Hello doctor, I woke up last night and felt like someone stabbed me on my right back side. Along with tremendous stomach pain. I am male, 79 years old, had my knee replaced four months back, got a rash on the repaired knee last week like poison ivy. I have been diagnosed with an extremely high amount of arthritis, have had two back surgeries, triple bypass along with some other minor problems. I am fairly active physically but within the past week, I seem to have hit a wall not feeling well and seem to be having a little problem walking. I tried this morning some Pepto, took Norco, using a heating pad on the stomach. There seems to be a little relief. A couple of years ago had two attacks but by time got to the emergency and was fine.
Hi. Most likely you are suffering from gastroenteritis. It is an intestinal infection marked by diarrhea, cramps, nausea, vomiting, and fever. However, it is not necessary that all symptoms are there in a single patient. Depending on the cause, viral gastroenteritis symptoms may appear within one to three days after you are infected and can range from mild to severe. Symptoms usually last just a day or two, but occasionally they may persist as long as 10 days. Treatment includes drinking plenty of fluids to avoid dehydration. You need to drink more than usual to replace the fluids lost from vomiting and diarrhea. Water is best, but you could also try fruit juice and soup. Take Paracetamol for any fever or aches and pains. Get plenty of rest. If you feel like eating, try small amounts of plain foods, such as soup, rice, pasta, and bread. Use special rehydration drinks made from sachets electrolyte solution to maintain depleted electrolyte levels in serum. Take anti-vomiting medication (such as Zofran 4 mg twice) and antidiarrhoeal medication (such as Loperamide up to 16 mg a day). It is better to take three days antibiotic and anti-protozoal course. Tablet Ofloxacin 200 mg twice a day, tablet Metronidazole 400 mg twice daily.