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How to deal with painful diarrhea that does not respond to home remedies?

hi dr. i m jay here 2 days back i had fever so i took a dolo650 tab( paracetamol ) in the night before bed next morning i had a very much stomach ache it was like bowel problem i had my whole sunday in the restroom i couldnt eat nor sit nor sleep due the stomach pain and often recurring restroom visits :( i just had curd rice and butter milk the whole sunday and still continue wid same and still i have around 40 percent of the pain.. i tried banana, eno, and lots of water intake...pls help me
Asked On : Thu, 21 Mar 2013
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General & Family Physician 's  Response
Hi Jay, Paracetamol is used to relieve pain & to reduce temperature in fever. It is generally a safe drug & does not result in gastric irritation in therapeutic doses. Also, it's effect lasts for only 4 to 6 hours & 90% of the drug is excreted on the same day. In sensitive individuals, it can result in rash & allergic reactions leading to mucosal damage.
Although,a rare incidence of anaphylaxis (hypersensitivity) with symptoms like rash, vomiting, diarrhoea, facial puffiness, after a single dose of Paracetamol has also been reported it is very rare.
Since your symptoms indicate GIT toxicity, symptomatic treatment will be effective.
If the pain is very severe, an IV infusion of Pantaprazole (40mg) will give an immediate relief.
Otherwise, take tab. ranitidine 150mg two times a day on first day followed by 150mg at bed time for the next 4 days along with antacid to relieve the pain
Answered: Thu, 21 Mar 2013
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