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Q: z-pack and stomach pain
asked by: DoctorQuestion on October 29th, 2008
His pain won't go away for anything.He was put on the z-pack aug.14, got very sick alot of stomach pain and vomiting.finished it aug.18.The pain stayed at a 3 until oct.20, The dentist put him back on the z-pack that nite he took it his pain went to a 8-10 stopped eating and drinking then oct.21 pain went to a 10 he coughed a couple of times and tasted blood.So i took him to th ER and he had blood in his stool he was admitted his pedi.GI doc. ordered a CT done with and without contrast everything seems normal his pain went back down to a 3.he was released after 3 days his GI said all he could think of is IBS and wants to put him on a antidepressent I told him no he isnt depressed.I asked him if it could be the z-pack and he says no do you have any ideas.Im taking him to AUSTIN soon a second opinion.But till then I'M very extremly stressed and upset that my son has to go thru this and there's no answers so far please help.


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Dr. Goce Aleksovski , MD
replied on November 3rd, 2008
(online)
Stomach, Ulcers, Gastric Bypass Answer A4799
You wrote: "List of other diseases, conditions, or injuries and their treatment: acid reflux nexium and carafate

Current medical status: my 14 year old son upper stomach pain for 2 months consistant 24/7 started the day after he started the 5 day z-pack

Current medical treatment: has been on previcid,zantac 75,belladonna,mylanta,maalox,tums,stopped all and now nexium and carafate and nothing works still pain 1-10 it stays at a 3-4 until he eats it gets worse he has endoscope biopsy,found only acid reflux just had CT done with and without contrast"



According to the symptoms you described (upper abdominal pain, vomiting and taste of blood), your son might be experiencing inflammation of the stomach and upper intestinal tract (gastritis and duodenitis). The “taste of blood” he is experiencing might also explain the blood in the stool, which is one of the symptoms of inflammatory bowel disease (although it is unclear from the description whether the blood in the stool was visible OR if the blood was an occult sample detected with laboratory stool tests). However, it is highly unlikely that the z-pack caused these symptoms.

Moreover, the lack of diarrhea and/or constipation indicates that the problem is more likely located in the upper gastrointestinal tract. An inappropriate diet regimen and the bacteria called Helicobacter pylori are one of the possible causes for gastritis, combined with acid reflux and/or the presence of an ulcer. If this is the case, his doctor might run some laboratory tests to detect H. pylori and if positive, prescribe an adequate treatment. You could also try, as an alternative medicine, to relieve his symptoms with probiotics. You might consider second opinion by an internist or a gastroenterohepatologist.




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