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Suffering From Stomatch Pain. Getting Relief While On Medication. How To Diagnose The Problem?

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Posted on Fri, 5 Apr 2013
Question: i am suffering from stomatch pain ( and marod) in right side at different places since last two years . it stared again when i stop taking medicine. i would have all kind of test as suggested by doctor and report is enclosed for reference.
please suggest me to do further investigation.As per your advice i will meat you for treatment.i am serving at SIGROULI(M.P.)
doctor
Answered by Dr. Luchuo Engelbert Bain (2 hours later)
Hi and thanks for the query,
Your bacteriological cultures and sensitivity tests show E . Coli, sensitive to very readily available antibiotics (Ofloxacin and Norfloxacin which I presume you have already taken).
A normal gastroscopy eliminates the possibility of peptic ulcer disease, although in some rare conditions could still exist despite the normality of this result. I do not know whether you have done an abdominal ultrasound and a CT scan of the abdomen. A stool hemocult and sigmoidocolonoscopy to eliminate the possibility of an intestinal tumour is advisable. Liver function tests are of extreme importance to be sure that this pain is not originating from the liver.
I suggest you book an appointment with the Gastroenterologist for a complete reevaluation and management. Diseases such as chronic diverticulitis, rare forms of Chron s disease, Bauhinitis (inflammation of the ileocecal junction) could present as such.
Normality in all of these tests shall suggest the diagnosis of Irritable bowel syndrome and /or chronic dyspepsia.
Meting a gastroenterologist for a complete evaluation is advisable.
Thanks and best regards,
Luchuo, MD.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Luchuo Engelbert Bain (6 hours later)
some of report also attached in continuation
please see
doctor
Answered by Dr. Luchuo Engelbert Bain (7 hours later)
Hi and thanks fir the query,
the results presented are additional stool cultures and sensitivity tests. Again, what you present with must not necessarily be infectious considering the fact that the infectious possibility has, in my humble opinion, been well evaluated.
You need an abdominal ultrasound, an Abdominal CT Scan and a complete reevaluation by a gastroenterologist.
That s my suggestion.
Thanks and best regards,
Luchuo, MD.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Luchuo Engelbert Bain

General & Family Physician

Practicing since :2009

Answered : 3092 Questions

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Suffering From Stomatch Pain. Getting Relief While On Medication. How To Diagnose The Problem?

Hi and thanks for the query,
Your bacteriological cultures and sensitivity tests show E . Coli, sensitive to very readily available antibiotics (Ofloxacin and Norfloxacin which I presume you have already taken).
A normal gastroscopy eliminates the possibility of peptic ulcer disease, although in some rare conditions could still exist despite the normality of this result. I do not know whether you have done an abdominal ultrasound and a CT scan of the abdomen. A stool hemocult and sigmoidocolonoscopy to eliminate the possibility of an intestinal tumour is advisable. Liver function tests are of extreme importance to be sure that this pain is not originating from the liver.
I suggest you book an appointment with the Gastroenterologist for a complete reevaluation and management. Diseases such as chronic diverticulitis, rare forms of Chron s disease, Bauhinitis (inflammation of the ileocecal junction) could present as such.
Normality in all of these tests shall suggest the diagnosis of Irritable bowel syndrome and /or chronic dyspepsia.
Meting a gastroenterologist for a complete evaluation is advisable.
Thanks and best regards,
Luchuo, MD.