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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is Causing My Son S Stomach Pains?

My 15 y/o son had taken Lactulose syrup for three days along with Belladonna Opium suppositories due to issues with his J pouch. We discontinued the Lactulose a few days ago but he continued the suppositories up until yesterday. He is in the bathroom every half hour and is having stomach pains. Even though he is no longer on the meds would they be causing his pain? He has had chronic pouchitis for approx 8 weeks now.
Mon, 16 Feb 2015
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General Surgeon,  's  Response
Hi.
Thanks for your query.
This is a typical situation where the patient gets pains with or without Lactulosr.
The pouches itself can cause such pains due to adhesion, constrictions and so on.
It is good that you have stopped Lactulose but has not helped him, hence may not be cause. He has to get a proper diet chart from the dietitian and
learn pouch maintenance as taught by the specialist.

I think he needs the contrast studies so that the exact problem can be understood and the management done accordingly.

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What Is Causing My Son S Stomach Pains?

Hi. Thanks for your query. This is a typical situation where the patient gets pains with or without Lactulosr. The pouches itself can cause such pains due to adhesion, constrictions and so on. It is good that you have stopped Lactulose but has not helped him, hence may not be cause. He has to get a proper diet chart from the dietitian and learn pouch maintenance as taught by the specialist. I think he needs the contrast studies so that the exact problem can be understood and the management done accordingly.