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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Constipation & Inconsistent Bowel Movements

I am suffering from a feeling that my stomach is right up in my chest -I seem to have lost my waist and when I have eaten food there is this dull ache and heavy feeling as if something is in the way of proper digestion making the food moving on down into the intestine difficult. My bowel movements are all over the place sometime small hard pellets and other times looser and easier. Looking in the mirror the flesh on my right side sags. The only medication I take is the Alendronic once a week tablet with calcichew once a day. I fell in January and it was sometime before I knew that I had crushed the no 12 vertebra.I had problems with cocodamol and this present feeling is something like that I experienced while sorting out the resulting constipation.THis is more discomfort than pain but I feel there must be something wrong-_hernia? But no usual symptoms of reflux, acid etc just everything too congested in my chest. Help please, thank you. Julia Cross
Mon, 6 Jun 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history of feeling that the stomach is right up in the chest, lost the waist, right side sagging as seen in mirror. Stool sometimes is like hard pellets and sometimes looser and easier. Takes Alendronic and calcichew. Has a fall in January and crushed the 12 th thoracic vertebra, Have problem of constipation with Cocodamol, causing more of a discomfort than pain. Thinks of hernia.
You detailed history is suggestive of the following:
The crush fracture of 12th thoracic vertebra might have cause the neurological problem on the right side causing the loss of nerve supply to that area of the abdomen which looks sagging, like eventration and not a true hernia; get a neurological evaluation and plan a treatment accordingly for the fracture stabilization that may be required for stability as well as for avoiding further neurological problems.
The feeling of abdomen in chest is indicative of a possibility of a large hiatus hernia or eventration of diaphragm.For the diagnosis I would advise you the following:
X-ray of the abdomen in standing position.
CT scan of the chest and abdomen and to get a diagnosis and if present, to get the surgery planned for this too.
Take regular laxatives and have clear evacuation.
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Suggest Treatment For Constipation & Inconsistent Bowel Movements

Hi. Thanks for your query. Noted the history of feeling that the stomach is right up in the chest, lost the waist, right side sagging as seen in mirror. Stool sometimes is like hard pellets and sometimes looser and easier. Takes Alendronic and calcichew. Has a fall in January and crushed the 12 th thoracic vertebra, Have problem of constipation with Cocodamol, causing more of a discomfort than pain. Thinks of hernia. You detailed history is suggestive of the following: The crush fracture of 12th thoracic vertebra might have cause the neurological problem on the right side causing the loss of nerve supply to that area of the abdomen which looks sagging, like eventration and not a true hernia; get a neurological evaluation and plan a treatment accordingly for the fracture stabilization that may be required for stability as well as for avoiding further neurological problems. The feeling of abdomen in chest is indicative of a possibility of a large hiatus hernia or eventration of diaphragm.For the diagnosis I would advise you the following: X-ray of the abdomen in standing position. CT scan of the chest and abdomen and to get a diagnosis and if present, to get the surgery planned for this too. Take regular laxatives and have clear evacuation.