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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why am I having constant sharp stomach pain, vomiting and constipation?

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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2074 Questions

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Posted on Wed, 22 Aug 2018 in Digestion and Bowels
Question: Had a stomach pain for over a week, now in week two pain is very sharp, burning, and cramps are contact, Awakes my at night, vomit and constpation. Pain has intensified above navel and radiates to lower right side. Nothing seems to help thankds jackie
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Answered by Dr. Ramesh Kumar 1 hour later
Brief Answer:
Could be gastritis with enteritis.

Detailed Answer:

Hello,

I have reviewed your query and here is my advice.

Most likely its untreated gastroenteritis, usually gastroenteritis is by viral infection (Nova virus) and is self limiting, However as it has been already two weeks there are chances the you are having a overlapping bacterial or protozoal infection.

This problem if left untreated may cause gastritis which causes heartburn pain and nausea due to mucosal inflammation.

As of now i would suggest you to go for few tests
Ultra sound abdomen
Stool test under microscope
Complete blood count
Total and differential leucocyte count

If stool test is positive for bacterial or protozoal infection.Start taking Zithromax (Azithromycin) and Secnidazole.

Eat light and easily digestible food.

Drink plenty of water and electrolytes to maintain rehydration.

For gastritis:

Take a proton pump inhibitor like Esomeprazole along with a prokinetic drug (e.g. Domperidone). This will provide you symptomatic relief from symptoms.

Awaiting for the reports.

Take care.

Dr. Ramesh Kumar, Gastroenterologist

Above answer was peer-reviewed by : Dr. Nagamani Ng
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