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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Diverticulitis And GERD

I m 33 years old and have had so many test by the hospital GI, and no one can tell me why I have pain in my right side of my stomach intestines one doctor did do surgery on the sphincter of oddi,(and then got C-Diff 3 times from the hospital)I have had a upper and lower test and the Dr said I had diverticulitis and then another dr said I had Crohn s ,,and I have had a lot of polyps and Acid reflux and Gerd,The point is I have 2 kids I m in pain all the time and I feel like my doctors are not helping me they just keep white boarding the problem. Can any one help me (and I had a really bad case of Endometriosis to the point the Dr had to remove my Female parts )
Wed, 4 May 2016
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General Surgeon 's  Response
Hi,Dear,Thanks for your query to HCM.
Dear I read your query and reviewed it with context to your query facts.
I understood your health concerns and feel Concerned about them.

Based on the facts of your query, you seem to suffer from-
Right sided Adhesive intestinal obstruction with partial reducible obstruction with accompanied Malabsorption Syndrome- Could be the cause of your Right Stomach Pains?,which needs further investigations-
Had undergone Sphincter oddi surgery with Upper and Lower GI tests,after which you were labelled as-follows-
Amongst the Various labels you got from your doctors- Which I would list for You-to know that You have these multiple ailments with You-currently-
Claustridium-Difficile with Diverticulitis and GERD with Acid reflux with Polyposis with ?Crohns with Hysterectomy for Endometriosis.
Based on this information-
I would advise you to review your case-from Second GI Surgeon-for
-Right sided Adhesive intestinal obstruction with partial reducible obstruction with accompanied Malabsorption Syndrome-
Needs to be confirmed by -Laparsoscopic Exploration with adhesiolyis of the right sided adhesions , from Endometriosis.
After Recovery from adhesiolysis,review for the Diverticulosis with Multiple Polyposis- and get the polypectomy and diverticulitis treated with Endoscopist and GI endo-Specialist along with antibiotic and changed diet style.
Also do the Crohn's confrimation by CT and intestinal / colonic biopsy.
If need be treat with Steroids if need be.
Supplementary-treatments with-
Antibiotics with Metrogyl to start with, if recurss treat with Vancomycin/ ,if still recurs treat with fidaxomicin -a latest antibiotics.
Tab-Bentyl for spastic pains
Sporlac Caps for improving colonic bacterial flora.
Cap-Vit B12-5000 mcg x daily for 2-6 weeks.
Liquid diet and
Bland non-spicy diet
Brat(banana/rice / smashed apple/ toasts) diet if need be.
Plenty of fluids to supplement and recoup lost health nutrients.
Thus its a complicated treatment for your case , and needs continuous vigilence to avoid deterioration at expert doctors hand.

Hope this would help you to solve your health issues in the best way possible.
Welcome for any further query in this regard.

Good Day!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
I find this answer helpful
General Surgeon Dr. Mukund Savaskar's  Response
Hi,Dear,Thanks for your query to HCM.
Dear I read facts of your query and reviewed it in context to your health issues submitted.
I understood your health concerns and feel Concerned about them.
You seem to be suffering from following possibilities-
GERD and POLYPOSIS COLI are your existing problems.
Adhesive partial obstruction in addition-is adding pain and acidity-mimicking GERD and Entero- Colitis.
Get CT abdomen to rule adhesions from old hysterectomy, with Consults from GI and Gynec Surgeons.
My Impression-
In My view-
IBS with GERD from Post-hysterectomy Adhesions-is your health issue.
Add Tab Librex to calm down bowels.
Take Plenty of Fluids and high fiber.
Add Sporlac-1 cap
with Butter Milk x 2 times a day
Take non-spicy bland diet.
Add Tab Panto-d x 1 week
This would resolve your health issues.
Attend to Adhesions with Consults from your Gynec Surgeon.
Attend to Polyposis Coli-with GI Suregon.
Discus with doctors in your locality on urgent basis on the above lines and take care as soon as possible.
For this to verify Second opinion from another Surgeon,as suggested above,as soon as possible.

Just don't worry and be patient and co-operate with your doctors,till you verify with your attending doctors.

Hope this would help you to treat your health issues in the best way possible.

Welcome for any further query in this regard to following link-
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229

Wishing Good Healthy Life!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
I find this answer helpful

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Suggest Treatment For Diverticulitis And GERD

Hi,Dear,Thanks for your query to HCM. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from- Right sided Adhesive intestinal obstruction with partial reducible obstruction with accompanied Malabsorption Syndrome- Could be the cause of your Right Stomach Pains?,which needs further investigations- Had undergone Sphincter oddi surgery with Upper and Lower GI tests,after which you were labelled as-follows- Amongst the Various labels you got from your doctors- Which I would list for You-to know that You have these multiple ailments with You-currently- Claustridium-Difficile with Diverticulitis and GERD with Acid reflux with Polyposis with ?Crohns with Hysterectomy for Endometriosis. Based on this information- I would advise you to review your case-from Second GI Surgeon-for -Right sided Adhesive intestinal obstruction with partial reducible obstruction with accompanied Malabsorption Syndrome- Needs to be confirmed by -Laparsoscopic Exploration with adhesiolyis of the right sided adhesions , from Endometriosis. After Recovery from adhesiolysis,review for the Diverticulosis with Multiple Polyposis- and get the polypectomy and diverticulitis treated with Endoscopist and GI endo-Specialist along with antibiotic and changed diet style. Also do the Crohn s confrimation by CT and intestinal / colonic biopsy. If need be treat with Steroids if need be. Supplementary-treatments with- Antibiotics with Metrogyl to start with, if recurss treat with Vancomycin/ ,if still recurs treat with fidaxomicin -a latest antibiotics. Tab-Bentyl for spastic pains Sporlac Caps for improving colonic bacterial flora. Cap-Vit B12-5000 mcg x daily for 2-6 weeks. Liquid diet and Bland non-spicy diet Brat(banana/rice / smashed apple/ toasts) diet if need be. Plenty of fluids to supplement and recoup lost health nutrients. Thus its a complicated treatment for your case , and needs continuous vigilence to avoid deterioration at expert doctors hand. Hope this would help you to solve your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS