What Causes Severe Abdominal Pain?

Posted on Mon, 3 Apr 2017

Question: i have stomach pain......due to inflamation in esophugus.....nothing seems to help......narcotics not seem to help visceral pain........have try hysocamine and bentyl......carafate also.....do you have any recommendations.......have had a endo and have inflamation and byopsy taken came back negative....nothing seems to stop the stomach pain.....also have IBS........doctor has given up here.....

Answered by Dr. Shafi Ullah Khan (3 hours later)

Brief Answer:
Supportive care

Detailed Answer:
Thank you for asking

I read your question and i understand your concern. With IBS and negative work up, pain and inflammation in gastro intestinal tract is common in IBS but use of narcotics or hyoscyamine is not wise as both these further slower the motility of already slowed down bowels functionality and exacerbates the symptoms. Treatment of IBS is mostly supportive. Small frequent meals, regular exercises, avoiding triggers in foods like spices,dairy products, fatty foods, processed foods, canned foods, tea, coffee, alcohol, beverages, chocolates, binge eating etc should be avoided. Keep the BMI of weight below 25, use more fresh fruits and vegetables. Prescription of low dose of amitriptyline will help with IBS symptoms. Use of yogurt and peppermint will work as natural probiotic and antispasmodic.
Esophagitis needs supportive treatment as well, above mentioned triggers avoidance will help esophagitis as well. Delay lying down after meals for at least two hours, Keep head side of the bed elevated for at least 8 inches. Take some antacids like PPIs, H2 blockers for the esophagitis, Avoid NSAIDs or any other pain killers that worsen gastric mucosa or motility. Adapt godo pill taking habit, that is drink at least 8 ounces of fluid while taking any pill. Last but not the least if you smoke, please quit that.
Consult alternative medicine approach with your gastroenterologist for these IBS symptoms and esophagitis and see what else they have to offer.

I hope it helps. take good care of yourself and dont forget to close the discussion please.

Regards
Khan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shafi Ullah Khan (3 hours later)

did you get my follow up question......i am concerned nuclear test was done to close to endo with biopsies taken and inflammation in esophagus ......can it accelerate the growth of something such as cancer with fresh biopsies and inflammation thought to be XXXXXXX esophagus.....all biopsies came back negative......i am having many more problems now than before the endo or flow test.......can either cause more problems?....can endos cause problems with biopsies or flow test cause problems and enhance problem areas?.......

Answered by Dr. Shafi Ullah Khan (4 hours later)

Brief Answer:
Tests done dont cause any cancer or worries

Detailed Answer:
Thank you for getting back to me

All the tests to investigate are for very short exposure can not worsen or lead to malignancies and should not be worried about. Worsening of symptoms of XXXXXXX esophagus is though a premalignant risk for adenocarcinoma of stomach but with proper control of acid reflux, diet lifestyle adjustments and supportive care, this issue wont lead to that. Followups at least once a year is advised to keep an eye on metaplastic epithelium of barrett's esophagus. Nutshell, the nuclear test for endo or endoscopic biopsies is highly unlikely to cause any risk like the ones you mentioned. Some adverse effects are noted but those are momentarily and resolve in a couple of hours and nothing long lasting. YOu should get in touch with you doctor for further evaluation and meanwhile focus on management of IBS symptoms, GERD and diet lifestyle.

I hope it helps.
Regards
Khan

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar