Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
127 Doctors are Online

Abdominal pain and difficulty in passing stools - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Abdominal Pain
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3393 Questions
User :   Hello?
Doctor :   hi
Doctor :   how can ihelp you
Doctor :   tell me your concern

User :   Hello
User :   sorry I had this window in the background and there is no warning sound
User :   I am here to discuss some questions I have about mild to moderate abdominal burning
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries.
User :   still there?
Doctor :   ok,
Doctor :   age, gender
User :   26, M
Doctor :   ok, since how many days
User :   about 2 years, on and off, I know the exact week it started (July of 07)
Doctor :   where exactly the pain.
User :   and has been on and off since
Doctor :   its in upper abdomen
User :   WWW.WWWW.WW Doctor :   ok
User :   lower
User :   please view the pain points on this image
Doctor :   any scan was done
User :   yes, no xray or ultrasound but I had a sigmoidoscopy done because I noticed the pain is worse when I have gas or the bowels are full
User :   and usually feels better after I pass gas or a bowel movement
User :   but during this same period
Doctor :   is there any bowel difficulty
User :   bowel difficulty to some degree yes
User :   sphincter muscle seems to spasm a lot and has caused a fissure
User :   and now a thrombosed external pile
User :   some degree of constipation
Doctor :   any passing of blood or mucus in stool
Doctor :   ok
User :   blood yes but has stopped after last month or so of treating the fissure
Doctor :   how is the pain
User :   they sigmoidoscopy came back normal
User :   mucus was only once
User :   and passed while passing gas
Doctor :   dull,sharp, cacthy, continous
User :   never saw that again
Doctor :   ok
User :   it is locallized to about the size of a quarter
User :   burning and tightness
User :   but happens in 2 or 3 regions as shown in the picture
Doctor :   any previous history of urinary tract infection
User :   no but I noticed increased urination 3X or more over the past 2 years
Doctor :   does pain radiate to umbilicus
User :   last night I had to urinate several times passing a lot of urine
User :   not to umbilicus no
User :   I lost 5 lbs during the night
User :   and urinated a lot
Doctor :   ok, is pain associated with fever, fatiuge
User :   no fever
User :   but fatigue yes
Doctor :   ok
User :   I sleept all day yesterday
User :   and sleeping a lot can sometimes cause constipation for me
User :   or even being tired
Doctor :   do you any pain, which may u unable to your routine work
User :   no in this pain I can function
User :   just nervous because it has been 2 years and still comes and goes
Doctor :   ok
User :   cannot feel any lumps
Doctor :   ok, are you suspecting any type of tumor?
User :   not at this time
User :   I have had lots of blood work and urine tests done over the past 2 years, nothing abnormal yet
Doctor :   no, its not possible at this age
User :   I have more blood tests in progress including A1C for diabetees
User :   but not sure about this pain
Doctor :   ok, first thing is u can go for scan
Doctor :   any stones yu are thinking
User :   ok, what kind of scan would you advise?
User :   not sure about stones
Doctor :   like, renal or gal bladder
User :   Is this where I would feel pain if I had stones?
Doctor :   ultrasound abdomen
Doctor :   no the pain will be horrible
User :   ok, good ultrasound is easy and inexpensive, and no laxatives needed
Doctor :   you will be tossing in the bed if stones
User :   ok
User :   I don't think it is that severe
User :   only mild to moderate
User :   but very deffinate
Doctor :   yes, you csn walk into any diagnostic
Doctor :   yes, stones and appendicitis can be detected
User :   can appendicitis be chronic and intermittant over 2 years>
User :   ?
Doctor :   see very small stones can give moderate pain
Doctor :   yes , recurrent mild infection and chronic cases it can b
User :   ok
Doctor :   so, scan is the next best thing to do...
Doctor :   have any prostrate problem
User :   I don't think it is prostate, I have had several rectal exams in the past few months because of the sphincter muscle, pile and fissure and prostate was noted normal or not noted each time
User :   And I am young
Doctor :   hiatus hernia, gatritis, hormonal disorder can give mild pain
User :   but I have had major changes in urination
Doctor :   prostrate infection can occur any time
User :   I am on antibiotics now and prednesone
User :   for sinusitus
Doctor :   ok, could b chronic uti
Doctor :   since how many days u are on sterids
User :   1 week
Doctor :   ok, then not a issue
Doctor :   you have acidity?
User :   in urine?
Doctor :   no , gastritis
User :   oh not sure, my doctor thinks I may have reflux
User :   I had 2 episodes of severe (non cardiovascular) chest pain in the past 2 months
Doctor :   ok, not to worry, when was the urine routine and culture done last?
Doctor :   have any skin lesions or allergic to sunlight?
User :   can't remember last the urine was done, hmm
User :   no skin lesions
User :   or issues with sunlight
Doctor :   any family history of abdoninal chroic pain
User :   3 uncles with diverticulisis, cousin with chrons
Doctor :   ok, porpyrias i was thinking, it is very remote
User :   never heard of it
Doctor :   ok, but you said no blood in the stools
User :   no blood in stool from upper GI
User :   I have had fecal occult tests on rectum but not on stool samples
Doctor :   may be asymtomatic diverticulits also???
User :   no visible blood in stool or what would be described as tarry
User :   good news is that no diverticula were found on my sigmoidoscopy
Doctor :   ok, simple is go for a scan, with the report we discus
User :   ok so ultrasound scan
User :   any other tests i should request?
Doctor :   ya
User :   urine?
Doctor :   urine routine and culture
User :   ok
User :   I will ask about both next dr visit
User :   thank you very much
User :   you spend a good amount of time looking at the details
Doctor :   ok,my pleasure
Doctor :   after oyu get the report log on the site, so v can discuss
User :   great, thank you
Question is related to
Diseases and Conditions
Medical Procedures
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor