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[|Human|] Name: Kamini DubeyAge : 55 yrsWeight: 54Medical history:  She is diabetec since 2003Date: 15th June 2006 She was operated for Gall badder Stone and gall baldder was removed.and after some days, She was complaining of stomach pain and passing mucus regularly in toilet, no symtpons of anorexia / nausea  /wt. loss.So endoscopy was done but the result was normal. Still she was complaining the same and then we showed to 3 -4 doctors.Date: 15th Nov 2006She was done with Ultrasongraphy of Abdomen and Pelvis and the result was normal. 30th Nov. she was shown to Dr. H. N. Banka specialist for gastrologist almost 4 months but she started losing weight but there was no improvement and we kept shifitng other doctor. Then she was recommended to pshychiatrist by Banka on 6th Nov 2007 but there was no improvement. Date: 16th Dec 2007 She was recommended to 2-3 physician till 6 months but there was no improvement and she kept losing weight and kept changing medications.Sometimes was she was okay but again she was facing problems. This was continued till Nov end 2008. Decembers onwards she starting having a problem of pain in Left side of upper tooth and we showed to Dentist they said the teeth are good and refered her to Neuro, so she was shown to neuro, They were unable to diagnose the problem we also did TMG of Jaws but everything was fine. Then the pain start becoming severe and spread across her full jaws so we showed her to Pain Management and he also gave an injection above jaws for some nerve unblocking (infra orbital nerve block)Date: 24th April 2009In start of March she started complaining pain in abodomen and spine so CT scan and MRI and was diagnosed with Spine TB having pus in D9-D10 done on 23rd April 2009 and operated on 25th April 2009 and apart from that she was still complaining of mucus and pain in jaws and was under bed rest for 6 months.After 6 months Still she was complaining of pain in spine at the operated place and above abdomen. Date: 13th Nov 2009MRI of Spine was performed again to check the pain and all types of Blood Test. The result was progressive and healing. but she was still complaining of pain in spine, stomach and jaws.She also complaining from last 4 weeks that she is getting Medicines :- since april 2009 for TBInj. streptomycin (0.75 mg) 1 M oD x 90 daysTab. ZOCEF 500mg 1 BD x 7 daysCap. R Cinex 450 mg 1OD (she had side effect within 20 days, so it was replaced with Solonex Tab. 300 mg still continued)Tab. Combutal 800 mg 1 Od 8 months and stoppedTab. P. Zide 750mg 1 BD for 8 months and stoppedTab. Pan-40  1 od cont....----------------------------------------------------For Jaws Pain since 30-Jan-09Cap. Gabapain 300mg for 2 months (no response)Tab. Tyrptomar 10mg cont....Tab. Oxetol 300 mg 1 bd for 15 days (no response)Tab. Maha gaba -M fro 10 days (no response)Cap. Prelin - M for 5 days(no response)Tab. Nitravet 10 mg for 5 days (no response)Tab. Metrogil 400mg x 5 days (no response)Tab. clonazepam 0.25 for 2 months (no response)Tab. Pregabalin 75mg for 2 m (no response)Inj. Methyglobal 500 course of 10 inj. on alternate days -----------------------------------------------------------------------Present under medication of physician:Tab. solonex 300mg 1odTab. levoflox 500 mg 1 odTab. pan 40 1 odTab. Glizid 60 MR 1 odTab. Melmet 1000g 1 odTab. Daycare (calcium) 500 mg 1 odTab. Tryptomar 10 mg at nightTab. Tremazac P D (sos)Tab. Riconia LP 1 od ---------------------------------------------------------------------------Current Situation since last month:She is complaining for Jaws Pain , Stomach Pain with Mucus,Vision is not clear sometimes but she was operated for cataract on both eyes last yr. and she is having frequent headaches, uneasiness and sometimes chest pain but the ECG shows as normal. Pain in Spine so she is recommended of MRI again. Please suggest what kind of treatment she should be given or consult which specialist, she always panic for uneasiness and when checked with doctor the result is normal from few days she has also got high BP 160 90. She also cries and says that i wont be cure. Seems to be FED up with Sickness.She is still on kind off bed ridden becoz of spine pain. Please respond as soon as possible.
[|AI|]  Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Your symptoms may indicate postcholecystectomy syn Chat Doctor.  It also includes the development of symptoms caused by removal of the gallbladder (e.g., gastritis and diarrhea). In general, PCS is a preliminary diagnosis and should be renamed with respect to the disease identified by an adequate workup. It arises from alterations in bile flow due to loss of the reservoir function of the gallbladder. Two types of problems may arise. The first is continuously increased bile flow into the upper gastrointestinal (GI) tract, which may contribute to esophagitis and gastritis. The second is related to the lower GI tract, where diarrhea and colicky lower abdominal pain may resultTreatment should be governed by the specific diagnosis made and may include pharmacologic or surgical approaches. First, you should do gastrostomy and ct scan to rule out other diagnoses and then treatment can be planned. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.