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Watery Diarrhea, Abdominal Pain. Ultrasound Normal. Abnormal Eosinophil Count

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Posted on Tue, 25 Sep 2012
Question: I have never had GI issues before these past 2 weeks. Started with sudden completely watery diarrhea then 4 days later no further diarrhea but sporadic severe mid upper abd pain abd u/s , abd CT are normal. labs (CMP, amylase, lipase, crp) are normal. CBC is normal EXCEPT my Eosinophil count is 18.
doctor
Answered by Dr. Sudhir (15 minutes later)
Hello,

In view of symptoms possibility of gastroenteritis seems likely.Generally cause is bacterial or viral infection. Sub-clinical infection can have normal routine lab reports.Stool examinations can be undertaken, if not done already.

Since diarrhea has stopped and you have only sporadic pain, its very likely that you are in stage of recovery.The pain is likely due to residual intestinal mucosal inflammation causing pain during a peristaltic wave of intestine. This should also resolve soon.

I think you should give it few more days and it's very likely that symptoms will resolve.

Please ask if there are doubts.Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir (7 minutes later)
Thank you. That is my own doctors plan as well.
He said he would proceed with a HIDA scan if pain continues. However, Gastroenterologist thinks it may be a spasm at the esophageal/stomach juncture.
Pain occurs 1-4 hours after anything hits stomach that needs digestion ( not water or juice)

I was thrown off by the elevated Eosinophil count.
Any thoughts on that?
doctor
Answered by Dr. Sudhir (11 minutes later)
Elevated eosinophil count is not specific for anything.It just represents inflammation or infection.

I guess for time being you need to wait and watch.Mostly your symptoms will resolve and you might not need further investigations.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir (3 minutes later)
Thank you
doctor
Answered by Dr. Sudhir (4 minutes later)
You're welcome.Please take out some time to post a positive review.

Regards.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sudhir

Internal Medicine Specialist

Practicing since :2000

Answered : 1415 Questions

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Watery Diarrhea, Abdominal Pain. Ultrasound Normal. Abnormal Eosinophil Count

Hello,

In view of symptoms possibility of gastroenteritis seems likely.Generally cause is bacterial or viral infection. Sub-clinical infection can have normal routine lab reports.Stool examinations can be undertaken, if not done already.

Since diarrhea has stopped and you have only sporadic pain, its very likely that you are in stage of recovery.The pain is likely due to residual intestinal mucosal inflammation causing pain during a peristaltic wave of intestine. This should also resolve soon.

I think you should give it few more days and it's very likely that symptoms will resolve.

Please ask if there are doubts.Regards.