HomeAnswersMedical Gastroenterologyabdomen painMy boyfriend and I are having severe cramps from the past three weeks. What could be the reason?

What could cause severe stomach cramps with weakness?

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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.

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Published At November 25, 2022
Reviewed AtJanuary 20, 2024

Patient's Query

Hello doctor,

My boyfriend and I went on a trip three weeks ago on a bus. Before we ate, his stomach started to hurt, and he began getting cramps. He was well-hydrated. The next day, his cramps worsened at night, and I also started to have terrible cramps. His cramps got worse throughout the night, but mine did not. After we got back, he took some medicines. I took regular medicines for my cramps. My boyfriend's cramps stopped, while mine did not. Whenever the cramps came back, they got worse. These past few days, he felt weak but got better. Yesterday night, he had terrible stomach cramps again and felt weak. He threw up and felt better but still has these cramps.

Kindly help.

Thank you.

Answered by Dr. Ghulam Fareed

Hello,

Welcome to icliniq.com.

I have reviewed your case history, with a recent history of travel, followed by abdominal cramps, likely because of eating something causing infection to the gut.

You both should check your stool DR (detail report) to find infections like travelers, diarrhea, etc.

My advice:

Consult your specialist, talk to them and take medications after their consult.

Take anti-spasmodic medicines like No-spa (Drotaverine Hydrochloride) or Mebeverine (Microcrystalline cellulose, Lactose monohydrate, Sodium starch glycolate type A, Povidone, Magnesium stearate, Talc) twice daily half hour before meals for three to five days along with probiotics. This might improve your symptoms, whereas probiotics help replace healthy gut bacteria. You may need antibiotics for three to five days if you have infective stools.

Try to eat home-cooked meals and a soft diet. Avoid eating out for a couple of days. In case of no improvement, first-line antibiotics can be used for infective colitis or enterocolitis. Take tablet Ciprofloxacin 250 mg half an hour after breakfast and dinner (twice daily) for three days. If you have known allergies to any medicine, do let me know before use.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply. That day my boyfriend did not eat anything, and the pain started on the bus. There was no inflow or outflow of oxygen and he only took some snacks and water. But his got worse the day after I started getting the cramps. Could it be a bug or a virus, or is it just something we ate?

Thank you.

Answered by Dr. Ghulam Fareed

Hello,

Welcome back to icliniq.com.

Episodic abdominal cramps are less likely because of oxygen issues or inhaled bugs. For oxygen-related issues, a person should feel shortness of breath at the time of reduced oxygen, which must be at the time of traveling on the bus, in your case.

It is related to something you people ate while traveling or immediately before or after. So yes, it can be a bacterial or viral cause of abdominal upset but not related to your chest or oxygen issues when you do not have any chest symptoms like cough, shortness of breath, fever, etc.

Follow the previous instructions; I hope it will improve in the next 24-48 hours. If not, one should investigate further, like blood tests, etc.

Thank you.

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

Dr. Ghulam Fareed
Dr. Ghulam Fareed

Medical Gastroenterology

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