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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Should Stomach Distention, Abdominal Pain, Nausea, Fatigue And Constipation Be Treated?

Hello im a 21 year old girl who has been experiencing severe lower abdominal pain in a sense of stabbing pains starting left moving to right, it comes in a wave of pain, sometimes the pain is so severe and intense i have to crouch down and bring my knees up to ease it as much as i can and sometimes i get uncontrollable crying and shouting as it hurts so much i look like a woman giving birth. With this pain i also get excessive belching, bloated stomach, nausea, fatigue, and i have had chronic constipation on off for about 10 years, i have managed just recently to regulate it, now i feel like i need to empty my bowel but its empty or appears to be, I have been to my GP many times and have had to go to A&E 3 times in the past two weeks to control the pain, they think i have some form of IBS though they are unsure, i am currently taking oral : paracetamol, buscopan, codeine 30 mg, otc anti flactuance, the pain has eased in severity though i am still in a lot of pain, i cant live like this
Wed, 7 Jun 2017
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General Surgeon,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

This much intensity of pain has to be definitely evaluated thoroughly in terms of proper clinical examination, laboratory data, ultrasound of abdomen and pelvis, if required colonoscopy +/- CT scan of the abdomen according to the clinician evaluation.

Differential diagnoses include intestinal colic, bowel ischemia, intestinal stricture, tumors, gut motility disorders, and others. I will recommend to add OTC Prilosec prior to meals and omit to take Codeine that may produce further constipation.

General guidelines to get some more relief.
• Drink plenty of liquids as possible in fractions
• Take small amounts of light diet at regular intervals
• Avoid all oily, spicy, non-vegetarian stuff, and junk foods
• Avoid smoking/alcohol/abuse substances if any using
• Avoid sleeping for 2 hours after meals
• Avoid prolong fasting or overeating
• Diet should be rich in high fiber, whole grains, green leafy vegetables, probiotics, vitamins, minerals, antioxidants, and trace elements
• Avoid high fat dairy cheese products
• Avoid stress or anxiety
• Regular sound sleep of 7 to 8 hours
• Remain ambulatory, regular walking, exercises, and yoga helps a lot

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

Regards,
Dr. Bhagyesh V. Patel
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How Should Stomach Distention, Abdominal Pain, Nausea, Fatigue And Constipation Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. This much intensity of pain has to be definitely evaluated thoroughly in terms of proper clinical examination, laboratory data, ultrasound of abdomen and pelvis, if required colonoscopy +/- CT scan of the abdomen according to the clinician evaluation. Differential diagnoses include intestinal colic, bowel ischemia, intestinal stricture, tumors, gut motility disorders, and others. I will recommend to add OTC Prilosec prior to meals and omit to take Codeine that may produce further constipation. General guidelines to get some more relief. • Drink plenty of liquids as possible in fractions • Take small amounts of light diet at regular intervals • Avoid all oily, spicy, non-vegetarian stuff, and junk foods • Avoid smoking/alcohol/abuse substances if any using • Avoid sleeping for 2 hours after meals • Avoid prolong fasting or overeating • Diet should be rich in high fiber, whole grains, green leafy vegetables, probiotics, vitamins, minerals, antioxidants, and trace elements • Avoid high fat dairy cheese products • Avoid stress or anxiety • Regular sound sleep of 7 to 8 hours • Remain ambulatory, regular walking, exercises, and yoga helps a lot Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel