I've Been Suffering For The Past Year Of Abdominal Pain

Posted on Thu, 26 Sep 2019

Question: I've been suffering for the past year of abdominal pain and lower back pain. The pain can start in either place and radiate to the front or back. I've had 2 c-scans, 2 x-rays, and 1 sonogram but the doctors do not seem to be able to find the cause of my pain. I can't get comfortable at times whether I stand, sit or lie down. The pain is sporadic with no rhyme or reason but I experience this just about everyday. I have trouble peeing and sometimes I get chills when I do. The medication ( Tylenol and Ibuprofen) the doctor has prescribe doesn't seem to eradicate the pain. This pain is unbearable at times.

Answered by Dr. Bhagyesh V. Patel (56 minutes later)

Brief Answer:
need further details and previous reports if available.

Detailed Answer:
Hello and welcome to Ask A Doctor services.
I have read your query and here is my advise.

* As per my clinical experience, the unbearable pain has to be some sort of
definite origin, which has not been detected till now by clinical work up.

Kindly provide me further details so that I can answer your query completely.

1. Exact location of pain in abdomen, type, intensity.
2. Associated nausea, vomiting if any ?
3. Provide scanned copies of previous investigations as attachment in follow
up conversation, which would prove very helpful.
4. Alteration in food intake, bowel habits ?
5. History of systemic illness as diabetes, high BP or else ?

Awaiting for your response.
Regards.

Dr Bhagyesh ( MS consultant surgeon )

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Bhagyesh V. Patel (13 minutes later)

I will have to get my reports and scans from my doctor. Will I be able to speak with you or will I be speaking to another physician?

Answered by Dr. Bhagyesh V. Patel (11 minutes later)

Brief Answer:
follow up .

Detailed Answer:
Hi
Thanks for the follow up.

* During follow up, you will be discussing the issue with same consultant,
unless you opt for another option.

Wish you great day.
Thank you.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Bhagyesh V. Patel (38 hours later)

How do I go about sending you current medical records which will provide you with further information and details of doctors visits, prescribed medicine and procedures received?

Answered by Dr. Bhagyesh V. Patel (34 minutes later)

Brief Answer:
follow up .

Detailed Answer:
Hi
There is upload option on the dashboard panel of your question box itself.
You can upload files using that option.

In the case of finding difficulty for the same, you can always have help from our expert customer care department.

Thanks.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Bhagyesh V. Patel (20 hours later)

Anxiety
DISH (diffuse idiopathic skeletal hyperostosis)
Pelvic pain in female
Breast cancer screening by mammogram
Encounter for wellness examination in adult
Diabetes mellitus, stable
Bladder cystocele (618.01)
Hyperlipidemia

Abdominal lymphadenopathy
Back pain, lumbosacral
Abdominal discomfort
Depression with anxiety
Bleeding hemorrhoid
Hip pain, left
HTN (hypertension), benign

Allergies

No Known Allergies
No Known Drug Allergies

Medications

Acetaminophen 500 MG Oral Tablet - 2 Tablet three times daily as needed, XXXXXXX 3 grams per day, #180, 30 days starting 8/02/2019, Ref. x1.
hydrOXYzine HCl 25 MG Oral Tablet - 1 Tablet Take 1 tablet every 6 hours as needed for anxiety, difficulty sleeping, #60, 30 days starting 5/15/2019, Ref. x1.
Ibuprofen 600 MG Oral Tablet - 1 Tablet three times daily as needed, #90, 30 days starting 8/02/2019, Ref. x1.
Lancets Miscellaneous - 1 lancet once daily, 100 Strip, 90 days starting 8/29/2019, Ref. x4.
Naproxen 500 MG Oral Tablet - 1 (one) Tablet Tablet two times daily as needed, #20, 10 days starting 10/31/2018, Ref. x0.
Premarin 0.625 MG/GM Vaginal Cream - insert 0.5 gram vaginally two times a week as needed, #30, 30 days starting 2/23/2017, Ref. x3.
Lisinopril 10 MG Oral Tablet - 1 Tablet daily for high blood pressure, #90, 90 days starting 8/02/2019, Ref. x4.
Blood Glucose Test In Vitro Strip - 1 Strip once daily, #100, 90 days starting 8/29/2019, Ref. x4.
metFORMIN HCl ER 500 MG Oral Tablet Extended Release 24 Hour - 4 Tablet ER 24HR once daily with the evening meal, 360 Tablet, 90 days starting 8/02/2019, Ref. x3.
tiZANidine HCl 2 MG Oral Capsule - 1 (one) Capsule Capsule 1-2 tablets as needed every 8 hours for muscle cramps/pain, #90, 30 days starting 5/15/2019, Ref. x1.
Hemorrhoidal 0.25-14-74.9 % Rectal Ointment - apply Ointment to clean dry area up to 4 times daily, 57 Gram, 30 days starting 2/23/2017, Ref. x0.

Answered by Dr. Bhagyesh V. Patel (2 hours later)

Brief Answer:
follow up .

Detailed Answer:
Hi
Thanks for the details needed.

* As there are ample number of analgesic consumed and even though there
is pain suggest that there is component of exacerbated pain perception
through receptor or neuronal pathway and in many of such cases scans
and rest of the reports turn out to be normal.

* Long term use of many of the pain killers will ultimately make body
resistant to the same and even receptor down regulation mechanics at
micro levels.

* In my opinion, a holistic approach to pain management is recommended
with
- gradual tapering of current analgesics
- meditations done dedicatedly on regular basis
- YOGA
- relaxation techniques
- psychology counselling
- life style modifications
- regular sound sleep of 6-7 hours

Hope this information will help you.
Regards.

Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Raju A.T