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Suggest Treatment For Lower Abdominal Pain

Posted on Mon, 28 Sep 2015

Question: hi doctor,

I feel pain in stomach on the right hand side below the navel. I feel pain when I press the stomach, when my stomach is empty and when I put pressure to pass stools. It is not severe but not ignorable either. What could be the reason for the pain ? Can I do something to reduce the pain ?

Thanks and Regards,
XXXX XXXXXXX

Answered by Dr. Amit Jain (6 hours later)

Brief Answer:
Please give detailed history

Detailed Answer:
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist.
If you don't mind I want to know a few more things:
1. How long are you suffering from this pain?
2. Is there any alarming feature like weight loss or loss of appetite?
3.Is there any problem in bowel movements?

This will help me in understanding your problem.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Amit Jain (8 hours later)

Hi Dr XXXXXXX

Thanks for your reply. Below are the answers to your questions.

1. How long are you suffering from this pain?
XXXX: I am suffering from this pain from 20 days. I experienced lot of gas on the day when this pain started.
2. Is there any alarming feature like weight loss or loss of appetite?
XXXX: There is no loss of appetite for sure. I don't check my weight frequently, but since last year, I lost 5 kilos.
3.Is there any problem in bowel movements?
XXXX: Lately, I am experiencing some constipation and feel that bowel movement is not as free as it used to be.

Please suggest what could be the problem and what I need to do to correct it. I am in USA now.

Answered by Dr. Amit Jain (5 hours later)

Brief Answer:
Please see detailed answer

Detailed Answer:
Thanks XXXX. I think you need evaluation since you have lost 5 kgs weight over 1 year. You should visit a Gastroenterologist who will examine and will advise you tests like ultrasound abdomen, may be endoscopy examination and some blood tests. Meanwhile till you get appointment with your doctor I will advise you to take a proton pump inhibitor like rabeprazole, a prokinetic agent like domperidone, mild antispasmodic like clidinium, and capsule simethicone. Take lots of liquid and fibres in your diet to soften your stool. Avoid milk, cabbage, beans, pulses as these all make gases in abdomen. I hope I have answered your query and this will help you. If you do not have any further query , you can close the discussion and rate the answer. Wish you a good health.

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Above answer was peer-reviewed by : Dr. Sonia Raina