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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Pain In The Stomach. Diarrhea And Vomiting. No Gastritis And Hernia. Stress Related?

Hi Doc, My husband has severe pain in the left side of his stomach. Occasionally he wakes up with diarrhea , vomiting and then the pain follows. He s seen a specialist who ruled out gastritis , stones, hernia , ulcers . He s been tested for H.Pylori.. nothing comes up in ultrasounds, x-rays or CT scans. Some doctors suggest it is caused by stress. Usually nothing sets it off; it just happens when he wakes up.He says it feels like his acids are out of control and vomiting relieves the pain for a moment. It s been happening for years and we still don t know what it is. What do you think?
Wed, 3 Jul 2013
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  User's Response
Hi, many thanks for the query!
Your picture fits more in "IBS", yes, most common cause is stress.
You need to do- Stool (Culture & Microscopy), CBC, LFT, ESR.
Investigations to rule out coeliac disease, Hydrogen breath test to exclude fructose/lactose malabsorption.
Do Yoga & Meditation.
Avoid milk & milk products, take a low FODMAP (Fermentable, Oligo-, Di-, Mono-saccharides And Polyols) diet, High Fibre diet.
Take antispasmodics, antacids, anti-emetics with your doctor's opinion.
Wish you a good health.
Take care.
Regards.
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General & Family Physician,  Dr. Athish Peter Margos R's  Response
The chronic duration of symptoms,predominance of gastrointestinal symptoms,normalcy of investigations go in favour of IBD.(Irritable bowel disease).The exact cause of this disease is yet to be understood,but its true that stress is implicated very strongly in this. Malabsorption is another cause,so also is certain parasitic infections.Some dietery modifications may be tried such as cutting down on the carbohydrate content of the food and increasing the fibre content.Psychotherapy and stress related techniques have been found to be useful.But all said and done,there is no definite cure.This is a chronic condition and may stay all life time ,but it has no effect on the life expectancy.So,there is no need for worry and symptomatic treatment as and when required will suffice.
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  User's Response
Ananth kumar's  Response
Probably you can try of some alternative therapies where it can help. As a homoeopathy I have seen many cases with the complaints of unknown origin...Homoeopathy does best. think and share your thoughts.
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Severe Pain In The Stomach. Diarrhea And Vomiting. No Gastritis And Hernia. Stress Related?

Hi, many thanks for the query! Your picture fits more in IBS , yes, most common cause is stress. You need to do- Stool (Culture & Microscopy), CBC, LFT, ESR. Investigations to rule out coeliac disease, Hydrogen breath test to exclude fructose/lactose malabsorption. Do Yoga & Meditation. Avoid milk & milk products, take a low FODMAP (Fermentable, Oligo-, Di-, Mono-saccharides And Polyols) diet, High Fibre diet. Take antispasmodics, antacids, anti-emetics with your doctor s opinion. Wish you a good health. Take care. Regards.