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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Pain?

Woke up this morning with my my right thumb, and 2 fingers next to the thumb completely numb and (tingling, pins and needles sensation). Called my PCP but office is closed due to weather. Should I go to ER? I have been having extreme cramping pain in my lower abdomen for the last 4 days with BM's about every 2-3 hours over the past 36 hours. I have had stomach problems for over a year now and doctors can not find out why. I have had every test in the book. Something is keeping me from digesting food properly, I just belch it right back up 15-20 minutes after eating. I go 4-5 days without a BM and then all of a sudden, bam, I will have 6-8 BM's in one day. Something is not right with the stomach. I have seen 2 different gastro. with no luck. The abdomen pain is killing me, very painful the last 4 days. Please reply. I am a 62 year old male in fair health and live in Chattanooga, TN. Thank you.
Tue, 16 Dec 2014
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General Surgeon,  's  Response
Hi.
Thanks for your query.
The classical symptoms of alternating loose motions and constipation along with other symptoms is more suggestive of :
Cancer of the intestinal tract.
I would advise you the following tests:
Investigations:
*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.
*Urine -routine and microscopy
*Stool: routine, microscopy, occult blood, culture and sensitivity.
*Ultrasonography of abdomen,
*Colonoscopy
All these investigations should be within normal limits for one to say you have IBS

If colonoscopy shows cancer, get a biopsy, CT scan of the abdomen and proceed further.

Treatment:
Get a course of an antibiotic, metronidazole, probiotic and see the results , it is possible that you may get a relief.
If not, go for further tests .
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What Causes Abdominal Pain?

Hi. Thanks for your query. The classical symptoms of alternating loose motions and constipation along with other symptoms is more suggestive of : Cancer of the intestinal tract. I would advise you the following tests: Investigations: *Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests. *Urine -routine and microscopy *Stool: routine, microscopy, occult blood, culture and sensitivity. *Ultrasonography of abdomen, *Colonoscopy All these investigations should be within normal limits for one to say you have IBS If colonoscopy shows cancer, get a biopsy, CT scan of the abdomen and proceed further. Treatment: Get a course of an antibiotic, metronidazole, probiotic and see the results , it is possible that you may get a relief. If not, go for further tests .