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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Stomach Pain Radiating To The Back, Episodes Of Diarrhoea, Fever, Weight Loss, Skin Dehydrated. Suggestions?

Hi, I have intermitent stomach pain on my left lower side the pain is not unbearable but more annoying it starts down low and then generates around the side and into my back in the area near my hip. Alot of the time when I eat I get diahorreha but not all the time it comes and goes. I have had these symptoms on and off for the last month with two bouts of fever the latest been last night. I am not sure if the fever is related as I don t have stomach pain when I am getting the fevers. I have lost about 10 kgs in the past month and notice that my skin on my hands stays up when I lift it, suggesting dehydration but I don t feel dehydrated and I drink alot of water.
Mon, 12 Nov 2012
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Gastroenterologist,  's  Response
Hello, jackie.jacks,
Your symptoms warrant more studies. Left sided lower abdominal pain,
fever, and diarrhea is suggestive of inflammation in the colon. Most
likely a case of "Diverticulitis". If you have pockets involving the colon
especially the left side of the colon, you can develop infection in one
or more of those pockets. This is more common after the age of 40-50,
although it can happen in younger individuals.
You need to see your doctor or go to the nearest medical facility
where they can perform blood tests, check the stool for hidden blood,
and also do a CT-Scan of the abdomen and pelvis to make sure that
you don't have any complications from diverticulitis such as abscess
or rupture (Perforation) which is serious and requires hospitalization,
surgical consultation, intravenous fluids, antibiotics etc.
It appears you are dehydrated and your weight loss is of concern as well.
Please seek medical attention as soon as possible.
I wish you well.
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Stomach Pain Radiating To The Back, Episodes Of Diarrhoea, Fever, Weight Loss, Skin Dehydrated. Suggestions?

Hello, jackie.jacks, Your symptoms warrant more studies. Left sided lower abdominal pain, fever, and diarrhea is suggestive of inflammation in the colon. Most likely a case of Diverticulitis . If you have pockets involving the colon especially the left side of the colon, you can develop infection in one or more of those pockets. This is more common after the age of 40-50, although it can happen in younger individuals. You need to see your doctor or go to the nearest medical facility where they can perform blood tests, check the stool for hidden blood, and also do a CT-Scan of the abdomen and pelvis to make sure that you don t have any complications from diverticulitis such as abscess or rupture (Perforation) which is serious and requires hospitalization, surgical consultation, intravenous fluids, antibiotics etc. It appears you are dehydrated and your weight loss is of concern as well. Please seek medical attention as soon as possible. I wish you well.