Treatment Options for Abdominal Pain or Stomach Ache

Treatment Options for Abdominal Pain or Stomach Ache

Reviewed By:
Pramod Kerkar, M.D., FFARCSI, DA

Treatment Options for Abdominal Pain or Stomach Ache Include

  • Antispasmotics: Butylscopolamine (Buscopan).
  • Antacids: Tums, Maalox, Pepto bismol.
  • Activated Charcoal capsule.
  • NSAIDs: Acetaminophen (Tylenol, panadol, paracetamol).[1]

Antidiarrheal: Loperamide, diphenoxylate with atropine (lomotil)

Antibiotics:

  • Clostridium Difficile: Intravenous vancomycin, oral rifaximin, fidaxomicin, metronidazole.
  • E. coli: Ampicillin, tetracycline, tobramycin, gentamycin, penicillin, kanamycin, streptomycin, bacitracin, crythromyasin
  • Salmonella: Cefotaxime, ampicillin, chloramphenicol, ciprofloxacin
  • Shigella: Ampicillin, Bactrim, ceftriaxone, ciprofloxacin, Peritonitis- Peritonitis- Intraperitoneal antibiotics. Cephazolin1gm in 2-liter normal saline, if infection is of MRSA add Vancomycin 2 gm. in 2-liter fluid with gentamycin 40 mg. Repeat the dosage every 12 hours for 2 to 3 weeks if necessary.[2]

Surgery:

Endoscopy for Abdominal Pain or Stomach Ache

  • Laparoscopy
  • Endoscopy

Female Reproductive System and Pregnancy:

  • Pelvis: Exploration of pelvic abscess, laparoscopy.
  • Uterus: Dilation and Curettage – D and C.
  • Hysterectomy: Abdominal.
  • Hysterectomy: Vaginal, repair of prolapse uterus.
  • Endometriosis: Microwave Endometrial Ablation.
  • Ovaries: Oophorectomy.
  • Ectopic Pregnancy: Salpingo – oophorectomy – Ectopic Pregnancy.
  • Cancer of Cervix and Vagina: Excision of uterus, cervix, and vagina.

General Surgery:

  • Excision of Tumor: Colectomy, resection of rectum.
  • Gallbladder: Cholecystectomy.
  • Hernia: Repair.
  • Spleen: Splenectomy.
  • Ulcer: Excision.
  • Intestinal Obstruction: Laparotomy and bowel resection.
  • Volvulus and Intussusception: Laparotomy and bowel resection.

Kidney and Urinary System:

  • Bladder: Cystoscopy, Diathermy.
  • Kidney: Nephrectomy (Kidney Removal).
  • Nephrolithotomy: Removal of Kidney Stone, Retrograde Pyelogram.
  • Ureteral Stone: Ureterolithotomy.
  • Urethral Stone: Urethroscopy.

Male Reproductive System and Urinary Tract:

  • Urinary Retention: Prostatectomy.

References:

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