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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Constant Abdominal Pain In Lower Left Part?

CURRENT SYMPTOMS Constant Abdominal pain lower left (cramps) pain scale 3 to 4 (some impact to ADL per NRS-11) Lower Back pain Regular Burping (slight decrease since starting Omeprazole Magnesium) No acid indigestion No fever No headache Not nauseous. No vomiting Normal energy level to slight fatigue (due to pain) Normal Appetite Slight weight loss (2 to 3 lbs.?) Bowel moments 2 to 3 times a day. Previously once a day Slight constipation. No Diarrhea Stool: normal to Stringy. Light to Dark Brown color No blood visible in stool, Warm Bath, Hot Spa decreases abdominal and back pain.
Mon, 2 Mar 2015
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General Surgeon,  's  Response
Hi.
Thanks for your query and an elucidate history.
You have got a constant pain in the left lower abdomen with ADL NRS-11 , low back pain, regular burping which got reduced on Omeprazole.
You also have slight weight loss, 2 to 3 bowel movements per day.

I think of intestinal infection as the major cause.
It is better to take a 5-day course of an antibiotic, metronidazole, probiotic, Domperidone since you have burping, continue Omeprazole 2 times a day, Antacid and symptomatic and supportive treatment as required.
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What Causes Constant Abdominal Pain In Lower Left Part?

Hi. Thanks for your query and an elucidate history. You have got a constant pain in the left lower abdomen with ADL NRS-11 , low back pain, regular burping which got reduced on Omeprazole. You also have slight weight loss, 2 to 3 bowel movements per day. I think of intestinal infection as the major cause. It is better to take a 5-day course of an antibiotic, metronidazole, probiotic, Domperidone since you have burping, continue Omeprazole 2 times a day, Antacid and symptomatic and supportive treatment as required.