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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Knot In Upper Abdomen?

I ve had what I describe as a knot in my upper abdomen for over a year now. I m 57 and in generally good health, female. Have been diagnosed with GERD. Have had all sorts of tests: endoscopies, colonoscopy (though I m due next year), MRI (which revealed nothing other than 2 tiny cysts on my pancreas), abdominal ultrasound, endoscopic ultrasound (or something like that). My blood tests --- including liver -- are normal (tested every six months by my PCP). I exercise, am maybe just a few pounds overweight, don t smoke, drink moderately. Eat well. Symptoms are relieved temporarily by flushing out my system now and then with a laxative. Otherwise, my bowel movements are mostly soft -- not diarrhea, but soft. That s about it. My gastro dismissed said it s probably just IBS and told me to take probiotics (which I do). Thoughts?
Fri, 8 May 2020
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Internal Medicine Specialist 's  Response
Hi,

May I suggest may be IBS C type, so, better to follow a roadmap diet. The principles of it are:
Avoid fructose like water melon, corn syrup
Avoid peanuts
Avoid milk related items
Medication like amitryptaline will help you.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Suneel, Internal Medicine Specialist
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What Causes A Knot In Upper Abdomen?

Hi, May I suggest may be IBS C type, so, better to follow a roadmap diet. The principles of it are: Avoid fructose like water melon, corn syrup Avoid peanuts Avoid milk related items Medication like amitryptaline will help you. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Suneel, Internal Medicine Specialist