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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Constipation Along With Diarrhea And Lower Abdominal Pain?

Hi there so for a year now I’ve been struggling with bowel issues. My poos are mainly constipated but I will also do diarrhoea and normal poos sometimes. I am always in pain in my lower abdominal area about close the the pubic area. The pain seems to increase when I need to do a poo or or after doing one and seems to subside a little bit after doing one but is still really painful. All throughout last year I was in and out of the doctors and hospital I have had three ultra sounds, one X-ray, multiple blood tests and two urinary tests. My first ultrasound showed that I had mesenteric adenitis and I am unaware of I still have it or not. The other two just showed my rectal diameter as enlarged. The X-ray I had cake back normal with no abnormal sightings. The first blood test I had showed I had an increased amount of haemoglobin cells but then returned to normal. The urinary test came back with a few white cells so they sent it off to the lab to culture it and came back with no bacteria growth. The first few months I was prescribed laxatives which were helping a little bit but I still had constipational issues. Next she told me to eat 3 kiwi fruits a day and dribk plenty of water which I felt was helping but then my symptoms retuned in the mater of a month. She then decided to refer me to the paediatric ward in the hospital. The paediatricians kept me in overnight to monitor me and in the morning I saw a dietician. The dietician placed me on a “Low FODMAP” diet which I felt helped for a few months but once again my symptoms returned. When I went back to the paediatrician for my follow up appointment my nan asked for me to Have a colonoscopy as she was very concerned for how much weight I was losing. I originally weighed 55kg in January 2017 now I weigh between 45-47kg. The paediatrician sadly turned her down stating that there Is no reason for investigation. He then told me to come in the next day to receive a weekly course of laxatives called “Picoprep.” I felt a little better when on that and for a few weeks after but I still was feeling horrible. Since then he has referred me to a hospital in Auckland to see a specialist but I’m sick of waiting in pain and agony everyday. Personally I feel really upset and this is taking a toll on me, I am 15 years old and trying to manage this eberyday by taking paracetamol and sleeping with a hot water bottle on my stomach every night. I would really like a different opinion on my situation please Thank you.
Tue, 12 Jun 2018
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General & Family Physician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

You can take Ofloxacycilin and Ornidazole combination twice a day for five days take paracetamol 2 times a day for five days take Dicyclomine twice a day for five days take Sporlac thrice a day for five days. Drink more water eat home made rice and khichdi don't drink impure water, regularize your food habit.

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What Causes Constipation Along With Diarrhea And Lower Abdominal Pain?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You can take Ofloxacycilin and Ornidazole combination twice a day for five days take paracetamol 2 times a day for five days take Dicyclomine twice a day for five days take Sporlac thrice a day for five days. Drink more water eat home made rice and khichdi don t drink impure water, regularize your food habit. Hope I have answered your query. Let me know if I can assist you further.