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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Heavy Aching Legs, Diarrhoea, Stomach Cramps And Chest Tightness?

I ve recently returned from Nepal. For about 3 weeks now I ve had heavy aching legs, diarrhoea, stomach cramps, my chest has been very tight and just walking up one flight of stairs makes it so difficult to breathe that I cannot say more than one word at a time. I have been so tired that I am usually going to bed around 8:30. I really don t know what s wrong but whatever it is started in Nepal.
Wed, 30 Jul 2014
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General & Family Physician 's  Response
Hello dear,

The symptoms as mentioned in your post is attributed to either infection or inflammation in the Gastrointestinal tract.
Certain investigations like complete blood count, estimation of serum electrolytes, stool examination & Ultrasound scan of abdomen & Pelvis will be helpful in detecting any pathological cause.

Presenting with such symptoms, I usually treat my patients with:
1. Tablet Pantoprazole + Domperidone twice daily (to be taken half an hour before food)
2. Anti spasmodics like Dicyclomine preparation twice daily (to be taken after food).
3. Lactobacillus preparations.
4. Antibiotics like Ofloxacin+ Ornidazole preparations, OR based on culture & sensitivity reports to control the causative organism.
5. Oral Rehydration Solution (O.R.S) for maintaining the hydration status & electrolyte balance of the body.
6. Take soft, plain, non-spicy foods.
7. Avoid fast foods & gas producing food products like cabbage, etc.

So, kindly consult a Gastroenterologist & start treatment as advised.

Wishing a good health.
Take care
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What Causes Heavy Aching Legs, Diarrhoea, Stomach Cramps And Chest Tightness?

Hello dear, The symptoms as mentioned in your post is attributed to either infection or inflammation in the Gastrointestinal tract. Certain investigations like complete blood count, estimation of serum electrolytes, stool examination & Ultrasound scan of abdomen & Pelvis will be helpful in detecting any pathological cause. Presenting with such symptoms, I usually treat my patients with: 1. Tablet Pantoprazole + Domperidone twice daily (to be taken half an hour before food) 2. Anti spasmodics like Dicyclomine preparation twice daily (to be taken after food). 3. Lactobacillus preparations. 4. Antibiotics like Ofloxacin+ Ornidazole preparations, OR based on culture & sensitivity reports to control the causative organism. 5. Oral Rehydration Solution (O.R.S) for maintaining the hydration status & electrolyte balance of the body. 6. Take soft, plain, non-spicy foods. 7. Avoid fast foods & gas producing food products like cabbage, etc. So, kindly consult a Gastroenterologist & start treatment as advised. Wishing a good health. Take care