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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Inexplicable Pain In The Lower Abdomen Along With Nausea And Vomiting Indicate?

I have been lower abdominal/pelvic pain for 9 weeks now. I initially went to the ER when it started and the doctor was 99% sure it was appendicitis but my scan was negative, was sent home with an rx for pain meds and antinausea meds. I went back 2 days later because the pain had gotten worse and had another scan to check again for appendicitis, again it was negative. The doctor then suggested he thought it may be GI related to follow up with a GI doctor. I have since been seen by a GI doctor who performed an EGD and colonoscopy, said he couldn t find a reason gor the pain. I had another scan performed with IV dye and had to drink contrast to check for possible hernias, this scan was also negative. I then followed up with my GYN who has put me on Bentyl for possible colon spasms. I have been taking this for about a week and my pain seems worse and at times feels like it is in the epigastric area along with nausea and vomiting. The only other medicine I take is adderall 20 mgs 3 × day for narcolepsy. I am losing faith in my medical community, I am searching for answers/possibilities, can you please help me? I am a 40 year old, white, female. I have had a complete hysterectomy and no longer have a gall bladder.
Mon, 8 Oct 2018
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Anesthesiologist,  's  Response
hi mam,i can understand your distress.there are some conditions where in pain abdomen persists and cant be diagnosed with routine investigations like endoscopy :
1)worm infestations
2)porphyria
3)cystitis(inflammation of urinary bladder)
4)referred pain due to pneumonia
5)tabes dorsalis
to those who come to my clinic with similar complaints,i advise the following :
1)urine routine,urine culture and sensitivity
2)stool for ova and cysts
3)chest x-ray and x-ray of lumbosacral and dorsal spine.
you can discuss the above mentioned issues with an internal medicine expert and have the investigations done.lets hope we arrive at a specific diagnosis.any further queries are always welcome with pleasure.thank you.take care.bye.
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What Does Inexplicable Pain In The Lower Abdomen Along With Nausea And Vomiting Indicate?

hi mam,i can understand your distress.there are some conditions where in pain abdomen persists and cant be diagnosed with routine investigations like endoscopy : 1)worm infestations 2)porphyria 3)cystitis(inflammation of urinary bladder) 4)referred pain due to pneumonia 5)tabes dorsalis to those who come to my clinic with similar complaints,i advise the following : 1)urine routine,urine culture and sensitivity 2)stool for ova and cysts 3)chest x-ray and x-ray of lumbosacral and dorsal spine. you can discuss the above mentioned issues with an internal medicine expert and have the investigations done.lets hope we arrive at a specific diagnosis.any further queries are always welcome with pleasure.thank you.take care.bye.