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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Lower Abdominal Pain

my wife has chronic pain of lower abdominal since 17yrs . . her age is 31yrs now she attempted suicide for three times now doctor prescribed Tab. duloxetine 30 twice a day Tab. Mirtazapine 30 twice a day Tab. venlafaxine 75 twice a day All investigations are nil like X- ray, Sonography, CT Scan etc.still she has not any relief in pain height : 5’2”weight: 68kg BP: 120/80
Mon, 14 Jul 2014
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General Surgeon 's  Response
Hi.
Thanks for your query.
''17 years'' is a big time to suffer in the present day of the best diagnostic tools and better understanding of the medical fields.

Read the list of investigations.
Endometriosis is one of the possibility. For this and other possible causes a diagnostic laparoscopy is the best option and many times helps the patients psychologically.

One of the most important causes is IBS / related to Psychiatric problem/ attention deficit and may be psychological trauma- The age at which this started is very typical - age of 14 as per your history.

As she is already under this treatment, the dosages may need alteration or need a second opinion of another Psychiatrist. Institutional treatment as well as Alternative Treatment modules like acupressure may help her a lot.
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Suggest Treatment For Chronic Lower Abdominal Pain

Hi. Thanks for your query. 17 years is a big time to suffer in the present day of the best diagnostic tools and better understanding of the medical fields. Read the list of investigations. Endometriosis is one of the possibility. For this and other possible causes a diagnostic laparoscopy is the best option and many times helps the patients psychologically. One of the most important causes is IBS / related to Psychiatric problem/ attention deficit and may be psychological trauma- The age at which this started is very typical - age of 14 as per your history. As she is already under this treatment, the dosages may need alteration or need a second opinion of another Psychiatrist. Institutional treatment as well as Alternative Treatment modules like acupressure may help her a lot.