Suggest Treatment For Frequent Lower Abdominal Pain

Posted on Wed, 10 Feb 2016

Question: hello....my boyfriend who is 49 experiences lower left abdominal pain more frequently lately. Its usually after he eats, it is very sensitive to touch, dully/achy pain, last usually couple of hours or until bowel movement. Thought it only occurred after eating certain breads, but he has it now and all he ate was a salad with grilled chicken on it. Any ideas?

Answered by Dr. Albana Sejdini (45 minutes later)

Brief Answer:
Further tests are needed as following...

Detailed Answer:
Hi,

I understand your concern.

The lower left abdominal pain your boyfriend is having due to possibly increased gas especially if he has been having constipation problems recently.

As the pain is present after eating, this is because the bowels starts moving when eating.

If I was his caring doctor would advise to run further exams apart changes in his diet and lifestyle regimen:
- abdominal ultrasound
- colonoscopy
- fecal analysis
- food intolerance testing

For the moment, I advise to:
- increase fluids intake
- encourage him to be more physically active
- take probiotics to normalize intestinal flora
- take simethicone to reduce gas
- if constipated, try to avoid constipation as much as he can
- take mephenamic acid/buscopan to ease the pain

Hope it was of help!
Dr.Albana

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