Concluded Case

35 yr old male complaining of Abdominal fullness , passing of loose stool ,. investigation attached . guide the management.

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Concluded answer

This seems to be acid peptic disease and subacute intestinal obstruction... Need to give Prokinetics and PPI ... CTscan abdomen might be helpful... UG scopy later on. Treat conservatively. Antibiotic and Metronidazole must be given.

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Rule out Gastric Outlet Obstruction by Barium meal X ray. Upper GI endoscopy and biopsy from pyloric region, to rule out malignancy. Otherwise, the loose stool is due to other causes.

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Abdominal distension, loose stools, dilated stomach, thickened pyloric, dilated bowel loops DD IBS Old pyloric ulcer with cicatrisation, and partial obstruction. Gastropersis due to ? Drugs ,? DM

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Go for CT Whole abdomen Pt is alcoholic? HTNsive? DM?

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Chronic Atrophic gastritis DD zollinger Ellison syndrome Adv Endoscopy stomach Bland diet, Antacids, pantoprazole Metronidazole

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Dyspepsia with Acute gastroenteritis. There may be pathology in the Pyloric antrum( CT scan to be performed). Adv: NPM IV Fluid- RL Domperidone 30- TDAC 5 day's. INJ Pan40- ODAC 10 days. Infusion Metrogyl - TDPC 5 days. Inj Cefriaxone(1gm)- IV BD 5 day's. Clinical examination and follow up in every day round is necessary for further management.

Acute on set of loose motions sos acute gasteroenteritis lead to gasteroparasis and acute dialation of stomach Consequently electrolytes imbalance and septicemia which should be investigated Electrolyte replacement Broadspectrum antibiotics inj Ceftriaxozone or inj amikamicin Inj meteronidazole Inj pantaprazole Inj ondestron This will take time to settle and recovery RT may be placed

Thanx dr Mahananda Angel
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Does the patient has Symptoms of GOO

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This seems to be acid peptic disease and subacute intestinal obstruction... Need to give Prokinetics and PPI ... CTscan abdomen might be helpful... UG scopy later on. Treat conservatively. Antibiotic and Metronidazole must be given.

Medication. Opioids can lead to constipation. ... Observation. Ileus may need monitoring for a few days and often resolves with time. ... Nasogastric tube. This is a narrow tube that goes up the nose and into the stomach. ... Surgery. ... Therapeutic enema.

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