HomeAnswersGeneral Medicinebowel dysfunctionI have difficulty swallowing, upset bowel, etc. Please help.

What causes symptoms such as upset bowel, and sore throat?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At October 4, 2022
Reviewed AtOctober 12, 2023

Patient's Query

Hello doctor,

I am a 28-year-old-male, with a height of 5'10 and a weight of 176.37 Ibs. I have problems like not feeling hungry, having pulsating pain in my left thighs (earlier it was near calf muscles), a change in bowel habits from once a day to three times a day, and mucus discharge with no blood in stools for the past two months. I also feel pressure on the left side of my face that goes away after the motion. I have had difficulty swallowing for the past one month, and sometimes a yellow pus discharge from the throat also occurs. I have developed a white scaly substance on either side of the mouth. I recently underwent some diagnostic tests that included a liver function test, complete abdomen CT scan contrast, ultrasound, and a renal test, all of which were normal. My recent treatment included antibiotics such as Flagyl, Safecef, Oflar OZ, Pan D, Rabeprazole, and Imbiota. I was admitted to the hospital for two days and was given continuous Metrogyl trips as the doctor suspected a bacterial infection. I was normal for about two weeks, and the same problem started again. Recently went to an ENT specialist for sores on the tongue and throat, which was again a sudden onset. Kindly advise me on further diagnosis, treatment, and diet.

Hello,

Welcome to icliniq.com.

I have gone through your query with diligence. In my opinion, the best next step forward would be a stool analysis. The stool analysis would help to confirm any signs of an infection, and if an infection is ruled out, then there is no point in treating you with antibiotics. Your symptoms resemble other gastrointestinal conditions like irritable bowel syndrome, diverticulosis, etc. So if an infection is ruled out, request a colonoscopy when your symptoms flare up to look for other possible causes. But if the infection is found in the blood and stool samples, then antibiotic coverage will again be required, but this time a complete course. If this is a recurrent infection, we will have to look if there is a source of contaminated food or water that you are consuming that, in turn, is resulting in the repeated infections or whether a complete course of antibiotics was administered to ensure complete eradication of the disease or not. Either one of these causes would most likely have caused the repeated infection. As for the throat condition, the yellow sputum or pus being expelled will have to be sent to a laboratory for analysis. Only this will help us in narrowing down the exact cause. So please request your doctor for a sterile container to store your yellow pus-like discharge the next time it appears and forward it to the laboratory for analysis. If the pus is not being expelled, an upper endoscopy of your throat would be advisable. I have not mentioned much about treatment because we need to find the cause and initiate treatment accordingly. Any treatment provided without a diagnosis would be considered blind treatment. I hope you find my response both helpful and informative.

Thank you.

The Probable causes

I have had difficulty swallowing for the past one month.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Shoaib Javeed Khan
Dr. Shoaib Javeed Khan

General Medicine

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