Brief Answer:
Prima facie -You seem to be a case of GERD with IBS

Detailed Answer:
Brief Ans-Prima facie -You seem to be a case of GERD with IBS,which needs to be assessed further.

Hi dear !! Thanks for your query to HCM.
Read and reviewed facts of your query, in context to your health concern of severe lower abdominal pains.
Dear,the complexity of your case has increased as all your investigations have reported normal.Lately last scan shows cyst in scrotum,about which you cant say if its the cause.
In the given situation,as the pain eases after walking,indicates to pains could be due to IBS with GERD,which explains the ulcer history submitted by you.
These pains could be from spastic colon accompanied with IBS.
Possibility of Ureteric stone needs to be ruled out.In the absence of any detection on the earlier and the last CT scan abdomen study,ureteric stone also is ruled out.

Plan Suggested to deal with this severe lower abdominal Pain-

In the given situation as discussed above, I would suggest as follows-
Consult Surgeon and assess by perianal physical and proctoscopic Check ups,to rule out any accompanied proctitis and Fissure in ano.
Consult Urologist to plan further treatment if need be.
Stool-Ova/Cyst test / Colonoscopy to fix other causes -like-amebiasis/giardiasis/Diverticulosis/Polyposis coli,need to be done in your case if routine treatment with -Antibiotic with Anti-protozoal / with antispasmodic treatment does not relieve your lower abdominal pains.

Remedies and Do's Suggested-
Get anti-spamodic pain killer from family doctor
Consult Surgeon and start following supportive treatment with his script.
Be on Bland, vegan ,soft diet.
Avoid food loads for 1-2 weeks.
Be on skimmed sweet thing watery Butter Milk 2 time a day
Avoid nonveg,spicy,diet 2-3 weeks.
Avoid coffee/tea/alcohol x 3-6 weeks.
Tab Ciplox Oz- 1 x 2 times a day 10 days.
Tab Panto-D- 1 x 2 times a day 2 -6 weeks
Tab Librax-1 x 2 times a day to control pains and anxietyx 1-2 weeks.
Cap-Sporlac-1-x 2 times a day.-a probiotic.
Add prebiotics- with vegan diet to control IBS with GERD-acidity complaints.


Hope this reply would help you to plan further care in your complex case,with help of doctors there.

Dear I tried to make this discussion as simple as possible for you to give better understanding about the way out available for case like you.
But Dear,this has limitation as it is given without any direct examination findings and other history related-information about your case.

I would await more information from you, so as to give specific solution applicable to your case,after getting more information.

Dear if you find satisfied with this reply,do close this reply only after giving few excellent feedback comments to rate this reply,to help the incoming complex cases like you,at my HCM Virtual clinic.

If you want to update more details and ask Me more update queries ,
You are most Welcome herewith !!

Keep Me updated on your progress in time to come.

Good Day!!

Wishing Good Healthy Life soon!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

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