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What Causes Persistent Abdominal Pain In The Mornings?
Question: My wife 49 yrs old is having pain in abdomen. It is more severe in early morning. Dr has given spasmelan tablet with Mac rabonik and mebex 100. Most of the blood and sonography reports are negative. Her esr is 40 and widal test is showing 1: 40 in H and O. Please inform what could be the reason for her continued pain in abdomen. She weighs 59 kgs down from 62 kgs in 10 days.
Brief Answer:
Please give more information as asked for
Detailed Answer:
Hi.
Thanks for your query.
Read and understood the history of your wife.
To recapitulate: Female/49- lost 3 kg in 10 days - pain in abdomen more in the early morning - under treatment - Sonogram normal - blood shows ESR of 40 and Widal is 1:40
I would like to know a few details please:
-Is there any bloating, nausea, vomiting, loose stools or constipation?
- Is there fever or chills?
- Since when is she having this problem?
- Any other relevant history?
The history is suggestive that the pain may be due to the following reasons:
- Widal of 1:40 is taken as negative hence may not be typhoid.
- Increased ESR of 40 and weight loss indicate a chronic problem. This may be due to some intestinal problems and can be diagnosed by few investigations Like:
-Enteroclysis under fluoroscope control so that the Radiologist is in a position to find the problem.
-CT scan of the abdomen.
-X-ray of the chest
-If the problem is long standing, diagnostic laparoscopy helps in some cases.
Awaiting your feedback so that we can discuss further and come to a conclusion to find out the proper diagnosis and treatment
Please feel free to share everything and feel free to ask any relevant question or if you feel that there is a gap of communication.
Please give more information as asked for
Detailed Answer:
Hi.
Thanks for your query.
Read and understood the history of your wife.
To recapitulate: Female/49- lost 3 kg in 10 days - pain in abdomen more in the early morning - under treatment - Sonogram normal - blood shows ESR of 40 and Widal is 1:40
I would like to know a few details please:
-Is there any bloating, nausea, vomiting, loose stools or constipation?
- Is there fever or chills?
- Since when is she having this problem?
- Any other relevant history?
The history is suggestive that the pain may be due to the following reasons:
- Widal of 1:40 is taken as negative hence may not be typhoid.
- Increased ESR of 40 and weight loss indicate a chronic problem. This may be due to some intestinal problems and can be diagnosed by few investigations Like:
-Enteroclysis under fluoroscope control so that the Radiologist is in a position to find the problem.
-CT scan of the abdomen.
-X-ray of the chest
-If the problem is long standing, diagnostic laparoscopy helps in some cases.
Awaiting your feedback so that we can discuss further and come to a conclusion to find out the proper diagnosis and treatment
Please feel free to share everything and feel free to ask any relevant question or if you feel that there is a gap of communication.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
CT may be necessary if there is no relief and shows things that USG miss.
Detailed Answer:
Thanks for your feedback.
I though as the ESR is high and when has lost weight it is possible that there may be an old problem too. CT scan may be necessary only if there is no relief.
Ct scan helps to detect many diseases that the ultrasonography can not show like appendicitis, bowel (intestinal) wall edema. Lymph nodes and so on. Ultrasonography is a preliminary investigations.
Noted that there is no nausea, vomiting or fever.
Let us see the results and decode.
May I please know where exactly is the pain? is it limited to one part only or all over the abdomen?
Is the stool and urine normal?
CT may be necessary if there is no relief and shows things that USG miss.
Detailed Answer:
Thanks for your feedback.
I though as the ESR is high and when has lost weight it is possible that there may be an old problem too. CT scan may be necessary only if there is no relief.
Ct scan helps to detect many diseases that the ultrasonography can not show like appendicitis, bowel (intestinal) wall edema. Lymph nodes and so on. Ultrasonography is a preliminary investigations.
Noted that there is no nausea, vomiting or fever.
Let us see the results and decode.
May I please know where exactly is the pain? is it limited to one part only or all over the abdomen?
Is the stool and urine normal?
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you Doctor for your reply. The pain starts from upper right side of abdomen in morning and then in other parts .If it is intestinal problem My worry is can the ailment be cancerous. Pl advice.
Thx & Regards
Thx & Regards
Brief Answer:
Let us not jump on the conclusion.
Detailed Answer:
Thanks for your feedback.
It is not fair to predict something like this without proper investigations.
Please complete the course, wait for the results and let us go for the investigations to see what exactly is the problem.
Let us not jump on the conclusion.
Detailed Answer:
Thanks for your feedback.
It is not fair to predict something like this without proper investigations.
Please complete the course, wait for the results and let us go for the investigations to see what exactly is the problem.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you Doctor for your reply. Will revert tomorrow for the status of the pain.
Thx & Regards
Thx & Regards
Brief Answer:
Sure.
Detailed Answer:
Please give feedback.
Sure.
Detailed Answer:
Please give feedback.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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