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What Causes Severe Abdominal Pain And Discomfort While Passing Stool?

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Posted on Sat, 18 Jun 2016
Question: I have sigmoid coloctomy in September 2015. Biopsy showed pt3n1 stage cancer. I was on folfox 6 for 6 months Now treatment over last week. I have severe pain and discomfort while passing stool which remains for hours. Consulted a gastoentrologist ,prescribed ofloxasin with ornidazol, still I have loose stools, pain in stomach and discomfort, kindly advise
doctor
Answered by Dr. Amit Jain (54 minutes later)
Brief Answer:
Take Rifaximin and probiotic

Detailed Answer:
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist.

Pain and discomfort in the stomach can be due to passing loose stool.

And loose stool is due to either any recent GI infection for which your doctor has prescribed ofloxacin and ornidazole or it may be due to colectomy itself or side effect of Folfox regime

So I will advise you to take tablet rifaximin 400 mg twice a day and a probiotic for at least 2 weeks. These both medicines will help in restoring normal bacteria flora in your intestine.

Meawhile for symptomatic relief you can take an antisecretory agent loperamide 2mg whenever loose stool troubles you. It will halt the loose stool

Also take plenty of fluids and electral powder to prevent fluid and electrolyte in sufficiency

For relief in pain and discomfort take tablet drotavarine

Get prescription of these medicines by your doctor after discussion with him

I hope I have answered your query and this will help you . Wish you a good health
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Amit Jain (1 hour later)
My pain is while passing stool around aneus and it goes off after few hours, I am already taking probiotic, could it be piles or fissures, what additional advise do you give
doctor
Answered by Dr. Amit Jain (3 hours later)
Brief Answer:
Apply local ointment of lignocaine, Nitroglycerine, and take sitz bath

Detailed Answer:
WElcome back

Pain while defecation can be due to anal fissure. For confirming get proctoscopy examination. For the pain and discomfort, use a topical anesthetic cream such as Lignocaine gel. Use Diltiazem or Nitroglycerine cream before passing stools, in order to relieve the spasm of the anal sphincter which cause pain. Try Sitz baths: warm water bath that covers your hips and buttocks for two to three times a day for 20 minutes are often used to relieve pain, itching, or muscle spasms.

Wish you a good health
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Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Amit Jain

Gastroenterologist

Practicing since :2000

Answered : 1524 Questions

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What Causes Severe Abdominal Pain And Discomfort While Passing Stool?

Brief Answer: Take Rifaximin and probiotic Detailed Answer: Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. Pain and discomfort in the stomach can be due to passing loose stool. And loose stool is due to either any recent GI infection for which your doctor has prescribed ofloxacin and ornidazole or it may be due to colectomy itself or side effect of Folfox regime So I will advise you to take tablet rifaximin 400 mg twice a day and a probiotic for at least 2 weeks. These both medicines will help in restoring normal bacteria flora in your intestine. Meawhile for symptomatic relief you can take an antisecretory agent loperamide 2mg whenever loose stool troubles you. It will halt the loose stool Also take plenty of fluids and electral powder to prevent fluid and electrolyte in sufficiency For relief in pain and discomfort take tablet drotavarine Get prescription of these medicines by your doctor after discussion with him I hope I have answered your query and this will help you . Wish you a good health