Q. How can I manage my frequent problems of urinary tract infection, shoulder pain, neck tightness, stomach ache, flatulence, and diarrhea after unprotected sex?

Hello doctor,

I am a 26-year-old young man. I am 5 feet 6 inches tall and 145 lbs. I will try to summarize my case and give you the clearest overview of my symptoms.

I contracted a urinary tract infection from unprotected sex. This was treated with antibiotics. A few weeks later, I coughed a lot without fever. My ribs became painful with electric shocks. I also had neck tightness and pain in my shoulder blades. I was treated first with Azithromycin and then with Levofloxacin. The throat swab showed a gram-negative infection.

My shoulders and shoulder blades are still painful one month later. And my ribs still hurt. The pain is, however, moderate. For about a week, I have had a stomach ache with flatulence and an embarrassing feeling of heaviness. I happen to have hiccups and gastric reflux. I sometimes have difficulty defecating with diarrhea. Yesterday, after a meal, I went to the bathroom, and my excrement was smelly and greasy. I am a little disgusted with food and have reduced my meals. My stomach also growls continuously, including after meals. The heaviness of the belly is at the bottom. I always have these pains in the sides, especially on the right side. I am very worried about my symptoms and do not know what to do anymore. I consulted a doctor who told me that my pain was linked to my scoliotic attitude and that I needed insoles. I made an appointment with a gastroenterologist because this explanation seems light. While waiting for the appointment, I ask you to please help me and tell me if you think it is serious.

Hello doctor,

Thank you for the reply.

I now have daily diarrhea in the morning with sometimes significant water emissions. Most of the time, it is soft and sometimes accompanied by fats or oils. I could not get the recommended medications because I had to wait for a prescription. I forgot to tell you that a doctor initially gave me laxatives for constipation, but these only worsened the problem. I went to the bathroom every morning and had a watery stool. I am attaching a photograph on this subject, which worried me greatly at the time. I consume a lot of vegetables and fruits at the moment. Should I reduce my intake?

To summarize, the symptoms are:

1. Urgent feeling of having to go to the bathroom several times a day.
2. Loose stools or diarrhea.
3. Stomach pain, especially after eating. I am also very stressed and afraid of having a severe illness.