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Suggest Treatment For Pain In Lower Abdomen

Posted on Mon, 17 Nov 2014

Question: Hi, I have intermittent pain in my lower left abdomen. It feels like pin pricks and when it is there it comes and goes after every few (about 5 to 10) seconds. While driving, if the road is bumpy, the pain comes back. I am taking Pan-D twice a day and it seems to be helping with the pain. Can you please tell me what is the cause of this pain?

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

Brief Answer:
Additional information required

Detailed Answer:
Hi
Welcome to Healthcaremagic
Greetings of the day
Dear Mr XXXX

It would be very helpful if you could provide me with the following additional information for me to be able to assist you further

1. Where is exact location of pain?
2. Do you have constipation? Are your stools hard or excessive staining while passing stools?
3. Do you have fever?
4. Do you have associated vomiting?
5. Is your appetite normal??

Awaiting your response

Take care

Best regards
Dr Deepak Kaltari
Consultant Surgeon

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Deepak Kishore Kaltari (7 hours later)

1. the pain is at bottom left part of the abdomen.
2. my still is fine. not constipated. it is the same as always.
3. No fever
4. No vomiting
5. normal appetite

Answered by Dr. Deepak Kishore Kaltari (20 minutes later)

Brief Answer:
Likely to be due to Diverticulosis

Detailed Answer:
Hi
Dear Mr XXXX,

In the absence of any other symptoms its unlikely to be any significant issue.
The likely cause is due to Diverticulosis of large bowel. It usually occurs due to

1. Decreased intake of water
2. Consumption of diet low in fiber

I would suggest you the following

1. Ensure adequate intake of water: 2-3 liter a day
2. Consume diet high in fiber: 2 servings of vegetable salad and 2 servings of fruits a day will be helpful
2. Continue taking antacid
3. Laxatives will be helpful even though you are not constipated

If the symptoms persist, kindly consult your Physician for detailed clinical examination.

Take Care

Best Regards
DR Deepak

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Deepak Kishore Kaltari (1 hour later)

what should be the period for which I should wait before consulting a physician?

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

Brief Answer:
Wait for a day

Detailed Answer:
Hi
Dear Mr XXXX

Wait for a day. If the pain is still persistent or is increasing in severity then consult your physician

Wishing you great Health

Best regards
Dr Deepak

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Deepak Kishore Kaltari (3 minutes later)

I am having this pain from the last two weeks. also this pain seems to occur if I skip a meal

Answered by Dr. Deepak Kishore Kaltari (3 minutes later)

Brief Answer:
Association acid peptic disease to be considered

Detailed Answer:
Hi

Pain occurring due to skipping of meals is also likely to be related to acid peptic disease.

Apart from previous advise I would also advise the following

1
Regular intake of meals

2. Antacid like Pantoprozole will be helpful. You should take with empty stomach 30 minutes before breakfast
3. Avoid carbonated /alcohol /caffeinated beverage
4. Liquid antacid will help

Do consult your physician if the pain persist in spite of taking all these measures.

Regards
Dr Deepak

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Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju