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Stomach pain, diarrhea, dry cough, back pain, excessive sleeping. History of IBS, salmonella typhoid fever. Should I be concerned?

Hi, I am a 26 year old female, with a poor medical history from beginning of 2012. Starting with an ankle sprain which turned out to be a linear fracture , to getting widespread joint pains with fever, I was misdiagnosed with SLE and RA, finally correctly diagnosed with Salmonella Typhoid fever . I was cured from that but all the incorrect medications caused me to have IBS. The latest after IBS, I was diagnosed with an Intestinal Yeast infection in August. I tried to follow the SIBO diet, which caused relief temporarily. My major areas of discomfort are occasional stomachache( which worsens due to starvation/certain food intake), high fluctuations in appetite, consistent diarrhea, recently consistent dry cough, back pain and excessive sleeping since past 2 weeks. Please advice if IBS/the infection could be related to these or I should be concerned and take any other steps towards recovery. Thank you!!
Asked On : Tue, 27 Nov 2012
Answers:  1 Views:  72
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Internal Medicine Specialist 's  Response
Hi there,

Thanks for your query.

Apart from IBS, there are few other possibilities that need to be considered by your treating doctor :-

* Food Allergies or intolerance (as you have mentioned that certain foods aggravate the symptoms) :- such as

- Lactose Intolerance :- intolerance to milk and milk products;

- Gluten intolerance :- intolerance to wheat, rye, barley and their products.

* Allergy to certain foods, such as, eggs, soya products, shellfish, such as shrimp, crayfish, lobster, and crab; nuts from trees, such as walnuts; and peanuts, tomatoes, monosodium glutamate (ajinomoto), wines.

- Psychological problems, such as, mental stress and anxiety, with or without associated depression

* H.pylori infection of the stomach and intestine

* C.difficile infection- which is usually hospital-acquired, particularly as you had been admitted to the hospital.

If I had been your treating doctor, I would have recommended the following course of action :-

(a) An empirical 2 weeks' course of anti-H.pylori therapy; followed by 3-6 months of anti-acid drugs, plus monthly deworming course. --->

(b) If you have mental stress/persistent anxiety, a long-term course of anti-depressant + anti-anxiety drug combination will give excellent results. incidentally, IBS too gets aggravated by mental stress and anxiety.

(c) If you think it is mostly due to certain foods, maintain a diary of the foods which cause aggravation of symptoms; eliminate them from your diet, one by one and see the response. Elimination of the culprit food will improve the symptoms.

Consult your doctor and apprise him of my opinion. I am certain that he agree with me, order required tests, and- based on the reports- will prescribe suitable treatment as advised.

If you find my response helpful and informative, do not forget an “excellent” rating to my answer, to encourage all doctors- engaged in social service- to render sound advice to the FREE queries.

Fond regards and have a nice day

Dr. Rakesh Karanwal
Answered: Sun, 17 Nov 2013
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