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What Causes Severe Vomiting And Diarrhoea Despite Being On Pantaprozole?
Question: I have had 4 bouts of extreme throwing up and diarhea that last about half a day in the last 6 weeks. Including muscle cramps. It is usually preceded by belching with a nut flavor. Throwing up usually causes loss of sphincter control I usually have to throw up 2 to 3 times until I get to vinegar like liquid. Bowel movements start normal then turn to liquid. Stool is brown no sign of blood. My Galbladder was removed about 8 years ago. I've been taking pantaprozole and other acid blockers for Reflux for 20+ years.
Brief Answer:
Untreated gastroenteritis most likely.
Detailed Answer:
Hello,
Most likely you are suffering from Gastroenteritis. It is an intestinal infection marked by diarrhoea, cramps, nausea, vomiting and fever.
However, it's not necessary that all symptoms are there in a single patient.
Depending on the cause, viral gastroenteritis symptoms may appear within one to three days after you're infected and can range from mild to severe.
Symptoms usually last just a day or two, but occasionally they may persist as long as 10 days.
As these things in your case are going on from many weeks I would suggest, to do an abdominal ultrasound, faecal examination for ova/parasites, faeces occult blood, leucocytes in faeces, and complete blood profile.
It can be a bacterial or protozoal infection in your case.
Treatment-
Antibiotic and Antiprotozoal course should be taken for 7 days-
Tab Ofloxacin 200 mg twice a day(9a.m-9 p.m)
Tab Metronidazole 400 mg twice daily(9a.m-9p.m)
A probiotic once daily.
You would need a prescription.
Take Electral solution.
Take light food.
Follow up with reports.
Hope I have answered your query. Let me know if I can assist you further.
Untreated gastroenteritis most likely.
Detailed Answer:
Hello,
Most likely you are suffering from Gastroenteritis. It is an intestinal infection marked by diarrhoea, cramps, nausea, vomiting and fever.
However, it's not necessary that all symptoms are there in a single patient.
Depending on the cause, viral gastroenteritis symptoms may appear within one to three days after you're infected and can range from mild to severe.
Symptoms usually last just a day or two, but occasionally they may persist as long as 10 days.
As these things in your case are going on from many weeks I would suggest, to do an abdominal ultrasound, faecal examination for ova/parasites, faeces occult blood, leucocytes in faeces, and complete blood profile.
It can be a bacterial or protozoal infection in your case.
Treatment-
Antibiotic and Antiprotozoal course should be taken for 7 days-
Tab Ofloxacin 200 mg twice a day(9a.m-9 p.m)
Tab Metronidazole 400 mg twice daily(9a.m-9p.m)
A probiotic once daily.
You would need a prescription.
Take Electral solution.
Take light food.
Follow up with reports.
Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Do the 1 to 2 week periods between episodes mean I've been Re-infected each time.
I thought at first it was an allergy to almonds because I had eaten them the previous day prior to 3 of the episodes. Also, I've just finished a 3 month course of fluconazole to clear up a fungal infection in my lungs.
I thought at first it was an allergy to almonds because I had eaten them the previous day prior to 3 of the episodes. Also, I've just finished a 3 month course of fluconazole to clear up a fungal infection in my lungs.
Brief Answer:
follow up.
Detailed Answer:
Hello,
It does not mean that you are reinfected rather it means that infection is not treated properly do its occurring again and again.
Hope I have answered your query.
Take care
Regards,
Dr Ramesh Kumar, Gastroenterologist
follow up.
Detailed Answer:
Hello,
It does not mean that you are reinfected rather it means that infection is not treated properly do its occurring again and again.
Hope I have answered your query.
Take care
Regards,
Dr Ramesh Kumar, Gastroenterologist
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Prasad
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