Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Abdominal Bloating And Rib Cage Pain After Taking Steroids?
Question: Hi I have been diagnosed with reactive toxoplasmosis which retina specialist told me it set almost in center of vision in left eye . I am on prednisone bacterium and Clindamycin. I took steroid 3 times a day for a week and Saturday I just went to twice a day he wants me on this til the 29 when I go back for re check . my question is there anything I can do to help reduce fluid my belly is very bloated out and feels like crushing Rib cage I am short of breath . I have contacted his office about this and he was trying to tell me to just take 1 for 3 days then stop but I asked if this would cause infection to get worse and he said it is possible so of course I don't want to stop to soon on this meds I am just looking for some advice to help get rid of fluid . I did notice that a few hours after taking it it does raise my pressure a little and that's when the shortness of breath start. right after I take it though my breathing calms down and so does my pressure
Brief Answer:
toxoplasmosis and steroids
Detailed Answer:
Hi!
Welcome to health care magic!
I am Dr. Saddiq Ul Abidin. I have read your problem in detail and will try to help you in best way possible.
First of all it is sad to know about the problems you have been experiencing lately. Based on history there are few things which need a little clarification and discussion.
First for toxoplasmosis involving eyes, normally steroids are not given alone with antibiotics and a third drug which is basically, antiparasitic is given along. So did you use it or not?
Also that symtoms you have described, if it is simple bloating and gaseous distention it can be because of steroids induced gastritis. That can be managed with concomitant use of antacids like omeperazole along with motility agents like domperidone, which will decrease gaseous distention and pressure below your diaphragm which is making you short of breath.
Another possibilties is presence of ascites, that is free fluid in abdomen, which needs to be evaluated on clinical examination as well as utrasound and then cause can be determined by ascitic fluid examination after a diagnostic tap, if present. In such cases use of diuretics which produce more urine and drain out this fluid are used. Agressive diuresis or water removal can cause low blood pressures and electrolytes imbalances so that has to be in limited amount with cautious measures.
That was what I could interpret from your history. If you want to discuss further details and want to make some clarifications, you are welcome.
Hope this has answered your query, if you have any more questions, feel free to ask. kindly rate me before closing, and leave your feedback if possible.
Regards,
Dr. Saddiq Ul abidin.
toxoplasmosis and steroids
Detailed Answer:
Hi!
Welcome to health care magic!
I am Dr. Saddiq Ul Abidin. I have read your problem in detail and will try to help you in best way possible.
First of all it is sad to know about the problems you have been experiencing lately. Based on history there are few things which need a little clarification and discussion.
First for toxoplasmosis involving eyes, normally steroids are not given alone with antibiotics and a third drug which is basically, antiparasitic is given along. So did you use it or not?
Also that symtoms you have described, if it is simple bloating and gaseous distention it can be because of steroids induced gastritis. That can be managed with concomitant use of antacids like omeperazole along with motility agents like domperidone, which will decrease gaseous distention and pressure below your diaphragm which is making you short of breath.
Another possibilties is presence of ascites, that is free fluid in abdomen, which needs to be evaluated on clinical examination as well as utrasound and then cause can be determined by ascitic fluid examination after a diagnostic tap, if present. In such cases use of diuretics which produce more urine and drain out this fluid are used. Agressive diuresis or water removal can cause low blood pressures and electrolytes imbalances so that has to be in limited amount with cautious measures.
That was what I could interpret from your history. If you want to discuss further details and want to make some clarifications, you are welcome.
Hope this has answered your query, if you have any more questions, feel free to ask. kindly rate me before closing, and leave your feedback if possible.
Regards,
Dr. Saddiq Ul abidin.
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
Hi to answer ur question no I was only given antibiotics and steroid. Will these meds clear infection up or not so much . I am asking because I am self pay and I know what the outcome can be if not treated properly . still to this day it's a puzzle how I came into contact with this
Brief Answer:
prognosis and treatment outcome
Detailed Answer:
Hi! Your concerns regarding prognosis and treatment outcome are quite relevant. And let me remind you that those are quite satisfactory and in immuncompitant persons like those who doesn't have HIV or other chronic illnesses, outcome and disease clearance rate is satisfactory but relapses are common but show treatment benefits promptly.
The question regarding two drug combination is debatable as normally a third drug pyrimethamine is normally given along steroids in eye disease.
prognosis and treatment outcome
Detailed Answer:
Hi! Your concerns regarding prognosis and treatment outcome are quite relevant. And let me remind you that those are quite satisfactory and in immuncompitant persons like those who doesn't have HIV or other chronic illnesses, outcome and disease clearance rate is satisfactory but relapses are common but show treatment benefits promptly.
The question regarding two drug combination is debatable as normally a third drug pyrimethamine is normally given along steroids in eye disease.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
