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Suggest treatment for nausea and stomach cramps

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Posted on Sat, 25 Apr 2015
Question: My husband and I are both ill with something causing diarrhea and vicious (like contractions!) stomach cramps. (The cramps are in a 3"- 4" high line all across the tummy, just behind and above our navels) No fever, I'm able to eat but my husband vomited all night and at present cannot keep anything down. Our 5 year old vomited 3 days ago, but he's been fine since. Again, no fever. I've been ill for 5 days, the husband for 24 hrs and our son was only ill for a few hours.
We live in China, we don't eat street vendor food nor do we eat out. I use bottled water to cook and I make sure to wash all the dirt off the produce. I had the same symptoms in Oman a year ago, but the doctor just gave me some pills for the cramps and sent us on our way. After 2 weeks, I was fine.
Any notion as to what this is? We'd go to the doctor here, but the closest English speaking, insurance covered doctor is an hour away in Hong Kong.
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Answered by Dr. Shoaib Khan (4 hours later)
Brief Answer:
?? Strongly suspecting acute gastroenteritis

Detailed Answer:
Hello ma'am and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. Sounds to me like your family may have ingested something contaminated or are still exposed to it. Taking into consideration the fact that your family has had varying durations of the symptoms, it could possibly be either because of the amount ingested or the time the contaminated food or drink was ingested.

As your symptoms started 5 days ago, could you remember exactly what you ate and/or drank about 2-6 hours prior to the appearance of your first symptoms. Similarly, what your husband ate and drank 2-6 hours prior to the appearance of his first symptoms, and similarly your son.

As far as the symptoms and appearance goes, this seems to me like a case of acute gastroenteritis (stomach infection) requiring the following medications and diet:

+Antibiotic coverage: Ofloxacin 200 mg, one tablet to be taken twice daily after lunch and dinner
+Pantoprazole or omeprazole: One tablet to be taken 15 minutes before each meal (breakfast, lunch and dinner)
+Lots of fluids
+Oral rehydration solutions or drinks: That will help prevent dehydration and electrolyte imbalances
+Avoid spicy food
+Avoid fried/fatty/oily food
+Blank food, preferably liquid diet (soups, vegetable juices freshly made, porridge, etc.)
+Plenty of rest
+Continue to use boiled water, boiled vegetables, properly cleaned fruits (after removal of outer layer of skin, etc.
+Mild anti-spaspomlytic (e.g. colospan) can be used to prevent the spasm of your gastrointestinal tract

Targeting the symptoms will not help, as long as the cause is present the symptoms will be present. Treat the cause, and the symptoms will disappear. Please feel free to write back to me for any further clarifications, I am always here to help.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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Suggest treatment for nausea and stomach cramps

Brief Answer: ?? Strongly suspecting acute gastroenteritis Detailed Answer: Hello ma'am and welcome. Thank you for writing to us. I have gone through your query with diligence and would like you to know that I am here to help. Sounds to me like your family may have ingested something contaminated or are still exposed to it. Taking into consideration the fact that your family has had varying durations of the symptoms, it could possibly be either because of the amount ingested or the time the contaminated food or drink was ingested. As your symptoms started 5 days ago, could you remember exactly what you ate and/or drank about 2-6 hours prior to the appearance of your first symptoms. Similarly, what your husband ate and drank 2-6 hours prior to the appearance of his first symptoms, and similarly your son. As far as the symptoms and appearance goes, this seems to me like a case of acute gastroenteritis (stomach infection) requiring the following medications and diet: +Antibiotic coverage: Ofloxacin 200 mg, one tablet to be taken twice daily after lunch and dinner +Pantoprazole or omeprazole: One tablet to be taken 15 minutes before each meal (breakfast, lunch and dinner) +Lots of fluids +Oral rehydration solutions or drinks: That will help prevent dehydration and electrolyte imbalances +Avoid spicy food +Avoid fried/fatty/oily food +Blank food, preferably liquid diet (soups, vegetable juices freshly made, porridge, etc.) +Plenty of rest +Continue to use boiled water, boiled vegetables, properly cleaned fruits (after removal of outer layer of skin, etc. +Mild anti-spaspomlytic (e.g. colospan) can be used to prevent the spasm of your gastrointestinal tract Targeting the symptoms will not help, as long as the cause is present the symptoms will be present. Treat the cause, and the symptoms will disappear. Please feel free to write back to me for any further clarifications, I am always here to help. Best wishes.