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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Lower Abdominal Pain And Bloating

For a last 3 weeks I have pain in the lower left side of abdomen with bloating and it is getting worse day by day
the pain comes especially before bowel movement or when I have gases
my lower left abdomen feels bloated
It feels like there is an obstruction somewhere inside
the interesting thing is that when I press on my left abdomen it does not hurt at all just feels bloated all the time
I'm full when I eat a small dish, lost appetite for food also noises coming out of my stomag all the time

I had a barium colon xray and that didn't show any obstruction in my main colon so I'm thinking it could be an obstruction somewhere in the small intestine

I saw two doctors and they can't figure it out what is wrong
I'm waiting for a blood test result

I'm not sure what is the appropriate way to diagnose my problem MRI or CT scan?
Any suggestions or clues welcome
Tue, 24 Feb 2015
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General & Family Physician 's  Response
Welcome to Health Care Magic. Thank you for posting your question.
I can understand your concern.

I went through the details. Abdominal bloating can be due to :


constipation
heartburn
irritable bowel syndrome
intolerance to dairy products
overgrowth of bacteria in the small bo
giardiasis (intestinal parasites)
sugar substitutes (fructose and sorbitol)
fluid in the abdominal cavity (ascites) as a result of abdominal tuberculosis, liver disease, kidney failure, congestive heart failure, liver cancer and other disorders
pancreatic insufficiency (impaired digestion because the pancreas cannot produce enough digestive enzymes)

Don't worry much,

I would suggest you to take some measures like

Limit your intake of carbonated drinks.
Avoid “gassy” foods, such vegetables in the cabbage family, dried beans, and lentils.
Eat slowly.
Use lactose-free dairy products.

Yes abdominal CT can be a option to pick up abdominal tuberculosis and strictures . But let the decision be taken by the doctor.

Barium enema has ruled out diverticuli.

I would suggest you to visit a gastroenterologist . He/she can examine you and correlate clinically and guide you on the further management.

Hope this helps.

Post any other question. We will be happy to help.
Have a nice day. Regards.

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Suggest Treatment For Lower Abdominal Pain And Bloating

Welcome to Health Care Magic. Thank you for posting your question. I can understand your concern. I went through the details. Abdominal bloating can be due to : constipation heartburn irritable bowel syndrome intolerance to dairy products overgrowth of bacteria in the small bo giardiasis (intestinal parasites) sugar substitutes (fructose and sorbitol) fluid in the abdominal cavity (ascites) as a result of abdominal tuberculosis, liver disease, kidney failure, congestive heart failure, liver cancer and other disorders pancreatic insufficiency (impaired digestion because the pancreas cannot produce enough digestive enzymes) Don t worry much, I would suggest you to take some measures like Limit your intake of carbonated drinks. Avoid “gassy” foods, such vegetables in the cabbage family, dried beans, and lentils. Eat slowly. Use lactose-free dairy products. Yes abdominal CT can be a option to pick up abdominal tuberculosis and strictures . But let the decision be taken by the doctor. Barium enema has ruled out diverticuli. I would suggest you to visit a gastroenterologist . He/she can examine you and correlate clinically and guide you on the further management. Hope this helps. Post any other question. We will be happy to help. Have a nice day. Regards.