Dr. Shubadeep Debabrata Sinha
Infectious Diseases
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am a 23-year-old girl who recently traveled from a cold country. After three days of my return, my stomach felt heavy, and I had some nausea. Today I had to vomit twice in the morning, and I still have a heavy feeling in my stomach even after the vomiting. In addition, I have had some trouble sleeping in the past. Over the last few months, I have been taking much more than the recommended dosage of Diphenhydramine HCl daily. I have had these episodes of feeling nauseous and sick every two weeks that start mid-may, but it has never been this prolonged or this severe. Is this something I should be worried about, or is there anything I can do to feel better?
Hello,
Welcome to icliniq.com
I read your query and understand your concern. You seem to have contracted infective gastritis or gastroenteritis from consuming local food and water. Do you also suffer from loose motion? Does nausea accompany your vomit, and does it have any bleeding? Have you consumed alcohol regularly in the recent past? I am not sure why you took or were given or recommended Diphenhydramine HCL, an antitussive and expectorant ( in one of the formulations) and not an antiemetic. Also, there is a possibility that you may have developed Helicobacter pylori infection, which can be detected by a few tests such as a rapid urease test, stool antigen test, etc. If found positive, there is a week-long course for treatment. But first, I would recommend visiting the local gastroenterologist for this purpose. Some medicines are recommended in the interim.
Investigations that needs to be done include -
1.Upper gastrointestinal endoscopy with rapid urease test.
2. Stool culture to be done before starting Econorm (Saccharomyces Boulardi 250 mg) and Helicobacter Pylori antigen test.
3. CBC (complete blood count), ESR (erythrocyte sedimentation rate) tests.
Treatment plan -
1. Capsule Cintadoc (Pantoprazole 40 mg + Cinitapride 3 mg) one tablet once daily for 4 weeks.
2. Capsule Econorm (Saccharomyces Boulardi 250 mg) one capsule twice daily for ten days.
3. Naturolax ( Isapgol) husk powder 1 tablespoon with water HS for fourteen days.
Prevetive measures -
Avoid spicy and street food.
Follow-up after test reports is available.
Thank you.
The Probable causes
Investigations to be done
Differential diagnosis
Probable diagnosis
Treatment plan
Preventive measures
Regarding follow up
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Infectious Diseases
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