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Suggest treatment for diarrhea, low grade fever and abdominal pain

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Posted on Mon, 30 Jan 2017
Question: I am a generally healthy 52 year old female. However, I do have mild to moderate anxiety and take xanex occasionally to help me sleep or Ambien. I have had this condition in the past, most recently 3 years ago. At that time, I had a CT Scan done as well as an upper and lower GI scope. All tests were negative. Symptoms had disappeared until three weeks ago, after eating a meal at Chipotle, where about 6 hours later, I felt nauseous and generally sick to my stomach, but did not vomit. I did have some diarrhea and a low grade fever (99.7) the following day. After that I was much better generally, but have had off and on again constipation along with constant gas and lower right abdominal pain (burning sensation). I also feel greater discomfort when my bladder is full and I am sitting upright. When I lay down at night, the burning sensation in my lower right abdomen dissipates but gas continues. These are the exact same symptoms I had three years ago. Prior to that, I had this condition 2010, but it went away with no intervention until 2013. Also, in 2013, my primary care physician had a full blood screen done and the only thing he found was something called Gilberts, which he said wasn't a big deal.
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Answered by Dr. Ramesh Kumar (38 minutes later)
Brief Answer:
Disturbed gastro intestinal flora!

Detailed Answer:
Hi,
Thanks for choosing health care magic for your query!

Nausea ,Diarrhea and low grade fever 6 hours after eating outside is indicative of either food poisoning or gastroentritis.The symptom and treatment part of both are more or less overlapping.Nausea ,loose motions ,diarrhea and fever are because of infection and irritation of gastro-intestinal mucosa. However in your case the toxins seceted by bacteria were not very labile hence it improved on its own in a day.
Right lower quadrant pain associated with formation of gas and constipation signifies that gastric flora of your G.I tract is still not replenised.Gut flora is the complex community of microorganisms that live in the digestive tracts of humans,The intestinal microflora is a complex ecosystem containing over 400 bacterial species. Anaerobes outnumber facultative anaerobes. The flora is sparse in the stomach and upper intestine, but luxuriant in the lower bowel.Toxins released by bacteria destroys this flora of gut and lead to various problems with digestive system including loose stools or constipation.In fact constipation is among one of the most important cause of right lower quadrant pain.
I would recommend you to take a course of probiotics so that the destroyed flora can be replenished ,once the intestinal flora will become normal,Gut mobility and digestion will improve and problem of burning ,fullness and Gas will settle down.
Proton pump inhibitor like pantoprazole can also be taken for few days to provide symptomatic relief in burning sensation and gas formation.Please discuss the options with your gastroenterologist.
Apart from medicines following should be done-

-Take two tea spoon isphagula husk with 200 to 300 mL water once while going to bed every day.
- Increase XXXXXXX warm water intake
- Eat small meals (rich in fiber),Avoid eating outside for few days ,Try to eat vegetable,Take a lot of curd along with food.
- Eat plentiful "fresh oranges" and "pear "
- Avoid COLD milk and and AVOID junk food(NO burger , pizza-even if its veg.)
- avoid beverages / alcohol/ soft drinks
- do some exercise (push-ups / squats etc) early in the morning
- avoid carbonated drinks
- take 2-3 spoon edible virgin olive oil in the morning

Don't worry ,Follow the medications and advice for 2 weeks and your problem will be normal.Your gastric flora is very disturbed from years,once it will become normal,Your problem will settle down.

Thank you!
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Ramesh Kumar (22 minutes later)
One of the follow up items says "Take a lot of curd along with food". What is "curd"
doctor
Answered by Dr. Ramesh Kumar (5 minutes later)
Brief Answer:
Yogurt!

Detailed Answer:
Hi again,
Your welcome

Curd is a form of yogurt , you can include a lot of yogurt in your diet.
Wish you a very safe and fast recovery.

Thank you.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2650 Questions

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Suggest treatment for diarrhea, low grade fever and abdominal pain

Brief Answer: Disturbed gastro intestinal flora! Detailed Answer: Hi, Thanks for choosing health care magic for your query! Nausea ,Diarrhea and low grade fever 6 hours after eating outside is indicative of either food poisoning or gastroentritis.The symptom and treatment part of both are more or less overlapping.Nausea ,loose motions ,diarrhea and fever are because of infection and irritation of gastro-intestinal mucosa. However in your case the toxins seceted by bacteria were not very labile hence it improved on its own in a day. Right lower quadrant pain associated with formation of gas and constipation signifies that gastric flora of your G.I tract is still not replenised.Gut flora is the complex community of microorganisms that live in the digestive tracts of humans,The intestinal microflora is a complex ecosystem containing over 400 bacterial species. Anaerobes outnumber facultative anaerobes. The flora is sparse in the stomach and upper intestine, but luxuriant in the lower bowel.Toxins released by bacteria destroys this flora of gut and lead to various problems with digestive system including loose stools or constipation.In fact constipation is among one of the most important cause of right lower quadrant pain. I would recommend you to take a course of probiotics so that the destroyed flora can be replenished ,once the intestinal flora will become normal,Gut mobility and digestion will improve and problem of burning ,fullness and Gas will settle down. Proton pump inhibitor like pantoprazole can also be taken for few days to provide symptomatic relief in burning sensation and gas formation.Please discuss the options with your gastroenterologist. Apart from medicines following should be done- -Take two tea spoon isphagula husk with 200 to 300 mL water once while going to bed every day. - Increase XXXXXXX warm water intake - Eat small meals (rich in fiber),Avoid eating outside for few days ,Try to eat vegetable,Take a lot of curd along with food. - Eat plentiful "fresh oranges" and "pear " - Avoid COLD milk and and AVOID junk food(NO burger , pizza-even if its veg.) - avoid beverages / alcohol/ soft drinks - do some exercise (push-ups / squats etc) early in the morning - avoid carbonated drinks - take 2-3 spoon edible virgin olive oil in the morning Don't worry ,Follow the medications and advice for 2 weeks and your problem will be normal.Your gastric flora is very disturbed from years,once it will become normal,Your problem will settle down. Thank you!