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Lung Infection, Severe Stomach And Chest Pain. Taken Antibiotics And Buscopan. Advise And Treatment?

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Posted on Tue, 3 Jul 2012
Question: Firstly I should say that I do have an ongoing problem with a lung infection and am on long term antibiotics. The infection was discovered about 6 months ago along with some diviculitis - the latter was sometimes uncomfortable but not severe. I have not had any pain over the last 6 months with my stomach or chest. In the last 4 weeks I have developed quite severe pain right across my stomach and up the centre part of my chest. I do not have any blood pressure problems or breathing issues nor pain in my arms. I have been to my doctor who just prescribed another short course antibiotic and some buscopan.
doctor
Answered by Dr. Pavan Kumar Gupta (1 hour later)
Hello and thanks for query
I understand your concern and will try my best to help you.
In order to understand your problem in better way and to narrow down the possibilities in you,I need to ask some additional information from you.
For what purpose you are taking the antibiotics and what are the medicines being taken ?
Since you are a known case of diverticulitis,you can know whether it is a recurrence of diverticulitis pain or not?
Is this pain associated with any diarrhea?
Is any vomiting associated with it?
Does your pain get relieved by Movement of bowel?
Have you been drinking alcohol lately?
Is the pain more on movement of body?
Does eating worsens your pain or gives any relief?
Is there any associated fever or chills?
Is there any associated symptoms of sweating or palpitations ?
Are you having any acidity or heartburns or any regurgitation of acid ?

I am waiting for your reply.
Thanks
Regards
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Pavan Kumar Gupta (21 hours later)
Thanks for reply

The antibiotics are for a microbaterial infection of my right lung - this was discovered by chance during an MRI last XXXXXXX - a recent X-ray suggests that the infection area has reduced but not gone. I am taking Clarithromycin, Ethambutol & Rifamicin. I have been taking these since last XXXXXXX and other than the last 4/5 weeks have not suffered any of my current symptoms. The diviculitis tended to be discomfort but not the type of pain I am suffering now. There is no diarreha, no vomiting, bowel movements don't make the pain any better or worse although I have been passing motions a little more often and there is sometimes a little mucus, is generally well formed. I have not drunk any alchol for years now. Eating makes no difference although movement does tend to make it a little worse and the central chest pain tends to worsen during the day - OTC painkillers have no effect. There is perhaps slighly more flatulence than normal and I do sometimes get a bit hot at night in bed. I am also feeling the cold a little bit more than I used to. There does not seem to be any acidty although the chest pain has some similarity to heartburn but much worse. I can from time to time feel quite shaky. Sometimes the pain in the left hand side of my stomach can be a bit sharp like something has been pulled.
I have no untertaken anything physical taxing or heavy lifting for example.
doctor
Answered by Dr. Pavan Kumar Gupta (2 hours later)
Hello
Your thorough reply suggests that you may be suffering from gastritis as you are complaining of flatulence and heartburns.
However you must get an ultrasound abdomen done to rule out liver or gall bladder problems like inflammation or stones.
You may also get ECG, Liver function tests done too. This is also important as you are on anti tubercular medicines which can derange the liver function.
Consult your doctor for these tests.
Your doctor is right in prescribing BUSCOPAN to you however you may add a proton pump inhibitor like omeprazole 20 mg daily empty stomach in morning for two weeks after consulting your doctor.
Take plenty of water and go for regular walks.
Thanks
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Pavan Kumar Gupta

General & Family Physician

Practicing since :1978

Answered : 6704 Questions

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Lung Infection, Severe Stomach And Chest Pain. Taken Antibiotics And Buscopan. Advise And Treatment?

Hello and thanks for query
I understand your concern and will try my best to help you.
In order to understand your problem in better way and to narrow down the possibilities in you,I need to ask some additional information from you.
For what purpose you are taking the antibiotics and what are the medicines being taken ?
Since you are a known case of diverticulitis,you can know whether it is a recurrence of diverticulitis pain or not?
Is this pain associated with any diarrhea?
Is any vomiting associated with it?
Does your pain get relieved by Movement of bowel?
Have you been drinking alcohol lately?
Is the pain more on movement of body?
Does eating worsens your pain or gives any relief?
Is there any associated fever or chills?
Is there any associated symptoms of sweating or palpitations ?
Are you having any acidity or heartburns or any regurgitation of acid ?

I am waiting for your reply.
Thanks
Regards