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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chronic Stomach Pain, Pain Below Hernia. Kidney, Appendix, Hernia Ultrasound Normal. Treatment?

Doctor, I have a stomac pain for the past 16 years and i have gone through all the specialist Drs.in and taken more than 20 x rays CT scans from the Most popular Hospitals .but the result is nothing wrong with my Kidney .appendix,Or hernia ( Doctors saying ).but i am having a terrible pain below my hernia portion. Now i am taking only the pain killer tablets.
Thu, 7 Feb 2013
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General & Family Physician 's  Response
Hello,

From your description your pain seems to be neurogenic or psychogenic reason why any specific cause can not be detected on any imagery study.
Pain of neuralgic or psychogenic origin do not usually have identifiable causes as the nerves involved could be damaged or inflamed. Chronic inflammation of nerve or nerve bundles (chronic neuritis), nerve compression by surrounding organs or extrasomatic objects, sequellae of previous affection like shingles, trauma, underlying systemic diseases such as diabetes, hypertension, SLE, MS etc are possible causes of your chronic stomach pain. I do not know if your doctors must have done blood tests to rule out possible systemic or genetic diseases that could be the or
To treat this you will require analgesic, antineuralgic and antidepressant medications could be used to manage the pain. Antidepressants that have pain killer functions are of value here e.g amitryptilline.
Who to consult? You need to see an internist/neurologist.

Hope this helps
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Chronic Stomach Pain, Pain Below Hernia. Kidney, Appendix, Hernia Ultrasound Normal. Treatment?

Hello, From your description your pain seems to be neurogenic or psychogenic reason why any specific cause can not be detected on any imagery study. Pain of neuralgic or psychogenic origin do not usually have identifiable causes as the nerves involved could be damaged or inflamed. Chronic inflammation of nerve or nerve bundles (chronic neuritis), nerve compression by surrounding organs or extrasomatic objects, sequellae of previous affection like shingles, trauma, underlying systemic diseases such as diabetes, hypertension, SLE, MS etc are possible causes of your chronic stomach pain. I do not know if your doctors must have done blood tests to rule out possible systemic or genetic diseases that could be the or To treat this you will require analgesic, antineuralgic and antidepressant medications could be used to manage the pain. Antidepressants that have pain killer functions are of value here e.g amitryptilline. Who to consult? You need to see an internist/neurologist. Hope this helps