Dr. Sadaf Mustafa
Internal Medicine
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
Hi doctor,
My mother has been suffering with motions and vomitings for a week. She also complained of severe stomach cramp every 15 to 20 minutes. Sudden sweating and nausea whenever she eats or drinks anything. She is getting tired even if she sits for an hour. What could be the possible reasons and how to diagnose? Her current medication includes Norflox and Zolerab.
Hello,
Welcome to icliniq.com. In order to gain a comprehensive understanding of the situation, it is important to know whether the diarrhea occurred before or after starting Norflox (Norfloxacin) and Zolerab (combination of Rabeprazole and Domperidone). Additionally, it's essential to ascertain if there are any accompanying symptoms like fever, chills, yellowing of the eyes, or any changes in urine or stool color. Presence of blood in vomit and the presence of a rash should also be noted. Further information required includes whether she underwent blood work for liver function, kidney function, and CBC tests. Knowing if she has a history of gastritis or had an endoscopy done, as well as whether she experienced similar symptoms previously, is relevant. Additionally, it's crucial to inquire about any other medical conditions she may have and if she is taking any medications besides the ones mentioned. Obtaining this detailed information will aid in the accurate assessment and appropriate management of her condition.
Patient's Query
Thank you doctor,
She took the above tablets after diarrhea. There is no fever, but sudden sweating and then urgent motion. There is a change in urine color, but she says that it is there since she started taking the medicine. She is not vomiting blood and there is no rash. We have not got any test till now. Please suggest if something specific needs to be done. She often suffers with gastric trouble, but no endoscopy was done. This is the second time in the last 50 to 60 days. Last time, the same tablets solved her problem. She is not taking any other regular medication. She got her last period about a year ago. Sometime, she says that she has pain is in her lower abdomen. But, I am not sure if this is relevant.
Hello,
Welcome back to icliniq.com. The potential causes of her symptoms could include urinary tract infection, Clostridium difficile infection, or gastroenteritis. To properly investigate the issue, she should undergo CBC (complete blood count), liver function test, U/C/E (urea, creatinine, and electrolytes), and urine analysis with culture. For treatment, it is advisable to consult her doctor, discuss the options, and take the medication with their consent. The suggested treatment plan includes Metronidazole 500 mg three times a day for 10 days, discontinuing Norflox and Zolerab, using Ondansetron 4 mg every 8 hours as needed for nausea, and taking Omeprazole 40 mg once daily. Proper evaluation and adherence to the treatment plan will aid in addressing her condition effectively.
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Internal Medicine
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