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What Causes Lower Right Abdominal Pain, Vomiting And Diarrhea After Eating?

Posted on Tue, 13 Oct 2015

Question: i am 32 yrs female XXXXXXX i have been diagonised with typhiltis 2 months back and has been kept under antibiotics for nearly 15days. since then, i have been taking only bland diet like idly and curd rice. however is still have pain when i eat. For the last few days i have severe vomiting/diarrhea immediately after eating, i have been taking pantop and dompy.

Answered by Dr. T Shobha Deepak (23 minutes later)

Brief Answer:
Additional information required

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day

Dear Ms

Going by description of your symptoms possibility of Appendicitis needs to be considered.
It would be very helpful if you could provide me following additional information for me to be able to assist you further

1. Where is the exact location of pain

2. What are all the blood investigations done

3. DO you have associated fever?

4. Is your appetite normal?

5. Are your stools normal? Are you constipated?

6. Are your periods regular?

Awaiting your response

Take Care

Best Regards
Dr Shobha Deepak

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

Follow up: Dr. T Shobha Deepak (12 minutes later)

Dear Doctor,

Dear Doctor,

Thanks for the response.

I had my appendectomy done. CT scan revealed no stump appendix present

1.i have pain in my right lower abdomen almost near to appendix. However i had it removed already 20 yrs ago and the scan confirmed there is no remaining part in appendix

2. I will attach my blood test reports. i had high rate of CRP when i got admitted and it came down after the antibiotics

3. I did not have fever, however i was feeling feverish and always tired.

4. My appetite was normal, but my stomach was bloated

5. My stools were normal. No blood found. i was also not constipated

6. My periods are regular 30 days

Note: I have attached my colonoscopy and ct scan reports
Thanks
Regards
XXXX

Answered by Dr. T Shobha Deepak (9 hours later)

Brief Answer:
Loose motion likely to be antibiotic induced

Detailed Answer:
Dear Ms

Typhillitis or inflammation of terminal ileum and caecum is usually seen in Enteric fever(Typhoid). As the CRP has reduced and there is no fever the infection would have been cured.

Prolonged intake of antibiotics may cause antibiotic induced diarrhoea and vomiting.

I would suggest you the following

1. Stop further use of antibiotics

2. Probiotics will be helpful in controlling the loose motion

3. Consume plenty of oral fluids

4. High fibre diet

You should be fine soon.

Do keep me updated about developments

Take Care

Best Regards
Dr Shobha Deepak

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

Follow up: Dr. T Shobha Deepak (6 hours later)

Thanks doctor,

I am not taking any antibiotics now.

I am taking probiotics

I am unable to take normal/solid diet. Whenever i take something solid my stomach pains and gets bloated.

i have stopped taking oil/spicy food. Just into bland diet which includes curd rice and idly

Thanks
XXXX

Answered by Dr. T Shobha Deepak (42 hours later)

Brief Answer:
Kindly get following investigations done

Detailed Answer:
Hi

Dear Ms

I would suggest you the following

1. Kindly get complete blood count

2. CRP assessment

3. WIDAL test

DO get back to me with reports

Take Care

Best Regards
Dr Shobha

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

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