Brief Answer:
Pains are due to constipation and needs management properly !!!

Detailed Answer:
Thanks for the consultation at my virtual clinic!
I have carefully worked through your case, and can well realize your health worries. Being your physician, I will take care all of your medical concerns today and will put my best efforts to get you out of this situation.


PROBABILITY:-
You have this shifting pain due to constipation and this is the sole reason for your trouble.

DIET MODIFICATIONS:-
You need to take a healthy and balanced diet with plenty of fruits, salads and green leafy vegetables.
No processed red meat.
No western diet.
No junk and spicy foods, fried and fast foods.
No energy drinks, beverages, caffeinated drinks and chocolates.
Take plenty of water and add citrucel dietary fiber supplement.

LIFESTYLE MODIFICATIONS:-
Remain physically active as much as you can.


Medication guide:-
Lactulose syrup 4 TSF at night.
Pantoprazole + Levosulpiride before breakfast.
Adult Glycerin suppositories if severe constipation.


If you feel nothing is helping you anymore, that will be the high time to consult a Gastroenterologist for in-person and thorough evaluation. He may go for a colonoscopy and will rule out important causes of constipation. Maybe there is some problem with the rectum or colon.


Hope I answered all of your questions. Let me know if you have further clinical concerns or doubts. I will be more than happy to get back to you with expert opinion. Please don't forget to give Five Star rating to help me assist my patients in a better way; and, please don't forget to 'Close This Discussion'.
For any disease you have, a timely follow-up is very necessary regarding the treatment efficacy and to see if there is a need to change the treatment options. So keep a follow up to see how you doing (Always write down my name in the start of your questions at this forum & I will be with you in no time).


Regards!
DR. XXXXXXX HANIF
USA

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