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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Intermittent Severe Prolonged Abdominal Pain?

For approximately 10 years on a completely random basis I get severe pains in my abdominal region. It feels like someone punched me in the stomach, I cannot breath, I can t sit, stand, or lay down. The only relief I have found is if I get on my hands and knees and try to breath through the attack. It comes and goes like a spasm and can last anywhere from 40 min to 4 hours. I started getting them about once every six months and then it increased to about twice a month, for the past few years it has slowed down to about every 3-4 months. I have tried to figure out if it is food related, (not that I can tell) if it coincides with my minstrel cycle (it doesnt seem to) or any other patterns (not that I can tell) Once in a while I will wake up in the middle of the night with this attack. If you have any idea what may be causing this and if there happen to be anything I can do to stop or relieve the pain I would be so very grateful.
Mon, 27 Jul 2015
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General & Family Physician,  's  Response
cramping is a type of pain that comes and goes and this also changes in position and severity. Cramping is most likely not serious if this is relieved after passing stool or gas.Your pain does not last more than 24 hours and your pain is not constant, therefore, you need not to worry about this concern, You can take Buscopan 10 mg tablet once daily PO as needed. Try to avoid stress and use relaxation techniques as sometimes IBS(Irritable bowel syndrome may present like this. A visit to doctor is usually recommended when your pain is very severe and different types of pain as compared to before and this lasts longer and this pain is continuous, otherwise not indicated.
In this stage, referral to gastroenterologist for colonoscopy is not indicated,
just buscopon is enough along with relaxation techniques and also use high fiber supplements such as metamusal.
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What Causes Intermittent Severe Prolonged Abdominal Pain?

cramping is a type of pain that comes and goes and this also changes in position and severity. Cramping is most likely not serious if this is relieved after passing stool or gas.Your pain does not last more than 24 hours and your pain is not constant, therefore, you need not to worry about this concern, You can take Buscopan 10 mg tablet once daily PO as needed. Try to avoid stress and use relaxation techniques as sometimes IBS(Irritable bowel syndrome may present like this. A visit to doctor is usually recommended when your pain is very severe and different types of pain as compared to before and this lasts longer and this pain is continuous, otherwise not indicated. In this stage, referral to gastroenterologist for colonoscopy is not indicated, just buscopon is enough along with relaxation techniques and also use high fiber supplements such as metamusal.