While Lomotil (diphenoxylate and atropine) can cause mild nausea or weakness, a stiff stomach and worsening pain are not typical side effects and need prompt medical evaluation. Sometimes, medicines that slow the gut can cause gas and pressure to build up, leading to burping and discomfort. Please stop taking Lomotil and contact a doctor or visit an urgent care clinic right away so they can gently examine your abdomen. In the meantime, try to rest and take small sips of water to stay hydrated.

During pregnancy, especially at 7 months, it is important to be careful with medicines for loose motions because some drugs may not be safe for the baby. Loose stools after outside food are often due to mild food infection or stomach irritation and may improve with rest, fluids, coconut water, ORS, and simple homemade food like rice, curd, bananas, and toast. Medicines like Norflox and Lomotil should not be taken without a doctor's advice during pregnancy. The safest approach is to stay hydrated and monitor symptoms. If you develop fever, vomiting, blood in stools, severe stomach pain, reduced baby movements, or signs of dehydration, seek medical care immediately. Your gynaecologist can decide if any pregnancy-safe medicine or antibiotic is needed after evaluation.

The most important step right now is preventing dehydration, which is causing the severe weakness. Please start Oral Rehydration Salts (ORS) dissolved in clean water, and offer coconut water. Continue the watery dal-rice and oats gruel, but avoid biscuits as they can sometimes irritate the gut. You can continue paracetamol (Dolo 650) for the fever, but please consult a doctor before continuing Lomotil. Persistent fever and diarrhea may indicate an infection requiring specific medical evaluation.

It is very common for pregnancy and a past infection to disrupt your gut microbiome, leading to lasting stomach sensitivity or post-infectious irritable bowel syndrome. While medications like Rantac (ranitidine) and Lomotil (diphenoxylate/atropine) help manage individual symptoms, they do not address the underlying imbalance. I highly recommend consulting a gastroenterologist. A specialist can help identify the root cause of your heartburn, nausea, and diarrhea, and guide you toward a tailored plan to safely restore your digestive health. Please be reassured that this is manageable, and seeking specialized care is a wonderful next step toward finding long-term relief.

Strong medications, especially antibiotics used for fever, can disrupt your healthy gut bacteria, leading to bloating. Additionally, Lomotil can slow down your digestive tract, which actually traps gas and worsens a swollen stomach. I suggest pausing Lomotil for now. Instead, try drinking warm peppermint ginger tea, eating small, light meals, and perhaps starting a gentle probiotic to restore your gut balance. If the swelling persists, or if you experience severe pain, vomiting, or fever, please contact your doctor.

Because you have a fever and your blood sugar is 300 mg/dL, your body is under significant stress. Please stop taking Lomotil, as slowing down diarrhea when a fever is present can trap infections. You can continue taking Electrol for hydration, but please monitor your glucose levels closely. With blood sugar at 300 mg/dL alongside an infection, it is very important that you contact your treating doctor or seek urgent medical attention immediately. They can safely adjust your diabetes medications and prescribe the correct treatment for your stomach.