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What Causes Stomach Pain And Diarrhea?

Posted on Tue, 19 Aug 2014

Question: I have had minor stomach cramping on and off for months now. Sometimes with diarrhea, sometimes without. Should I be worried? I tend to get excited when I have medical issues but have been chalking this up to stress. Could my stomach issues be due to stress.

Answered by Dr. Rakesh Madhyastha (10 minutes later)

Brief Answer:
Irritable bowel syndrome

Detailed Answer:
Hello

Thanks for the query

Stomach cramps associated with diarrhea can be attributable to stress, however to be sure I would like to know the following details from you

1. Is the stomach pain associated with fever?
2. Is your bowel movement normal or has it changed recently ?
3. Is there is any blood in stools?
4.Do you have urge to pass motion immediately after eating?
5. Is the pain present immediately after eating?
6. Please mention all the drugs that you are on currently

I hope to hear from you soon

Regards

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

Follow up: Dr. Rakesh Madhyastha (1 hour later)

I have not had any fever
2. I have not had any changes in my regular bowel movement. I usually go once a day in the morning and it is usually loose but not diarrhea. However when I do get these episodes of stomach pain I can have frequent. Loosers stools but sometimes there is no difference in my movements.
3. I have never noticed any blood.
4. No, movements seem to come and go when they want
5. The pain seems to carry from the morning until I wake the following. Day.
6. I am currently taking trandate for high blood pressure

Answered by Dr. Rakesh Madhyastha (1 hour later)

Brief Answer:
Follow up

Detailed Answer:
Hello

Thanks for getting back

From the history you have provided there are two possibilities

1. Irritable bowel syndrome presents in the same way, it is most often due to anxiety.
2. Tab Tandate is known to cause pain abdomen especially crampy dyspepsia

Here is how to go about it

1. Tab Butylscopolamine is ideal drug for crampy pain, you can use it as sos basis
2. Avoid caffeine, spicy food, milk and milk products
3. Tab Sporolac taken three times daily is given in irritable bowel syndome initally for 15 days, most patients improve with this
4. Since the symptoms have persisted for months now it has to be evaluated. Approach a GP for the following tests. Complete blood count, stool routine, USG abdomen and pelvis. If all these are normal then you plan and get a colonoscopy done
5. Approach your treating physician to change your anti hypertensive as that might be a cause as well for the crampy pain abdomen

I hope I was of help, if you have any further queries please get back to me

I wish you good health and a speedy recovery

Regards

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

Follow up: Dr. Rakesh Madhyastha (23 minutes later)

I haven't unrelated question about my period and high blood pressure. During my period I seem to have high spikes in my blood pressure. My medication helps during the time that I am not menstruating. I do not really have any cramping during my period as I know that pain can rise your bp. It seems to happen 2 days before my expected period and ends 2 days before my period ends. I have asked my gp and he is unsure as to why this might be.

Answered by Dr. Rakesh Madhyastha (8 minutes later)

Brief Answer:
Well known fact

Detailed Answer:
Hello

Thanks for the query

I know of atleast 4 patients of mine who presented with similar complaints during my M.D training, which made me look it up. It is a well documented fact that some normotensive women have increased blood pressure during their periods and it typically starts 2 days prior to the periods. It is not known as to why this happens, some say it is due to hormonal changes and other theory is because of change in hemodynamics. Anti hypertensive drugs during the period is one known option and the other option is to undergo hysterectomy

I hope I was of help, please get back to me if you have any further queries

Regards

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

Follow up: Dr. Rakesh Madhyastha (6 minutes later)

Thank you so much for your help and advice. You have been most helpful. If in the future I have other queries I will seek you for your advice.

Answered by Dr. Rakesh Madhyastha (4 minutes later)

Brief Answer:
Happy to be of help

Detailed Answer:
Hello

Thanks for getting back with such kind words

You could write me a review, it makes me happy

Have a nice day

Regards

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