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Abdominal koch's detected after series of symptoms and tests - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Abdominal Pain
Answered by

General & Family Physician
Practicing since : 2009
Answered : 351 Questions
User :   Hi ,I had complaints on abdominal cramp, weight loss, acidity and vomiting. A month back I was diagnosed with abdominal Koch's from my home town.I have moved to .Though I am continuing mith medications, I need a doctor in now for further follow-ups.Please suggest me a good specialist in this regard.
Doctor :   hi
Doctor :   Dr. here.
User :   hi
Doctor :   let me read what you have typed.
User :   ok
Doctor :   where are you located in ?
Doctor :   ok
Doctor :   visit this link to locate gastroenterologist in
User :   thank you
Doctor :   what medications are you currently taking?
User :   I am on AKT-4 currently
User :   apart from that i take benadon, calcitrol, b-complex etc
Doctor :   ask your doctor for antispasmodics along with antacid/acid suppressing agents to get the cramps and vomiting resolved
Doctor :   acidity and vomiting are common side effects of AKT-4
Doctor :   since when you are taking the medicines?
User :   Doctor , let me give u a brief history oof my prob
Doctor :   sure. please go ahead
User :   I started feeling this cramp around 4-5 months ago
User :   later i had severe acidity, vomoting at times
User :   I checked a weiight loss had also happened over a period of time
User :   I had lot of flatulence, feeling like movement of air balls in my stomach
User :   i had lost appetite too
Doctor :   ok
User :   i started with panto prazole sidium after first level consultation
Doctor :   how did your doctor diagnose Abdominal Koch's?
User :   but cramp didnot disappear
User :   my uncle is a doc.at my home town i went through a series of tests
Doctor :   what were the tests that were done for you?
User :   blood, urine , stool, chest x-ray, endoscopy,usg and CT
Doctor :   ok
User :   also doctor suggested for a hiv test later
User :   X-RAY report said left para cardiac consilidation/vascular prominence
User :   CT scan said mild left sided pleural effusion
User :   bowel wall thickening
User :   minimal ascites
Doctor :   ok
User :   and few enlarged lymph nodes
User :   after that the treat ment started a month ago
User :   now with proper diet and medication i feel no vomiting,gained 3 kgs of weight and have gud appetite
User :   but cramp is still there
Doctor :   ok. the cramps can be resolved with antispasmodics along with antacid/acid suppressing agents like omeprazole or pantoprazole (which you were taking earlier)
User :   recent usg said no pleural effusion, but omental thickening and mild ascites
Doctor :   it will take sometime to completely go away
User :   ok
Doctor :   usually effects of medications like AKT-4, take about 2 months to 3 months to give complete relief
Doctor :   so continue taking them as directed
User :   since i did not do a biopsy then, my doctor is a bit confused with the partial progress now
Doctor :   and visit a gastroenterologist near your area of location for continuing further follow up
User :   whether i am taking the right treat ment
User :   ok
Doctor :   i would suggest you to wait and see first with symptomatic treatment until the intensive phase of AKT-4 (2 months) is over
User :   ok
Doctor :   if you still continue to have the cramps inspite of taking antispasmodics along with antacid/acid suppressing agents
Doctor :   then biopsy would be considered to look for any other abnormality
User :   ok
Doctor :   if you are close to , you can meet gastroenterologist there
User :   yes
Doctor :   please take benefit of our 'appointment fixing' service on teh website
User :   ok
Doctor :   you can place your request at customer care
User :   ok
Doctor :   they will guide you with further steps and help
User :   ok,thanks
Doctor :   to meet a gastroenterologist in
User :   would u recommend any doctor's name there?
Doctor :   is there anything else I can help you with?
Doctor :   that would take sometime, since I have to look for the information you need
User :   ok,so is it possible to get the information through you someway?
User :   since i donot have any idea about gud doctors in, i woud appreciate your recommendation to some one
Doctor :   I am looking for information. please give me sometime
User :   ok, thank you docyor
User :   nice talking to you
User :   fine doctor
User :   thank you
Doctor :   he is good at treating abdominal Kochs
User :   ok
User :   I will try to get a consultation
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