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Suggest Treatment For Nausea, Severe Lower Abdominal Pain And Fever
Question: My husband has been suffering with on going stomach problems. He has lost 20+ pounds in 3-4 weeks. He just had an annual physical, all blood tests, PSA, A1C were in normal ranges. His symptoms are sporadic nausea, severe pain in his lower abdomen or right at the top of his rib cage. He has run a low fever a few times, but not consistently. Colonoscopy in March was completely clear. He will be fine for a few hours then it crops up again. He has not be able to tolerate anything but bland foods in small quantities. He is 77" tall, current weight, 230. I am looking to find out what type of specialist we should contact. Thanks in advance.
Brief Answer:
See a gastroenterologist
Detailed Answer:
Hi there,
Lamisil is a medication used to treat toe and fingernail fungus. It can cause stomach issues occasionally. However, a lot of his symptoms sound like pancreatitis. Pancreatitis is associated with inflammatory episodes of the pancreas with symptoms related to pain, nausea, vomiting, and constipation. Occasionally, people can get fevers from systemic inflammation, especially after eating. Most people can only tolerate bland, small portion sized food.
It is commonly caused by alcohol, gall stones, trauma, surgery, endocrine dysfunctions, some medications, and various other issues. It is unfortunately a serious issue that needs medication attention.
I would recommend seeing your gastroenterologist (the person who did the colonoscopy). Avoid alcohol and tobacco. Eat a liquid, clear diet if he is having pain (IE blend everything). Water will be his best option. He will need routine screening blood work for pancreatitis and endocrine dysfunctions (calcium, cholesterol, triglycerides, etc), as well as an ultrasound or a CT scan.
These symptoms can also be caused by peptic ulcers, gall bladder disease, intestinal obstruction, and lymphoma. All these can be worked up with the gastroenterologist at the same time. Make a list of medications which will help determine if this is medication induced.
See a gastroenterologist
Detailed Answer:
Hi there,
Lamisil is a medication used to treat toe and fingernail fungus. It can cause stomach issues occasionally. However, a lot of his symptoms sound like pancreatitis. Pancreatitis is associated with inflammatory episodes of the pancreas with symptoms related to pain, nausea, vomiting, and constipation. Occasionally, people can get fevers from systemic inflammation, especially after eating. Most people can only tolerate bland, small portion sized food.
It is commonly caused by alcohol, gall stones, trauma, surgery, endocrine dysfunctions, some medications, and various other issues. It is unfortunately a serious issue that needs medication attention.
I would recommend seeing your gastroenterologist (the person who did the colonoscopy). Avoid alcohol and tobacco. Eat a liquid, clear diet if he is having pain (IE blend everything). Water will be his best option. He will need routine screening blood work for pancreatitis and endocrine dysfunctions (calcium, cholesterol, triglycerides, etc), as well as an ultrasound or a CT scan.
These symptoms can also be caused by peptic ulcers, gall bladder disease, intestinal obstruction, and lymphoma. All these can be worked up with the gastroenterologist at the same time. Make a list of medications which will help determine if this is medication induced.
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Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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