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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Recurrent Abdominal Pain In Patient With IBS History Indicate?

I have a history of IBS and have been dealing with abdominal pain on and off for years... I have had my appendix and gallbladder out. My abdominal pain subsided for a while and then since september I've be bouts with it. Just recently; I haven't been able to go to the bathroom since Monday, my stomach seems very bloated and I am having abdominal pain, not like my usual pain it just comes and goes all day...what could this be?
Fri, 12 Dec 2014
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General Surgeon 's  Response
For us to say this as a IBS i.e. Irritable Bowel Syndrome, all the investigations should be normal.

I would advise the following investigations and treatment in a such a case:

Investigations:
*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.
*Urine -routine and microscopy
*Stool: routine, microscopy, occult blood, culture and sensitivity.
*Ultrasonography of abdomen,
*Colonoscopy
All these investigations should be within normal limits for one to say you have IBS.

Treatment:
''STRESS'' = stress is the most important cause of IBS. Please remember and you must have observed that when you do not have stress your problem with IBS is reduced
Change of lifestyle.
I think 'may be' you are not coping with something.
Vacation outside of your area, mobiles phones to be off.
You must have noticed already that these changes help a lot.
Try to avoid anything which you are / have to do against your will and wish. Getr into the hobbies which make you forget the world around you. Life comes only once, boss.

If the change of routine helps, the necessity of medicines is drastically reduced to almost nil.
Medicines ::
You need to have a prescription of a Doctor, please discuss this with a Gastroenterologist to get a prescription. I would like to know which medicines have you taken in the past and in which dosage
Vit A and Vit D in therapeutic doses,
Multiviatamins ,
probiotics,
anxiolytics help a lot.

Remember the simple dictum in IBS : you have to undergo necessary investigations before you are labelled as a patient of IBS. Secondly IBS is easily treatable, controllable and within the ambit of your psychological set-up.
The moment the instigating or precipitating factors come into play the problem may re-start.
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What Does Recurrent Abdominal Pain In Patient With IBS History Indicate?

For us to say this as a IBS i.e. Irritable Bowel Syndrome, all the investigations should be normal. I would advise the following investigations and treatment in a such a case: Investigations: *Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests. *Urine -routine and microscopy *Stool: routine, microscopy, occult blood, culture and sensitivity. *Ultrasonography of abdomen, *Colonoscopy All these investigations should be within normal limits for one to say you have IBS. Treatment: STRESS = stress is the most important cause of IBS. Please remember and you must have observed that when you do not have stress your problem with IBS is reduced Change of lifestyle. I think may be you are not coping with something. Vacation outside of your area, mobiles phones to be off. You must have noticed already that these changes help a lot. Try to avoid anything which you are / have to do against your will and wish. Getr into the hobbies which make you forget the world around you. Life comes only once, boss. If the change of routine helps, the necessity of medicines is drastically reduced to almost nil. Medicines :: You need to have a prescription of a Doctor, please discuss this with a Gastroenterologist to get a prescription. I would like to know which medicines have you taken in the past and in which dosage Vit A and Vit D in therapeutic doses, Multiviatamins , probiotics, anxiolytics help a lot. Remember the simple dictum in IBS : you have to undergo necessary investigations before you are labelled as a patient of IBS. Secondly IBS is easily treatable, controllable and within the ambit of your psychological set-up. The moment the instigating or precipitating factors come into play the problem may re-start.