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What Causes Intermittent Lower Pubic Pain, Diarrhea And Constipation?

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Posted on Fri, 27 Nov 2015
Question: What can cause repeated epidodes of lower pubic pain associated with generalised colicy abdo pain . Intermittant dirrahea and constipation ...
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Answered by Dr. Alexander H. Sheppe (2 minutes later)
This could be endometriosis. My name is Dr. Sheppe, and I am an XXXXXXX psychiatrist working in New York City. For a personalized comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Alexander H. Sheppe (11 minutes later)
Ultrasound showed only small folicle everything ekse normal .. Bowels csn be loose one day pebbles the next
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Answered by Dr. Alexander H. Sheppe (41 minutes later)
Brief Answer:
Follow-up

Detailed Answer:
Thanks very much for the question. The additional information and history is very helpful.

This sounds more to be like irritable bowel syndrome, or IBS. This is caused by a serotonin imbalance in the bowel, and can cause alternating constipation and diarrhea, with associated pain. Treatment for this is symptomatic - Docusate/Senna/Miralax for constipation, Loperamide for diarrhea - and can also be treated with an SSRI such as Zoloft. Consider visiting a psychiatrist to prescribe the Zoloft.

My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States. For a personalized comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Alexander H. Sheppe

Psychiatrist

Practicing since :2014

Answered : 2236 Questions

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What Causes Intermittent Lower Pubic Pain, Diarrhea And Constipation?

This could be endometriosis. My name is Dr. Sheppe, and I am an XXXXXXX psychiatrist working in New York City. For a personalized comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers