Brief Answer:
Probably kidney dysfunction, follow the advice below.

Detailed Answer:

Hello,

There are several medical conditions that can be related to your symptoms.
The most common cause is kidney dysfunction.
I suggest the following examinations:
- A complete blood count
- A urinalysis
- Stool test
- Abdominal ultrasound
- Creatinine level and uremia blood level to check kidney function

Meanwhile, I suggest you to drink a lot of liquids which will help with constipation.
Other advice about the treatment are:
- Take over the counter laxative such as Miralax
- Continue the probiotics that you are already using
- Take anti inflammatory medications for the pain such as Ibuprofen 400 mg three times a day
After the examinations you can contact me again for further evaluation and treatment.

Hope I have answered your query. Let me know if I can assist you further.

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Brief Answer:
Probably dehydration, I suggest liquid intake.

Detailed Answer:

Hi,

If you already checked out the kidney function than we can relate your symptoms just with dehydration.
Do you drink enough liquids during the day?
I suggest you to drink at least 2 liter per day or 10 cups.

I also suggest to do a stool test to check gastrointestinal tract function.

Meanwhile, I suggest you to follow the advice that I gave above to relieve the symptoms.

Take care,
Dr. Dorina Gurabardhi

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