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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Constant Soreness In Abdomen?

Constant soreness in abdomen

For about a year now I have had on and off, a real soreness in my stomach. I have had lots of tests and the Doctors found a couple of large gallstones. However my symptoms seem to be in periods of weeks rather than after one meal so I went back for a second opinion. I was given an endoscopy which revealed nothing serious but mild duodenitis so they think it is acid causing the symptoms. I also have diarrhea predominant IBS and they are going to prescribe Omeprazole which I understand causes diarrhea so not really sure about taking this. My soreness was fine for a while but at the moment it is bad and continual despite trying to eat healthily. I also had some blood twice in my stools (red ) a couple of months ago so I am now being given a flexible sigmoidoscopy for that. Do you think the duodenitis has got worse, what is it and what can I do about it in terms of diet and why does it go on for weeks at the time?

Thanks
Sat, 31 May 2014
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General Surgeon 's  Response
Hi.
Thanks for your query and an elucidate history.
This looks to be a ''symptom complex'' of varied problems . Let us solve one by one:
The gall stones can cause varied symptoms from flatulence to soreness of stomach and is in fact a reason for duodenitis.

I would suggest you to get the gall bladder removed by '' Laparoscopic Cholecystectomy "'. I hope most of your symptoms will get corrected.

Omeprazole may not cause dairrhoea in all the patients. If it enhances in your case you can take take Ranitidine instead.

Red ( fresh) blood in the stool is usually due to a local problem of piles or fissure. As a policy sigmoidoscopy should be done to rule out other problems. This can be a part of IBS you are suffering from. Duodenitis can not cause fresh/ red blood in stools.
Diet: Fat-free diet, soft and bland is the best at the moment.
The problem goes on for weeks as you have a symptom-complex, so some or the other problem will creep up.
Go for Cholecystectomy and a proper medicines for IBS - you will be absolutely alright.



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What Causes Constant Soreness In Abdomen?

Hi. Thanks for your query and an elucidate history. This looks to be a symptom complex of varied problems . Let us solve one by one: The gall stones can cause varied symptoms from flatulence to soreness of stomach and is in fact a reason for duodenitis. I would suggest you to get the gall bladder removed by Laparoscopic Cholecystectomy . I hope most of your symptoms will get corrected. Omeprazole may not cause dairrhoea in all the patients. If it enhances in your case you can take take Ranitidine instead. Red ( fresh) blood in the stool is usually due to a local problem of piles or fissure. As a policy sigmoidoscopy should be done to rule out other problems. This can be a part of IBS you are suffering from. Duodenitis can not cause fresh/ red blood in stools. Diet: Fat-free diet, soft and bland is the best at the moment. The problem goes on for weeks as you have a symptom-complex, so some or the other problem will creep up. Go for Cholecystectomy and a proper medicines for IBS - you will be absolutely alright.