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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Abdominal Pain?

hello,I have a patient, female of age 27yr,currently suffering from ABDOMINAL KOX,diagnosed by gokul hospital MULUND MUMBAI ,she was under AKT SINCE LAST 3 months ,recently she was suffering from abdominal pain,which is only relived by I V AND INJ. TRAMADOLE,AS IV discontinues she started to cry due to pain.Please tell me about the disease prognosis ,she is 27 yr old,wt 42, working in IT,her all blood invest.are in normal limits including ESR,what should be to do?
Tue, 10 Feb 2015
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General Surgeon 's  Response
Hi.
Thanks for your query and an elucidate history for some patient who is a Female of 27 and taking anti-tubercular treatment for the last 3 months for abdominal Kock's (Tuberculosis) .her weight is just 42 KG.

Now she has developed severe abdominal pain in spite of proper ATT, the AKT. Relieved by Intravenous fluids and Tramadol.

The most probable causes of such a condition can be :
Intestinal obstruction, which occurs so commonly after / during the treatment for TB .

I would also suggest the following:
Entroclysis, in which water soluble dye is passed to decide the level of obstruction and get ready for diagnostic Laparoscopy to see for the cause and get treated accordingly.

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What Causes Severe Abdominal Pain?

Hi. Thanks for your query and an elucidate history for some patient who is a Female of 27 and taking anti-tubercular treatment for the last 3 months for abdominal Kock s (Tuberculosis) .her weight is just 42 KG. Now she has developed severe abdominal pain in spite of proper ATT, the AKT. Relieved by Intravenous fluids and Tramadol. The most probable causes of such a condition can be : Intestinal obstruction, which occurs so commonly after / during the treatment for TB . I would also suggest the following: Entroclysis, in which water soluble dye is passed to decide the level of obstruction and get ready for diagnostic Laparoscopy to see for the cause and get treated accordingly.