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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Abdominal Pain Along With Constipation?

My 20 year old quadriplegic, CP daughter has always dealt with constipation. Off and on she points to her belly and complains of stomach pains. Her stomach muscles are very toned, but where she points, I do feel a slight bulge. She also has been vomiting off an on, we don t know for sure what causes it, but she does point to her belly and the small bump , the size of a golf ball. Do you think it could be a hernia from a lifetime of constipation?
Thu, 6 Feb 2020
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General Surgeon 's  Response
Hello,

Constipation is quite common in people who are bedridden for long periods. It can cause fecal impaction and pain.

As a first-line management, you can take laxatives like lactulose for symptomatic relief.

The bulge is probably a hernia, consult a general surgeon and plan for an ultrasound scan.

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

Take care

Regards,
Dr Shinas Hussain, General & Family Physician
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What Causes Persistent Abdominal Pain Along With Constipation?

Hello, Constipation is quite common in people who are bedridden for long periods. It can cause fecal impaction and pain. As a first-line management, you can take laxatives like lactulose for symptomatic relief. The bulge is probably a hernia, consult a general surgeon and plan for an ultrasound scan. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician