What is the treatment for severe pain in the upper left chest and abdomen, which radiates to the back?

Hello,

Welcome to icliniq.com.

I understand your concern.

I have reviewed the clinical history and attached laboratory investigations (attachments removed to protect the patient's identity), including endoscopy, CT scan, and blood workup.

1) He was treated for esophageal candidiasis, but this is relatively uncommon in an otherwise healthy person, not have diabetes or immunosuppressive therapy. However, it is already treated, so one should consider the underlying cause.

2) Gall stones, if not causing acute cholecystitis inflammation, will not explain his initial symptoms like left-sided chest and abdominal pain. Instead, gallstones cause right upper abdominal pain.

3) I needed clarification on the reason for the neurology follow-up advised by the doctors to whom he was admitted before.

So, for nausea and vomiting,

1) He will need symptomatic treatment like before,

2) Workup of fever is important; COVID is negative, which is great, but dengue, malaria, and acute cholecystitis can be checked for reoccurrence of symptoms.

3) If you feel there is a reoccurrence of symptoms in just with few days. I recommend following up with a primary physician to optimize further treatment. The current laboratory investigations you have already sent do not explain the reason behind high-grade fever and the reoccurrence of symptoms.

4) It does not fit into the diagnosis of esophageal candidiasis, few erosions in the stomach, and simple gallstones without gall bladder inflammation, as per reports.

I hope this response will help you.

Wishing your brother good health.

Thank you.