Brief Answer:
Gastroenteritis/ GI infection/ Food Poisoning

Detailed Answer:
Hi XXXXXXX,

Abdominal pain along with loose stool and bloating after consumption of outside food, suggest a provisional diagnosis of Gastroenteritis of acute onset. Food poisoning may also present in this manner. However, to be able to understand your condition, I need few more details:
- Are you having fever? If yes, I would like to know if it is intermittent/continuous.
- Do you have nausea (vomiting tendency) or vomiting? If yes, what is the colour of the vomitus
- Interval between food consumption outside home and appearance of symptoms
- Consistency of the stool (watery or semiformed); whether it is mixed with blood / mucous or not

Based on the details provided I would treat you with
1) Plenty of fluids and ORS to avoid dehydration.
2) Light and non-spicy diet consumed in small bulk at regular interval.
3) Dicyclomine Hydrochloride tablet 10mg whenever required for symptomatic relief from pain. This is a prescription only medicine. You will need a script from a doctor.
4) In addition to that, I prescribe some antibiotics (e.g. Ciprofloxacin/ Norfloxacin and Metronidazole /Ornidazole/ Tinnidazole) to them if they are not allergic to the same, after examining them clinically. 5) Probiotics, like sporoloc (you are taking), may also be taken or curd should be added in the diet regimen.

If symptoms worsen, you need investigations and hospitalisation.

Hope I have answered your query. If you have any further questions I will be happy to help. Regards. Dr. Kaushik

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Brief Answer:
Gastroenteritis

Detailed Answer:
Hi XXXXXX,

Thanks for your early reply. Based on the above history, I would treat you with-
1. Continue the diet and rehydration therapy as I have already mentioned. Avoid butter and milk products till you come round.

2. I also advice my patients to have a combination of PPI and prokinetic (Sustained release Pantoprazole-Domperidone combination, e.g. Pantocid DSR one tablet stat and one tablet once daily 30 min. before breakfast for 7 days)

3. Tab Dicyclomine hydrochloride 10 mg stat and whenever required for symptomatic relief from pain.

4. Continue having Sporolac twice daily for 10 days.

5. If pain is not relieved or the condition aggravates or there is any new symptom, please write back for further treatment.

6. For the time being I don't think antibiotic treatment should be initiated. In case of worsening of your symptoms you may need to have oral or injectable antibiotic treatment and IV fluid to fight dehydration.

Hope I have answered your query. If you have any further questions I will be happy to help.

Wish you good health.
Dr. Kaushik

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