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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat For The Pain In Upper Abdomen Along With Fluffy Stools?

Hi, I have been struggling daily with pain in my upper abdomen, accompanied with fluffy stools with undigested foods upto 5 times per day, i have had this for nearly 4 months. I have no energy and have lost 16 Ibs in this time. this is really having a negative effect on my daily life.
Fri, 28 Apr 2017
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history and understood your concerns.
Pain in the upper abdomen with fluffy stool almost 5 times a day and loosing 16 lbs in 4 months indicates the following:
Enterocolitis meaning infection or inflammation of the intestinal tract due to some disease or disorder that needs further proper investigations.
Another reason can be chronic pancreatitis.
I would advise you the following in such a situation:
MRCP or contrast enhanced CT scan of the abdomen.
Blood tests for CBC, liver and pancreatic functions, thyroid function and for diabetes .
Tests of stool for three consecutive days.
Upper GI Endoscopy.
Colonoscopy.
Get the treatment as per the clinical evaluation, examination and investigations reports.
You may need the following:
Pancreatic enzyme supplements to be taken with food.
A course of an antibiotic, metronidazole if infection is found.
Probiotics, multivitamins in therapeutic dosages.
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How To Treat For The Pain In Upper Abdomen Along With Fluffy Stools?

Hi. Thanks for your query. Noted the history and understood your concerns. Pain in the upper abdomen with fluffy stool almost 5 times a day and loosing 16 lbs in 4 months indicates the following: Enterocolitis meaning infection or inflammation of the intestinal tract due to some disease or disorder that needs further proper investigations. Another reason can be chronic pancreatitis. I would advise you the following in such a situation: MRCP or contrast enhanced CT scan of the abdomen. Blood tests for CBC, liver and pancreatic functions, thyroid function and for diabetes . Tests of stool for three consecutive days. Upper GI Endoscopy. Colonoscopy. Get the treatment as per the clinical evaluation, examination and investigations reports. You may need the following: Pancreatic enzyme supplements to be taken with food. A course of an antibiotic, metronidazole if infection is found. Probiotics, multivitamins in therapeutic dosages.