Dear XXXXXX,

Thanks for contacting healthcare magic with your query.

You have sharp upper abdominal pain of few days duration which increases on movement and eating, and for a short period was also associated with diarrhea. The first possibility would be a gastro-intestinal infection causing acute gastroenteritis. Most gastroenteritis are self limiting, but some may require antibiotic therapy. A stool examination may provide you with the clue whether to take antibiotics or not. This will also rule out any worm infestation. By the way did you travel to developing countries recently, where such infections are common.

Other common cause of your pain can be a peptic ulcer disease. gall stones also are common cause for pain in upper abdomen but your age is much less than the usual patient with gall stone.

If the pain does not subside then you may need further investigations to look for the cause of pain. These may include routine blood tests, ultrasound examination, an endoscopy and also examination for helicobacter pylori.

Hope my suggestions help you.

Best wishes,

Dr Dinesh Singal

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Dear XXXXXX

Thanks for getting in touch again. It certainly is some infection due to your visit abroad. I think you should see a physician, who can decide whether you need an antibiotic course or not. Here in India I will certainly like to give a short course of antibiotics, otherwise in my experience a complete recovery does not occur.

Hope you get well soon.

Dr Dinesh Singal.

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