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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Pain?

my wife is suffring from abdominal pain.pain was not that much when it started 8 months ago.she use to have pain near her periods.and she used to have heavy bleeding.now the pain is so much high from 1-10 is no 10.her esr level was 54.and she had swelling in her body.doctors have done ultra sounds,xrays,but they cannot find anything.please give us advice what to do.
Tue, 12 Aug 2014
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General & Family Physician,  's  Response

Hello, thank you for writing in to HCM.

Few questions I need answers to before coming to specific conclusions:
- Is the pain in relation to food intake (does it happen on empty stomach or only after eating) or is it in relation to her period?

- Is the pain accompanied by any vomiting?
- Does she also have loss of appetite?
- Is there any discharge with her bleeding?
- Are her bowel movements normal?

Based on these answers one would be able to better diagnose your wife's problem, like if there are signs of loss of appetite, liver function test is needed.
If the ESR was done more than a week ago, you should repeat the test along with CBC, abdominal CT, urine culture and sensitivity, occult blood as well as stool RE. Please get back to us soon with these reports so we can assist you much better.

Meanwhile, anti helminthics can be given to her. if she's constipated you can give her mild laxatives at night. Penta prazole and Domperidone tablets on empty stomach should be started. If pain is severe, tablet Accuvin can be given SOS.
All the best.
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What Causes Abdominal Pain?

Hello, thank you for writing in to HCM. Few questions I need answers to before coming to specific conclusions: - Is the pain in relation to food intake (does it happen on empty stomach or only after eating) or is it in relation to her period? - Is the pain accompanied by any vomiting? - Does she also have loss of appetite? - Is there any discharge with her bleeding? - Are her bowel movements normal? Based on these answers one would be able to better diagnose your wife s problem, like if there are signs of loss of appetite, liver function test is needed. If the ESR was done more than a week ago, you should repeat the test along with CBC, abdominal CT, urine culture and sensitivity, occult blood as well as stool RE. Please get back to us soon with these reports so we can assist you much better. Meanwhile, anti helminthics can be given to her. if she s constipated you can give her mild laxatives at night. Penta prazole and Domperidone tablets on empty stomach should be started. If pain is severe, tablet Accuvin can be given SOS. All the best.