Abdominal Pain After Eating, Even Water, Within 10-15 Mjn. No

Posted on Mon, 26 Nov 2018

Question: abdominal pain after eating, even water, within 10-15 mjn. No change with PPI, Sulcrafate, metamucil, protein/fat free (different days), NSAIDs, and Zithro. Much better first thing in AM (7 to a 2). CTA and EGD neg. Also, no change with exercise or nitro. Please help if you can. Serial lipases all nl.

Answered by Dr. Anders Mark Christensen (54 minutes later)

Brief Answer:
Have you had endoscopic biopsies?

Detailed Answer:
Hi Fmurphy,

I am sorry to hear about your distress. Have you had biopsies taken of your stomach, duodenum, and remaining small bowel during your endoscopies? It could be small bowel bacterial overgrowth, which can be treated by antibiotics. Or a type of malabsorption, e.g. celiac disease or Crohn's disease.

Hope this helps.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Anders Mark Christensen (4 hours later)

I was Dx with gluten sensitivity (antibody +, bx-, but had stopped gluten~ 10 days prior) ~ 5yrs ago. Not severe, i could still eat gluten occasionally without consequences. Recent EGD, no bx. Thanks

Answered by Dr. Anders Mark Christensen (21 hours later)

Brief Answer:
I suggest new EGD with biopsies

Detailed Answer:
Hi again,

I suggest you have a new EGD with mucosal biopsies. This is the best way to diagnose any malabsorption. If this is inconclusive, a capsule endoscopy could be the next step.

Hope this helps.

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Raju A.T