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Suggest Treatment For Pain In The Upper Right Abdomen

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Posted on Mon, 27 Feb 2017
Question: Had a pain in right upper abdomen. The pain was from last 1 year but it was occasional and not sharp. From mid of November the pain increased and so consulted general physician. He prescribed following medicine and said you might have chronic / colitis / IBS ; Omeprazole- 1-1 for 10 days Metronidazole 400MG- 1-1-1 for 5 days Unienzyme 1-1 for 7 days. Completed the full course of metronidazole 400MG and consulted another physician as pain was relived but not completely cured. Further, I started feeling excessive gas, burning in stomach. On my visit to another doctor he prescribed following medicine for 5 days & then to undergo test; Orni-O (Ornidazole 500mg & Ofloxacin 200 mg) 1-1 for 5 days Famtac 40 MG (Famotidine)- 1-1 for 5 days Colospa 135 MG (Mebeverine)- 1-1 for 5 days Thereafter I conducted test of blood, stool, USG; result of all the parameter was normal within range except few which is given below, Stool Test-: Mucous : Present + pH : Acidic Pus Cells : 2-3 /hpf Blood test: Erythrocyte Sedimentation Rate (Westergreen Method) 1st Hour 22 mm. Peripheral Blood smear comment / RBC Morphology: RBC shows normocytic normochromic USG report was normal After seeing the report doctor said everything is normal and you are having pain due to excess gas. He asked me to continue the Fantac 40 MG tab & Colospa135 Mg for 1 months and eat light food and do lot of travelling. My current situation is; Pain in right abdomen is occasional and not hard as I was experiencing earlier. Pain in the chest & heart is still there. I am having daily coconut water and food which is very low in oil,spice or ghee.
As suggested by the local Doctor I have undergone few tests including Upper GI Endoscopy. Please find attached below given documents and co-relate the same with earlier attached reports.
• Prescription first part.
• Prescription second part.
• USG Report.
• Hepatic Fibrosis Assessment.
• Upper GI Endoscopy report.
Vitamin B12 & D3 report.
Doctor has advised following medicine
• 2 months long medicine for because of high SGPT, SGOT (refer blood report) and impression of Hepatomegaly.-URSOKEM 300 MG twice after meal .
• 2 month empty stomach once in a day Rabonik Plus
• Antifungal capsule- Syscan 150 Mg for 7 days because during endoscopy they have seen infection in my throat & food pipe.
• Vitamin B12 Injection & Vitamin D3 Calcirol Granules.
Kindly note that the above written querry was posted and replied by some other doctor but since the question is closed now I cannot raise my followup question & test report which now I have written here.
My current query or followup question was that I had already taken medicine for 1.5 month but from last 15 days I am experiencing dizzines (especially after lunch and evening) Kindly reply if this is related to the side effect of medicine which I am taking (Ursokem 300mg or Rabonik Plus or Trinerve Inj or Calcirol granules) I never experienced these symptoms prior to start of the aforesaid medicine course. Pleae reply wheteher I should stop medicine or continue the same.
Further as per endoscopy apart from Gastritis, I was also diagnosed with LAX Lower Esophageal Sphincter and Esophageal candidiasis.
doctor
Answered by Dr. Ramesh Kumar (3 hours later)
Brief Answer:
Not a common side effect of drug you mentioned!

Detailed Answer:
Hi,
Thanks for choosing HCM
As per your query have gone through the list of medications you mentioned dizziness is not a common side effect of these drug.Though dizziness can be caused by any medicine, yet it is not a side effect of these drugs most likely.So i would suggest you to continue with the same medications,However regarding dizziness a consultation with neurologist can be done.For candida infection ask your gastroenterologist to add a broad spectrum antifungal for a few days.
Thank you!
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Ramesh Kumar (19 hours later)
Many thanks for the reply.

I have visited the Doctor clinic again. He has asked me to hold Rabonik Plus and continue Rabonik DSR from now. Further I have checked internet and have found Rabonik Plus contain Levosulpiride(75mg) and Rabeprazole (25mg); Levosulpiride is used in the treatment of schizophrenia (mental disorder in which patient interpret reality abnormally) and mania (abnormally elevated mood).

Thus can this chemical could be a reason for the dizziness.? If yes, then how long will it take to get away the side effect of medicine?

Thanks
doctor
Answered by Dr. Ramesh Kumar (2 hours later)
Brief Answer:
Follow up query!

Detailed Answer:
Hi
Most likely your dizziness is not related to levosulpiride.The dosage of the drug used in schizophrenia are different from that used in your case.However dizziness can be a side effect of any drug.Your doctor has done the right thing,domperidone slow release is also a good drug.I would suggest you to stick to that and if your dizziness is relieved it means that it was caused by levosulpiride.

Thanks!
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Ramesh Kumar (44 minutes later)
How long do you think it will take to get notice that dizziness was the side effect of levosulpiride? I have taken the medicine for 45 days.
doctor
Answered by Dr. Ramesh Kumar (1 hour later)
Brief Answer:
follow-up


Detailed Answer:

Hi again,

Stop levosulpiride for 7 days, if dizziness settles down then it was due to the medicine.

Thanks
Note: For further follow up on digestive issues share your reports here and Click here.

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

Gastroenterologist

Practicing since :1986

Answered : 2906 Questions

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Suggest Treatment For Pain In The Upper Right Abdomen

Brief Answer: Not a common side effect of drug you mentioned! Detailed Answer: Hi, Thanks for choosing HCM As per your query have gone through the list of medications you mentioned dizziness is not a common side effect of these drug.Though dizziness can be caused by any medicine, yet it is not a side effect of these drugs most likely.So i would suggest you to continue with the same medications,However regarding dizziness a consultation with neurologist can be done.For candida infection ask your gastroenterologist to add a broad spectrum antifungal for a few days. Thank you!