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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Intermittent Left Flank Pain With Explosive Bowel Movements?

i have intermittent left flank pain, 8-9/10 at worst, with "explosive" bowel movements after pain ebbs mix of water and formed, this has been going on for several weeks. I had a non-contrast ctscan, kidneys are fine, blood work is fine except LDL was high, overall cholesterol under 200, urine screen fine. help
posted on Fri, 14 Mar 2014
Twitter Fri, 23 Jun 2017 Answered on
Twitter Fri, 23 Jun 2017 Last reviewed on
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history and understood the concerns.
Intermittent flank pain on the left side with explosive bowel movements can be due to the following reasons:
Severe Entero-colitis with or without sub-acute intestinal obstruction.
This can be diagnosed by the following:
Tests of stool for three consecutive days.
Colonoscopy with biopsy is the most important diagnostic tool that you have not yet undergone.
CT scan should have been with oral and intravenous contrast a the plain CT scan may miss on certain diagnosis.
A course of an antibiotic active against intestinal infection with Metronidazole and probiotics may help you.
Take home-made food only and boiled and cooled water.
Try to identify the foods and beverages that instigate or enhance the problems hence it will be possible to avoid them.
It is good that the kidney functions are normal and CT without contrast is not showing anything to worry about.
High LDL may not be associated with the present problem and hence
nbot to worry about.
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What Causes Intermittent Left Flank Pain With Explosive Bowel Movements?

Hi. Thanks for your query. Noted the history and understood the concerns. Intermittent flank pain on the left side with explosive bowel movements can be due to the following reasons: Severe Entero-colitis with or without sub-acute intestinal obstruction. This can be diagnosed by the following: Tests of stool for three consecutive days. Colonoscopy with biopsy is the most important diagnostic tool that you have not yet undergone. CT scan should have been with oral and intravenous contrast a the plain CT scan may miss on certain diagnosis. A course of an antibiotic active against intestinal infection with Metronidazole and probiotics may help you. Take home-made food only and boiled and cooled water. Try to identify the foods and beverages that instigate or enhance the problems hence it will be possible to avoid them. It is good that the kidney functions are normal and CT without contrast is not showing anything to worry about. High LDL may not be associated with the present problem and hence nbot to worry about.