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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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I Am 21 Years Old Suffering From Severe Abdominal Pain,taking Metrogyl But Not Satisfied With The Treatment

hi i am 21 years old girl a medical a third year mbbs studenthave got severe pain in abdomen around umblicus i have been prescribed metrogyl compound but no change
Wed, 29 Jun 2011
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General & Family Physician 's  Response
Hi sana,

Welcome to HCM.
Pain around umbilicus which shifts to right Iliac Fossa, is typical of Appendicitis.
You have not mentioned whether your Stool examination was done prior to starting Metrogyl, because it is the drug of choice in amoebiasis. If you do not have Amoebiasis, metrogyl alone is of little value.
Better get an Ultrasound Study done as well as routine blood test to rule out infection (Appendicitis), since Total count of WBC of more than 11000 with neutrophilia is indicative of infection.
Of course a surgeon can also provisionally diagnose appendicitis by eliciting rebound tenderness at MCBurney's Point.
It is prudent to avoid blind treatment. As far as possible a firm diagnosis supported by investigations is ideal, before starting any treatment, exception being relieving the patient's agony by immediate management of that agony.
Wish you speedy recovery.
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General & Family Physician Dr. Ramesh M.Vachharajani's  Response
Hi,Sana,
Thanks for query,
pain around the umbilicus usually due to amoebic dysentry,some times there may be mix infection with bacillary dysentry.
Complete the course and wait for few days.
Along with metrogyl compound take anti spasmodic like Cyclopam or meftel spas for pain.
in future you go for Cplox TZ,combination of both,ciprofloxacillin and tinidazole.
ok and take care.
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  User's Response
Dr. VADERA VIPUL C. 's  Response
HELLO ...
WELCOME HCM...

FOR PAIN YOU ADD ANTISPASMODIC DRUG ALONG WITH METROGYL AND ALSO ANTACID THAT GIVE BETTER RELIEF. BUT YOU NOT NOTE THE STOOL AND URINE DETAIL SO WE NOT RULE OUT PROPARE CAUSE OF PAIN. AVOID FRY FOOD AND SPICY .

BYE AND TAKE CARE.

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I Am 21 Years Old Suffering From Severe Abdominal Pain,taking Metrogyl But Not Satisfied With The Treatment

Hi sana, Welcome to HCM. Pain around umbilicus which shifts to right Iliac Fossa, is typical of Appendicitis. You have not mentioned whether your Stool examination was done prior to starting Metrogyl, because it is the drug of choice in amoebiasis. If you do not have Amoebiasis, metrogyl alone is of little value. Better get an Ultrasound Study done as well as routine blood test to rule out infection (Appendicitis), since Total count of WBC of more than 11000 with neutrophilia is indicative of infection. Of course a surgeon can also provisionally diagnose appendicitis by eliciting rebound tenderness at MCBurney s Point. It is prudent to avoid blind treatment. As far as possible a firm diagnosis supported by investigations is ideal, before starting any treatment, exception being relieving the patient s agony by immediate management of that agony. Wish you speedy recovery.