Yes — long-term antibiotics and Bandy-Plus (Albendazole + Ivermectin) can cause upper abdominal pain.
Common mechanisms:
• Gastritis (most common)
• Acid irritation
• Altered gut flora
• Mild
liver irritation (rare but possible)
Upper abdominal (epigastric) pain after these medicines is usually due to drug-induced gastritis, especially if:
• Pain is burning in nature
• Worse on empty stomach
• Associated with nausea, bloating, acidity
If pain is severe, persistent, or radiates to back — liver or pancreas evaluation may be required, but that is uncommon.
Most cases are stomach irritation.
Next Steps
✔ Stop unnecessary antibiotics if course is completed
✔ Start a proton pump inhibitor (like Pantoprazole before breakfast) for 10–14 days
✔ Avoid spicy/oily food
✔ Do
LFT (
liver function test) if:
• Pain is persistent
• There is yellowing of eyes
• Dark urine
• Severe weakness
✔ Ultrasound abdomen if pain continues >1–2 weeks
If pain improves after starting acid suppression, it confirms gastritis.
Health Tips
✔ Never take antibiotics without food (unless instructed otherwise)
✔ Avoid alcohol completely during recovery
✔ Eat small frequent meals
✔ Include curd/probiotics to restore gut flora
✔ Avoid painkillers like diclofenac or ibuprofen
Most antibiotic-related gastritis improves within 1–2 weeks with proper care.
If your pain is persistent or worsening, I recommend booking an online consultation so we can assess the exact pain pattern, review your medication history in detail, and decide whether this is simple gastritis or requires further investigation.