Q. Why has my abdomen pain not reduced even after taking antibiotics?
Hello doctor,
I am a 52-year-old female. Two weeks back, I had severe abdomen pain and got a sonography done. I have been diagnosed with amebic liver abscess. It was identified 13 days back and I was admitted in hospital for three days and was given saline and Metronidazole dosages, but still not recovered. Doctor told it will take 15 to 20 days to recover, but even after ten days there has been no change. My main symptoms are pain near abdomen, frequent fever, loss of appetite, feeling weak and dizzy. I am attaching the sonography details and prescription details. Kindly check and let me know your view on this.
Thank you.
Hi,
Welcome to icliniq.com.
If no improvement is present even after antibiotics, I would recommend a CT scan to confirm whether it is an abscess or something else. If CT scan confirms that it is liver abscess, then would just put a sonographic guided needle in the abscess and drain out all the pus. But, I think CT scan is required to confirm liver abscess. It would be good if you could get back to the hospital and get a contrast CT scan of abdomen and post the pictures.
Investigations to be done:
Contrast enhances CT scan of liver triphasic.
Treatment plan:If abscess is present then aspirate the abscess.
Regarding follow up:Follow up after CT scan.
Hello doctor,
Thank you for the reply,
I need to understand whether the antibiotics provided by the current doctor are as per the issue as the problem was not solved. Please help.
Hi,
Welcome back to icliniq.com.
Antibiotics are right, but as problem is not solved we need to aspirate pus and also confirm that it is not a solid tumor or something through CT scan. By aspiration we can send the pus for culture to know exactly which antibiotic will work in this condition.
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