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Burning sensation in lower stomach, chronic constipation. Tried lactulose. Suggestions?

Last year after months of burning in lower right stomach , I had various test ending with virtual CT Colonoscopy scan. All organs found to be clear and Consultant advised me to take Movical regularly as chronic constipation was probable cause. OK for two months then same syptoms began. Trying Lactulose in place of Movicol and after various effects including explosive BM I have tried different doses which now seem to be helping with constipation. However burning still there on and off and has never really gone away. GP seems as baffled as me. Any suggestions?
Asked On : Tue, 26 Feb 2013
Answers:  2 Views:  87
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Gastroenterologist 's  Response
Hello, almabegg,
You state that your virtual colonoscopy was negative.
I also take it you have had all the blood work .
Especially Thyroid ,Celiac and also lactose intolerance tests.
It is important to rule these out. If you have no alarm symptoms
such as blood in the stool, anemia, weight loss etc. the symptom
of constipation, bloating, gas and abdominal pain indicates IBS
(Irritable Bowel Syndrome-C). Your doctor prescribed Movicol which
is called an osmotic laxative. It contains Polyethylene glycol along
with Sodium bicarbonate,Sod. Chloride and Potassium chloride.
It makes your colon to get more fluid or water to soften up the stool.
It is effective . The dosage initially should make you have diarrhea,
and after that you start slowly tapering the dose down till you have
normal stool. Initially you might experience some bloating which is
part of IBS anyway.
If you changed to lactulose , which is related to lactose, may make
symptoms worse if a person is lactose intolerant.
I hope you are also following a high fiber diet and drink enough
liquids. Cabbage family of vegetables can give more gas. But
if they are steam cooked , it will reduce the gas effect.
I hope this helps you.
I wish you well.
Answered: Wed, 27 Feb 2013
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General Surgeon Dr. Grzegorz Stanko's  Response

Thank you for the query.

Chronic constipations can cause diverticles in the large intestine wall. Usually it affects left side of large intestine however right one can be involved as well. Urinary tract infection should be also considered.
If there was no conoloscopy performed, you should have this test done. Urine analysis should be done as well.
Sometimes lack of intestinal bacterias can result with such chronic constipations. Medicines like Ca blockers and antidepresants can give constipations. Thyroid disease can also result with it.
If colonoscopy wont give any answer, you can try Rifaximine treatment along with Probiotics.

Hope this will help.
Answered: Wed, 27 Feb 2013
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