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What Causes Abdominal Pain, Constipation And Nausea?
Question: Hello,
My sister had abdominal pain and she had colonoscopy in XXXXXXX I am going to upload the images and I would appreciate if you could let me know what is going on in her intestines.
Symptoms: When she is upset or gets tired,
* Abdominal pain
* Cramp
* Constipation
* Inflation [perhaps in stomach]
* Neusea
Medications that she has taken:
* For 5 weeks, she used 6 mg. cortisone tablets that target the intestines only. [I think it was originally 9 mg, but they reduced it to 6 mg perhaps due to side effects. Also, she was supposed to use it for 1 more week, but she could not endure the abdominal pain.]
* She used 40 mg of Pantoprazol for her stomach for 4 weeks.
Thank you very much.
My sister had abdominal pain and she had colonoscopy in XXXXXXX I am going to upload the images and I would appreciate if you could let me know what is going on in her intestines.
Symptoms: When she is upset or gets tired,
* Abdominal pain
* Cramp
* Constipation
* Inflation [perhaps in stomach]
* Neusea
Medications that she has taken:
* For 5 weeks, she used 6 mg. cortisone tablets that target the intestines only. [I think it was originally 9 mg, but they reduced it to 6 mg perhaps due to side effects. Also, she was supposed to use it for 1 more week, but she could not endure the abdominal pain.]
* She used 40 mg of Pantoprazol for her stomach for 4 weeks.
Thank you very much.
Brief Answer:
Please send the report of biopsy
Detailed Answer:
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).
I appreciate your concern regarding your sister. I just want to know what was the report of biopsy so that I can answer your query.
Please send the report of biopsy
Detailed Answer:
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).
I appreciate your concern regarding your sister. I just want to know what was the report of biopsy so that I can answer your query.
Above answer was peer-reviewed by :
Dr. Raju A.T
Dr. XXXXXXX
Thank you for your interest. I had completely forgotten about the report. Here is the translation of the German Gastroscopy report [I made the translation, so it may not be perfect]:
Case history: Recurrent abdominal pressure sensation, nausea, constipation tendency, pain at perianal presses, blood admixture. Duodenitis, terminal ileitis (non-specific), hyperplastic rectum polyp. Control, currently no drug therapy, not taking NSAIDs. Gastroscopy, colonoscopy + proctoscopy – Anal fissure?
Esophago-Gastro-Duodenoscopy from XXXXXXX 10, 2015:
Premedication: 5 mg Dormicum, 70 mg Propofol
Findings: Esophagus: Tubular esophagus inconspicuous, Z-line with individual fibrin covered erosions, no relevant hernia. Stomach with inconspicuous mucosa conditions. Duodenum inconspicuous. Papilla inconspicuous. Drain clear bile.
Quick test for Helicobacter pylori from XXXXXXX 10, 2015:
Antrum: Negative, Corpus: Negative
Assessment: Reflux esophagitis Stadium A. Otherwise, inconspicuous mucosa conditions.
Thanks.
Thank you for your interest. I had completely forgotten about the report. Here is the translation of the German Gastroscopy report [I made the translation, so it may not be perfect]:
Case history: Recurrent abdominal pressure sensation, nausea, constipation tendency, pain at perianal presses, blood admixture. Duodenitis, terminal ileitis (non-specific), hyperplastic rectum polyp. Control, currently no drug therapy, not taking NSAIDs. Gastroscopy, colonoscopy + proctoscopy – Anal fissure?
Esophago-Gastro-Duodenoscopy from XXXXXXX 10, 2015:
Premedication: 5 mg Dormicum, 70 mg Propofol
Findings: Esophagus: Tubular esophagus inconspicuous, Z-line with individual fibrin covered erosions, no relevant hernia. Stomach with inconspicuous mucosa conditions. Duodenum inconspicuous. Papilla inconspicuous. Drain clear bile.
Quick test for Helicobacter pylori from XXXXXXX 10, 2015:
Antrum: Negative, Corpus: Negative
Assessment: Reflux esophagitis Stadium A. Otherwise, inconspicuous mucosa conditions.
Thanks.
Brief Answer:
Please see detailed answer
Detailed Answer:
Thanks XXXX, for sending the reports.
I have gone through all the images and reports you have provided. Excpt in series 2image1 there is a pedunculated polyp which on biopsy comes out to be a hyperplastic polyp which is a benign condition for which there is nothing to worry about. And in upper GI endoscopy there is few erosions in duodenum (Duodenitis).I hope there is no alarming features like loss of weight or apetite or blood loss in stool. Then it appears that your sister may be suffering from IBS (Irritable bowel syndrome). Few things to know about IBS:
1. Is a chronic disease which has relapsing and remitting course
2. It will never harm even if it will persist for whole life
3. Stress, life events, and anxiety leads to aggravation of symptoms as in your sis
4. Intestine becomes hypersensitive so even discomfort is perceived as pain
5. Increase gas production leading to abdominal fullness and bloating
6. No alarming features like weight loss, gastrointestinal bleeding, or fever
Now the solution:
1. Ask her to take high fibre diet, may add psyllium fibres to ease constipation
2. For pain take antispasmodic agent like clidinium
3. For nausea and duodenitis just add a proton pump inhibitor like pantoprazole as she is taking along with a prokinetic agent like a domperidone
4. For bloating a. see if symptoms becomes worse after eating any milk products, beans, peas if yes then ask her to avoid them
b. take capsules of simethicone which I found very useful in my patients complaning of bloating
I hope I have answered your query and this will help your sis. If you have any further query I will be happy to answer that too. Remain in touch. Hope your sister get-well soon.
Please see detailed answer
Detailed Answer:
Thanks XXXX, for sending the reports.
I have gone through all the images and reports you have provided. Excpt in series 2image1 there is a pedunculated polyp which on biopsy comes out to be a hyperplastic polyp which is a benign condition for which there is nothing to worry about. And in upper GI endoscopy there is few erosions in duodenum (Duodenitis).I hope there is no alarming features like loss of weight or apetite or blood loss in stool. Then it appears that your sister may be suffering from IBS (Irritable bowel syndrome). Few things to know about IBS:
1. Is a chronic disease which has relapsing and remitting course
2. It will never harm even if it will persist for whole life
3. Stress, life events, and anxiety leads to aggravation of symptoms as in your sis
4. Intestine becomes hypersensitive so even discomfort is perceived as pain
5. Increase gas production leading to abdominal fullness and bloating
6. No alarming features like weight loss, gastrointestinal bleeding, or fever
Now the solution:
1. Ask her to take high fibre diet, may add psyllium fibres to ease constipation
2. For pain take antispasmodic agent like clidinium
3. For nausea and duodenitis just add a proton pump inhibitor like pantoprazole as she is taking along with a prokinetic agent like a domperidone
4. For bloating a. see if symptoms becomes worse after eating any milk products, beans, peas if yes then ask her to avoid them
b. take capsules of simethicone which I found very useful in my patients complaning of bloating
I hope I have answered your query and this will help your sis. If you have any further query I will be happy to answer that too. Remain in touch. Hope your sister get-well soon.
Above answer was peer-reviewed by :
Dr. Raju A.T
Dr. XXXXXXX
I appreciate your reply, thank you very much!
I am going to contact her to see if we are all set to close the discussion.
Thanks.
I appreciate your reply, thank you very much!
I am going to contact her to see if we are all set to close the discussion.
Thanks.
Brief Answer:
Most welcome
Detailed Answer:
Most welcome, XXXX. Wish you a good health
Most welcome
Detailed Answer:
Most welcome, XXXX. Wish you a good health
Above answer was peer-reviewed by :
Dr. Prasad
Dr. XXXXXXX
We were pleased with your answer. The doctors ordered another colonoscopy for my sister, but the date is not set yet. I think they will not have the follow-up colonoscopy ready within the next 3 days, so I will need to close the discussion myself. However, I would like to ask you how I can get back to you once we have the results. I see a "Ask me a question" button on your profile. Can I use that one?
Thanks.
We were pleased with your answer. The doctors ordered another colonoscopy for my sister, but the date is not set yet. I think they will not have the follow-up colonoscopy ready within the next 3 days, so I will need to close the discussion myself. However, I would like to ask you how I can get back to you once we have the results. I see a "Ask me a question" button on your profile. Can I use that one?
Thanks.
Brief Answer:
Thanks
Detailed Answer:
Thanks XXXXX
You are most welcome to contact me and you can post a direct query. For that you have to click on "Ask me a Question" in my profile:
http://doctor.healthcaremagic.com/doctors/dr-amit-jain/65931
Wish your sis a good health
Thanks
Detailed Answer:
Thanks XXXXX
You are most welcome to contact me and you can post a direct query. For that you have to click on "Ask me a Question" in my profile:
http://doctor.healthcaremagic.com/doctors/dr-amit-jain/65931
Wish your sis a good health
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thanks Dr. XXXXXXX
Brief Answer:
Most welcome
Detailed Answer:
Most welcome. Remain in touch
Most welcome
Detailed Answer:
Most welcome. Remain in touch
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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