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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Pain With Less Passage Of Stools?

For the past few months, I ve been dealing with left/ lower / abdominal pain. The pain was so bad, I had to be put on pain meds. All of this started after I had a bad bout with Shingles. I don t know if it s the medication they gave me to treat it or something else. Even my bowels have changed. My feces is very, very, light. almost white. I had an ultrasound/ transvaginal and I had a Renal ultrasound. They were normal. Normal pap. What else should I do ?? What questions should I ask my doctor. I m lost and don tknow what to do.
Tue, 18 Oct 2016
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted the history of Left lower abdominal pain that needed pain medication for the past few months. Had bad bout of Shingles, feces is very very light almost white, ultrasound, trans-vaginal renal are normal. Normal PAP, wants to know what to do? And what questions to ask the Doctor.
Pale and almost white stools need the following investigations:
Endoscopic ultrasound (EUS) as it can detect the reason for while stools, the cause of obstruction of the bile flow into the duodenum, MRCP may help further.
The pain in the left lower abdomen may be due to colitis and not really related to white stool or liver functions.
Shingles can have long lasting pain in the area of the distribution of the affected nerve.
I would also advise you to have tests of blood for Liver function tests, particularly alkaline phosphatase and GGT as these can tell about obstructive pathology.
If required colonoscopy, tests of stool and urine should be done to find for the causes and get treated accordingly.
AN opinion of a General Surgeon can help you for clinical evaluation and proper management and advise regarding any further tests and treatment options.
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What Causes Abdominal Pain With Less Passage Of Stools?

Hi. Thanks for your query. Noted the history of Left lower abdominal pain that needed pain medication for the past few months. Had bad bout of Shingles, feces is very very light almost white, ultrasound, trans-vaginal renal are normal. Normal PAP, wants to know what to do? And what questions to ask the Doctor. Pale and almost white stools need the following investigations: Endoscopic ultrasound (EUS) as it can detect the reason for while stools, the cause of obstruction of the bile flow into the duodenum, MRCP may help further. The pain in the left lower abdomen may be due to colitis and not really related to white stool or liver functions. Shingles can have long lasting pain in the area of the distribution of the affected nerve. I would also advise you to have tests of blood for Liver function tests, particularly alkaline phosphatase and GGT as these can tell about obstructive pathology. If required colonoscopy, tests of stool and urine should be done to find for the causes and get treated accordingly. AN opinion of a General Surgeon can help you for clinical evaluation and proper management and advise regarding any further tests and treatment options.