Suggest Treatment For Abdomen Swelling And Cramps

Posted on Mon, 29 Sep 2014

Question: Left side abdomen swelling. Cramps in whole abdomen. Irregular mucus in stool with tight stool. Sometime watery stool without mucus but after some time mucus starts. Feeling of heaviness in anus during excretion. Too much time have to spend in excretion. After eating feeling of stool excretion comes up everytime. Urination is also not proper feels like urinate again & again. Feels like having Irritable bowl syndrome. Sometime swelling in left eye also happen.

Answered by Dr. Deepak Kishore Kaltari (19 minutes later)

Brief Answer:
Could be either Colitis or IBD

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day

Dear Ms XXXX,

Presentation of Mucous in stool associated with lower abdominal pain , possibility of Colitis needs to be considered. In many cases the Colonoscopy may be normal, the cause is amoebic or bacterial dysentry.
I would require additional information for me to be able to assist you further
1. Kindly let me know the duration of symptoms
2. Is there any pain in anal region while passing stools?
3. Is there any loss of weight or loss of appetite?
4. Has stool examination been done?
5. What are the other investigation carried out?
6. Kindly let me know your dietary habits.

Awaiting your response

Take care

Best Regards
Dr Deepak Kishore
MBBS,MS,MCh

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepak Kishore Kaltari (16 hours later)

A.1 I have this problem from about last 10 year but problem has increased gradually.
A.2 Yes, I feel pain and swelling in anal region while passing stool.
A.3 No, there is neither loss of weight nor loss of appetite.
A.4 No, stool examination has not been done due to hesitation actually I don't feel comfortable.
A.5 No, any other investigation has not been done.
A.6 My diet is 2 chapati with Ghee, 1 bowl rice. actually I am afraid of abdominal pain so I don't take proper diet because according to my observation mucus is increases due to vegetables and fruits.

Answered by Dr. Deepak Kishore Kaltari (2 hours later)

Brief Answer:
To consider anal fissure

Detailed Answer:
Dear XXXX,

Before attributing the cause of your symptoms to Irritable bowel syndrome , it is important to rule out local anal pathology. Irritable bowel syndrome is diagnosis of exclusion( If no cause is found for the given symptoms after thorough investigation then only it is attributed to IBD).

I would like to consider the following possibilities

1. Anal fissure: very much likely in view of history of pain while passing stools. Diagnosis requires good examination of anal region

2. Colitis

Vegetables and fruits are intact beneficial.But if you have observed any pattern of increased pain or symptoms with given food stuff then avoid them.

I would suggest you the following

1. Drink plenty of water everyday:. It will help by mixing with the fiber of diet and give bulk to the stools so that they are well formed and soft.

2. High Fiber diet: Vegetable salad( 2 servings a day), Fruits especially citrus fruits.

3. Avoid Diet causing constipation: Especially those food stuffs containing refined flour like cakes, bread, biscuits, cookies

4. Hot Seitz bath: Add a handful of common table salt in a tub of lukewarm water and immerse the bottom by sitting in it. Every such session should last for 15 to 20 minutes. Two such session a day, one in the morning and one before retiring to bed at night. It would also be benificial to repeat it after every bowel movement. It will help in healing of fissure, decrease pain and relieve internal sphincter spasm.

5. Local application of local anesthetic ointment like Xylocaine will help in relief of pain. Apply it 15- 20 minutes prior to every bowel movements and also before retiring to bed.

6. Nifedepine Ointment: Local application of it will relieve the spasm of internal sphincter and help accelerate fissure healing.( only after it is diagnosis has been confirmed)

7. Course of antibiotic: Ciplox TZ twice a day for 7 days

Do keep me updated .

Take Care

Regards
Dr Deepak

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepak Kishore Kaltari (4 hours later)

I don't have Anal fissure as I had anal examination before by doctors.
Pain while stool passing is not regular it happens only when I feel swelling in stomach but that swelling and pain happens 70% times. My problem is more concerned with mucus. Mucus in stool increases after swelling.

Answered by Dr. Deepak Kishore Kaltari (1 hour later)

Brief Answer:
Antibiotics will take care

Detailed Answer:
Dear XXXX,

Mucous in stools is likely to be due to infective colitis. A course of antibiotic as suggested by me will take care of it.

Keep me updated about progress.
Wishing you a very happy and healthy life

Regards
Dr Deepak

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Deepak Kishore Kaltari (23 hours later)

I took one tablet of Ciplox TZ but after taking it has reacted so badly that I had excretion 4-5 times and Mucus has increased then I took Jeera Rice with ghee which had given some relief and Mucus has reduced.

Answered by Dr. Deepak Kishore Kaltari (1 hour later)

Brief Answer:
Discontinue antibiotic

Detailed Answer:
Dear Ms XXXX,

Also consider taking a Probiotic, it will take care of mucous discharge. Darolac capsule twice a day will be helpful. If you have developed intolerance to Ciplox TZ then discontinue use of same.

Do keep me updated.

Take Care

Regards
Dr Deepak

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar