Abdominal Pain, Lung Inflammation, and Fever: Seeking Medical Advice - Internal Medicine

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Abdominal pain, pulmonary inflammation, and high fever issues?


Hello Doctor, I apologize for the interruption.
I've been experiencing abdominal pain (cramping) for the past two days, and my bowel movements have been very loose.
I also have muscle aches, fever (ranging from 37.5 to 39.0 degrees Celsius), and chills.
I visited a doctor the day before yesterday, and the rapid test results were negative for influenza.
There is some inflammation in my lungs.
Today, my stomach feels even worse, and I have an increased urge to vomit.
Currently, I am taking antibiotics (Doxycycline 625 mg), "SINPHADOL S.C.
TABLETS," "GOWELL (AMZ) TABLETS," "BISMUTH SUBCARBONATE TABLETS 'N.Y'," and "PARAMOL (PANADOL) 500 MG TAB." What is your opinion, Doctor? Do you have any recommendations? Should I go to a larger hospital for further examination?

Zhao Xingguo, 10~19 year old female. Ask Date: 2018/12/12

Dr. Hong Yuanbin reply Internal Medicine


Hello: Based on your description of fever, upper abdominal pain, and diarrhea, it is likely that you are experiencing acute gastroenteritis or a gastrointestinal viral infection, possibly caused by consuming contaminated food.
The medications you have been prescribed are aimed at treating gastroenteritis.
However, the course of acute gastroenteritis can still involve vomiting, diarrhea, and abdominal pain for about 3-4 days, even with medication.
It is recommended to modify your diet to include juices or sports drinks diluted with water in a 1:1 ratio.
Once your stomach feels more comfortable, you can transition to soft foods, such as congee.
Temporarily avoid highly irritating foods, such as those that are too acidic or spicy, and also dairy products, as they can cause bloating.
Generally, symptoms should gradually improve.
However, please note a few important points: if you have a persistent fever lasting more than two days, or if you begin to experience pain in the lower right abdomen, you should be cautious of acute appendicitis and seek medical attention promptly.
Wishing you a speedy recovery, and thank you for your inquiry.

Reply Date: 2018/12/12

More Info


Based on your symptoms of abdominal pain, fever, muscle aches, and diarrhea, it appears that you may be experiencing acute gastroenteritis, possibly triggered by an infection or foodborne illness. The presence of lung inflammation adds complexity to your situation, and it is essential to address both issues carefully.

Acute gastroenteritis is characterized by inflammation of the stomach and intestines, leading to symptoms such as abdominal pain, diarrhea, vomiting, and fever. The fact that your stool is watery suggests that your body is trying to expel whatever irritant or pathogen is present. The fever (ranging from 37.5°C to 39.0°C) indicates that your body is fighting off an infection. The antibiotics you are taking, such as Doxycycline (雙合黴素), are typically used to treat bacterial infections, but their effectiveness will depend on the specific pathogen involved.

Given that you have already seen a doctor and received treatment, it's crucial to monitor your symptoms closely. Here are some recommendations:
1. Hydration: One of the most critical aspects of managing gastroenteritis is staying hydrated. Since you are experiencing diarrhea, you are at risk of dehydration. Drink plenty of fluids, such as water, clear broths, or oral rehydration solutions. Avoid caffeinated or alcoholic beverages, as they can worsen dehydration.

2. Diet: Initially, it may be best to stick to a bland diet. Foods such as bananas, rice, applesauce, and toast (the BRAT diet) can be easier on your stomach. Gradually reintroduce other foods as your symptoms improve. Avoid dairy products, spicy foods, and anything high in fat until you feel better.

3. Rest: Your body needs energy to fight off the infection, so ensure you get plenty of rest.

4. Monitor Symptoms: Keep an eye on your symptoms. If your fever persists for more than 48 hours, or if you experience severe abdominal pain, blood in your stool, or signs of dehydration (such as dizziness, dry mouth, or decreased urine output), seek medical attention immediately.

5. Follow-Up: Since you mentioned that you have lung inflammation, it is essential to follow up with your healthcare provider regarding this issue. Lung inflammation can be caused by various factors, including infections, and may require additional treatment or monitoring.

6. Further Evaluation: If your symptoms do not improve within a few days or worsen, it may be necessary to visit a larger hospital for further evaluation. This could include imaging studies or laboratory tests to rule out other conditions, such as appendicitis or pancreatitis, especially given your abdominal pain.

In conclusion, while your current treatment seems appropriate for your symptoms, close monitoring and supportive care are vital. If you have any concerns or if your symptoms escalate, do not hesitate to seek further medical advice. Your health and well-being are the top priority, and timely intervention can prevent complications.

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