Suggest treatment for abdominal cramps
Patient: Hi....I have been experiencing severe abdominal cramps (lower abdomen), chills, headache, fatigue.  I ate out on Wednesday night and got severe diarhea within 30 minutes.  On Tursday I was fine...thought it was just a little thing...kept on with my regular diet Thursday but felt bloated, crampy, and gassy off and on.  On Friday my lower back was aching so I went to bed to get off my feet and took advil.  I have a painful lower back which is chronic and I will be starting physiotherapy next week.  But on Saturday I developed a bad headache, chills, I felt achy and crampy.  I had no diarrhea but gas ,really bad chills in my abdomen, and the severe cramps off and on.  No fever that I know of....but this morning I have such severe cramping it is hard to walk... and before I go to the bathroom. Severe cramping and chills again and 99 temp.  The chills feel like they are inside me and down my back.  No gas today.  The severe cramps are on both sides and center of my lower abdomen. I have had my appendix out and this feels different in any case.  I get cramps, go to the bathroom, no blockage, but the cramps are horrendous.  I am 60 years old, do not smoke, and am a teacher and artist.  I am a mother of three grown adults.  It feels like severe gas pains but I feel tired and cold and have a headache.Thanks so much,B Doctor: Hi. Thanks for an elucidate history. This is a classical history of gram negative intestinal infection. And you need to take a very proper treatment to avoid further complication which can occur very fast in such infections.- see you have almost no fever but all the severe symptoms of an infection .Rush to ER / Hospital - admission and intravenous fluids and antibiotics.