Abdominal Pain in a 50-Year-Old Male: Not Caused by Cold Exposure, But Linked to Gastroenteritis

A 50-year-old male patient visited our clinic complaining of persistent abdominal bloating and pain for one full day. He did not experience nausea, vomiting, or any signs of altered consciousness. After receiving initial treatment at a local clinic with antispasmodic medication, his symptoms showed no improvement. Seeking faster relief, he came to our hospital for further evaluation.

Following a comprehensive medical assessment, including physical examination and endoscopic testing, the patient was diagnosed with gastroenteritis. A targeted medication plan was initiated, which included injectable Cefotaxime Sodium, oral Levofloxacin Hydrochloride Tablets, injectable Omeprazole Sodium, and Rabeprazole Sodium Enteric-Coated Tablets. Within two days of treatment, the patient's condition improved significantly, and his abdominal discomfort had nearly disappeared.

Initial Assessment and Diagnosis

During the first consultation, the patient described the sudden onset of abdominal discomfort without any apparent trigger. He had taken antispasmodic drugs at a local clinic, but the effects were minimal. Upon physical examination, we observed a flat abdomen with no visible veins, localized tenderness in the lower left quadrant, and no rebound tenderness or abdominal masses. Further endoscopic analysis revealed inflamed, swollen, and eroded gastrointestinal mucosa, leading to the diagnosis of gastroenteritis.

Therapeutic Approach and Patient Education

I explained to the patient that while symptomatic treatment may offer temporary relief, it does not address the underlying infection. I prescribed antibiotics to target the infection and proton pump inhibitors to reduce gastric acid secretion, protect the stomach lining, and alleviate pain. The patient was also advised to report any adverse reactions immediately and to avoid self-adjusting medication doses.

Positive Treatment Outcomes

After initiating therapy, the patient experienced gradual relief from bloating and pain. His vital signs remained stable, and follow-up assessments indicated consistent improvement. By the second day of hospitalization, his intestinal inflammation had visibly decreased, and he was discharged with no significant discomfort.

Lifestyle and Recovery Tips

To support recovery, I emphasized the importance of dietary adjustments and lifestyle changes:

Gastroenteritis is treatable with proper care, so staying calm and positive is essential.

Avoid spicy foods, cold drinks, fried items, and strong seasonings; opt for easily digestible meals like congee, egg soup, or yam porridge.

Rest adequately, engage in light activities such as walking, and maintain emotional well-being to promote healing.

Key Takeaway: Don't Ignore Persistent Abdominal Discomfort

Abdominal pain can stem from various causes—common triggers include cold exposure or overeating—but when symptoms persist despite basic treatment, it's important to investigate deeper. In this case, untreated gastroenteritis was the real cause. Early diagnosis and targeted intervention are crucial to preventing prolonged discomfort and complications. If you experience ongoing digestive issues, don't hesitate to seek professional medical advice.