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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Treatment For Abdominal Pain With A History Of IBS?

i STARTED HAVING SEVERE UPPER ABDOMINAL PAIN 4 WEEKS AGO WHICH WAS ON THE UPPER RIGHT SIDE NOW STILL HAVING SEVERE PAIN AND HAS SPREAD TO LEFT SIDE OF STOMACH AND BACK iVE HAD PANCREATITUS YEARS AGO BUT BLOODWORK IS NORMAL AND ULTRASOUND OF GALLBLADDER IS OK IT HURTS TO EAT PAIN IS CONSTANT AND HAS HAD ME IN BED FOR WEEKS. i HAVE A HISTORY OF IBS FLAREUPS BUT THIS IS NOT IBS PAIN IM AT THE END OF MY ROPE ITS UNLIKE ANYTHING IVE EVER EXPERIENCED BEFORE
Tue, 6 Jun 2017
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General Surgeon,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Such a severe pain traversing from the right to the left side and going to back with the past history of pancreatitis and IBS (irritable bowel syndrome) is indicative of proper clinical evaluation and management.

I would advise you the following in such a situation:
Get a proper clinical evaluation by a gastroenterologist and ask for all the relevant investigations such as:
• CT scan of the abdomen.
• Tests of blood, urine, and stool.
• Upper GI endoscopy and colonoscopy.
If a specific problem is found out, it will be treated accordingly.

If all the investigations are normal, get treated on the lines of IBS. Avoid all the foods and beverages that instigate or enhance the problems. Watch for stress and anxiety and feel free to get a help of psychiatrists, if necessary, to get well soon.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant
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Treatment For Abdominal Pain With A History Of IBS?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Such a severe pain traversing from the right to the left side and going to back with the past history of pancreatitis and IBS (irritable bowel syndrome) is indicative of proper clinical evaluation and management. I would advise you the following in such a situation: Get a proper clinical evaluation by a gastroenterologist and ask for all the relevant investigations such as: • CT scan of the abdomen. • Tests of blood, urine, and stool. • Upper GI endoscopy and colonoscopy. If a specific problem is found out, it will be treated accordingly. If all the investigations are normal, get treated on the lines of IBS. Avoid all the foods and beverages that instigate or enhance the problems. Watch for stress and anxiety and feel free to get a help of psychiatrists, if necessary, to get well soon. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant