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Suggest treatment for diarrhea, vomiting and sores on tongue

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Posted on Tue, 23 Jun 2015
Question: What do symptoms of diarrhea, vomiting, upset stomach, blotting, gas, and can-cur sores on my tongue and in my mouth, all day everyday indicate.
doctor
Answered by Dr. Klerida Shehu (12 hours later)
Brief Answer:
Detailed below..

Detailed Answer:
Hi,

I am sorry for the health situation you are in.

1. Canker sores in your mouth are suggestive of possible:
- recurrent viral infections which are also indicating a weak immunity from your part
- vitamin deficiencies: measuring their blood level is highly recommended
- fungal infection especially if using antibiotics frequently: mouth swab culture will rule it out
- anemia: complete blood count to rule it out
- acid reflux

2. If other symptoms like diarrhea, vomiting, upset stomach, bloating and gas are noted recently, they might be related to possible viral gastroenteritis.

Apart running the above-mentioned tests, I advise to:
- keep good oral hygiene
- be careful with oral antiseptics as they might aggravate irritation
- take tasectan or pepto bismol for diarrhea
- start probiotics to stabilize intestinal flora
- increase fluids intake
- avoid foods high in gluten or that would aggravate gas and diarrhea

Hope it was of help!
Dr.Klerida
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Klerida Shehu (15 hours later)
Dr. Klerida,

I'm drinking about 6-9 bottles of water a day. I still have a upset stomach, gas & bloating. My stomach is still hard. As long as I don't eat anything, I can keep the water down, I also don't get diarrhea.
One thing, I haven't eaten in a while but I do take my medication & vitamins everyday. I really get an upset stomach after taking the meds, since I'm supposed to be taking them with food, what do I do?
It's been 2 days since I've had a bowel movement now, I guess I should expect that since I'm not eating?
I've always brushed my teeth twice a day. I was using Crest mouth wash, apparently I need to stop using that now?
I haven't taken any antibiotics since December 2014, when I had a cold & the flu at the same time.
How do you get rid of Canker Sores in the mouth & on the tongue?

I will make a Doctor Appt tomorrow but it's just with my Family Doctor who I have already talk to about the Canker Sores and she sent me to my Dentist.

doctor
Answered by Dr. Klerida Shehu (14 hours later)
Brief Answer:
Please follow the suggestions below....

Detailed Answer:

Hi back

Thank you providing more of your medical data.

You are saying that you have stomach pain after meal associated with gas and bloating and this is indicative for:
-     Gastritis/stomach ulcer
-     Gallbladder issues
-     Fungal infection ( after antibiotic treatment)
-     IBS

I checked your medication list and you are using ibuprofen 800 mg, that is harmful to stomach mucosa and may cause gastritis/ulcer.

So If I were your treating doctor, since you have three months with these symptoms, I would suggest doing the following examination:

-upper endoscopy (to rule out/confirm gastritis /ulcer/acid reflux)
- Abdominal ultrasound (to rule/confirm gallbladder issues)
- Fecal exam for candida infection.

If all the exams mentioned above come back normal than it may be related with IBS.

For the moment I suggest to start the treatment with
-PPI like omeprazole
-Probiotics and tasectan.

Hope it is helpful.
All the best
Dr.Klerida


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

Gastroenterologist

Practicing since :2006

Answered : 2266 Questions

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Suggest treatment for diarrhea, vomiting and sores on tongue

Brief Answer: Detailed below.. Detailed Answer: Hi, I am sorry for the health situation you are in. 1. Canker sores in your mouth are suggestive of possible: - recurrent viral infections which are also indicating a weak immunity from your part - vitamin deficiencies: measuring their blood level is highly recommended - fungal infection especially if using antibiotics frequently: mouth swab culture will rule it out - anemia: complete blood count to rule it out - acid reflux 2. If other symptoms like diarrhea, vomiting, upset stomach, bloating and gas are noted recently, they might be related to possible viral gastroenteritis. Apart running the above-mentioned tests, I advise to: - keep good oral hygiene - be careful with oral antiseptics as they might aggravate irritation - take tasectan or pepto bismol for diarrhea - start probiotics to stabilize intestinal flora - increase fluids intake - avoid foods high in gluten or that would aggravate gas and diarrhea Hope it was of help! Dr.Klerida