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Dr. Andrew Rynne
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Dr. Andrew Rynne

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What Can Be The Possible Causes For Lower Abdominal Pain ?

I have lower abdomen pain? Consulted a doctor and did colonoscopy? It says as multiple ulceration in the colon buy my biopsy report shows as non specific proctitis. Prescribed tabs are mesacol, folic acid , vsl#3 and pantocid? I am not able to discuss briefly to the doctor. Why my colonoscopy and biopsy reports are different? But all these tablets are making me frighten. Is these tabs safe? Any side effects? Can i have it for a month without any confusion? PLEASE ANY DOCTOR SUGGEST ME?
Fri, 4 May 2012
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Orthopaedic Surgeon,  's  Response
Hai,
1. Proctitis means inflammation/ infection of rectum. Inflammation / infection in rectum can cause ulcers. Ulcers are products of inflammation / infection. Biopsy is what we see in microscope (so we cannot see ulcers in biopsy) and Colonoscopy is what we see in our naked eye (so we cannot see the microscopic changes of inflammation or infection). So your biopsy and colonoscopy reports are not different, rather they are complementing each other.
2. Since your biopsy reported it as Non-specific proctitis, there is no need to worry.
3. Mesacol is a drug given for ulcerative colitis or inflammation of colon/rectum: usually its safe with few side -effects. Pantocid is a drug given to reduce gastric acidity rarely causing any complications. Folic acid, VSL#3 are safe with hardly any side effects. So you can take these medications for a month as advised.
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Oncologist, Surgical,  Dr. Rohan Khandelwal's  Response
It is good that you underwent a colonoscopy and the biopsy showed it to be non specific proctitis. It could be the start of an inflammatory bowel disease and that is why you have been started on those medications. Out of the medications you are taking, you need to be careful about mesacol, as it can have some side effects.

First of all, you should not be sensitive to the drug. Other than that, you can have minor side effects like headache, fever, diarrhea. The major side effects you need to be careful about are - aplastic anemia (blood cells stop forming) and renal toxicity. To monitor these, you need to get your blood counts done regularly along with kidney function tests.

I think you should take the medications as prescribed by your doctor and see whether they benefit you or not. You can undergo a repeat colonoscopy after a few months of taking these medications.
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What Can Be The Possible Causes For Lower Abdominal Pain ?

Hai, 1. Proctitis means inflammation/ infection of rectum. Inflammation / infection in rectum can cause ulcers. Ulcers are products of inflammation / infection. Biopsy is what we see in microscope (so we cannot see ulcers in biopsy) and Colonoscopy is what we see in our naked eye (so we cannot see the microscopic changes of inflammation or infection). So your biopsy and colonoscopy reports are not different, rather they are complementing each other. 2. Since your biopsy reported it as Non-specific proctitis, there is no need to worry. 3. Mesacol is a drug given for ulcerative colitis or inflammation of colon/rectum: usually its safe with few side -effects. Pantocid is a drug given to reduce gastric acidity rarely causing any complications. Folic acid, VSL#3 are safe with hardly any side effects. So you can take these medications for a month as advised.