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Stomach upset in Thailand and symptoms recurring after return

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hi i have recently returned from Thailand and whist there i contracted a stomach upset, however it seemed to have passed within a few days, however its now a week later and i have been suffering with acute abdo pain, diarreah and constipation and cramps


Category: Family Physician-GP

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Category: Sexually Transmitted Diseases(STD)Specialist
Dr. Deepu Sebin Sebastian is online now

Expert:  Dr. Deepu Sebin Sebastian replied 4 Days.

Hello,

Thank you for asking your query at DoctorSpring.

It seems you had a Gastroenteritis followed by a post infectious irritable bowel symptoms. Do not worry, this is only a common stomach bug you might have contracted from food or water.

1.Since it has been a week I would recommend an antibiotic like Norfoloxacin /Ciprofloxacin 400mg twice daily for 5 days. You should take this in consult with your Doctor. There could be persistent infection which needs to be addressed. Antibiotics are typically not recommended for Gastroenteritis, but since you have history of travel it may be considered.

2.Drink plenty of water. Take soft bland diet. Avoid milk and milk products for 2 - 3 days.

3. You can also take a probiotic drink / capsule once or twice a day

4. If the symptoms persist, do visit your Doctor without delay as you may require further evaluation.

Hope this helps
Please feel free to ask followup questions.

Thank you


Dr. Deepu Sebin Sebastian
Category: Sexually Transmitted Diseases(STD)Specialist
Experience: 
MD, Internal Medicine - Stanley Medical School
Medical School - MBBS - Govt. Medical College, Kottyaam

Diagnostic Prediction - Stanford School of Medicine
Received Specialty training in Critical Care, Cardiology, Neurology, Gastroenterology, Nephrology from Stanley Medical College and in Endocrinology, Rheumatology.

Hematology and Geriatrics from Madras Medical College.
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