Hello,
The amount of severe abdomen pain, bloating, gastritis indicates underlying gut infection through some sort of bacterial infection. Though urine microscopy is normal (which is the usual case), associated evaluation with complete hemogram, serum
Widal test is very much essential and X-ray or
ultrasound need is as per the clinician concern after the physical examination and co relation of symptoms with lab data.
If the tablets are not giving best relief, one has to get:
- Injection doses of intravenous
proton pump inhibitor
- Supportive IV fluids with antibiotics of GI coverage as
metronidazole,
ceftriaxone or else
- Oral pro and pre biotics to cover the intestine flora harmony
- Dietary precautions to avoid all spices, non-veg, junk food items
- Avoid alcohol or other abuse substances if used
Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Bhagyesh V. Patel, General Surgeon