Routine test sof blood and urine.
-Start you on a 5 day course of an antibiotic and Metronidazole and probiotics.
-Probiotics to be continued for a long time say at least a month.

I am sure this will solve your problems to a great extent.
If there is not relief then I would go for further tests of CT scan of the abdomen and colonoscopy to find the root-cause. and to give you the treatment as to get a cure.

Remember to Avoid the Ciprofloxacin group as you have undergone craniotomies.

I hope this answer helps you

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What Causes Persistent Abdominal Pain And Belching Post Craniotomy?

Hi. There is always a good catch in an elucidate history as provided by you. Your history of foul stools tells it all. Read and understood all your history related to 2 craniotomies and severe abdominal pain after 3 days. This is the time you must have undergone the super-added intestinal infection as we call in out medical language, and must have been overlooked by all. I would suggest you the following actions: -First of all I will order fr examination of the stools for 3 consecutive days. -Routine test sof blood and urine. -Start you on a 5 day course of an antibiotic and Metronidazole and probiotics. -Probiotics to be continued for a long time say at least a month. I am sure this will solve your problems to a great extent. If there is not relief then I would go for further tests of CT scan of the abdomen and colonoscopy to find the root-cause. and to give you the treatment as to get a cure. Remember to Avoid the Ciprofloxacin group as you have undergone craniotomies. I hope this answer helps you