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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Abdominal Pain With Nausea And Diarrhea

I have a 20 yr old that is complaining of severe pain on the right side that is under the ribcage and wraps around from her back to side and into the hip. She is also extremely thirsty. She has had this pain for around 3 days. And does not have much of an appetite. She says she gets naseaous when she is hungry. Also diarrhea.
Mon, 7 Mar 2016
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General & Family Physician,  's  Response
Hi thanks for asking question in healthcare magic.

Here i want to rule out following differential diagnosis in your case.

Does she have jaundice??? Headache?? Liver enlargement??? taken outside food???

If answers yes then i want to rule out viral hepatitis as pain in right hypochondrium and abdominal pain,haedache,nausea like constitutional symptoms present so.
For that do USG and serum viral markers.

Second at that site pain may be because of bacterial colitis.For that antibiotic needed.USG will be helpful in diagnosis.Stool examination also can be done.

Third right hypochondrium pain may be by non specific colitis or viral flu or inflammatory bowel disease like presentation.Endoscopy will be useful.

Fourth gallstone , fatty liver , liver abscess also has to be ruled out .USG useful for it.

meanwhile for diarrhea take more water and maintain hydration.
-green leafy veg
-fruit juices
-probiotic useful
-avoid spicy and fatty food for few days.

If symptoms increasing then endoscopy will be useful with subsequent biopsy.

I hope my suggestion will be helpful to you.

Regards:
dr.parth goswami
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Suggest Treatment For Abdominal Pain With Nausea And Diarrhea

Hi thanks for asking question in healthcare magic. Here i want to rule out following differential diagnosis in your case. Does she have jaundice??? Headache?? Liver enlargement??? taken outside food??? If answers yes then i want to rule out viral hepatitis as pain in right hypochondrium and abdominal pain,haedache,nausea like constitutional symptoms present so. For that do USG and serum viral markers. Second at that site pain may be because of bacterial colitis.For that antibiotic needed.USG will be helpful in diagnosis.Stool examination also can be done. Third right hypochondrium pain may be by non specific colitis or viral flu or inflammatory bowel disease like presentation.Endoscopy will be useful. Fourth gallstone , fatty liver , liver abscess also has to be ruled out .USG useful for it. meanwhile for diarrhea take more water and maintain hydration. -green leafy veg -fruit juices -probiotic useful -avoid spicy and fatty food for few days. If symptoms increasing then endoscopy will be useful with subsequent biopsy. I hope my suggestion will be helpful to you. Regards: dr.parth goswami