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What Causes Severe Abdominal Pain Along With Bouts Of Explosive Diarrhea?

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Posted on Fri, 11 Aug 2023
Question: My 19 yo nephew has severe abdominal pain along with bouts of explosive diarrhea. His family is impoverished and uninsured. Should I make a greater effort to get treatment for him, i.e. could he have a life-threatening condition?
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Answered by Dr. Ramesh Kumar (35 minutes later)
Brief Answer:
Acute enteritis. Could be life-threatening if not managed properly. Use lots of Oral rehydration solution.

Detailed Answer:

Hello,

Most likely the child is having acute gastroenteritis.
Acute gastroenteritis causes inflammation in intestines, therefore, every moment of intestine would cause pain or spasm. As intestines are inflamed a large amount of mucous would be secreted along with improper water absorption causing stools to be watery.

Most of the times it's a self-limiting condition caused by a virus though if fluid resuscitation is not proper it could even lead to a condition like a shock.

So what I would suggest you is to get Electral/ORS solution from local store/pharmacy.

Tab Imodium to stop stools. It's over the counter. Things would be much better after the 2nd dose.

Any probiotic can be taken.

Till now it was all over the counter.

If you can manage to get a prescription for him-
Cefixime can be taken
Metronidazole (would cover bacteria and protozoans also)

Keep a watch on blood pressure and pulse.

If the pulse is more then 110/minute or Upper blood pressure is less then 100 mm of hg shift to the nearest emergency room.

Hope I have answered your query.

Regards,
Dr. Ramesh Kumar, Gastroenterologist
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Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2906 Questions

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What Causes Severe Abdominal Pain Along With Bouts Of Explosive Diarrhea?

Brief Answer: Acute enteritis. Could be life-threatening if not managed properly. Use lots of Oral rehydration solution. Detailed Answer: Hello, Most likely the child is having acute gastroenteritis. Acute gastroenteritis causes inflammation in intestines, therefore, every moment of intestine would cause pain or spasm. As intestines are inflamed a large amount of mucous would be secreted along with improper water absorption causing stools to be watery. Most of the times it's a self-limiting condition caused by a virus though if fluid resuscitation is not proper it could even lead to a condition like a shock. So what I would suggest you is to get Electral/ORS solution from local store/pharmacy. Tab Imodium to stop stools. It's over the counter. Things would be much better after the 2nd dose. Any probiotic can be taken. Till now it was all over the counter. If you can manage to get a prescription for him- Cefixime can be taken Metronidazole (would cover bacteria and protozoans also) Keep a watch on blood pressure and pulse. If the pulse is more then 110/minute or Upper blood pressure is less then 100 mm of hg shift to the nearest emergency room. Hope I have answered your query. Regards, Dr. Ramesh Kumar, Gastroenterologist