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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Abdominal Pain And Appetite Loss

I have had lower right abdominal pain for a few months. It feels like someone is sticking an ice pick straight through my abdomen into my back. I had a CT scan done several months ago because it was thought it could be appendicitis. THAT was ruled out. I recently had a laparoscopy by my obgyn looking for endometriosis. THAT was ruled out. I have normal bowel movements, but this morning, I woke in SEVERE pain. I took Advil hoping for relief. At times, the pain was so bad, I felt nauseous and doubled over. I ended up taking a hydrocodone which only slightly helped. I only urinated twice all day, have no appetite and when I sit, the pressure on my back side makes the pain even worse. I'm so uncomfortable today and need some kind of answers. Can you help?
Tue, 4 Feb 2014
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Psychiatrist 's  Response
Welcome to HCM!

From your symptoms and investigation it think that it would be good that you get your stool test done along with complete blood count and serum amylase levels ( to rule out pancreatic pathology) - this will help in finding any infection.

Secondly, when there's nothing like stone or appendix and CT was normal, then it can be chronic bowel infection, may be giardiasis, or amoebiasis...etc. you may take a course of antibiotic ( like metronidazole or nitazoxamide) along with pantoperazole or Omeprazole, twice daily, for two weeks, and then I think you should be fine. Don't worry it is very common complaint and with medicine one has lot of relief.

Feel free to ask more questios for clarifictaion
Dr. Manisha Gopal
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Suggest Treatment For Abdominal Pain And Appetite Loss

Welcome to HCM! From your symptoms and investigation it think that it would be good that you get your stool test done along with complete blood count and serum amylase levels ( to rule out pancreatic pathology) - this will help in finding any infection. Secondly, when there s nothing like stone or appendix and CT was normal, then it can be chronic bowel infection, may be giardiasis, or amoebiasis...etc. you may take a course of antibiotic ( like metronidazole or nitazoxamide) along with pantoperazole or Omeprazole, twice daily, for two weeks, and then I think you should be fine. Don t worry it is very common complaint and with medicine one has lot of relief. Feel free to ask more questios for clarifictaion Dr. Manisha Gopal