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What Causes Severe Abdominal Pain After Eating And Passing Bowel?
I am actually writing on behalf of a friend so I can only offer the information I have been told. She is 23 years old, very fit (exercises 1-2 times per day, every day-yoga, cardio, kick-boxing, spin, horseback riding, etc). For past year, she has experienced severe abdominal pain after eating. She has seen three GI doctors and has had many tests done (endoscopy, colonoscopy, swallowed a camera, allergies, etc) and all have come back normal except they found she digests food slowly. They even removed her gall bladder. Despite the fact that no allergies were identified, she follows a gluten free diet, dairy free diet, and basically eats only chicken, fish, some vegetables and fruits. She does take a bunch of vitamins/health supplements, but I am not sure which. She recently went on a liquid diet and all symptoms went away and as soon as she ate her first solid meal today, the pain returned to the point of tears. I do not believe she vomits, but I do believe she has a lot of pain and possibly bowel issues. None of the three local doctors here in central NJ could give a diagnosis or advice and the last doctor told her she just had to deal with it. Is there any other doctor she should seek? Rheumatologist? Neurologist (vagus nerve stuff?) or some special GI doctor? THANKS.
Mon, 3 Jul 2017
Hi.
Thanks for your query.
Noted the history about your friend and understood your concerns.
Since all the investigations for pain in abdomen after eating are normal viz Endoscopy, Colonoscopy, Camera endoscopy the most probable diagnosis is IBS that is irritable bowel syndrome.
I would advise her the following:
Also go for the basic tests of stool for three consecutive days.
CT scan of the abdomen and tests of urine and blood.
If all these investigations too are normal then the obvious diagnosis is IBS.
If any specific disease is found during the course of an investigations the diagnosis is clear and get an appropriate management to get the proper cure.
Control of stress and anxiety would then the basic key factor in treating her pain in abdomen particularly after food.
Also identify the foods and beverages that instigate or enhance the problems and stop these altogether. This is very subjective hence she has to decide about this not someone else.
Thanks for your query.
Noted the history about your friend and understood your concerns.
Since all the investigations for pain in abdomen after eating are normal viz Endoscopy, Colonoscopy, Camera endoscopy the most probable diagnosis is IBS that is irritable bowel syndrome.
I would advise her the following:
Also go for the basic tests of stool for three consecutive days.
CT scan of the abdomen and tests of urine and blood.
If all these investigations too are normal then the obvious diagnosis is IBS.
If any specific disease is found during the course of an investigations the diagnosis is clear and get an appropriate management to get the proper cure.
Control of stress and anxiety would then the basic key factor in treating her pain in abdomen particularly after food.
Also identify the foods and beverages that instigate or enhance the problems and stop these altogether. This is very subjective hence she has to decide about this not someone else.
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