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What Causes Abdominal Adhesions In A Celiac Disease And IBS Patient?
My roommate, a 52 year old female is having extreme gas, bloating, co0mstipation problems. up to this point colonoscopy and cat scan with contrast are negative. sh also has terrible pain on her right side when the bloating and constipation are at its worst. She haws been diagnosed with celiac disease and IBS. Of course she is under the care of a physician, but all her tests are normal. She has been told she has adhesions in right upper abdominal quadrant, cause ahs not been determine. Any suggestions or recommendations will be greatly appreciated.
Fri, 27 May 2016
Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
Your roommate seems to suffer from -IBS with Celiac disease.
Dear,though tests are negative on colonsocopy,terrible pain under right ribs,with bloating and constipation- indicates-acuteness and aggressiveness of the IBS in her case.
Other cause of-Crohn's disease needs to be ruled out-as this may cause adhesions from aggressive intramural and transmural inflammation,causing adhesions with nearby bowels.
But clinically don't think of adhesions-as the recent colonoscopy and upper GI are normal.Its mostly IBS-with accompanied ?Cholecystitis with Bileacid sludge or gall stone,which is causing bloated abdomen and gases are mainly due to Constipation,the Cause of which needs to be ruled by -proctoscopy by Surgeon to fix any cause leading to ano-rectal spasm.
Do's Suggested-
BRAT diet-
Antibiotics with anti-protozoalx 10 days.
Sporlac- a probiotic- 1 x times a day x 2-6 weeks.
Bland diet with small loads.
Butter Milk
Enzar-digestant enzymes.
Consult Surgeon and rule out Gall stones/ or for bile acid sludge -missed out till now.
Gradual upgrading diet with high fiber-with prebiotic treatments with apple cider vinegar- over 4-10 weeks would give long remissions.
Adding yoghurt helpings 2 times a day would prevent recurrences,due to stabilization of bacterial flora,which is the essence of controlling-adhesions due to recurring acute IBS attacks,induced from spicy /unhealthy diet.
Rule out other causes with GI specialist.
Hope this would help you to plan further care of this complex illness of yours.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-
Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.
If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
Read and reviewed your query and health concerns.
Your roommate seems to suffer from -IBS with Celiac disease.
Dear,though tests are negative on colonsocopy,terrible pain under right ribs,with bloating and constipation- indicates-acuteness and aggressiveness of the IBS in her case.
Other cause of-Crohn's disease needs to be ruled out-as this may cause adhesions from aggressive intramural and transmural inflammation,causing adhesions with nearby bowels.
But clinically don't think of adhesions-as the recent colonoscopy and upper GI are normal.Its mostly IBS-with accompanied ?Cholecystitis with Bileacid sludge or gall stone,which is causing bloated abdomen and gases are mainly due to Constipation,the Cause of which needs to be ruled by -proctoscopy by Surgeon to fix any cause leading to ano-rectal spasm.
Do's Suggested-
BRAT diet-
Antibiotics with anti-protozoalx 10 days.
Sporlac- a probiotic- 1 x times a day x 2-6 weeks.
Bland diet with small loads.
Butter Milk
Enzar-digestant enzymes.
Consult Surgeon and rule out Gall stones/ or for bile acid sludge -missed out till now.
Gradual upgrading diet with high fiber-with prebiotic treatments with apple cider vinegar- over 4-10 weeks would give long remissions.
Adding yoghurt helpings 2 times a day would prevent recurrences,due to stabilization of bacterial flora,which is the essence of controlling-adhesions due to recurring acute IBS attacks,induced from spicy /unhealthy diet.
Rule out other causes with GI specialist.
Hope this would help you to plan further care of this complex illness of yours.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-
Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.
If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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