### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I had two craniotomies last year for bilateral superior semicircular canal dehiscence. 3 days after surgery severe abdominal pain with relief from mylanta for a few days. 2 months later sever abdominal distinction belching excessive saliva abdominal pain fatigue. Endoscopy neg for gastritis no gerd ct enterography small 9 mm neoplasm on kidney some fibroids but was told nothing there to cause my symptoms. It s now 5 months and still have belching bloating foul smelling stool and abdominal tenderness What else can it be? Stool negative h pylori negative

### output:

Hi. There is always a good catch in an elucidated history as provided by you. Your history of foul stools tells it all. Read and understood all your history related to 2 craniectomies and severe abdominal pain after 3 days. This is the time you must have undergone the super-added intestinal infection as we call in out medical language, and must have been overlooked by all. I would suggest you the following actions:-First I will order for examination of the stools for 3 consecutive days.-Routine test soph blood and urine. -Start you on a 5-day course of an antibiotic and Metronidazole and probiotics. -Probiotics to be continued for a long time say at least a month. I am sure this will solve your problems to a great extent. If there is no relief then I would go for further tests of CT scan of the abdomen and colonoscopy to find the root-cause. And to give you the treatment as to get a cure. Remember to Avoid the Ciprofloxacin group as you have undergone craniectomies. I hope this answer helps you