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What Causes Abdominal Bloating, Fever, Chills And Vomiting?

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Posted on Wed, 25 Oct 2017
Question: I get severe gas pains in my stomach and chest. As well as bloating. This has been going on for about 2years has started happening more frequently, like 2-3 times a week. When it happens it causes vomiting, sometimes fever and chills. The pain is unbearable! There seems to be no ryhme or reason. Sometimes when all I've had is water. Sometimes I wake up with it even after a long nights sleep. I've done a lot of research and it doesn't real sound like acid reflux or heartburn. It's not a burning it's pain and gas.
doctor
Answered by Dr. Ramesh Kumar (51 minutes later)
Brief Answer:
Except fever all other symptoms are highly suggestive of IBS.

Detailed Answer:

Hello,
Thank you for choosing HealthcareMagic for your query.
I've gone through your details.
I am Dr Kumar and would be addressing your concerns.
As per your queries answer is see keeping aside one symptom i.e fever all your symptoms as well as duration of illness is suggestive of Irritable bowel syndrome.However IBS is a diagnosis of exclusion as there is no test to confirm you have IBS,It means that when you have nothing or all your investigations are normal you are labelled as having IBS.
what exactly is IBS?
A common disorder affecting the large intestine is the Irritable Bowel Syndrome. Abdominal pain, bloating, gas and diarrhoea are some of the signs and symptoms of IBS. Foods, stress and other diseases can trigger the problem.
However the exact cause of irritable bowel syndrome is not yet known but studies suggest that a lot of factors play a major role. The intestinal walls are lined with a layer of muscle which contracts and relaxes in a rhythm when they move to your rectum through your intestinal tract. If you acquire irritable bowel syndrome, the contractions can get stronger and last much longer than usual. This causes diarrhea, bloating and gas. In some cases, the opposite can also occur, this can be characterized by weak intestinal contractions, which slows food passage resulting to dry and hard stools.Some patients presents with constipation while other have loose stools.Every patient with IBS is different with varying symptoms.
In IBS there is some problem in the functional ability of the gut that leads to the symptoms of irritable bowel syndrome. The structure of the intestines is normal, only functional abnormality occurs in this condition.So frankly speaking (IBS) represents a functional disorder of gastrointestinal tract without the presence of an anatomic defect SO in lay mans language till date we are not sure whats the exact cause of this problem.So the million dollar question is how to repair a system when you don't know which part of it is faulty(Some says it can be brain other says it can be hormone anxiety age etc etc).Initially i would suggest you to go for colonoscopy and stool microscopy test.If both these tests are normal i would like to start you on-
Tab cibis 8mg thrice daily(contains Chlordiazepoxide, Clidinium Bromide, and Dicyclomine) consult your local pharmacy for this salt combination.

Why cibis?
Dicyclomine is an anticholinergic drug.An anticholinergic agent is a substance that blocks the neurotransmitter acetylcholine in the central and the peripheral nervous system. Anticholinergics inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine to its receptor in nerve cells.

Clidinium bromide is an anticholinergic (specifically a muscarinic antagonist) drug. It may help symptoms of frequent stools.

Chlordiazepoxide works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in the brain.
They are all antispasmodics and would help with spasms in intestines.

For bloating and gas take Tab Nexium 40mg twice daily can increase it to 80 mg twice daily.Take a probiotic daily with food as proper digestion of food will prevent excess gas formation.When food is not properly digested large amount of gases are produced inside due to incomplete fermentation of food.Hence if digestion improves overall symptoms will also improve.
Food pattern recommended is-
Eat simple and natural home cooked food.
If possible try detox diet (Raw vegans) for at least 3 month. Take normal food in lunch while in supper take uncooked raw (low fiber) natural form of food. This can play wonders.
Avoid taking excessive fibres. A total fiber intake of about 20-25 gram per day would be good for you.
No pizza,Burger, Red meat, and dairies for few weeks.
No alcohol or smoking.

As to take natural food rich in probiotics like Yoghurt, Kimchi,etc.This doesn't mean that you have to take them as much as you can.Follow your body increase their uptake gradually.
Drink lots of juices and fresh water daily. Drink cleaner water, it will help a lot.
Avoid over spicy and heavy food.

If possible go for a detox diet but again don't force your body rather let your body adopt gradually to things.

In case you need any other help feel free to ask.I would be happy to help you.
Hope i answered your query well.

Thanks and Wish her luck.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Ramesh Kumar (34 hours later)
Thank you Dr. XXXXXXX for your time. Iguess it could be IBS. The symptoms don't really seem that relevant to me. I don't really have diarrhea. I kinda feel like I have a combination of GERD and Gallbladder disease. While it's not necessarily happening after big meals. The last episode I had happened last week after I had eaten a cup of chicken noodle soup, cup of jello &water for lunch at 6pm. I also had a couple handfuls of m&M's. The episode started at about 730pm I took an XXXXXXX Seltzer (which sometimes helps) at 830pm. By 930 I could barley walk. WhenI got home at 10 pm I began vomiting. And the the pain and bloating was so bad I literally thought I would die. No bowel issues were present. Also I had an episode last year that started after a Thanksgiving meal. It was not a large meal. It was a modest amount of food. I had a this of stuffing, corn, potatoes, and like 2 slices of turkey. It was a catered meal. That episode was so bad it did indeed start immediately following the meal and lasted 4 days, with diarrhea and vomiting. I ended upon the er and had kidney failure, dehydration,and sepsis. I was in ICU 1 day and hospitalized 5 days on abt and fluids. Also an episode happened on the 4th of July and began about 3 hours after the meal of smoked chicken, Mac and cheese, baked beans and chocolate cup cake. This meal was a cookout and food was sitting outside in the sun. I also had a couple of beers that day. This episode lasted about 3 days with lingering effects lasting over a week. I think GERD because I do have a feeling like something that is opened should be closed and a contestant pressure and ache in my sternum. I realize I need to go to a Dr. And have multiple tests done to really get a diagnoses. But I won't have health ins until the beginning of the year. I am looking for some ideas to help keep this at bay for the next few months. I definitely will get the pro biotic and I currently have a 3 months supply of prilosec. I will continue to alter my diet however. I think it has nothing to do with what I eat. I have been experimenting with my diet for a yr and a half. Thank you! Suzette
doctor
Answered by Dr. Ramesh Kumar (1 hour later)
Brief Answer:
follow up.

Detailed Answer:
Hello Suzette,
The problem with Gastro patients is that most of the problem have almost overlapping symptoms and diagnosis of problems depends on exclusion of other diaeases through investigation.For eg lets consider acid reflux problem in this endoscopy is done to rule out ulcers and some precancerous states like barett esophagus.However after results of endoscopy no one can say exactly if you have GERD or not.
So as you can see response to medicine detailed examination plus history all ae combined together to make a diagnosis.
Same is true with IBS when despite of maximal investigation we can't find out any problem in a symptomatic patient its labelled as IBs.

They are all functional problem with no defect in body anatomy.
So as told earlier every patient is different.Some have consptiapation some have loose stoos some only have bloating and spasmodic pain while other have all.

You should initally go for these investigations
Colonoscopy(to see lower gut)
Endoscopy(To see upper gut)
A MRI abdomen
If all three are clear its IBS.

Hope i provided you with some helpful knowledge.

Good luck my dear patient.
Have a fast and early recovery.

Good luck and if you have any other query feel free to revert back.

Otherwise please do write a review.
Thanks!
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2805 Questions

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What Causes Abdominal Bloating, Fever, Chills And Vomiting?

Brief Answer: Except fever all other symptoms are highly suggestive of IBS. Detailed Answer: Hello, Thank you for choosing HealthcareMagic for your query. I've gone through your details. I am Dr Kumar and would be addressing your concerns. As per your queries answer is see keeping aside one symptom i.e fever all your symptoms as well as duration of illness is suggestive of Irritable bowel syndrome.However IBS is a diagnosis of exclusion as there is no test to confirm you have IBS,It means that when you have nothing or all your investigations are normal you are labelled as having IBS. what exactly is IBS? A common disorder affecting the large intestine is the Irritable Bowel Syndrome. Abdominal pain, bloating, gas and diarrhoea are some of the signs and symptoms of IBS. Foods, stress and other diseases can trigger the problem. However the exact cause of irritable bowel syndrome is not yet known but studies suggest that a lot of factors play a major role. The intestinal walls are lined with a layer of muscle which contracts and relaxes in a rhythm when they move to your rectum through your intestinal tract. If you acquire irritable bowel syndrome, the contractions can get stronger and last much longer than usual. This causes diarrhea, bloating and gas. In some cases, the opposite can also occur, this can be characterized by weak intestinal contractions, which slows food passage resulting to dry and hard stools.Some patients presents with constipation while other have loose stools.Every patient with IBS is different with varying symptoms. In IBS there is some problem in the functional ability of the gut that leads to the symptoms of irritable bowel syndrome. The structure of the intestines is normal, only functional abnormality occurs in this condition.So frankly speaking (IBS) represents a functional disorder of gastrointestinal tract without the presence of an anatomic defect SO in lay mans language till date we are not sure whats the exact cause of this problem.So the million dollar question is how to repair a system when you don't know which part of it is faulty(Some says it can be brain other says it can be hormone anxiety age etc etc).Initially i would suggest you to go for colonoscopy and stool microscopy test.If both these tests are normal i would like to start you on- Tab cibis 8mg thrice daily(contains Chlordiazepoxide, Clidinium Bromide, and Dicyclomine) consult your local pharmacy for this salt combination. Why cibis? Dicyclomine is an anticholinergic drug.An anticholinergic agent is a substance that blocks the neurotransmitter acetylcholine in the central and the peripheral nervous system. Anticholinergics inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine to its receptor in nerve cells. Clidinium bromide is an anticholinergic (specifically a muscarinic antagonist) drug. It may help symptoms of frequent stools. Chlordiazepoxide works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in the brain. They are all antispasmodics and would help with spasms in intestines. For bloating and gas take Tab Nexium 40mg twice daily can increase it to 80 mg twice daily.Take a probiotic daily with food as proper digestion of food will prevent excess gas formation.When food is not properly digested large amount of gases are produced inside due to incomplete fermentation of food.Hence if digestion improves overall symptoms will also improve. Food pattern recommended is- Eat simple and natural home cooked food. If possible try detox diet (Raw vegans) for at least 3 month. Take normal food in lunch while in supper take uncooked raw (low fiber) natural form of food. This can play wonders. Avoid taking excessive fibres. A total fiber intake of about 20-25 gram per day would be good for you. No pizza,Burger, Red meat, and dairies for few weeks. No alcohol or smoking. As to take natural food rich in probiotics like Yoghurt, Kimchi,etc.This doesn't mean that you have to take them as much as you can.Follow your body increase their uptake gradually. Drink lots of juices and fresh water daily. Drink cleaner water, it will help a lot. Avoid over spicy and heavy food. If possible go for a detox diet but again don't force your body rather let your body adopt gradually to things. In case you need any other help feel free to ask.I would be happy to help you. Hope i answered your query well. Thanks and Wish her luck.